Njira Yosokoneza ya Medical Endoscopy mu Pediatric Specialized Diagnosis ndi Chithandizo

1, Pulogalamu yapadera ya makanda ndi makanda (0-1 zaka)

(1) Ultra fine transnasal endoscopic system

Kupambana kwaukadaulo:

1.8mm m'mimba mwake gastroscope (monga Olympus XP-190): Yang'anani atresia ya esophageal kudzera m'mphuno ya makanda obadwa msanga (≥ 2.4mm).

CO ₂ kulowetsedwa kosalekeza: sungani kupanikizika<8mmHg kuti mupewe kupasuka kwa m'mimba (matenda a neonatal gastric wall makulidwe ndi 1-2mm okha).

Mtengo wachipatala:

Njira ina yofananira ndi X-ray ya congenital esophageal atresia yokhala ndi radiation yobwereranso ku ziro.

Kupambana kwa mawonedwe achindunji a enema a meconium matumbo kutsekeka kwawonjezeka kuchoka pa 60% mpaka 92%.

(2) Bronchoscopic bronchoalveolar lavage (BAL)

Microbronchoscope:

Kuyesa kwathunthu kwa tizilombo toyambitsa matenda a chibayo choopsa pogwiritsa ntchito njira yogwirira ntchito ya 2.2mm (monga Storz 27005K).

Kuyerekeza kuyesa kwakhungu: Kuzindikira kwa tizilombo toyambitsa matenda kwakwera kuchoka pa 40% mpaka 85% (J Pediatr 2023).

2, Kuzindikira kwatsopano ndi chithandizo cha ana aang'ono (zaka 1-3)

(1) Magnetic controlled capsule endoscope

Zaukadaulo:

Makapisozi omeza a 8mm (monga CapsoCam Pediatric): olamulidwa ndi maginito akunja kuti alowetsenso mkati mwamatumbo aang'ono.

AI imadziwikiratu malo omwe amatuluka magazi mu diverticulum ya Meckel ndi kumva kwa 94%.

Ubwino:

M'malo mwa colonoscopy yachikhalidwe ndikupewa opaleshoni wamba.

(2) cystourethroscope yopanda ululu

Tekinoloje yamafuta a Hydrogel:

Thermosensitive hydrogel yomwe ili ndi lidocaine inachepetsa ululu wolowetsa (zopweteka zatsika kuchokera ku 7 mpaka 2).

Mlingo wolondola wozindikira valavu yakumbuyo ya urethral ndi 100%.

3, Chithandizo chochepa cha ana asukulu (zaka 3-12)

(1) Kusintha kwa transoral endoscopic myomectomy (POEM)

Kusintha kwa ana:

Mpeni wamagetsi wa 1.9mm (monga Olympus KD-655) umagwiritsidwa ntchito pochiza achalasia.

Nthawi ya opaleshoni yachepetsedwa kuchoka pa mphindi 90 mu mtundu wachikulire kufika mphindi 35.

Zochizira:

Kudya kunayambiranso maola 48 pambuyo pa opaleshoni, yomwe ndi masiku 5 mofulumira kuposa opaleshoni yachikhalidwe ya Heller.

(2) Arthroscopic epiphyseal regulation

Zowunikira zaukadaulo:

2.7mm arthroscopy (monga Arthrex NanoScope) amatsogolera kuyika kwa mbale yachitsulo yooneka ngati 8.

Kulondola kowongolera pochiza valgus ya bondo ndi 0.5 ° (osteotomy yachikhalidwe ili ndi zolakwika pafupifupi 3 °).

4, Dongosolo Logwira Ntchito Loteteza Achinyamata (Wazaka 12-18)

(1) Endoscopic kumasulidwa kwa scoliosis

Kupambana kwaukadaulo:

3mm single hole endoscope imagwiritsidwa ntchito podula minyewa ya concave (monga Joimax iLESSYS).

Phatikizani ndodo za kukula kwa maginito (MAGEC) kuti muchepetse opaleshoni imodzi yotseguka pachaka.

(2) Endoscopic chithandizo chakukula kwa mabere achinyamata

Tekinoloje yochepetsera mafuta:

Jekeseni wa 1.6mm endoscopic wothandizira wa phosphatidylcholine adapangitsa kuti 91% ya kukula kwa mabere aamuna abwererenso.

5, Ukadaulo Wanzeru komanso Womasuka

(1) VR Distraction System

Kukhazikitsa mwaukadaulo:

Kuvala Meta Quest 3 pakuwunika kunawonetsa masewera olumikizana, ndipo nthawi yololera kupweteka idakulitsidwa katatu.

(2) Kuwunika kwakuya kwa AI sedation

Wothandizira Paediatric Sedation:

Kusintha kwadzidzidzi kwa mlingo wa propofol kutengera kusanthula kwa nkhope kunapangitsa kuti kuchepetsedwa kwa 70% kwa zochitika zakuvutika kupuma.

(3) Roboti yothandizira bronchoscopy

Monarch Miniature Version:

Dzanja la robotic la 3mm linafika pa bronchus ya 10, ndipo kupambana kwa kuchotsa thupi lachilendo kunali 99%.

6. Mayendedwe aukadaulo amtsogolo

Zowonongeka za airway stent:

Stent ya polycaprolactone imatengedwa kwa miyezi 6 kuti ichepetse kufewetsa kwa tracheal.

Nano endoscopic sensor:

Kuwunika nthawi yeniyeni ya m'mimba lactase kuti muzindikire kusalolera.

Organ chip kayeseleledwe:

Preoperative microfluidic chip kuyesa kwa dongosolo la opaleshoni la congenital biliary atresia.

Table Yofananira ya Phindu Lachipatala

Malingaliro okhazikitsa njira

NICU: yokhala ndi bronchoscope ya 1.8mm ndi CO ₂ perfusion system.

Malo Odyera Ana: Kupanga Magnetron Capsule AI Analysis Platform.

Cholinga cha kafukufuku: Kupanga ma implants osinthika a endoscopic (monga ma stents owonjezera a esophageal).

Matekinolojewa akukonzanso mawonekedwe a matenda ndi chithandizo cha ana kudzera m'njira zitatu zazikulu: njira zofikira mamilimita, kuvulala kwamaganizidwe ziro, komanso chithandizo chakukula bwino. Zikuyembekezeka kuti pofika chaka cha 2028, 90% ya mayeso a ana osawuka adzakhala opanda singano komanso osapweteka.