Xalka Qalalaasaha ee Endoscopy-ga Caafimaadka ee Cilad-sheegidda iyo Daaweynta Takhasuska leh ee Carruurta

1. Barnaamij gaar ah oo loogu talagalay dhallaanka iyo dhallaanka (0-1 jir)

(1) Nidaamka endoscopic transnasal aadka u fiican

Horumarka tignoolajiyada:

Dhexroorka 1.8mm gastroscope (sida Olympus XP-190): Ka eeg atresia hunguriga dhexroorka sanka ee dhallaanka dhicis ah (≥ 2.4mm).

CO ₂ faleebo cadaadis joogto ah: sii wad cadaadiska <8mmHg si aad uga fogaato dillaacista caloosha

Qiimaha kiliinikada:

Baadhitaanka sawirka raajada ee beddelka ah ee atresia hunguriga lagu dhasho oo leh qiyaasta shucaaca ayaa dib loo dejiyay eber.

Heerka guusha ee enema aragga tooska ah ee xannibaadda mindhicirka meconium ayaa ka kordhay 60% ilaa 92%.

(2) Bronchoscopic bronchoalveolar lavage (BAL)

Bronchoscope Micro:

Muunad dhammaystiran oo cudur-sidaha oof-wareen daran iyadoo la adeegsanayo kanaalka 2.2mm (sida Storz 27005K).

Isbarbardhigga baaritaanka indhoolaha: Heerka ogaanshaha cudur-sidaha wuxuu ka kordhay 40% ilaa 85% (J Pediatr 2023).

2. Cilad cusub iyo daawaynta carruurta yaryar (1-3 jir)

(1) Endoscope kaabsal kontorool magnetic

Hal-abuurka farsamada:

8mm kaabsoosha la liqi karo (sida CapsoCam Pediatric): oo ay maamusho goob birlab ah oo dibadda ah si ay u jiheyso gudaha mindhicirka yar.

AI waxay si toos ah u aqoonsata dhibcaha dhiigbaxa ee Meckel's diverticulum iyadoo leh dareen ah 94%.

Faa'iidooyinka

Beddel colonoscopy-ga caadiga ah kana fogow suuxinta guud.

(2) cystourethroscope aan xanuun lahayn

Tignoolajiyada sifaynta Hydrogel:

Hydrogel-ka heerkulbeegga ah oo ay ku jirto lidocaine ayaa hoos u dhigtay xanuunka gelinta (dhibcaha xanuunka ayaa ka yaraaday 7 ilaa 2).

Heerka saxda ah ee ogaanshaha waalka kaadi mareenka dambe waa 100%.

3. Daawaynta ugu yar ee soo galitaanka carruurta da'da dugsiga (3-12 jir)

(1) Nooca la beddelay ee myomectomy transoral endoscopic myomectomy (GABAY)

La qabsiga carruurta:

Mindi koronto oo 1.9mm micro ah (sida Olympus KD-655) ayaa loo isticmaalaa in lagu daweeyo achalasia.

Wakhtiga qaliinka ayaa laga soo yareeyay 90 daqiiqo nooca dadka waaweyn waxaana laga dhigay 35 daqiiqo.

Saamaynta daweynta:

Cunista ayaa dib u bilaabatay 48 saacadood ka dib qaliinka, taas oo 5 maalmood ka dhakhso badan qalliinka Heller ee caadiga ah.

(2) Nidaaminta epiphyseal arthroscopic

Tilmaamaha Farsamada:

2.7mm arthroscopy (sida Arthrex NanoScope) ayaa haga beerista saxan bir ah oo 8-qaab ah.

Saxnaanta saxda ah ee daaweynta valgus jilibka waa 0.5 ° (osteotomy dhaqameed wuxuu leeyahay qalad qiyaastii 3 ° ah).

4,Barnaamijka Ilaalinta Waxqabadka ee Dhallinta (12-18 Jir)

(1) Siidaynta endoscopic ee scoliosis

Horumarka tignoolajiyada:

3mm endoscope hal dalool ah ayaa loo isticmaalaa in lagu gooyo seedaha concave (sida Joimax iLESSYS).

Isku dar ulaha koritaanka magnetic (MAGEC) si loo dhimo hal qalliin oo hagaajinta furan sanadkii.

(2) Daaweynta Endoscopic ee korriinka naaska ee qaangaarka

Farsamada kala dirida baruurta:

1.6mm endoscopic duritaan caawimo ah oo fosfatidylcholine waxay keentay 91% heerka dib u noqoshada korriinka naaska ee lab.

5. Tignoolajiyada caqliga iyo raaxada leh

(1) Nidaamka Maqnaanshaha VR

Hirgelinta farsamada:

Xirashada Meta Quest 3 inta lagu guda jiro baaritaanka ayaa muujisay ciyaar is dhexgal ah, iyo waqtiga dulqaadka xanuunka waxaa la kordhiyay seddex jeer.

(2) La socodka qoto dheer ee suuxinta AI

Kaaliyaha Suuxinta Carruurta:

Si toos ah u habeynta qiyaasta propofol ee ku saleysan falanqaynta muujinta wejiga waxay keentay hoos u dhac 70% ah dhacdooyinka niyad-jabka neefsashada.

(3) Robot-ka caawiya bronchoscopy

Nooca Yar ee Boqortooyada:

Gacanta Robotka ee 3mm waxay gaadhay heerka 10aad ee bronchus, heerka guusha ee ka saarista jidhka shisheeye waxay ahayd 99%.

6. Tilmaamaha farsamada mustaqbalka

Dareen-mareenka marin-haweedka sii xumaanaya:

Maaddada polycaprolactone stent waxaa la nuugaa 6 bilood si loo daaweeyo jilcinta hawo-mareenka.

Dareemaha Nano endoscopic:

La socodka wakhtiga dhabta ah ee dhaqdhaqaaqa lactase mindhicirka si loo ogaado dulqaad la'aanta.

Jilidda jajabka xubnaha:

Baaritaanka chip microfluidic ka hor qalliinka ee qorshaha qalliinka ee biliary atresia ee lagu dhasho.

Shaxda Isbarbardhigga Faa'iidada Clinical

Talooyinka fulinta

NICU: ku qalabaysan 1.8mm bronchoscope iyo CO ₂ nidaamka perfusion.

Xarunta dheefshiidka carruurta: Dhismaha Magnetron Capsule AI Platform Falanqaynta.

Diirada-saarista cilmi-baarista: Horumarinta korriinka la-qabsiga la-qabsiga implants (sida stents hunguriga la ballaarin karo).

Farsamooyinkan ayaa dib u qaabaynaya qaabka ogaanshaha iyo daawaynta carruurta iyada oo loo marayo saddex horumar oo waaweyn: habab heer millimitir ah, dhaawac maskaxeed oo eber ah, iyo daawaynta saaxiibtinimo ee koritaanka. Waxaa la filayaa in marka la gaaro 2028, 90% baaritaanada dhaq-dhaqaaqa carruurta ay noqdaan kuwo irbad la'aan ah oo aan xanuun lahayn.