Xalka qallafsan ee endoscopy-ga caafimaadka ee ogaanshaha iyo daawaynta degdega ah iyo daryeelka halista ah

1. Farsamooyinka naf-badbaadinta ee dhiig-baxa caloosha ee degdega ah

(1) Nidaamka Hemostasis degdega ah ee Endoscopic

Buufinta budada hemostatic hemospray:

Mabda'a farsamada: Qaybaha Titanate waxay sameeyaan xannibaad farsamo oo dusha dhiigga ah, iyagoo joojinaya dhiigbaxa 30 ilbiriqsi gudahood.

Xogta bukaan-socodka: Heerka xakamaynta dhiigga jet-ka Forrest Ia waa 92%, taas oo saddex jeer ka dhaqso badan cajaladaha titanium-ka caadiga ah.

In ka badan The Baaxadda Clip (OTSC):

Naqshad Claw Bear: Xidh dalool boogaha dhexroorkiisu yahay 3cm (sida Dieulafoy lesion), oo leh heerka dhiigbaxa ee ka yar 5%.

(2) Saadaasha khatarta dhiigbaxa AI

Algorithm aragga waqtiga dhabta ah:

Sida Cosmo AI's BLEED Score, dhibcaha Rockall si toos ah ayaa loogu xisaabiyaa sawirada endoscopic si loo hago mudnaanta daaweynta.

2. Daawaynta ugu yar ee ka hortagga xaaladaha degdegga ah ee marin-haweedka

(1) ECMO oo lagu daray bronchoscopy

Horumarka tignoolajiyada:

ECMO la qaadi karo (sida Cardiohelp) waxaa loo isticmaalaa in lagu ilaaliyo ogsijiinta iyo in la sameeyo nadiifinta bronchoalveolar (BAL) si meesha looga saaro xababka COVID-19.

Qiimaha kiliinikada: Xaqiijinta badbaadada shaqada ee bukaanada qaba PaO ₂/FiO ₂<100mmHg (Lancet Respir Med 2023).

(2) Cryoprobe hawo-mareen dib u soo celin

Farsamada qaboojinta degdega ah:

-40 ℃ heerkulka hooseeya (sida ERBE CRYO2) waxaa loo isticmaalaa in lagu qaboojiyo burooyinka marin-haweedka, oo leh mugga dhiigbaxa <10ml (marka loo eego koronto-cautery>200ml).

3. Faragelinta Endoscopic ee pankreatit daran

(1) Burburinta la hago Endoscopic ee unugyada necrotic (EUS-NEC)

Hal-abuurka farsamada:

(2) Nidaamka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka ee joogtada ah

Meelaynta endoscopic ee tuubada waraabka:

Iyadoo la raacayo hagida endoscopy dual channel, heerka amylase ee dareeraha lavage ayaa lala socdaa wakhtiga dhabta ah.

4. Codsiga Endoscopic ee daawaynta degdega ah ee dhaawaca

(1) Hemostasis degdeg ah iyada oo loo marayo thoracoscopy

Hal dalool oo adag thoracoscopy:

Ku baadh daloolka laabta oo la jeexay 5mm, isticmaal korantada si aad u joojiso dhiigbaxa, kana ilaali thoracotomy (sida Storz 26003BA).

Codsiga caafimaad ee milatariga: Dhaawaca ka soo galka goobta dagaalka wakhtiga xakamaynta dhiiga ayaa laga dhigay 15 daqiiqo.

(2) Duodenoscopy ee daaweynta dhaawaca mareenka biliary

ERCP ka saarista dhagaxa degdega ah+stent:

Meelaynta stent bir ah oo si buuxda u daboolan inta lagu jiro qalliinka ee dillaaca tubbada caadiga ah ee xiidmaha ayaa leh heer guul ah 98%.

5. Xalka khalkhal gelinta ICU ee la socodka sariirta dhinaceeda

(1) Meelaynta endoscopic Transnasal ee tuubada faaruqinta

Farsamada hagidda Electromagnetic:

Cortrak ® Nidaamku wuxuu soo bandhigayaa marinka kateetarka waqtiga dhabta ah, iyo heerka si kama' ah u gelitaanka marin-haweedka dib ayaa loo dhigayaa eber.

Isbarbardhigga meelaynta raajada: Wakhtiga qalliinka ayaa laga dhigay 2 saacadood ilaa 20 daqiiqo.

(2) Micro cystoscopy for la socodka shaqada kelyaha

10Fr cystoscope elektaroonik ah:

Si joogto ah ula soco heerka ischemia papillary kelyaha ee bukaannada aadka u xanuunsan (sida sepsis AKI).

6. Tilmaamaha farsamada mustaqbalka

(1) Nano hemostatic endoscope:

Nanoparticles Magnetic ah oo sidda thrombin, goobta magnetic waxay hagtay embolization saxda ah (tijaabada neefta ee hemostasis <10 seconds).

(2) Holographic AR navigation:

Microsoft HoloLens 2 waxay mashquushaa isku-duwayaasha saddex-geesoodka ah ee barta dillaaca xididdada dhiigga.

(3) Marin hawo-mareen oo sii xumaanaya:

Qalabka polycaprolactone waa in la nuugo 4 toddobaad gudahood si looga fogaado ka saarida labaad.

Shaxda Isbarbardhigga Faa'iidada Clinical

Talooyinka fulinta

Waaxda degdega ah: Waxay la socotaa Hemofray+OTSC "Hemostasis Kit".

Xarunta Dhaawaca: Dhis qolka qalliinka isku-dhafan (CT+ dhexgalka endoscopic).

Diirada-saarista cilmi-baarista: Horumarinta habka buufinta endoscopic biodhesive trauma.

Farsamooyinkani waxay ku riixayaan endoscopy degdegga booska ugu muhiimsan ee daawaynta "saacda dahabka" iyada oo loo marayo saddex guulood oo waaweyn: "jawaab celin heer daqiiqad ah, eber dhaawac dheeraad ah, iyo ilaalinta shaqada jir ahaaneed". Waxa la filayaa in marka la gaadho 2027, 50% qalliinada degdega ah ee furan ee caloosha/xuubka lagu badalo endoscopy.