Isisombululo esiphazamisayo se-Endoscopy yezoNyango kwi-Peediatric Specialized Diagnosis kunye noNyango

1, Inkqubo ekhethekileyo yabantwana abasanda kuzalwa kunye neentsana (0-1 iminyaka ubudala)

(1) I-Ultra fine transnasal endoscopic system

Impumelelo yetekhnoloji:

I-1.8mm ubukhulu be-gastroscope (efana ne-Olympus XP-190): Hlola i-atresia yommizo ngomngxuma weempumlo weentsana ezizelwe phambi kwexesha (≥ 2.4mm).

I-CO ₂ infusions yoxinzelelo rhoqo: gcina uxinzelelo<8mmHg ukuphepha ukuphuka kwesisu (i-neonatal gastric wall thickness is only 1-2mm).

Ixabiso lonyango:

Uxilongo lwe-X-reyi olulolunye lomfanekiso we-congenital esophageal atresia kunye nethamo lemitha lokubuyisela kwiqanda.

Izinga lempumelelo ye-enema yokujonga ngokuthe ngqo kwi-meconium intestinal obstruction iye yanda ukusuka kwi-60% ukuya kwi-92%.

(2) Ibronchoscopic bronchoalveolar lavage (BAL)

I-Microbronchoscope:

Gqibezela isampuli ye-pathogen ye-pneumonia enzima usebenzisa i-2.2mm itshaneli yokusebenza (efana ne-Storz 27005K).

Ukuthelekiswa kovavanyo olungaboniyo: Izinga lokufumanisa i-pathogens liye landa ukusuka kwi-40% ukuya kwi-85% (J Pediatr 2023).

2, Ukuxilongwa okutsha kunye nonyango lwabantwana abancinci (iminyaka eyi-1-3 ubudala)

(1) Imagnethi elawulwa yi-capsule endoscope

Utshintsho lwetekhnoloji:

I-8mm i-capsules swallowable (njenge-CapsoCam Pediatric): ilawulwa yintsimi yangaphandle yamagnetic ukuze iqondise kwakhona ngaphakathi kwamathumbu amancinci.

I-AI ngokuzenzekelayo ichonga amanqaku okuphuma kwegazi kwi-diverticulum ye-Meckel kunye novakalelo lwe-94%.

Izinto eziluncedo:

Faka indawo yekolonoscopy yesintu kwaye uphephe i-anesthesia jikelele.

(2) Icystourethroscope engenantlungu

Itekhnoloji yokuthambisa iHydrogel:

I-hydrogel ye-thermosensitive equkethe i-lidocaine yanciphisa intlungu yokufaka (intlungu yentlungu iyancipha ukusuka kwi-7 ukuya kwi-2).

Izinga lokuchaneka lokuxilonga i-valve ye-urethral yangasemva yi-100%.

3, Unyango olungenabuncinci kubantwana abakwiminyaka yesikolo (iminyaka emi-3-12 ubudala)

(1) Uguqulelo olulungisiweyo lwe-transoral endoscopic myomectomy (POEM)

Uqhelaniso lwabantwana:

Imela yombane eyi-1.9mm encinci (efana ne-Olympus KD-655) isetyenziselwa ukunyanga i-achalasia.

Ixesha lotyando liye lancitshiswa ukusuka kwimizuzu ye-90 kwinguqu yabantu abadala ukuya kwimizuzu ye-35.

Isiphumo sonyango:

Ukutya kwaphinda kwaqalisa iiyure ezingama-48 emva kotyando, oluyintsuku ezi-5 ngokukhawuleza kunotyando lweHeller lwesintu.

(2) Ulawulo lwe-Arthroscopic epiphyseal

Amagqabantshintshi obugcisa:

I-2.7mm arthroscopy (efana ne-Arthrex NanoScope) ikhokela ukufakelwa kwepleyiti yensimbi enemilo eyi-8.

Ukuchaneka kokulungiswa kokunyanga i-valgus yamadolo yi-0.5 ° (i-osteotomy yendabuko inephutha malunga ne-3 °).

4, Inkqubo yoLondolozo oluSebenzayo lwaBantu abafikisayo (iminyaka eyi-12-18 ubudala)

(1) Ukukhululwa kwe-Endoscopic ye-scoliosis

Impumelelo yetekhnoloji:

I-endoscope yomngxuma omnye we-3mm isetyenziselwa ukusika i-ligament ye-concave (efana ne-Joimax iLESSYS).

Hlanganisa iintonga zokukhula kwamagnetic (MAGEC) ukunciphisa utyando olunye oluvulekileyo lohlengahlengiso ngonyaka.

(2) Unyango lwe-Endoscopic yophuhliso lwebele lokufikisa

Itekhnoloji yokuphelisa amafutha:

I-1.6mm i-endoscopic incedise inaliti ye-phosphatidylcholine ibangele i-91% yokunciphisa izinga lokuphuhliswa kwebele lendoda.

I-5, iTekhnoloji yobukrelekrele neTolo

(1) Inkqubo yokuphazamiseka kweVR

Ukuphunyezwa kobugcisa:

Ukugqoka i-Meta Quest 3 ngexesha loviwo lubonise umdlalo odibeneyo, kwaye ixesha lokunyamezela intlungu landiswa ngamaxesha amathathu.

(2) Ukujongwa kobunzulu be-AI

UMncedisi wokuthotywa kwabantwana:

Ukulungelelaniswa ngokuzenzekelayo kwe-propofol dosage esekelwe kuhlalutyo lwembonakalo yobuso kubangele ukuncipha kwe-70% kwiziganeko zokudakumba kokuphefumula.

(3) I-bronchoscopy encediswa yiRobhothi

Inguqulelo yeMonarch Miniature:

Ingalo yerobhothi ye-3mm ifikelele kwinqanaba le-10 le-bronchus, kwaye izinga lokuphumelela lokususwa komzimba wangaphandle laliyi-99%.

6. Izalathiso zobuchwepheshe bexesha elizayo

Isitenti somoya esonakaliswayo:

I-polycaprolactone impahla ye-stent ifunnwe kwiinyanga ze-6 ukunyanga ukuthotywa kwe-tracheal.

Isivamvo seNano endoscopic:

Ukujongwa kwexesha lokwenyani lomsebenzi we-lactase yamathumbu ukufumanisa ukunganyamezeli.

Ukulinganisa itshiphu yelungu:

Uvavanyo lwangaphambi kokusebenza kwe-microfluidic chip yesicwangciso sotyando kwi-congenital biliary atresia.

Itheyibhile yokuthelekisa iNzuzo yezonyango

Iingcebiso zokuphunyezwa kwesicwangciso

I-NICU: ixhotywe nge-bronchoscope ye-1.8mm kunye ne-CO ₂ inkqubo ye-perfusion.

Iziko lokugaya abantwana: Ukwakhiwa kwe-Magnetron Capsule AI yePlatform yokuHlalutya.

Ugxininiso loPhando: Ukuphuhliswa kofakelo lwe-endoscopic olulungelelaniswayo lokukhula (njengeestents ezandiswayo zommizo).

Ezi tekhnoloji zilungisa ngokutsha i-paradigm yokuxilongwa kwabantwana kunye nonyango ngokusebenzisa iimpumelelo ezintathu eziphambili: iindlela zomgangatho we-millimeter, i-zero yokwenzakala ngokwasengqondweni, kunye nonyango olulungele ukukhula. Kulindeleke ukuba ngo-2028, i-90% yeemviwo zabantwana ezingenazo iinaliti zingabi nazintlungu.