Umatshini wonyango we-uroscope

I-Endoscopy ye-Urological ngumgangatho wegolide wokuxilonga kunye nokunyangwa kwezifo zenkqubo yomchamo, ukufikelela kuphononongo olungaphazamisiyo, ukuxilongwa ngokuchanekileyo kunye nonyango olungephi ngokungena kwimingxuma yendalo okanye izithintelo ezincinci. Olu lulandelayo lucazululo olubanzi ukusuka kumacala amathandathu:

1. Imigaqo yobugcisa kunye nokuziphendukela kwezixhobo

Amacandelo angundoqo

Inkqubo yamehlo: 4K ultra-high-definition/3D imaging, NBI emxinwa-band ukukhanya ukuchongwa kwangethuba amathumba

Uhlobo loMda:

▸ Umda onzima (0°-70° i-engile yokujonga, esetyenziselwa isinyi/uretha)

▸ Umda othambileyo (270° ukugoba, ukufikelela kwi-pelvis yezintso)

Itshaneli esebenzayo: ixhasa i-laser fiber, ibhasikidi yamatye, i-biopsy forceps kunye nezinye izixhobo

Ukuphindaphinda itekhnoloji

Ukusuka kwifiberscope ukuya kwi-electronic scope: ukunyuka kwepixel kayi-100 (ngoku ukuya kuthi ga kwi-500,000 yeepikseli)

Ukusuka ekukhanyeni okumhlophe ukuya kumfanekiso okrelekrele: iziphawuli zefluorescent (ezinje nge-5-ALA) zenza iiseli zomhlaza zizikhanyisele.

2. I-spectrum epheleleyo yezicelo zeklinikhi

Intsimi yesifo Ukuxilongwa kwesicelo Ukusetyenziswa konyango

Ukuma kwe-Tumor yesinyi, uvavanyo lwe-cystitis ye-interstitial Ukususwa kwe-Tumor (TURBT), i-lithotripsy

Ukuma kwe-Ureter Stricture, ukufunyanwa komzimba wangaphandle Ukubekwa kwe-Stent, i-laser lithotripsy

I-Kidney Hematuria yokulandelela, i-lesion biopsy yesilonda se-Percutaneous nephrolithotomy (PCNL)

Uvavanyo lweProstate hyperplasia kunye ne-enucleation (HoLEP)

III. Ukuthelekiswa kwezixhobo eziphambili

Uhlobo I-Diameter Advantages kwiimeko zakudala

I-Cystoscopy 16-22Fr Ijelo elikhulu kunye nentsebenziswano yezixhobo ezininzi Ukususwa kwe-Prostate

Ureteroscopy 7.5-9.9Fr Ukugoba okusebenzayo 270° Laser powderization yamatye e-pelvic ezintso

I-Percutaneous nephrroscope 18-30Fr Ukusekwa ngokuthe ngqo komjelo wezintso ukususwa kwamatye eStaghorn

Umda we-elektroniki olahlwayo 6.5Fr Akukho mngcipheko wosulelo olunqamlezileyo Uvavanyo olukhawulezayo lwezigulana

IV. Izinto ezibalulekileyo kwiinkqubo zotyando (ukuthatha ureteroscopic lithotripsy njengomzekelo)

Utyando lwangaphambili

Ukucwangciswa kwe-CT ye-Three-dimensional yendawo yamatye, i-anesthesia jikelele

Uqhaqho

Faka i-endoscope ethambileyo phantsi kwesikhokelo se-guidewire, kwaye i-holmium laser itya amatye ukuya <2mm

Beka ityhubhu ye-J ephindwe kabini ukukhusela i-stenosis ukuba kuyimfuneko

Emva koqhaqho

Sela i-2000ml yamanzi ngosuku olunye, kwaye uyisuse i-catheter ngeentsuku ezintathu

V. Uthintelo kunye nolawulo lwengxaki

Ukopha: iplasma bipolar electrocoagulation

Usulelo: inkcubeko yomchamo wangaphambili + i-antibiotics ekujoliswe kuyo

I-Perforation: ixesha langempela lokujonga uxinzelelo ngexesha lotyando (<40cmH₂O)

VI. Izalathiso ezintlanu eziphambili kwixesha elizayo

I-AI ngexesha lokwenyani le-pathology: umahluko ozenzekelayo phakathi kwenqanaba elisezantsi kunye nenqanaba eliphezulu le-urothelial carcinoma phantsi kwe-microscope

I-Microrobot: i-endoscope ye-capsule elawulwa ngamandla ukuze ikhusele izilonda zakwangoko

Uqeqesho lwenyani yenyani: oogqirha balinganisa utyando kumalungu akhiwe ngokutsha e-3D

I-biodegradable stents: akukho mfuneko yokususwa kwesibini emva kotyando

Unyango olujolisiweyo lwe-photodynamic: ukupheliswa ngokuchanekileyo kweeseli zomhlaza ezikwi-situ

Isishwankathelo sexabiso leshishini

Itekhnoloji ye-Uroscopic yenza ukuba i-urology ifezekise:

🔹 Uphuculo loxilongo: izinga lokufumanisa ithumba kwangoko linyuke ngamaxesha e-3

🔹 Unyango olutsha: I-90% yotyando lwamatye alufuni utyando

🔹 Izibonelelo zesigulana: ukuhlala esibhedlele kufutshane ukuya kwiintsuku ezi-1-2

Ngokudityaniswa kwe-laparoscope ye-single-port kunye ne-endoscope, ikamva liya kuzisa ixesha elitsha lotyando olungenazibazi.