(1). Mekhoa ea mantlha ea mekhoa ea mantlha ea EMR e tjena:
Tatellano ea mahlale
Ho hlahloba tharollo ea ente ea enjeke ka tlase hosion.
② Bula ea leraba ho pota lesion.
③ Leraba le tiisitsoe ka lebaka la ho utloisisa le ho phatsisetsa lesion.
④contineue ho tiisa leraba ha u ntse u kenya motlakase ho felisa lesion.
⑤retrietruve e hlophisitsoeng bocha.
(2). Malebela
1.Popa bakeng sa khetho ea boemo ba 'mele le boemo ba moeli
Hobane lesion e hloka ho phekoloa ha setšoantšo sohle se bonahala, boemo ba mokuli bo bohlokoa haholo. Leka ho sotha sekhahla e le hore lesion e be le meeli ea biopsy e butsoeng, ke hore, ho tloha ka hora ea 5 ho isa ho ea 7 skrineng.
Pele kalafo, masara le masenke a mangata a hloka hore a hlatsoe ebe o tlosoa ke ho anyesa.
Mohlala, haeba lesion e le lesira la proximal e tlosoa ka har'a popiine kapa e hlahang hamorao, ka hona boemo bo nepahetseng ba morao-rao bo molemo haholo.
Ka mokhoa o ts'oanang, boemo ba ho hlaphoheloa kelellong, boemo ba ho qetela ba morao-rao bo khethoa bakeng sa litlolo tse feto-fetohang le liso.
2.Po bakeng sa liente tsa lehae
Mokhoa oa enjene e nang le ente o ka kenngoa khatello e tlase, empa ha ho na bohale le lesoba la nale le leng le leholo haholo, ka hona, mongoli o sebelisa Windo ea ente ea lehae.
Ha ho fetelletse taba ho bolela hore katleho kapa ho hloleha ha EMR e itšetlehile haholo ka ente.
Bakeng sa liso tse nyane, ho etsoa lesela le tsoang lehlakoreng la ana ho ea ka tlasa lesion.
Bakeng sa liso tse kobehileng ka karolong e kobehileng kapa mamati a mangata, haeba ente ea lehae e fetoha e sa hloekang hobane ka tsela ea lehae e lokela ho qala lehlakoreng la molomo.
Litsela tsa bohlokoa bakeng sa litsebi tsa li-andoscopy
Haeba metsi a tsoa, kapa ho na le khanyetso e kholo nakong ea ente, kapa ha ho na ho emisoa, ente e tlameha ho emisoa ka nako e tlang.
Buka ea ho itlopa joala haholoanyane, ho molemo ho eketsehileng.
Leqheka ke ho tsoela pele ho kenella ka hohle kamoo ho ka khonehang ka ho phuthoa ho hong ho fihlela lesion eohle e phahamisitsoe.
3.tina bakeng sa ho khetha leraba
Haeba leraba le sebopeho sa oval e telele, mucosa e tloaelehileng ho molomo le mahlakore a anus a ka ba habonolo ebile ha a hlokahale.
Leraba le batlane le chinya, ho bonolo ho bula ka morao, ho se bonolo ho se taka, 'me ho na le mathata a mang a ho hatela lesion ho tšoaea lesion.
Boholo ba leraba bo lokela ho ikamahanya le boholo ba lesion.
Sethala sa Polypectomy
Mehlala ea EMR
a. Setšoantšo se bobebe se tšoeu
Mofuta oa 12 mm mm lesion ka karolo e sithabetseng hanyane ka hanyane.
b. Ketsahalo e moqotetsane (NBI) Litšoantšo
c. Ho fafatsa Carmigo Carmini ho holisa setšoantšo
Ho ile ha fumanoa hore maikutlo a sithabetsang a nkuoeng ke mohopolo o tloaelehileng o neng o hlile o ne o ntse o phathahane pakeng tsa makhasi.
d. Setšoantšo se nang le setšoantšo se nang le li-violet tsa kristale
Mokhoa oa sekoti sa ho buleha ha nako ea kou ea mohoma ho tloha pheletsong ea lesion e ne e le mofuta oa IV.
e. Setšoantšo se nang le setšoantšo se nang le li-violet tsa kristale
Bohareng ba lesira e ne e le VI, ha ho na khatello ea maikutlo e sa bonahaleng, 'me ha ho na khatello ea maikutlo e fosahetseng.
f. Ente ea lehae
Ho ne ho etsoa puo ea mats'oalo le ka ente ea lehae le ka ente ea lehae, e ne e etsoa bohareng ba Lesion, e fella ka bongata bo botle.
g. Bula leraba
Tobetsa qubu ea seraba khahlanong le lebota le koahelang leraba.
h. Koala leraba
Koala leraba 'me u nke lesion.
I.power ka ho tlosoa
Ha ho na ho hlonama, ho tsoa mali kapa ho ile ha fumanoa tumor e setseng.
j. TLHOKOMELISO E TSOANG PELE
Tsela e nang le toka e ne e hokahane le leqephe la rabara.
Ho Finyella Boitšoaro ba Pathogical:intramucosal carcinoma (Tis)
4.Po bakeng sa ts'ebetso ea motho
Ntlha ea leraba e behiloe ka bonolo mucosa ea lesela, butle-butle motso o hatelloa hangata ho isa lehlakoreng la gasion. Ho thibela morao ho lateral ho tloha ho ba le boikemisetso, khokahano e nyane ea mucosa e tloaelehileng e lokela ho kenngoa.
Re lokela ho hlokomela hore ha tlokotso ea leraba e sa bonoe, ho ka etsahala hore mucosa e eketsehileng e kenngoe ho feta kamoo ho neng ho lebelletsoe. Kamora hore leraba le tinetsoe ka botlalo, putlama ebe le hula lesapo la kantle la leraba ho bona motsamao oa lesion. Haeba e kentsoe ka har'a mesifa, motsamao oa lesion e tla fokotseha.
Malebela a Electroresection
Se ke oa tobetsarase khahlanong le lebota la polel, empa ha a phahamisa lesapo leo ho a ananelang. Kotsi ea ho lieha ha botona e botsie ha e le tlase ha u sebelisa lintlha tsa motlakase, empa e tloaetse ho anyesa (pele ho feta.
Ho nyahama ho sa feleng ho ka baka ho tsoa mali, ha ho senyeha ho lieha ho sa feleng. Haeba mokuli a utloa bohloko, kapa mothusi o nahana hore rabara ke oa rabara ebile ho thata ho fokotsa, ho ka etsahala hore ebe linama li ameha mesifa ea mesifa, 'me nyeliso e lokela ho emisoa hanghang.
Litsela tsa bohlokoa bakeng sa litsebi tsa li-andoscopy
Haeba mamello e utloa eka li-tasturu li e-hlahelle joaloka rabara ebile ho thata ho li fokotsa, o lokela ho tsebisa opareitara ka ho buisana ka likhakanyo.
Malebela a Sharding Emr
Bakeng sa litso tse kholo, ka linako tse ling ho sireletsehile ho etsa boongoa-kemiso ho e-na le ho tsebana hangata. Leha ho le joalo, likotoana tse ngata moo li na le monyetla o moholo oa phetohelo ea lehae. Le ka pokenaal emr, libaka tsa pele li lokela ho etsoa e kholo kamoo ho ka khonehang ka leraba le leholo ho fokotsa palo ea likotoana.
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Lits'ireletso tsa biopsy:
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Hemoclip
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sclerotherapy nale
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Spray catheter
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Brushes Brushes
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Ruta
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Baskete ea ho khutlisa lejoe
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Nasol Biliary Drainage Catheter
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EMR
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Esd
https://www.zrhendhendoscopy.com/emresd/
Ercp
https://www.zrhendhendoscopy.com/cp/
Poso: Hlakubele 13-2025