Majoe a manyane a ureteral a ka phekoloa ka mokhoa o bolokehileng kapa extracorporeal shock wave lithotripsy, empa majoe a bophara bo boholo, haholo-holo majoe a thibelang, a hloka ho kenella ka pele ho buuoa.
Ka lebaka la sebaka se khethehileng sa majoe a ka holimo a ureteral, a ka 'na a se ke a fumaneha ka ureteroscope e thata,' me majoe a ka nyolohela ka har'a pelvis ea renal nakong ea lithotripsy. Percutaneous nephrolithotomy e eketsa kotsi ea ho tsoa mali a renal ha ho thehoa mocha.
Ho phahama ha ureteroscopy e feto-fetohang ho rarollotse ka katleho mathata a ka holimo. E kena ka har'a ureter le renal pelvis ka tsela e tloaelehileng ea 'mele oa motho. E bolokehile, e sebetsa, ha e hlasele ka mokhoa o fokolang, e na le mali a fokolang, bohloko bo fokolang ho mokuli, le lebelo le phahameng le se nang majoe. Hona joale e se e le mokhoa o tloaelehileng oa ho buoa ho phekola majoe a ka holimo a ureteral.
Ho hlaha hasheath ea ho fihlella urerale fokolitse haholo bothata ba lithotripsy ea ureteroscopic. Leha ho le joalo, ka keketseho ea palo ea linyeoe tsa phekolo, mathata a eona a 'nile a hohela tlhokomelo butle-butle. Mathata a kang ho phunyeha ha ureteral le ho tsitsa ha ureteral ho tloaelehile. Lintlha tse latelang ke lintlha tse tharo tse kholo tse lebisang ho thibaneng ha ureteral le ho phunyeha.
1. Tsela ea lefu, bophara ba lejoe, lejoe la majoe
Bakuli ba nang le lefu la nako e telele ba atisa ho ba le majoe a maholoanyane, 'me majoe a maholo a lula ka har'a ureter ka nako e telele ho etsa litlamong. Majoe a sebakeng sa impaction compress the ureteral mucosa, ho fella ka ho haella ha mali a sebakeng seo, mucosal ischemia, ho ruruha le ho thehoa ha lebali, tse amanang haufi-ufi le ho thehoa ha mokokotlo oa ureteral.
2. Kotsi ea ureteral
Ureteroscope e feto-fetohang e bonolo ho kobeha, 'me ho hlokahala hore ho kenngoe lesela la ho kena ureral pele ho lithotripsy. Ho kenngoa ha sheath ea kanale ha ho etsoe ka pono e tobileng, kahoo ho ke ke ha qojoa hore mucosa ea ureteral e senyehe kapa e phunyeletse ka lebaka la ho kobeha ha ureter kapa lumen e moqotetsane nakong ea ho kenngoa ha sheath.
Ho phaella moo, e le ho tšehetsa ureter le ho ntša metsi a phallo ho fokotsa khatello ho pelvis ea renal, hangata ho khethoa sheath ea kanal ka F12/14, e ka etsang hore sheath ea mocha e hatelle lebota la ureter ka ho toba. Haeba mokhoa oa ngaka o buoang o sa hōla 'me nako ea ts'ebetso e lelefalitsoe, nako ea khatello ea sheath ea kanale leboteng la ureter e tla eketseha ho isa bohōleng bo itseng,' me kotsi ea tšenyo ea ischemic leboteng la ureter e tla ba kholoanyane.
3. Tšenyo ea laser ea Holmium
Ho arohana ha lejoe la laser holmium haholo-holo ho itšetlehile ka phello ea eona ea photothermal, e etsang hore lejoe le monye ka ho toba matla a laser le ho eketsa mocheso oa sebaka ho finyella sepheo sa ho arohana ha majoe. Le hoja botebo ba mahlaseli a mocheso nakong ea ts'ebetso ea ho pshatla lehlohlojane e le 0.5-1.0 mm feela, phello e fetelletseng e bakoang ke ho phunyeha ha lehlohlojane ho sa khaotseng ha e lekanyetsoe.
Lintlha tsa bohlokoa tsa ho kenya sheath ea ho fihlella ureral ke tse latelang:
1. Ho na le maikutlo a hlakileng a ho atleha ha ho kenngoa ka har'a ureter, 'me e ikutloa e boreleli ha e nyoloha ka har'a ureter. Haeba ho kenya ho le thata, o ka sokela terata ea tataiso pele le morao ho bona hore na terata e tataisang e kena le ho tsoa hantle, e le ho bona hore na sheath ea kanale e ntse e tsoela pele ka tsela ea terata e tataisang, joalo ka Haeba ho na le. ho hanyetsa ho hlakileng, tataiso ea sheathing e hloka ho lokisoa;
Sheath ea kanale e behiloeng ka katleho e batla e tsitsitse 'me e ke ke ea kena le ho tsoa ka thato. Haeba sheath ea kanale e hlaha ka ho hlaka, ho bolela hore e phuthetsoe ka har'a senya 'me terata ea tataiso e tsoile ka har'a ureter' me e hloka ho khutlisetsoa hape;
3. Li-sheath tsa ureter channel li na le litlhaloso tse fapaneng. Bakuli ba banna ka kakaretso ba sebelisa mohlala oa bolelele ba 45 cm, 'me bakuli ba banna kapa ba bakhutšoane ba sebelisa mohlala oa bolelele ba 35 cm. Haeba sheath ea kanale e kenngoa, e ka feta feela ho bula ureral kapa e ke ke ea nyolohela boemong bo phahameng. Boemo, bakuli ba banna ba ka boela ba sebelisa 35 cm e hlahisang sheath, kapa ba fetohela ho 14F kapa esita le sekhahla se senyenyane sa ho atolosa fascial ho thibela ureteroscope e feto-fetohang hore e se ke ea khona ho nyolohela pelvis ea renal;
U se ke ua beha sheath ea kanale mohatong o le mong. Tlohela lisenthimithara tse 10 ka ntle ho sebaka sa urethral ho thibela tšenyo ea mucosa ea ureteral kapa renal parenchyma ho UPJ. Ka mor'a ho kenya sekhahla se feto-fetohang, sebaka sa sheath sa channel se ka fetoloa hape tlas'a pono e tobileng.
We, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ke moetsi oa China ea sebetsanang le lisebelisoa tsa endoscopic, joalo kabiopsy forceps, hemoclips, polyp leraba, sclerotherapy nale, fafatsa catheter, borashe ba cytology, guidewire, seroto sa ho khutlisa lejoe, nasal biliary drainage catheterjoalo-joalo tse sebelisoang haholo hoEMR, ESD, ERCP. Lihlahisoa tsa rona li netefalitsoe ke CE, 'me limela tsa rona li netefalitsoe ke ISO. Thepa ea rona e rometsoe Europe, Amerika Leboea, Bochabela bo Hare le karolo ea Asia, 'me e fumana ho pharaletseng moreki oa kananelo le thoriso!
Nako ea poso: Sep-11-2024