Leraba la Polypectomy le Lahloang — Sekoahelo sa Polyp Resection ea Endoscopic bakeng sa Polypectomy e Chesang le e Batang
Leraba la Polypectomy le Lahloang — Sekoahelo sa Polyp Resection ea Endoscopic bakeng sa Polypectomy e Chesang le e Batang
Qaqiso ea Sehlahisoa
1. Sekotjana bakeng sa profil e 'ngoe le e 'ngoe ea seso
2. Terata e tšesaane ho lekana ho seha, e thata ho lekana ho e tšoara. Ka 0.30 mm (0.012")
3. Ho bata kapa ho chesa, shelefong e le 'ngoe.
4. E hloekisitsoeng ka mokhoa oa EO ka har'a mokotla o ka hlohlorehang ka bonngoe, bophelo ba shelefo ea lilemo tse tharo - ha ho na selika-likoe sa ts'ebetso e ncha, ha ho na ho emela ho fetoloa.
5. Sekoahelo sa kantle sa PTFE se sireletsang mocheso.
6. Sebopeho sa Sekotjana: Hexagonal, Oval, Crescente
Kopo:
✅ Tšebeliso ea mantlha:
Sefi sa endoscopic se sebediswang hanngoe bakeng sa ho tlosa le/kapa ho tjhesa di-polyp tse fokolang, tse ruruhileng, le tse pedunculated ho pholletsa le tsela ya mala — tse batang kapa tse chesang.
●E fokolang (≤ 5 mm) — serame se batang, selika-likoe sa 10–15 mm, phetisetso ea mechine, ha ho na ho ata ha mocheso.
●Sessile e nyane (6–10 mm) — e batang kapa e chesang, selika-likoe sa 15–20 mm, sebopeho sa jiometri se bataletseng.
●Pedunculated — leraba le chesang, selika-likoe sa 20–27 mm, setulo se tebileng sa kutu se nang le kutu e khaotsoeng le e kobehileng.
●Sesepa se seholo se bataletseng / se bataletseng — se chesang, selika-likoe sa 25–33 mm, sekotjana se koahetsoeng bakeng sa ho thibela mocheso.
●EMR adjunct — ho tlosa le ho tlosa leqeba ka mor'a ho enta, ho tlosa leqeba lohle kapa ka likotoana.
Tlhaloso
| Tjhe. | MOETSI | TLHAHISO | Bophara ba sekgoqetsane D（mm） | Bolelele ba ho Sebetsa L ± 10% （mm） | Mokero o Monyenyane Bophara d± 0.1（mm） | Mosebetsi oa ho potoloha |
| 1 | OVAL (RA) | ZRH-RA-1812-10 | 10 | 1200 | Ø1.8 | ha ho letho |
| 2 | ZRH-RA-1812-15 | 15 | 1200 | Ø1.8 | ha ho letho | |
| 3 | ZRH-RA-1812-20 | 20 | 1200 | Ø1.8 | ha ho letho | |
| 4 | ZRH-RA-1812-25 | 25 | 1200 | Ø1.8 | ha ho letho | |
| 5 | ZRH-RA-1812-30 | 30 | 1200 | Ø1.8 | ha ho letho | |
| 6 | ZRH-RA-1812-35 | 35 | 1200 | Ø1.8 | ha ho letho | |
| 7 | ZRH-RA-1816-10 | 10 | 1600 | Ø1.8 | ha ho letho | |
| 8 | ZRH-RA-1816-15 | 15 | 1600 | Ø1.8 | ha ho letho | |
| 9 | ZRH-RA-1816-20 | 20 | 1600 | Ø1.8 | ha ho letho | |
| 10 | ZRH-RA-1816-25 | 25 | 1600 | Ø1.8 | ha ho letho | |
| 11 | ZRH-RA-1816-30 | 30 | 1600 | Ø1.8 | ha ho letho | |
| 12 | ZRH-RA-1816-35 | 35 | 1600 | Ø1.8 | ha ho letho | |
| 13 | ZRH-RA-2418-10 | 10 | 1800 | Ø2.4 | ha ho letho | |
| 14 | ZRH-RA-2418-15 | 15 | 1800 | Ø2.4 | ha ho letho | |
| 15 | ZRH-RA-2418-20 | 20 | 1800 | Ø2.4 | ha ho letho | |
| 16 | ZRH-RA-2418-25 | 25 | 1800 | Ø2.4 | ha ho letho | |
| 17 | ZRH-RA-2418-30 | 30 | 1800 | Ø2.4 | ha ho letho | |
| 18 | ZRH-RA-2418-35 | 35 | 1800 | Ø2.4 | ha ho letho | |
| 19 | ZRH-RA-2423-10 | 10 | 2300 | Ø2.4 | ha ho letho | |
| 20 | ZRH-RA-2423-15 | 15 | 2300 | Ø2.4 | ha ho letho | |
| 21 | ZRH-RA-2423-20 | 20 | 2300 | Ø2.4 | ha ho letho | |
| 22 | ZRH-RA-2423-25 | 25 | 2300 | Ø2.4 | ha ho letho | |
| 23 | ZRH-RA-2423-30 | 30 | 2300 | Ø2.4 | ha ho letho | |
| 24 | ZRH-RA-2423-35 | 35 | 2300 | Ø2.4 | ha ho letho | |
| 25 | Hexagon (RB) | ZRH-RB-1812-10 | 10 | 1200 | Ø1.8 | ha ho letho |
| 26 | ZRH-RB-1812-15 | 15 | 1200 | Ø1.8 | ha ho letho | |
| 27 | ZRH-RB-1812-20 | 20 | 1200 | Ø1.8 | ha ho letho | |
| 28 | ZRH-RB-1812-25 | 25 | 1200 | Ø1.8 | ha ho letho | |
| 29 | ZRH-RB-1812-30 | 30 | 1200 | Ø1.8 | ha ho letho | |
| 30 | ZRH-RB-1812-35 | 35 | 1200 | Ø1.8 | ha ho letho | |
| 31 | ZRH-RB-1816-10 | 10 | 1600 | Ø1.8 | ha ho letho | |
| 32 | ZRH-RB-1816-15 | 15 | 1600 | Ø1.8 | ha ho letho | |
| 33 | ZRH-RB-1816-20 | 20 | 1600 | Ø1.8 | ha ho letho | |
| 34 | ZRH-RB-1816-25 | 25 | 1600 | Ø1.8 | ha ho letho | |
| 35 | ZRH-RB-1816-30 | 30 | 1600 | Ø1.8 | ha ho letho | |
| 36 | ZRH-RB-1816-35 | 35 | 1600 | Ø1.8 | ha ho letho | |
| 37 | ZRH-RB-2418-10 | 10 | 1800 | Ø2.4 | ha ho letho | |
| 38 | ZRH-RB-2418-15 | 15 | 1800 | Ø2.4 | ha ho letho | |
| 39 | ZRH-RB-2418-20 | 20 | 1800 | Ø2.4 | ha ho letho | |
| 40 | ZRH-RB-2418-25 | 25 | 1800 | Ø2.4 | ha ho letho | |
| 41 | ZRH-RB-2418-30 | 30 | 1800 | Ø2.4 | ha ho letho | |
| 42 | ZRH-RB-2418-35 | 35 | 1800 | Ø2.4 | ha ho letho | |
| 43 | ZRH-RB-2423-10 | 10 | 2300 | Ø2.4 | ha ho letho | |
| 44 | ZRH-RB-2423-15 | 15 | 2300 | Ø2.4 | ha ho letho | |
| 45 | ZRH-RB-2423-20 | 20 | 2300 | Ø2.4 | ha ho letho | |
| 46 | ZRH-RB-2423-25 | 25 | 2300 | Ø2.4 | ha ho letho | |
| 47 | ZRH-RB-2423-30 | 30 | 2300 | Ø2.4 | ha ho letho | |
| 48 | ZRH-RB-2423-35 | 35 | 2300 | Ø2.4 | ha ho letho | |
| 49 | Crescent (RC) | ZRH-RC-1812-10 | 10 | 1200 | Ø1.8 | ha ho letho |
| 50 | ZRH-RC-1812-15 | 15 | 1200 | Ø1.8 | ha ho letho | |
| 51 | ZRH-RC-1812-20 | 20 | 1200 | Ø1.8 | ha ho letho | |
| 52 | ZRH-RC-1812-25 | 25 | 1200 | Ø1.8 | ha ho letho | |
| 53 | ZRH-RC-1812-30 | 30 | 1200 | Ø1.8 | ha ho letho | |
| 54 | ZRH-RC-1812-35 | 35 | 1200 | Ø1.8 | ha ho letho | |
| 55 | ZRH-RC-1816-10 | 10 | 1600 | Ø1.8 | ha ho letho | |
| 56 | ZRH-RC-1816-15 | 15 | 1600 | Ø1.8 | ha ho letho | |
| 57 | ZRH-RC-1816-20 | 20 | 1600 | Ø1.8 | ha ho letho | |
| 58 | ZRH-RC-1816-25 | 25 | 1600 | Ø1.8 | ha ho letho | |
| 59 | ZRH-RC-1816-30 | 30 | 1600 | Ø1.8 | ha ho letho | |
| 60 | ZRH-RC-1816-35 | 35 | 1600 | Ø1.8 | ha ho letho | |
| 61 | ZRH-RC-2418-10 | 10 | 1800 | Ø2.4 | ha ho letho | |
| 62 | ZRH-RC-2418-15 | 15 | 1800 | Ø2.4 | ha ho letho | |
| 63 | ZRH-RC-2418-20 | 20 | 1800 | Ø2.4 | ha ho letho | |
| 64 | ZRH-RC-2418-25 | 25 | 1800 | Ø2.4 | ha ho letho | |
| 65 | ZRH-RC-2418-30 | 30 | 1800 | Ø2.4 | ha ho letho | |
| 66 | ZRH-RC-2418-35 | 35 | 1800 | Ø2.4 | ha ho letho | |
| 67 | ZRH-RC-2423-10 | 10 | 2300 | Ø2.4 | ha ho letho | |
| 68 | ZRH-RC-2423-15 | 15 | 2300 | Ø2.4 | ha ho letho | |
| 69 | ZRH-RC-2423-20 | 20 | 2300 | Ø2.4 | ha ho letho | |
| 70 | ZRH-RC-2423-25 | 25 | 2300 | Ø2.4 | ha ho letho | |
| 71 | ZRH-RC-2423-30 | 30 | 2300 | Ø2.4 | ha ho letho | |
| 72 | ZRH-RC-2423-35 | 35 | 2300 | Ø2.4 | ha ho letho | |
| 73 | Crescent (RCR) | ZRH-RC-1812-10-R | 10 | 1200 | Ø1.8 | e |
| 74 | ZRH-RC-1812-15-R | 15 | 1200 | Ø1.8 | e | |
| 75 | ZRH-RC-1812-20-R | 20 | 1200 | Ø1.8 | e | |
| 76 | ZRH-RC-1812-25-R | 25 | 1200 | Ø1.8 | e | |
| 77 | ZRH-RC-1812-30-R | 30 | 1200 | Ø1.8 | e | |
| 78 | ZRH-RC-1812-35-R | 35 | 1200 | Ø1.8 | e | |
| 79 | ZRH-RC-1816-10-R | 10 | 1600 | Ø1.8 | e | |
| 80 | ZRH-RC-1816-15-R | 15 | 1600 | Ø1.8 | e | |
| 81 | ZRH-RC-1816-20-R | 20 | 1600 | Ø1.8 | e | |
| 82 | ZRH-RC-1816-25-R | 25 | 1600 | Ø1.8 | e | |
| 83 | ZRH-RC-1816-30-R | 30 | 1600 | Ø1.8 | e | |
| 84 | ZRH-RC-1816-35-R | 35 | 1600 | Ø1.8 | e | |
| 85 | ZRH-RC-2418-10-R | 10 | 1800 | Ø2.4 | e | |
| 86 | ZRH-RC-2418-15-R | 15 | 1800 | Ø2.4 | e | |
| 87 | ZRH-RC-2418-20-R | 20 | 1800 | Ø2.4 | e | |
| 88 | ZRH-RC-2418-25-R | 25 | 1800 | Ø2.4 | e | |
| 89 | ZRH-RC-2418-30-R | 30 | 1800 | Ø2.4 | e | |
| 90 | ZRH-RC-2418-35-R | 35 | 1800 | Ø2.4 | e | |
| 91 | ZRH-RC-2423-10-R | 10 | 2300 | Ø2.4 | e | |
| 92 | ZRH-RC-2423-15-R | 15 | 2300 | Ø2.4 | e | |
| 93 | ZRH-RC-2423-20-R | 20 | 2300 | Ø2.4 | e | |
| 94 | ZRH-RC-2423-25-R | 25 | 2300 | Ø2.4 | e | |
| 95 | ZRH-RC-2423-30-R | 30 | 2300 | Ø2.4 | e | |
| 96 | ZRH-RC-2423-35-R | 35 | 2300 | Ø2.4 | e | |
| 97 | OVAL (RAR) | ZRH-RA-1812-10-R | 10 | 1200 | Ø1.8 | e |
| 98 | ZRH-RA-1812-15-R | 15 | 1200 | Ø1.8 | e | |
| 99 | ZRH-RA-1812-20-R | 20 | 1200 | Ø1.8 | e | |
| 100 | ZRH-RA-1812-25-R | 25 | 1200 | Ø1.8 | e | |
| 101 | ZRH-RA-1812-30-R | 30 | 1200 | Ø1.8 | e | |
| 102 | ZRH-RA-1812-35-R | 35 | 1200 | Ø1.8 | e | |
| 103 | ZRH-RA-1816-10-R | 10 | 1600 | Ø1.8 | e | |
| 104 | ZRH-RA-1816-15-R | 15 | 1600 | Ø1.8 | e | |
| 105 | ZRH-RA-1816-20-R | 20 | 1600 | Ø1.8 | e | |
| 106 | ZRH-RA-1816-25-R | 25 | 1600 | Ø1.8 | e | |
| 107 | ZRH-RA-1816-30-R | 30 | 1600 | Ø1.8 | e | |
| 108 | ZRH-RA-1816-35-R | 35 | 1600 | Ø1.8 | e | |
| 109 | ZRH-RA-2418-10-R | 10 | 1800 | Ø2.4 | e | |
| 110 | ZRH-RA-2418-15-R | 15 | 1800 | Ø2.4 | e | |
| 111 | ZRH-RA-2418-20-R | 20 | 1800 | Ø2.4 | e | |
| 112 | ZRH-RA-2418-25-R | 25 | 1800 | Ø2.4 | e | |
| 113 | ZRH-RA-2418-30-R | 30 | 1800 | Ø2.4 | e | |
| 114 | ZRH-RA-2418-35-R | 35 | 1800 | Ø2.4 | e | |
| 115 | ZRH-RA-2423-10-R | 10 | 2300 | Ø2.4 | e | |
| 116 | ZRH-RA-2423-15-R | 15 | 2300 | Ø2.4 | e | |
| 117 | ZRH-RA-2423-20-R | 20 | 2300 | Ø2.4 | e | |
| 118 | ZRH-RA-2423-25-R | 25 | 2300 | Ø2.4 | e | |
| 119 | ZRH-RA-2423-30-R | 30 | 2300 | Ø2.4 | e | |
| 120 | ZRH-RA-2423-35-R | 35 | 2300 | Ø2.4 | e | |
| 121 | Hexagon (RBR) | ZRH-RB-1812-10-R | 10 | 1200 | Ø1.8 | e |
| 122 | ZRH-RB-1812-15-R | 15 | 1200 | Ø1.8 | e | |
| 123 | ZRH-RB-1812-20-R | 20 | 1200 | Ø1.8 | e | |
| 124 | ZRH-RB-1812-25-R | 25 | 1200 | Ø1.8 | e | |
| 125 | ZRH-RB-1812-30-R | 30 | 1200 | Ø1.8 | e | |
| 126 | ZRH-RB-1812-35-R | 35 | 1200 | Ø1.8 | e | |
| 127 | ZRH-RB-1816-10-R | 10 | 1600 | Ø1.8 | e | |
| 128 | ZRH-RB-1816-15-R | 15 | 1600 | Ø1.8 | e | |
| 129 | ZRH-RB-1816-20-R | 20 | 1600 | Ø1.8 | e | |
| 130 | ZRH-RB-1816-25-R | 25 | 1600 | Ø1.8 | e | |
| 131 | ZRH-RB-1816-30-R | 30 | 1600 | Ø1.8 | e | |
| 132 | ZRH-RB-1816-35-R | 35 | 1600 | Ø1.8 | e | |
| 133 | ZRH-RB-2418-10-R | 10 | 1800 | Ø2.4 | e | |
| 134 | ZRH-RB-2418-15-R | 15 | 1800 | Ø2.4 | e | |
| 135 | ZRH-RB-2418-20-R | 20 | 1800 | Ø2.4 | e | |
| 136 | ZRH-RB-2418-25-R | 25 | 1800 | Ø2.4 | e | |
| 137 | ZRH-RB-2418-30-R | 30 | 1800 | Ø2.4 | e | |
| 138 | ZRH-RB-2418-35-R | 35 | 1800 | Ø2.4 | e | |
| 139 | ZRH-RB-2423-10-R | 10 | 2300 | Ø2.4 | e | |
| 140 | ZRH-RB-2423-15-R | 15 | 2300 | Ø2.4 | e | |
| 141 | ZRH-RB-2423-20-R | 20 | 2300 | Ø2.4 | e | |
| 142 | ZRH-RB-2423-25-R | 25 | 2300 | Ø2.4 | e | |
| 143 | ZRH-RB-2423-30-R | 30 | 2300 | Ø2.4 | e | |
| 144 | ZRH-RB-2423-35-R | 35 | 2300 | Ø2.4 | e |
LBH
Ho tsoa ho ZRH med.
Nako ea ho Hlahisa: Libeke tse 2-3 kamora tefo e amohetsoe, ho latela bongata ba odara ea hau
Mokhoa oa ho Romela:
1. Ka Express: Fedex, UPS, TNT, DHL, SF express matsatsi a 3-5, matsatsi a 5-7.
2. Ha u le tseleng: Naha ea habo le ea boahelani: Matsatsi a 3-10
3. Haufi le Leoatle: Matsatsi a 5-45 lefatšeng ka bophara.
4. Ka Moyeng: Matsatsi a 5-10 lefatšeng ka bophara.
Kou ea ho kenya:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
Ho ea ka tlhoko ea hau.
Melao ea Thomello:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Litokomane tsa Thomello:
B/L, Invoice ea Khoebo, Lethathamo la ho Paka
● Sebopeho sa sebopeho sa sekgoqetsane se hahetsweng ho hapa, eseng ho sekisetsa.
● Sebopeho sa terata: sehiloeng se sesesaane, arc e tsitsitseng.
● Ho thibela mocheso.
● Taolo ea loop ea letsoho le le leng.
● Sebopeho se tloaelehileng sa monopolar.
● Mefuta ea boholo e lekanyang le seso
● Ho se sebetse hantle ha motho a le mong, ho netefalitsoe
Sesebelisoa se le seng, liqeto tse tharo — sebopeho, boholo, mokhoa. Ho tlosoa ha polypectomy hanngoe feela ho thibela li-polyp tse fokolang, tse sessile, le tse peduncated ho pholletsa le tsela ea GI.
Tšebeliso ea Bongaka
● Ho tlosoa ha li-polyp tse nyenyane (≤ 5 mm) — Cold Snare Polypectomy (CSP).
● Ho sehoa ha li-polyps tse nyane (6–10 mm) — Mokhoa o batang kapa o chesang (ka mohlala).
● Ho tlosoa ha li-polyp tse nang le pedunculated — Hot Snare Polypectomy (HSP).
● Ho sehoa ha li-polyp tse sessile le liso tse bataletseng — Leraba le Chesang le nang le sheath e sireletsang.
● Ho chesoa ha lisele tse sa hlokahaleng tsa mucosal ka har'a cauterization / ho tlosoa ha lisele tse ling tsa mucosal
● Mesebetsi e thusitsoeng ke polypectomy ho EMR (Endoscopic Mucosal Resection)
● Ho fumanoa ha mehlala bakeng sa histopathology
● Tšebeliso ho colonoscopy, gastroscopy, le duodenoscopy
