Ko nga endoskope kotahi-waahi ko te rohe hou o nga taputapu i roto i nga ahuatanga o te whakarereke. Kaore i roa i whakauruhia ki te whare haumanu me te whakamahi i tenei wa noa ki nga turoro pakeke. Kia tae ra ano. I roto i te ao, koinei te wa tuatahi i angitu ai te tamaiti ngoikore i te whakauru i te endoscope kotahi-whakamahi.

Ko te painga o te endoskopera kotahi te whakamahi, na te mea kaore i a raatau te 'whakaahuru' me te 'reprocess' kaore e horahia e ratou te mate o nga mate i te wa o nga tikanga endoscopic. Koira te take i whai hua ai ratou ki nga turoro immunodepressed, penei i te tamaiti o tenei keehi.

 

He endoskopera-whakamahi kotahi, te whaipainga nui i te wa ohorere COVID-19

I runga i nga utu nui, kua tohatohahia ratou mo nga turoro pakeke e whai ana i te hunga whai muri mai, a ka hoki mai i te wa o te mate ohorere mai i te COVID-19.

I te Whare Wānanga o Policlinico A. Gemelli IRCCS (Itari) ko te Exoscope endaltope e whakamahia ana i te tuatahi mo te wa tuatahi i runga i te tamaiti immunodepressed pediatric me te immunodeficiency congenital. He mihi ki te roopu o UOC o te Digestive Surgical Endoscopy i arataki e Ahorangi Guido Costamagna, te Ahorangi o te Wharehanga Tuarua i te Whare Wananga o Katorika i Roma, i taea tenei mahinga-

Kei raro iho nei, ko te whakawhitiwhiti korero a Policlinico Gemelli.

 

Te whakanekeneke, te papa-ahotahi-whakamahi

Ko Exalt te ingoa o te tauira endoscope waitohu-hou a ka whakamahia tuatahi ki te ao i te Policlinico Gemelli. Kua whakamahia hei awhina i te tamaiti 7-tau-tau e pa ana ki te kuititanga o te biliary na te mea kua whakauruhia ki tenei taonga hangarau teitei, e whakamarama ana te tuhipoka.

Ko te mea nui e pa ana ki enei taonga whakaraerae (ko te mea i whakamahia ko te Boston Scientific's Exalt Model-D) ko te mea, ahakoa he nui te utu, ka raru ratou i nga raru katoa e hono ana ki te whakakorikotanga me te whakaahuru ano i te mutunga o nga endoscope tuku iho i muri i ia whakamahinga. I te wa e whakahaere ana nga turoro whakaheke mate, penei i te iti o te manawanui i uru mai ki te Policlinico Gemelli e mamae ana i te ahua tino kore o te rongoa o te rongoa o te rongoa (ngoikoretanga o DOCK8, Whakatapu o Cytokinesis 8), he mea tino nui tenei mea.

Ko tenei mate onaianei te ahua nui o te mate o te mate.

 

Ko te cholangitis tuuruhi ma te tuatahi-whakamahi endoscope

I whakawhanake te manawanui i te cholangitis tuuturu i te wa e tatari ana mo te whakawhitinga tipu hematopoietic (whakawhitinga maroke). He mate e pa ana ki te taarua o te takere i puta ai te rere mai i te ate ki te karapu, ka tae atu ki te duodenum me te kuiti o te sphincter biliary, kia whakaorangia e te sphinctomy biliary te whakamahi i te ERCP (Endoscopic retrograde cholangiopancreatography), ara he kakano ki te putanga o te papa taake i te duodenum, e mahia ana i te endoscopy.

He mahinga maeneene engari engari hei aukati i te whakamaramatanga o te peera i roto i te ara o te biliary. Ka mate pea pea te mate (cholangitis), he tino kino i roto i nga tamariki kua ngoikore, ka mau tonu te tuhinga whaanui o te polyclinic.

I whakahaeretia te whanaketanga endoskopika i te timatanga o tenei marama me te mea iti, i awhina i te mahi ngātahi me nga taakuta o te Pediatric Oncology Unit o Policlinico Gemelli, i tukuna i roto i nga ahuatanga 48 haora i muri o te maimoatanga.

 

Policlinico Gemelli: ko te korero a te Ahorangi Costamagna i runga i te taatai-kotahi-whakamahi

"I tenei wa, ko te duodenoscope kotahi o te Whakamahi kotahi anake e whakamahia ana mo nga turoro pakeke", ta te Ahorangi Guido Costamagna kaiwhakahaere o te UO o te Digestive Surgical Endoscopy Department. I Policlinico Gemelli, kua waatea mai nga kaimahi hauora mai i te marama o Poutu-te-rangi ka whakamahia e ratou ki te hamani e rua nga turoro COVID-19, i te tau waenga i nga turoro.

"Mo te wa tuatahi i roto i te ao, i whakamahia e matou tenei riipene i runga i tetahi kotiro 7-tau te pakeke e 24 pauna anake."

Ko te endoscope kotahi-whakamahi (he duodenoscope, tino) tohu he taputapu utu nui tonu, engari he tino whaihua i roto i nga keehi kua tohua, penei i nga turoro tuuturu. Ki ta maatau wheako, Ka taea te whakamahi Exalt humarie ahakoa i nga turorotanga iti tamariki ".

Ko te Exalt Model-D, te tuatahi-'whakamahi' tuatahi o te ao i whakawhiwhia e te US Food and Drug Administration (FDA) me te Breakthrough Device Designation i te Hakihea whakamutunga ka whiwhi i te tohu CE i te Hanuere o tenei tau, i whakaoti i te tuhipoka mana.

I ia tau, 1.5 miriona nga mahi ERCP e whakahaerehia ana i te ao katoa, 500,000 o enei e mahia ana i Europe.

 

He mahinga angitu me te endoskope-whakamahi kotahi i runga i te tamaiti i muri - Pānuihia te ITALIAN ARTICLE

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