Nofofua-faaaoga endoscopes o le tuaoi fou o mea faigaluega i tulaga o fou. E leʻi leva atu ona faʻalauiloa i le falemaʻi ma ua naʻo na maʻi matutua o loʻo faʻaaogaina. Seia oo mai ile taimi nei. I le lalolagi, o le taimi muamua lea na faʻamanuiaina ai e se tamaititi tuʻusaʻo se faʻamaʻi o le endoscope se tasi faʻaaoga.

O le aoga o se tasi faʻaaoga endoscope o lena, talu ai latou te le manaʻomia le 'faʻamamaina' ma le 'toe faʻataʻitaʻia' latou te le faʻailoaina i le tulaga lamatia o faʻamaʻi i le taimi o gaioiga endoscopic. Ole mafuaʻaga lena na latou iloa ai e aoga tele ile immunodepressed tagata gasegase, pei ole tamaititi o lenei mataupu.

 

O se tasi-faʻaaoga endoscope, o le sili aoga i le COVID-19 faʻalavelave faʻafuaseʻi

Ile maualuga ole tau, ua faʻasaʻoina mo tagata matutua e le o ola faʻafuaseʻi ma toe foʻi mai le aoga tele ile ogatotonu ole faʻamaʻi faʻalavelave faʻafuaseʻi mai le COVID-19.

I le Policlinico Universitario A. Gemelli IRCCS (Italia) o le endoscope ua faʻaogaina Exalt sa faʻaaoga lelei mo le taimi muamua i luga o se tamaititi tui puipuia faʻafitauli ma se tamaititi faʻafuasei immunodeficiency. Faʻafetai i le UOC team o Digestive Surgical Endoscopy faʻatonu e le Polofesa Guido Costamagna, Polofesa o le General Surgery i le Catholic University i Roma, sa mafai ona faʻatautaia lea gaioiga.

Lalo, le fesootaiga aloaia e Policlinico Gemelli.

 

Exalt, o se tasi faʻaaoga endoscope

O le igoa Exalt o le igoa fou o lea e fai ma sa faʻaaogaina muamua i le lalolagi i Policlinico Gemelli. Ua faʻaogaina e fesoasoani i se tamaititi 7-tausaga le matua o loʻo tigaina i le faʻasaʻosaʻo o le biliary na faʻaleagaina ma lenei mea-tekonolosi meafaigaluega, faʻamatala le tusi.

O le mea e sili ona taua i nei mea faʻaaoga (o le tasi na faʻaaogaina o le Boston Scientific's Exalt Model-D) o, e ui lava e taugata, latou manumalo i faʻafitauli uma e fesoʻotaʻi i le faʻataʻitaʻia faʻamama ma toe faʻataʻitaʻia o loʻo uia endoskopi masani pe a uma faʻaaoga. I le faʻatinoina o tagata mama faʻafitauli, pei o le tamaʻi gasegase na talia i le Policlinico Gemelli o loʻo mafatia i se mea e seasea lava ona tupu mai le faʻaitiitia o le tino (DOCK8 faʻaletonu, Dedicator o Cytokinesis 8), o lenei mea moni e taua tele.

O lenei maʻaleʻale faʻamaʻi na aʻafia ai lenei tamaititi i se maualuga tele ona ono aafia ai i se faʻamaʻi.

 

Peraimeri sclerosing cholangitis ma tasi faʻaaoga endoscope

O le tagata maʻi na atiaeina muamua sclerosing cholangitis ao faʻatalitali mo le hematopoietic stem cell transplant (suauʻu transplant). O le faʻamaʻi lea e afaina ai le tili o le faʻapipiʻi e mafua ai le tafe o le papala mai le ate i le tisimea ma sosoo ai ma le duodenum ma le faʻaititia o le biliary sphincter, e togafitia e le biliary sphinctomy faʻaaogaina le ERCP (Endoscopic retrograde cholangiopancreatography) gaioiga, ie o se incision o le i fafo o le biliary tract i le duodenum, lea e faia i le endoscopy.

O se gaoioiga faigata ae manaʻomia e puipuia ai le taofiina o le talo i le biliary tract. Lenei e ono aʻafia ai se maʻi pipisi (cholangitis), e mataʻutia lava i tamaiti faʻaleagaina o loʻo faʻaauau pea le tusi aloaʻia o le polyclinic.

O le endoscopic taotoga na faia i le amataga o lenei masina ma le tamaititi, fesoasoani i le galulue faʻatasi ma fomaʻi o le Pediatric Oncology Unit o Policlinico Gemelli, sa faʻamatuʻu i se tulaga sili ona lelei 48 itula talu ona maeʻa le togafitiga.

 

Policlinico Gemelli: le faʻamatalaga a le polofesa Costamagna i luga o le tasi-faʻaaoga endoscope

"E oʻo mai i le taimi nei, o le duodenoscope e tasi le faʻaaogaina o le Exalt, ua naʻo tagata matutua ua afaina ai", o le faʻaaliga lea a le polofesa Guido Costamagna, faʻatonu o le UO o le Digestive Surgical Endoscopy Department. I Policlinico Gemelli, o loʻo faʻaavanoaina le aufaigaluega a le fomaʻi talu mai Mati talu ai ma sa latou faʻaaogaina e togafitia ai le toʻalua COVID-19 tagata gasegase, i le ogatotonu o le faʻamaʻi.

"Mo le taimi muamua i le lalolagi, sa matou faʻaaogaina ai lenei faʻaoga endoscope i luga o se teineitiiti 7-tausaga le mamafa na o le 24 kilokalama."

O le taimi e tasi e faʻaaogaina le endoscope (a duodenoscope, saʻo) o loʻo faʻailoa mai ai se masini taugata, ae e mautinoa lava e aoga tele i ni filifiliga filifilia, e pei o tagata gasegase faʻafitauli. E tusa ai ma lo matou poto, e mafai e Exalt ona faʻaogaina saogalemu tusa lava pe laiti tamaiti gasegase.

O le Exalt Model-D, o le muamua 'lalolagi faʻaaoga' endoscope na tauaʻaoina e le US Food and Drug Administration (FDA) ma le Breakthrough Device Designation ia Tesema talu ai ma maua le faʻailoga CE ia Ianuari o le tausaga nei, faʻaiʻu ai le tusi aloaia.

I tausaga taʻitasi, 1.5 miliona ERCP faʻatinoga o loʻo faia i le lalolagi atoa, 500,000 o loʻo faia i Europa.

 

Manuia le taotoga ma se tasi faʻaaoga endoscope i luga o le immunodepressed tamaitiiti - FAITAU I LE ITALANU ARTICLE

FAITAU ATILI

Fesoasoani muamua i le malemo o tamaiti, fou fesoasoani faʻaleleia tulaga

O le mafaufau o Kawasaki ma le COVID-19, o tama fomai paʻu i Peru o loʻo talanoaina muamua le muamua mataupu o tamaiti aʻafia

Ole teteʻe tele o le hyperinflammatory maua i tamaiti Peretania. Fou a Covid-19 pediatric gasegase faʻailoga?

 

SILI ATILI

Peraimeri Sclerosing Cholangitis

 

FAʻAALIGA

Upega Tafaʻilagi a Policlinico Gemelli