Ukusetyenziswa kwe-endoscope eyodwa kungumda omtsha wezixhobo ngokwezinto ezintsha. Kutsha nje kungeniswe ekliniki kwaye kusetyenziswa kuphela kwizigulana zabantu abadala. Kude kube ngoku. Ehlabathini, lixesha lokuqala ukuba umntwana ongagungxulwanga ukuba afakwe ngempumelelo kwi-endoscope eyodwa.

Uncedo lwe-endoscope yokusebenzisa enye kukuba, akufuneki ukuba 'bacoceke' kwaye 'baphinde baphuculeke' abayibeki emngciphekweni wosulelo ngexesha lenkqubo ye-endoscopic. Kungenxa yoko le nto bajike baba luncedo kakhulu kwizigulana ezingagcinwanga, njengomntwana weli tyala.

 

I-endoscope eyodwa-yokusebenzisa, ukusetyenziswa okukhulu ngexesha lexakeka le-COVID-19

Ngenxa yeendleko eziphezulu, zigcinelwe izigulana zabantu abadala ezingagcinwanga kwaye zibuyile zisetyenziswa kakhulu embindini wesifo se-COVID-19.

Kwi-Policlinico Universitario A. Gemelli IRCCS (e-Italy) i-Exos engasasebenziyo ye-endoscope isetyenziswe ngempumelelo okokuqala ngqa kumntwana oguleliswe ngumntwana onesifo sokugonywa. Enkosi kwiqela le-UOC le-Digestive upasuaji Endoscopy elihanjiswe nguNjingalwazi uGuido Costamagna, Unjingalwazi oPhangaleleyo kwiDyunivesithi yaseRoma eRoma, olu tyando lwalunokwenzeka-

Apha ngezantsi kunxibelelwano olusemthethweni nguPoliclinico Gemelli.

 

Phakamisa, i-endoscope yokusebenzisa enye

Ukuphakanyiswa ligama lefomathi emtsha yokulahleka kwendalo kunye nokusetyenziswa okokuqala emhlabeni ePoliclinico Gemelli. Isetyenziselwe ukuncedisa umntwana oneminyaka esixhenxe ubudala ophethwe yibhiliary eyimiliselwe ngesixhobo esiphakamileyo, ichaza inqaku.

Eyona nto ibaluleke kakhulu kwezi zixhobo zilahlayo (le yona isetyenzisiweyo yiBoston Science Science's Exalt Model-D) kukuba, nangona zibiza kakhulu, zozoyisa zonke iingxaki ezinxibelelene nokungazicingeli kunye nokuphinda zenzeke emva kwendalo nganye. Xa usebenza izigulana ezinganyanzelekanga, ezinje ngesigulana esincinci esamkelweyo kwiPoliclinico Gemelli enesifo esinganyanzelekanga sokungabikho komzimba (ukukhubazeka kwe-DOCK8, iDedicator yeCytokinesis 8), le nyaniso ibaluleke kakhulu.

Esi sifo sinqabileyo siveze ukuba umntwana usengozini enkulu yosulelo.

 

Isifo sokudumba esisiseko sedreyitis kunye ne-endoscope engasebenzisi nto

Isigulana sasiphuhlise i-chleritis yokuqala ye-sclerosing ngelixa silinde ukuhanjiswa kwesisu esiguqukayo se-hematopoietic. Esi sisifo esichaphazela inkqubo ye-biliary eyenza ukuba i-bile iphume isuka kwisibindi iye kwi-gallbladder emva koko iye kwi-duodenum kunye nokuncipha kwe-biliary sphincter, ukuba inyangwe nge-biliary sphinctomy isebenzisa i-ERCP (Endoscopic retrograde cholangiopancreatography), okt. ukudalwa kokukhutshwa kwendlela yokuhambisa umzimba kwi-duodenum, eyenziwa kwi-endoscopy.

Kuyinto yokusebenza ebuthathaka kodwa eyimfuneko ukunqanda ukungqengqeleka kwe-bile kwikhaphethi yebhiliary. Oku kunokubangela usulelo olunokwenzeka (cholangitis), luyingozi kakhulu kubantwana abagonywe emzimbeni, iyaqhubeka inqaku elisemthethweni le-polyclinic.

Unyango lwe-endoscopic lwenziwa ekuqaleni kwale nyanga kwaye omncinci, encedisa ngokusebenzisana nogqirha we-Pediatric Oncology Unit yasePoliclinico Gemelli, wakhutshwa ekwimeko entle iiyure ezingama-48 emva konyango.

 

I-Policlinico Gemelli: ingxelo kaNjingalwazi Costamagna kwi-endoscope eyodwa

“Ukuza kuthi ga ngoku i-duodenoscope esetyenzisiweyo iye yasetyenziswa kuphela kwizigulana zabantu abadala”, uyacacisa uNjingalwazi uGuido Costamagna umlawuli we-UO we-Digestive upasuaji Endoscopy department. EPoliclinico Gemelli, abasebenzi bezonyango baye bafumaneka ukususela ngo-Matshi ophelileyo kwaye babelisebenzisa ekunyangeni iziguli ezimbini ze-COVID-19, embindini wesifo.

"Okokuqala ngqa emhlabeni, sisebenzise le ntombazana yayineminyaka esi-7 ubudala enobunzima obuziikhilowitha ezingama-24."

I-endoscope engasetyenziswanga ngokukodwa (i-duodenoscope, ngokuchanekileyo) imela isixhobo esinexabiso eliphantsi, kodwa ngokuqinisekileyo siluncedo kakhulu kwiimeko ezikhethiweyo, ezinjengezigulana ezinganyangekiyo. Ngokwamava ethu, uPhakamiso unokusetyenziswa ngokukhuselekileyo nakwizigulana ezincinci ”.

Imodeli yokuphakamisa-D, eyindawo yokuqala 'yokusetyenziswa'anye kwehlabathi yanikezelwa yi-US Food and Drug Administration (FDA) ngesixhobo sokuPhumeza isixhobo sikaDisemba kwaye yafumana uphawu lwe-CE ngoJanuwari kulo nyaka, iqukumbela inqaku elisemthethweni.

Unyaka ngamnye, iinkqubo ezizizigidi ezisisi-1.5 ze-ERCP zenziwa emhlabeni jikelele, ezingama-500,000 zazo zenziwa eYurophu.

 

Ukusebenza ngempumelelo kunye ne-endoscope eyodwa yokusetyenziswa komntwana kwi-immunodepressed - FUNDA UVIWO LWE-ITALIAN

FUNDA NGOKUGQITHISILEYO

Uncedo lokuqala ekukhatyweni kwabantwana, ukucebisa ngongenelelo ngoncedo olutsha

Isifo sikaKawasaki kunye neCOVID-19, abagqirha bezingane ePeru baxoxa ngamatyala okuqala abantwana abachaphazelekayo

I-Acute hyperinfigueatory yothusa ifumaneka kubantwana baseBritane. Iimpawu ezintsha zesifo se-Covid-19?

 

ZAZE OKUNYE

Isifo seCray Sclerosing Cholangitis

 

SOURCE

Iwebhusayithi esemthethweni yePoliclinico Gemelli