Ama-endoscope asebenzisa eyodwa awumngcele omusha wamathuluzi ngokuya ngezinto ezintsha. Kusanda kungeniswa emtholampilo futhi kusetshenziswe kuze kube manje kwiziguli zabantu abadala. Kuze kube manje. Emhlabeni, kungokokuqala ukuthi ingane egonyelwe ukuba ifakwe ngempumelelo i-endoscope eyodwa.

Inzuzo ye-endoscope yokusebenzisa eyodwa ukuthi, ngoba akudingeki ukuthi 'ihlanjululwe' futhi 'ihlatshwe kabusha' ayivezi ingozi yokutheleleka phakathi nezinqubo ze-endoscopic. Yingakho bebelusizo olukhulu ezigulini ezingagcinwanga, njengengane yaleli cala.

 

I-endoscope yokusebenzisa eyodwa, ukusetshenziswa okuhle ngesikhathi se-COVID-19 esiphuthumayo

Ngokunikezwa izindleko eziphakeme, zigcinelwe iziguli zabantu abadala ezingagcinwanga imithambo futhi zibuyile zisetshenziswa kakhulu maphakathi nesimo esiphuthumayo esivela ku-COVID-19.

EPoliclinico Universitario A. Gemelli IRCCS (e-Italy) i-endoscope Exalt elahlekile isetshenziswe ngempumelelo okokuqala futhi enganeni engagxilisiwe enganeni ngokugonywa kokuzala. Ngibonga ithimba le-UOC le-Digestive upasuaji Endoscopy eliqondiswe nguProfesa uGuido Costamagna, uSolwazi we-General Surgery e-University University e-Roma, lo msebenzi kungenzeka-

Ngezansi, ukuxhumana okusemthethweni okwenziwe nguPoliclinico Gemelli.

 

Phakamisa, i-endoscope yokusebenzisa eyodwa

Ukuphakanyiswa igama lomodeli omusha we-endoscope we-brand-new elaqala ukusetshenziswa emhlabeni ePoliclinico Gemelli. Kusetshenziselwe ukusiza ingane eneminyaka engu-7 ehlushwa i-biliary nyembambaing ebithanjiswe ngaleli thuluzi lobuchwepheshe obuphezulu, kuchaza inothi.

Into ebaluleke kakhulu ngalezi zinsimbi ezilahlekayo (leyo esetshenzisiwe yiBoston Science Science's Exalt Model-D) ukuthi, yize ibiza kakhulu, inqoba zonke izinkinga ezihlobene nokukhombisa ukungagulisi futhi iphinde iphinde ibuye ngemuva kwalokho ukusetshenziswa. Lapho usebenza iziguli ezingagxiliwe, ezifana nesiguli esincane esangeniswa ePoliclinico Gemelli ehlushwa uhlobo lwe-syntgenital immunodeficiency (ukusilela kwe-DOCK8, iDedicator yeCytokinesis 8), leli qiniso libaluleke kakhulu.

Lesi sifo esingajwayelekile siveze le ngane engcupheni enkulu yokutheleleka.

 

I-chleritis eyi-sclerosing yokuqala kanye ne-endoscope yokusebenzisa eyodwa

Isiguli besisungule i-chleritis eyi-sclerosing yokuqala ngenkathi sisalinde ukufakelwa kwe-hematopoietic stem cell transplant (i-marpl transplant). Lesi yisifo esithinta umgudu we-biliary odala ukuthi i-bile igeleze isuka esibindini iye gallbladder bese iye kwi-duodenum kanye nokuncipha kwe-biliary sphincter, ukuze welashwe yi-biliary sphinctomy usebenzisa inqubo ye-ERCP (Endoscopic retrograde cholangiopancreatography), isb. ukwehla kokukhishwa kwepheshana lephephabhuku i-duodenum, elenziwa nge-endoscopy.

Kungumsebenzi obuthakathaka kodwa odingekile ukuvikela ukungabibikho kwe-bile epheshaneni le-biliary. Lokhu kungadala ukutheleleka okungenzeka (i-cholangitis), okuyingozi kakhulu ezinganeni ezigonyelwe, kuyaqhubeka inothi esemthethweni ye-polyclinic.

Udokotela ohlinzayo we-endoscopic wenziwa ekuqaleni kwalenyanga kanti omncane, esizwa ngokubambisana nodokotela basePediatric Oncology Unit yasePoliclinico Gemelli, wakhishwa esimweni esihle kakhulu amahora angama-48 ngemuva kokwelashwa.

 

I-Policlinico Gemelli: isitatimende sikaProfesa Costamagna ku-endoscope yokusebenzisa eyodwa

“Kuze kube manje i-duodenoscope esetshenziselwa ukusetshenziswa okukodwa isetshenziswe kuphela kwiziguli zabantu abadala”, kuchaza uSolwazi Guido Costamagna umqondisi we-UO we-Digestive upasuaji Endoscopy department. EPoliclinico Gemelli, abasebenzi bezokwelapha bebelokhu betholakala kusukela ngoMashi wokugcina futhi bayisebenzisa ekwelapheni iziguli ezimbili ze-COVID-19, phakathi nobhubhane.

"Ngokokuqala ngqa emhlabeni, sisebenzise le ntokazi eyayineminyaka engu-7 ubudala sinesisindo esingamakhilogremu angama-24."

I-endoscope yokusebenzisa eyodwa (i-duodenoscope, ngokunembile) imelela idivaysi ebizayo, kepha isebenziseka kahle ezimweni ezikhethiwe, njengeziguli ezigonyelwe ugazi. Ngokwokuhlangenwe nakho kwethu, i-Exalt ingasetshenziswa ngokuphepha ngisho nasezigulini ezincane zezingane ”.

I-Exalt Model-D, i-endoscope yokuqala 'yomhlaba' eyanikezwa umhlaba yi-US Food and Drug Administration (FDA) nge-Breakthrough Device Designation ngoDisemba olwedlule futhi yathola umaki we-CE ngoJanuwari kulo nyaka, kuphetha inothi elisemthethweni.

Unyaka ngamunye, izinqubo eziyizigidi eziyi-1.5 ze-ERCP zenziwa emhlabeni wonke, ezingama-500,000 zazo zenziwa eYurophu.

 

Ukusebenza ngempumelelo nge-endoscope yokusebenzisa eyodwa ku-immunodepressed ingane - FUNDA ISIHLOKO SE-ITALIAN

FUNDA KABANZI

Usizo lokuqala kuminza izingane, ukusikisela kokungenelela okusha kokungenelela

I-Kawasaki syndrome ne-COVID-19, odokotela bezingane ePeru baxoxa ngamacala okuqala ezingane ezithintekile

I-acute hyperinfigueatory shock etholakala ezinganeni zaseBrithani. Izimpawu zokugula okusha ze-Covid-19?

 

ZAZWA OKWENGEZIWE

Isisekelo se-Sclerosing Cholangitis

 

SOURCE

Iwebhusayithi Esemthethweni yePoliclinico Gemelli