Ibyiza byingenzi bya endoskopi ikoreshwa
1. Impanuka zeru zo kurwanya indwara
Kurandura burundu kwandura umusaraba: umurwayi umwe endoskopi imwe, nta mpamvu yo guhangayikishwa n'ibisigisigi bya sterilisation (nka hepatite B, virusi ya sida)
Irinde icyuho mugikorwa cyo kwanduza: irinde ibisigazwa bya biofilm biterwa no gukora isuku ituzuye
By'umwihariko birakwiriye: abarwayi badafite ubudahangarwa, ishami ry’indwara zandura (nko gusuzuma igituntu)
2. Witeguye-gukoresha-imikorere yubuvuzi
Nta kwitegura bisabwa: birashobora gukoreshwa nyuma yo gupakurura, ukabika amasaha 2-3 yigihe cyo kwanduza endoskopi gakondo
Inyungu yo gutabara byihutirwa: irashobora guhita igarurwa kugirango ikoreshwe mugihe cyihutirwa (nko gucunga inzira ya ICU)
Iterambere ry’ibicuruzwa: ingano y’ibizamini byo hanze irashobora kwiyongera hejuru ya 30%
3. Kunoza ibiciro
Kuraho ibiciro byihishe: uzigame ikiguzi cyibikoreshwa nko gukaraba enzyme, ibikoresho byo kuboneza urubyaro, hamwe no gupima ubuziranenge bwamazi
Kugabanya amafaranga yumurimo: kugabanya itangwa ryabakozi bigihe cyose mukigo gitanga imiti yica udukoko (CSSD)
Amafaranga yo gufata neza ni zeru: nta gusana lens, gusimbuza fibre optique, nibindi.
4. Ubwishingizi buhoraho
Imikorere idahwitse: imikorere mishya ya optique igihe cyose ikoreshejwe, nta shusho yerekana ishusho iterwa no gusaza
Ubunararibonye busanzwe: irinde itandukaniro mugukemura ibyiyumvo biterwa no kwambara indorerwamo
Kwiyoroshya byoroheje: nta mpamvu yo kubungabunga inyandiko zishobora gukurikiranwa, bijyanye nibisabwa byemewe nka JCI
5. Iterambere ryihuse
Gukoresha ibikoresho bishya: koresha polimeri yo mu rwego rwo kwa muganga kugirango ugabanye ibyago bya allergie (nkibishushanyo mbonera bya latex)
Guhanga udushya: ibicuruzwa bimwe byahujije amasoko ya LED (nka Ambu aScope 4)
Iterambere ryangiza ibidukikije: ibikoresho byindorerwamo biodegradable biri gutezwa imbere (nkibikoresho bya PLA)
6. Guhuza n'imiterere idasanzwe
Ibihe byihutirwa byo mukibuga: ibitaro byintambara, gutabara ibiza nandi mashusho adafite uburyo bwo kuboneza urubyaro
Ubuvuzi bwibanze: ibigo nderabuzima byabaturage bidafite ibikoresho byangiza
Intego zo kwigisha: irinde abanyeshuri kwangiza indorerwamo zihenze zikoreshwa
7. Ikoranabuhanga rigezweho
Ibicuruzwa bimwe byagezweho:
4K imyanzuro (nka Boston Scientific LithoVue)
Imikorere ibiri yo kuvura ibikorwa (nka choledochoscope ikoreshwa)
Imashusho ifashwa na AI (nka algorithm yo kumenyekanisha umusonga)
Ibicuruzwa bihagarariye isoko
Ibicuruzwa byumurongo Umurongo udasanzwe
Ambu aScope 5 Broncho 1.2mm umuyoboro ukora + CO₂ parufe
Boston Scientific LithoVue digitale ureteroscope + 9Fr ultra-thin diameter
Imbere mu gihugu (Pusheng) ikoreshwa na bronchoscope igura 50% gusa y'ibicuruzwa byatumijwe mu mahanga
Kugereranya ibyiza hamwe na endoskopi gakondo ikoreshwa
Kugereranya ibipimo Byakoreshejwe endoskopi Yongeye gukoreshwa endoskopi
Gukoresha inshuro imwe ¥ 800-3000 ¥ 200-500 (harimo kwanduza)
Igihe cyo kwitegura
Ibyago byo kwandura 0% 0.01% -0.1%
Ishusho itajegajega Nibyiza nkukwangirika gushya hamwe numubare wimikoreshereze
Urutonde rwibanze rwibintu byakurikizwa
Indwara zishobora kwandura cyane (abarwayi ba MDRO)
Ibihe byihutirwa / ubufasha bwambere (inzira yo guhumeka umubiri wamahanga)
Ibigo byubuvuzi byibanze (nta buryo bwo kwanduza umwuga)
Inzego zifite igenzura rikomeye ryibicuruzwa bifite agaciro kanini (irinde ibyago byo gutakaza)
Inzira y'iterambere
Kugabanya ibiciro: kwimenyekanisha bituma igiciro kigabanuka kugeza kuri 500-1000
Gutezimbere imikorere: Iterambere ryerekeranye no kuvura endoskopi ikoreshwa (gushyigikira electroresection / laser)
Ibisubizo byo kurengera ibidukikije: ibishushanyo mbonera bisubirwamo (nko gukoresha imashini)
Endoskopi ikoreshwa irashobora kuvugurura imikorere yubuvuzi. Agaciro kabo kingenzi ni uguhindura uburyo bwo kurwanya indwara zanduye "ikibazo gishoboka" kikaba "ikibazo cya détinistiniste", kikaba kibereye cyane cyane ibikenerwa mu buvuzi butandukanye muri gahunda y’igihugu cyanjye cyo gusuzuma no kuvura. Hamwe niterambere ryikoranabuhanga, uburyo bwabo bwo gukoresha buzaguka kuva kuri bronchoskopi yubu na cystoskopi kugeza kumirima igoye nka gastroenteroscopes.