XBX Ebikozesebwa mu by’obujjanjabi eby’okukebera olubuto n’ekyenda

Ebyuma ebikebera olubuto mu by’obujjanjabi kye kimu ku bikozesebwa ebikulu mu kuzuula n’okujjanjaba ebifo eby’okukebera olubuto n’eby’omu lubuto. Okusinga ekozesebwa mu kukebera n’okujjanjaba endwadde z’omu lubuto nga gastroscopy, colonoscopy, ERCP, n’ebirala Ebikulu ebigikola kwe kukwata ebifaananyi mu ngeri ey’amaanyi, okukola obulungi, obukuumi n’okwesigamizibwa, n’okugatta tekinologiya ow’amagezi okutumbula obulungi bw’okuzuula n’okujjanjaba. Bino wammanga bye bikulu ebigikwatako:

1. Enkola y’okukuba ebifaananyi mu ngeri ey’amaanyi

(1) Okukuba ebifaananyi mu ngeri ey’obulungi obw’amaanyi

4K/8K ultra-high definition: Ewa 3840×2160 oba okusingawo resolution okulaga obulungi microstructure ya mucosa (nga capillaries ne glandular duct openings).

Tekinologiya w’okusiiga langi mu byuma bikalimagezi (nga NBI/FICE/BLI): Ayongera ku njawulo y’ebiwundu okuyita mu narrow-band spectrum n’okulongoosa omutindo gw’okuzuula kookolo w’olubuto ne kookolo w’ekyenda nga bukyali.

(2) Okulongoosa ebifaananyi mu ngeri ey’amagezi

HDR (high dynamic range): Ekwataganya ebitundu ebitangaala n’ebizikiza okwewala okutunula oba okufiirwa ebikwata ku bintu mu bifo ebirimu enzikiza.

AI obuyambi mu kiseera ekituufu: Otomatiki akabonero ku biwundu ebiteeberezebwa (nga polyps n’ebizimba), era enkola ezimu zisobola okulagula pathological grading.

2. Enkola y’emirimu ekyukakyuka

(1) Enteekateeka y’obuwanvu (scope design).

Soft electronic endoscope: bendable scope (8-12mm mu diameter) okusobola okwanguyirwa okuyita mu bitundu ebikoonagana eby’enkola y’okugaaya emmere.

Dual-channel therapeutic endoscope: ewagira okuyingiza ebikozesebwa mu kiseera kye kimu (nga biopsy forceps, electrosurgical unit) okutumbula obulungi bw’okulongoosa.

(2) Okufuga mu ngeri entuufu

Okufuga okubeebalama kw’amasannyalaze: Endoskopu ezimu ez’omutindo ogwa waggulu ziwagira okutereeza amasannyalaze mu nkoona ya lenzi (≥180° waggulu, wansi, kkono, ne ddyo).

High torque transmission: ekendeeza ku bulabe bwa scope "knotting" mu kyenda era erongoosa obuwanguzi omutindo gw'okuyingiza.

3. Obusobozi bw’obujjanjabi obukola emirimu mingi

(1) Obuyambi bw’okulongoosa obutayingirira nnyo

High-frequency electrosurgical resection/electrocoagulation: kwata ebyuma ebilongoosa amasannyalaze (nga ERBE) okukola polypectomy (EMR) n’okusala mucosal dissection (ESD).

Omulimu gw’okuziyiza omusaayi: guwagira ekiso kya ggaasi ekya argon (APC), ebikwaso ebiziyiza omusaayi, okuziyiza omusaayi mu mpiso, n’ebirala.

(2) Okugaziya okuzuula n’engeri y’okujjanjaba

Endoscopic ultrasound (EUS): nga egattibwa wamu ne ultrasound probe, okwekenneenya oluwuzi lw’ekisenge ky’enkola y’okugaaya emmere n’ebitundu ebiriraanyewo (nga pancreas ne bile duct).

Confocal laser endoscope (pCLE): etuuka ku kukuba ebifaananyi mu kiseera ekituufu ku mutendera gw’obutoffaali okuzuula amangu kookolo.

4. Dizayini y’obukuumi n’obutebenkevu

(1) Okufuga obuwuka obuleeta endwadde

Dizayini eggyibwamu etayingiramu mazzi: omubiri gw’endabirwamu guwagira ekyuma ekitta obuwuka mu kunnyika oba ekyuma ekiyonja n’okutta obuwuka mu ngeri ey’otoma (nga Olympus OER-A).

Ebikozesebwa ebisuulibwa: gamba nga vvaalu za biopsy ne suction tubes okwewala okukwatibwa obuwuka obuyitibwa cross infection.

(2) Okulongoosa obuweerero bw’omulwadde

Ultra-fine endoscope: diameter <6mm (nga transnasal gastroscope), okukendeeza ku kusesema.

Enkola y’okussa CO2: edda mu kifo ky’okufuuwa empewo okukendeeza ku kugaziwa kw’olubuto oluvannyuma lw’okulongoosebwa.

5. Obukessi n’okuddukanya data

Okuzuula obulwadde nga tuyambibwako AI: okwekenneenya mu ngeri ey’otoma engeri z’ebiwundu (nga okugabanya mu Paris n’okugabanya mu Sano).

Okutereka ebire n’okwebuuza okuva ewala: kuwagira omutindo gwa DICOM era kuyungibwa ku nkola ya PACS ey’eddwaliro.

Vidiyo y’okulongoosa n’okusomesa: Okukwata vidiyo ya 4K okwekenneenya ensonga oba okutendekebwa.

Okubumbako

Ebintu ebikulu ebikolebwa mu byuma by’obujjanjabi eby’okukebera olubuto bye bino: okutegeera kwa waggulu, okutuufu, obukuumi, n’amagezi, ebitakoma ku kutuukiriza byetaago bya kuzuula kookolo (okukebera kookolo nga bukyali) naye era biwagira obujjanjabi obuzibu (nga ESD ne ERCP). Mu biseera eby’omu maaso, ejja kwongera okukulaakulana ng’eyolekera AI, etali ya kuyingirira nnyo, era nga nnyangu, okulongoosa mu kuzuula n’obujjanjabi obulungi n’obumanyirivu bw’omulwadde.