ʻO ka hoʻokomo ʻana i ka stent endoscopic

ʻO ka hoʻokomo ʻana i ka stent endoscopic kahi ʻenehana e hoʻohana ai i ka endoscopy e kau i kahi stent i loko o kahi ʻāpana hoʻoheheʻe keakea a haiki paha e hana hou i kāna hana ʻole. He kūpono no ka ʻaʻai ʻana o ka esophageal, ka maʻi maʻi ʻaʻai esophageal stenosis, ka ʻaʻa ʻino o ka pylorus a me ka duodenum, ka maʻi maʻi colorectal obstruction, benign biliary pancreatic duct stenosis, biliary pancreatic drainage, anastomotic fistula, etc. ʻokiʻoki ʻO ke kaʻina hana 1. ʻO nā ʻano anesthesia a me ka mālama ʻana Ua hoʻokaʻawale ʻia nā ʻano anesthesia i loko o ka anesthesia kūloko a me ka anesthesia maʻamau ʻO ka anesthesia kūloko: 2% ~ 4% lidocaine hoʻohana ʻia no ka anesthesia pharyngeal, spray or oral administration. ② Anestheia maʻamau: No ka poʻe me ke kaumaha o ka noʻonoʻo a i ʻole nā ​​​​keiki hiki ʻole ke hana like, pono e hoʻohana pinepine ʻia ka maʻi maʻi maʻamau. ʻOkoʻa ke ʻano o nā lāʻau anesthetic mai kēlā me kēia kanaka. 2. ʻO nā ʻano hana ʻokiʻoki (1) Pono e hoʻonoho ʻia ka mea maʻi ma kahi kūpono a i ʻole ka haʻalele ʻana i kahi kūlana kuʻekuʻe, a ma nā kūlana kūikawā, hiki ke waiho ʻia i kahi kūlana hema a i ʻole ke kū ʻana. (2) Hoʻomaopopo ka hoʻokolokolo endoscopic maʻamau i kahi o ka ʻeha. Ma lalo o ka X-ray fluoroscopy, hoʻokomo ʻia kahi uea alakaʻi ma o nā forceps endoscopic a hoʻokomo ʻia kahi paipu ʻokoʻa. Hoʻokomo ʻia ka mea hoʻohālikelike wai e like me ka meglumine diatrizoate e nānā i ke ʻano o ka lesion. (3) E koho i kahi stent kūpono a kiola iā ia i kahi i hoʻopilikia ʻia (e like me kahi haiki a keakea paha) ma o kahi uwea alakaʻi ma lalo o ka X-ray fluoroscopy. ʻO kahi ʻē aʻe, e hoʻokomo i ka stent i loko o ka endoscope ma ka ʻōnaehana stent pushing e hoʻokuʻu i ka stent ma lalo o ka ʻike endoscopic pololei. (4) Ma lalo o ka X-ray fluoroscopy a me ka nānā pono endoscopic, e hoʻoponopono i ke kūlana o ka hoʻokuʻu stent a hoʻokuʻu i ka stent, a wehe i ka implant. (5) No nā poʻe maʻi e hana ana i ka bile duct a i ʻole ka pancreatic duct surgery, ma hope o ka hoʻokuʻu ʻana i ka stent, pono lākou e hoʻāʻo e huki i ka bile a i ʻole ka wai pancreatic a me ka mea hoʻohālikelike e like me ka hiki, a hōʻoia i ka pale ʻole ʻana o ka wai ma mua o ka hoʻihoʻi ʻana i ka endoscope. (6) X-ray film e hōʻoia i ke kūlana o ka brack