Colourectal anastomosis chitetezo kutayikira umboni wophimbidwa kwathunthu ndi stent
$50- $80/ Chigawo
Kanema wa Zamalonda
Chiyambi cha Zamalonda
Ichi ndi stent chapadera chophimbidwa bwino chomwe chimagwiritsa ntchito ma staplers opangira opaleshoni pochotsa khansa yapakhosi ndi kuwotcha. Ndilo chitetezo cha anastomotic chotchinga chotchinga chomwe chimathandizira kuchiritsa kwa anastomotic ndikuletsa kutayikira kwa anastomotic. Stent iyi ndi yosiyana ndi stoma ndipo safuna suturing. Amayikidwa m'njira yochepetsera pang'ono ndipo opaleshoniyo imatha kusintha. Chosindikizira chopanda kanthu chikhoza kupangidwa pa stent kuti zitsimikizire kuti chimbudzi chimalumikizana bwino ndi malo a anastomotic, kuwonetsetsa kuti madzi a m'thupi atuluka kuchokera ku stent. Zidzakhalapo mpaka machiritso achilengedwe ndi kukonza minofu ya thupi latha (pafupifupi masabata awiri), ndiyeno idzachotsedwa kupyolera mu opaleshoni ya endoscopic popanda kufunikira kwa opaleshoni yachiwiri. Izi zimathetsa kufunikira kwa odwala kuti apirire ululu wa anus wopangira komanso kuvala matumba opangira. Itha kuchotsedwa m'masiku 10, ndipo wodwalayo amatha kuyambiranso moyo wabwinobwino
Cholinga Chogwiritsidwa Ntchito
Chiwopsezo cha kutayikira kwa anastomotic pambuyo pa opaleshoni ya khansa ya colorectal ndi 5% mpaka 15%. Kamodzi kutayikira kwa anastomotic kumachitika, sikuti kumangokhudza kuchira kwa wodwalayo komanso kumatalikitsa chipatala, komanso kumafuna kubwereza pafupipafupi ngati kuli kofunikira, kuonjezera ululu wa wodwalayo komanso ndalama zamankhwala; Zovuta kwambiri zimatha kuyambitsa kugwedezeka kwa septic kapena imfa; Panthawi imodzimodziyo, zingayambitsenso zovuta za nthawi yaitali monga postoperative anastomotic stenosis ndi kusokonezeka kwa chimbudzi, zomwe zimakhudza moyo wautali wa wodwalayo. Momwe mungapewere kutayikira kwa anastomotic akadali kuyang'ana komanso zovuta pakufufuza zachipatala kunyumba ndi mayiko, ndipo mayankho okhutiritsa sanapezekebe. Kafukufukuyu atenga njira yatsopano yodzitetezera, yomwe imaphatikizapo kuyika matumbo am'mimba otchedwa "anastomotic leak proof protective stent" pamalo opangira opaleshoni, ndikupeza zotsatira zabwino.
Mfundo Zaukadaulo
Anastomotic stent yopangidwa ndi kampani yathu ndi mtundu wapadera wamatumbo am'mimba, opangidwa ndi nickel titanium memory alloy yokhala ndi ma mesh. Khoma lamkati limakutidwa ndi filimu yowoneka bwino yosalowa madzi, ndipo stent ili ndi mawonekedwe owoneka ngati dumbbell yokhala ndi poyambira bwino pang'ono pakati. Onani Chithunzi 1. Mapeto apamwamba a bulaketi ndi 20mm kutalika ndipo ali ndi m'mimba mwake wa 33mm, womwe umagwirizana ndi mkatikati mwa sigmoid colon; Mapeto apansi ndi 20mm kutalika ndipo ali ndi mainchesi akunja a 28mm, ocheperako pang'ono kuposa m'mimba mwake m'munsi mwa rectum, kotero kuti matumbo omwe amasonkhanitsidwa mu poyambira amatha kutulutsidwa munthawi yake. Poyambira ndi 10mm kutalika ndipo ali ndi mainchesi akunja a 20-25mm, omwe amafanana ndi m'mimba mwake wamtundu wamitundu yosiyanasiyana ya ma tubular staplers kuwonetsetsa kuti kuthamanga kwa radial kutsegulira kwa anastomotic sikuchulukira pambuyo poyikidwa bulaketi. Chifukwa chake, pakuyika bulaketi, koyenera kuyenera kuyikidwa mu poyambira. Chipinda chakutsogolo chimakanikizidwa kukhala catheter yamitundu iwiri yokhala ndi mainchesi akunja a 8mm, ndipo bulaketi ili pakati pa ma catheter amkati ndi akunja. Bracket imatulutsidwa ndikulowetsa ma catheter amkati ndi akunja.
