Ndi mitundu yanji ya opaleshoni ya esophageal stent implantation

Esophageal stent implantation ikhoza kugawidwa m'mitundu iwiri kutengera njira yoyika stent: endoscopic esophageal stent implantation ndi radiation intervention esophageal stent implantation. Pakadali pano, kuphatikiza kwa endoscopic ndi radiation kulowererapo kumagwiritsidwa ntchito.

1. Kuika m'mitsempha ya m'mimba pansi pa matumbo a m'mimba: Nthawi zambiri ndi opaleshoni yochepetsetsa kwambiri pamene endoscope yolowa m'mimba imalowetsedwa kuchokera mkamwa kapena mphuno, ndipo stent yam'mimero imawonedwa ndikuchitidwa pansi pa endoscope. Lili ndi ubwino wa kupweteka kochepa, kuchira msanga, kukhala m'chipatala kwakanthawi kochepa, ndi zovuta zochepa. Ikhozanso kusintha malo a stent pansi pa endoscope panthawi yake ndikuthana ndi kutuluka kwa magazi kwa intraoperative ndi zovuta zina. Palibe kuwonongeka kwa ma radiation a X-ray, komwe kumakhala kosavuta. Komabe, malo olondola a gastroscopy ndi osauka pang'ono. Kwa odwala omwe ali ndi stenosis yoopsa komanso osatha kudutsa gastroscopy, sizingadziwike ngati waya wowongolera amalowa m'mimba. Kufotokozera kwina kumafunika kudzera mu X-ray fluoroscopy. Ngati zinthu zilola, kuyika kwa stent kumatha kuphatikizidwa mwachindunji ndi chitsogozo cha endoscopy ndi X-ray fluoroscopy.

2. Kuika m'mitsempha ya m'mitsempha mothandizidwa ndi ma radiation: Ndi opaleshoni yochepa kwambiri yomwe imapeza malo a stent omwe amalowetsa kummero motsogoleredwa ndi X-ray. Chophimbacho chimayikidwa pamwamba pa gawo lopapatiza la mmero kudzera pa waya wowongolera kuti muchepetse kutsekeka. Ili ndi zoopsa zazing'ono komanso kuchira msanga, ndipo imatha kuwonetsa malo a waya wowongolera munthawi yeniyeni. Imatsimikizira molondola ngati waya wowongolera amalowa m'mimba kudzera mugawo la zilonda, amayang'anira mwamphamvu njira yotulutsira stent ndikukulitsa kuti asinthe malo a stent munthawi yake. Kuyika kwake ndikolondola kwambiri ndipo ntchitoyo ndi yosavuta komanso yabwino. Komabe, chitsogozo cha X-ray sichingawonetsere mwachindunji zotupa zam'mimero ndi fistula, ndipo zovuta monga kutulutsa magazi ndi kuphulika sizingadziwike ndikuchiritsidwa munthawi yake pakuyika stent. Kwa odwala omwe ali ndi stenosis yowoneka bwino komanso kukula kwa chotupa cha eccentric, kufalikira kwa chotupa kumakhala kovuta, ndipo zofunikira zaukadaulo kuti waya wowongolera adutse gawo lopapatiza ndizambiri. Madokotala ndi odwala ali ndi kuchuluka kwa ma radiation.