Kurinda amabara ya anastomose kurinda ibimenyetso byuzuye stent
$ 50- $ 80/ Igice
Video y'ibicuruzwa
Kumenyekanisha ibicuruzwa
Iyi ni stent idasanzwe yuzuye yuzuye ikoresha uburyo bwo kubaga kanseri yinkondo y'umura no kudoda. Nibigenewe kurinda anastomotic kumeneka bitwikiriye stent yihutisha gukira kwa anastomotique kandi ikarinda kumeneka kwa anastomotique. Iyi stent itandukanye na stoma kandi ntisaba kudoda. Yatewe muburyo butagaragara kandi kubaga birashoboka rwose. Ikidodo kidafatika kirashobora gushirwaho kuri stent kugirango hamenyekane neza imikoranire hagati yimyanda n’ahantu ha anastomotike, byemeza ko amazi yumubiri asohoka mu cyuho cya stent. Bizagumaho kugeza igihe gahunda yo gukiza no gutunganya umubiri isanzwe irangiye (hafi ibyumweru bibiri), hanyuma ikazavaho binyuze mu kubaga endoskopique bitabaye ngombwa ko hajyaho kabiri. Ibi bivanaho gukenera abarwayi kwihanganira ububabare bwa anus artificiel no kwambara imifuka yubukorikori. Irashobora gukurwaho muminsi 10, kandi umurwayi ashobora gukomeza ubuzima busanzwe
Gukoresha
Indwara ya anastomotic yamenetse nyuma yo kubagwa kanseri yibara ni 5% kugeza 15%. Iyo anastomotic imaze kumeneka, ntabwo bigira ingaruka gusa kumurwayi nyuma yo gukira kandi bikongera igihe cyo kumara ibitaro, ariko biranasaba ko byongera kuvurwa nibiba ngombwa, byongera ububabare bwumurwayi nubuvuzi; Imanza zikomeye zirashobora gukurura septique cyangwa no gupfa; Muri icyo gihe, birashobora kandi gukurura ingorane zigihe kirekire nka anastomotic stenosis nyuma yo kubagwa ndetse no kudakora neza, bigira ingaruka kumibereho yigihe kirekire yumurwayi. Uburyo bwo kwirinda kumeneka kwa anastomotique biracyibandwaho kandi bigoye mubushakashatsi bwamavuriro haba mu gihugu ndetse no mumahanga, kandi ibisubizo bishimishije ntibiraboneka. Ubu bushakashatsi bwakoresheje uburyo bushya bwo kwirinda, burimo gushyira intanga zo munda zitwa "anastomotic leak proof protect stent" kuri site ya anastomotique mugihe cyo kubagwa, bikagera ku musaruro mwiza.
Ingingo ya tekiniki
Stent ya anastomotique yagenwe nisosiyete yacu ni ubwoko bwihariye bwimyanya yo munda, bukozwe muri nikel titanium yibuka hamwe na mesh. Urukuta rw'imbere rutwikiriwe na firime idafite amazi meza, kandi stent ifite isura itavuga ifite igikonjo cyiza hagati. Reba Ishusho 1. Impera yo hejuru yinyuguti ifite uburebure bwa 20mm kandi ifite diameter yo hanze ya 33mm, ikaba ihuje na diameter y'imbere ya sigmoid colon; Impera yo hepfo ni 20mm z'uburebure kandi ifite diameter yo hanze ya 28mm, ntoya gato ugereranije na diametre y'imbere yumutwe wo hepfo wurukiramende, kugirango amara yegeranijwe muri ruhago ashobora gusohoka mugihe gikwiye. Urusenda rufite uburebure bwa 10mm kandi rufite umurambararo wo hanze wa 20-25mm, ibyo bikaba bihuye na diametre yo gukata yubwoko butandukanye bwimyanya ndangagitsina kugirango harebwe niba imishwarara ya radiyo yo gufungura anastomotike itiyongera nyuma yo gushyirwaho. Kubwibyo, mugihe ushyize utwugarizo, ibikwiye bigomba gushyirwa mumashanyarazi. Imbere yimbere yegeranijwe mubice bibiri bya catheter hamwe na diametre yo hanze ya 8mm, naho inyuguti iri hagati ya catheters y'imbere ninyuma. Inyuguti irekurwa mugushushanya imbere ninyuma.
