I-Esophageal Stent Placement - I-Stent encinci ixhasa "Umjelo woBomi

Emva kotyando, ekugqibeleni ndiyakwazi ukutya ngokuqhelekileyo. Ndibulela kakhulu koogqirha nabongikazi beqela lika Director Xu. Kutshanje, kwiwadi ye-gastroenterology, isigulana, sikhatshwa yintsapho yaso, besikhutshwa esibhedlele. Isigulana savakalisa umbulelo kubasebenzi bezonyango.

Kuyaqondwa ukuba uMnu. Shi ebenengxaki yokutya kwiinyanga zamva nje kwaye uye waba mandundu. Emva kwenyanga, waba nobunzima bokuginya, kwaye ngoku unobunzima bokufumana amanzi nokutya. Isigulana safumana i-CT scan yesifuba kwisibhedlele sendawo kwaye safumana "ubunzima be-hilar obusekhohlo kunye nokuqina kodonga oluphakathi kunye nolusezantsi lwe-esophageal". I-Gastroscopy ibonise "ukuncipha okucacileyo kwelumen malunga ne-30cm ukusuka kumazinyo e-incisor, kwaye umzimba awukwazi ukudlula. I-Biopsy pathology iphakamisa i-esophageal squamous cell carcinoma". Ngenxa yobunzima bomguli ekutyeni, ukunciphisa umzimba, kunye nokuwohloka ngokuthe ngcembe kwemeko iyonke, isibhedlele sasekuhlaleni sicebisa ukuba sitshintshelwe kwisibhedlele esikumgangatho ophezulu ukuze sinyangwe.

Emva kokubonisana kaninzi, uMnumzana Shi, ehamba nosapho lwakhe, watyelela iSebe leGastroenterology kwisibhedlele saseHenan Chest. UMlawuli we-Gastroenterology, u-Xu Gang, ukhokele ugqirha ohambayo u-Hua Wei ukuba ahlole iirekhodi zonyango kwaye wafumanisa ukuba isigulane sasihlupheke kwi-"Tetralogy of Fallot" ukususela ebuntwaneni, kunye nobunzima be-34kg kunye ne-BMI ye-12.0kg / ㎡. Kungekudala, ukulahlekelwa kwesisindo kudlule i-20%, ebonisa i-cachexia state; I-CT scan yesifuba ibonise ukuhlanjululwa kwesibini kwecandelo eliphezulu le-esophageal ngenxa ye-stenosis kwisigulane (Umfanekiso we-1), kunye ne-stenosis enzima ye-lumen ye-esophageal ephakathi ebangelwa kukuhlala kwendawo ye-esophageal (Umfanekiso 2).

Umzobo we-1 Upper Esophageal Stenosis Dilation

Umzobo 2 Isithuba soMqalazo esithatha istenosis

Emva kovavanyo olubanzi lwemeko yesigulana, kwafunyaniswa ukuba ummizo kunye ne-hilum yemiphunga yayihlala, kwaye umsebenzi we-cardiopulmonary ubi kakhulu. Isigulane silahlekelwe ithuba lokuhlinzwa, kwaye ngokweembono zesebe le-anesthesia, isigulane okwangoku asikwazi ukwenza i-gastroscopy phantsi kwe-anesthesia jikelele. Ejongene nemeko yesigulane kunye neminqweno yamalungu entsapho yabo, iqela likaMlawuli uXu Gang lagqiba ekubeni lenze "uvavanyo lwe-sedative kunye ne-analgesic gastroscopy" kwisigulane, kunye "notyando lokubeka i-esophageal stent placement" ukukhulula i-stenosis ye-esophageal kunye nokubuyisela ukutya komlomo. Ngentsebenziswano yoMlawuli u-Xu Gang kunye nogqirha ohambayo u-Hua Wei ovela kwiSebe le-Gastroenterology, kunye noMongikazi u-Zhang Liping kunye noMongikazi uZhang Chen ovela kwi-Endoscopic Diagnosis kunye neSebe loNyango, i-stent esophageal yafakwa ngempumelelo kwi-esophagus kwaye yabonwa ingabonakali phantsi i-microscope (Umfanekiso 3 kunye nomfanekiso 4). Isigulana saphinda saqalisa ukutya kwaso ngaloo mvakwemini. Emva kokutya, iimpawu zokuhlanza kunye nokuxubha zancitshiswa kakhulu, kwaye isimo sabo sengqondo saphucula kakhulu. Baye basombulula ngempumelelo ingxaki enkulu "yobunzima bokutya" kwaye bavula "ijelo lobomi", Umgangatho wobomi uphuculwe, kwaye izigulane kunye neentsapho zabo zibonise uncumo olwanelisayo.

Umzobo 3 Umbono ophantsi wokusebenza kwe-gastroscopy

(Umzobo 3A: Izinto eziphilayo ezingaqhelekanga zibonwa, ezikhokelela kwi-luminal stenosis, kwaye i-pathology ibonisa i-esophageal squamous cell carcinoma;

Umfanekiso we-3B: Ukubekwa kwe-stent yommizo, engathintekiyo ngaphakathi kwe-stent yommizo)

Umzobo 4 Inkqubo yotyando ye-endoscopic esophageal stent placement