Yiziphi izinhlobo zokuhlinzwa kokufakelwa kwe-stent esophageal

Ukufakwa kwe-stent esophageal kungahlukaniswa kube izinhlobo ezimbili ngokusekelwe endleleni yokubeka i-stent: ukufakwa kwe-stent esophageal kanye nokungenelela ngemisebe ukufakwa kwe-stent esophageal. Njengamanje, inhlanganisela ye-endoscopic kanye ne-radiation intervention ivame ukusetshenziswa.

1. Ukufakwa kwe-esophageal stent ngaphansi kwe-endoscopy yokugaya: Ikakhulukazi ukuhlinzwa okuhlasela kancane lapho i-endoscope yokugaya ifakwa emlonyeni noma ekhaleni, futhi i-stent esophageal ibonwa futhi isetshenziswe ngaphansi kwe-endoscope. Inezinzuzo zobuhlungu obuncane, ukululama ngokushesha, ukuhlala isikhashana esibhedlela, kanye nezinkinga ezimbalwa. Ingakwazi futhi ukulungisa isikhundla se-stent ngaphansi kwe-endoscope ngesikhathi esifanele futhi ibhekane nokuphuma kwegazi ngaphakathi kokuhlinzwa nezinye izinkinga. Awukho umonakalo wemisebe ye-X-ray, enembile. Kodwa-ke, ukunemba kokuma kwe-gastroscopy kubi kancane. Ezigulini ezine-stenosis enzima nokungakwazi ukudlula ku-gastroscopy, akukwazi ukunqunywa ukuthi ucingo lomhlahlandlela lungena yini esiswini. Ukucaciswa okwengeziwe kuyadingeka nge-X-ray fluoroscopy. Uma izimo zivuma, ukubekwa kwe-stent kungahlanganiswa ngokuqondile ne-endoscopy kanye ne-X-ray fluoroscopy guided.

2. Ukufakwa kwe-stent esophageal ngaphansi kokungenelela kwe-radiation: Ukuhlinzwa okuhlasela kancane okuthola indawo ye-stent efakwe emgomeni ngaphansi kokuqondisa kwe-X-ray. I-stent ibekwa phezu kwengxenye ewumngcingo yomminzo ngocingo oluqondisayo ukuze kukhululeke ukuvinjwa. Inokulimala okuncane kanye nokululama ngokushesha, futhi ingabonisa indawo yocingo lomhlahlandlela ngesikhathi sangempela. Inquma ngokunembile ukuthi intambo yomhlahlandlela ingena yini esiswini ngokusebenzisa ingxenye yesilonda, iqapha ngamandla inqubo yokukhishwa kwe-stent kanye nokunwetshwa ukuze kulungiswe indawo ye-stent ngesikhathi esifanele. Ukuma kunembile futhi ukusebenza kulula futhi kulula. Kodwa-ke, isiqondiso se-X-ray asikwazi ukubonisa ngokuqondile izilonda ze-esophageal tumors kanye ne-fistula, futhi izinkinga ezifana nokopha nokubhoboza azikwazi ukutholwa futhi zelashwe ngesikhathi ngesikhathi sokubekwa kwe-stent. Ezigulini ezine-stenosis ecacile kanye nokukhula kwesimila esi-eccentric, ukufakwa kwasendaweni kwesimila kunzima, futhi izidingo zobuchwepheshe zentambo yomhlahlandlela ukuze idlule engxenyeni ewumngcingo ziphezulu. Odokotela neziguli banesilinganiso esithile semisebe.