Pewani Kuchita Opaleshoni Yachiwiri Yowonjezera M'mimba Yodumphira M'matumbo

Kugwiritsa Ntchito Zinthu:

Imagwira ntchito pa opaleshoni yodutsa m'matumbo.

Zowonetsa Zamalonda:

Ichi ndi chida choyamba chachipatala padziko lapansi kuteteza stoma ya khansa ya m'matumbo otsika ku stoma ndikuyikanso opaleshoni. Imatha kusweka ndikutuluka m'thupi mkati mwa masiku makumi atatu.

Gulu la Chipangizo:

[CN] Kalasi II

Zofunika:

PGA, Barium Sulfate

Kufotokozera:

Zosiyanasiyana zimayimira ma diameter a anastomotic stents a 22 mm, 24 mm……38 mm

Zosungirako:

Chogulitsacho chiyenera kusungidwa pamalo ozizira, owuma, olowera mpweya wabwino, oyera ndi chinyezi chosapitirira 80% komanso opanda mpweya wowononga kuti asatengeke kwa nthawi yaitali ku kutentha kwakukulu. Osawonetsa chipangizocho pamalo opitilira 40 ℃.

Malangizo:

Pangani chodulira cha ileal 10 cm-15 cm kuchokera pamphambano ya ileocecal, ikani chinthu chokhala ndi kukula koyenera, ndipo pamapeto pake jambulani suture. Kenako ikani chubu cha ngalande mu incision 10 cm pafupi ndi anastomosis. Onani IFU kuti mumve zambiri.

Ubwino wazinthu:

Kuteteza koyenera kwa kutayikira kwa anastomotic;

Iwo akhoza kupewa yokumba anus okhalamo ndi yachiwiri ntchito;

Kutalika kwa chithandizo chachifupi (masabata 2-4)

Pakadutsa masabata a 4 mutatha opaleshoni, mankhwalawa amatha kupasuka pang'onopang'ono m'matumbo a m'mimba ndikutuluka m'thupi, popanda zinthu zotsalira zachilendo;

Mankhwalawa ali ndi barium sulfate, yomwe imatha kupangidwa pansi pa X-ray, kotero kuti kusokonezeka kwake kumaloledwa kutsatiridwa mwamphamvu;

Kuvulala kwakuthupi ndi m'maganizo kwa odwala kumachepetsedwa kwambiri.

Kapangidwe ndi kapangidwe kazinthu:

Chigawo chimodzi cha anastomosis stent

Kusamalitsa:

Mankhwalawa ndi ogwiritsidwa ntchito kamodzi; sichinapangidwe kuti chigwiritsidwe ntchito ngati phukusi lowonongeka.

Zogulitsa siziyenera kugwiritsidwa ntchito ndi anthu osaphunzira kapena osaphunzitsidwa.

Iwo contraindicated odwala amafuna awiri kapena kuposa matumbo anastomoses.

Alumali moyo:

zaka 2