Gwema Ukuhlinzwa Kwesibili I-Biodegradable Intestinal Bypass Stents

Ukusetshenziswa komkhiqizo:

Isebenza ekuhlinzweni kwe-bowel bypass.

Izithombe ezinhle kakhulu zomkhiqizo:

Iwumshini wokuqala wezokwelapha emhlabeni ukuvikela i-anastomotic stoma yomdlavuza we-rectal ophansi ekuhlinzweni kwe-stoma nokubekwa kabusha. Ingahlakazeka futhi iphume emzimbeni phakathi nezinsuku ezingama-30.

Ukuhlelwa Kwedivayisi:

[CN] Ikilasi II

Okubalulekile:

I-PGA, i-Barium sulfate

Incazelo Yencazelo:

Ukucaciswa okuhlukile kumelela ubukhulu bobukhulu bama-anastomotic stents angu-22 mm, 24 mm……38 mm

Imibandela Yesitoreji:

Umkhiqizo kufanele ugcinwe endaweni epholile, eyomile, engenawo umoya, ehlanzekile enomswakama ongekho ngaphezu kwama-80% futhi engenawo amagesi agqwalayo ukugwema ukuchayeka isikhathi eside emazingeni okushisa aphakeme. Ungalivezi idivayisi endaweni engaphezu kuka-40℃.

Imiyalelo:

Dala i-ileal incision engu-10 cm-15 cm ukusuka lapho kuhlangana khona i-ileocecal, beka umkhiqizo onosayizi ofanele, bese ekugcineni wenze i-suture. Bese ufaka ishubhu lokukhipha amanzi endaweni eyi-10 cm eduze ne-anastomosis. Bheka i-IFU ngemininingwane.

Izinzuzo zomkhiqizo:

Ukuvimbela ngokuphumelelayo ukuvuza kwe-anastomotic;

Ingakwazi ukugwema ukuhlala kwe-anus yokufakelwa kanye nokusebenza kwesibili;

Isikhathi sokwelashwa esifushane (amaviki angu-2-4)

Phakathi namaviki angu-4 ngemva kokuhlinzwa, umkhiqizo ungahlakazeka kancane kancane emgudwini wamathumbu futhi uphume emzimbeni, ngaphandle kwezindaba zangaphandle ezisele;

Umkhiqizo uqukethe i-barium sulfate, engathuthukiswa ngaphansi kwe-X-ray, ngakho-ke inqubo yayo yokuhlakazeka ivunyelwe ukulandelwa ngamandla;

Ukuhlukumezeka ngokomzimba nangokwengqondo kweziguli kuncipha kakhulu.

Isakhiwo nokwakheka komkhiqizo:

I-anastomosis yesiqephu esisodwa

Izinyathelo zokuzivikela:

Umkhiqizo owokusetshenziswa okukodwa; ayakhelwe ukuthi isetshenziswe uma kunephakheji elimele.

Umkhiqizo akufanele usetshenziswe abantu abangaqeqeshiwe noma abangaqeqeshiwe.

I-contraindicated ezigulini ezidinga ama-anastomoses amabili noma ngaphezulu amathumbu.

Impilo yeshelufu:

iminyaka engu-2