Kupanga kwa anorectal stapler
Chogulitsacho chimakhala ndi msonkhano wotsogola, msonkhano wamutu (kuphatikiza msomali wa suture), thupi, kusonkhanitsidwa kopindika ndi zina.Msomali wosokera umapangidwa ndi TC4, mpando wa msomali ndi chogwirira chosunthika chimapangidwa ndi chitsulo chosapanga dzimbiri cha 12Cr18Ni9, ndipo zigawo zake ndi thupi zimapangidwa ndi ABS ndi polycarbonate.Pambuyo pa anastomosis, anastomosis iyenera kupirira kupanikizika kosachepera 3.6kpa, popanda kutayikira kwamadzi ndi kung'ambika;Kulimba kwa mpeni wodula sikuyenera kuchepera 37.
Mmodzi-mbali anus matumbo stapling zimagwiritsa ntchito zochizira wosanganiza zotupa, wamkazi rectum matenda monga kukankhira kutsogolo ndi thumbo mucosa prolapse, mfundo yake ndi mphete resection wa thumbo mucosa, zambiri pafupifupi awiri kapena anayi centimita yaitali, kuti msomali ng'anjo. mucosa nthawi yomweyo, kuti akwaniritse kufupikitsa mucosa thumbo, kutsekereza zotupa venous magazi, kukonza rectum pamaso tu zolinga, monga osakaniza zotupa mankhwala 3 madigiri kunja, rectal mucosa prolapse ndi rectoprolapse wamkazi chifukwa chotuluka kutsekereza kudzimbidwa bwino. zotsatira.
Zinthu zomwe zimafunikira chisamaliro cha opaleshoni ya pph:
Ngakhale anorectal stapling zochizira wosanganiza zotupa zikamera, thumbo mucosa prolapse, ndi matenda a thumbo, ali ndi zotsatira zabwino, komanso kukhala ndi mavuto ena, chifukwa excision ake a thumbo mucosa ndi zozungulira, anastomotic mu mphete, kotero mochedwa mbali wodwala akhoza kuoneka anastomotic. hyperplasia imayambitsa kuuma kwa anastomotic, vuto la chimbudzi cha wodwala, etc., oyambirira postoperative mkati 1 mpaka 3 miyezi, Anastomosis ayenera kukodzedwa pa nthawi kuteteza anastomotic stenosis.
Mmodzi-komwe anus matumbo stapling, mtengo ndi okwera mtengo kwambiri, pakali pano ali ambiri 3000 kuti 4000 yuan, ngakhale kale Kuphunzira, koma m'munsi mwa sikelo ya chiŵerengero cha kubweza mankhwala ndi, ndi kugonjera ndalama akaunti ndi malire anapereka, kotero ambiri. zogwira ntchito pazachuma ndi bwino, kapena ali ndi inshuwaransi ya chithandizo chamankhwala ogwira ntchito, wodwala kapena inshuwaransi yazamalonda.
Chisamaliro chazakudya pakachitika opaleshoni ya pph:
Opaleshoni ya PPH iyenera kukhala ndi zizolowezi zabwino zoyendetsera matumbo, mwachitsanzo, kutulutsa matumbo tsiku ndi tsiku, makamaka kupanga chimbudzi, ngati chopondapo chili chotayirira, kusowa kwamphamvu kwa anastomotic kukulitsa, kumayambitsa matenda a anastomotic stenosis, komanso ngati chimbudzi chouma, chosavuta kuyambitsa. anastomotic magazi, kotero muyenera kusintha dongosolo la zakudya, kudya masamba, kumwa madzi kwambiri, kusunga matumbo lotseguka ndi kupewa kutsekula m'mimba.
Nthawi yotumiza: Jan-10-2022
