Amabwiriza yo gukoresha anorectal stapler

Imikorere yubuyobozi bwa pph stapler:

Mugihe cyo kubaga, umurwayi ubusanzwe afata icyuma cyiziritse cyangwa umwanya wa lithotomy.Buhoro buhoro shyiramo intangiriro hamwe niyaguka rya anal mumitsi yumurwayi.

Shyira mugari wa anal hamwe na suture kugirango wirinde kugenda mugihe cyo kubagwa;

Shyiramo umudozi hanyuma ushyire agasakoshi mumitsi ya hemorroide hamwe nubufasha bwayo.Twabibutsa ko nyuma yo kudoda idirishya, ugomba gukuramo igikoresho cyo kudoda, hanyuma ugashyiramo igikapu cya suture nyuma yo kuzunguruka hanze, aho kuzunguruka muri anorectal;

Iyo isakoshi ikubiswe, umwobo w'urushinge niwo mwobo w'urushinge rukurikiraho, rushobora gukurura neza mucosa igabanuka;

PPH yuzuye idashishwa;

Shira stapler muri anus hanyuma wambukane agasakoshi, komeza umugozi wumufuka hanyuma uhambire ipfundo kumurongo wo hagati wintebe yimisumari;

Hifashishijwe umugozi winsinga, fata impera yumugozi wamasakoshi uhereye kumirongo ibiri yimisumari ya diagonal, gukurura witonze impera yumugozi wamasakoshi, hanyuma ukurura mucosa yaguye mumisumari;

Mugihe kimwe, hinduranya ihinduranya rya paperi ya PPH kugirango ufunge, kandi iyo wunvise gukanda, byerekana ko icyerekezo cyinjiye mukarere kibisi;

Iyo igitekerezo cyinjiye hagati yicyatsi kibisi, igipimo cya 4 kuri staple cartridge kigomba guhuzwa nuruhande rwikwirakwizwa rya anal;

Iyo icyerekezo kiri hagati yicyatsi kibisi, kigomba kubungabungwa nka 30, kugirango igikoresho gishobore gukanda neza tissue kandi gitange igihe cyo kumena amazi;

Kuraho ubwishingizi bwo hanze, gufata byihuse birashobora kurangiza kurasa icyarimwe, kandi birashobora kugumaho amasegonda 15 kugeza 30 nyuma yo kurasa;

Kuzenguruka ihinduranya rya knob igice cyerekezo kuri 3/4, kora buhoro buhoro ukuramo stapler;

Reba niba impeta ikata padi yaciwe burundu, hanyuma urebe icyitegererezo cyacukuwe muri karitsiye nyamukuru;

Hifashishijwe igikoresho cyo kudoda, umurongo wo kudoda urashobora kugenzurwa icyumweru kugirango ugenzure amaraso.