Igicuruzwa kigizwe ninteko iyobora, guteranya umutwe (harimo imisumari ya suture), umubiri, guterana kugoreka hamwe nibindi bikoresho.Imisumari idoda ikozwe muri TC4, intebe yimisumari hamwe nigitambambuga cyimukanwa bikozwe mubyuma 12Cr18Ni9, kandi ibice numubiri bikozwe muri ABS na polyakarubone.Nyuma ya anastomose, anastomose igomba kuba ishobora kwihanganira umuvuduko uri munsi ya 3.6kpa, nta mazi yamenetse kandi ashwanyagurika;Ubukomezi bwicyuma gikata ntibugomba kuba munsi ya 37.
Inda imwe ya anus ifata cyane cyane mu kuvura indwara ya hemorroide ivanze, indwara zifata imyanya ndangagitsina nko gutera imbere hamwe na mucosa mucose igabanuka, ihame ryayo ni impeta yanga ururenda ruciriritse, muri rusange rufite uburebure bwa santimetero ebyiri cyangwa enye, kugeza ku musumari. mucosa icyarimwe, kugirango bigerweho kugabanya mucosa yu muyoboro, guhagarika amaraso yimitsi ya hemorroide, gukosora urukiramende mbere yintego za tu, nko kuvura indwara ya hemorroide ivanze na dogere 3 hanze, mucose mucosa prolaps hamwe na rectoprolapse y'abagore iterwa no kuribwa mu nda neza ibisubizo.
Ibintu bikeneye kwitabwaho kubaga pph
Nubwo anorectal stapling yo kuvura indwara ya hemorroide ivanze, mucosa mucose, hamwe nindwara zifata urukiramende, bigira ingaruka nziza, ariko kandi bikagira n'ingorane zimwe na zimwe, kubera ko gutembera kwa mucosa urukiramende ari umuzenguruko, anastomotike mu mpeta, bityo umurwayi utinze ashobora kugaragara anastomotic hyperplasia itera gukomera kwa anastomotique, ingorane zo kwanduza abarwayi, nibindi, nyuma yo kubagwa hakiri kare mumezi 1 kugeza kuri 3, Anastomose igomba kwagurwa mugihe kugirango irinde stenosis.
Inda imwe ya anus stapling, igiciro gihenze cyane, kuri ubu ni mubisanzwe 3000 kugeza 4000, nubwo bimaze gutangwa, ariko biri munsi yikigereranyo cy’amafaranga yishyurwa ry’ibiyobyabwenge kandi, kandi ugatanga konti y’amafaranga yagenwe ntarengwa, bityo muri rusange bikurikizwa mubihe byubukungu nibyiza, cyangwa bifite ubwishingizi bwo kuvura abakozi, umurwayi cyangwa ubwishingizi bwubucuruzi.
Kurya ibiryo mugihe pph kubaga birangiye
Kubaga PPH bigomba gukomeza ingeso nziza zo munda, aribyo kwanduza igihe cyo kwiyuhagira burimunsi, byaba byiza ugize umwanda, niba intebe irekuye, kubura ingaruka zo kwaguka kwa anastomotic, byoroshye gutera anastomotic stenosis, kandi niba umwanda wumye, byoroshye gutera nyirabayazana. kuva amaraso anastomotique, ugomba rero guhindura imiterere yimirire, kurya imboga nyinshi, kunywa amazi menshi, Komeza amara yuguruye kandi wirinde impiswi.
Igihe cyo kohereza: Nzeri-16-2022
