KUGEZA 1998

Serivisi imwe itanga ibikoresho byubuvuzi rusange
Umutwe

Uburyo bwo gukora bwa stapler

Uburyo bwo gukora bwa stapler

Ibicuruzwa bifitanye isano

Uburyo bwo gukora bwa stapler

Stapler niyambere stapler kwisi.Yakoreshejwe muri gastrointestinal anastomose mugihe cyikinyejana.Mu 1978 ni bwo igituba gikoreshwa cyane mu kubaga gastrointestinal.Mubisanzwe bigabanijwemo inshuro imwe cyangwa nyinshi zikoresha staplers, zitumizwa mu mahanga cyangwa ibicuruzwa byo murugo.Nubwoko bwibikoresho bikoreshwa mubuvuzi kugirango bisimbuze intoki gakondo.Bitewe niterambere ryubumenyi nubuhanga bugezweho no kunoza ikoranabuhanga mu nganda, stapler ikoreshwa mubikorwa byubuvuzi ifite ibyiza byubwiza bwizewe, gukoresha neza, gukomera no gukomera bikwiye.By'umwihariko, ifite ibyiza byo kudoda byihuse, imikorere yoroshye ningaruka nke hamwe nibibazo byo kubaga.Irafasha kandi gukuraho gukuraho kubaga ibibyimba bidashobora gukemurwa kera.

Stapler nigikoresho cyubuvuzi gisimbuza intoki.Ihame ryingenzi ryakazi ni ugukoresha imisumari ya titanium kumena cyangwa anastomose, bisa na stapler.Ukurikije uburyo butandukanye bwo kubishyira mu bikorwa, irashobora kugabanywamo uruhu rwuruhu, inzira yigifu (esofagusi, gastrointestinal, nibindi) uruziga ruzunguruka, urukiramende, uruziga rwa hemorroide, gukebwa, imitsi y'amaraso, stapler ya hernia, gukata ibihaha, nibindi. .

Ugereranije na suture yintoki gakondo, ibikoresho bya suture bifite ibyiza bikurikira:

1. ibikorwa byoroshye kandi byoroshye, kubika igihe cyo gukora.

Gukoresha inshuro imwe kugirango wirinde kwandura umusaraba.

Koresha umusumari wa titanium cyangwa umusumari wicyuma (stapler y'uruhu) kugirango udoda neza hamwe no gukomera.

Ifite ingaruka nke kandi irashobora kugabanya neza ibibazo byo kubaga.

Uburyo bwo gukoresha stapler busobanurwa na anastomose yo munda.Amara yegeranye ya anastomose ashushanyijeho agasakoshi, agashyirwa ku ntebe y'imisumari kandi agakomera.Stapler yinjizwa kuva kumpera ya kure, igacibwa hanze yikigo cya stapler, igahuzwa ninkoni yo hagati ya stapler yegeranye nicyicaro cyumusumari, ikazunguruka hafi yurukuta rwimbere rwimbere kandi rwegeranye, hamwe nintera iri hagati yigitereko nicyicaro cyumusumari. kandi urufatiro rwahinduwe ukurikije ubunini bwurukuta rw amara, Mubusanzwe ni 1.5 ~ 2,5cm cyangwa kuzunguruka kwamaboko gufatanye (hari ikimenyetso cyerekana gukomera) kugirango ufungure fuse;

Kurandura uruhu stapler staple ikuraho

Gabanya gufunga anastomose gufunga neza, kandi ijwi rya "kanda" bivuze ko gukata na anastomose birangiye.Ntusohoke muri stapler by'agateganyo.Reba niba anastomose ishimishije kandi niba izindi nyama nka mesentery zashyizwemo.Nyuma yo kuvurwa bihuye, fungura stapler hanyuma uyikuremo witonze uhereye kumpera ya kure kugirango urebe niba impeta zo mu nda za kure kandi zegeranye zuzuye.

Icyitonderwa

.Gukaraba plastiki bigomba gushyirwaho mubifata inshinge.

.

.Tissue nyinshi biroroshye kwinjizwa muri stoma, bikabuza anastomose.Witondere kudasiba mucosa.

(4) Ukurikije ubunini bwurukuta rw amara, intera igomba kuba cm 1 ~ 2.

(5) Reba igifu, esofagusi nizindi ngingo zegeranye mbere yo kurasa kugirango wirinde kwinjira muri anastomose.

.Niba bifatwa nkaho bidahwitse, birashobora kongera gucibwa.

(7) Sohoka witonze witonze, hanyuma urebe niba inyama zaciwe ari impeta yuzuye.

Ibicuruzwa bifitanye isano
Igihe cyo kohereza: Jun-24-2022