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Zapamwamba zamagetsi zamagetsi endoscope zigawo za msomali
Lumikizanani nafe
$8- $10/ Chigawo
Chiyambi cha Zamalonda
Chiyambi cha chipinda cha misomali chamagetsi cha endoscope
1. Chipinda chamagetsi chamagetsi chimagwiritsidwa ntchito podula, kuchotsa, kapena kukhazikitsa anastomosis.
2. Chipinda chamagetsi chamagetsi cha endoscopic misomali chingagwiritsidwe ntchito pa maopaleshoni osiyanasiyana otsegula kapena ochepa kwambiri a thoracic, matumbo a m'mimba ndi maopaleshoni a hepatobiliary pancreatic.
3. Chipinda cha msomali chamagetsi cha endoscope chingagwiritsidwe ntchito pamodzi ndi ulusi wa suture kapena zipangizo zothandizira minofu. Izi zitha kugwiritsidwanso ntchito pachiwindi cha parenchyma (chiwindi cha vascular system ndi kapangidwe ka biliary), pancreatic transection ndi opaleshoni ya resection.
Zizindikiro zamagetsi endoscope msomali chipinda
Chipinda chamagetsi chamagetsi chamagetsi ndi choyenera kutsekedwa kwa malekezero otsalira kapena kudulidwa mu endoscopic yomanganso m'mimba ndi opaleshoni yochotsa ziwalo.
Kusamala Zamankhwala
Kusamala kwa magetsi endoscope msomali chipinda
1. Onetsetsani kuti bungwe liri lathyathyathya komanso loyikidwa bwino pakati pa nsagwada. Ngati pali mitolo ya minofu m'mbali mwa chipinda cha misomali, makamaka pa foloko ya chida chachitsulo, zikhoza kubweretsa ulusi wosakwanira wa suture.
2. Mizere yowonetsera mapeto pampando wa msomali ndi malo osungiramo misomali amasonyeza kutha kwa mzere wa msomali, ndi chizindikiro chodulira pa makina odulira olembedwa "kudula" pa malo opangira msomali.
3. Onetsetsani kuti bungwe silidutsa mzere wa chizindikiro cha proximal pa chipangizo cha extrusion. Minofu yofinyidwa mu chida kuchokera kunja kwa mzere wowonetserayo imatha kudulidwa mopingasa popanda kugwiritsa ntchito zoyambira.
Kugwiritsa Ntchito Mankhwala
Kugwiritsa ntchito endoscope yamagetsi yamagetsi
Chipinda chamagetsi chamagetsi cha endoscope chimagwiritsidwa ntchito ngati chipangizo chachipatala pochita opaleshoni, kukonza ndi kupukuta minofu ndi ziwalo za anthu. Zotsatirazi ndi njira yogwiritsira ntchito chipinda cha misomali chamagetsi cha endoscope:
1. Ikani chipinda cha misomali pa endoscope kuti muwonetsetse kulumikizana kolimba.
2. Lumikizani chipinda cha msomali ku chida chopangira opaleshoni kuti muwonetsetse kugwirizana kolimba.
3. Opaleshoni isanayambe, lembani chipinda cha misomali ndi misomali. Chipinda cha misomali chikhoza kudzazidwa ndi misomali kupyolera mu kupanikizika kapena kukwera kwa mpweya.
4. Panthawi ya opaleshoni, ikani chipinda cha msomali pakati pa minofu ndi ziwalo zomwe zimayenera kudulidwa kuti zitsimikizire kuti zili bwino.
5. Gwiritsani ntchito zida zopangira opaleshoni kuti mukhometse msomali mu minofu ndikuchotsa msomali kumbali ina kuti mutsirize msomali.
6. Bwerezani masitepe omwe ali pamwambawa mpaka opaleshoni yonse itatha.
7. Pambuyo pa opaleshoni, chotsani chipinda cha misomali pamalo opangira opaleshoni ndikuchiyeretsani ndikuchipha tizilombo toyambitsa matenda kuti mudzagwiritse ntchito mtsogolo.
Tiyenera kukumbukira kuti kugwiritsa ntchito chipinda chamsomali chamagetsi chamagetsi kumafuna akatswiri ogwira ntchito kuti atsimikizire chitetezo ndi mphamvu. Nthawi yomweyo, werengani mosamala malangizowo musanagwiritse ntchito ndikutsatira malangizo ndi malangizo a dokotala.
Mtundu ndi Kagwiritsidwe Ntchito
Mtundu ndi kukula kwa kagwiritsidwe ntchito ka stapler misomali compartment
Mtundu ndi kagwiritsidwe ntchito ka chipinda cha stapler misomali ndi motere:
1. Msomali woyera: Kutalika kwa msomali wofanana ndi 2.5mm, ndipo kutalika kwake ndi 1.0mm. Amagwiritsidwa ntchito makamaka kutseka kwa mitsempha ya m'mapapo ndi mitsempha mu opaleshoni ya thoracic ndi kutseka kwa jejunum ndi ileamu mu opaleshoni ya m'mimba.
2. Msomali wabuluu: Kutalika kwa msomali wofananira ndi 3.5mm, ndipo kutalika kwake ndi 1.5mm. Amagwiritsidwa ntchito makamaka pakuchotsa minofu ya m'mapapo mu opaleshoni yam'mimba, kuphatikizika kwa thupi pakuchita opaleshoni yam'mimba, kuphatikizika kwa duodenal, ndi m'mimba lateral anastomosis.
3. Msomali wagolide: Kutalika kwa msomali wofanana ndi 3.8mm, ndipo kutalika kwake ndi 1.8mm. Amagwiritsidwa ntchito makamaka pochotsa minofu ya m'mapapo mu opaleshoni yam'mapapo komanso pochotsa ziwalo zokulirapo monga chapamimba komanso m'matumbo mu opaleshoni ya m'mimba.
4. Msomali wobiriwira: Kutalika kwa msomali wofanana ndi 4.1mm, ndipo kutalika kwake ndi 2.0mm. Amagwiritsidwa ntchito makamaka kutseka kwa lobar ndi segmental bronchi mu opaleshoni ya thoracic ndi kutsekedwa kwa rectum mu opaleshoni ya m'mimba.
