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Ibikoresho byiza byamashanyarazi endoscope yimisumari
Twandikire
$ 8- $ 10/ Igice
Kumenyekanisha ibicuruzwa
Intangiriro kumashanyarazi ya endoscope
1. Imashanyarazi ya endoscope yamashanyarazi ikoreshwa mugukata transvers, kwanga, cyangwa gushiraho anastomose.
2. Amashanyarazi ya endoskopique yumuriro arashobora gukoreshwa muburyo butandukanye bwo kubaga thoracic kubagwa cyangwa kwibasirwa cyane, inzira zifungura hamwe na hepatobiliary pancreatic kubaga.
3. Imashanyarazi ya endoscope yamashanyarazi irashobora gukoreshwa ifatanije nuudodo cyangwa ibikoresho bifasha tissue. Iki gicuruzwa gishobora kandi gukoreshwa muburyo bwumwijima parenchyma (sisitemu y'amaraso ya hepatike na biliary structure), pancreatic transection and resection surgery.
Ibyerekana amashanyarazi ya endoscope
Imashanyarazi ya endoskopi yumusumari ikwiranye no gufunga impera zisigaye cyangwa gutemwa muri endoskopi gastrointestinal kwiyubaka no kubaga ingingo.
Kwirinda ibicuruzwa
Icyitonderwa kumashanyarazi ya endoscope
1. Menya neza ko ishyirahamwe riringaniye kandi ryashyizwe neza hagati y'urwasaya. Niba hari uduce twinshi twimyenda kuruhande rwimisumari, cyane cyane kumutwe wibikoresho bya clamp, birashobora kuganisha kumudozi utuzuye.
2. Imirongo yerekana ibimenyetso byanyuma ku ntebe yimisumari hamwe nu mwanya uhagaze wikibaho cyerekana umusumari werekana iherezo ryumurongo wimisumari, hamwe nicyerekezo cyo gukata kumashini ikata cyanditseho "gukata" kumurongo wimyanya yumusumari.
3. Menya neza ko ishyirahamwe ritarenze umurongo werekana ibipimo byerekana ibikoresho. Tissue yinjijwe mubikoresho bivuye hanze yumurongo werekana irashobora gucibwa mu buryo butambitse udakoresheje staples.
Imikoreshereze y'ibicuruzwa
Gukoresha amashanyarazi ya endoscope yimisumari
Imashanyarazi ya endoskopi yumusumari ikoreshwa nkigikoresho cyubuvuzi mugubaga, mugukosora no kudoda ibice byumubiri ningingo. Ibikurikira nuburyo bwo gukoresha amashanyarazi ya endoscope yumusumari:
1. Shyiramo imisumari kuri endoscope kugirango umenye neza.
2. Huza igice cyimisumari nigikoresho cyo kubaga kugirango umenye neza.
3. Mbere yo kubagwa gutangira, uzuza igice cy'imisumari. Igice cy'imisumari gishobora kuzuzwa imisumari binyuze mu gitutu cyangwa izamuka rya gaze.
4. Mugihe cyo kubaga, shyira igice cyumusumari hagati yinyama ningingo zigomba gushushanywa kugirango uhagarare neza.
5. Koresha ibikoresho byo kubaga kugirango uhindure umusumari unyuze muri tissue hanyuma ukure umusumari kurundi ruhande kugirango urangize suture.
6. Subiramo intambwe zavuzwe haruguru kugeza igihe kubaga byose birangiye.
7. Nyuma yo kubagwa, kura igice cyimisumari ahabigenewe kubagwa hanyuma usukure kandi wanduze kugirango ukoreshwe ejo hazaza.
Twabibutsa ko gukoresha amashanyarazi ya endoscope yumuriro bisaba abakozi babigize umwuga gukora kugirango umutekano urusheho kugenda neza. Muri icyo gihe, soma witonze amabwiriza mbere yo kuyakoresha hanyuma ukurikize inama nubuyobozi bwa muganga.
Ibara hamwe nikoreshwa
Ibara nubunini bwo gukoresha stapler imisumari
Ibara hamwe nikoreshwa ryurwego rwa stapler imisumari niyi ikurikira:
1. Umusumari wera: Uburebure bwumusumari uhuye ni 2,5mm, naho uburebure bukora ni 1.0mm. Ahanini ikoreshwa muguhagarika imiyoboro yimitsi nimiyoboro mugikorwa cyo kubaga thoracic no gufunga jejunum na ileum mugikorwa cyo kubaga gastrointestinal.
2. Umusumari w'ubururu: Uburebure bw'imisumari ihuye ni 3.5mm, naho uburebure bukora ni 1.5mm. Ahanini ikoreshwa muburyo bwo kuvura ibihaha mu kubaga thoracic, kubaga umubiri wa gastrica mu kubaga gastrointestinal, kubagwa duodenal, no gastrointestinal lateral anastomose.
3. Umusumari wa zahabu: Uburebure bwumusumari uhuye ni 3.8mm, naho uburebure bukora ni 1.8mm. Ahanini ikoreshwa mugukuraho ibibyimba binini byamahaha mugikorwa cyo kubaga thoracic no kubaga ibice binini nka antrum gastric na colon mugikorwa cyo kubaga gastrointestinal.
4. Umusumari wicyatsi: Uburebure bwumusumari uhuye ni 4.1mm, naho uburebure bukora ni 2.0mm. Ahanini ikoreshwa mugufunga lobar na segmenti bronchi mugikorwa cyo kubaga thoracic no gufunga urukiramende mu kubaga gastrointestinal.
