3.Staplerrarrabawa
Madaidaicin yankan stapler ya haɗa da jikin hannu, wuƙan turawa, wurin zama na mujallar ƙusa da wurin zama na anvil, jikin na hannun yana ba da maɓallin turawa don sarrafa wuƙan turawa, cam ɗin yana jujjuyawa yana haɗa jikin mai sarrafa, da cam ɗin. yana da ƙugiya.An ba da gefen cam ɗin tare da tsarin tsaro.Lokacin da tsarin tsaro ya kasance a cikin kulle-kulle, ɓangaren ƙugiya yana ƙugiya a kan maɓallin turawa, kuma cam yana daidaitawa dangane da jikin mai sarrafawa;lokacin da tsarin aminci yana cikin yanayin buɗewa, ɓangaren ƙugiya yana sakin maɓallin turawa.Lokacin da aka kulle tsarin tsaro, cam ɗin yana daidaitawa dangane da jikin mai sarrafa, kuma maɓallin turawa ba zai iya ci gaba ba, ta yadda za a iya hana wuƙar turawa daga turawa da wuri lokacin da ba a daidaita matsayin kayan aiki yadda ya kamata ba.
Kaciya stapler hada da ƙusa kujerar sleeve da ƙusa anvil, sliding sanda sleeve aka shirya a cikin ƙusa seat sleeve, wani zamiya sanda a hade da ƙusa anbutment kujera, da kuma zamiya sanda an saka a cikin zamiya sanda sleeve.Sliding sanda yana da jirgin farko na hana jujjuyawa, bangon ciki na hannun rigar sandar yana da jirgi na biyu na hana jujjuyawa, kuma jirage biyu na jujjuyawa sun dace tare.Ɗaya daga cikin ɓangaren sandar zamiya da hannun rigar sandar zamiya an tanadar da haƙarƙari mai jagora tare da jagorar axial na sandar zamiya, ɗayan kuma an ba da shi tare da tsagi mai jagora tare da jagorar axial na sandar zamiya, kuma haƙarƙarin jagorar ita ce. shigar a cikin ramin shiryarwa.Ta hanyar haɗin gwiwar haƙarƙarin jagora da ramukan jagora, matsayi tsakanin sandar zamiya da hannun rigar kujerun ƙusa daidai ne, wato, sanya hannun rigar kujerun ƙusa da kujerar ƙusa ƙusa daidai ne, ta yadda daidaitaccen samuwar za a iya tabbatar da ma'auni.
4 Yadda ake sarrafa stapler
Yi amfani da anastomosis na hanji don kwatanta amfani da stapler.Ƙarshen kusancin anastomosis an ɗinka shi ne tare da suture na jakar jaka, kuma an shigar da wurin zama mai mahimmanci kuma an ɗaure shi.An haɗa sandar tsakiya na wurin zama, kuma juyawa yana kusa da bangon hanji na bututun hanji mai nisa da kusanci.An daidaita nisa tsakanin wurin zama na stapler da tushe bisa ga kauri na bangon hanji.Gabaɗaya, an iyakance shi zuwa ~ ko jujjuyawar hannu yana da ƙarfi (akwai alamar ƙarfi akan hannun) don buɗe aminci;
Da ƙarfi matse maƙarƙashiyar anastomotic kuma ji sautin "danna", wanda ke nufin an gama yankewa da anastomosis.Kar a janye stapler na yanzu.Bincika ko anastomosis yana da gamsarwa kuma ko wasu kyallen takarda irin su mesentery suna cikinsa.Bayan dacewa da magani, sassauta stapler.Kuma a hankali cire shi daga ƙarshen nesa don bincika ko zoben tsinkewar hanji na kusa da na kusa sun cika.
5 Kariya na Stapler
(1) Kafin aiki, duba ko ma'auni da ma'auni na 0 sun daidaita, ko taron daidai ne, kuma ko guntun turawa da ƙusa tantalum sun ɓace.Ya kamata a sanya gasket na filastik a cikin kujerar allura.
(2) Karyewar ƙarshen bututun hanji da za a yi amfani da shi ya kamata a 'yantar da shi sosai kuma a cire shi aƙalla 2 cm.
(3) Nisan allura na suturar kirtani bai kamata ya wuce santimita ba, kuma gefen ya kamata ya zama 2 zuwa 3 mm.Nama mai yawa yana da sauƙin shigar a cikin anastomosis kuma yana hana anastomosis.Yi hankali kada ku rasa mucosa.
(4) Daidaita tazara gwargwadon kaurin bangon hanji, zai fi dacewa 1 zuwa 2 cm.
(5) A duba ciki, esophagus da sauran kyallen da ke kusa da su kafin a harbe su don hana anastomosis daga matsewa.
(6) Yanke yakamata ya kasance cikin sauri, kuma matsa lamba na ƙarshe zai sanya madaidaitan su zama sifar "B", kuma suyi ƙoƙarin samun nasara ɗaya.
(7) Fitar da stapler a hankali, kuma duba ko abin da aka yanke ya kasance cikakken zobe.
Lokacin aikawa: Fabrairu-16-2022
