Da fatan za a karanta littafin koyarwa a hankali kafin shigarwa da amfani da wannan samfurin
Nau'in da ma'auni na asali naendoscope mikakke yankan stapler ana nunawa a hoto na 3.
8. Sanda watsawa 9. Casing 10. Tuƙi 11. Hannun tuƙi 12. Maɓallin harbe-harbe 13. Hannun turawa 14. Hannu mai motsi 15. Kafaffen rike
Hoto 3: Tsarin tsari na tsarin endoscopic mikakke yankan stapler
Contraindications na endoscopic mikakke abun yanka stapler
1. Mucosal edema mai tsanani;
2. An haramta yin amfani da wannan na'urar a kan hanta ko nama.Saboda halayen matsawa na irin waɗannan kyallen takarda, rufewar na'urar na iya samun sakamako mai lalacewa;
3. Ba za a iya amfani da shi a cikin sassan da ba za a iya ganin hemostasis ba;
4. Abubuwan da aka gyara launin toka da launin ruwan kasa ba za a iya amfani da su ba don kyallen takarda waɗanda kaurinsu bai wuce 0.75mm ba bayan matsawa, ko kyallen takarda waɗanda ba za a iya matsawa da kyau zuwa kauri na 1.0mm ko kyallen takarda a kan aorta;
5. Ba za a iya amfani da fararen fata ba don kyallen takarda waɗanda kauri ba su da ƙasa da 1.0mm bayan matsawa, ko kyallen takarda waɗanda ba za a iya matsawa zuwa kauri na 1.5mm ko kyallen takarda a kan aorta ba;
6. Ba za a iya amfani da ɓangaren shuɗi da ɓangaren shuɗi ba don kyallen takarda waɗanda kaurinsu bai wuce 1.5m ba bayan matsawa, ko kyallen da ba za a iya matsawa da kyau zuwa 2.0m kauri ko kyallen takarda a kan aorta.
7. Ba za a iya amfani da abubuwan baƙar fata ba don kyallen takarda waɗanda kaurinsu bai wuce 1.75mm bayan matsawa ba, ko kyallen da ba za a iya matsawa da kyau zuwa kauri na 2.25m ko kyallen takarda a kan aorta;
8. Ba za a iya amfani da kayan kore masu launin kore waɗanda kaurinsu bai kai 2.0mm ba bayan matsawa, ko kyallen da ba za a iya matsawa zuwa kauri na 2.5mm ko kyallen takarda a kan aorta ba.
Shigar da endoscopic linear cutter stapler:
Yadda ake amfani da abubuwan S-cutting:
1. Zaɓi jikin stapler da abubuwan da suka dace daidai da iyakokin aikace-aikacen daban-daban yayin aiki.
2. Shigar da abubuwa
Shigar da abubuwan da ke cikin jiki.Daidaita soket na sashin tare da soket a saman jiki (alamar nuni akan sashin da alamar alama akan jiki dole ne a daidaita su), sannan saka shi zuwa ƙarshen.(Hoto na 4) Sa'an nan kuma jujjuya abin da ke gefen agogo ta hanyar digiri 45, kuma za a kulle sashin.(Hoto na 5)
Sanarwa:
1) An ɗora sashin a cikin buɗaɗɗen yanayi kuma ba za a iya rufe shi ba;
2) Kada a cire murfin kariya na ƙirar kafin a shigar da tsarin;
3) Tabbatar cewa hannun turawa a jiki ya ja da baya sosai.(Hoto na 6)
Bayan an shigar da abubuwan da aka gyara, damke hannun mai motsi sau ɗaya don rufe jaws, sa'an nan kuma ja hannun tura baya don buɗe jaws.
3. Abubuwan da ake saukewa
Cire bangaren daga jiki.
Ja da maɓallin buɗewa baya, juya taron 45 digiri a kusa da agogo, kuma ja jiki gaba.(Hoto na 7)
Lokacin aikawa: Oktoba-27-2022
