Aruwan zafi(ko trocar) na'urar likitanci ne ko na dabbobi da ke kunshe da awl (wanda zai iya zama karfe ko filastik tare da tip mai nuni ko maras wuka), cannula (madaidaicin bututu), da hatimi.Lokacin tiyatar laparoscopic, trocar An sanya ta cikin ciki. The trocar hidima a matsayin portal na gaba jeri na sauran kayan aiki kamar graspers, almakashi, staplers, da dai sauransu. The trocar kuma damar gas ko ruwa gudu daga ciki gabobin.
Etymology
Kalmar trocar, wanda ba shi da kowa daga Faransa trocart, trois-quarts (kwata uku), daga trois "uku" da kuma "gefe, saman kayan aiki", an fara rubuta a cikin Dictionary of Arts and Sciences, 1694, na Thomas Cornell, ɗan'uwan Pierre Cornell.
Aikace-aikace
Amfani da magani / tiyata
Ana amfani da Trocars na likitanci don samun da kuma zubar da tarin ruwa, kamar a cikin marasa lafiya tare da ciwon huhu ko ascites. A zamanin yau, ana amfani da trocars na tiyata don yin tiyata na laparoscopic. An tura su azaman gabatarwar kyamarori da kayan aikin hannu na laparoscopic irin su almakashi, graspers, da dai sauransu don aiwatar da hanyoyin da aka yi a yanzu ta hanyar yin manyan incisions na ciki, juyin juya halin kulawa na haƙuri. Ana amfani da trocars na tiyata a yau azaman kayan aikin haƙuri guda ɗaya kuma sun samo asali daga zane-zane na "ma'ana uku" zuwa lebur-bladed" tip-tip " Samfura ko samfuran da ba su da ruwa gabaɗaya, ƙirar ƙarshe tana ba da aminci ga marasa lafiya saboda dabarar da ake amfani da ita don saka su. Shigar Trocar na iya haifar da rauni mai rauni a cikin sashin jiki, wanda ke haifar da rikice-rikice na likita. na iya haifar da rauni na hanji wanda zai haifar da peritonitis ko zubar jini daga babban rauni na jirgin ruwa.
Gyaran jiki
Har ila yau, ana amfani da trocars zuwa ƙarshen aikin embalming don samar da magudanar ruwa na jiki da gabobin bayan maye gurbin jini tare da sinadarai masu lalata. Maimakon saka tube na zagaye, wuka mai gefe uku na classic trocar ya raba fata na waje zuwa uku " fuka-fuki"waɗanda za a iya sutured da sauƙi a rufe a cikin ƙasa mara kyau, ana iya amfani da maɓallin trocar maimakon sutures. An haɗa shi zuwa tube mai laushi mai sha, yawanci ana haɗa shi da aspirator na ruwa, amma ana iya amfani da ruwan wutar lantarki. Hanyar amfani da trocar don cire iskar gas, ruwa, da semisolids daga ramukan jiki da gabobin da ba su da tushe ana kiran su aspiration. Saka kayan inci biyu a gefen hagu na jiki (anatomically), inci biyu sama da cibiya.Bayan thoracic, ciki. ,kuma pelvic cavities an aspirated, the embalmer infuses thoracic, ciki, da pelvic cavities, yawanci amfani da wani karami trocar hade da wani tiyo hade da kwalban high-index rami ruwa.The kwalban da aka juye juye a cikin iska zuwa ga iska. ba da damar nauyi don ɗaukar ruwan lumen sama da trocar zuwa cikin lumen, sirinji na ruwa yana da ƙaramin rami don sarrafa ruwa. isasshe kuma daidai gwargwado, ana ba da shawarar vial 1 na ruwan rami don rami na thoracic da kuma 1 vial don rami na peritoneal.
Amfani da dabbobi
Trocars ana amfani da su sosai da likitocin dabbobi ba kawai don magudanar ruwan pleural, ascites, ko gabatar da kayan aiki a lokacin tiyatar laparoscopic ba, har ma don takamaiman yanayi na dabba. A cikin karnuka, ana yin irin wannan hanya sau da yawa akan majinyata masu rauni na ciki, wanda a cikinsa aka saka babban trocar cikin fata a cikin ciki don kashe cikin nan da nan.Ya danganta da tsananin. na bayyanar cututtuka na asibiti a lokacin gabatarwa, ana yin wannan yawanci bayan an aiwatar da maganin jin zafi amma kafin maganin sa barci. Ƙaddamar da aikin tiyata ya haɗa da gyaran jiki na ciki da kuma splin, bin gastropexy dama.Ya danganta da tsanani, partial gastrectomy da / ko splenectomy. ana iya buƙata idan nama mai alaƙa yana da necrotic saboda ischemia saboda togiya / avulsion na ciyar da vasculature.
Lokacin aikawa: Dec-05-2022
