3.Staplernhazi ọkwa
The linear ọnwụ stapler na-agụnye a ahụ aka, a push mma, a ntu magazin oche na anvil oche, a na-ahụ ahụ ahụ na-nyere a push button maka ịchịkwa push mma, a cam na rotatably jikọọ na ahụ ahụ, na cam. nwere nko.A na-enye akụkụ nke cam na usoro nchekwa.Mgbe usoro nchekwa dị na ọnọdụ ekpochi, a na-ejikọta akụkụ nko na bọtịnụ ntinye, na cam na-edozi ya n'akụkụ aka ahụ;mgbe usoro nchekwa dị na ọnọdụ akpọchiri akpọchi, akụkụ nko na-ahapụ bọtịnụ ntinye.Mgbe a na-akpọchi usoro nchekwa ahụ, a na-edozi cam n'akụkụ aka ahụ, na bọtịnụ ntinye enweghị ike ịga n'ihu, nke mere na enwere ike igbochi mma ịkwanye ịkwanye ngwa ngwa mgbe ọnọdụ nke ngwá ọrụ adịghị edozi nke ọma.
The úgwù stapler na-agụnye a ntu oche aka uwe na ntu ntu, a na-ahaziri a na-amị amị mkpara aka uwe ntu oche, a sliding mkpanaka ejikọrọ na ntu anbutment oche, na sliding mkpara na-etinye n'ime mkpara mkpanaka.Mkpanaka na-agbagharị nwere ụgbọ elu nke mbụ na-egbochi ntụgharị, mgbidi dị n'ime nke ogwe aka na-agbagharị agbagharị nwere ụgbọ elu nke abụọ, na ụgbọ elu abụọ na-atụgharị na-ejikọta ọnụ.A na-enye otu akụkụ nke eriri na-atụgharị na ogwe aka na-eduzi ya na eriri na-eduzi n'akụkụ axial direction of the sliding stick. tinye n'ime uzo ndu.Site na imekọ ihe ọnụ nke ọgịrịga ntuziaka na grooves ndu, nguzo n'etiti mkpanaka na-amị amị na ogwe aka oche ntu ziri ezi, ya bụ, nguzobe nke mkpuchi oche oche na oche oche ntu ziri ezi, nke mere na nhazi ziri ezi. enwere ike ijikwa isi ihe.
4 Otu esi arụ ọrụ stapler
Jiri anastomosis eriri afọ mee ihe atụ iji stapler.A na-eji eriri akpa akpa akpa na njedebe dị nso nke anastomosis, a na-etinyekwa oche nke isi ahụ ma mechie ya.A na-ejikọta mkpanaka etiti nke oche, na ntụgharị ahụ dị nso na mgbidi eriri afọ nke tubes intestinal distal na proximal.A na-edozi ebe dị n'etiti oche stapler na isi dị ka ọkpụrụkpụ nke mgbidi eriri afọ.N'ozuzu, ọ na-ejedebe na ~ ma ọ bụ ntụgharị aka aka siri ike (enwere ihe nrịbama na aka) imeghe nchekwa;
Jiri nwayọ piakọta mgbanaka anastomotic wee nụ ụda “pịa” nke pụtara na egbuchasịa na anastomosis.Ewepụla stapler maka oge a.Lelee ma anastomosis ọ na-eju afọ yana ma anụ ahụ ndị ọzọ dị ka mesentery agbanyere na ya.Mgbe ọgwụgwọ kwekọrọ, tọpụ stapler.Ma jiri nwayọọ wepụ ya na njedebe dị anya ka ịlele ma mgbanaka mgbanaka eriri afọ distal na nke dị nso ezuola.
5 Akpachara anya Stapler
(1) Tupu arụ ọrụ, lelee ma ọnụ ọgụgụ na nha 0 kwadoro, ma mgbakọ ahụ ọ̀ ziri ezi, yana ma mpempe mpụta na ntu tantalum na-efu.Ekwesịrị itinye gasket rọba na oche agịga.
(2) Akwụsị agbajiri nke tube eriri afọ a ga-anastomosed kwesịrị ịtọhapụ ya nke ọma ma yipụ ya dịkarịa ala 2 cm.
(3) Ogologo agịga nke eriri akpa akpa ekwesịghị ịfe centimeters, oke ya kwesịrị ịbụ 2 ruo 3 mm.Nnukwu anụ ahụ dị mfe itinye n'ime anastomosis ma gbochie anastomosis.Kpachara anya ka ị ghara ịhapụ mucosa.
(4) Gbanwee oghere dị ka ọkpụrụkpụ nke mgbidi eriri afọ, ọkacha mma 1 ruo 2 cm.
(5) Lelee afọ, esophagus na anụ ahụ ndị ọzọ dị n'akụkụ tupu ịgbanye ọkụ iji gbochie anastomosis ka ọ ghara ịkụda ya.
(6) Mbelata ahụ kwesịrị ịdị ngwa ngwa, nrụgide ikpeazụ ga-eme ka staples bụrụ ọdịdị "B", ma gbalịsie ike maka otu ihe ịga nke ọma.
(7) Wepụ nwayọọ nwayọọ pụọ na stapler, wee lelee ma anụ ahụ e gbupụrụ bụ mgbanaka zuru oke.
Oge nzipu: Feb-16-2022
