Atrocar(ma ọ bụ trocar) bụ ngwaọrụ ahụike ma ọ bụ ọgwụgwọ ọrịa anụmanụ nke nwere awl (nke nwere ike ịbụ ọla ma ọ bụ plastik nwere ntụ ntụ ntụ ma ọ bụ nke na-abụghị bladed), cannula (nke bụ isi tube), yana akara. N'oge ịwa ahụ laparoscopic, trocar. A na-etinye ya site na afo. The trocar na-eje ozi dị ka a portal maka ụdi ọnyịnye nke ndị ọzọ ngwá dị ka graspers, mkpa, staplers, etc.The trocar na-enye ohere gas ma ọ bụ mmiri mmiri na-agbanarị n'ime akụkụ ahụ.
Etymology
Okwu trocar, obere trochar nke sitere na French trocart, trois-quarts (akụkụ atọ), site na trois "atọ" na carre "akụkụ, elu nke ngwá ọrụ", nke e dekọrọ na Dictionary of Arts and Sciences, 1694, nke Thomas Cornell dere, nwanne Pierre Cornell.
Ngwa
Ojiji ọgwụ/ịwa ahụ
A na-eji trocars eme ihe na ahụike iji nweta na igbapu nchịkọta mmiri, dị ka ndị ọrịa nwere pleural effusion ma ọ bụ ascites. N'oge a, a na-eji trocars ịwa ahụ na-arụ ọrụ ịwa ahụ. graspers,etc.ime usoro ruo ugbu a rụrụ site na-eme ka nnukwu abdominal incisions, revolutionizing ndidi care.Ịwa trocars na-kacha eji taa dị ka otu onye ọrịa ngwá na evolved si "atọ-point"designs ka flat-bladed"spread-tip" ngwaahịa ma ọ bụ kpamkpam bladeless ngwaahịa.The ikpeazụ imewe na-enye ukwuu ndidi nchekwa n'ihi na usoro eji tinye ha.Trocar ntinye nwere ike ime ka a perforated puncture ọnya na n'okpuru akụkụ, na-eduga na ahụike nsogbu.Ya mere, dị ka ihe atụ, laparoscopic intraperitoneal trocar ntinye. nwere ike ịkpata mmerụ ahụ nke eriri afọ na-eduga na peritonitis ma ọ bụ ọbara ọgbụgba site na nnukwu mmerụ ahụ arịa.
Ịgba ozu
A na-ejikwa Trocars kwupụta njedebe nke usoro mgbake ahụ iji nye mmiri mmiri nke anụ ahụ na akụkụ ahụ na-esote arịa ọbara na-agbanwe na kemịkal na-agbake. Kama itinye gburugburu tube ahụ, mma nwere akụkụ atọ nke trocar kpochapụwo na-ekewa akpụkpọ anụ ahụ n'ime atọ " nku"nke na-ahụ mfe sutured emechi na a obere obtrusive n'ụzọ, na trocar button nwere ike iji kama sutures.It na-agbakwunyere ihe absorbent soft Tube, na-ejikarị na-eji mmiri aspirator, ma electric mmiri aspirator nwekwara ike-eji. usoro nke iji a trocar wepụ gas, mmiri mmiri, na semisolids si aru cavities na oghere akụkụ a na-akpọ aspiration.Tinye ngwá ọrụ abụọ sentimita asatọ n'akụkụ aka ekpe nke ahụ (anatomically), abụọ sentimita n'elu otubo. Mgbe thoracic, abdominal , na pelvic cavities e aspirated, the ebalmer infuses thoracic, abdominal cavities, na pelvic cavities, na-emekarị na-eji a nta trocar ejikọrọ a sooks ejikọrọ na karama nke elu-index oghere fluid.The karama na-ejide kpodoro isi ala n'ikuku ka. ekwe ka ike ndọda na-ebu lumen mmiri elu na trocar na n'ime lumen, mmiri mmiri sirinji nwere obere oghere mkpịsị aka iji chịkwaa eruba nke mmiri. The antiseptik na-akpali trocar n'otu ụzọ ahụ dị ka ọ na-eme mgbe aspirating oghere iji kesaa kemịkalụ. nke ọma na nke ọma, a na-atụ aro 1 vial nke mmiri oghere maka oghere thoracic na 1 vial maka oghere peritoneal.
Ọgwụgwọ anụmanụ
Ndị na-agwọ ọrịa anụmanụ na-eji Trocars eme ihe ọ bụghị naanị na-agbapụta mmiri nke pleural, ascites, ma ọ bụ iwebata ngwa n'oge ịwa ahụ laparoscopic, kamakwa maka ọnọdụ anụmanụ dị oke egwu. N'ime nkịta, a na-emekarị usoro yiri nke ahụ na ndị ọrịa nwere eriri afọ na-adịghị ike, nke a na-etinye nnukwu trocar nke na-esi na akpụkpọ ahụ banye n'ime afọ iji mebie afọ ahụ ozugbo. Dabere n'ịdị njọ. nke mgbaàmà ụlọ ọgwụ n'oge ngosi, nke a na-emekarị mgbe a na-emejuputa ihe mgbu ma tupu anesthesia n'ozuzu ya. Nlekọta ịwa ahụ doro anya gụnyere nhazigharị nke afọ na splin, na-esote gastropexy ziri ezi. Dabere n'ịdị njọ, gastrectomy na / ma ọ bụ splenectomy. enwere ike ịchọrọ ma ọ bụrụ na anụ ahụ jikọtara ya bụ necrotic n'ihi ischemia n'ihi nhụsianya / avulsion nke nri vasculature.
Oge nzipu: Dec-05-2022
