MAI 1998

He kaiwhakarato ratonga kotahi-mutu mo nga taputapu rongoa rongoa whanui
pane_pane

Te pukapuka tohutohu trocar laparoscopic

Te pukapuka tohutohu trocar laparoscopic

Hua e Pa ana

I mua i te whakauru me te whakamahi i tenei hua, panuihia te pukapuka tohutohu

Te pukapuka tohutohu trocar laparoscopic

I. Ingoa hua, tauira, whakaritenga

Wae torokara mo te haurapa (mm)

Tauira Tauira

Kooo wero te diameter o waho D1

Te awhi o roto D

Te roa o te pouaka L

Te roa o te kano kano L1

Te roa o te koeko wero L2

rahi

te manawanui

rahi

te manawanui

rahi

te manawanui

rahi

te manawanui

rahi

te manawanui

P-TC-5

5.5

+0.3

0

6

+0.3

0

112

±2.0

160

±2.0

205

±2.0

P-TC-10

10.3

10.4

P-TC-12

12.8

12.9

P-TC-15

15.2

15.7

II.Ka taea te mahi trocar laparoscopic

Ka whakamahia te taputapu werohia hei taputapu haumanu laparoscopic.Me whakatu te pneumoperitoneum i te tuatahi, katahi ka mahia he tapahi kiri 5-12 mm ki te waahi tika i roto i te kopu.Whakatikahia te trocar ma te ringaringa ki te koki e tika ana i runga i te puku kua piki te pneumoperitoneum.Na roto i te wero kiri, pehia te tihi o te taputapu wero me te nikau o to ringa, ka whakauru i te taputapu wero ki roto i te kiri.Ka uru te taputapu wero ki roto i te kohao puku, tangohia tonutia te koeko wero hei hanga i tetahi hongere mahi, katahi ka whakauru i te laparoscope/taputapu mo te tirotiro me te Mahi.

III.Te titonga hanganga matua trocar laparoscopic

Ko te taputapu werohia laparoscopic ko te nuinga he potae hiri, he raka me te kapi whakatika, he puri werohanga hau, he cannula, he koo puncture, he reera aukati hau me te potae hiri-whaiaro.

I roto i a raatau: ko te potae hiri, te kati me te whakatika i te potae, te hiko werohanga hau, te pouaka, me te puncture cone he mea hanga mai i te papanga PC, a ko te raima aukati hau me te potae hiri-whaiaro he mea hanga mai i nga taonga silicone.

IV.Disposable laparoscopic trocar hōkai o te tono

Ka whakamahia hei wero i te kiko pakitara o te puku o te tinana tangata i te wa o te laparoscopy me te pokanga, me te whakatu i tetahi hongere mahi mo te pokanga puku.

V. Te anga o te ahua trocar laparoscopic

https://www.smailmedical.com/single-use-trocar-product/1.Potae hiri 2. Maukati me te whakatika potae 3. Wero werohanga 4. Nga ringaringa

5. Kooo werohia 6. Wairere aukati hau 7. Potae hiri-whaiaro

1.ahua 1P-TC-5/10/12/15taratara

VI.Whakakorehia te trocar laparoscopic Contraindications

Kaore e taea te whakamahi mo nga turoro hou, me te whakamahi ma te tupato ki nga wahine hapu.

VII.Te whakaurunga trocar laparoscopic

kahore

VIII.Ko te trocar laparoscopic tuku Nga tohutohu mo te whakamahi

1. I mua i te whakamahi i te cannula puncture a to tatou kamupene, e taunaki ana kia whakatuu i te pneumoperitoneum i te tuatahi, katahi ka hanga he kiri kiri i roto i te kohanga puku e nui ana hei whakauru i te cannula.Ko tetahi huarahi ki te whakarite kia nui te wero kiri ko te pehi i te ngongo o waho o te trocar ki te pakitara o te tinana, ka hangaia he tohu porowhita, katahi ka werohia ki te rahinga tika o te tohu ki te uru ki te urunga cannula, hei tauira, te werohanga 5mm Te casing. me whakanui ake te diameter ma te 2mm.Kia mahara ko te iti ake o nga werohanga ka puta he parenga kiri o te cannula, ka piki ake te kaha o te kuhu me te whakaiti i te mana o te taote ki te kano i te wa e whakauruhia ana.

2. Whakatikahia te cannula puncture ki te koki e tika ana ki te puku kua ara ake i muri i te pneumoperitoneum.He koi ake nga trocars tuku atu i nga trocars ka taea te whakamahi ano, no reira he iti ake te kaha ki te whakauru.Engari kia tupato: Ki te kore e nui te hau, ki te kore e nui te tapahi kiri, ki te kaha kaha ranei ka nui ake te tupono o te whara o nga whekau o roto.

3. I mua i te whakaurunga o te kano werohanga i roto i te wero kiri, whakauruhia te koeko wero ki roto i te kano werohanga.

4. Pēhia te tihi o te kano wero ki te nikau o to ringa.I te wa ano, kia mau tonu te pehanga ki runga i te kakau, whakauruhia te cannula puncture tuku ki roto i te wehenga kiri.Hoatu te pehanga whakararo tonu i te wa e uru ana te kano.

5. Kia kuhu te cannula ki roto i te kohao puku, me tupato kia kaua e tukuna ano te cannula.Mena ka whakaarohia e te taote kei roto i te kohanga o te puku o te kano werohanga, me tango tonu te porowhita ka kuhu ki roto i te laparoscope hei tirohanga.

6. Ki te kore e oti te werohanga, tuaruatia nga mahi 3-5.

7. Mena he 10 mm neke atu ranei te nui o te werohanga o te werohanga i muri i te mahi, me kati te whaa hohonu ki te whakaiti i te tupono o te werohanga ma te tuitui.

8. I muri i te angitu o te werohanga, i mua i te whakamahi i te taputapu endoscopic, whakamahia te hinu rongoa ki runga i te mata o te taputapu endoscopic, te mowhiti hiri ranei o te puncturer ki te whakaiti i te aukati me te pai ake o te mahi me te tere.

IX. Nga tikanga tiaki trocar laparoscopic me nga tikanga tiaki

1. Rokiroki: Rokiroki i roto i te ruuma me te haumākū whanaunga kia kaua e nui ake i te 80%, he pai te hau, me te kore hau kino.

2. Te kawe: Ka taea te kawe i te hua kua oti te takai me nga taputapu noa.I te wa e kawe ana, me whakahaere ma te tupato me te karo i te ra o te ra, te tukinga tutu, te ua me te urunga o te kaha.

X.Te ra paunga o te trocar laparoscopic

I muri i te whakahoroa o tenei hua e te ethylene oxide, e toru tau te wa whakamaoritanga, ka whakaatuhia te ra paunga ki te tapanga.

XI.Rarangi taputapu trocar laparoscopic tuku

      kahore

XII.Nga whakatupato me nga whakatupato trocar laparoscopic

1. I te wa e whakamahi ana i tenei hua, me tino whai nga whakaritenga mahi aseptic;

2. Tena koa tirohia te kohinga o tenei hua i mua i te whakamahi, mena kua pakaru te kohinga opupu, me mutu te whakamahi;

3. Ko tenei hua ka whakahoroa e te ethylene oxide, a ko te hua kua whakamarohia mo te whakamahinga haumanu.Tena koa tirohia te tohu kōpae kei runga i te pouaka whakakorikori o tenei hua, "puru" e tohu ana kua whakahoroa te hua e te ethylene oxide ka taea te whakamahi tika ki te haumanu;

4. Ko tenei hua mo te whakamahi kotahi, kaore e taea te whakamakuku i muri i te whakamahinga;

5. Tena tirohia mehemea kei roto te hua i te waa whaimana i mua i te whakamahi.E toru tau te wa mana whakahoromata.Ko nga hua i tua atu i te waa whaimana ka tino rahuitia kia whakamahia;

6. Ki te kore e hanga me te pupuri i tetahi pneumoperitoneum e tika ana i te wa o te pokanga puku ka iti ake te waahi whakahaere e waatea ana, na reira ka arai i te neke whakamua o te koo wero me te piki ake te tupono o te whara o te kiko visceral.

7. Ko te mohio me te mohio ki nga tikanga endoscopic ka taea te mahi pokanga endoskopika.I mua i te mahi, me toro atu nga rata ki nga pukapuka me nga tuhinga e tika ana kia mohio ai koe ki nga tikanga, nga raruraru me nga tupono o te endoscopy.

8. He koi ake, he haumaru ake te ahua o te koo werohanga kotahi, na reira ka iti ake te kaha i te wa e whakauru ana.Ko te kaha nui ka whakaiti i te mana o te kaiwhakamahi ki runga i te koki whakauru me te hohonutanga o te koeko werohanga, ka nui ake te tupono o te whara o nga kopa o roto.

9. Ka taea te aukati, te whakaroa ranei i nga apitihanga, nga mate o te tinana, etahi atu arai ranei, ka pakaru te koo wero i te hanganga o roto i te wa e werohia ana e te matapo.E taunaki ana kia whakamahia he pokanga laparoscopic tuwhera, katahi ka whakamahi i tenei hua i muri i te taapiri i nga tui ki te whakamahi kawemai o te kopu.

10. I mua, i muri hoki i te tangohanga o te cannula tuku mai i te kohao puku, tirohia te waahi pokanga mo te hemostasis.Ka taea te whakahaere i te toto ki te kauti, ki te tui ringa ranei.I runga i te whakaaro a te taote, ka hiahiatia he laparotomy.

11. Kia tae ki roto i te kohao puku, me tupato kia kaua e pehia ano te cannula.Mena ka nui te kaha ki te pito o mua ki te neke whakamua i te koeo, ka kino nga kopa o roto.

12. I te wa e whakamahi ana i nga taputapu endoscopic me nga taonga e hangaia ana e nga kaihanga rereke i te wa kotahi i roto i te pokanga endoscopic, me tirotirohia te hototahitanga i waenga i nga taputapu rereke, me te tirotiro i te hiko me te papa whenua.

13. Mēnā he 10mm te roa, te roa ake rānei o te wero kiri kua werohia, me katia te fascia hohonu kia iti ake ai te tupono o te whanariki.

14. I te wa o te pokapara laparoscopic, me noho te manawanui ki raro me te mahunga ki raro me nga waewae ki runga.I te wa e whakamahi ana i te kano wero tuatahi, whakaarahia te pakitara o raro o te puku ki tetahi ringa, whakahaere i te kano wero ki tetahi atu ringa, mahia he tapahi mai i te kiri umbilicus, ka kuhu atu ki te pukupuku i te koki 45-tohu.

15. Me penapena nga hua kua whakamarokehia ki roto i te waahi hauhautanga, maroke, pokekore, he pai te hau me te kore hau kino.

16. I muri i te angitu o te werohanga, whakamahia te whakahinuhinu hauora i runga i te mata o te taputapu endoscopic ranei te mowhiti hiri o te taputapu wero i mua i te whakamahi i te taputapu endoscopic ki te whakaiti i te aukati me te pai ake o te mahi me te tere.

17. Tirohia te tapanga mo te ra whakaputa

18. He whakamaarama mo nga whakairoiro, tohu me nga whakapototanga e whakamahia ana i roto i te kete me nga tapanga

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Wā tuku: Feb-23-2023