Kutaya kwa Laparoscopic Linear Cutter Stapler ndi Zigawo 4

Zowonongeka za Laparoscopic Linear Cutter Stapler ndi Zigawo gawo 4

(Chonde werengani buku la malangizo mosamala musanayike ndikugwiritsa ntchito mankhwalawa)

VIII.Laaparoscopic Linear Cutting Staplernjira zosamalira ndi kukonza:

1. Kusungirako: Sungani m'chipinda chokhala ndi chinyezi chosaposa 80%, chodutsa mpweya wabwino, ndipo mulibe mpweya wowononga.

2. Mayendedwe: Zogulitsa zomwe zapakidwa zimatha kunyamulidwa ndi zida zabwinobwino.Panthawi yoyendetsa, iyenera kuchitidwa mosamala ndikupewa kuwala kwa dzuwa, kugunda kwamphamvu, mvula ndi mphamvu yokoka.

IX.Laaparoscopic Linear Cutting Staplertsiku lothera ntchito:

Mankhwalawa akatsukidwa ndi ethylene oxide, nthawi yotseketsa ndi zaka zitatu, ndipo tsiku lotha ntchito likuwonetsedwa pa chizindikirocho.

X.Laaparoscopic Linear Cutting StaplerChalk mndandanda:

palibe

Kusamala ndi machenjezo a XI.Laaparoscopic Linear Cutting Stapler:

1. Mukamagwiritsa ntchito mankhwalawa, machitidwe a aseptic ayenera kutsatiridwa mosamalitsa;

2. Chonde yang'anani kuyika kwa mankhwalawa mosamala musanagwiritse ntchito, ngati matuza awonongeka, chonde siyani kugwiritsa ntchito;

3. Mankhwalawa amatsukidwa ndi ethylene oxide, ndipo chosawilitsidwa ndi ntchito yachipatala.Chonde onani chizindikiritso cha litayamba m'bokosi lotsekera la mankhwalawa, "buluu" amatanthauza kuti mankhwalawa atsekedwa ndipo angagwiritsidwe ntchito mwachindunji kuchipatala;

4. Mankhwalawa amagwiritsidwa ntchito pa opareshoni imodzi ndipo sangatsekeredwe akagwiritsidwa ntchito;

5. Chonde onani ngati mankhwalawa ali mkati mwa nthawi yovomerezeka musanagwiritse ntchito.Nthawi yovomerezeka yoletsa kubereka ndi zaka zitatu.Zogulitsa zopitirira nthawi yovomerezeka ndizoletsedwa;

6. Gulu lodula la laparoscopic lopangidwa ndi kampani yathu liyenera kugwiritsidwa ntchito molumikizana ndi mtundu wofananira ndi mawonekedwe amtundu wodula wa laparoscopic wopangidwa ndi kampani yathu.Onani Table 1 ndi Table 2 kuti mudziwe zambiri;

7. Maopaleshoni ang'onoang'ono amayenera kuchitidwa ndi anthu omwe aphunzitsidwa mokwanira komanso odziwa njira zochepetsera zochepa.Asanayambe opaleshoni yocheperako, zolemba zachipatala zokhudzana ndi njirayi, zovuta zake ndi zoopsa zake ziyenera kufunsidwa;

8. Kukula kwa zida zowononga pang'ono kuchokera kwa opanga osiyanasiyana kungakhale kosiyana.Ngati zida zopangira opaleshoni zocheperako komanso zowonjezera zomwe zimapangidwa ndi opanga osiyanasiyana zimagwiritsidwa ntchito nthawi imodzi, ndikofunikira kuyang'ana ngati zikugwirizana musanachite opaleshoniyo;

9. Chithandizo cha radiation musanachite opaleshoni chingayambitse kusintha kwa minofu.Mwachitsanzo, kusinthaku kungayambitse minofu kukhuthala kuposa zomwe zafotokozedwa pamtengo wosankhidwa.Chithandizo chilichonse cha wodwala chisanachitike opaleshoni chiyenera kuganiziridwa mosamala ndipo chingafunike kusintha kwa njira ya opaleshoni kapena njira;

10. Osamasula batani mpaka chida chitatha kuyaka;

11. Onetsetsani kuti mwayang'ana chitetezo cha cartridge yamtengo wapatali musanawombe;

12. Pambuyo powombera, onetsetsani kuti mwayang'ana hemostasis pamzere wa anastomotic, fufuzani ngati anastomosis yatha komanso ngati pali kutaya;

13. Onetsetsani kuti makulidwe a minofu ali mkati mwazomwe zatchulidwa komanso kuti minofu imagawidwa mofanana mkati mwa stapler.Minofu yambiri kumbali imodzi ingayambitse anastomosis yosauka, ndipo kutuluka kwa anastomotic kumachitika;

14. Pankhani ya minofu yambiri kapena yochuluka, kuyesa kukakamiza choyambitsacho kungayambitse sutures yosakwanira komanso zotheka kuphulika kwa anastomotic kapena kutulutsa.Kuphatikiza apo, kuwonongeka kwa zida kapena kulephera kwa moto kumatha kuchitika;

15. Kuwombera kumodzi kumayenera kumalizidwa.Osawotcha pang'ono chida.Kuwotcha kosakwanira kungapangitse kuti pakhale zitsulo zopangidwa molakwika, mzere wosadulidwa wosakwanira, kutuluka magazi ndi kutuluka kwa suture, ndi / kapena kuvutika kuchotsa chida;

16. Onetsetsani kuti muwotche mpaka kumapeto kuti zitsimikizidwe kuti zowonjezera zimapangidwira bwino ndipo minofu imadulidwa bwino;

17. Finyani chogwirira chowombera kuti muwonetsetse kudula.Osakanikiza chogwiririra mobwerezabwereza, zomwe zingayambitse kuwonongeka kwa malo a anastomosis;

18. Mukayika chipangizocho, onetsetsani kuti chitetezo chili pamalo otsekedwa kuti musamayambitse kuwombera modzidzimutsa, zomwe zimapangitsa kuti tsambalo liwoneke mwangozi ndi kutumizidwa kwapang'onopang'ono kapena kutumizidwa kwathunthu kwazitsulo;

19. Nthawi yochuluka yowombera mankhwalawa ndi nthawi 8;

20. Kugwiritsa ntchito chipangizo ichi ndi anastomotic line reinforcement zipangizo akhoza kuchepetsa chiwerengero cha akatemera;

21. Izi ndizogwiritsidwa ntchito kamodzi kokha.Chipangizocho chikatsegulidwa, kaya chigwiritsidwe ntchito kapena ayi, sichingatsekedwenso.Onetsetsani kuti mwatseka loko yotetezera musanagwire;

22. Zotetezedwa pazifukwa zina za nyukiliya maginito resonance (MR):

·Mayeso osakhala achipatala akuwonetsa kuti ma staples omwe ali ndi grade ya TA2G amatha kugwiritsidwa ntchito kwa MR mokhazikika.Odwala amatha kuwunika mosamala mukangoyikapo zinthu zotsatirazi:

·Magawo a static magnetic field ali pakati pa 1.5T-3.0T okha.

·Mawonekedwe apamwamba kwambiri a maginito ndi 3000 gauss/cm kapena pansi.

·Mawonekedwe akulu kwambiri a MR, kusanthula kwa mphindi 15, kuchuluka kwa mayamwidwe amthupi lonse (SAR) ndi 2 W/kg.

Munthawi ya sikani, kutentha kwakukulu kwa zinthu zoyambira kumayembekezereka kukhala 1.9°C mutasanthula kwa mphindi 15.

Zambiri zazinthu:

   Mukayesedwa mosayezetsa pogwiritsa ntchito kujambula kwa gradient echo pulse sequence ndi kachitidwe ka maginito a 3.0T MR, zoyambira zidapangitsa zinthu zakale pafupifupi 5 mm kuchokera pamalo oyikapo.

23. Onani chizindikiro cha tsiku lopanga;

24. Kufotokozera kwazithunzi, zizindikiro ndi mawu achidule omwe amagwiritsidwa ntchito popaka ndi zilembo: