Stapler ndiye stapler woyamba padziko lapansi, yemwe wakhala akugwiritsidwa ntchito pochiza anastomosis ya m'mimba kwa zaka pafupifupi zana.Mpaka 1978, tubular stapler ankagwiritsidwa ntchito kwambiri pa opaleshoni ya m'mimba.Nthawi zambiri amagawidwa m'ma staplers otayika kapena ogwiritsidwa ntchito ambiri, ogulitsa kunja kapena kunyumba.Ndi chipangizo ntchito mankhwala m`malo chikhalidwe Buku suture.Chifukwa cha chitukuko cha sayansi ndi zamakono zamakono komanso kupititsa patsogolo kwa teknoloji yopangira zinthu, stapler yomwe imagwiritsidwa ntchito pochita zachipatala ili ndi ubwino wa khalidwe lodalirika, kugwiritsa ntchito bwino, kulimba komanso kulimba koyenera.Makamaka, ili ndi ubwino wa suture mofulumira, ntchito yosavuta ndi zotsatira zochepa ndi zovuta za opaleshoni.Zimathandiziranso kuyang'ana kwa opaleshoni yosasinthika ya chotupa m'mbuyomu.
Chiyambi cha stapler
Stapler ndi chipangizo chomwe chimagwiritsidwa ntchito pamankhwala kuti chilowe m'malo mwa suture yamanja.Mfundo yake yayikulu yogwiritsira ntchito ndikugwiritsa ntchito misomali ya titaniyamu kuti ichotse kapena minyewa ya anastomose, yofanana ndi stapler.Malinga ndi kuchuluka kwa ntchito, zikhoza kugawidwa mu khungu stapler, m`mimba thirakiti (kum'mero, m'mimba, etc.) zozungulira stapler, stapler rectal, zozungulira zotupa stapler, mdulidwe stapler, mtima stapler, chophukacho stapler, m'mapapo kudula stapler, etc. .
Poyerekeza ndi suture yachikale yamanja, suture ya zida ili ndi izi:
Opaleshoni ndi yosavuta komanso yabwino, kupulumutsa nthawi ntchito.
Kugwiritsa ntchito kamodzi, kupewa matenda opatsirana.
Gwiritsani ntchito misomali ya titaniyamu kapena misomali yachitsulo chosapanga dzimbiri (chikopa chapakhungu) kuti musoke zolimba komanso zolimba kwambiri.
Zili ndi zotsatira zochepa ndipo zimachepetsa bwino zovuta za opaleshoni.
The stapler khungu ali ndi makhalidwe ochititsa chidwi: ntchito yosavuta ndi suture mofulumira;Kufupikitsa nthawi yogwira ntchito ndikuwongolera kuchuluka kwa olowa m'chipinda chogwirira ntchito;Chilonda ndi chaching'ono ndipo chilondacho ndi chokongola;Special kusoka msomali, oyenera kumangika bala, histocompatibility wabwino, opanda zingwe mutu anachita;Palibe kumamatira ndi nkhanambo ya magazi, ndipo kupweteka kwa kuvala kusintha ndi kuchotsa msomali kumakhala kochepa;Palibe kukakamira misomali ndi kulumpha, magwiridwe antchito okhazikika.
Mawonekedwe a prepuce kudula stapler: ntchito yosavuta ndi nthawi yochepa yogwira ntchito;Kuchepa kwa magazi ndi kupweteka kochepa;Postoperative edema inali yofatsa;Zotsalirazo zidagwa zokha pambuyo pa opaleshoni, ndipo panalibe chifukwa chobwerera ku chipatala kuchotsa zitsulo ndi mphete;Kudulidwa kwa opaleshoni kumakhala kokhazikika komanso kokongola pambuyo pochiritsidwa.
Mbali ya chikwama chingwe stapler: disposable kupewa mtanda matenda;Ndi waya womangidwa mu chikwama ndi msomali wa titaniyamu, chikwamacho chimangopangidwa popanda ulusi, chomwe chimakhala chofulumira komanso chosavuta Ntchitoyi ndi yosavuta ndipo nthawi yogwira ntchito imafupikitsidwa.
Features wa stapler disposable liniya: njira stapling ndi yosavuta komanso yabwino, ndipo nthawi ntchito ndi lalifupi;Mizere itatu ya misomali ya suture imakonzedwa molumikizana bwino kuti asatuluke magazi;Waya wa titaniyamu wotumizidwa kunja amagwiritsidwa ntchito kuti apereke mphamvu zabwinoko komanso mphamvu zolimba;Integrated positioning singano akhoza opareshoni pamanja kapena basi, amene ndi yabwino kusintha anastomotic minofu.
Makhalidwe a stapler
Stapler imaphatikizapo chipolopolo, ndodo yapakati ndi chubu chokankhira.Ndodo yapakati imayikidwa mu chubu chokankhira.Kumapeto kwa ndodo yapakati kumakhala ndi chivundikiro cha msomali, ndipo kumapeto kwake kumalumikizidwa ndi chikhomo chosinthira kumapeto kwa chipolopolo kudzera pa screw.Kunja kwa chipolopolocho kumakhala ndi chogwirira chokomera, chomwe chimalumikizidwa mozungulira ndi chipolopolo kudzera pa hinge.Mbali yake ndi yakuti: stapler ili ndi njira yolumikizira ndodo, ndipo ndodo zitatu zolumikizira zimalumikizidwa motsatana ndi chogwirira chokokera, khoma lamkati la chipolopolo ndi chubu chokankhira, Ndipo kumapeto kwa ndodo zitatu zolumikizira kumalumikizidwa ndi hinji yosuntha yofanana;Mitundu itatu yolumikizira njira yolumikizira imaphatikizapo ndodo yamagetsi, ndodo yothandizira ndi ndodo yoyenda;Ndodo yamagetsi imakongoletsedwa ndi chogwirira chokokera;Ndodo yothandizira ndi chipolopolo zimagwirizanitsidwa ndi hinge yosuntha;Ndodo yosuntha imalumikizidwa ndi chubu chokankhira ndi hinge yosuntha.Stapler yachitsanzo chothandizira ali ndi ubwino wa kapangidwe kosavuta, ntchito yabwino komanso kukhazikika kwamphamvu.
Mapangidwe olumikizirana pakati pa ndodo yokankhira ndi mpeni wa annular wa stapler ya m'mimba imaphatikizapo ndodo yokankhira ndi mpeni wa annular wolumikizidwa mokhazikika ndi ndodo yokankha.Kuchuluka kwa zidutswa zokankhira misomali zokonzedwa mozungulira mozungulira zimakonzedwa kunja kwa mpeni wa annular.Mbali imodzi ya mpeni wa annular imayikidwa pa ndodo yokankhira.Chifukwa mbali imodzi ya mpeni wa annular imayikidwa pa ndodo yokankhira, kukhazikika kwa mpeni wa annular ndi ndodo yokankhira ndipamwamba.Podula minofu, mpeni wa annular ukhoza kukhala pakati bwino, Kupambana kwa ntchito ndikokwera.
Chida chokankhira msomali cha stapler m'mimba chimaphatikizapo thupi la msomali 6 ndi thupi lakukankhira msomali 1. Mapeto awiri a khoma loyamba lakumbali 7 la dzenje la msomali 5 amaperekedwa ndi khoma loyamba lotsogolera 9, ndi mbali ziwiri za khoma lachiwiri la mbali 8 zimaperekedwa motsatira khoma lachiwiri lowongolera 10. Khoma loyamba lotsogolera 9 ndi khoma lachiwiri lotsogolera 10 pamapeto omwewo amadutsa ndi kusintha kwa arc pamtanda.Khoma loyamba lowongolera 9 ndi khoma lachiwongolero lachiwiri 10 pamapeto omwewo amakonzedwa molingana;Pakakhala kusintha kwakung'ono mu kukula kwa geometric kwa choyambira, kumathanso kukhala kokhazikika mu dzenje la bin ndi ntchito ya khoma lowongolera, kuti muwonetsetse kuti m'lifupi pini yokankhira ndi yayikulu kuposa m'lifupi mwake. korona wamtengo wapatali, kotero kuti chokhazikikacho chimapangidwa bwino.
Mapangidwe olumikizirana pakati pa chulucho chobowola ndi msomali m'munsi mwa stapler ya m'mimba imaphatikizapo maziko a misomali ndi choboola.Msomali wa msomali umakhazikika ndi kasupe wa snap, choboolacho chimayikidwa pakati pa akasupe a snap, ndipo kasupe wa snap amamangirira chulucho.Kudalira mphamvu ya kasupe yokhotakhota ya kasupe wa snap, mpando wa msomali ukhoza kulumikizidwa modalirika kapena kupatukana ndi puncture cone, yomwe ndi yotetezeka kugwiritsa ntchito komanso yabwino kuyika.
Nthawi yotumiza: Jul-04-2022
