Makhalidwe ogwira ntchito a mphunzitsi wa laparoscopic
Maphunziro a manikin a Luso la opaleshoni ya laparoscopic lingagwiritsidwe ntchito pophunzitsa opaleshoni ya laparoscopic ya matenda a m'mimba wamba ndi zida za opaleshoni ya laparoscopic, makamera apamwamba kwambiri ndi oyang'anira pa tebulo la opaleshoni mu opaleshoni, gynecology ndi obstetrics.Itha kugwira ntchito zoyambira za opaleshoni ya laparoscopic, monga kudula, kuvula, hemostasis, ligation, suture ndi zina zotero.
Kalilore woyeserera wa laparoscopic digirii 30 amatha kukwaniritsa cholinga chowonera m'njira zingapo.Gwero la kuwala kwa LED ndi kamera zimayikidwa mu lens.Munda wa chithunzi cha masomphenya m'mimba ya manikin umatuluka pazithunzi za 22 inchi, ndipo wogwiritsa ntchitoyo amagwira ntchito poyang'ana chithunzicho pazenera.
Laparoscope yofananira imatha kusintha kutalika kwake potambasula ndikusintha mtunda pakati pa mandala ndi chandamale kuti asinthe kumveka kwa chithunzicho.Pamene mandala ali pafupi ndi m'mimba mwachitsanzo, amatha kupeza chithunzi chokulitsidwa kwanuko, ndipo ikabwerera pakutsegula kwa cannula, imatha kupeza masomphenya ochulukirapo m'mimba.Ikhoza kusinthidwa mu nthawi molingana ndi kulondola kwa ntchito ndi zofunikira zowonera.Gawo lapakati la masomphenya a lens liyenera kuyenda ndi chida cha woyembekezera, ndikusintha mawonekedwe afupikitsa kapena aatali ngati pakufunika.
Mitundu yosiyanasiyana yophunzitsira imatha kuyikidwa pamimba yoyeserera, kuphatikiza: mtundu wa nyemba zamitundu, ferrule model, suture plate model, multi shape suture model, cystic organ model, cecal appendix model, chiwindi ndi ndulu, chiberekero ndi zina zowonjezera. , transverse colon model, impso ndi ureter model, kapamba ndi ndulu, vascular model, intestinal model, organ adhesion model.Imodzi mwamitundu yosiyanasiyana yophunzitsira imatha kusankhidwa malinga ndi zosowa zamaphunziro, Ikani m'mimba.
Chitsanzo cha Ferrule: Zingwe zisanu ndi chimodzi zachitsulo zopindika ngati L zimayikidwa pa mphira yozungulira, ndipo ophunzirawo amagwiritsa ntchito zikhadabo kuti agwire chingwe chaching'ono ndikuchiyikapo mpaka chidzaza.Maphunziro obwerezabwereza amatha kuwongolera pang'onopang'ono liwiro.
Mtundu wa nyemba zamitundu: gwira nyemba zamitundu yosiyanasiyana mumtsuko, gwirani mitundu yomwe mwasankha, ndikuigwira m'mitsuko yake.
Chitsanzo cha ulusi: pamwamba pa midadada yopitilira 10 yokhala ndi mphira yokhala ndi mphete yachitsulo yokhala ndi mainchesi 2-3 mm.Chovalacho chimamangiriridwa ndi chogwiritsira singano ndikudutsa mu mphete yachitsulo imodzi ndi imodzi mpaka ulusi utatha.
Mtundu wa cystic organ: gawo lopyapyala limatha kudulidwa ndikupangidwa ndi anastomosed, ndipo gawo lotupa limatha kudulidwa ndi kudulidwa kapena kudulidwa ndi kupangidwa ndi anastomosed.
Chitsanzo cha Vascular: Maphunziro ang'onoang'ono a ligation akhoza kuchitidwa.
Zitsanzo za ziwalo zosiyanasiyana zamkati: zikagwiritsidwa ntchito, zimayikidwa pa mbale yakumbuyo kuti ziteteze kusuntha panthawi yogwira ntchito.Ziwalo zosiyanasiyana zimatha kudulidwa, kusiya kutulutsa magazi, kuvula, kuswa, kudulidwa ndi mfundo.
Chitsanzo cha chiwindi cha ndulu: maphunziro a cholecystectomy atha kuchitidwa.
Impso ndi ureter chitsanzo: ureter anastomosis ndi kuchotsa mwala akhoza kuchitidwa.
Chitsanzo cha m'mimba: m'mimba (incision) anastomosis ikhoza kuchitidwa.
Cecal appendix model: Maphunziro a appendectomy atha kuchitidwa, ziwalo zina zitha kuchitidwa monga kuvula, kutulutsa ndi suture, ndipo mtsempha wofananira wa appendiceal ndi mtsempha wa ndulu ungasinthidwe.
Maphunziro a luso la ochita masewera olimbitsa thupi a laparoscopic trainer
Kupyolera mu maphunziro, oyambitsa opaleshoni ya m'mimba ya malocclusion angayambe kusintha kusintha kuchokera ku stereovision pansi pa masomphenya olunjika kupita ku masomphenya a ndege a polojekiti, kuchita zochitika ndi kugwirizanitsa kusintha, ndikusankha maluso osiyanasiyana opangira zida.
Palibe kusiyana kokha mwakuya, kukula, komanso kusiyana kwa masomphenya, kuyang'ana ndi kayendetsedwe ka kayendetsedwe kake pakati pa opaleshoni ya laparoscopic ndi opaleshoni yowona mwachindunji.Oyamba kumene ayenera kuphunzitsidwa kuti agwirizane ndi kusinthaku.Chimodzi mwazabwino za opaleshoni yowona mwachindunji ndi chakuti stereovision yopangidwa ndi maso awiri a woyendetsa imatha kusiyanitsa malo pakati pa kutali ndi pafupi ndi pakati pa wina ndi mzake chifukwa cha ngodya zosiyanasiyana zowonetsera poyang'ana zinthu ndi minda ya opaleshoni, ndikuchita zolondola.Zithunzi zomwe zimapezedwa ndi laparoscopy, kamera ndi pulogalamu yowunikira kanema wawayilesi zimakhala zowuma kuchokera ku masomphenya a monocular komanso alibe mphamvu ya stereoscopic, kotero ndikosavuta kupanga zolakwika poweruza mtunda wapakati ndi pafupi.Kwa mtundu wa diso womwe umapangidwa ndi endoscope youma (pamene patsekeke m'mimba mwapang'onopang'ono, chinthu chomwecho chidzawonetsa mawonekedwe osiyana a geometric pawindo la TV), wogwira ntchitoyo ayenera kusintha pang'onopang'ono.Choncho, mu maphunziro, tiyenera kuphunzira kumvetsa kukula kwa chinthu chilichonse m'chifaniziro, kuyerekezera mtunda pakati pawo ndi ndege yolakwika ya m`mimba anadzanja cholinga osakaniza ndi kukula kwa chinthu choyambirira, ndi ntchito chida.Wothandizira ndi wothandizira ayenera kulimbikitsa mwachidziwitso masomphenya a ndege, ndikuweruza malo enieni a zida ndi ziwalo molingana ndi mawonekedwe ndi kukula kwa ziwalo ndi zida pa malo opangira opaleshoni pambuyo pa microscopy kuwala, ndi mphamvu ya kuwala kwa chithunzicho.
Kukhazikika kwanthawi zonse ndi kuthekera kolumikizana ndizomwe zimafunikira kuti zitheke bwino.Woyendetsa amasankha komwe akulowera ndi mtunda malinga ndi zomwe apeza kuchokera ku masomphenya ndi mawonekedwe, ndipo makina oyenda amagwirizanitsa zochita kuti zigwire ntchito.Izi zapanga chiwonetsero chathunthu m'moyo watsiku ndi tsiku komanso opaleshoni yowona mwachindunji, ndipo imagwiritsidwa ntchito.Opaleshoni ya Endoscopic, monga cystoscopic ureteral intubation, ndiyosavuta kusinthira kumayendedwe ndi kayendedwe ka woyendetsa chifukwa mayendedwe a galasi lalifupi amagwirizana ndi momwe amagwirira ntchito.Komabe, pamene opaleshoni ya m'mimba ya TV ili yolakwika, kuyang'ana ndi kugwirizana komwe kunapangidwa ndi zochitika zam'mbuyomu nthawi zambiri kumayambitsa ntchito yolakwika, monga woyendetsa akuima kumbali ya kumanzere kwa wodwalayo, ndipo chophimba cha TV sichimayikidwa pamapazi. wodwala.Panthawiyi, chithunzi cha TV chikuwonetsa udindo wa Jing Yi, Wogwiritsa ntchitoyo amakhala ndi chizolowezi chokulitsa chidacho kumayendedwe a TV, ndipo amakhulupirira molakwa kuti akuyandikira Jingyi, koma kwenikweni, chidacho chiyenera kufalikira mpaka kuya. pamwamba kufika pa seminal vesicle.Ichi ndi chiwonetsero chowongolera chomwe chimapangidwa ndi opaleshoni yachindunji ya masomphenya ndi opaleshoni yolakwika ya endoscope m'mbuyomu.Pamene TV opaleshoni m`mimba molakwika, izo sizigwira ntchito.Poyang'ana chithunzi cha TV, woyendetsayo ayenera kudziwa bwino malo omwe ali pakati pa chida chomwe chili m'manja mwake ndi ziwalo zomwe zili m'mimba mwa wodwalayo, ndipo apite patsogolo ndi kubwereranso, Pokhapokha pozungulira kapena kupendekeka, ndi kudziŵa matalikidwe ake, zomwe zingatheke. clamp ichitike pamalo opangira opaleshoni.Wogwiritsa ntchito ndi wothandizira ayenera kudziwa momwe zida zawo zimayendera kuchokera pachithunzi cha TV chomwecho malinga ndi malo awo asanagwirizane ndi ntchitoyi.Malo a laparoscope ayenera kusinthidwa pang'ono momwe angathere.Kuzungulira pang'ono kumatha kuzungulira kapena kutembenuza chithunzicho, kupangitsa kuwongolera ndi kulumikizana kukhala zovuta.Kuyeserera mu bokosi lophunzitsira kapena thumba la okosijeni nthawi zambiri ndi kugwirizana wina ndi mnzake kungapangitse luso ndi kulumikizana kuti zigwirizane ndi zomwe zikuchitika, kufupikitsa nthawi yogwira ntchito ndikuchepetsa kuvulala.
Nthawi yotumiza: Jul-08-2022
