Njira yogwiritsira ntchito stapler

Njira yogwiritsira ntchito stapler

Stapler ndiye woyamba kudya kwambiri padziko lapansi.Zakhala zikugwiritsidwa ntchito kwa anastomosis ya m'mimba kwa zaka pafupifupi zana.Sizinafike mpaka 1978 pomwe tubular stapler idagwiritsidwa ntchito kwambiri pakuchita opaleshoni yam'mimba.Nthawi zambiri amagawidwa kukhala ma staplers a nthawi imodzi kapena angapo, ogulitsa kunja kapena kunyumba.Ndi mtundu wa zida 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 kuchotsedwa kwapang'onopang'ono kwa opaleshoni yosasinthika ya chotupa m'mbuyomu.

Stapler ndi chipangizo chachipatala chomwe chimalowa m'malo mwa suture yamanja.Mfundo yake yayikulu yogwiritsira ntchito ndikugwiritsa ntchito misomali ya titaniyamu kuti ithyole kapena minofu ya anastomose, yomwe ili 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:

1. ntchito yosavuta komanso yabwino, kupulumutsa nthawi yogwira ntchito.

Kugwiritsa ntchito kamodzi popewa matenda opatsirana.

Gwiritsani ntchito msomali wa titaniyamu kapena msomali wachitsulo chosapanga dzimbiri (chokokera pakhungu) kuti musoke zolimba ndi zolimba zolimba.

Zili ndi zotsatira zochepa ndipo zimatha kuchepetsa zovuta za opaleshoni.

Njira yogwiritsira ntchito stapler imafotokozedwa ndi intestinal anastomosis.Matumbo a proximal a anastomosis amapangidwa ndi kachikwama, amaikidwa pampando wa misomali ndikumangika.The stapler anaikapo kuchokera ku mapeto akutali, kulasidwa kuchokera pakati stapler, olumikizidwa ndi ndodo chapakati cha proximal stapler pa mpando msomali, amazungulira pafupi ndi distal ndi proximal matumbo khoma, ndi mtunda pakati pa stapler pa mpando msomali. ndipo maziko amasinthidwa molingana ndi makulidwe a khoma la matumbo, Nthawi zambiri amakhala 1.5 ~ 2.5cm kapena kuzungulira kwamanja kumakhala kolimba (pali chizindikiro cholimba pa chogwirira) kuti mutsegule fusesi;