Mfundo yoyendetsera ntchito yastaplers opaleshoni: mfundo yogwirira ntchito ya ma staplers osiyanasiyana opangira opaleshoni ndi yofanana ndi ya staplers. Iwo amaika mizere iwiri yazitsulo zokhotakhota mu minofu, ndi kulumikiza minofu ndi mizere iwiri yazitsulo zokhotakhota, zomwe zingakhale zolimba Pafupi suture minofu. kuteteza kutayikira;chifukwa mitsempha yaing'ono yamagazi imatha kudutsa pampata wa zakudya zamtundu wa B, sizimakhudza magazi a malo a suture ndi mapeto ake akutali.
Ubwino wa ma staplers opangira opaleshoni:
1. Ntchitoyi ndi yosavuta komanso yachangu, yomwe imafupikitsa kwambiri nthawi yogwira ntchito;
2. Stapler yachipatala ndi yolondola komanso yodalirika, imatha kusunga magazi abwino, kulimbikitsa machiritso a minofu, kuteteza bwino kutulutsa, komanso kuchepetsa kwambiri zochitika za anastomotic leak;
3. Malo opangira opaleshoni ya suturing ndi anastomosis ndi yopapatiza komanso yakuya;
4. Sinthani Buku lotseguka suture kapena anastomosis kuti chatsekedwa suture anastomosis kuchepetsa chiopsezo ntchito disposable opaleshoni staplers kuipitsa munda opaleshoni pa m`mimba thirakiti kumangidwanso ndi bronchial chitsa kutseka;
5. Akhoza kupangidwa sutured mobwerezabwereza kupewa magazi ndi necrosis minofu;
6. Pangani opaleshoni ya endoscopic (thoracoscopy, laparoscopy, etc.) zotheka.Opaleshoni yothandizidwa ndi vidiyo ya thoracoscopic ndi laparoscopic sikanatheka popanda kugwiritsa ntchito njira zosiyanasiyana.
endoscopic liniya staplers.
Msika Wopanga Opaleshoni - Kusanthula Kwamakampani Padziko Lonse, Kukula, Kugawana, Kukula, Makhalidwe
Kuchulukitsa kwa maopaleshoni opangira opaleshoni chifukwa chakuchulukirachulukira kwa matenda osachiritsika kudzayendetsa msika wamankhwala opangira opaleshoni panthawi yolosera.Kukula kudzayendetsedwa ndi kukwera kwa kufunikira kwa njira zowononga pang'ono chifukwa cha kuchira kwakanthawi kochepa komanso kukhala m'chipatala. The stapler imalola dokotala wa opaleshoni kukonza mabala amkati endoscopically popanda kufunikira kwa opaleshoni yotseguka. kulekanitsa, motero kuonjezera kusankha kwa staplers pa sutures kudzayendetsa kufunikira.Komanso, nkhani zokhudzana ndi machiritso a suture zimapanga njira yopititsira patsogolo opaleshoni.Kupita patsogolo kwa teknoloji m'magulu ambiri a sayansi kwapanga zipangizo zamakono zopangira opaleshoni ndi zida zomwe zimagwiritsidwa ntchito panthawi ya opaleshoni. momwe madokotala amachitira ntchito zachikhalidwe ndikuwathandiza kupanga njira zatsopano zopangira opaleshoni kuti apititse patsogolo zotsatira za odwala.Zotsatira zosayembekezereka za kupita patsogolo kwaumisiri kumeneku kwakhala kupangidwa kwa gulu la "chidziwitso" chapagulu pakumvetsetsa kwa madokotala momwe zida zimagwirira ntchito ndi minofu. Nthawi zambiri, maopaleshoni sangamvetsetse zasayansi/zachipatala kuti agwiritse ntchito bwino zidazi kapena momwe angagwiritsire ntchito bwino zovuta zomwe zimachitika pazida zinazake. kapena kudalira umboni wosadziwika, womwe ungatanthauze zotsatira za odwala, ngakhale pamene chipangizocho chikugwira ntchito bwino.
Stapler ya opaleshoni ndi chitsanzo cha chipangizo chomwe chimagwiritsidwa ntchito kwambiri popanga opaleshoni ndipo, nthawi yomweyo, chimakhala chokhazikika. kumayambitsa zovuta zapambuyo pa opaleshoni, zomwe nthawi zambiri zimayamba chifukwa cha zovuta za nonischemic.Zina mwa izi, zolakwika zaumisiri zingakhale ndi gawo lofunika kwambiri, zomwe zingathe kuonjezera chiopsezo chotaya magazi, kuikidwa magazi, ndi kusokoneza kosakonzekera kosayembekezereka, makamaka m'matumbo a m'mimba.Madokotala ambiri ochita opaleshoni sadziwa za zizindikiro zogwiritsira ntchito minofu ndi zolephera za staplers zatsopano kapena zokonzedwanso, choncho pali mipata ya chidziwitso chomwe chingakhudze zotsatira zachipatala za opaleshoniyo.Ubwino woperekedwa ndi opangira opaleshoni, monga kuthamanga kwakukulu ndi kulondola komanso kufanana kwa kutsekedwa kwa bala, kudzakhala chinthu chachikulu choperekera.Njirayi imakhalanso ndi chiopsezo chochepa matenda ndi machitidwe a minofu kusiyana ndi sutures.Kupita patsogolo kwa teknoloji monga chitukuko cha mankhwala omwe amapereka ndemanga zenizeni zenizeni ndi mayankho odziwikiratu ku deta yeniyeni idzawonjezera kutengera. ndikutsitsanso kuti muchepetse kugaya chakudya, minyewa yam'mapapo, minyewa yotakata, chikhodzodzo, ndi zina zotero, komanso minyewa yam'mphepete mwa minyewa nthawi imodzi, monga kutulutsa m'mimba ndi mapapo. Itha kugwiritsidwanso ntchito kumbali. - ndi mbali anastomosis m`mimba thirakiti, monga gastrojejunostomy
Kudalirika
● Zida za 55 ndi 75 mm zili ndi makatiriji atatu abuluu, achikasu, ndi obiriwira omwe amatha kulumikiza makulidwe osiyanasiyana a minofu.
● Singano yolumikizira minofu imalepheretsa minofu kuchoka kumapeto, kuonetsetsa kuti kudula ndi kutalika kwa anastomosis.
● Kamera yotuluka imathandiza kutseka kofanana, kuonetsetsa kuti minofu ikufanana komanso kutalika kwake.
● Chipangizo chotetezera chimateteza kupsa pamene makatiriji opanda kanthu alowetsedwanso.
● Chivundikiro cha bokosi chimateteza kuti zinthu zofunika kwambiri zisatuluke mwangozi mukamayenda.
● Mzere wa suture ndi 1.5 nthawi yayitali kwambiri kuposa mzere wodula kuti atsimikizire kuti mapeto a mzere wodulayo ali ndi anastomosed mokwanira kuti asatuluke magazi.
Kuphweka
Malo apakati a chogwiririra chosunthika, ntchito ya dzanja limodzi, imatha kusintha bwino malo odulira ndi kuyikapo.
Nthawi yotumiza: Nov-23-2022
