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.
Mbiri yachidule ya stapler
1908: Dokotala wa ku Hungary Humer Hultl anapanga stapler yoyamba;
1934: stapler yosinthika idatuluka;
1960-1970: Makampani opanga opaleshoni a ku America motsatizana anayambitsa ma sutures a chitsa ndi ma staplers ogwiritsidwanso ntchito;
1980: Kampani yopanga opaleshoni ya ku America inapanga zotayira za tubular stapler;
1984-1989: stapler yozungulira yozungulira, stapler yozungulira ndi mzere wodula mzere zinayambika motsatizana;
1993: stapler yozungulira, stump stapler ndi mzere wodula mzere wogwiritsidwa ntchito pansi pa endoscope anabadwa.
Basic ntchito mfundo stapler
Mfundo yogwira ntchito ya staplers ndi staplers ndi yofanana ndi ya staplers, ndiko kuti, kuwombera ndi kuika mizere iwiri ya misomali yosokera yosokera mu minofu kusoka minofu ndi mizere iwiri ya misomali yopingasa, kuti kusoka mwamphamvu ndikupewa kutayikira. ;Popeza mitsempha yaing'ono akhoza kudutsa kusiyana "B" zooneka suture msomali, izo sizimakhudza magazi a suture mbali ndi distal mapeto.
Gulu la staplers
Malingana ndi mtunduwo, ukhoza kugawidwa mu: kugwiritsanso ntchito ndi kutayika;
Iwo akhoza kugawidwa mu: lotseguka stapler ndi endoscopic stapler;
M'mimba opaleshoni zida: kum'mero ndi matumbo stapler;
Zida zopangira opaleshoni ya mtima wa thoracic: vascular stapler.
Ubwino wa stapler m'malo mwa suture yamanja
1. Yamba peristalsis m`matumbo khoma mofulumira;
2. Kuchepetsa nthawi ya anesthesia;
3. Kuchepetsa kuwonongeka kwa minofu;
4. Chepetsani magazi.
Linear stapler
Chipangizo cha suture chimatha kukopera minofu molunjika.Ikani minofu pakati pa nkhokwe ya misomali ndi kubowola misomali ndikuyika singano yoyikapo.Khazikitsani makulidwe oyenera malinga ndi makulidwe a minofu, kukoka chogwirizira, ndipo woyendetsa wamkulu amaika mizere iwiri yazakudya zokhazikika mu minofu ndikuipinda mu mawonekedwe a "B".Amagwiritsidwa ntchito makamaka kutseka kwa minofu ndi chitsa.Ndizoyenera opaleshoni ya m'mimba, opaleshoni ya chifuwa ndi opaleshoni ya ana.Itha kugwiritsidwa ntchito pa pneumonectomy, lobectomy, subtotal esophagogastric resection, intestine yaing'ono, kutulutsa m'matumbo, kutsika kwapang'onopang'ono ndi maopaleshoni ena.
Nthawi yotumiza: Jul-27-2022
