Ikoreshwa rya Laparoscopic Linear Cutter Stapler hamwe nibigize igice 4

Ikoreshwa rya Laparoscopic Linear Cutter Stapler hamwe nibigize igice cya 4

(Nyamuneka soma igitabo cyamabwiriza witonze mbere yo gushiraho no gukoresha iki gicuruzwa)

VIII.Laparoscopic Linear Cutting Stapleruburyo bwo kubungabunga no kubungabunga:

1. Ububiko: Bika mucyumba gifite ubushuhe bugereranije butarenze 80%, bihumeka neza, kandi nta myuka yangiza.

2. Ubwikorezi: Ibicuruzwa bipakiye birashobora gutwarwa nibikoresho bisanzwe.Mugihe cyo gutwara abantu, bigomba kwitabwaho kandi bikirinda urumuri rwizuba, kugongana gukabije, imvura nubushuhe.

IX.Laparoscopic Linear Cutting Stapleritariki izarangiriraho:

Ibicuruzwa bimaze guhagarikwa na okiside ya Ethylene, igihe cyo guhagarika ni imyaka itatu, kandi itariki izarangiriraho irerekanwa kuri label.

X.Laparoscopic Linear Cutting Staplerurutonde rwibikoresho:

nta na kimwe

Kwirinda no kuburira kuri XI.Laparoscopic Linear Cutting Stapler:

1. Mugihe ukoresheje iki gicuruzwa, ibikorwa bya aseptic bigomba gukurikizwa rwose;

2. Nyamuneka reba neza ibicuruzwa bipfunyitse neza mbere yo kubikoresha, niba ibipfunyika byangiritse, nyamuneka ureke kubikoresha;

3. Iki gicuruzwa cyahinduwe na okiside ya Ethylene, kandi ibicuruzwa biva mu mahanga ni ibyo gukoreshwa mu mavuriro.Nyamuneka reba icyerekezo cya disiki kumasanduku yo gupakira ibicuruzwa, "ubururu" bivuze ko ibicuruzwa byahinduwe kandi bishobora gukoreshwa mubuvuzi;

4. Iki gicuruzwa gikoreshwa mugikorwa kimwe kandi ntigishobora guhinduka nyuma yo gukoreshwa;

5. Nyamuneka reba niba ibicuruzwa biri mugihe cyemewe mbere yo gukoreshwa.Igihe cyo kuboneza urubyaro ni imyaka itatu.Ibicuruzwa birenze igihe cyemewe birabujijwe rwose;

6. Inteko yo gukata laparoskopi yakozwe nisosiyete yacu igomba gukoreshwa ifatanije nubwoko bujyanye nibisobanuro byerekana ikoreshwa rya laparoskopi yumurongo wo gukata byakozwe na sosiyete yacu.Reba Imbonerahamwe 1 na Imbonerahamwe 2 kugirango ubone ibisobanuro birambuye;

7. Ibikorwa byibasiye byibuze bigomba gukorwa nabantu bahawe amahugurwa ahagije kandi bamenyereye tekinike zidasanzwe.Mbere yo kubaga ikintu icyo ari cyo cyose kibabaza, ibitabo by'ubuvuzi bijyanye na tekinike, ingorane zabyo n'ingaruka zabyo bigomba kubazwa;

8. Ingano yibikoresho byibasirwa cyane nababikora bitandukanye birashobora kuba bitandukanye.Niba ibikoresho byibikoresho byibikoresho byibikoresho byibikoresho byakozwe nababikora bitandukanye bikoreshwa mugikorwa kimwe icyarimwe, birakenewe kugenzura niba bihuye mbere yigikorwa;

9. Ubuvuzi bwimirasire mbere yo kubagwa bushobora gutera impinduka.Kurugero, izi mpinduka zirashobora gutera tissue kubyimba birenze ibyateganijwe kubintu byatoranijwe.Ubuvuzi ubwo aribwo bwose bwo kuvura umurwayi mbere yo kubagwa bugomba gusuzumwa neza kandi bushobora gusaba impinduka muburyo bwo kubaga cyangwa uburyo;

10. Nturekure buto kugeza igikoresho cyiteguye kuzimya;

11. Witondere kugenzura umutekano wa karitsiye mbere yo kurasa;

12. Nyuma yo kurasa, menya neza ko ureba hemostasis kumurongo wa anastomotique, urebe niba anastomose yuzuye kandi niba hari ibimeneka;

13. Menya neza ko umubyimba winyuma uri murwego rwagenwe kandi ko tissue yagabanijwe neza muri stapler.Ibibyimba byinshi kuruhande rumwe birashobora gutera anastomose mbi, kandi hashobora kubaho gutemba kwa anastomotique;

14. Mugihe cyimyanya irenze cyangwa yibyibushye, kugerageza guhatira imbarutso bishobora kuvamo suture ituzuye hamwe no guturika kwa anastomotic cyangwa kumeneka.Byongeye, kwangiza ibikoresho cyangwa kunanirwa umuriro bishobora kubaho;

15. Isasu rimwe rigomba kurangira.Ntuzigere ucana igice igice.Kurasa bituzuye bishobora kuvamo ibintu bidakwiye, umurongo waciwe utuzuye, kuva amaraso no kuva muri suture, na / cyangwa bigoye gukuramo igikoresho;

16. Witondere kurasa kugeza ku ndunduro kugirango umenye neza ko ibice byakozwe neza kandi inyama zaciwe neza;

17. Fata icyuma cyo kurasa kugirango ugaragaze icyuma gikata.Ntukande inshuro nyinshi, bizatera kwangirika kurubuga rwa anastomose;

18. Mugihe winjizamo igikoresho, menya neza ko umutekano uri mumwanya ufunze kugirango wirinde gukora utabishaka kwimikorere yumuriro, bikaviramo impanuka kubwimpanuka no kohereza igice kitaragera cyangwa cyuzuye cyoherejwe;

19. Igihe ntarengwa cyo kurasa cyibicuruzwa ni inshuro 8;

20. Gukoresha iki gikoresho hamwe nibikoresho byongera umurongo wa anastomotic bishobora kugabanya umubare wamafuti;

21. Iki gicuruzwa nigikoresho kimwe cyo gukoresha.Igikoresho kimaze gukingurwa, cyaba cyarakoreshejwe cyangwa kidakoreshwa, ntigishobora kongera guhindurwa.Witondere gufunga umutekano mbere yo gukora;

22. Umutekano mubihe bimwe na bimwe bya magnetiki resonance (MR):

· Ibizamini bitari ivuriro byerekana ko ibikoresho byatewe hamwe nicyiciro cyibikoresho bya TA2G bishobora gukoreshwa kuri MR uko bikwiye.Abarwayi barashobora kubisikana neza nyuma yo gushiramo ibintu mubihe bikurikira:

· Urwego rwa magnetique ihagaze ni hagati ya 1.5T-3.0T.

· Umwanya ntarengwa wa magnetiki yumwanya ni 3000 gauss / cm cyangwa munsi.

· Sisitemu nini ya MR ivugwa, isikana iminota 15, igipimo cyo kugereranya umubiri wose (SAR) ni 2 W / kg.

· Mugihe cyo gusikana, kuzamuka kwubushyuhe ntarengwa bwibintu byateganijwe kuba 1.9 ° C nyuma yo kubisikana muminota 15.

Amakuru yubukorikori:

   Iyo bidasuzumwe nubuvuzi ukoresheje gradient echo pulse ikurikirana yerekana amashusho hamwe na sisitemu ya magnetiki ihagaze 3.0T MR, staples yateje ibihangano hafi mm 5 uvuye aho byatewe.

23. Reba ikirango cyumunsi wo gukora;

24. Ibisobanuro by'ibishushanyo, ibimenyetso n'incamake zikoreshwa mu gupakira no kurango: