Stapler ni stapler ya mbere kwisi, yakoreshejwe muri gastrointestinal anastomose mugihe cyikinyejana.Kugeza mu 1978, igituba cyakoreshwaga cyane mu kubaga gastrointestinal.Mubisanzwe bigabanijwemo ibintu byinshi cyangwa byinshi-bikoreshwa mu bicuruzwa, bitumizwa mu mahanga cyangwa ibicuruzwa byo mu rugo.Nigikoresho gikoreshwa mubuvuzi kugirango gisimbuze intoki gakondo.Bitewe niterambere ryubumenyi nubuhanga bugezweho no kunoza ikoranabuhanga ryinganda, stapler ikoreshwa mubikorwa byubuvuzi ifite ibyiza byubwiza bwizewe, ikoreshwa neza, gukomera no gukomera bikwiye.By'umwihariko, ifite ibyiza byo kudoda byihuse, imikorere yoroshye ningaruka nke hamwe nibibazo byo kubaga.Irafasha kandi kwibanda ku kubaga ibibyimba bidashobora gukemurwa kera.
Intangiriro kuri stapler
Stapler nigikoresho gikoreshwa mubuvuzi kugirango gisimbuze intoki.Ihame ryibanze ryakazi ni ugukoresha imisumari ya titanium kugirango uhagarike cyangwa uduce twa anastomose, bisa na stapler.Ukurikije uburyo butandukanye bwo kubishyira mu bikorwa, irashobora kugabanywamo uruhu rwuruhu, inzira yigifu (esofagusi, gastrointestinal, nibindi) uruziga ruzunguruka, urukiramende, uruziga rwa hemorroide, gukebwa, imitsi y'amaraso, stapler ya hernia, gukata ibihaha, nibindi. .
Ugereranije na suture yintoki gakondo, ibikoresho bya suture bifite ibyiza bikurikira:
Igikorwa kiroroshye kandi cyoroshye, kubika igihe cyo gukora.
Gukoresha inshuro imwe, irinde kwandura.
Koresha imisumari ya titanium cyangwa imisumari idafite ibyuma (stapler y'uruhu) kugirango udoda neza kandi hamwe no gukomera.
Ifite ingaruka nke kandi igabanya neza ibibazo byo kubaga.
Uruhu rwuruhu rufite ibintu bitangaje bikurikira: imikorere yoroshye no kudoda byihuse;Gabanya igihe cyo gukora no kunoza igipimo cyo kugurisha icyumba cyo gukoreramo;Inkovu ni nto kandi igikomere ni cyiza;Imisumari idasanzwe yo kudoda, ikwiranye no gukomeretsa impagarara, amateka meza, guhuza umutwe,Nta gufatana n'amaraso, kandi ububabare bwo kwambara no gukuramo imisumari ni bito;Nta musumari ufata no gusimbuka, imikorere ihamye.
Ibiranga preuce gukata stapler: imikorere yoroshye nigihe gito cyo gukora;Amaraso make n'ububabare buke;Indwara ya nyuma yo kubaga yari yoroheje;Ibikoresho byingenzi byaguye mu buryo bwikora nyuma yo kubagwa, kandi nta mpamvu yo gusubira mu bitaro gukuraho ubudodo n'impeta;Kubaga kubaga nibisanzwe kandi byiza nyuma yo gukira.
Ibiranga agasakoshi k'umugozi: birashobora gukoreshwa kugirango wirinde kwandura;Hamwe nimigozi yubatswe mumashanyarazi hamwe na titanium umusumari, isakoshi ihita ikorwa idafite umugozi, byihuta kandi byoroshye Igikorwa kiroroshye kandi igihe cyo gukora kiragufi.
Ibiranga umurongo wa stapler ikoreshwa: uburyo bwa stapling buroroshye kandi bworoshye, kandi igihe cyo gukora ni kigufi;Imirongo itatu yimisumari ya suture itunganijwe neza kugirango birinde kuva amaraso;Umugozi wa titanium utumizwa mu mahanga ukoreshwa mu gutanga imbaraga nziza n'imbaraga zingana;Urushinge rushyizwe hamwe rushobora gukoreshwa nintoki cyangwa mu buryo bwikora, bikaba byoroshye guhindura tissue ya anastomotic.
Ibiranga imiterere ya stapler
Stapler irimo igikonoshwa, inkoni yo hagati hamwe nigituba gisunika.Inkoni yo hagati yashyizwe mumashanyarazi.Impera yimbere yinkoni yo hagati ifite igifuniko cyumusumari, kandi impera yinyuma ihujwe na knob ihindura impera yikigero ikoresheje umugozi.Ubuso bwo hanze bwigikonoshwa bufite ibikoresho byishimishije, bihujwe byimuka nigikonoshwa binyuze mumutwe.Ikiranga ni uko: stapler ifite ibikoresho byo guhuza inkoni, kandi inkoni eshatu zihuza zahujwe nigitambambuga gishimishije, urukuta rwimbere rwigikonoshwa hamwe nigituba gisunika, Kandi impera imwe yinkoni eshatu ihuza. ikintu kimwe cyimuka;Inkoni eshatu zihuza uburyo bwo guhuza zirimo inkoni yimbaraga, inkoni yingoboka ninkoni yimuka;Inkoni y'amashanyarazi ifatanye n'intoki ishimishije;Inkoni yo gushyigikira hamwe nigikonoshwa bihujwe nigikoresho cyimuka;Inkoni yimuka ihujwe nigituba gisunikwa nigikoresho cyimuka.Stapler ya moderi yingirakamaro ifite ibyiza byuburyo bworoshye, imikorere yoroshye hamwe nuguhagarara gukomeye.
Imiterere ihuza hagati yinkoni yo gusunika nicyuma cyumwaka cyururondogoro rwigifu kirimo inkoni yo gusunika nicyuma cyumwaka gihujwe neza ninkoni yo gusunika.Ubwinshi bwibice byo gusunika imisumari byateganijwe kumuzenguruko bitunganijwe hanze yicyuma cyumwaka.Impera imwe yicyuma cyumwaka yashyizwe kumutwe.Kuberako impera imwe yicyuma cyumwaka yashyizwe kumutwe, gusunika icyuma cyumwaka hamwe ninkoni yo gusunika ni ndende.Muburyo bwo guca tissue, icyuma cyumwaka kirashobora kwicara hagati neza, Intsinzi yimikorere ni myinshi.
Igikoresho cyo gusunika imisumari yumubyimba wigifu kirimo umubiri wumusumari wa 6 hamwe numubiri wogusunika umusumari 1. Impera zombi zurukuta rwuruhande rwa mbere 7 rwumwobo wimisumari 5 zahawe urukuta rwa mbere ruyobora 9, na Impera ebyiri zurukuta rwa kabiri kuruhande 8 zitangwa hamwe nurukuta rwa kabiri ruyobora 10. Urukuta rwa mbere ruyobora 9 nurukuta rwa kabiri ruyobora 10 kumpera imwe ihurira hamwe ninzibacyuho ya arc ku masangano.Urukuta rwa mbere ruyobora urukuta rwa kabiri nu rukuta rwa kabiri ruyobora 10 kumpera imwe itunganijwe neza;Iyo habaye impinduka ntoya mubunini bwa geometrike ya staple, irashobora kandi kuba ihagaze neza mumwobo wa staple bin n'umurimo wurukuta ruyobora, kugirango tumenye neza ko ubugari bwa pin yo gusunika ari bunini kuruta ubugari bwa ikamba rya staple, kugirango staple ikorwe neza.
Imiterere ihuza imiyoboro ya poncure nu musumari wimisumari yigitereko cyigifu kirimo umusumari hamwe na cone.Urufatiro rw'imisumari rushyizweho n'isoko rufunguye, cone ya poncure yinjizwa hagati yamasoko ya snap, hanyuma isoko ya snap ifata cone.Wishingikirije ku mbaraga zifata amasoko yo gufata isoko, intebe yimisumari irashobora guhuzwa neza cyangwa gutandukana na cone ya poncure, ifite umutekano kuyikoresha kandi byoroshye kuyishyiraho.
Igihe cyo kohereza: Nyakanga-04-2022
