KUGEZA 1998

Serivisi imwe itanga ibikoresho byubuvuzi rusange
Umutwe

Ikoreshwa rya laparoskopi trocar yigitabo

Ikoreshwa rya laparoskopi trocar yigitabo

Ibicuruzwa bifitanye isano

Mbere yo gushiraho no gukoresha iki gicuruzwa, nyamuneka soma igitabo gikubiyemo amabwiriza witonze

Ikoreshwa rya laparoskopi trocar yigitabo

I. Izina ryibicuruzwa, icyitegererezo, ibisobanuro

Ikoreshwa rya laparoskopi trocar igice (mm)

Icyitegererezo

Gutobora cone hanze diameter D1

Gufata diameter y'imbere D.

Uburebure bwa L.

Gutobora urumogi L1

Gutobora cone uburebure L2

ingano

kwihanganira

ingano

kwihanganira

ingano

kwihanganira

ingano

kwihanganira

ingano

kwihanganira

P-TC-5

5.5

+0.3

0

6

+0.3

0

112

± 2.0

160

± 2.0

205

± 2.0

P-TC-10

10.3

10.4

P-TC-12

12.8

12.9

P-TC-15

15.2

15.7

II.Ikoreshwa rya laparoskopi trocar imikorere

Igikoresho cyo gutobora gikoreshwa nk'igikoresho cyo kubaga laparoskopi.Pneumoperitoneum igomba kubanza gushyirwaho, hanyuma igakata uruhu rwa mm 5-12 igomba gukorwa ahantu heza mu nda.Shyira trocar ukoresheje intoki ku nguni ikwiye ku nda ya pneumoperitoneum.Binyuze mu ruhu, kanda hasi hejuru yigikoresho cyacumita ukoresheje ikiganza cyawe, hanyuma winjize igikoresho cyo gutobora mu ruhu.Iyo igikoresho cyo gutobora cyinjiye mu cyuho cyo munda, hita ukuramo cone ya penture kugirango ukore umuyoboro ukora, hanyuma ushyiremo laparoscope / igikoresho cyo kureba no Gukora.

III.Ikoreshwa rya laparoskopi trocar nyamukuru imiterere yibigize

Igikoresho gishobora gukoreshwa cyitwa laparoscopic puncture kigizwe ahanini nigifuniko cyo gufunga, gufunga no gukosora, icyuma cyo gutera ikirere, urumogi, cone yacumita, indege ihagarika ikirere hamwe nigitereko cyo kwifungisha.

Muri byo: ingofero yo gufunga, gufunga no gukosora ingofero, inshinge ya gaze ya gaze, kase, hamwe na poncure cone bikozwe mubikoresho bya PC, naho indege ihagarika ikirere hamwe nigitereko cyo kwishyiriraho ikozwe mubikoresho bya silicone.

IV.Ibishobora gukoreshwa laparoskopi trocar urugero rwo gusaba

Ikoreshwa mu gutobora urukuta rw'inda rw'umubiri rw'umubiri mu gihe cya laparoskopi no kubagwa, no gushyiraho umuyoboro ukora wo kubaga inda.

V. Ikoreshwa rya laparoskopi trocar igaragara

https://www.smailmedical.com/single-use-trocar-product/1.Gufunga ingofero 2. Gufunga no gukosora ingofero 3. valve yo gutera inshinge 4. Sleeve

5. Gutobora cone 6. Umuyoboro uhagarika ikirere 7. Kwifata wenyine

1.igishusho 1P-TC-15/5/12/15trocar

VI.Ikoreshwa rya laparoskopi trocar Kurwanya

Ntishobora gukoreshwa mu barwayi bavutse, kandi igomba gukoreshwa ubwitonzi ku bagore batwite.

VII.Gushyira laparoskopi ya trocar

nta na kimwe

VIII.Ikoreshwa rya laparoskopi trocar Amabwiriza yo gukoresha

1. Mbere yo gukoresha urumogi rwacu rwa disikuru rushobora gukoreshwa, birasabwa kubanza gushiraho pneumoperitoneum, hanyuma ugakora uruhu mu ruhago rwinda runini runini kuburyo rwakira urumogi.Bumwe mu buryo bwo kwemeza ko gukata uruhu ari binini bihagije ni ugukanda trocar yo hanze hanze hejuru yurukuta rwumubiri, ugashiraho uruziga, hanyuma ugashiramo hamwe na diameter yagutse ikwiye kugirango ushiremo urumogi, urugero: 5mm gucumura Ikibaho bigomba kongerwa muri diameter na 2mm.Menya ko uduce duto dushobora kuvamo uruhu rwo kurwanya urumogi, kongera imbaraga zo kwinjira no kugabanya kugenzura kwa muganga mugihe cyo gushiramo.

2. Shyira urumogi rwa kanseri ku nguni ikwiye ku nda yazamuye nyuma ya pneumoperitoneum.Trocars ishobora gukoreshwa irakaze kuruta trocars ishobora gukoreshwa bityo rero bisaba imbaraga nke zo gushiramo.Ariko witondere: Kutagira gaze ihagije, kudakora uruhu runini ruhagije, cyangwa gukoresha imbaraga nyinshi birashobora kongera ibyago byo gukomeretsa ingingo zimbere.

3. Mbere yo kwinjiza urumogi rwa kanseri unyuze mu ruhu, shyiramo cone ya penture muri kanseri.

4. Kanda hasi hejuru ya cannula itobora ukoresheje ikiganza cyawe.Muri icyo gihe, ukomeza kotsa igitutu ku ntoki uhoraho, shyiramo urumogi rushobora gukoreshwa mu ruhu.Koresha igitutu gikomeza kumanuka mugihe winjiye.

5. Urumogi rumaze kwinjira mu cyuho cy'inda, hagomba kwitonderwa kutongera gukoresha urumogi.Niba umuganga abaga atekereza ko urumogi rwa kanseri ruherereye mu cyuho cyo mu nda, cone ya puncture igomba guhita ikurwaho hanyuma ikinjizwa muri laparoskopi kugira ngo irebe.

6. Niba gutobora bitarangiye, subiramo intambwe 3-5.

7. Niba gutobora gutobora ari mm 10 cyangwa binini nyuma yo kubaga, fassiya yimbitse igomba gufungwa kugirango igabanye ibyago byo kwandura indwara ya hernia.

8. Nyuma yo gutobora bigenda neza, mbere yo gukoresha ibikoresho bya endoskopique, koresha amavuta yo kwa muganga hejuru yigikoresho cya endoskopique cyangwa impeta ya kashe ya pisine kugirango ugabanye ubukana kandi ukore neza kandi byihuse.

IX. Ikoreshwa rya laparoscopic trocar yo 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.

X.Ibishobora gukoreshwa laparoskopi trocar itariki izarangiriraho

Nyuma yiki gicuruzwa cyahagaritswe na okiside ya Ethylene, igihe cyo guhagarika ni imyaka itatu, kandi itariki izarangiriraho irerekanwa kuri label

XI.Ikoreshwa rya laparoscopic trocar ibikoresho byurutonde

      nta na kimwe

XII.Ikoreshwa rya laparoskopi trocar kwirinda no kuburira

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" byerekana ko ibicuruzwa byatewe na okiside ya Ethylene kandi bishobora gukoreshwa mubuvuzi;

4. Iki gicuruzwa nikoreshwa rimwe kandi ntigishobora guhindurwa 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 gukoresha;

6. Kunanirwa gukora no kubungabunga pneumoperitoneum ikwiye mugihe cyo kubaga inda birashobora kugabanya umwanya uhari wo gukoreramo, bityo bikabuza kugenda imbere ya cone de poncure kandi byongera ibyago byo gukomeretsa ingirangingo.

7. Gusa inararibonye kandi umenyereye tekinike ya endoskopi irashobora kubaga endoskopi.Mbere yo kubagwa, abaganga bagomba gusuzuma ibitabo nubuvanganzo bijyanye kugirango basobanukirwe nubuhanga, ingorane ningaruka za endoskopi.

8. Umuhengeri umwe wuburyo bumwe urakaye kandi ufite umutekano, kubwibyo imbaraga nke zisabwa mugihe cyo gushiramo.Imbaraga nyinshi zirashobora kugabanya igenzura ryumukoresha hejuru yinjizamo n'uburebure bwa cone de poncure, byongera ibyago byo gukomeretsa imyenda y'imbere.

9. Gufatanya, kudasanzwe kwa anatomique cyangwa izindi mbogamizi zirashobora gukumira cyangwa gutinda, ibyo bikaba bizatera cone ya puncure kwangiza imiterere yimbere yimbere mugihe cyo gutobora buhumyi.Birasabwa gukoresha kubaga laparoskopi ifunguye, hanyuma ugakoresha iki gicuruzwa nyuma yo kongeramo suture kumikoreshereze yinda yo mu nda.

10. Mbere na nyuma yo kuvana urumogi rujugunywa mu cyuho cyo mu nda, reba aho babaga indwara ya hemostasis.Amaraso arashobora kugenzurwa na cautery cyangwa suture y'intoki.Muganga abishaka, hashobora gukenerwa laparotomie.

11. Bimaze kwinjira mu cyuho cy'inda, hagomba kwitonderwa kutazongera kotsa igitutu urumogi.Niba imbaraga zihagije zashyizwe kumpera yimbere kugirango yimure cone imbere, bizatera kwangirika kwinyuma.

12. Iyo ukoresheje ibikoresho bya endoskopi nibikoresho bikozwe ninganda zitandukanye icyarimwe mugikorwa cyo kubaga endoskopi, hagomba kugenzurwa guhuza ibikoresho bitandukanye, kandi hagomba kugenzurwa amashanyarazi hamwe nubutaka.

13. Niba uruhu rwacumise rufite 10mm cyangwa rurerure, fassiya yimbitse igomba gufungwa kugirango igabanye amahirwe yo kwandura hernia.

14. Mugihe cyo kubaga laparoskopi, umurwayi agomba kuba mumwanya mwiza ufite umutwe hasi n'ibirenge hejuru.Mugihe ukoresheje urumogi rwa mbere rwa kanseri, uzamure urukuta rwo munda rwo hasi ukoresheje ukuboko kumwe, ukoreshe urutoki rwa penture ukoresheje ukundi kuboko, ukore incike kuva kuruhu rwumutaka, hanyuma ushyiremo uruhago kuri dogere 45.

15. Ibicuruzwa byanduye bigomba kubikwa ahantu hakonje, humye, hasukuye, hahumeka neza nta myuka yangiza.

16. Nyuma yo gutobora bigenda neza, shyira amavuta yo kwa muganga hejuru yigikoresho cya endoskopi cyangwa impeta yo gufunga igikoresho cyacumuye mbere yo gukoresha igikoresho cya endoskopi kugirango ugabanye imbaraga kandi ukore neza kandi byihuse.

17. Reba ikirango kumunsi wo gukora

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

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Ibicuruzwa bifitanye isano
Igihe cyo kohereza: Gashyantare-23-2023