Uburyo bwo gushyira mubikorwa tropar ya laparoskopi
Glande yo hepfo 3-4 itangwa hamwe nogushiraho gukanda inkingi 3-4-1 hamwe nimpeta yingoboka 3-4-2, zikoreshwa mugushigikira ikariso ifatika ya elastike yo gufunga 3-1.Ikirangantego cya gaze ya 5 ifata kashe ya kashe, ikozwe mubintu byoroshye byoroshye, kandi ni kashe ya gaze.Umuyoboro wo gutera umwuka wa 6 ushyirwa kuruhande rumwe rwicyicaro cya penture 2-1, naho icyuma cyo guhumeka ikirere 7 gishyirwa kumurongo woguhumeka ikirere 6, nacyo kikaba gifite ibyuma byinjira hamwe nicyambu gisohoka.Umuyoboro wo gutera umwuka wa 6 uhujwe nisoko yumwuka unyuze mu muyoboro.Mugihe cyo kubaga, umwuka winjizwa mu cyuho cy’umurwayi wabazwe wacumise unyuze mu kirere cya 6 kugira ngo habeho pneumoperitoneum, yorohereza icyo gikorwa.Hanze yinyuma ya pucure 2-2 ihabwa icyuma gihumeka 2-3, kigera imbere imbere yimbere yintoki 2-2 ukurikije icyerekezo cya axial cyumuyoboro wacumita kandi unyura mumurongo uhuza insinga.Imiyoboro ibiri ihuza imigozi 2-4 itunganijwe hafi yimbere yimbere yintoki 2-2.
Igenzura rya valve 9 ryashyizwe mugice cyo hepfo yintebe yintebe ya 2-1, kandi umwuka wo hanze wa cheque valve uhujwe na groove ya ventilasiyo 2-3 hanze yumuyoboro wacumita.Glande ya kashe ya kashe ya kashe 10 iri hanze yumuyaga uhumeka 2-3 wumukono wacumita 2-2, naho uruhande rwimbere rwikariso 10 rutangwa nicyuma cyohereza ikirere 10-4, kugirango umuyaga uhumeka 2-3 ukora umuyoboro wa gazi.Impera imwe ya kashe ya kashe 10 itangwa hamwe no gukosora 10-1, iyinjizwamo kandi igashyirwa hepfo ya cheque valve 9, naho iyindi mpera yikimenyetso cya 10 ihabwa insinga 10-2 na icyuka cyo mu kirere 10-3 gihuye nimpera yimbere yigituba cya poncure, cyoroshye mugukoresha insinga no gutunganya igikapu cyumuyaga, kandi kigatanga umwuka mumifuka yindege 11 unyuze mumasoko 10-3.Ikidodo cya kashe 10 cyometseho cyangwa gisudira cyane hamwe na glande yo gufunga hanze yikibuga cyo guhumeka 2-3 cyikiganza cyacumise 2-2, kugirango umuyaga uhumeka 2-3 ugire umuyoboro wa gazi.Umufuka wo mu kirere 11 ushyirwa kumpera yimbere yintoki za poncure 2-2 hanyuma ugashyirwa kuri peripheri ya groove ihuza 2-4 mukuboha.Ikirere cyo mu kirere 10-3 cyashyizweho na kashe ya kashe 10 gitanga umwuka wifunitse mumufuka wikirere 11 kandi ugahindura umufuka wikirere 11. Impeta yumwanya 8 yashyizwe hamwe nintoki zacumise 2-2.Mugihe cyo kubaga, iyo intoki ya poncure 2-2 yinjijwe mumyanya yumurwayi, valve yumuhanda umwe 9 yinjiza umufuka wumuyaga 11 unyuze mumyuka ihumeka 2-3 hamwe nu mwobo uva mukirere ku kashe kashe 10. Nyuma yumwuka umufuka 11 wuzuye umwuka, hindura umwanya wimpeta yumwanya wa 8, shyira igikoresho cyacumita kumyanya yumurwayi wumurwayi unyuze kumpeta yumwanya wa 8 hamwe n umufuka wikirere 11 washyizwe kumurongo wacumita 2-2, kandi ntuzanyeganyega, nko koroshya ibikoresho byo kubaga gukora kubaga.
Igikorwa kirangiye, funga indege ya gaze ya gaze 6, fungura gaze ya gaze ya 7, ushyire mu cyuho, hanyuma ukande kuri valve ya cheque ya cheque 9 kugirango usohore gaze yuzuye mumifuka 11, hanyuma usohokemo gucumita amaboko 2-2 uhereye kurukuta rwumurwayi.Umuyoboro umwe-wa 9 ni inzira imwe yo guterwa gaz.Inzira imwe ya valve 9 ifite umubiri wa valve 9-1, intebe ya valve 9-2, intoki ya 9-3, impeta ya kashe 9-4 nisoko 9-5.Impeta yo gufunga 9-4 yashyizwe kumurongo wa valve 9-3, naho isoko 9-4 ikanda kuri valve ya 9-3 hamwe nimpeta ya kashe 9-4 imbere yintebe ya valve 9-2 yumubiri wa valve kugirango umenye imwe -kidodo.Umwuka winjira mumubiri wa valve uhujwe numuyoboro watewe na gaz hamwe nisoko ryumuyaga.Isakoshi yo mu kirere 11 ikozwe mu bikoresho byoroshye bya firime.Impeta ya 8 ikozwe mubintu byoroshye byoroshye
Igihe cyoherejwe: Nyakanga-22-2022
