I.Izina rya Trocar, icyitegererezo, ibisobanuro:
Koresha trocar imwe kuri laparoscopi Igice: mm
| Icyitegererezo | Gutobora cone hanze diameter D1 | Gufata diameter y'imbere D. | Uburebure bwa L. | Uburebure bw'intoki L1 | Gutobora cone uburebure L2 | ||||||
| Ingano | Ubworoherane | Ingano | Ubworoherane | Ingano | Ubworoherane | Ingano | Ubworoherane | Ingano | Ubworoherane | ||
| P-TC-5 | 5.5 | +0.30 | 6 | +0.30 | 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.Koresha inshuro imwe imikorere ya trocar:
Nyuma aha bita laparoscopic trocar.Nyamuneka soma igitabo cyamabwiriza witonze mbere yo gukoresha iki gicuruzwa.
Trocar ya laparoskopi ikoreshwa nkigikoresho cyo kubaga laparoskopi.Pneumoperitoneum igomba kubanza gushyirwaho, hanyuma igakata uruhu rwa 5 ~ 12mm rugomba gukorwa ahantu heza ku nda.Shyiramo laparoskopi trocar ukoresheje intoki ku nguni ikwiye ku nda nyuma ya pneumoperitoneum.Binyuze mu ruhu, kanda hejuru ya trocar ukoresheje ikiganza cyawe hanyuma winjize trocar mu ruhu.Iyo trocar yinjiye mu cyuho cyo munda, hita ukuramo cone ya penture kugirango ukore umuyoboro ukora, hanyuma ushyiremo laparoscope / igikoresho cyo kwitegereza no kwitegereza.
III.Gukoresha kimwe imiterere ya trocar:
Trocar ya laparoskopi igizwe ahanini nigitambaro cyo gufunga, ingofero ifunze, icyuma cyo guteramo gaze, akaboko, koni yacumita, icyuma cya gaze na gaze yo kwishyiriraho.
Muri byo: ingofero yo gufunga, igifuniko gifunze, icyuma cyo guteramo gaze, amaboko, hamwe na cone ya poncure bikozwe mu bikoresho bya PC, naho gaze ya choke na gaze yo kwishyiriraho ubwayo ikozwe mu bikoresho bya silicone.
IV.Urwego rwo gukoresha trocar imwe:
Trocar ya laparoskopi ikoreshwa mu gutobora ingirangingo z'inda z'umuntu mu gihe cyo kwisuzumisha no kubagwa kugira ngo hashyizweho umuyoboro ukora wo kubaga inda.
V.Gukoresha kimwe imiterere ya trocar:
1. Gufunga ikidodo 2. Gufunga igifuniko gihamye 3. Umuyoboro wa gazi ya 4, ikarito 5, poncure cone 6, choke valve
7, kwifungisha wenyine
Igishushanyo 1 P-TC- (5/10/12/15) ubwoko bwa trocar
VI.Koresha inshuro imwe kurwanya trocar:
Ntishobora gukoreshwa kubarwayi bavutse, kandi abagore batwite bagomba kuyikoresha bitonze.
VII.Single koresha amabwiriza ya trocar kugirango ukoreshe:
1. Mbere yo gukoresha iyi trocar ya laparoskopi, birasabwa kubanza gushyiraho pneumoperitoneum, hanyuma ugakora uruhu mu cyuho cyo munda nini nini kuburyo yakira ubunini bwa kanseri.Bumwe mu buryo bwo kwemeza ko gukata uruhu ari binini bihagije ni ugukanda umuyoboro winyuma wa trocar kurukuta rwumubiri kugirango utange ikimenyetso cyizenguruko, hanyuma ugabanye umurambararo wa diameter yikimenyetso kugirango uhuze urumogi, nka a 5mm.Diameter yikibaho igomba kongerwa na 2mm.Menya ko agace gato gashobora gutuma urumogi rwacumita rwakira uruhu, rukongera imbaraga zo gutobora, kandi rukagabanya kugenzura umuganga w’urumogi mu gihe cyo gutobora.
2. Shyira urumogi rwa kanseri ku nguni ikwiye ku nda nyuma yo kuzamuka pneumoperitoneum.Ikirangantego gishobora gukoreshwa kirakaze kuruta trocars zishobora gukoreshwa, bityo rero bisaba imbaraga nke mugihe cyo gushiramo.Ariko witondere: pneumoperitoneum idahagije, gukata uruhu rudahagije, cyangwa imbaraga zikabije birashobora kongera ibyago byo kwangiza ingingo zimbere.
3. Mbere yuko urumogi rutobora rwinjizwa binyuze mu gutobora uruhu, cone ya poncure yinjizwa muri kanseri.
4. Kanda hasi hejuru ya kanseri ya penture ukoresheje ikiganza cyawe.Muri icyo gihe, ukomeza kotsa igitutu ku ntoki uhoraho, shyiramo urumogi rushobora gukoreshwa mu ruhu.Koresha igitutu gikomeza kumanuka mugihe cyo kwinjiza urumogi.
5. Iyo urumogi rumaze kwinjirira mu cyuho cyo mu nda, hagomba kwitonderwa kutazongera guhatira urumogi.Niba umuganga abaga yemera ko urumogi rwa kanseri rusanzwe ruri 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 ari 10mm cyangwa binini nyuma yo kubagwa, fassiya yimbitse igomba gufungwa kugirango igabanye ibyago byo kwandura indwara ya hernia ikoresheje suture.
8. Nyuma yo gutobora bigenda neza, mbere yo gukoresha igikoresho cya endoskopi, koresha amavuta yo kwa muganga hejuru yigikoresho cya endoskopi cyangwa impeta ya kashe ya trocar kugirango ugabanye ubukana kandi ukore neza kandi byihuse.
VIII. Koresha uburyo bumwe bwo kubungabunga trocar no kubungabunga:
1. Ububiko: Trocar ya laparoskopi igomba kubikwa mucyumba gifite ubushuhe bugereranije butarenze 80%, bihumeka neza, kandi nta gaze yangirika.
2. Ubwikorezi: Ibicuruzwa bipfunyitse neza birashobora gutwarwa nibikoresho bisanzwe, kandi bigomba kwitabwaho mugihe cyo gutwara kugirango wirinde izuba ryinshi, kugongana gukabije, imvura nubushyuhe bukabije.
IX. Koresha imwe itariki yo kurangiriraho:
Nyuma ya trocar ya laparoscopique ihagaritswe na okiside ya Ethylene, igihe cyo guhagarika ni imyaka itatu, kandi itariki izarangiriraho irerekanwa kuri label.
Koresha inshuro imwe ibice bya trocar: ntayo
(Iyi ngingo ntabwo irangiye, nyamuneka reba
Igice cya serivisi nyuma yo kugurisha: Xi'an Smail Inganda nubucuruzi Co, Ltd.
Urubuga: www.smailmedical.com
E-mail: smr@smailmedical.com
Tel: + 862987804580-606
Mobil: +8615319433340
Watsapp: +8615319433340 Wechat: yh-mba
Igihe cyo kohereza: Ukwakira-25-2021
