Ku bijyanye no kubaga laparoskopi, abantu ntibamenyereye.Mubisanzwe, kubaga bikorerwa mu cyuho cy’abarwayi binyuze mu bice 2-3 bya cm 1.Intego nyamukuru ya trocar ikoreshwa na laparoskopi trocar mugikorwa cyo kubaga laparoskopi nukwinjira.Urukuta rw'inda rwuzuye rushyiraho umuyoboro uhuza isi yo hanze n’umwijima wo mu nda, bigatuma ibikoresho byo kubaga byinjira mu cyuho cyo mu nda binyuze mu ntoki za trocar kugira ngo birangize inzira yo kubaga kandi bigere ku ntego imwe no kubaga gakondo.Trocar ikoreshwa kuri laparoscopi igizwe na kanseri yamenetse hamwe ninturusu.Igikorwa nyamukuru cyimyanya ndangagitsina ni ukwinjira mu rukuta rw'inda hamwe na trocar cannula hanyuma ugasiga urumogi rwacitse ku rukuta rw'inda.Igikorwa nyamukuru cya kanseri yamenetse ni ukwemerera ibikoresho bitandukanye byo kubaga byinjira mu cyuho cyinda, kugirango umuganga abashe kubaga no kurangiza umurimo wo kubaga.
Ikoreshwa rya laparoscopic trocars '
1 Gutandukanya impande zombi kumutwe wumutwe wintoki
Nk’uko isesengura ry’imibare ryakozwe muri raporo ribigaragaza, ibibazo byinshi byo gutobora biterwa no kwandura, kuva amaraso, gutobora hernia no kwangirika kw'imitsi.
Umutwe ushobora gutobora umutwe wingenzi kugirango ukoreshwe laparoskopi nuburyo bwa cone bubonerana, bukoresha uburyo bwo gutandukana bweruye nta cyuma, kandi bugasimbuza ibice byo gukata hamwe nuduce twinshi.Gabanya kwangirika kurukuta rwinda nimiyoboro yamaraso, kandi ugabanye kwangirika kwa fassiya hafi 40% no gushiraho hernia ya puncture hejuru ya 80% ugereranije na trocar hamwe nicyuma.Binyuze muri endoskopi, inzira yose yo gutobora urukuta rw'inda irashobora kugenzurwa mu buryo butaziguye kugira ngo birinde kwangirika kw'imitsi yo mu nda, Irashobora kandi gutakaza igihe cyo gukora no kugabanya ububabare bwo gukora.
2 Urupapuro rwinyuma rwinyuma
Urudodo rwo hanze rwakoreshejwe hejuru yubutaka bwa trocar yajugunywe kugirango wongere urukuta rwinda.Iyo intoki ya penture ikuweho, imbaraga ziriyongera, zishobora kunoza itunganywa ryurukuta rwinda hafi 90%.
3 45 ° Gufungura kumutwe hejuru yicyatsi
Isonga ryikariso ya trocar ikoreshwa kugirango ikoreshwe laparoskopi irakinguye kuri beveri ya 45 °, yorohereza iyinjira ryikigereranyo hanyuma igasiga umwanya wo gukoresha ibikoresho.
4 Icyitegererezo cyuzuye
Trocars ikoreshwa kugirango laparoskopi ikoreshwa ifite ibisobanuro bitandukanye: diameter y'imbere 5.5mm, 10.5mm, 12.5mm, nibindi.
Muri rusange, trocar ikoreshwa ya laparoscopique yo kubaga byibuze byibasiye irashobora kugabanya gutakaza amaraso yumurwayi, bigatuma umurwayi akira vuba, bigatuma igihe cyo kubagwa kigufi, kandi bigatuma umurwayi aba umugenerwabikorwa wo kubaga inda byibasiye cyane.
Igihe cyo kohereza: Kanama-15-2022
