Kugeza ubu, hari uburyo butatu bwingenzi bwamahugurwa yo kubaga laparoskopi.Imwe muriyo ni ukwiga ubumenyi nubuhanga bwa laparoskopi binyuze mu kwanduza, gufasha no kuyobora abaganga bakomeye mu kubaga amavuriro.Nubwo ubu buryo ari ingirakamaro, bufite ingaruka z’umutekano, cyane cyane mu buvuzi aho usanga abarwayi barushaho kwirinda;Imwe ni ukwiga binyuze muri sisitemu yo kwigana mudasobwa, ariko ubu buryo bushobora gukorwa gusa mumashuri makuru yubuvuzi yo murugo kubera igiciro cyayo kinini;Ibindi ni umutoza woroheje wigana (agasanduku k'amahugurwa).Ubu buryo bworoshye gukora kandi igiciro kirakwiriye.Nuburyo bwatoranijwe kubanyeshuri biga ubuvuzi babanza kwiga tekinoroji yo kubaga byibuze.
Agasanduku k'abatoza'Amahugurwa
Binyuze mu mahugurwa, abatangiye kubaga laparoskopi barashobora gutangira kumenyera kuva mu iyerekwa rya stereo munsi yerekwa mu buryo butaziguye kugera ku ndege ya monitor, guhuza icyerekezo no guhuza ibikorwa, kandi bakamenyera ubuhanga butandukanye bwo gukoresha ibikoresho.
Nta tandukanyirizo ryimbitse gusa, ingano, ariko kandi hariho itandukaniro mubyerekezo, icyerekezo no guhuza ibikorwa hagati ya laparoskopi nigikorwa cyo kureba neza.Abitangira bagomba gutozwa guhuza niyi mpinduka.Kimwe mubyiza byo kubaga iyerekwa ritaziguye ni iyerekwa rya stereo ryakozwe n'amaso yabakoresha.Iyo witegereje ibintu nibikorwa, bitewe nuburyo butandukanye, birashobora gutandukanya intera nimyanya, kandi bigakora manipulation neza.Amashusho yabonetse na laparoskopi, kamera na sisitemu yo gukurikirana televiziyo ahwanye nayabonwa niyerekwa rya monocular kandi adafite imyumvire-itatu, kuburyo byoroshye kubyara amakosa mugucira intera iri kure na hafi.Kubijyanye n'ingaruka za fisheye zakozwe na endoscope (mugihe laparoscope ihindagurika gato, ikintu kimwe cyerekana imiterere itandukanye ya geometrike kuri ecran ya TV), uyikoresha agomba kumenyera buhoro buhoro.Kubwibyo, mumahugurwa, dukwiye kwiga gusobanukirwa ubunini bwa buri kintu mumashusho, kugereranya intera iri hagati yabo nindorerwamo yintego ya laparoscopique hamwe nubunini bwikintu cyambere, tugakoresha igikoresho.
Abakoresha nabafasha bagomba gushimangira ubushishozi bwo kubona indege, bagasuzuma neza neza ibikoresho nibikoresho ukurikije imiterere nubunini bwibintu nibikoresho byakorewe ahakorerwa microscope yumucyo, nuburemere bwurumuri rwamashusho.Icyerekezo gisanzwe hamwe nubushobozi bwo guhuza nibintu bikenewe kugirango intsinzi yo kubaga igerweho.Umukoresha agena icyerekezo cyerekezo nintera ukurikije amakuru yabonetse mubyerekezo nicyerekezo, kandi sisitemu yimikorere ihuza ibikorwa kubikorwa.Ibi byagize ibitekerezo byuzuye mubuzima bwa buri munsi no kubaga iyerekwa ritaziguye, kandi irabimenyereye.Imikorere ya Endoscopique, nka intubation ya cystoscopique ureteral, biroroshye guhuza nicyerekezo no guhuza ibikorwa byumukoresha kuko icyerekezo cya endoskopi gihuza nicyerekezo cyibikorwa.Ariko, mububiko bwa TV laparoscopique, icyerekezo no guhuza ibikorwa byashize akenshi biganisha kumyitwarire mibi.
Kurugero, umukoresha ahagarara kuruhande rwibumoso bwumurwayi wa supine hanyuma ecran ya TV igashyirwa kumaguru yumurwayi.Muri iki gihe, niba ishusho ya TV yerekana umwanya wa seminal vesicle, uyikoresha azahora yongerera igikoresho icyerekezo cya ecran ya TV hanyuma yibeshya yibwira ko yegereye imitsi ya seminal, ariko mubyukuri, igikoresho kigomba kwagurwa kugeza hejuru cyane kugirango ugere kuri seminal vesicle.Ubu ni bwo buryo bwo kwerekana icyerekezo cyakozwe no kubaga mu buryo butaziguye no kubaga endoskopi mu bihe byashize.Ntibikwiye kubagwa TV laparoscopique.Iyo witegereje amashusho ya tereviziyo, uyikoresha agomba kumenya neza isano iri hagati yibikoresho biri mu ntoki ze hamwe n’ingingo zijyanye n’inda y’umurwayi, gukora neza, gusubira inyuma, kuzunguruka cyangwa guhindagurika, no kumenya amplitude, kugira ngo akore neza. y'imbaraga, clamps, gukurura, gukata amashanyarazi, gufatana, gupfundika nibindi kurubuga rwo kubaga.Umukoresha n'umufasha bagomba kumenya icyerekezo cyibikoresho byabo uhereye kumashusho ya TV ukurikije imyanya yabo mbere yuko bafatanya nigikorwa.Umwanya wa laparoscope ugomba guhinduka bike bishoboka.Kuzenguruka gato birashobora kuzunguruka cyangwa no guhindura ishusho, bigatuma icyerekezo no guhuza bigorana.Witoze mu gasanduku k'amahugurwa cyangwa umufuka wa ogisijeni inshuro nyinshi kandi ufatanyirize hamwe, ibyo bikaba bishobora gutuma icyerekezo cyo guhuza no guhuza neza bihuza neza n'ibihe bishya, bigabanya igihe cyo gukora kandi bikagabanya ihahamuka.
Igihe cyo kohereza: Nyakanga-29-2022
