Ibikorwa biranga umutoza wa laparoskopi
Amahugurwa manikin ya ubuhanga bwo kubaga laparoscopique burashobora gukoreshwa mumahugurwa yo kwigana kubaga laparoskopi kubagwa indwara zinda zo munda hamwe nibikoresho byo kubaga laparoskopi, kamera zisobanura cyane hamwe na monitori kumeza yibikorwa byo kubaga, kubagore no kubyara.Irashobora gukora ibikorwa byibanze byo kubaga laparoskopi, nko gutemagura, kwiyambura, hemostasis, ligation, suture nibindi.
Indorerwamo ya laparoskopi ya dogere 30 irashobora kugera ku ntego yo kwitegereza byinshi.Inkomoko yumucyo LED na kamera byashyizwe mumurongo.Umwanya wo kwerekana ishusho mumyanya yinda ya manikin isohoka kuri ecran ya 22 cm, kandi uyikora akora yitegereza ishusho kuri ecran.
Laparoscope yigana irashobora guhindura uburebure bwerekanwe mukurambura no guhindura intera iri hagati yintego nintego kugirango ihindure neza ishusho.Iyo lens yegereye moderi yimbere-yinda, irashobora kubona ishusho yagutse yaho, kandi iyo isubiye mukwugurura urumogi, irashobora kubona umurima mugari wo kwerekwa mumyanya yinda.Irashobora guhindurwa mugihe ukurikije neza imikorere nibikorwa bikenewe.Umwanya wo hagati wicyerekezo cya lens ugomba kwimuka hamwe nigikoresho cyabashaka gukora, kandi ugahindura intera ngufi cyangwa intera ndende yo kureba nkuko bikenewe.
Ubwoko butandukanye bwamahugurwa burashobora gushyirwa mumyanya yigana yinda yigana, harimo: moderi yibishyimbo byamabara, moderi ya ferrule, moderi ya suture, moderi yuburyo bwinshi bwa suture, moderi yumubiri wa cystic, moderi ya cecal umugereka, umwijima na gallbladder moderi, nyababyeyi hamwe nibikoresho, icyitegererezo , transvers ya colon moderi, impyiko na ureter moderi, pancreas na spleen moderi, moderi yimitsi, moderi yo mara, moderi yo gufatira ingingo.Bumwe mu buryo butandukanye bwo guhugura bushobora gutoranywa ukurikije ibikenewe byo kwigisha, Shyira mu cyuho cy'inda.
Icyitegererezo cya Ferrule: Ibyuma bitandatu byahinduwe na L bifata ibyuma bishyirwa kumurongo wa reberi ya silindrike, kandi abahugurwa bakoresha inzara kugirango bafate umugozi muto barawushiraho kugeza wuzuye.Amahugurwa asubirwamo arashobora kuzamura buhoro buhoro umuvuduko.
Icyitegererezo cyibishyimbo cyamabara: fata ibishyimbo byamabara yamabara atandukanye muri kontineri, fata amabara yabigenewe, hanyuma ubifate mubikoresho byabo.
Icyitegererezo cyurudodo: hejuru yibice birenga 10 bya reberi ya reberi ifite impeta yicyuma ifite diameter ya 2-3mm.Ikidodo gifatishijwe urushinge kandi kinyura mu mpeta y'icyuma umwe umwe kugeza umurongo urangiye.
Icyitegererezo cyingingo ya cystic: igice cyoroshye gishobora gutemwa no guterwa anastomose, naho igice cyabyimbye gishobora gutemwa no kudoda cyangwa gukata no guterwa anastomose.
Icyitegererezo cyamaraso: amahugurwa mato mato arashobora gukorwa.
Moderi yingingo zinyuranye zimbere: iyo zikoreshejwe, zomekwa kumasahani yinyuma kugirango birinde kugenda mugihe gikora.Ibice bitandukanye birashobora gutemwa, guhagarika kuva amaraso, kwiyambura, kudoda no gufunga.
Icyitegererezo cyumwijima: amahugurwa ya cholecystectomy arashobora gukorwa.
Impyiko na ureter moderi: anastomose yinkari no gukuraho amabuye birashobora gukorwa.
Icyitegererezo cyo munda: amara (incision) anastomose arashobora gukorwa.
Icyitegererezo cy'umugereka wa Cecal: Amahugurwa ya Appendectomy arashobora gukorwa, izindi ngingo zirashobora gukorwa nko kwambura, kwanga no kudoda, kandi imiyoboro yimigozi yigana hamwe na arteri ya gallbladder irashobora gusimburwa.
Amahugurwa kubuhanga bwo gukora bwa simusiga ya laparoskopi
Binyuze mu mahugurwa, abatangiye kubaga malocclusion yo munda barashobora gutangira kumenyera guhinduka kuva stereovision munsi yerekwa mu buryo butaziguye yerekeza ku ndege ya monitor, gukora icyerekezo no guhuza ibikorwa, no guhitamo ubuhanga butandukanye bwo gukoresha ibikoresho.
Nta tandukanyirizo ryimbitse gusa, ingano, ariko kandi hariho itandukaniro mubyerekezo, icyerekezo no guhuza ibikorwa hagati yo kubaga laparoskopi no kubaga ibyerekezo bitaziguye.Abitangira bagomba gutozwa guhuza niyi mpinduka.Kimwe mubyiza byo kubaga iyerekwa ritaziguye ni uko stereovision yakozwe namaso abiri yumukoresha ashobora gutandukanya umwanya uri kure na hafi ndetse no hagati yundi bitewe nuburyo butandukanye bwo kureba mugihe witegereje ibintu nimirima yo kubaga, kandi bigakorwa neza.Amashusho yabonetse na laparoskopi, kamera na tereviziyo yo gukurikirana kuri televiziyo yumye rwose kubera iyerekwa rya monocular kandi idafite imyumvire ya stereoskopi, bityo biroroshye kubyara amakosa mugihe urebye intera iri hagati na hafi.Kugirango ijisho ryibara ryibara ryakozwe na endoskopi yumye (mugihe umwobo wo munda uhindagurika gato, ikintu kimwe kizerekana imiterere itandukanye ya geometrike kuri ecran ya TV), uyikoresha agomba guhinduka buhoro buhoro.Kubwibyo, mumahugurwa, dukwiye kwiga gutahura ubunini bwa buri kintu kiri mwishusho, kugereranya intera iri hagati yazo nindege itari yo yinda yintego yo munda ihujwe nubunini bwikintu cyambere, tugakoresha igikoresho.Umukoresha nuwungirije bagomba gushimangira ubushishozi imyumvire yindege, kandi bagacira urubanza neza aho ibikoresho ningingo ukurikije imiterere nubunini bwingingo n ibikoresho byabagenewe kubagwa nyuma ya microscopi yumucyo, nuburemere bwurumuri rwishusho.
Icyerekezo gisanzwe hamwe nubushobozi bwo guhuza nibintu bikenewe kugirango ibikorwa bigende neza.Umukoresha agena icyerekezo cyerekezo nintera ukurikije amakuru yakuwe mubyerekezo no kwerekera, kandi sisitemu yimikorere ihuza ibikorwa kugirango ikore.Ibi byagize ibitekerezo byuzuye mubuzima bwa buri munsi no kubaga iyerekwa ritaziguye, kandi irabimenyereye.Imikorere ya Endoscopique, nka cystoscopic ureteral intubation, biroroshye guhuza nicyerekezo no guhuza ibikorwa byumukoresha kuko icyerekezo cyindorerwamo ngufi gihuza nicyerekezo cyibikorwa.Ariko, mugihe kubaga inda ya TV yibeshye, icyerekezo no guhuza ibikorwa byakozwe nubunararibonye bwambere akenshi biganisha kumikorere mibi, nkumukoresha uhagaze kuruhande rwibumoso bwumurwayi wa supine, kandi ecran ya TV ntabwo ishyirwa kumaguru ya ihangane.Muri iki gihe, ishusho ya TV yerekana umwanya wa Jing Yi, Umukoresha azahora yongerera igikoresho icyerekezo cya ecran ya TV, kandi yibeshya ko yegera Jingyi, ariko mubyukuri, igikoresho kigomba kwaguka ikuzimu. ubuso kugirango bugere kuri seminal vesicle.Ubu ni bwo buryo bwo gutekereza bwerekanwe no kubaga iyerekwa ritaziguye no gukora nabi endoskopi mu bihe byashize.Iyo kubaga inda ya TV yibeshye, ntabwo bizakora.Iyo witegereje ishusho ya tereviziyo, uyikoresha agomba kumenya neza isano iri hagati yigikoresho kiri mukiganza cye ninzego zibishinzwe ziri munda yumurwayi, kandi agatera imbere akanasubira inyuma, Gusa nukuzunguruka cyangwa kugoreka, no kumenya amplitude, birashobora kumenya neza clamp ikorerwa ahabagwa.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.Kwimenyereza mu gasanduku k'amahugurwa cyangwa umufuka wa ogisijeni inshuro nyinshi no gufatanya bishobora gutuma icyerekezo no guhuza ubushobozi bihuza neza nuburyo bushya, kugabanya igihe cyo gukora no kugabanya ihahamuka.
Igihe cyo kohereza: Nyakanga-08-2022
