Gahunda ya tekinike ya laparoskopi trocar
Trocar ya laparoscopique ikubiyemo ingofero yo gufunga, guteranya amaboko ya poncure, guteranya ingofero, gufunga, gufunga gaze, kashe ya gaze, icyuma cyo guteramo gaze, icyuma gishyiramo gaze, impeta ihagaze, valve imwe, kashe igikapu n'umufuka wo mu kirere.Inteko yo gutobora intoki igizwe nintebe yo gutobora hamwe nigitereko.Igice cyo hepfo cyicyicaro cya penture gihabwa gazi yo gufunga kashe yo gufunga, igice cyo hejuru cyicyicaro cya penture gihabwa icyuma gifunga kashe yo guteranya icyuma, icyuma gifunga gaze gishyirwa mumashanyarazi ya gaze. Igikoresho cyo kwishyiriraho icyuma cyo gutobora, hamwe no gufunga ingofero yo gufunga byashyizwe mugice cyo gufunga icyuma cyo guteranya icyuma cyo gufunga igice cyo hejuru cyicaro cyimyanya Impeta Ikidodo kirakanda kandi kigafungwa.
Igiterane cyo gufunga icyuma gifunga icyuma gifunga kashe ya elastike, icyuma gifunga intebe, icyuma gifunga, na glande yo hepfo.Igikoresho cyo gufunga kashe ya elastike gishyirwa kumutwe wa caping caping caping base, ifunzwe kandi igashyirwaho mugukingira igifuniko cyagenwe, naho igice cyo hepfo yikibaho cyo gufunga kashe gifite glande yo hepfo.Ikariso ya elastike yo gufunga ifite ibikorwa byo gufunga ibintu byoroshye, kandi irashobora guhindura ubukana kugirango ihuze nibikoresho bitandukanye byo kubaga.Ikariso ya elastike yo gufunga ifunga ibice bifunga kashe.Ingofero yo gufunga hamwe nimpeta yo gufunga birashobora gukosorwa hamwe na ultrasonic gusudira mugice cyo hejuru cyumutwe.Ibifunga bibiri bifunga bitunganijwe mugice cyo hepfo yimpeta.Igice cyo hejuru cyumwanya wo gutobora gitangwa hamwe na jack ebyiri zo gufunga ibyuma byo gufunga ibyuma no gukosora.Igice cyo hejuru cyumwanya wo gutobora gitangwa hamwe na sisitemu yo gufunga ibyuma bifunga, hanyuma gufunga byinjizwa mumashanyarazi yo gufunga kugirango ufunge kandi ukosore ingofero yo gufunga, impeta yo gufunga hamwe ninteko yo gufunga inteko yo gufunga.Ikariso ya elastike yo gufunga ifite ubwinshi bwamabati ya silika gel hamwe nudupapuro twa silika gel, impapuro za silika gel silike zometse kuri silika gel silike hanyuma zigashyirwa mumutwe wa kashe ya elastike ikoresheje guhuza.Ikariso ya elastike yo gufunga ifite elastike kandi iroroshye, kandi hepfo yumutwe wa kashe ya elastike itangwa hamwe nu mwobo uzamuka.
Ikibaho cyo gufunga icyuma gifatika gitangwa hamwe ninkingi yo gushiraho hamwe nu mwobo wo gushiraho kugirango ushyireho ingofero ya kashe ya elastike.Igifuniko gifunguye gitangwa hamwe nugukingirana gufunga hamwe nu mwobo wo gufunga kugirango ushyireho kashe ya elastike yo gufunga amaboko.Glande yo hepfo itangwa hamwe nugushiraho gukanda hamwe nimpeta yingoboka, bikoreshwa mugushigikira igipapuro gifatika gifatika.Ikirangantego cya gaze gifata kashe ya kashe, ikozwe mubintu byoroshye byoroshye kandi ni kashe ya gaze.Umuyoboro wo gutera umwuka ushyirwa ku ruhande rumwe rw'intebe ya penture, ifite ibikoresho byo guhinduranya umwuka, icyuka cyo mu kirere hamwe n'icyambu gisohoka.Umuyoboro wo gutera umwuka uhujwe nisoko yumwuka unyuze mu muyoboro.Mugihe cyo kubaga, umwuka winjizwa mu cyuho cy’umurwayi wabazwe wacumiswe unyuze mu cyuma cyo gutera umwuka kugira ngo ube pneumoperitoneum, yorohereza icyo gikorwa.Uruhande rw'inyuma rw'urutoki rwacumuwe rutangwa n'umuyaga uhumeka, ugera imbere imbere y'urutoki rwacumita werekeza ku cyerekezo cya axial cy'umuyoboro wacumita kandi unyura mu nsinga zihuza insinga.
Imiyoboro ibiri ihuza imigozi itunganijwe hafi yimbere yimbere yintoki.Umuyoboro umwe-ushyizwe mugice cyo hepfo yintebe ya penture, kandi umwuka wumuyaga wumuhanda umwe uhujwe numuyoboro uhumeka hanze yigituba.Glande ya kashe ya kashe iri hanze yikibanza cyo guhumeka cyikiganza cyacumiswe, kandi icyuma cyohereza ikirere gitunganijwe imbere imbere yikibaho, kugirango umuyaga uhumeka ube umuyoboro wa gazi.Impera imwe yikidodo gitangwa hamwe nikibanza cyo gukosora cyinjijwe kandi kigashyirwa hepfo yumurongo umwe, naho urundi ruhande rwikidodo rugahabwa ibyuma bifata insinga hamwe nu mwuka uhuza impera yimbere yimbere ya Umuyoboro utobora, worohereza insinga no gutunganya igikapu cyo mu kirere, kandi ugatanga umwuka mu gikapu cyo mu kirere unyuze mu kirere.Ikidodo gifunga kashe cyangwa glande ifunga kashe ya ultrasonique irasudira hanze yumuyaga uhumeka wintoki, kugirango umuyaga uhumeka ube umuyoboro wa gazi.Umufuka wo mu kirere washyizwe kumpera yimbere yintoki za poncure hanyuma ugashyirwa kumpande yumusozi uhuza.Ikirere cyo mu kirere cyateguwe n'ikidodo cyohereje umwuka uhumeka mu mufuka w'ikirere kandi ukazamura umufuka w'ikirere.Impeta yumwanya irambuye hagati yintoki.Mugihe cyo kubaga, iyo intoki ya puncture yinjijwe mu cyuho cy’umurwayi, valve imwe imwe yinjiza umufuka wumuyaga unyuze mu mwuka uhumeka hamwe nu mwobo usohoka mu kashe.
Nyuma yuko umufuka wumwuka wuzuye umwuka, hindura aho impeta ihagaze, shyira igikoresho cyacumise kumyanya yumurwayi wumurwayi ukoresheje impeta yumwanya hamwe n umufuka wikirere ufashe kuntoki, kandi ntuzanyeganyega, byoroshye kubikoresho byo kubaga kubaga.Igikorwa nikimara kurangira, funga indege ya gaze, fungura icyuma cyo guteramo gaze, ushyire mu cyuho, hanyuma ukande kuri valve yibice byinzira imwe yo guta agaciro kugirango usohokemo gaze yuzuye mumifuka, hanyuma ukureho icyuho amaboko kuva kurukuta rwumurwayi.Umuyoboro umwe-umwe ni inzira imwe yo gutera gaz.Umuyoboro umwe-umwe ufite umubiri wa valve, intebe ya valve, intoki ya valve, impeta ya kashe hamwe nisoko.Impeta yo gufunga yashyizwe kumurongo wa valve, kandi isoko yisoko ikanda impeta yikimenyetso cya valve imbere yintebe yumubiri wumubiri kugirango umenye icyerekezo kimwe.Umwuka winjira mumubiri wa valve uhujwe numuyoboro watewe na gaz hamwe nisoko ryumuyaga.Isakoshi yo mu kirere ikozwe mu bikoresho byoroshye bya firime.Impeta iboneka ikozwe mubintu byoroshye.
Igihe cyo kohereza: Nyakanga-13-2022
