Intego ya tubular stapler:
Mu magambo make, staplers ikoreshwa kuri lumen anastomose itandukanye yitwa tubular staplers.
Igituba cyitwa tubular cyitwa ubwoko bwigituba kuko iyo cyinjiye kandi gisohotse, kizakora imirongo ibiri yimigozi ifatanye muburyo buzengurutse, hanyuma ikoreshe icyuma cyimpeta kugirango ucike imyenda yimbere.Ibice birashobora guterwa vuba kandi byoroshye.
Muri rusange, ikoreshwa rya tubular staplers rikoreshwa cyane cyane kuri anastomose yingingo.Ingano zitandukanye za staplers zirakwiriye kubikorwa bitandukanye.Kurugero, 21, 23, 26, 29 zikoreshwa cyane cyane muri esofagus no kubaga amara mato, naho 32, 34 zikoreshwa cyane mu mara.Kubaga urukiramende.
Nigute ushobora gukoresha igituba:
1. Hitamo igikoresho gikwiye;
2. Hindura ibinyomoro bihinduranya amasaha, fungura intebe yimisumari, hanyuma usohokemo igifuniko cyo gukingira kugeza intebe yimisumari ifunguye burundu;
3. Kuzengurutsa knob ihinduranya isaha kugeza ubonye ahantu hapfukamye umutuku wigikoresho cyubatswe, hanyuma ugakuramo umusingi wa abutment, hanyuma uhindure knob ihinduranya isaha kugirango igikoresho cyubatswe gishobora kwakirwa mumubiri. ya stapler muri;
4. Shira intebe yimisumari yakuweho mumutwe wa lumen kugirango ushireho anastomose yashushanyije, hanyuma ushimangire ibyago byumugozi wumufuka kumurongo wapfunditse wintebe yimisumari, hanyuma ugabanye impande zirenga;
5. Shira stapler kurundi ruhande rwa lumen kugirango uhindurwe, hanyuma uhindure knob ihinduranya isaha kugirango isaha yumutwe kugirango umutwe wa stapler wubatswe muri trocar ucike mumatara afunze, uzi ko ipfundo ritukura inyuma ya trocar. birashobora kugaragara neza ahantu;
6. Shyiramo anvil umutwe wa stapler hanyuma uyisunike kugeza wunvise "kanda", kora stapler ihuza, uhindure umuyoboro wateguwe, hanyuma ufunge stapler;
7. Kenyera stapler kugeza idirishya ryerekana stapler risimbutse;
8. Emeza niba stapler ihari;
9. Kuzenguruka umubiri wa stapler mugihe usohoka;
10. Emeza niba tissue yacukuwe idahwitse kandi niba hari ibidasanzwe kurubuga rwa suture.Niba hari ikintu kidasanzwe kibonetse, kigomba gukemurwa mugihe.
Igihe cyo kohereza: Ukuboza-24-2021
