Niki Trocar ikoreshwa hamwe nubuvuzi bwamatungo

Porogaramu

Gukoresha ubuvuzi / kubaga

Trocars ikoreshwa mubuvuzi kugirango ibone kandi itume amazi yegeranya, nko mubarwayi bafite effusion effusion cyangwa asitite.Mu bihe bya none, trocars zo kubaga zikoreshwa mu kubaga laparoskopi.Bashyizweho nko kwinjiza kamera n'ibikoresho by'intoki bya laparoskopi nk'umukasi, abafata, nibindi kugirango bakore inzira kugeza ubu zakozwe mugukora ibice binini byo munda, bahindura uburyo bwo kwita kubarwayi. Trocars yo kubaga ikoreshwa cyane muri iki gihe nk'ibikoresho by’umurwayi umwe kandi yavuye mu bishushanyo mbonera "ingingo eshatu" ihinduka ibishushanyo mbonera "bikwirakwiza". ibicuruzwa cyangwa ibicuruzwa bidafite umuyonga rwose.Igishushanyo cya nyuma gitanga umutekano w’abarwayi bitewe nubuhanga bwakoreshejwe mu kubishyiramo. Kwinjiza amakarito bishobora kuviramo igikomere cyacumita ku rugingo rwihishe inyuma, biganisha ku bibazo by’ubuvuzi. Kubwibyo, urugero, laparoscopic intraperitoneal trocar insertion Irashobora gukomeretsa mu mara biganisha kuri peritonite cyangwa kuva amaraso kubera ibikomere bikomeye.

Gushushanya

Trocars nayo ikoreshwa mugusoza inzira yo kosa umurambo kugirango itange amazi yumubiri ningingo nyuma yo gusimbuza imiyoboro yamaraso hamwe n’imiti yo kosa imirambo. Aho gushyiramo umuyoboro uzengurutse, icyuma cyimpande eshatu za trocar ya kera kigabanya uruhu rwinyuma mo gatatu " amababa "noneho bikozwe byoroshye gufungwa muburyo butabangamiye, buto ya trocar irashobora gukoreshwa aho kuba suture.Yifatanije na Tube yoroshye yinjiza, ubusanzwe ihujwe nuwifuza amazi, ariko kandi ibyifuzo byamazi yamashanyarazi nabyo birashobora gukoreshwa. inzira yo gukoresha trocar kugirango ikureho imyuka, amazi, na semisolide mumyanya yumubiri ningingo zidafite akamaro byitwa aspiration. Shyiramo igikoresho santimetero ebyiri kuruhande rwibumoso bwumubiri (anatomique), santimetero ebyiri hejuru yumukondo.Nyuma ya thoracic, inda , hamwe nu mwobo wa pelvic wifujwe, umurambo utera umwobo wa thoracic, inda, na pelvic, ubusanzwe ukoresheje trocar ntoya ihujwe na hose ihujwe nicupa ryamazi yo mu kirere cyo hejuru. Icupa rifatirwa hejuru yumuyaga kugirango emera uburemere bwo gutwara amazi ya lumen hejuru ya trocar no muri lumen, siringe ya fluid ifite umwobo muto wintoki kugirango igenzure imigendekere yamazi. Antiseptike yimura trocar muburyo bumwe nkuko ikora mugihe yifuza umwobo wo gukwirakwiza imiti bihagije kandi biringaniye, vial 1 ya cavity fluid irasabwa kumyanya ya thoracic na vial 1 kuri cavit peritoneal.

Gukoresha amatungo

Trocars ikoreshwa cyane nabaveterineri ntibavoma gusa amazi meza, asitite, cyangwa kumenyekanisha ibikoresho mugihe cyo kubaga laparoskopi, ariko kandi no mubihe bidasanzwe by’inyamanswa.Mu bijyanye ningoma ya rumen ivuza inka, trocar nini ya bore irashobora kwinjizwa binyuze muri uruhu muri rumen kugirango irekure gaze yafashwe.Mu mbwa, inzira nkiyi ikorwa kenshi kubarwayi bafite gastric distensible torsion, aho trocar nini nini yinjizwa mu ruhu mu gifu kugirango ihite yangiza igifu. Biterwa n'uburemere. by'ibimenyetso bya clinique mugihe cyo kwerekana, ibi mubisanzwe bikorwa nyuma yo gucunga ububabare bishyizwe mubikorwa ariko mbere ya anesthesia rusange. Ubuyobozi busobanutse bwo kubaga bwarimo guhinduranya anatomique igifu nigifu, bikurikirwa na gastropexy iburyo. Biterwa n'uburemere, gastrectomie igice na / cyangwa splenectomy irashobora gusabwa niba tissue ifitanye isano ari nekrotic kubera ischemia bitewe na torsion / avulsion yo kugaburira vasculature.