3.Staplerclassification
Iyo linear yekucheka stapler inosanganisira muviri wemubato, banga rekusundidzira, chigaro chemagazini ezvipikiri uye chigaro cheanvil, mubato wemubato unopihwa bhatani rekudzora banga rekusundidzira, cam inotenderedzwa yakabatana nemuviri wemubato, uye cam. ane chirauro.Rutivi rwekamera runopiwa nzira yekuchengetedza.Kana iyo nzira yekudzivirira iri munzvimbo yakavharwa, chikamu chehoko chakasungirirwa pane bhatani rekusundira, uye cam inogadziriswa maererano nemuviri wekubata;kana iyo yekuchengetedza michina iri mune yakavhurwa mamiriro, hoko chikamu chinoburitsa bhatani rekusundidzira.Kana iyo nzira yekuchengetedza yakavharwa, kamera inogadziriswa inoenderana nemuviri wekubata, uye bhatani rekusundidzira harigone kuenda kumberi, kuitira kuti banga rekusundidzira ridzivirirwe kubva pakusundirwa nguva isati yakwana kana chinzvimbo chechiridzwa chisina kugadziridzwa zvakanaka.
Mushonga wekuchecheudzwa unosanganisira sleeve yechigaro chezvipikiri uye mbambo yembambo, slive yetsvimbo inotsvedza yakarongedzwa muruoko rwechigaro chezvipikiri, tsvimbo inotsvedza yakabatana nechigaro chekumisa zvipikiri, uye tsvimbo inotsvedza inopinzwa mune inotsvedza tsvimbo sleeve.Tsvimbo inotsvedza ine ndege yekutanga inopesana nekutenderera, madziro emukati emushonga wetsvimbo inotsvedza ine ndege yechipiri inopesana nekutenderera, uye ndege mbiri dzinopesana nekutenderera dzinosangana pamwe chete.Chimwe chikamu chetsvimbo inotsvedza uye sleeve yetsvimbo inotsvedza inopihwa mbabvu inotungamira padivi peaxial nzira yetsvimbo inotsvedza, uye chimwe chikamu chinopihwa girovha inotungamira padivi peaxial nzira yetsvimbo inotsvedza, uye mbabvu inotungamira iri. inopinzwa mugero rinotungamirira.Kuburikidza nekushandira pamwe kwembabvu dzekutungamira uye magirovha ekutungamira, kumira pakati petsvimbo inotsvedza neruoko rwechigaro chezvipikiri kwakaringana, ndiko kuti, kuiswa kwechigaro chembambo chembambo uye chigaro chembambo chembambo chiri chokwadi, kuitira kuti kuumbwa chaiko iyo huru inogona kuve nechokwadi.
4 Maitiro ekushandisa stapler
Shandisa intestinal anastomosis kuratidza kushandiswa kwe stapler.Mhedziso yekupedzisira yeanastomosis yakashongedzwa ne-purse-string suture, uye chigaro chepamusoro chinoiswa uye chakasimbiswa.Iyo yepakati tsvimbo yechigaro yakabatana, uye kutenderera kuri pedyo nemadziro emukati eiyo distal uye proximal intestinal tubes.Nharaunda pakati pechigaro che stapler uye chigadziko chinogadziriswa maererano nehupamhi hwemadziro emukati.Kazhinji, inogumira ku ~ kana kutenderera kweruoko kwakaomarara (kune chiratidzo chekusimba pamubati) kuvhura chengetedzo;
Simbisa anastomotic wrench uye unzwe "tinya" ruzha, zvinoreva kuti kucheka uye anastomosis kwapera.Usabvisa stapler kwenguva iripo.Tarisa kuti anastomosis inogutsa here uye kana mamwe matishu akadai semesentery akaiswa mairi.Mushure mekuenderana kurapwa, sunungura stapler.Uye zvinyoro nyoro ibudise kubva kumucheto kuti utarise kana distal uye proximal bowel resection mhete dzakakwana.
5 Stapler Precautions
(1) Usati washanda, tarisa kuti sikero uye 0 sikero zvakabatana here, kana gungano rakarurama, uye kana chidimbu chekusundira uye tantalum chipikiri zvisipo.A plastiki gasket inofanira kuiswa pachigaro chetsono.
(2) Mugumo wakatyoka wechubhu ye intestinal ichaitwa anastomosed inofanira kusunungurwa zvakakwana uye kubviswa zvishoma 2 cm.
(3) Iyo tsono kureba kwechikwama-tambo suture haifanire kudarika masendimita, uye muganho unofanirwa kuva 2 kusvika 3 mm.Kuwanda kwenyama kuri nyore kunyura muanastomosis uye kutadzisa anastomosis.Chenjerera kuti usapotsa mucosa.
(4) Gadzirisa nzvimbo zvichienderana nekukora kwemadziro emukati, zviri nani 1 kusvika 2 cm.
(5) Tarisa dumbu, esophagus uye mamwe matishu ari padyo usati wapfura kudzivirira anastomosis kubva pakusungwa.
(6) Kucheka kunofanira kukurumidza, uye kudzvinyirirwa kwekupedzisira kuchaita kuti zvinyorwa zvive "B" chimiro, uye kuedza kubudirira kumwe.
(7) Buda pa stapler zvinyoro nyoro, uye tarisa kana nyama yakachekwa iri ring yakazara.
Nguva yekutumira: Feb-16-2022
