ILAA 1998 kii

Adeeg bixiye hal joogsi ah oo loogu talagalay qalabka caafimaadka guud ee qalliinka
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Stapler cusub oo Endoscopic ah | Laparoscopic stapler

Stapler cusub oo Endoscopic ah | Laparoscopic stapler

  • Goynta endoscope toos ah stapler iyo qaybaha la tuuri karo
  • Madaxa wadajirka ah ee la qabsiga waxaa lagu qali karaa hal gacan
  • Gacanta ku sii daa badhanka si aad dib ugu celiso madaxa gooya wakhti kasta
  • Kartridge-ku wuxuu leeyahay tilmaamo dhammaystiran si uu u buuxiyo shuruudaha xiritaanka unugyada kala duwan
  • Nidaamka xakamaynta farqiga u dhexeeya saddex dhibcood si loo xaqiijiyo ciddida nooca B ee qumman
  • Cidiyaha Gecko ee u qaabaysan kartoojka aasaasiga ah ayaa nakhshad yareynaya qulqulka unugyada si loo hubiyo anastomosis kaamil ah
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler
  • Stapler cusub oo Endoscopic ah | Laparoscopic stapler

sifooyinka alaabta:

CE shahaado
Naqshadaynta ku habboon waxay hubisaa beddelka fudud.
Naqshadeynta dusha sare ee Grpping waxay bixisaa waxqabad heersare ah oo heersare ah.
Noocyo badan ayaa buuxin kara dhaawac kasta oo qalliino kala duwan ah.
Qalabka heerka caafimaadku waxa ay xaqiijinayaan in aan nudaha la diidin.
Waafaqid
Codso ECEHLON Taxanaha 60mm Stapler


hordhaca alaabta

Buugga tilmaamaha

Qaab dhismeedka iyo ka kooban stapler laparoscopic:
Goynta toosan stapler iyo qaybaha loogu talagalay endoscope la tuuri karo waxay ka kooban yihiin jirka iyo isu-ururinta.
Jidhku waxa uu ka kooban yahay kursiga ciddiiyaha, madaxa wadajirka ah, usha, badhanka wareega, suufka hagaajinta, badhanka beddelka jihada daabka, daaqada tusaha toogashada, jihada daabka daaqada tusaha, badhanka sii deynta, gacan-qabsiga, gacan-ku-dhawaada, gacan toogashada.
Waxay ka kooban tahay mindi wax lagu gooyo iyo kursiga kartuunada caadiga ah, qaybahana waxay ka kooban yihiin kartoonka caadiga ah iyo ciddiyaha anastomosis. Alaabta waxaa lagu bixiyaa xaalad nadiif ah waxaana lagu jeermi by ethylene oxide.
Hal mar la isticmaalo.

Baaxadda codsiga stapler laparoscopic:
Ku habboon qalliinka qalliinka furan ama endoscopic, kooxda sambabada iyo boronkiitada, tolida iyo dib-u-soo-saarka, kala-guurka iyo anastomosis ee caloosha iyo mindhicirka.

iibso-laparoscopic-stapler-Smail

Laparoscopic Linear Cutter Stapler iyo Qaybaha La Tuuri karo

 

I. Magaca badeecada, qaabka, qeexida
Magaca alaabta: Goynta endoscopic toosan stapler iyo qaybaha la tuuri karo
Tilmaamaha qaabka:Goynta endoscopic toosan stapler la tuuri karo: PESS35, PESS45, PESS60, PESM35, PESM45, PESM60, PESL35, PESL45, PESL60, PEPS35, PEPS45, PEPS60, PEPM35, PEPM45, PEPM60, PEPL435, PL6;
Qaybaha stapler-ka toosan ee goynta endoscopic ee la tuuri karo: PSGST35M, PSGST35W, PSGST35B, PSGST35D, PSGST35G, PSGST35T, PSGST45M, PSGST45W. B, PSGST60T, PSGST60D, PSGST60B, PSGST35G , PSGST60D, PSGST60B PPEPR60D, PPEPR60G, PPEPR60T.
II.Waxqabadka alaabta
Stapler-ka waa in si sax ah loo dhigaa, qaybaha beddelka waa in ay noqdaan kuwo ku habboon, adag, oo aan lahayn xannibaad, waana in ay jiraan dhawaaqyo ama dareen-celin kale marka qaybaha ay jiraan.Mashruucyada waa in si adag loogu dhejiyaa golaha, iyo suunka waa in aan la soo bandhigin dusha sare ee kartoonada muhiimka ah ka dib marka la ruxo.Furitaanka iyo xidhitaanka daanka stapler waa in ay ahaataa mid dabacsan oo aanay jirin wax saxmad ah.Qaab dhismeedka wadajirka ah iyo qaab dhismeedka wareega ee stapler waa inuu noqdaa mid dabacsan oo aan caqabad lahayn.Xidhiidhka u dhexeeya jidhka stapler iyo qaybaha waa inuu ahaadaa mid adag oo la isku halayn karo.Ka dib markii stapler-ku uu madaxiisa u lulo xagasha ugu badan, waxa uu si guul leh u dhamaystiri karaa toogashada iyo dib u habeynta.Waxaa jira xoog wax ku xajin ah oo gaar ah ka dib marka daanka stapler la xiro, iyo xoogga isku dhejinta waa inuusan ka yarayn 4N.Waxaa jira xoog xidhid gaar ah ka dib marka daanka stapler la xiro, iyo xoogga xidhiddu waa in aanay ka yarayn 30N.Waxa ay leedahay hawl hal gacan oo gaar ah.Stapler-ku waa inuu lahaadaa wax-qabad wanaagsan iyo wax-goyn.Qaybaha la bedeli karo waxa loo isticmaali karaa goyn iyo istaajin badan oo aan ka yarayn 8 jeer.Goynta cirifka ka dib mid kasta oo ka mid ah waa inuu ahaadaa mid nadiif ah oo aan lahayn burs, iyo dhererka cirifka fog ee xariiq kasta oo dhejis ah waa inuu ka dheeraadaa xariiqda goynta Dhererku waa inuu ahaadaa ugu yaraan 1.5 jeer dhererka ciddiyaha, iyo xirmooyinka ka dib anastomosis kasta waa in loo qaabeeyaa sida "B".Xariiqda dhuuban ee ka dib anastomosis waa in ay lahaataa tabar xariiq toosan oo gaar ah, iyo xoogga tolnimada xarriiqda waa in aanu ka yarayn 0.1N/mm.Stapler-ku waa inuu lahaadaa qalab tilmaame jawaab celin habka toogashada taasoo tusin karta habka toogashada ama heerka.
III.Qaab dhismeedka ugu weyn
Qalabka goynta toosan ee endoscopic ee la tuuri karo iyo qaybaha ay ka kooban yihiin jirka iyo qaybaha, kaas oo jidhku ka kooban yahay anvil, madaxa wadajirka, ul, buro wareeg ah, paddle hagaajinta, badhanka beddelka jihada daabka, daaqada tilmaame toogashada, jihada daabka Ka kooban daaqad tilmaame, badhanka sii daynta, gacan-qabsiga, gacan-xidhka, gacan toogashada, mindida goynta, iyo kursiga kartuunada caadiga ah, shirku waxa uu ka kooban yahay kartooj iyo qalabyo.
IV.Baaxadda codsiga
Waxay ku habboon tahay dib-u-soo-celinta, ka-qaadista iyo anastomosis ee sambabada, unugyada bronki, caloosha iyo mindhicirka ee qalliinka furan ama endoscopic.

Eeg sawirka 1, sawirka 2, Shaxda 1, iyo Shaxda 2 ee noocyada iyo cabbirada aasaasiga ah ee staplers linear endoscopic iyo goynta qaybaha.

V. muuqaalka iyo qaab-dhismeedka alaabta

/endoscopic-stapler-product/

 

1-Kursiga ka-hortagga cidiyaha, 2-Madaxa wadajirka ah, 3-Usha;4-Buro wareeg;5-Qalabka hagaajinta;6-Badhanka beddelka jihada daab;7-Daaqadda tilmaamaysa rasaasta;8-Daaqadda tilmaame jihada daab;9-Badhanka sii daynta;10 - gacan ;11 - gacan-ku-xidhid;12 - gacan-qabsiga;13-middi goynta;14-kursiga cartridge cidiyaha

Jaantuska 1 Jirka stapler goynta toosan ee endoscopy la tuuri karo

 /endoscopic-stapler-product/

1-Staple bin 2-staaple

/endoscopic-stapler-product/

/endoscopic-stapler-product/

Jaantuska 2 Isku-xidhka stapler-ka toosan ee goynta loogu talagalay endoscope la tuuri karo

 

Shaxda 1 Cabirrada aasaasiga ah ee jidhka

Tilmaamaha Model

L (mm)

Dulqaadka (mm)

xagasha laabta W (°)

Dulqaadasho (°)

PESS35

190

±5

45

±10

PESM35

250

PESL35

350

PESS45

190

PESM45

250

PESL45

350

PESS60

190

PESM60

250

PESL60

350

PEPS35

190

PEPM35

250

PEPL35

350

PEPS45

190

PEPM45

250

PEPL45

350

PEPS60

190

PEPM60

250

PEPL60

350

Shaxda 1 Cabirrada aasaasiga ah ee jidhka

Fiiro gaar ah: Qaybaha dhererkoodu yahay 35 waxa loo isticmaali karaa oo keliya jidhka dhererkiisu yahay 35, qaybaha dhererkoodu yahay 45 waxa loo isticmaali karaa oo keliya jidhka oo dhererkiisu yahay 45, iyo qaybaha Dhererka u dhigma ee 60 waxa kaliya oo loo isticmaali karaa dherer isbarbar socda Jirku waa 60.

Shaxda 2 Cutubka cabbirka aasaasiga ah ee qaybaha: mm

model

midab

Dhererka xariiqda hal- saf ee ugu dheer ee shirka (L1)

Toler

ance (mm)

Dhererka asalka ah ee asalka ah (H)

Dulqaadka (mm)

model

midab

Dhererka xariiqda hal- saf ee ugu dheer ee shirka (L1)

Toler

ance (mm)

Dhererka asalka ah ee asalka ah (H)

Dulqaadka (mm)

PSGST35M

Dambas

35.2

±2

2

±0.2

PSEPR35M

Dambas

35.2

±2

2

±0.2

PSGST35W

Caddaan

35.2

2.6

PSEPR35W

Caddaan

35.2

2.6

PSGST35B

buluug

35.2

3.6

±0.15

PSEPR35B

buluug

35.2

3.6

±0.15

PSGST35D

dahab

35.2

3.8

PSEPR35D

dahab

35.2

3.8

PSGST35G

cagaar

35.2

4.1

±0.1

PSEPR35G

cagaar

35.2

4.1

±0.1

PSGST35T

madow

35.2

4.2

PSEPR35T

madow

35.2

4.2

PSGST45M

Dambas

47.2

2

±0.2

PSEPR45M

Dambas

47.2

2

±0.2

PSGST45W

Caddaan

47.2

2.6

PSEPR45W

Caddaan

47.2

2.6

PSGST45B

buluug

47.2

3.6

±0.15

PSEPR45B

buluug

47.2

3.6

±0.15

PSGST45D

dahab

47.2

3.8

PSEPR45D

dahab

47.2

3.8

PSGST45G

cagaar

47.2

4.1

±0.1

PSEPR45G

cagaar

47.2

4.1

±0.1

PSGST45T

madow

47.2

4.2

PSEPR45T

madow

47.2

4.2

PSGST60M

Dambas

59.3

2

±0.2

PSEPR60M

Dambas

59.3

2

±0.2

PSGST60W

Caddaan

59.3

2.6

PSEPR60W

Caddaan

59.3

2.6

PSGST60B

buluug

59.3

3.6

±0.15

PSEPR60B

buluug

59.3

3.6

±0.15

PSGST60D

dahab

59.3

3.8

PSEPR60D

dahab

59.3

3.8

PSGST60G

cagaar

59.3

4.1

±0.1

PSEPR60G

cagaar

59.3

4.1

±0.1

PSGST60T

madow

59.3

4.2

PSEPR60T

madow

59.3

4.2

PPGST35M

Dambas

35.2

2

±0.2

PPEPR35M

Dambas

35.2

2

±0.2

PPGST35W

Caddaan

35.2

2.6

PPEPR35W

Caddaan

35.2

2.6

PPGST35B

buluug

35.2

3.6

±0.15

PPEPR35B

buluug

35.2

3.6

±0.15

PPGST35D

dahab

35.2

3.8

PPEPR35D

dahab

35.2

3.8

PPGST35G

cagaar

35.2

4.1

±0.1

PPEPR35G

cagaar

35.2

4.1

±0.1

PPGST35T

madow

35.2

4.2

PPEPR35T

madow

35.2

4.2

PPGST45M

Dambas

47.2

2

±0.2

PPEPR45M

Dambas

47.2

2

±0.2

PPGST45W

Caddaan

47.2

2.6

PPEPR45W

Caddaan

47.2

2.6

PPGST45B

buluug

47.2

3.6

±0.15

PPEPR45B

buluug

47.2

3.6

±0.15

PPGST45D

dahab

47.2

3.8

PPEPR45D

dahab

47.2

3.8

PPGST45G

cagaar

47.2

4.1

±0.1

PPEPR45G

cagaar

47.2

4.1

±0.1

PPGST45T

madow

47.2

4.2

PPEPR45T

madow

47.2

4.2

PPGST60M

Dambas

59.3

2

±0.2

PPEPR60M

Dambas

59.3

2

±0.2

PPGST60W

Caddaan

59.3

2.6

PPEPR60W

Caddaan

59.3

2.6

PPGST60B

buluug

59.3

3.6

±0.15

PPEPR60B

buluug

59.3

3.6

±0.15

PPGST60D

dahab

59.3

3.8

PPEPR60D

dahab

59.3

3.8

PPGST60G

cagaar

59.3

4.1

±0.1

PPEPR60G

cagaar

59.3

4.1

±0.1

PPGST60T

madow

59.3

4.2

PPEPR60T

madow

59.3

4.2

 

VI.Contraindications
1).bararka xuubka daran;
2).Waa mamnuuc in qalabkan lagu isticmaalo unugyada beerka ama beeryarada.Sababtoo ah sifooyinka ciriiriga ah ee unugyadaas oo kale, xiritaanka qalabku wuxuu yeelan karaa saameyn xun;
3).Looma isticmaali karo qaybaha aan la arki karin hemostasis;
4).Qaybaha cawl looma isticmaali karo unugyo leh dhumuc ka yar 0.75mm ka dib marka la cadaadiyo ama unugyo aan si sax ah loo cadaadin karin dhumucda 1.0mm;
5).Qaybaha cadaanka ah looma isticmaali karo unugyo leh dhumuc ka yar 0.8mm ka dib marka la cadaadiyo ama unugyo aan si sax ah loo cadaadin karin dhumucda 1.2mm;
6).Qaybta buluuga ah waa inaan loo isticmaalin unug ka yar 1.3mm dhumucdiisuna ka dib ama aan si sax ah loo cadaadin karin dhumucdiisuna tahay 1.7mm.
7).Qaybaha dahabiga ah looma isticmaali karo unugyo leh dhumuc ka yar 1.6mm ka dib marka la isku riixo ama unugyo aan si sax ah loo cadaadin karin dhumucda 2.0mm;
8).Qaybta cagaarka ah waa in aan loo isticmaalin unug ka yar 1.8mm dhumucdiisuna ka dib ama aan si sax ah loo cadaadin karin dhumucdiisuna tahay 2.2mm.
9).Qaybta madow waa in aan loo isticmaalin unug ka yar 2.0mm dhumucdiisuna ka dib ama aan si sax ah loo cadaadin karin dhumucdiisuna tahay 2.4mm.
10).Waa mamnuuc in lagu isticmaalo nudaha ku yaal aorta.

VII.Sida loo isticmaalo
Tilmaamaha rakibida kartoonada muhiimka ah:
1).Ka soo saar qalabka iyo kartoonada muhiimka ah ee baakadaha ay ku jiraan ee hoos yimaada hawlgalka aseptic;
2).Kahor intaadan shubin kartridge-ka muhiimka ah, hubi in qalabku ku jiro xaalad furan;
3).Hubi in kartridge-ku uu leeyahay dabool ilaalin iyo in kale.Haddii kartridge-ku aanu lahayn dabool difaac, waa mamnuuc in la isticmaalo;
4).Ku dheji kartoonada caadiga ah xagga hoose ee kursiga kartuunada joogtada ah ee daanka, geli si simbiriirixan leh ilaa kartridge-ku la siman yahay bayonet-ka, ku hagaaji kartoonka raasamaal ee meesha oo ka saar daboolka difaaca.Waqtigaan, qalabku wuxuu diyaar u yahay inuu shido;(Fiiro gaar ah: Kahor inta aan meesha lagu rakibin kartridge-ka caadiga ah, fadlan ha ka saarin daboolka kartridge-ka caadiga ah.)
5).Marka aad soo dejinayso kartoonada daruuriga ah, ku riix kartridge-ka raajada dhinaca jihada kursiga ciddiyaha si aad uga sii dayso kursiga kartuunada caadiga ah;
6).Si aad u rakibto kartridge cusub, ku celi tillaabooyinka 1-4 ee kore.

Tilmaamaha qalliinka:
1).Xidh gacanta xidhitaanka, iyo dhawaaqa "guji" waxay muujinaysaa in gacanta xidhitaanka la xidhay, oo dusha sare ee kartridge-ka muhiimka ah uu ku jiro xaalad xiran;Xusuusin: Ha qaban gacanta toogashada wakhtigan
2).Marka la soo galo daloolka jidhka iyada oo loo marayo cannula ama jeexjeexa trocar, dusha sare ee qalabku waa inuu dhex maraa cannula ka hor inta aan la furin dusha sare ee kartridge staple;
3).Qalabku wuxuu galaa daloolka jidhka, riix badhanka sii-deynta, fur dusha sare ee qalabka, oo dib u dajin gacanta xidhitaanka.
4).Ku leexi buro-wareenka fartaada murdiya si aad u wareegto, waxaana lagu hagaajin karaa 360 darajo;
5).Dooro oog ku habboon (sida qaab-dhismeedka jidhka, xubin ama qalab kale) sida dusha xidhiidhka, ku soo celi suufka hagaajinta farta murdisada, isticmaal xoogga falcelinta oo leh dusha xidhiidhka si aad u hagaajiso xagasha foorarsiga ku habboon, oo hubi in kartoonada muhiimka ah waxay ku yaalaan gudaha garoonka aragga.
6).Ku hagaaji meelaynta qalabka unugga si loo ansixiyo/goynayo;
Fiiro gaar ah: Hubi in nudaha la dhigo meel siman inta u dhaxaysa sagxadaha occlusal, ma jiraan wax xannibaad ah oo ku yaal dusha sare ee occlusal, sida fiilooyinka, dhejiska, fiilooyinka hagaha, iwm., booskuna waa ku habboon yahay.Ka fogow goynta aan dhamaystirnayn, saxarada si liidata u samaysmay, iyo/ama guuldarada inaad furto meelaha qarsoon ee qalabka.
7).Ka dib marka uu qalabku doorto nudaha in la ansixiyo, xidh gacanta ilaa ay ka xidhan tahay oo maqlo/dareen codka "riix";
8).Qalabka toogashadaIsticmaal habka "3+1" si aad u samayso goynta iyo tolitaanka dhamaystiran;"3": si buuxda u qabso gacanta toogashada oo leh dhaqdhaqaaq siman, oo sii daa ilaa ay ku habboon tahay gacanta xidhitaanka.Isla mar ahaantaana, u fiirso in lambarka ku yaal daaqadda tilmaamayaasha toogashadu ay tahay "1" "Tani waa istaroog, tiradu waxay kordhin doontaa "1" istaroog kasta, wadar ahaan 3 istaroog oo isku xigta, ka dib markii saddexaad, daab Tilmaamaha tusaha daaqadaha labada dhinac ee gacanta go'an ee cad ayaa tilmaamaya meesha ugu dhow ee qalabka, taas oo muujinaysa in mindidu ay ku jirto qaabka Soo noqoshada, qabo oo sii daaya gacan-ku-dhufashada mar kale, daaqada tilmaamuhu waxay soo bandhigi doontaa 0, taas oo muujinaysa in mindida wuxuu ku noqday halkii uu ka bilaabay;
9).Riix badhanka siideynta, fur dusha sare ee occlusal, oo dib u deji gacanta toogashada ee gacanta xidhitaanka;
Fiiro gaar ah: Riix badhanka sii deynta, haddii dusha sare ee occlusal uusan furmin, marka hore xaqiiji in daaqada tilmaamuhu muujinayso "0" iyo haddii daaqada tilmaameha jihada daabku ay tilmaamayso dhinaca u dhow ee qalabka si loo hubiyo in mindidu ku jirto bilowga hore. booska.Haddii kale, waxaad u baahan tahay inaad hoos u riixdo batoonka beddelka jihada daabka si aad u beddesho jihada daabka, oo aad si buuxda u hayso gacanta toogashada ilaa ay ku habboon tahay gacanta xidhitaanka, ka dibna riix badhanka sii deynta;
10).Ka dib marka la sii daayo nudaha, hubi saameynta anastomosis;
11).Xir gacanta xidhitaanka oo soo saar qalabka.

VIII.Dayactirka alaabta iyo hababka dayactirka

1. Kaydinta: Ku kaydi qol leh qoyaan aan ka badnayn 80%, hawo fiican leh, oo aan lahayn gaas wax karaya
2. Gaadiidka: Baakadaha baakadaysan waxaa lagu qaadi karaa qalab caadi ah.Inta lagu jiro gaadiidka, waa in si taxadar leh loo maareeyaa lagana fogaado iftiinka qoraxda, isku dhaca rabshadaha, roobka iyo cufisjiida.
IV.Taariikhda uu dhacayo
Ka dib marka sheyga lagu nadiifiyo ethylene oxide, muddada jeermisku waa saddex sano, taariikhda dhicitaankuna waxay ku taal calaamadda.

X. Liiska qaybaha
midna

XI, Taxaddar, Digniin
1. Markaad isticmaalayso alaabtan, qeexida hawlgalka aseptic waa in si adag loo raaco;
2. Fadlan si taxadar leh u hubi baakadaha alaabtan ka hor intaanad isticmaalin, haddii baakadda biliijku ay dhaawacday, fadlan jooji isticmaalkeeda;
3. Alaabtan waxa lagu jeermiye ethylene oxide, iyo alaabta jeermis-dilaaca waxa loogu talagalay isticmaalka kiliinikada.Fadlan calaamadi tusaha saxanka ee ku yaal sanduuqa baakadaha jeermis-dilaha ee alaabtan, "buluug" macnaheedu waa in alaabta la nadiifiyey oo si toos ah loo isticmaali karo caafimaad ahaan;
4. Alaabtan waxaa loo isticmaalaa hal qalliin oo aan la nadiifin karin ka dib isticmaalka;
5. Fadlan hubi in alaabtu ay ku jirto muddada ansaxnimada ka hor isticmaalka.Muddada ansaxnimada jeermisku waa saddex sano.Alaabooyinka ka baxsan muddada ansaxinta waa mamnuuc;
6. Kulanka goynta laparoscopic ee ay soo saartay shirkadeena waa in loo adeegsadaa iyada oo lala kaashanayo nooca u dhiganta iyo qeexitaanka stapler goynta toosan ee laparoscopic ee la tuuri karo oo ay soo saartay shirkadeena.Faahfaahinta ka eeg Shaxda 1 iyo Shaxda 2;
7. Hawlgallada ugu yar ee duulaanka ah waa in ay sameeyaan dadka qaatay tababar ku filan oo yaqaan farsamooyinka ugu yar ee wax-ka-qabashada.Ka hor inta aan la samaynin wax kasta oo qalliinka ugu yar, suugaanta caafimaadka ee la xidhiidha farsamada, dhibaatooyinkeeda iyo khataraheeda waa in lala tashadaa;
8. Baaxadda qalabka ugu yar ee wax soo saarka ee ka soo saaraha kala duwan ayaa laga yaabaa inay kala duwanaato.Haddii qalabka qalliinka ee ugu yar ee qallafsan iyo qalabkooda ay soo saaraan warshado kala duwan loo isticmaalo hal hawlgal isku mar, waa lagama maarmaan in la hubiyo in ay ku habboon yihiin qalliinka ka hor;
9. Daaweynta shucaaca qalliinka ka hor waxay keeni kartaa isbeddello unugyada.Tusaale ahaan, isbeddelladani waxay keeni karaan dhumucdi unugyo ka baxsan waxa loo cayimay suunka la doortay.Daawaynta kasta oo bukaanka qalliinka ka hor waa in si taxadar leh loo tixgeliyo oo laga yaabaa inay u baahan tahay isbeddel ku yimaada farsamada qaliinka ama habka;
10. Ha sii dayn badhanka ilaa qalabku diyaar u yahay inuu shido;
11. Hubi inaad hubiso badbaadada kartoonada muhiimka ah ka hor intaanad rasaasayn;
12. Ka dib marka xabadda la rido, hubi inaad hubiso hemostasis-ka xariiqda anastomotic, hubi in anastomosku uu dhammaystiran yahay iyo haddii ay jiraan wax dheecaan ah;
13. Hubi in dhumucda nudaha ay ku dhex jirto xadka la cayimay iyo in nudaha si siman loogu qaybiyay stapler gudahooda.Unug aad u badan oo hal dhinac ah ayaa keeni kara anastomosis liidata, waxaana dhici karta in dheecaanka anastomotic uu dhaco;
14. Xaaladda xad-dhaafka ama nudaha qaro weyn, isku dayga in lagu qasbo kicinta waxay keeni kartaa tollimo aan dhamaystirnayn iyo dilaac ama dheecaan anastomotic ah oo suurtogal ah.Intaa waxaa dheer, waxyeellada qalabka ama fashilka dabku wuu iman karaa;
15. Hal darbo waa in la dhammeeyaa.Waligaa qayb ha shidin qalabka.Rasaasta aan dhammays tirnayn waxay keeni kartaa in si khaldan loo samaysto, xariiq goyn oo aan dhamaystirnayn, dhiigbaxa iyo ka daadashada tolka, iyo/ama ay ku adkaato qaadista qalabka;
16. Hubi inaad dabka ku shido ilaa dhamaadka si aad u hubiso in suunka si sax ah loo sameeyay iyo nudaha si sax ah loo gooyay;
17. Tuuji gacanta toogashada si aad u muujiso daabka goynta.Ha cadaadin gacanta si isdaba joog ah, taas oo dhaawac u geysan doonta goobta anastomosis;
18. Markaad gelinayso qalabka, hubi in badbaadadu ku jirto booska xidhan si aad uga fogaato firfircoonida kabaalka toogashada ee aan ku talagal ahayn, taasoo keentay soo-gaadhista shil ee daabka iyo daabulidda qayb ka mid ah ama si buuxda;
19. Waqtiga ugu badan ee wax-soo-saarka badeecadan waa 8 jeer;
20. Isticmaalka qalabkan oo leh qalabka xoojinta xariiqda anastomotic waxay yareyn kartaa tirada tallaalada;
21. Alaabtani waa aalad hal mar la isticmaalo.Mar alla markii la furo aaladda, iyada oo aan loo eegin in la isticmaalo iyo in kale, mar dambe lama nadiifin karo.Hubi inaad qufulka badbaadada ka hor inta aanad gacanta ku dhigin;
22. Ammaan ku jira xaaladaha qaarkood ee resonance nukliyeerka (MR):
Tijaabooyin aan bukaan-socod ahayn waxay muujinayaan in suunka la rakibo ee la geliyo darajada maadada TA2G loo isticmaali karo MR shuruud ahaan.Bukaanka si badbaado leh ayaa loo baari karaa isla markaaba ka dib gelinta caadiga ah xaaladaha soo socda:
Baaxadda magnetic magnetic waa kaliya inta u dhaxaysa 1.5T-3.0T.
Heerka ugu sarreeya ee dhul magnetic waa 3000 gauss/cm ama ka hooseeya.
Nidaamka MR ee ugu weyn ee la soo sheegay, baaritaanka 15 daqiiqo, celceliska nuugista jirka oo dhan (SAR) waa 2 W/kg.
Xaaladaha baarista, heerkulka ugu sarreeya ee suunka ayaa la filayaa inuu noqdo 1.9°C ka dib marka la sawiro 15 daqiiqo.
Macluumaadka artifalka ah:
Marka si aan bukaan ahayn loo tijaabiyo iyadoo la adeegsanayo sawirka isku xigxiga garaaca garaaca gradient echo iyo a static field magnetic 3.0T MR system, staples ayaa sababay artifacts qiyaastii 5 mm goobta la geliyo.
23. Fiiri calaamadda taariikhda wax-soo-saarka;


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