Iimpawu ezisebenzayo zomqeqeshi we-laparoscopic
Uqeqesho lwemanikin lwe Izakhono zotyando lwe-laparoscopic zingasetyenziselwa ukulinganisa ukuqeqeshwa kokuhlinzwa kwe-laparoscopic kwizifo eziqhelekileyo zesisu kunye nezixhobo zotyando ze-laparoscopic, iikhamera eziphezulu kunye nabahloli kwitafile yokusebenza kwi-operation, i-gynecology kunye ne-obstetrics.Iyakwazi ukwenza imisebenzi esisiseko yotyando lwe-laparoscopic, njengokusikeka, ukuhluba, ukopha, i-ligation, i-suture njalo njalo.
Isibuko esifanisiweyo se-laparoscopic se-30 degree singakwazi ukufezekisa injongo yokujonga ngeendlela ezininzi.Umthombo wokukhanya we-LED kunye nekhamera zifakwe kwilensi.Intsimi yomfanekiso wombono kwisigxina sesisu se-manikin siphuma kwisikrini sombala we-intshi engama-22, kwaye umqhubi usebenza ngokuqwalasela umfanekiso kwisikrini.
I-laparoscope efanisiweyo inokulungelelanisa ubude obugxininise ngokuzolula kunye nokulungelelanisa umgama phakathi kwe-lens kunye nenjongo yokutshintsha ukucaca komfanekiso.Xa i-lens isondele kwimodeli ye-intra-abdominal, inokufumana umfanekiso owandisiweyo wendawo, kwaye xa ibuyela ekuvulekeni kwe-cannula, inokufumana indawo ebanzi yombono kwisigxina sesisu.Inokulungiswa ngexesha ngokuchaneka kokusebenza kunye neemfuno zokujonga.Intsimi ephakathi yombono we-lens kufuneka ihambe kunye nesixhobo somqhubi ozayo, kwaye ulungelelanise uluhlu olufutshane okanye olude lwendawo yombono njengoko kufuneka.
Iimodeli ezahlukeneyo zoqeqesho zinokufakwa kumqolo wesisu esifanisiweyo, kubandakanywa: imodeli yembotyi enemibala, imodeli yeferrule, imodeli yeplate ye-suture, imodeli ye-suture ye-multi shape, imodeli ye-cystic organ, imodeli ye-cecal appendix, imodeli yesibindi kunye ne-gallbladder, imodeli yesibeleko kunye nezixhobo, imodeli yokuthunga. , imodeli yekholoni eguquguqukayo, imodeli yezintso kunye ne-ureter, i-pancreas kunye ne-spleen model, imodeli ye-vascular, imodeli yamathumbu, imodeli yokubambelela kwi-organ.Enye yeemodeli ezahlukeneyo zoqeqesho inokukhethwa ngokweemfuno zokufundisa, Yibeke kumgodi wesisu.
Imodeli yeFerrule: Amagwegwe entsimbi amathandathu aguqulweyo amile okwe-L abekwe kwibhloko yerabha yesilinda, kwaye abafundi abaqeqeshwayo basebenzisa iinzipho ukubamba iluphu encinci kwaye bayibeke kuyo de igcwale.Uqeqesho oluphindaphindiweyo lunokuphucula ngokuthe ngcembe isantya.
Imodeli yembotyi enemibala: bamba iimbotyi ezinemibala eyahlukeneyo kwisikhongozeli, bamba imibala echaziweyo, kwaye uyibambe kwizikhongozeli zazo.
Imodeli ye-threading: phezulu kweebhloko ze-rubber ze-conical ezingaphezu kwe-10 zixhotyiswe ngendandatho yentsimbi kunye nobubanzi be-2-3mm.I-suture igxininiswe ngesibambi senaliti kwaye idluliselwe kwindandatho yensimbi nganye nganye de kube ukugqitywa kugqitywe.
Imodeli ye-Cystic organ: inxalenye ebhityileyo inokusikwa kwaye ifakwe i-anastomosed, kwaye inxalenye edumbileyo inokusikwa kwaye ifakwe i-sutured okanye isikwe kunye ne-anastomosed.
Imodeli yeVascular: Ukuqeqeshwa kwenqanawa encinci ye-ligation inokuqhutywa.
Iimodeli zamalungu ahlukeneyo angaphakathi: xa zisetyenziswa, zifakwe kwi-plate yangemva ukukhusela ukunyakaza ngexesha lokusebenza.Amalungu ahlukeneyo anokusikwa, ayeke ukopha, akhululwe, athungwe kwaye afakwe amaqhina.
Imodeli yesibindi se-gallbladder: uqeqesho lwe-cholecystectomy lunokwenziwa.
Imodeli yezintso kunye ne-ureter: i-anastomosis ye-ureter kunye nokususwa kwamatye kunokwenziwa.
Imodeli yamathumbu: intestinal (incision) anastomosis inokwenziwa.
Imodeli ye-appendix ye-Cecal: Uqeqesho lwe-Appendectomy lunokwenziwa, ezinye izitho zinokuthi zenziwe ezifana nokuhluthwa, ukuchithwa kunye ne-suture, kunye ne-appendiceal artery efanisiweyo kunye ne-gallbladder artery inokutshintshwa.
Uqeqesho kwizakhono zokusebenza zomqeqeshi we-laparoscopy
Ngoqeqesho, abaqalayo botyando lwe-malocclusion yesisu banokuqala ukuziqhelanisa nokutshintsha ukusuka kwi-stereovision phantsi kombono othe ngqo ukuya kumbono wendiza wemonitha, ukwenza uqhelaniso kunye nokulungelelaniswa kolungelelwaniso, kwaye ukhethe izakhono ezahlukeneyo zokusebenza kwesixhobo.
Akukho ntlukwano kuphela kubunzulu, ubukhulu, kodwa kunye nokungafani kwimbono, ukuqhelaniswa kunye nokulungelelaniswa kwentshukumo phakathi kokuhlinzwa kwe-laparoscopic kunye nokuhlinzwa kombono ngokuthe ngqo.Abaqalayo kufuneka baqeqeshelwe ukuziqhelanisa nolu tshintsho.Enye yezinto eziluncedo zotyando lombono othe ngqo kukuba i-stereovision eyenziwe ngamehlo amabini omqhubi inokwahlula indawo phakathi kude nakufuphi naphakathi komnye nomnye ngenxa yee-engile zokubonwayo ezahlukeneyo xa kujongwa izinto kunye nemimandla yotyando, kwaye iqhube ukuguqulwa okuchanekileyo.Imifanekiso efunyenwe nge-laparoscopy, ikhamera kunye nenkqubo yokubeka iliso kumabonakude yome kakhulu kumbono we-monocular kwaye ayinayo ingqiqo ye-stereoscopic, ngoko kulula ukuvelisa iimpazamo xa ugweba umgama ophakathi kunye kufuphi.Kumphumela wamehlo wombala owenziwe yi-endoscope eyomileyo (xa i-endoscope yesisu ijika kancinane, into efanayo iya kubonisa iimilo zejometri ezahlukeneyo kwisikrini se-TV), umqhubi kufuneka alungelelanise ngokuthe ngcembe.Ngoko ke, kuqeqesho, kufuneka sifunde ukubamba ubungakanani bento nganye emfanekisweni, siqikelele umgama phakathi kwabo kunye nenqwelomoya engalunganga yenjongo yesisu egxininisiweyo ngokudibanisa nobukhulu bequmrhu lokuqala, kwaye usebenze isixhobo.Umsebenzisi kunye nomncedisi kufuneka aqinise ngengqondo ingqiqo yombono wendiza, kwaye agwebe ngqo indawo yezixhobo kunye nezitho ngokumalunga nokumila kunye nobukhulu bamalungu kunye nezixhobo kwindawo yotyando emva kwe-microscopy yokukhanya, kunye nobukhulu bokukhanya komfanekiso.
Ukuqhelaniswa okuqhelekileyo kunye nekhono lokulungelelanisa yimiqathango eyimfuneko yokusebenza ngempumelelo.Umsebenzisi umisela ukuqhelaniswa nokujoliswe kuko kunye nomgama ngokolwazi olufunyenwe kumbono kunye noqhelaniso, kwaye inkqubo yentshukumo ilungelelanisa isenzo sokusebenza.Oku kuye kwakha umboniso opheleleyo kubomi bemihla ngemihla kunye nokuhlinzwa kombono ngokuthe ngqo, kwaye isetyenziselwa yona.Ukusebenza kwe-Endoscopic, okufana ne-cystoscopic ureteral intubation, kulula ukuziqhelanisa ne-orientation kunye nokulungelelaniswa kokunyakaza komsebenzisi ngenxa yokuba isalathiso sesibuko esifutshane sihambelana nesalathiso sokusebenza.Nangona kunjalo, xa utyando lwesisu lwe-TV lungalunganga, ukuqhelaniswa kunye nokulungelelaniswa okwenziwe ngamava angaphambili kaninzi kukhokelela ekusebenzeni okungalunganga, njengomsebenzi omi kwicala lasekhohlo lesigulane esisezantsi, kwaye isikrini seTV asibekwanga ezinyaweni umonde.Ngeli xesha, umfanekiso weTV ubonisa indawo kaJing Yi, Umqhubi uya kwandisa isixhobo ukuya kwicala lesikrini seTV, kwaye akholelwe ngempazamo ukuba oku kusondela kwiJingyi, kodwa enyanisweni, isixhobo kufuneka sandiswe kwindawo enzulu. umphezulu ukufikelela kwiseminal vesicle.Oku kubonakaliswa kolwalathiso olwenziwe lutyando lombono ngokuthe ngqo kunye nokusebenza okungalunganga kwe-endoscope kwixesha elidlulileyo.Xa utyando lwesisu lweTV lungalunganga, aluyi kusebenza.Xa ejonga umfanekiso kamabonwakude, umqhubi ufanele agqibe ngenyameko phakathi kwesixhobo esisesandleni sakhe namalungu afanelekileyo akwisisu somguli, aze akhawuleze ahlehle, Kuphela ngokujikelezisa okanye ukujikelisa, nokulawula ubungakanani bokuphakama kwesigulana. i-clamp mayiqhutywe kwindawo yotyando.Umsebenzisi kunye nomncedisi kufuneka bamisele ukuqhelaniswa kwezixhobo zabo kumfanekiso weTV ofanayo ngokwezikhundla zabo ngaphambi kokuba basebenzisane nomsebenzi.Isikhundla se-laparoscope kufuneka sitshintshwe kancinci kangangoko.Ukujikeleza okuncinci kunokujikeleza okanye kude kubuyisele umva umfanekiso, kwenze ukuqhelaniswa kunye nokulungelelaniswa kube nzima ngakumbi.Ukuziqhelanisa kwibhokisi yoqeqesho okanye isikhwama se-oksijini ngamaxesha amaninzi kunye nokusebenzisana komnye nomnye kunokukwenza ukuba i-orientation kunye nekhono lokulungelelanisa lilungele imeko entsha, ukunciphisa ixesha lokusebenza kunye nokunciphisa ukuxhatshazwa.
Ixesha lokuposa: Jul-08-2022
