Indlela yokusebenza ye-stapler

Indlela yokusebenza ye-stapler

I-Stapler ngumdlali wokuqala we-stapler emhlabeni.Isetyenziswe kwi-anastomosis yesisu malunga nenkulungwane.Kwakungekho kude kube ngo-1978 ukuba i-tubular stapler yayisetyenziswa ngokubanzi kwi-gastrointestinal operation.Ngokuqhelekileyo yahlulahlulwe kwixesha elinye okanye i-staplers yosetyenziso oluninzi, i-staplers evela kumazwe angaphandle okanye yasekhaya.Luhlobo lwezixhobo ezisetyenziselwa amayeza ukubuyisela i-suture ye-manual yendabuko.Ngenxa yophuhliso lwenzululwazi yale mihla kunye nobuchwepheshe kunye nokuphuculwa kobugcisa bokuvelisa, i-stapler esetyenziswa kwiklinikhi ineenzuzo zomgangatho othembekileyo, ukusetyenziswa ngokufanelekileyo, ukuxinana kunye nokuqina okufanelekileyo.Ngokukodwa, ineenzuzo ze-suture ekhawulezayo, ukusebenza okulula kunye nemiphumo embalwa kunye neengxaki zotyando.Ikwavumela ukuba kususwe ugxininiso lotyando lwethumba olungachaswanga kwixesha elidlulileyo.

I-Stapler sisixhobo sonyango esithatha indawo ye-suture manual.Umgaqo wayo oyintloko wokusebenza kukusebenzisa izikhonkwane ze-titanium ukuphula okanye izicubu ze-anastomose, ezifana ne-stapler.Ngokutsho kobubanzi obuhlukeneyo besicelo, inokohlulwa ibe yi-stapler yesikhumba, i-digestive tract (umqalanzo, i-gastrointestinal, njl.) .

Xa kuthelekiswa nomthungo wesandla oqhelekileyo, isixhobo sokuthunga sesixhobo sineenzuzo ezilandelayo:

1. ukusebenza okulula kunye nokufanelekileyo, ukugcina ixesha lokusebenza.

Ukusetyenziswa okukodwa ukuphepha usulelo lomnqamlezo.

Sebenzisa isikhonkwane se-titanium okanye isikhonkwane sensimbi engenasici (i-skin stapler) ukuthunga ngokuqinileyo ngokuqina okuphakathi.

Ineziphumo ebezingalindelekanga ezimbalwa kwaye inokunciphisa ngempumelelo iingxaki zotyando.

Indlela yokusetyenziswa kwe-stapler ichazwa yi-intestinal anastomosis.I-intestinal proximal of the anastomosis is sutured nge-purse, ibekwe kwisihlalo sezikhonkwane kwaye iqiniswe.I-stapler ifakwe ukusuka kwindawo ekude, ihlatywe ngaphandle kweziko le-stapler, idityaniswe nentonga ephakathi ye-stapler esondelelene nesihlalo sezikhonkwane, ijikelezwe kufuphi nodonga olude kunye nolusondeleyo lwamathumbu, kunye nomgama phakathi kwe-stapler ngokuchasene nesihlalo sezikhonkwane. kwaye isiseko sihlengahlengiswa ngokobunzima bodonga lwamathumbu, Ngokuqhelekileyo yi-1.5 ~ 2.5cm okanye ukujikeleza kwesandla kuqinile (kukho isalathisi sokuqina kwisibambo) ukuvula i-fuse;