Ukuqeqeshwa ngamakhono okusebenza weibhokisi lokuqeqesha lokulingisa
Ngokuqeqeshwa, abaqalayo bokuhlinzwa kwe-laparoscopic bangaqala ukuzivumelanisa noshintsho ukusuka kumbono we-stereo ngaphansi kombono oqondile ukuya embonweni wendiza wokuqapha, ukuzivumelanisa nokuma nokuxhumana, futhi bajwayelane namakhono ahlukahlukene wokusebenza kwezinsimbi.
Akukhona nje umehluko ekujuleni, ubukhulu, kodwa futhi umehluko embonweni, ukuqondisa kanye nokuxhumana kokunyakaza phakathi kokusebenza kwe-laparoscopic nokusebenza kombono oqondile.Abaqalayo kufanele baqeqeshwe ukuze bazivumelanise nalolu shintsho.Enye yezinto eziwusizo zokuhlinzwa kombono oqondile umbono we-stereo owenziwe ngamehlo omsebenzisi.Lapho ubheka izinto nezinkambu zokusebenza, ngenxa yemibono ehlukene, ingakwazi ukuhlukanisa ibanga nezikhundla ezifanayo, futhi yenze ukukhohlisa okunembile.Izithombe ezitholwe nge-laparoscopy, uhlelo lokuqapha ikhamera nomabonakude zilingana nalezo ezibonwa ngombono we-monocular futhi azinawo umuzwa we-three-dimensional, ngakho-ke kulula ukukhiqiza amaphutha ekwahluleleni ibanga eliphakathi nendawo eseduze.Ngokuqondene nomphumela we-fisheye owakhiwe i-endoscope (lapho i-laparoscope ichezukile kancane, into efanayo iveza izimo zejiyomethri ezihlukene kusikrini se-TV), umqhubi kufanele azivumelanise kancane kancane.Ngakho-ke, ekuqeqesheni, kufanele sifunde ukubamba usayizi wento ngayinye esithombeni, silinganise ibanga phakathi kwabo nesibuko senhloso ye-laparoscopic ngokuhambisana nobukhulu benhlangano yasekuqaleni, futhi sisebenzise ithuluzi.
Ama-opharetha nabasizi kufanele ngokuqaphela baqinise umuzwa wokubona kwendiza, bahlulele ngqo indawo ezikuyo nezitho zomzimba ngokuya ngokuma nobukhulu bezitho nezinsimbi endaweni yokusebenza ngesibonakhulu esikhanyayo, kanye nokuqina kokukhanya kwesithombe.Ukuma okujwayelekile kanye nekhono lokuxhumanisa yizimo ezidingekayo ukuze kuphumelele ukuhlinzwa kokuhlinzwa.Umsebenzisi unquma umumo nebanga eliqondiwe ngokolwazi olutholwe ngokubona nokuma, futhi isistimu yokunyakaza ihlanganisa isenzo sokusebenza.Lokhu kuye kwakha ukucabangela okuphelele ekuphileni kwansuku zonke kanye nokuhlinzwa okuqondile kombono, futhi kusetshenziselwa khona.Ukusebenza kwe-Endoscopic, okufana ne-cystoscopic ureteral intubation, kulula ukuzivumelanisa nokuma nokunyakaza kokuxhumana komsebenzisi ngoba isiqondiso se-endoscope sihambisana nesiqondiso sokusebenza.Kodwa-ke, ekuhlinzeni kwe-laparoscopic ye-TV, ukuqondiswa kanye nokuxhumana okwakhiwa esikhathini esidlule kuvame ukuholela ekunyakazeni okungalungile.
Isibonelo, u-opharetha uma ohlangothini lwesobunxele lwesiguli esilele futhi isikrini se-TV sibekwe onyaweni lwesiguli.Ngalesi sikhathi, uma isithombe se-TV sibonisa indawo ye-seminal vesicle, u-opharetha uzojwayela ukunweba ithuluzi liye lapho kuqondiswa khona isikrini se-TV futhi ngephutha acabange ukuthi isondela ku-seminal vesicle, kodwa empeleni, ithuluzi kufanele linwetshwe. endaweni ejulile ukuze ufinyelele i-seminal vesicle.Lokhu ukubonakaliswa kokuqondisa okwakhiwa ukuhlinzwa okuqondile kombono kanye nokusebenza kwe-endoscopic esikhathini esidlule.Ayilungele ukuhlinzwa kwe-laparoscopic ye-TV.Lapho ebuka izithombe ze-TV, umqhubi kufanele aqaphele ngokuqaphela indawo ehlobene phakathi kwamathuluzi asesandleni sakhe nezitho ezifanele ezisesiswini sesiguli, enze okufanelekile ukuya phambili, emuva, ukuzungezisa noma ukuthambekela, futhi alawule ubukhulu, ukuze enze ukwelashwa okunembile. of forceps, clamps, traction, electric cutting, clamping, knotting nokunye endaweni yokuhlinzwa.Umsebenzisi nomsizi kufanele banqume ukuma kwamathuluzi abo esithombeni esifanayo se-TV ngokuya ngendawo yabo ngaphambi kokuba babambisane nomsebenzi.Isikhundla se-laparoscope kufanele sishintshwe kancane ngangokunokwenzeka.Ukuzungezisa okuncane kungase kujikeleze noma kuhlehlise isithombe, kwenze umumo nokuxhumana kube nzima kakhulu.Zijwayeze ebhokisini lokuqeqesha noma esikhwameni se-oxygen izikhathi eziningi futhi nibambisane, okungenza ikhono lokumamela nokuxhumanisa livumelane kangcono nesimo esisha, lifinyeze isikhathi sokusebenza futhi linciphise ukuhlukumezeka.
Isikhathi sokuthumela: May-16-2022
