Sicela ufunde incwadi yeziqondiso ngokucophelela ngaphambi kokufaka nokusebenzisa lo mkhiqizo
Uhlobo nobukhulu obuyisisekelo be-i-endoscope linear cutting stapler ziboniswa kuMfanekiso 3.
8. Induku yokudlulisa 9. Ikesi 10. Isibambo sokuqondisa 11. Isibambo sokuqondisa 12. Inkinobho yokudubula 13. Isibambo esisunduza 14. Isibambo esinyakazayo 15. Isibambo esigxilile
Umfanekiso 3: Umdwebo oyisikimu wesakhiwo se-endoscopic linear cutting stapler
Contraindications of endoscopic linear cutter stapler
1. I-edema ye-mucosal enzima;
2. Akuvunyelwe ngokuphelele ukusebenzisa le divayisi esibindini noma esicutshini sobende.Ngenxa yezici zokucindezelwa kwezicubu ezinjalo, ukuvala idivayisi kungase kube nomphumela olimazayo;
3. Ngeke isetshenziswe ezingxenyeni lapho i-hemostasis ingabonakali khona;
4. Izingxenye ezimpunga nezingxenye ezinsundu azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-0.75mm ngemva kokucindezelwa, noma izicubu ezingakwazi ukucindezelwa kahle zibe ukujiya okungu-1.0mm noma izicubu ku-aorta;
5. Izingxenye ezimhlophe azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-1.0mm ngemva kokucindezelwa, noma izicubu ezingakwazi ukucindezelwa zibe ugqinsi luka-1.5mm noma izicubu ku-aorta;
6. Ingxenye eluhlaza okwesibhakabhaka kanye nengxenye ensomi ngeke isetshenziselwe izicubu ugqinsi lwazo lungaphansi kuka-1.5m ngemva kokucindezelwa, noma izicubu ezingakwazi ukuminyaniswa kahle zibe ukujiya okungu-2.0m noma izicubu ku-aorta.
7. Izingxenye ezimnyama azikwazi ukusetshenziselwa izicubu ezinogqinsi olungaphansi kuka-1.75mm ngemva kokucindezelwa, noma izicubu ezingakwazi ukucindezelwa kahle zibe ugqinsi oluyi-2.25m noma izicubu ku-aorta;
8. Izingxenye eziluhlaza azikwazi ukusetshenziselwa izicubu ugqinsi lwazo lungaphansi kuka-2.0mm ngemva kokucindezelwa, noma izicubu ezingakwazi ukucindezelwa zibe ukujiya okungu-2.5mm noma izicubu ku-aorta.
Ukufakwa kwe-endoscopic linear cutter stapler:
Indlela yokusebenzisa izingxenye ze-S-cutting:
1. Khetha umzimba we-stapler kanye nezingxenye ezihambisanayo ngokusho kobubanzi obuhlukene bokusebenza ngesikhathi sokusebenza.
2. Faka izingxenye
Faka izakhi emzimbeni.Qondanisa isokhethi yengxenye nesokhethi phezulu komzimba (uphawu lwenkomba engxenyeni kanye nophawu lwenkomba emzimbeni kufanele luqondaniswe), bese ulufaka ekugcineni.(Umfanekiso 4) Bese uzungezisa ingxenye ngokuphambene newashi ngamadigri angu-45, futhi ingxenye izokhiywa.(Umfanekiso 5)
Isaziso:
I-1) Ingxenye ilayishwe esimweni esivulekile futhi ayikwazi ukuvalwa;
2) Ungasusi isembozo sokuzivikela semodyuli ngaphambi kokuba imodyuli ifakwe;
3) Qinisekisa ukuthi isibambo sokusunduza emzimbeni sihoxiswe ngokugcwele.(Isithombe 6)
Ngemva kokufakwa kwezingxenye, bamba ngokuqinile isibambo esinyakazayo kanye ukuze uvale imihlathi, bese udonsa isibambo sokusunduza emuva ukuze uvule imihlathi ngokugcwele.
3. Izingxenye zokuthulula
Khipha ingxenye emzimbeni.
Donsela inkinobho yokuvula emuva, jikisa inhlangano ibe ngamadigri angu-45 ngokwewashi, bese udonsela umzimba phambili.(Isithombe 7)
Isikhathi sokuthumela: Oct-27-2022