Na'urorin lantarki(ESU) kayan aiki ne na lantarki wanda ke amfani da wutar lantarki mai ƙarfi don yanke nama da sarrafa zubar jini ta hanyar haifar da coagulation.Yana heats nama a lokacin da high-mita high-voltage halin yanzu generated da m electrode tip a lamba tare da jiki, da kuma gane rabuwa da coagulation na jiki nama, game da shi cimma manufar yanke da hemostasis.
ESU na iya amfani da yanayin monopolar ko yanayin bipolar
1.Monopolar yanayin
A cikin yanayin monopolar, ana amfani da cikakkiyar da'ira don yanke da ƙarfafa nama.Da'irar ta ƙunshi janareta mai saurin mita, faranti mara kyau,kebul na ƙasa mai haɗa ƙasada lantarki.Tasirin dumama na raka'o'in lantarki masu saurin-girma na iya lalata nama mara lafiya.Yana tattara babban maɗaukaki da ƙararraki na halin yanzu kuma yana lalata nama a wurin da yake tuntuɓar ƙarshen ingantacciyar wutar lantarki.Solidification yana faruwa ne lokacin da zafin jiki na nama ko tantanin halitta da ke hulɗa da lantarki ya tashi zuwa raguwar furotin a cikin tantanin halitta.Wannan madaidaicin tasirin aikin tiyata ya dogara da sifar igiyar igiyar ruwa, ƙarfin lantarki, halin yanzu, nau'in nama, da siffar da girman wutar lantarki.
2. Yanayin Bipolar
Kewayon aikin yana iyakance ga ƙarshen biyu nakarfin bipolar, da kuma lalacewa da kewayon tasiri na ƙarfin karfi sun fi ƙanƙanta fiye da na monopolar.Ya dace da toshe ƙananan tasoshin jini (diamita <4 mm) da bututun fallopian.Sabili da haka, ana amfani da coagulation na bipolar a cikin tiyata na kwakwalwa, microsurgery, halaye guda biyar, likitan mata da likitan mata, tiyata ta hannu, da dai sauransu. Ana gane amincin manyan sassan electrosurgical bipolar coagulation a hankali, kuma a hankali kewayon aikace-aikacensa yana fadadawa.
Ƙa'idar aiki na Ƙungiyoyin Electrosurgical
A cikin aikin tiyata na lantarki, halin yanzu yana gudana dagaPencil na electrosurgicala cikin jikin mutum, kuma yana gudana akan faranti mara kyau.Yawan mitar mu na yau da kullun shine 50Hz.Hakanan zamu iya yin aikin tiyata na lantarki a cikin wannan rukunin mitar, amma na yanzu na iya haifar da kuzari da yawa ga jikin ɗan adam kuma yana haifar da mutuwa.Bayan mitar halin yanzu ya wuce 100KHz, jijiyoyi da tsokoki ba su ƙara yin martani ga halin yanzu.Don haka, manyan raka'o'in aikin tiyata na lantarki suna canza 50Hz halin yanzu na mains zuwa babban mitar halin yanzu wanda ya wuce 200KHz.Ta wannan hanyar, babban ƙarfin kuzari na iya ba da ƙarancin kuzari ga mai haƙuri.Babu haɗarin girgiza wutar lantarki ta jikin ɗan adam.Daga cikin su, rawar da mummunan farantin zai iya samar da madauki na yanzu, kuma a lokaci guda ya rage yawan halin yanzu a farantin lantarki, don hana halin yanzu daga barin majiyyaci kuma ya koma zuwa sassan electrosurgical mai girma don ci gaba da zafi. nama da ƙone maras lafiya.
Dangane da ka'idar aiki na raka'a mai ƙarfi na lantarki, muna buƙatar kula da abubuwan aminci masu zuwa yayin amfani:
l Amintaccen amfani da farantin mara kyau
Na'urorin lantarki masu saurin mitar lantarki na yanzu suna sanye da fasahar keɓewa mai tsayi, kuma keɓantaccen babban mitar halin yanzu yana amfani dafaranti mara kyaua matsayin tashar kawai don komawa zuwa da'irar raka'a mai girma na lantarki.Ko da yake keɓantaccen tsarin kewayawa zai iya kare majiyyaci daga ƙonawa daga madadin da'ira, ba zai iya guje wa ƙonawa ta hanyar matsaloli tare da haɗin faranti mara kyau ba.Idan wurin tuntuɓar da ke tsakanin faranti mara kyau da mai haƙuri bai isa ba, za a tattara na yanzu a cikin ƙaramin yanki, kuma zafin jiki na mummunan farantin zai tashi, wanda zai iya haifar da ƙonewa ga mai haƙuri.Kididdiga ta nuna cewa kashi 70% na rukunonin aikin tiyatar lantarki da aka ruwaito suna kona hadurra suna faruwa ne sakamakon gazawar farantin lantarki mara kyau ko tsufa.Don guje wa konewar farantin mara kyau ga mai haƙuri, dole ne mu tabbatar da wurin tuntuɓar farantin mara kyau da mai haƙuri da halayen sa, kuma ku tuna don guje wa yin amfani da maimaitawa.faranti mara kyau na yarwa.
l Wurin shigarwa mai dacewa
Yi ƙoƙarin kasancewa kusa da wurin aiki (amma ba ƙasa da 15cm ba) tare da yanki mai wadataccen tsoka mai wadatar jini;
Cire gashi daga fata na gida kuma kiyaye shi da tsabta kuma bushe;
Kada ku ketare wurin aiki hagu da dama, kuma ku kasance fiye da 15cm nesa da na'urar ECG;
Kada a sami abubuwan dasa ƙarfe, na'urorin bugun zuciya, ko na'urorin lantarki na ECG a cikin madauki;
Dogon gefen farantin yana kusa da shugabanci na halin yanzu mai girma.
l Kula da hankali lokacin shigar da farantin mara kyau
Ya kamata a haɗa farantin karfe da fata sosai;
Rike farantin igiya a lebur kuma kada a yanke ko ninka;
Ka guji jiƙa faranti na polar lokacin kashewa da wankewa;
Yaran da ke ƙasa da 15Kg ya kamata su zaɓi faranti na jarirai.
l Wasu al'amura masu buƙatar kulawa
Bincika ko wutar lantarki da layukan lantarki sun karye kuma an fallasa wayoyin ƙarfe;
Haɗa daElectrosurgical Pencilzuwa na'ura, fara binciken kai, kuma daidaita ikon fitarwa bayan ya nuna cewa an shigar da farantin mara kyau daidai kuma babu alamar ƙararrawa;
A guji ƙonawa ta hanyar wucewa: ana naɗe gaɓoɓin majiyyaci a cikin zane kuma an gyara su yadda ya kamata don guje wa haɗuwa da fata (kamar tsakanin hannun mara lafiya da jiki).Kar a tuntuɓi karfen ƙasa.A ajiye aƙalla 4cm na bushewa tsakanin jikin mara lafiya da gadon ƙarfe.Rufewa;
Guji zubewar kayan aiki ko gajeriyar kewayawa: kar a hura wayar a kusa da abubuwan ƙarfe;haɗa shi idan akwai na'urar waya ta ƙasa;
Bayan mai haƙuri ya motsa, duba wurin tuntuɓar farantin mara kyau ko akwai wani ƙaura;
Lokacin aikawa: Satumba-13-2021