Ibihe Byinshi bya Electrosurgical Units-Ihame ryakazi hamwe nubwitonzi bwo gukoresha neza

Amashanyarazi.Ashyushya ingirangingo mugihe cyumuvuduko mwinshi wumuriro mwinshi utangwa numuyoboro mwiza wa electrode uhuye numubiri, kandi ukamenya gutandukanya no guhuza ingirangingo z'umubiri, bityo ukagera kumigambi yo gukata na hemostasis.

ESU irashobora gukoresha monopolar cyangwa uburyo bwa bipolar

1.Uburyo bwa monopolar

Muburyo bwa monopolar, uruziga rwuzuye rukoreshwa mugukata no gukomera.Umuzunguruko ugizwe na generator yumurongo mwinshi, isahani mbi,umuhuza wubutaka bwa kabilina electrode.Ingaruka zo gushyushya amashanyarazi menshi yumuriro arashobora gusenya ingirangingo zirwaye.Ikusanya ubucucike bwinshi hamwe numuyoboro mwinshi kandi ikangiza ingirabuzimafatizo aho ihurira nisonga rya electrode ikora neza.Gukomera bibaho mugihe ubushyuhe bwa tissue cyangwa selile ihuye na electrode yazamutse kugeza kuri proteine ​​muri selile.Ingaruka nyayo yo kubaga iterwa na flimform, voltage, ikigezweho, ubwoko bwa tissue, nuburyo nubunini bwa electrode.

2.Uburyo bubiri

Urwego rwibikorwa rugarukira kumpera zombi zaimbaraga za bipolar, kandi ibyangiritse nurwego rwingufu zingufu ni nto cyane ugereranije na monopolar.Irakwiriye guhagarika imiyoboro mito yamaraso (diameter <4 mm) hamwe nigituba cya fallopian.Kubwibyo, bipolar coagulation ikoreshwa cyane cyane mu kubaga ubwonko, kubaga microsurgurgie, ibintu bitanu biranga, kubyara n’abagore, kubaga intoki, n’ibindi.

Amashanyarazi akora amahame yo gukora

Mu kubaga amashanyarazi, ikigezweho kiva kuriIkaramu y'amashanyarazimu mubiri w'umuntu, kandi isohoka ku isahani mbi.Mubisanzwe imiyoboro yacu nyamukuru ni 50Hz.Turashobora kandi kubaga amashanyarazi muri bande yumurongo, ariko ikigezweho gishobora gutera imbaraga nyinshi mumubiri wumuntu kandi bigatera urupfu.Nyuma yumurongo wubu urenze 100KHz, imitsi n'imitsi ntibigikora kubyubu.Kubwibyo, amashanyarazi menshi yumuriro wa elegitoronike uhindura 50Hz yumuyagankuba mumashanyarazi menshi arenga 200KHz.Muri ubu buryo, imbaraga nyinshi-zishobora gutanga imbaraga nkeya kumurwayi.Nta kaga ko guhitanwa n amashanyarazi binyuze mumubiri wumuntu.Muri byo, uruhare rw'isahani itari nziza rushobora gukora uruzinduko rugezweho, kandi icyarimwe rukagabanya ubucucike buriho kuri plaque ya electrode, kugira ngo umuyaga utava mu murwayi kandi ugasubira mu bice byinshi bya elegitoroniki kugira ngo ukomeze gushyuha tissue no gutwika umurwayi.

Twihweje ihame ryakazi ryibice byinshi bya elegitoroniki ya elegitoroniki, dukeneye kwitondera ibintu bikurikira byumutekano mugihe cyo gukoresha:

Gukoresha neza isahani mbi

Ibice bigezweho bya elegitoroniki ya elegitoroniki ifite ibikoresho byikoranabuhanga byo kwiherera cyane ， hamwe n’umuyoboro mwinshi wifashishije gusaisahani mbinkumuyoboro wonyine wo kugaruka kumurongo mwinshi wa electrosurgical unit circuit.Nubwo sisitemu yumuzunguruko yitaruye irashobora kurinda umurwayi gutwikwa nubundi buryo, ntishobora kwirinda gutwikwa biterwa nibibazo bifitanye isano na plaque mbi.Niba ahantu ho guhurira hagati yisahani itari nziza nu murwayi atari munini bihagije, umuyoboro uzaba wibanze mu gace gato, kandi ubushyuhe bwa plaque mbi buzamuka, bushobora gutera umurwayi gutwika.Imibare irerekana ko 70% by'ibice byavuzwe haruguru bya elegitoroniki yo gutwika impanuka ziterwa no kunanirwa kw'isahani mbi ya electrode cyangwa gusaza.Kugirango twirinde gutwika isahani mbi ku murwayi, tugomba kwemeza aho uhurira na plaque mbi hamwe n’umurwayi ndetse n’imyitwarire yacyo, kandi twibuke kwirinda gukoresha inshuro nyinshiIkibaho cyiza.

Urubuga rukwiye rwo kwishyiriraho

Gerageza kuba hafi hashoboka ahakorerwa (ariko ntibiri munsi ya 15cm) hamwe nimitsi yuzuye imitsi ikungahaye kumitsi;

Kuraho umusatsi kuruhu rwaho kandi ugumane isuku kandi yumutse;

Ntukambukire ahakorerwa ibumoso n'iburyo, kandi urenze 15cm uvuye kuri electrode ya ECG;

Ntabwo hagomba kubaho ibyuma, pacemakers, cyangwa electrode ya ECG mumuzinga;

Uruhande rurerure rw'isahani ruri hafi yicyerekezo cyumuvuduko mwinshi.

l Witondere mugihe ushyiraho isahani mbi

Isahani hamwe nuruhu bigomba guhuzwa cyane;

Gumana isahani ya polar kandi ntugabanye cyangwa ngo ugabanuke;

Irinde gushira amasahani ya polar mugihe cyo kwanduza no gukaraba;

Abana bari munsi ya 15Kg bagomba guhitamo amasahani.

Ibindi bibazo bikeneye kwitabwaho

Reba niba amashanyarazi n'amashanyarazi ya electrode byacitse kandi insinga z'icyuma ziragaragara;

Huza iIkaramu ya Electrosurgicalkuri mashini, tangira kwisuzumisha, hanyuma uhindure imbaraga zisohoka nyuma yo kwerekana ko isahani mbi yashizwemo neza kandi nta kimenyetso cyerekana;

Irinde gutwika bypass: ingingo z'umurwayi zizingiye mu mwenda kandi zigashyirwaho neza kugirango wirinde guhuza uruhu ku rundi (nko hagati y'ukuboko k'umurwayi n'umubiri).Ntugahuze nicyuma.Gumana byibuze 4cm yumye hagati yumubiri wumurwayi nigitanda cyicyuma.Kwikingira;

Irinde kumeneka kw'ibikoresho cyangwa umuzunguruko mugufi: ntuzunguze insinga ibintu byuma;kuyihuza niba hari igikoresho cyo hasi;

Nyuma yuko umurwayi yimutse, reba aho uhurira na plaque itari nziza cyangwa niba hari aho bimukiye;