Iimveliso zamva nje

Iikliphu zePlastiki, ezikwabizwa ngokuba zikliphu zokuvala izicubu ezilahlwayo okanye iikliphu ze-hem-o-lok, zisetyenziselwa ukubopha kunye ne-anastomosis yemithambo yegazi kunye nezicubu kwiinkqubo zotyando.

Nangona i-staplers izisa lula koogqirha kwaye yenza lula ubunzima botyando lwe-colorectal. Nangona kunjalo, kusekho imiba engekasonjululwa ngexesha lotyando - iingxaki ezinzulu - ukuvuza kwe-anastomotic, ukuvuza komxholo we-fecal kumqolo wesisu, okunokukhokelela kwi-sepsis okanye nokufa. Ukuvuza ngokuqhelekileyo kulawulwa ngokubeka i-shunt stoma ukukhusela i-anastomosis yokuhlinzwa ngexesha lenkqubo yokuphilisa, kwaye ivalwe ngotyando kwiinyanga ezi-3 ukuya kwezi-6 emva kotyando lokuqala. Nangona i-diversion stoma inokunciphisa ukuvuza kwe-anastomotic, inokukhokelela kumgangatho ophantsi kakhulu wobomi kwizigulana kwiinyanga emva kotyando.

Iwashi yeempumlo zombane ifanelekile ukuhlamba emva kotyando lwe-endoscopic yeempumlo; I-sinusitis engapheliyo, i-polyps yeempumlo, ukunkcenkceshela ngeempumlo ngexesha lotyando; Ukunkcenkceshela ngeempumlo emva kwe-radiotherapy kunye ne-chemotherapy yamathumba eempumlo; Ukugungxulwa kweSinus okubangelwa yi-rhinitis eyahlukeneyo; Impembelelo yokukhusela ye-mucosa yeempumlo, ukucocwa kweempumlo zemihla ngemihla kunye nokunyamekela; Ukugungxulwa kweempumlo zokuphefumla uthuli.

Indawo yombane ye-endoscope yesikhonkwane yenziwe ngentonga yokuvala, intonga yokutshixa ebomvu, isiphatho sokudubula, iqhosha lokukhulula isikhonkwane, ipakethi yebhetri, ipleyiti yokukhupha ibhetri, ipleyiti esebenza ngesandla yokufikelela kumngxunya, iswitshi ebuyela umva imela. , iqhina, iphiko elidityanisiweyo, indawo yezikhonkwane, indawo yokudibanisa iinzipho, ipleyiti yokulungelelanisa indawo yezikhonkwane, umjelo wokulungelelaniswa kwegumbi lezikhonkwane, ipleyiti yokuthunga yokukhusela inzipho, ipleyiti yesikhonkwane, ipleyiti yokulungelelanisa iinzipho. I-stapler ibandakanya ityhubhu evaliweyo kunye neteknoloji ye-GST yokugcina izikhonkwane. Ipakethi yebhetri kufuneka ifakwe phambi kokusetyenziswa. Le mveliso ifanelekile ukusika, ukusika, kunye / okanye ukuseka ukufaneleka. Esi sixhobo singasetyenziselwa utyando oluvulekileyo okanye oluncinci lwe-thoracic, utyando lokugaya kunye ne-hepatobiliary pancreatic, kwaye lunokusetyenziswa ngokubambisana nemicu ye-suture okanye izixhobo zokuxhasa izicubu. Esi sixhobo sinokusetyenziselwa i-parenchyma yesibindi (i-hepatic vascular system kunye nesakhiwo se-biliary), i-pancreatic transverse resection kunye nokuhlinzwa kokuhlinzwa.

I-ventilator sisixhobo esisetyenziselwa ukuncedisa izigulane ekuphefumleni, ngokuqhelekileyo esetyenziselwa ukunyanga izifo zokuphefumla ezifana nesifo esingapheliyo se-pulmonary obstructive, i-asthma, i-respiratory distress syndrome, njl. kunye neentsholongwane, ngoko ke ukucoca rhoqo kunye nokubulala iintsholongwane kuyimfuneko. Kwaye umatshini wokubulala iintsholongwane we-ozone sisixhobo sobuchwephesha esinokucoca ngokufanelekileyo i-ventilator.

I-laparoscopic stapler sisixhobo sonyango esisetyenziselwa utyando lwe-laparoscopic, olusetyenziselwa utyando lwe-anastomose ngexesha lotyando lwe-laparoscopic. Umsebenzi wayo ophambili kukufezekisa i-anastomosis echanekileyo kunye ne-suturing ngokusebenzisa i-endoscopic operation, ngaloo ndlela inceda oogqirha bagqibe utyando kunye nokuphucula ukusebenza kakuhle kotyando. Ezi zixhobo ngokuqhelekileyo ziquka i-stapler ngokwayo, iziqeshana ze-stapler, kunye nezinto ezisetyenziswayo ze-stapler. I-laparoscopic staplers idlala indima ebalulekileyo kutyando lwe-laparoscopic, ukunceda oogqirha ukuba benze utyando oluchanekileyo, ukunciphisa umonakalo wezicubu, ukunciphisa ixesha lotyando, kunye nokuphucula amazinga okuphumelela kotyando.

I-endoscopic cutting stapler elahlayo yombane idla ngokuba sisixhobo esisetyenziselwa imisebenzi yonyango, engasetyenziselwa utyando lwe-laparoscopic ukusika kunye nezicubu ze-anastomose okanye izitho. Olu hlobo lwesixhobo ngokuqhelekileyo luyilelwe ukusetyenziswa kwexesha elilodwa ukuqinisekisa ukhuseleko lwangaphakathi kunye nococeko.

Inaliti encinci yenaliti, ekwaziwa ngokuba sisitofu sejethi, sisixhobo sonyango esisebenzisa uxinzelelo oluphezulu olukhawulezileyo oluveliswa ngumthombo wamandla ukwenza ijethi ebalekayo enesantya esiphezulu kunye noxinzelelo oluphezulu (kunye nesantya sokuqukuqela esingaphezulu kwe-100m/s) iziyobisi (ulwelo okanye umkhenkce-umgubo omisiweyo) ngaphakathi kwesirinji nge-nozzle, evumela ukuba iziyobisi zingene kuluhlu lwangaphandle lwesikhumba kwaye zikhuphe iziphumo zeziyobisi kwi-subcutaneous, intradermal kunye nezinye iileyile zezicubu.

Isakhiwo sinoyilo oluchanekileyo kunye neenkqubo zokuvelisa ukuqinisekisa ukuba i-vascular hemostasis echanekileyo ngexesha lotyando lwe-endoscopic.

Ngokweemfuno ezahlukeneyo zotyando kunye neendawo zokusebenza, kunokubakho uyilo lobungakanani obahlukeneyo kunye neemilo ukuze zilungele iimeko ezahlukeneyo zotyando.

Yenziwe ngezinto ze-titanium alloy, ilula, inamandla aphezulu kunye nokuqina.

I-Titanium alloy material inokumelana nokugqwala okuhle kunye nokunganyangeki, kwaye ingasetyenziselwa kwindawo yotyando ixesha elide kwaye igcine imeko entle.

I-bracket drainage yensimbi yenziwe ngezinto eziphezulu zetsimbi, ezinamandla amakhulu kunye nokuzinza, kwaye inokubonelela ngenkxaso ethembekileyo kunye nemijelo yokugcina i-drainage egudileyo.

I-stent ye-drainage yensimbi inomlinganiselo othile we-elasticity kunye nokuguquguquka, okwazi ukulungelelanisa ukuma kunye nokutshintsha kwe-pancreatic cysts, ukunciphisa ukuvuselela kunye nomonakalo kwizicubu ezijikelezayo.

Istapler yolwaluko sisixhobo sonyango esisetyenziselwa ukuvala amanxeba emva kokwaluka ngexesha lotyando. Iqukethe izinto ezimbini zetsimbi okanye zeplastiki, ngokuqhelekileyo isigxina sesetyhula kunye ne-buckle ehlengahlengiswayo edibanisa ukulungiswa kwesetyhula. Istapler solwaluko sinokunceda oogqirha balungelelanise ngokuchanekileyo imiphetho yokusikwa kwaye bazikhusele ngokukhuselekileyo kunye neziqhoboshi. Le nkqubo inokukhawulezisa ukuphiliswa kwesilonda kunye nokunciphisa umngcipheko wosulelo kunye nokopha emva kokwenzakala.