Imikhiqizo Yakamuva

Iziqeshana zepulasitiki, ezaziwa nangokuthi iziqeshana zokuvala izicubu ezilahlwayo noma iziqeshana ze-hem-o-lok, zisetshenziselwa ukubopha kanye ne-anastomosis yemithambo yegazi nezicubu ezinqubweni zokuhlinzwa.

Nakuba ama-staplers eletha lula kodokotela futhi enze lula ubunzima bokuhlinzwa kwe-colorectal. Kodwa-ke, kusenezinkinga ezingakaxazululwa ngesikhathi sokuhlinzwa - izinkinga ezinkulu - ukuvuza kwe-anastomotic, ukuvuza kokuqukethwe kwe-fecal emgodini wesisu, okungase kuholele ku-sepsis noma ngisho nokufa. Ukuvuza kuvame ukulawulwa ngokubeka i-shunt stoma ukuze kuvikelwe i-anastomosis yokuhlinzwa phakathi nenqubo yokuphola, futhi kuvalwe ngokuhlinzwa ezinyangeni ezi-3 kuya kweziyisi-6 ngemva kokuhlinzwa kokuqala. Nakuba i-diversion stoma inganciphisa ukuvuza kwe-anastomotic, ingaholela kukhwalithi yempilo embi kakhulu yeziguli ezinyangeni ngemva kokuhlinzwa.

I-washer yamakhala kagesi ifanele ukugeza ngemva kokuhlinzwa kwe-endoscopic yamakhala; I-sinusitis engapheli, i-polyps yamakhala, ukuchelela ngamakhala ngesikhathi sokuhlinzwa; Ukuchelela emakhaleni ngemva kwe-radiotherapy kanye ne-chemotherapy yezimila zamakhala; I-Sinus flushing ebangelwa i-rhinitis ehlukahlukene; Umphumela wokuvikela we-mucosa yamakhala, ukuhlanzwa nokunakekelwa kwamakhala nsuku zonke; Ukugezwa kwenhlanzeko emakhaleni ukuze uhogele uthuli emsebenzini.

I-endoscope kagesi ye-nail compartment yenziwe ngentonga yokuvala, ilokhi ebomvu yokudubula, isibambo sokudubula, inkinobho yokukhulula izipikili, iphakethe lebhethri, ipuleti lokukhulula iphakethe lebhethri, ipuleti lembobo yokufinyelela eliqhutshwa ngesandla, iswishi yokuhlehla yommese. , ifindo, iphiko elihlanganyelwe, indawo yezinzipho, indawo yokubamba indawo yezinzipho, ipuleti eliqondisa indawo yezinzipho, umsele wokuqondanisa indawo yezinzipho, ipuleti lokuthunga lokuvikela izinzipho, uphiwo lwezinzipho, nophini lwekhompathi yezinzipho. I-stapler ihlanganisa ishubhu elicijile elivaliwe kanye nobuchwepheshe be-GST bokugcina izinzipho. Iphakethe lebhethri kufanele lifakwe ngaphambi kokusetshenziswa. Lo mkhiqizo ulungele ukusika, ukusika, kanye/noma ukusungula ukulingana. Lo mshini ungasetshenziswa ekuhlinzweni okuhlukahlukene okuvulekile noma okungavamisile kancane kwe-thoracic, ukuhlinzwa kokugaya ukudla kanye ne-hepatobiliary pancreatic, futhi ingasetshenziswa ngokuhambisana nezintambo ze-suture noma izinto ezisekela izicubu. Leli thuluzi lingasetshenziselwa i-parenchyma yesibindi (uhlelo lwe-hepatic vascular kanye ne-biliary structure), i-pancreatic transverse resection kanye nokuhlinzwa kokukhishwa kabusha.

I-ventilator iyidivayisi esetshenziselwa ukusiza iziguli ekuphefumuleni, ngokuvamile esetshenziselwa ukwelapha izifo zokuphefumula njenge-chronic obstructive pulmonary disease, isifuba somoya, i-respiratory distress syndrome, njll. Ngenxa yokuxhumana njalo phakathi kwe-ventilator nesiguli, kulula ukuzalanisa amagciwane. kanye nama-virus, ngakho-ke ukuhlanza njalo nokubulala amagciwane kuyadingeka. Futhi umshini wokukhipha amagciwane we-ozone we-ventilator uyisisetshenziswa esisebenzayo esingahlanza ngempumelelo isifaki-moya.

I-laparoscopic stapler iyisisetshenziswa sezokwelapha esisetshenziselwa ukuhlinzwa kwe-laparoscopic, esetshenziselwa ukwelapha izicubu ze-anastomose ngesikhathi sokuhlinzwa kwe-laparoscopic. Umsebenzi wayo oyinhloko ukufeza i-anastomosis enembile kanye ne-suturing ngokusebenzisa ukuhlinzwa kwe-endoscopic, ngaleyo ndlela usize odokotela baqede ukuhlinzwa futhi bathuthukise ukusebenza kahle kokuhlinzwa. Lawa mathuluzi ngokuvamile ahlanganisa i-stapler ngokwayo, iziqeshana ze-stapler, nezinto ezisetshenziswayo ze-stapler. Ama-stapler e-laparoscopic adlala indima ebalulekile ekuhlinzeni i-laparoscopic, esiza odokotela ukuba benze ukuhlinzwa okunembile, banciphise ukulimala kwezicubu, bafinyeze isikhathi sokuhlinza, futhi bathuthukise amazinga empumelelo yokuhlinzwa.

I-stapler esetshenziswayo kagesi endoscopic cutting stapler ngokuvamile iyithuluzi elisetshenziselwa ukuhlinzwa kwezokwelapha, elingasetshenziswa ekuhlinzeni i-laparoscopic ukusika kanye nezicubu ze-anastomose noma izitho. Lolu hlobo lwedivayisi ngokuvamile lwenzelwe ukusetshenziswa kanye kuphela ukuze kuqinisekiswe ukuphepha nokuhlanzeka kwangaphakathi kokuhlinzwa.

Umjovo we-needle less, owaziwa nangokuthi umjovo we-jet, idivayisi yezokwelapha esebenzisa umfutho ophezulu osheshayo okhiqizwa umthombo wamandla ukuze udale ukugeleza kwejethi enesivinini esikhulu kanye nomfutho ophezulu (enezinga lokugeleza ngokuvamile elingaphezu kuka-100m/s) izidakamizwa (impushana ewuketshezi noma eqandisiwe) ngaphakathi kwesirinji ngombhobho, okuvumela izidakamizwa ukuthi zingene ungqimba olungaphandle lwesikhumba futhi zikhulule imiphumela yezidakamizwa ezingqimbeni ezingaphansi kwesikhumba, ze-intradermal nezinye izicubu.

Isakhiwo sinomklamo onembile kanye nezinqubo zokukhiqiza ukuqinisekisa ukuthi i-vascular hemostasis enembile ngesikhathi sokuhlinzwa kwe-endoscopic.

Ngokuya ngezidingo ezihlukene zokuhlinzwa kanye nezindawo zokusebenza, kungase kube nemiklamo enosayizi abahlukene kanye nokwakheka ukuze ifaneleke izimo ezihlukene zokuhlinzwa.

Yenziwe nge-titanium alloy material, engasindi, enamandla amakhulu nokuqina.

I-Titanium alloy material inokumelana nokugqwala okuhle nokumelana nokugqoka, futhi ingasetshenziswa endaweni yokuhlinzwa isikhathi eside futhi igcine isimo esihle.

Ibakaki lensimbi lokudonsa amanzi lenziwe ngezinto ezisezingeni eliphezulu zensimbi, ezinamandla amakhulu nokuzinza, futhi zinganikeza ukwesekwa okuthembekile kanye neziteshi zokugcina amanzi ahlanzekile.

I-metal drainage stent inezinga elithile lokunwebeka nokuguquguquka, elingavumelanisa nokuma noshintsho lwama-pancreatic cysts, linciphise ukugqugquzelwa kanye nokulimala kwezicubu ezizungezile.

I-circumcision stapler iyisisetshenziswa sezokwelapha esisetshenziselwa ukuvala isilonda ngemva kokusokwa ngesikhathi sokuhlinzwa. Iqukethe izingxenye ezimbili zensimbi noma zepulasitiki, ngokuvamile okuyisiyingi kanye nebhande elilungisekayo elixhuma isiyingi. I-stapler yokusoka ingasiza odokotela baqondanise ngokunembile imiphetho yokusika futhi bayivikele ngokuphephile kanye nezinsimbi. Le nqubo ingasheshisa ukuphulukiswa kwesilonda futhi inciphise ingozi yokutheleleka nokopha ngemva kokulimala.