Shigowa da
A cikin duniyar tiyata ta zamani, daidai da aminci suna da matukar mahimmanci. Kayan aikin manyan kayan aikin guda biyu waɗanda suka juye hanyoyin tiyata sune ƙurar ƙwayar ultrasonic da keɓaɓɓiyar yanki (ESU). Wadannan kayan kida suna taka muhimmiyar rawa a cikin fannoni daban-daban, daga Janar tiyata zuwa Neurosurggenery, suna ba da aikin likitocin da rage rauni mafi girma da rage rauni mai haƙuri.
The ultrasonic scalcol pickel, wanda kuma aka sani da ultrasonic tiyata tiyata ko kuma cusa ultrasonic m, ya zama ƙanshin a cikin ɗakunan aiki da yawa. Yana amfani da babban - mitar ultrason ultrason ultrason ultraction don yanke da coagate nama. Wannan fasaha tana ba da damar ƙarin ƙwarewar madaidaici, musamman ma cikin wuraren da keɓaɓɓe inda rage yawan lalacewar kyallen takarda yana da mahimmanci. Misali, a garin ungourgery, lokacin da aiki a kan kwakwalwa, ultrason dadlel ta iya cire nama sosai yayin da zai yiwu.
A gefe guda, naúrar lantarki (ESU), wanda aka kira shi mai tsayi - na'urar kayan sufuri na mitrostric, wani na'urar da aka yi amfani da shi sosai a cikin saitunan. Tana aiki ta hanyar wucewa ta hanyar lantarki ta hanyar ƙwayar cuta ta hanzari, ana yin zafi da za ta iya yanka, coagate, ko narkar da nama. Esus suna da matukar kyau kuma ana iya amfani dashi a wurare da yawa, daga ƙananan harkar tiyata don hadaddun Open - Sarkar Zuciya.
Fahimtar bambance-bambance tsakanin waɗannan kayan aikin biyu na mari'a yana da mahimmanci don masu tiyata, ƙungiyoyin biyu, da ɗaliban likitanci. Ta hanyar sanin abubuwa na daban, fa'idodi, da iyakance na Ultrasonic Scalpelvel da zaɓaɓɓen ɓangaren, ƙwararrun likitocin na iya samun ƙarin shawarwarin da ya fi dacewa da wani tsarin tiyata. Wannan ba kawai inganta samar da tiyata amma kuma yana inganta sakamako mai haƙuri. A cikin sassan da ke gaba, za mu yi zurfin zurfafa cikin ƙa'idodi masu aiki, aikace-aikace, fa'idodi, da la'akari da aminci na ultrasonic da keɓaɓɓiyar ɓangare, yana ba da cikakken kwatancen tsakanin su biyun.
Ma'anar da asali na asali
Ultrasonic Dutse
A ultrasonic Dutse shine kayan aikin tabo mai zurfi wanda ke fuskantar ikon mitaya - mitar ultrasony ultrasonic taguwar ruwa, yawanci a cikin kewayon 20 - 60 khz. Wadannan taguwar ultrasonic suna samar da rawar jiki na inji a cikin wurin m. Lokacin da ƙudurin rawar jiki ya fito tare da kyallen ƙwayoyin halitta, yana haifar da kwayoyin halittar ruwa a cikin sel don girgiza hanzari. Wannan matsanancin rawar jiki yana haifar da tsari wanda ake kira cavitation, inda ƙananan ƙananan kumfa ke haifar da rushewa tsakanin nama. Damuwa na inji daga cavitation da aikin inji na kai tsaye na tsintsaye tikwara karya ƙasa da kwayar nama, yadda ya kamata a cikin nama.
Lokaci guda, High - Tsabtacewar mitar kuma samar da zafi, wanda ake amfani da shi don cunkule jijiyoyin jini a kusancin yanke. Wannan coagulation tsari yana ɗaukar hanyoyin jini, rage asarar jini lokacin aikin tiyata. Misali, a cikin harkokin thyroid, da ultrasonic scapel scalent zai iya watsa shi daidai watsar da glandar thyroid daga kyallen takarda yayin rage girman zub da jini. Ikon yanka da kuma coagulasy lokaci guda yana sa shi kayan aiki mai mahimmanci a cikin harkar talauci inda ke riƙe da ƙarshen filin shakatawa kuma yana rage asarar jini yana da mahimmanci.
Ɓangaren lantarki
Unit na zaɓaɓɓu (ESU) yana aiki akan manufa ta daban, dogaro a kan babba - mitar tana canza wutar lantarki. Matsakaicin mita na Esus na Esus yana tsakanin 300 khz da 3 mHz. Lokacin da wutar lantarki ta wuce taɓoshin mara lafiya ta hanyar electrode (kamar yankuna na tarko ko cunkoso na nama), da cunkoso na nama), da coagulate juriya na nama), da coagulate juriya na nama), da coagulate juriya na nama), da coagulate juriya na nama), da coagulate juriya na nama), da coagulate juriya na nama), da coaginging juriya na nama
Akwai hanyoyi daban-daban na aiki don Esus. In the cutting mode, the high - frequency current creates a high - temperature arc between the electrode and the tissue, which vaporizes the tissue, creating a cut. A cikin yanayin coagulation, ƙananan - ana amfani da halin yanzu, yana haifar da sunadarai a cikin nama da kuma coagal da coagulate, wanda ke ɗaukar ƙananan jijiyoyin jini kuma ya dakatar da jini. A cikin hystectery, alal misali ana iya amfani da shi don yanke ta cikin igiyar ciki sannan a canza yanayin coagular don rufe kansa da jini, yana hana asarar jini. Esus ne sosai m kuma ana iya amfani dashi a cikin nau'ikan fa'idodin tiyata, daga sharri na shawo kan fata don taushi - nama da nama a kusa da ƙasusuwa.
Aikin aiki
Yadda ke aiki na Ultrasonic
Aikin ultrasonic zuwa mutum na ultrasonic ya dogara ne akan ka'idodin matsin lamba na ultrasonic da inji - tasirin tasirin nono.
1. Tsara na taguwar ruwa na ultrasonic
An haɗa janareta na ultrasonic a cikin na'urar yana da alhakin samar da haɓaka - siginar lantarki na mita. Wadannan sigina na lantarki yawanci suna da mitu a cikin kewayon 20 - 60 khz. Mai janareta sannan ya canza waɗannan alamun lantarki zuwa rawar jiki ta amfani da ta Pizoeclrics Enduter. Abubuwan kayan abinci suna da kayan na musamman na canza kamannin su lokacin da aka shafa wa masu lantarki. A cikin yanayin kafa na ultrasonic, Piezoelectric EndDucer da sauri a cikin martani ga babba - siginar lantarki, samar da taguwar ultrasonic.
2.
A ultrasonic taguwar taguwar ruwa ana watsa shi tare da cobarguide, wanda yawanci dogon sanda, sandar karfe mai sirrin, ga tarko. An tsara yadda ya dace don canja wurin da makamashi ultrasonic daga janareta zuwa ƙarshen maɓuɓɓugar ruwa. Tukwici na tarko shine ɓangare na kayan aikin da zai shiga cikin hulɗa kai tsaye tare da nama tare da ciyawar.
3. Hulɗa da nama - yankan da coagulation
Lokacin da rawar jiki tip lamba sadar da nama, tafiyar matakai da yawa ta faru. Na farko, mai girma - mitar mitar yana sa kwayoyin ruwa a cikin sel nama su yi rawar jiki sosai. Wannan rawar jiki tana haifar da sabon abu da ake kira cavitation. Cavitation shine samuwar, girma, da rushe ƙananan kumfa a cikin matsakaici na ruwa (a wannan yanayin, ruwan a cikin nama). Abubuwan da ke cikin waɗannan kumfa suna haifar da damuwa na inji na gida, wanda ke warware haɗin gwanayen a cikin nama, yadda ya kamata cikin ta.
Lokaci guda, rawar jiki na tip na tip su kuma haifar da zafi saboda tashin hankali tsakanin tiprate tip da nama. Zafin da aka fito dashi yana cikin kewayon 50 - 100 ° C. Ana amfani da wannan zafin don haɗa jijiyoyin jini a kusancin yanke. Tsarin coagulation yana haskaka sunadarai a cikin bango na jini, yana sa su tsaya su rufe kansu kuma suna rufe asarar jini, don haka ya rage asarar jini lokacin tiyata. Misali, a cikin tiyata na Laparoscopic don cire ƙananan ciwace-jita a hanta, da ultrelon dakaru scalent a yanka ta hanta nama yayin da ake kula da ƙaramin filin jini don likitan tiyata.
Ta yaya ɓangaren lantarki na aiki
United na zaɓaɓɓu (ESU) yana aiki akan ka'idar ta amfani da High - mitar kebantewa yana haifar da zafi a cikin nama a cikin nama, wanda aka yi amfani da shi don yankan da coagular.
1. High - mita yana canza tsararraki
Esu ta ƙunshi samar da wutar lantarki da janareta waɗanda ke haifar da high - mitar ke sauya wutar lantarki. Yawan wannan yawanci yakan fara daga 300 khz zuwa 3 mHz. Ana amfani da wannan high - mitar da ake amfani da ita maimakon ƙasan - mita na yanzu (kamar na gidan lantarki na yau da kullun - na iya haɓaka haɗarin fibrillation. A low mitquencies, da lantarki yanzu iya tsoma baki tare da siginar lantarki na al'ada a cikin zuciya, yiwuwar haifar da rayuwa - barazanar arrhythmias. Koyaya, mai girma - bututun miji sama da 300 khz ƙasa da irin wannan tasirin zuciya kamar yadda ba su tayar da jijiya da ƙwayoyin tsoka iri ɗaya.
2. Hulɗa da nama - yankan da coagulation modes
Yanayin yankan : A cikin yanayin yankan, mai girma - mitar lantarki halin yanzu an shawo kan wani karamin, mai kaifi - electrode (kamar fensir). Lokacin da eglde ya yarda da nama, babban - juriya na nama zuwa lantarki yana haifar da ƙarfin lantarki da za a canza zuwa cikin zafi. Zafin da aka samar yana da matukar girma, kai yanayin zafi na har zuwa 1000 ° C a cikin baka tsakanin lantarki da nama. Wannan zafi mai zafi yayi maganin nama, ƙirƙirar yanke. Kamar yadda electrode ke motsa tare da nama, ana ci gaba da ci gaba da kullu. Misali, a cikin tonsilleclemy, ESU a cikin yanayin yankan na iya hanzari kuma cire ƙwayoyin ta hanyar vaporzing nama.
Yanayin coagulation : A cikin yanayin coagulation, ƙananan - ana amfani da halin da ake ciki na yanzu. Zafin da aka fito dashi ya isa ya haskaka sunadarai a cikin nama, musamman a cikin jijiyoyin jini. Lokacin da sunadaran jini a bangon jini bango, suna samar da coagulum, wanda ke rufe hanyoyin jinin jini kuma ya dakatar da zub da jini. Akwai nau'ikan fasahohin coagulation da ake amfani da su da Esus, kamar su monopolar da bipolal coagulation. A cikin Monopollar Coagulation, halin da aka gabatar na yanzu daga aikin electrode ta cikin jikin mai haƙuri zuwa ga extfrode complerode (babban pad sanya shi a kan mai haƙuri). A cikin Bipolalar Coagulation, duka biyun da kuma dawo da abubuwan lantarki suna cikin ƙarfi mai ƙarfi - kamar na'urar. A yanzu kawai yana gudana tsakanin tukwici biyu na karfi, wanda yake da amfani ga madaidaicin coagring a cikin karamin yanki, kamar a cikin microchories ko lokacin da muke ma'amala da kyallen takarda. Misali, a cikin neuroshgenery, bebe coagulation tare da esu za a iya amfani da shi don rufe karamin jijiyoyin jini a saman kwakwalwar nama.
Bambancin bambance-bambance
Maƙeran makamashi
Bambanci mafi asali tsakanin mutum na ultrasonic declonic da kuma zaɓi na lantarki ya ta'allaka ne a cikin hanyoyin kuzarin su. A ulconic Dutse yana amfani da makamashin kuzari na ultrasonic, wanda yake a cikin nau'i mai girma - girgizar mitar mitar. Ana samar da waɗannan rawar jiki ta canza makamashi na lantarki zuwa makamashi ta hanyar makamashi ta hanyar Pizezoelectract. Yawan mitar na ultrasonic raƙuman ruwa yawanci jere daga 20 - 60 khz. Wannan makamashi na inji shine a kai tsaye kai tsaye zuwa nama, haifar da canje-canje na zahiri kamar cavitation da rudani na inji.
A gefe guda, sashin lantarki na lantarki yana aiki akan ƙarfin lantarki. Yana haifar da high - mitar dukyawa wutar lantarki, yawanci a cikin kewayon 300 khz. Ana wuce halin lantarki ta hanyar nama, kuma saboda juriya na nama, ƙarfin lantarki yana canzawa zuwa makamashi mai zafi. Don haka ana amfani da wannan zafin don yankan da kuma manufar coagcrus. Hanyoyin makamashi daban-daban suna haifar da bambance-bambo na ma'amala da nama, wanda a cikin juzu'i ya shafi sakamakon da bayanan tsaro na tsarin. Misali, yanayin inji na ultrasonic makamashi a cikin wani ultrelonic ya ba da damar karin haske, kamar yadda ba ya dogara da matsanancin zafi kamar wani ɓangare na zaɓaɓɓen zaɓaɓɓu.
Hulɗa da nama
The ultrasonic scalent ma'amala da nama ta hanyar haɗakar rawar jiki da tasirin zafi. Lokacin da Virtara tabo na ultractel scalation ke hulɗa da nama, mai girma - mitar injiniyoyi na haifar da kwayoyin ruwa a cikin sel nama don yin rawar jiki sosai. Wannan yana haifar da cavitation, inda ƙananan ƙananan kumfa ke haifar da rushewa tsakanin nama, ƙirƙirar damuwa na inji wanda ke karya ƙwararrun ƙwayoyin cuta. Ari ga haka, tashin hankali na injiniya tsakanin zakara da nama ya haifar da zafi, wanda ake amfani da shi don murƙushe ƙananan jijiyoyin jini. Abubuwan da aka fara tattara abubuwa da yawa na kayan aikin, kuma zafi tasiri na sakandare wanda ke cikin hemostasis.
Ya bambanta, ɓangaren yanki na zaɓaɓɓu yana hulɗa da nama kaɗan ta hanyar tasirin zafi. High - mitarfin talauci na yanzu yana haifar da nama saboda zafin nama saboda juriya na na yanzu. A cikin yankan yanayin, zafi yana da ƙarfi sosai (har zuwa 1000 ° C a cikin Arc tsakanin lantarki da nama) cewa yana tilasta nama, ƙirƙirar nama, ƙirƙirar nama, ƙirƙirar nama. A cikin yanayin coagulation, ƙananan - ana amfani da halin yanzu a halin yanzu, kuma zafi da aka samar (galibi kusan 60 - 100 ° C) lalata sunadarai a cikin nama, musamman a cikin jijiyoyin jini, musamman a cikin jijiyoyin jini, suna sa su yi ɗumi da hatimi. Tuntushin esu tare da nama ya mamaye shi da zafi - Haɓaka canje-canje, kuma sojojin na inji suna da ƙarancin idan aka kwatanta da ƙwayar ultrasonic.
Lahani na zafi
Daya daga cikin mahimman bambance-bambance tsakanin kayan kida guda biyu shine gwargwadon lalacewar zafi da suke haifar da kyallen takarda. Ultrasel Halarci gaba ɗaya yana samarwa in mun gwada da zafi kadan yayin aiki. Za a yi amfani da zafin rana don ɗaukar ƙaramin jijiyoyin jini kuma yana cikin kewayon 50 - 100 ° C. A sakamakon haka, lalacewar karar kutse yana da iyaka. Yanayin na inji na aikinta yana nufin cewa an yanke nama da kuma coagulated tare da ƙarancin kyallen takarda yana da mahimmanci, kamar a cikin neurosurgeny.
Conversely, naúrar zaɓaɓɓu na iya haifar da ƙarancin zafi. A cikin yanayin yankan, m yanayin zafi (har zuwa 1000 ° C) na iya haifar da mahimmancin vaporization da caji, ba wai kawai a wurin da aka yanke ba har ma a wuraren kusa. Ko da a yanayin coagulation, zafi zai iya yaduwa zuwa mafi girma yanki kusa da nama da aka yi da aka yi da aka bi da lafiya da tsarin. Wannan lalacewar zafi ta fi girma a wasu lokuta ana kai ga lokacin da ake warkewa ta hanyar warkarwa, ƙara haɗarin ƙwayar ƙwayar ƙwayar ƙwayar cuta, da kyankyasawar aikin aikin da ke kusa ko kyallen takarda. Misali, a cikin babba - siket mai laushi - sayan nama ta amfani da ESU, mai da ke kewaye da ƙoshin lafiya, wanda zai iya tasiri kan tsarin dawo da haƙuri.
Hemostasis
Duk ultrasonic Dutse na ultrasonic da na zaɓaɓɓen zaɓaɓɓu masu amfani, amma sun bambanta a cikin tasirinsu da yadda suke samun husostassi. The ultrason dulconic scalpel na iya cliulate ƙaramin jijiyoyin jini yayin yankan nama. Kamar yadda yankan tip na gadaje ta nama ta hanyar nama, zafi ya haifar da wani ƙaramin jijiyoyin jini a cikin kusanci, yana rage asarar jini a lokacin tiyata. Wannan ikon yanka da kuma coagulate sosai a cikin rike farkon filin, musamman a cikin harkar kwararar jini zai iya rikitar da kallon likitan. Koyaya, tasowa wajen ma'amala da manyan jiragen ruwa na jini yana da iyaka.
Naúrar lantarki kuma tana da kyawawan kaddarorin. A cikin yanayin coagulation, zai iya rufe jijiyoyin jini daban-daban. Ta hanyar amfani da ƙananan - makamashi na yanzu, zafi ya haifar da haskaka furotes a jikin bango, yana haifar da coagulate da rufewa. Ana amfani da ESU sau da yawa don sarrafa zubar jini yayin harkokin tiyata, kuma ana iya daidaita su don sarrafa masu girma dabam. Don manyan tasoshin jini, mafi girma - ana iya buƙatar saitin makamashi don tabbatar da ingantaccen coagulation. A wasu hadaddun tiyata, kamar su na tabbatar da hanta inda akwai tasoshin jini daban-daban masu girma, ana iya amfani da ESU a hade tare da sauran dabarun hemostasis don cimma sakamako mai amfani.
Daidai da aiki
Ultrasonic scalpel yana ba da babban daidaiti, musamman ma cikin tsarin masarufi. Smallaramin sa, tibrate ti yana ba da damar ingantaccen kamuwa da kuma dissections. A cikin mawuyacin tiyata mara kyau, kamar hanyoyin Laparoscopic ko Endoscopic, za a iya sauƙaƙe cikin sauƙin ƙwayoyin cuta ko ƙwararrun ƙwayoyin cuta, samar da ikon yin ayyukan rikitarwa tare da babban digiri na daidaito. Yana da amfani musamman a cikin abin da za a cire nama yana kusa da kusancin mahimmancin tsari, kamar yadda lalataccen ƙarfin dafaffensa ya taimaka wajen rage haɗarin rauni ga waɗannan tsarin.
Naúrar lantarki, a gefe guda, tana da kewayon aiki mai yawa. Ana iya amfani dashi a cikin nau'ikan fa'idodin tiyata, daga ƙananan hanyoyin fata zuwa manyan bude - tiyata. Duk da hakan bazai bayar da wannan matakin daidai yadda ultrasonic scalpell a wasu hanyoyin da aka yi da kuma yanayin da ya bambanta da sifofi iri daban-daban ba fa'ida. A cikin manyan - sikelin suttura inda gudun hijira da kuma ikon magance ƙwaƙwalwar nama daban-daban da kuma masu girma dabam suna da mahimmanci, za a iya daidaita ESU don biyan waɗannan buƙatun. Misali, a cikin hakkin Orthopedic, ana iya amfani da ESU don yanke jiki da sauri ta hanyar kyallen kyallen nama a lokacin cirewar jini.
Abvantbuwan amfãni da rashin amfani
Ultrasonic Dutse
Cikakke :
Rage zubar jini : daya daga cikin manyan fa'idodi na mutum na ultrasonic shine iyawarsa don cunkule ƙaramin jijiyoyin jini yayin yankan. Wannan yana haifar da raguwa mai girma a cikin jini. Misali, a cikin tiyata na Laparoscopic don cire ƙananan ciwace-ciwacen gwiwa a cikin hanta ko gallablassawa na ultrason, wanda yake da mahimmanci ga likitan tiyata, wanda yake da mahimmanci ga likitan tiyata ya yi daidai da yankin daidai.
Ofishin rauni na nama : aikin mutum na ultrelonic galibi ya dogara da matsanancin motsi, wanda ke haifar da lalacewa zuwa ƙawancen da ke kewaye da wasu kayan aikin talauci. Lalacewar Haske yana haifar da cewa kyallen kyallen takarda ba su da yawa, haɓaka haɗarin da sauri - abubuwan sarrafawa kamar kamuwa da cuta ko kuma lalata aiki. Wannan yana da fa'ida musamman a cikin tiyata da ke da alaƙa da kwayoyin halitta kamar kwakwalwa, idanu, ko jijiyoyi.
Worder sauri murmurewa ga marasa lafiya : Sakamakon rage asarar jini da ƙarancin nama, marasa lafiya waɗanda ke yin tiyata tare da fatarar ultraselic. Suna iya samun ƙarancin ciwo, ƙasa kaɗan - cututtukan aiki, kuma zasu iya komawa zuwa ayyukan yau da sauri. Wannan ba wai kawai yana inganta ingancin rayuwa mai haƙuri ba yayin lokacin dawo da shi amma kuma ya rage farashin kiwon lafiya gaba ɗaya asibitin ya tsaya.
: Nasarar
Farashin kayan aiki mai girma : Tsarin mutum na Ultrasonic suna da tsada. Kudin na'urar da kanta, tare da buƙatun tabbatarwa da buƙatun kuɗi, na iya zama babban nauyin kuɗi don wasu wuraren kiwon lafiya, musamman ma waɗanda ke cikin kayan aikin - iyakance saiti. Wannan babban farashi na iya iyakance yaduwar tartspels na ultrasonic fatar kan mutum-ƙafa, shafar damar marasa lafiya zuwa wannan fasahar da ta ci gaba.
Bukatar Harkokin Kwarewa don Aiki : Aiki wani Tsarin Halill Picklel na ultrasonic yana buƙatar babban aiki da horo. Taron trididdigar likita suna buƙatar yin ƙwarewar kula da na'urar don tabbatar da yankan yankan da kuma coagulation yayin rage lalacewar kyallen takarda. Koyo Don amfani da fatarar mutumci da kyau na iya ɗaukar wani lokaci mai mahimmanci da aiki, da amfani mara kyau na iya haifar da sakamakon tarko ko kuma kurakuran tiyata.
Tariancin iyaka don manyan jiragen ruwa na jini : kodayake na ultrasonic scalpel na da tasiri a kan ƙaramin ƙananan jijiyoyin jini, iyawarsa na sarrafa zubar jini daga manyan jiragen ruwa na jini yana da iyaka. A cikin lokuta inda manyan jijiyoyin jini suna buƙatar yanke ko ligated lokacin tiyata, ƙarin ƙarin hanyoyin kamar sakin gargajiya ko amfani da ɓangaren zaɓi na iya buƙatar. Wannan na iya ƙara hadaddun abubuwa da lokacin tiyata.
Ɓangaren lantarki
Cikakke :
Yanke - Speed Yankan : Sauyin zaɓaɓɓu na iya yanke ta cikin nama da sauri. A cikin hakki a inda lokaci ne m factor, kamar a cikin harkar gaggawa ko babba - sikelin nama, ikon yanke ikon ESU na iya zama babban fa'ida. Misali, yayin sashen Cesarean, Esu na iya yanke da sauri ta ciki da sauri ta isa mahaifa, rage lokacin hadarin ga mahaifiyar da jaririn.
Istial mai inganci na tashin hankali na tursasawa : Esus suna da inganci sosai wajen cimma nasarar hemostasas don jijiyoyin jini daban-daban. A cikin yanayin coagulation, za su iya rufe ƙananan capillaries da manyan jiragen ruwa da suka fi dacewa da adadin ƙarfin lantarki. Wannan abin da ya fi dacewa ya sa ESU kayan aiki mai mahimmanci a cikin tiyata inda ke sarrafa zub da jini daga nau'ikan jijiyoyin jini yana da mahimmanci, kamar incarfin hanta ko harkar da suka shafi ciwace-ciwacen daji sosai.
Saitin kayan aiki masu sauki : Idan aka kwatanta da wasu na'urorin da aka ci gaba da tiyata, jigon sashi na yanki na zaɓaɓɓu na zaɓaɓɓen ɓangaren lantarki yana da sauƙi. Ya ƙunshi galibi na ikon mallaka da electrode, wanda za'a iya haɗa shi cikin sauƙi kuma an daidaita shi don hanyoyin tursasawa daban-daban. Wannan saukin yana ba da damar shiri mai sauri a cikin ɗakin aiki, rage lokacin da aka ɓata akan saitin kayan aiki kuma yana buɗe likitocin don fara aikin da sauri.
: Nasarar
: Lalacewar zafi Kamar yadda aka ambata a baya, ɓangaren yanki na zaɓaɓɓen yana haifar da babban adadin zafi yayin aiki, musamman ma a yanayin yankan. Wannan babban zafin jiki - zazzabi zafi na iya haifar da lalacewar kyallen takarda da ke kewaye da shi, yana haifar da alfarwar nama, necrosis zuwa gabobin kusa ko tsarin. Mafi girma daga kan ikon da kuma tsawon lokacin aikace-aikacen, mafi tsananin zafin lalacewar zafi zai iya zama.
Hukumar carbonization carbonization : zafi zafi da ESU zai iya haifar da nama zuwa carbonizze, musamman a babban - saitunan makamashi. Carbonzed nama na iya zama da wahala a tiyata ko warkar da kyau, kuma yana iya ƙara haɗarin post - kamuwa da aiki. Bugu da kari, kasancewar carbonzed nama na iya tsoma baki da binciken tarihin game da nama, wanda yake da mahimmanci don ingantaccen ganewar asali da kuma tsarin magani.
zaɓaɓɓu Bukatarsa ta Bukatar Tapident: Gudanar da ɓangaren ƙwarewar cikin aminci da inganci na buƙatar babban matakin fasaha da ƙwarewa. Mai aiki yana buƙatar sarrafa fitarwa fitarwa daidai, zaɓi yanayin da ya dace (yankan ko coagulation) ga yanayin nama daban-daban, kuma ku guji haifar da rauni a cikin haƙuri. Amfani da shi ba daidai ba na ESU na iya haifar da rikicewa mai mahimmanci, irin su zub da jini, lalacewar nama, ko ma ƙonewa ta lantarki.
Aikace-aikace a cikin tiyata
Filayen tiyata na gama gari don ultrasonic
1. Maganin tiyata
Tsarin Laparoscopic, da ultrasonic fatarar mutum ya fi kyau falala. Misali, a lokacin cholencccystectomy (cirewar mai gallbladder). Kananan, madaidaicin tabo na ultrasonic na ultrasonic za a iya sakawa ta hanyar ƙananan tashar jiragen ruwa laparoscopic. Zai iya rarraba ƙwayar ƙwayar cuta da ke kewaye da kyallen takarda yayin rage girman zubar jini. Ikon da za a iya cunkule karamin jijiyoyin jini yayin yankan yana da mahimmanci a cikin wannan m - tiyata mai ban sha'awa, wanda ke taimakawa wajen taimakawa a bayyane ra'ayi da tsayi - kayan kida.
A cikin aikin tiyata na Laparoctal, za a iya amfani da fatarar mutum ta ultrason don rarrabe mallaka ko dubura daga tsarin kusa da tsarin. Zai iya yanke daidai ta hanyar Memshery (nama da ke ɓoye hanjin zuwa bangon ciki) da kuma rufe ƙaramin jijiyoyin jini a cikin sa. Wannan yana rage haɗarin asarar jini da lalacewa ga gabobin kusa kamar yadda mafitsara ko ureters.
1. Tiyata tiyata
Huntin huhu, ƙwararrun ƙirar ƙwayar ultrasonic ya taka muhimmiyar rawa. A lokacin da yin ɗakunan lagon (cire lobe na huhu), za a iya amfani da wani yanki na huhu), za a iya amfani da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta da kuma rufe ƙaramin jijiyoyin jini a yankin. Limitarancin zafi na ƙirar ƙwayar ƙwayar ultrasonic yana da amfani wajen kiyaye aikin ragowar ɗakunan ƙwayar cuta. Misali, a cikin lokuta inda mai haƙuri yake da cutar huhu da sauran ayyukan huhu zai iya taimakawa cimma wannan buri na ultrasonic.
A cikin aikin harkar watsa labarai na yau da kullun, inda filin tiyata yake kusa da kusancin mahimmancin tsarin kamar zuciya, madaidaicin jijiyoyin jini da kuma rauni na ƙaddaran ƙarfe da ƙananan ƙaddarar zafi. Ana iya amfani da shi a hankali cire ciwan hannu a hankali a cikin Mediastum ba tare da haifar da wuce gona da iri ba.
1. Neurosurgery
Tashin hankalin ruwa na kwakwalwa, da ultrasonic ya zama kayan aiki mai mahimmanci. Ana iya amfani dashi don cire ƙwayar ƙwayar cuta yayin rage lalacewar ƙwayar ƙoshin lafiya. Misali, a cikin cire glicas (nau'in kwakwalwa na ciki), za a iya daidaita fatarar mutum zuwa saitunan ikon da ya dace don rushe ƙarfin ƙwayoyin cuta ta hanyar girgizawa. Zafin da aka kirkira yana amfani dashi don cire ƙananan tasoshin jini a cikin ƙwayar cuta, rage zubar jini yayin aikin. Wannan yana da mahimmanci a matsayin kowane lahani ga lafiyar kwakwalwar kwakwalwa na iya haifar da yawan rashi na neurological.
Za'a iya amfani da ƙirar fataucin mutum, da ultrason na ultrasonic don rarraba kyallen takarda a kusa da kashin, kamar tsokoki da jijiyoyi, da daidaito. Lokacin aiwatar da discoroctiated (cire wani herniated diski), za a iya amfani da dillali na ultrason na ultrason a hankali cire diski na lalacewar juzu'i na jijiya ko igiyar baya.
Filayen tiyata na gama gari don naúrar lantarki
1. Janar tiyata
Eden Buɗe hakkin ciki, an yi amfani da ɓangaren zaɓaɓɓu sosai. Misali, yayin gastakerymy (cire ciki) ko amfani da shi (cire wani bangare na ciwon kai). Ana iya yanke ESU da sauri ta hanyar kyallen kasusuwa da sauri sannan a sauya zuwa yanayin coagular don rufe manyan jiragen ruwa. A cikin wani shiri, za a iya amfani da Esu don yanke ta cikin ɗana sannan kuma a haɗa da jijiyoyin jini a ma'aunin jijiyar don hana zub da jini.
Ana iya amfani da tashe tayar da Hernias, da Esu za a iya amfani da su don rarraba jakar Hernia daga kasusuwa da kuma sarrafa kowane maki zub da jini. Hakanan za'a iya amfani dashi don ƙirƙirar haɗi a cikin bangon ciki don sanya wurin raga a lokacin da tsarin gyarawa.
1. Filastik da maimaitawa
Hanyoyi kamar Lipostion, ana iya amfani da ɓangaren zaɓaɓɓu don haɗa ƙananan jijiyoyin jini a cikin adipo nama. Wannan yana taimakawa rage asarar jini yayin tsotsar kitse. Bugu da kari, a cikin fashin fata na fata, za a iya amfani da ESU don yanke fata da kuma kyallen takarda don ƙirƙirar flap sannan su rufe hanyoyin jinin.
A cikin aikin huhar filastik, kamar rhinoplasty (aikin hanci) ko hanyoyin fafutuka, za a iya amfani da ESU don yin ɓarna da sarrafa zubar jini. Ikon daidaita saitunan wuta yana ba da damar likitan tiyata don amfani da ESU don ƙwanƙwasa ƙwararrun hanci a cikin yankin.
1. Babletrics da likitan mata na jima'i
Za'a iya amfani da ESiyawa sashe, ana iya amfani da ESU don yanke da sauri ta hanyar keɓaɓɓen yadudduka don isa mahaifa. Bayan isar da jaririn, ana iya amfani dashi don rufe igiyar ciki da kuma inganta kowane maki zub da jini a cikin igiyar ciki da ciki.
Hankalin Gynecological kamar hystecercer (cire na mahaifa), za a iya amfani da ESU za a yanka ta hanyar igiyar ciki da kuma m cunkule jijiyoyin jini. Hakanan za'a iya amfani dashi a cikin tiyata don kula da fibroids na ciki ko cysts na ovarian, inda za'a iya amfani dashi don cire ci gaba da sarrafa zubar da jini yayin aikin.
Ƙarshe
A ƙarshe, ƙurar ultrasonic da keɓaɓɓen ɓangaren zaɓi sune kayan kida biyu masu mahimmanci tare da halaye daban. Zabi tsakanin mutum na ultrasonic mutum da kuma zaɓaɓɓu na zaɓaɓɓen buƙatun na hanyar tiyata, nau'in ƙwayar cuta ya ƙunshi, ƙwarewar magungunan jini, da kuma fifikon maganin. Ta hanyar fahimtar bambance-bambance tsakanin waɗannan kayan aikin, likitocin zasu iya samun ƙarin sanarwar sakamako, wanda zai iya haifar da sakamakon tiyata, rage rauni mai haƙuri, da inganta lokutan dawowa. Kamar yadda fasahar tiyata ta ci gaba da lalacewa, wataƙila sun ci gaba da duka biyu ultrelpelvel da kuma zaɓaɓɓu kuma za su ƙara samun ƙarin magana, suna ba da ƙarin fa'idodi ga marasa lafiya da kuma tiyata iri ɗaya.
