ʻO ka High-Frequency Electrosurgery Unit kahi mea electrosurgical e pani ana i ka scalpel mechanical no ka ʻoki ʻana i ka ʻiʻo, a ua māhele ʻia i nā electrodes monopolar a me ka electrocoagulation bipolar. Mālama ia i ka hohonu o ka ʻoki ʻana a me ka wikiwiki coagulation i ka wā o ka ʻoki ʻana e ka kamepiula e hoʻokō i ka hopena o ka ʻoki a me ka hemostasis. Ma ka ʻōlelo a ka poʻe kamaʻāina, he scalpel ia e hoʻohana ai i ka uila no ka hoʻokō ʻana i ke koko i ka wā e ʻoki ai.
Hoʻokumu ʻia ka ʻāpana electrosurgery HF i ka ʻāpana nui a me nā mea pono e like me Electrosurgical Pencil, Bipolar electrocoagulation tweezers, Neutral electrode, Bipolat foot switch, etc.
ʻO ke ʻano Monopolar: Ke hoʻohana nei i ka ikehu wela a me ka hoʻokuʻu ʻana i hoʻokuʻu ʻia e ka manawa kiʻekiʻe e ʻoki a hoʻōki i ke kahe ʻana o nā ʻiʻo. Hoʻokumu ka uila uila i ka wela kiʻekiʻe, ka ikehu wela a me ka hoʻokuʻu ʻana ma ka piko o ka Electrosurgical Pencil, e hoʻoulu ai i ka dehydration wikiwiki, decomposition, evaporation a me ke koko coagulation o nā ʻiʻo i hoʻopili ʻia e hoʻokō i ka hopena o ka wehe ʻana a me ka coagulation.
ʻO ke ʻano Bipolar: Pili maikaʻi ʻia nā puʻupuʻu bipolar me ka ʻiʻo, hele ke ʻano o kēia manawa ma waena o nā pou ʻelua o ka puʻupuʻu bipolar a palahalaha nui kona coagulation hohonu, lilo ka ʻiʻo pili i nā ʻōpala liʻiliʻi ʻulaʻula ʻulaʻula me ka ʻole o ka ʻike ʻia ʻana. Hiki ke hoʻokō ʻia nā hopena electrocoagulation maikaʻi ma nā kahua hana maloʻo a maʻa paha. ʻO ka bipolar electrocoagulation ʻaʻole i ʻoki ʻia, ka nui o ka coagulation, lohi, akā me ka hemostasis hilinaʻi a me ka hopena liʻiliʻi i nā ʻiʻo a puni. Hana ʻia nā ʻaoʻao ʻelua o ka bipolar i kahi kaapuni pālua, no laila ʻaʻole pono ke ʻano bipolar i ka electrode Neutral.
ʻO ke alapine o nā ʻāpana electrosurgery i ka hoʻohana maʻamau i kēia lā ma kahi o 300-750 KHz (kilohertz) - ʻElua mau pihi liʻiliʻi ma ka lima pahi, ʻoki ʻia kekahi a ʻo COAG kekahi. ʻO ka electrode kūʻokoʻa he papa alakaʻi maikaʻi maikaʻi e pili ana me ke kino, maʻamau hoʻi e hoʻopau ʻia, pili i ke kua a i ʻole ka ʻūhā o ka mea maʻi a laila pili i ka ʻāpana nui. Ke hanaʻia nā pilina a pau a paʻiʻia ke pihi Electrosurgical Pencil, e kahe ana ka manawa mai ka mea nui, ma o ka uea a hiki i ke alapine kiʻekiʻe Electrosurgical Pencil, e komo i ke kino ma ka piko, a laila e hoʻi i ka mea nui mai ka Neutral electrode i hoʻopaʻaʻia i ka mea maʻi e hana i kahi loop pani (e like me ka mea i hōʻikeʻia ma lalo).
Hiki i ka ʻāpana electrosurgery ke hōʻemi nui i ka manawa hana, hoʻemi i nā pilikia o ke kaʻina hana, hoʻemi ʻia ke kahe o ke koko i nā maʻi, hoʻemi ʻia nā pilikia ʻoki a me nā kumu kūʻai. ʻO ka wikiwiki wikiwiki, hemostasis maikaʻi, hana maʻalahi, palekana a me ka maʻalahi. ʻO ka nui o ke koko o ka hana hoʻokahi e hoʻemi nui ʻia i ka wā i hala.
Kaʻina hana 1. Hoʻohui i ke kaula mana a hoʻopili i ke kuapo wāwae Bipolat i loko o ke kumu pili. 2. Hoʻohui i ke alakaʻi electrode Neutral a hoʻopili i ka electrode Neutral i ka wahi momona o ka mea maʻi. 3. E ho'ā i ka mana a ho'ā i ka mīkini no ka ho'āʻo pono'ī. 4. E hoʻohui i nā alakaʻi monopolar a me ka bipolar, e koho i ka mana hoʻopuka kūpono a me ke ʻano puka (Coag, Cut, Bipolar), a e hoʻomalu i ka hoʻopuka me ka hoʻohana ʻana i ka hoʻololi lima a i ʻole Bipolat foot switch (blue Coag, yellow Cut,). 5. Ma hope o ka hoʻohana ʻana, e hoʻihoʻi i ka mana hoʻopuka i ka '0', e hoʻopau i ka hoʻololi mana a wehe i ke kaula mana. 6. Ma hope o ka hana ʻana, e hoʻohana i ka papa inoa a hoʻomaʻemaʻe a hoʻonohonoho i nā mea hana electrosurgery.
Hoʻopili ʻia:
Nā waiwai hoʻonohonoho mana maʻamau
Lawe Hoʻohālike ʻo MeCan iā MCS0431 High-frequency Electrosurgery Unit ma ke ʻano he laʻana, ma hope o kēlā me kēia mana, e paʻa ka pahi uila HF i ke ʻano i hoʻohana ʻia a me ka waiwai hoʻonohonoho mana. I ka hoʻohana ʻana i ka pahi uila HF no ka ʻoki ʻana, inā ʻaʻole ʻoe i ʻike i ka waiwai hoʻonohonoho mana kūpono, pono ʻoe e hoʻonoho i ka pahi i kahi waiwai haʻahaʻa haʻahaʻa, a laila hoʻonui pono i kona mana a hiki i ka hopena i makemake ʻia.
1, mana haʻahaʻa:
ʻOki, coagulation <30 watts
- ʻokiʻoki dermatological
- ʻO ka hoʻoheheʻe Laparoscopic sterilization (bipolar a me monopolar)
- ʻO ka maʻi neurosurgery (bipolar a me monopolar)
- Oki waha
- ʻO ka ʻoki kino
- ʻokiʻoki polypectomy
- ʻokiʻoki Vasectomy
2, mana waena:
ʻOki: 30-60 watts Coagulation 30-70 watts
- ʻokiʻoki nui
- ʻO ke poʻo a me ka ʻāʻī (ENT)
- ʻO ka ʻoki ʻana i ka ʻāpana Caesarean
- Orthopedic surgery
- ʻO ke ʻoki ʻana i ka ʻiʻo ʻana.
- ʻO ke kīʻaha koko
3, mana kiʻekiʻe:
ʻOki ʻana > 60 watts Coagulation > 70 watts
- ʻoki ʻoki ʻana i ka maʻi kanesa, mastectomy, a me nā mea ʻē aʻe (ʻoki ʻia: 60-120 watts; coagulation: 70-120 watts)
- Thoracotomy (ka uila mana kiʻekiʻe, 70-120 watts)
- ʻO ka wehe ʻana i ka transurethral (ʻoki ʻia: 100-170 watts; coagulation: 70-120 watts, pili i ka mānoanoa o ke apo resection i hoʻohana ʻia a me ka ʻenehana)
