Views: 100 Author: MECANMED Editorial Team Publish Time: 2026-06-25 Keeb Kwm: Qhov chaw
MECANMED yog lub chaw tsim khoom X-ray tshuab thiab ib-nres cov khoom siv kho mob nyob hauv Guangzhou, Suav. Peb lub hom phiaj txuas mus deb tshaj qhov muab khoom siv kho mob. Peb nkag siab tias hauv kev lag luam kho mob, cov khoom siv uptime ncaj qha cuam tshuam nrog kev saib xyuas neeg mob. Txawm hais tias muab cov tshuab X-ray lossis cov cuab yeej phais tshwj xeeb, peb tau cog lus txhawb nqa. Peb muab cov chaw kho mob thoob plaws teb chaws Africa thiab Southeast Asia muaj zog, nrawm, thiab cov kws tshaj lij kev txhawb nqa.
Tsis ntev los no, peb pab pawg txhawb nqa tom qab muag tau ua haujlwm ze nrog lub chaw kho mob tus khub hauv Niger, West Africa. Ua ke, peb kuaj xyuas thiab daws qhov teeb meem ua haujlwm nrog ib qho Electrosurgical Unit (ESU) . Cov ntaub ntawv no ua pov thawj tias peb cov kev txawj ntse sib sib zog nqus thiab kev sib koom ua ke hla ciam teb kom cov tshuab npaj tau. Nws ua kom cov chaw kho mob tuaj yeem muab kev kho mob ruaj khov, nyab xeeb.
Ib lub tsev kho mob hauv Niger tau hu rau peb pab pawg txhawb nqa tom qab muag txog qhov teeb meem uas lawv tau ntsib thaum npaj khoom siv.
Cov neeg ua haujlwm hauv tsev kho mob tau tshaj tawm qhov teeb meem nrog lub tshuab electrosurgical. Thaum lawv nias lub xiav pedal pib Bipolar Hom , chav tsev yuam kev ua rau Monopolar Hom hloov .
Hauv electrosurgery, precision yog qhov tseem ceeb. Txhua qhov sib xyaw ntawm tus kws kho mob xav tau thiab lub tshuab ua haujlwm li cas tuaj yeem cuam tshuam kev phais. Paub txog qhov xwm txheej ceev, peb tus kws tshaj lij kev pabcuam kev pabcuam tau muab qhov tseem ceeb tam sim ntawd. Nws tau ua sai sai kom pom tias lub hauv paus ua rau puas yog kho vajtse tsis ua haujlwm, software glitch, lossis teeb meem yuam kev.
Kev ua haujlwm thoob plaws sab av loj yuav tsum muaj lub hom phiaj meej, ib kauj ruam los ntawm kauj ruam rau kev sim tej thaj chaw deb. Peb pab pawg txhawb nqa tom qab muag tau pib ua ntau kauj ruam daws teeb meem raws tu qauv. Peb siv cov txheej txheem no los nthuav tawm qhov ua rau ntawm qhov tsis txaus ntseeg.
Tsis pub dhau 12 teev tom qab tau txais tsab ntawv ceeb toom, peb pab neeg tom qab muag tau ntsib nrog lub tsev kho mob tus kws kho mob. Thawj kauj ruam yog txhawm rau txheeb xyuas qhov chaw kho mob thiab cov ntaub ntawv raug siv. Peb pab neeg tau hais kom tus kws kho mob kom paub meej txog hom kua dej siv thaum lub sijhawm ua haujlwm lossis kuaj. Tshwj xeeb, peb tau kuaj xyuas seb puas muaj Saline li qub .
Txhawm rau txhawb pab pawg kho mob hauv zos, peb tus kws tshaj lij tau muab cov lus qhia kho mob-tshaj tam sim. Nws tsom mus rau qhov sib txawv ntawm cov kua dej sib cuam tshuam nrog lub zog hluav taws xob (RF) li cas :
Glucose Solution (Non-conductive): tuaj yeem siv nyab xeeb hauv ob hom Monopolar thiab Bipolar vim nws tsis cuam tshuam cov hluav taws xob tam sim no.
Ib txwm Saline (Conductive): Vim nws siab ionic concentration, ib txwm saline yog heev conductive. Nws yog tshwj xeeb tshaj yog sib xws nrog tshwj xeeb Bipolar hom (xws li hauv qab-kua txiav). Yog tias koj siv nws yuam kev hauv Monopolar hom, qhov hluav taws xob impedance profile yuav hloov.
Tus neeg siv tau xa ib daim vis dis aus luv uas qhia lawv qhov kev teeb tsa thiab kev ua haujlwm ko taw-pedal. Peb tus kws ua haujlwm tom qab ntawd tau ua tiav qhov kev kuaj xyuas ib puag ncig ntawm cov duab.
Qhov kev tawg tuaj thaum peb pab neeg tau txheeb xyuas tias lub hauv paus ua rau. Nws tsis yog lub cuab yeej ua haujlwm tsis zoo, tab sis kev ua haujlwm yuam kev. Cov vis dis aus tau pom tias tus kws kho mob tau txuas cov khoom siv tsis raug thiab teeb tsa cov kev kho mob ib txhij. Nws tshwm sim tias qhov chaw phais sab nraud thiab kev tso kawm ntxiv tsis ua raws li cov txheej txheem bipolar. Tus kws kho mob phau ntawv tuav inadvertently ua rau txoj kev Monopolar. Lub tshuab built-in kev ruaj ntseg mechanisms ua haujlwm raws nraim li tsim. Nws tiv thaiv tsis raug lub zog tso zis raws li tus neeg siv phau ntawv teeb tsa.
Lub hauv paus ua rau yog kev ua haujlwm yuam kev es tsis yog lub cuab yeej ua haujlwm tsis zoo. Peb pab neeg tau muab cov phiaj xwm kho kom meej, ib kauj ruam los ntawm kauj ruam:
1. Rov pib dua ESU rau nws cov txheej txheem pib pib.
2. Txhim kho qhov system kom meej meej rau lub hom phiaj Bipolar ntawm lub ntsiab tswj vaj huam sib luag.
3. Hloov qhov ntsuas nruab nrab mus rau Glucose Solution rau kev tswj xyuas kev txiav txim siab los soj ntsuam lub tshuab kev coj tus cwj pwm hauv qab cov tsis muaj Bipolar ntshiab.
Tom qab peb pab neeg tau hloov kho, tus kws kho mob tau ua tiav qhov kev xeem. Lub tshuab teb flawlessly: nias lub xiav pedal ntse qhib lub Bipolar hom nrog pom lub zog tso zis. Qhov teeb meem tau daws tag nrho yam tsis xav tau cov khoom seem lossis kev mus ntsib lub cev. Nws txuag lub sijhawm tseem ceeb hauv tsev kho mob thiab cov nqi.
Kev kho qhov teeb meem no sai ntxiv dag zog rau peb txoj kev koom tes ntev nrog lub tsev kho mob hauv Niger. Tom qab qhov kev xeem zaum kawg, tus neeg sawv cev ntawm lub tsev kho mob tau qhia lawv cov lus qhia:
'Ua tsaug ntau ntau rau koj qhov kev txhawb nqa thiab kev pab cuam thoob plaws hauv cov txheej txheem no. Kuv txaus siab rau koj txoj kev tshaj lij thiab kev siv zog ntawm koj tag nrho pab neeg. Kuv zoo siab heev tias qhov teeb meem tau daws tau tiav. Kuv yuav tiv tauj koj yog tias peb ntsib teeb meem yav tom ntej. Ua tsaug rau koj ntxiv rau koj qhov kev txhawb nqa zoo.'
── Tus Neeg Sawv Cev, Partner Clinic hauv Niger
Peb pab neeg xav pab cov neeg yuav khoom hauv tsev kho mob, cov neeg xa khoom, thiab cov kws kho mob tau txais txiaj ntsig zoo tshaj plaws los ntawm lawv cov cuab yeej. Raws li cov ntaub ntawv no, peb muab tso ua ke ib phau ntawv qhia luv luv:
Hom kua dej |
Monopolar hom |
Hom Bipolar |
Clinical Note |
Glucose / Sorbitol / Glycine (Non-conductive) |
✔️ Tau tshaj |
✔️ Tau tshaj |
Zoo tagnrho rau cov txheej txheem irrigation qhov twg tam sim no dissipation yuav tsum tau tiv thaiv. |
Ib txwm Saline / Ringer's Lactate (Conductive) |
❌ Tsis siv |
✔️ Tau tshaj (Tshwj xeeb chaw) |
Saline yuav luv-circuit qauv monopolar tam sim no. Tsuas yog siv nrog ESUs tshwj xeeb rau qhov chaw muaj kab mob bipolar saline (piv txwv li, TURP / hysteroscopy). |
Cov Lus Qhia Tshwj Xeeb: Nco ntsoov xyuas kom koj ESU lub vaj huam sib luag teeb tsa ua raws cov cuab yeej thiab cov kua dej siv hauv chav ua haujlwm. Yog tias lub kaw lus pom muaj qhov sib xyaw ua ke-xws li siv ntsev hauv hom Monopolar-ua-nyob rau hauv kev ruaj ntseg interlocks yuav nkag mus. Lub tshuab yuav thaiv lub hwj chim lossis hloov mus rau hom kev nyab xeeb los tiv thaiv tus neeg mob.
Kev ncua deb yeej tsis muaj kev cuam tshuam rau kev txhawb nqa kev noj qab haus huv zoo. Peb muab lub hauv paus tsim muaj zog, suav nrog peb cov kab hluav taws xob niaj hnub no, nrog cov pab pawg neeg hais lus Askiv sai sai tom qab muag. Qhov kev teeb tsa no ua kom ntseeg tau tias cov tsev kho mob thiab cov chaw muag khoom thoob ntiaj teb yuav tsis raug tso tseg los txiav txim ib leeg.
Peb tsis yog nkoj lub thawv xwb. Peb xa cov kev kho mob ib leeg txhim khu kev qha uas txhawb nqa los ntawm kev txawj ntse uas koj tuaj yeem ntseeg tau.
Puas yog koj tab tom nrhiav ib tus neeg muab khoom siv kho mob txhim khu kev qha rau koj qhov project hauv tsev kho mob? Koj puas xav tau ib tus neeg xa khoom muaj zog? Hu rau peb pab neeg hnub no kom tau txais peb cov khoom catalogs thiab cov ntawv cog lus zoo tshaj plaws.