Mawu Oyamba
M'ma opaleshoni amakono, ma frequency electrosurgical unit (HFESU) yakhala chida chofunikira kwambiri. Ntchito zake zimatenga magawo osiyanasiyana opangira opaleshoni, kuyambira maopaleshoni ambiri mpaka ma microsurgeries apadera kwambiri. Popanga mafunde apamwamba kwambiri amagetsi, amatha kudula bwino minofu, kulumikiza mitsempha yamagazi kuti athetse kutuluka kwa magazi, komanso kuchita njira zochepetsera magazi. Izi sizimangochepetsa kwambiri nthawi yochitidwa opaleshoni komanso zimapangitsa kuti opareshoniyo ikhale yolondola, zomwe zimabweretsa chiyembekezo chowonjezereka cha kuchira kwa odwala.
Komabe, pamodzi ndi ntchito yake yaikulu, vuto la kuyaka chifukwa chapamwamba - ma frequency electrosurgical units layamba pang'onopang'ono. Kuwotcha uku kumatha kuchoka ku kuwonongeka kwa minofu pang'ono mpaka kuvulala koopsa komwe kungayambitse zovuta zanthawi yayitali kwa odwala, monga matenda, zipsera, komanso zovuta kwambiri, kuwonongeka kwa chiwalo. Kupezeka kwa moto uku sikungowonjezera ululu wa wodwalayo komanso kutalika kwa chipatala komanso kumayambitsa chiopsezo cha opaleshoniyo.
Chifukwa chake, ndikofunikira kwambiri kufufuza zomwe zimayambitsa kuyaka mukamagwiritsa ntchito mayunitsi opangira ma electrosurgical pafupipafupi komanso njira zodzitetezera. Nkhaniyi ikufuna kupereka chidziwitso chokwanira cha nkhaniyi kwa ogwira ntchito zachipatala, ogwira ntchito za opaleshoni, ndi omwe ali ndi chidwi ndi chitetezo cha opaleshoni, kuti achepetse kuopsa kwa kutentha koteroko ndikuwonetsetsa chitetezo ndi mphamvu za opaleshoni.
Mfundo Yogwira Ntchito Yapamwamba - Frequency Electrosurgical Unit
High-frequency Electrosurgical Unit imagwira ntchito motengera mfundo yosinthira mphamvu yamagetsi kukhala mphamvu yotentha. Makina oyambira amaphatikiza kugwiritsa ntchito ma frequency amtundu wanthawi yayitali (nthawi zambiri apakati pa 300 kHz mpaka 3 MHz), omwe amakhala pamwamba pa ma frequency angapo omwe amatha kulimbikitsa ma cell a mitsempha ndi minofu (mafupipafupi a minyewa ya thupi la munthu ndi kuyankha kwa minofu nthawi zambiri kumakhala pansi pa 1000 Hz). Mawonekedwe apamwamba kwambiriwa amatsimikizira kuti magetsi omwe amagwiritsidwa ntchito ndi Electrosurgical Unit amatha kutentha ndi kudula minofu popanda kuchititsa kuti minofu ikhale yovuta kapena kulimbikitsana kwa mitsempha, zomwe zimakhala zovuta kwambiri ndi magetsi otsika kwambiri.
Pamene gawo lapamwamba la electrosurgical unit litsegulidwa, dera lamagetsi limakhazikitsidwa. Jenereta mu electrosurgical unit imapanga magetsi apamwamba kwambiri. Izi tsopano zimayenda kudzera mu chingwe kupita ku electrode yogwira ntchito, yomwe ndi gawo la chida cha opaleshoni chomwe chimakhudza mwachindunji minofu panthawi ya opaleshoni. Elekitirodi yogwira ntchito imapangidwa m'mawonekedwe osiyanasiyana kutengera zosowa za opaleshoni, monga ma elekitirodi opangidwa ndi tsamba lodulira kapena ma elekitirodi opangidwa ndi mpira kuti azilumikizana.
Zomwe zilipo panopa zikafika pa electrode yogwira ntchito, zimakumana ndi minofu. Minofu m'thupi la munthu imakhala ndi mphamvu zina zamagetsi. Malingana ndi lamulo la Joule ( , komwe kutentha kumapangidwira, ndi komweko, ndiko kukana, ndi nthawi), pamene mphamvu yapamwamba imadutsa mu minofu ndi kukana, mphamvu yamagetsi imasinthidwa kukhala mphamvu yotentha. Kutentha pa malo olumikizana pakati pa electrode yogwira ntchito ndi minofu imakwera mofulumira.
Pa ntchito yodula, kutentha kwakukulu komwe kumapangidwa kumapeto kwa elekitirodi yogwira (nthawi zambiri kumafika kutentha kozungulira 300 - 1000 ° C) kumatulutsa ma cell a minofu munthawi yochepa kwambiri. Madzi omwe ali m'maselo amasanduka nthunzi, zomwe zimapangitsa kuti maselo aziphulika ndikusiyana wina ndi mzake, motero amakwaniritsa zotsatira za kudula minofu. Njirayi ndi yolondola kwambiri ndipo imatha kuwongoleredwa mwa kusintha mphamvu ndi ma frequency a electrosurgical unit, komanso kuthamanga kwachangu kwa electrode yogwira.
Ponena za ntchito ya hemostasis, malo otsika - mphamvu nthawi zambiri amagwiritsidwa ntchito poyerekeza ndi njira yodulira. Pamene electrode yogwira ikhudza mitsempha ya magazi, kutentha komwe kumapangidwa kumagwirizanitsa mapuloteni m'magazi ndi minofu yozungulira. Kutsekeka kumeneku kumapanga chiundana chomwe chimatsekereza mtsempha wamagazi, kuletsa kutuluka kwa magazi. Njira ya coagulation imakhudzananso ndi mphamvu ya minofu kuti itenge kutentha. Minofu yosiyanasiyana imakhala ndi kukana kwamagetsi kosiyanasiyana ndi kutentha - kuyamwa mphamvu, zomwe ziyenera kuganiziridwa panthawi ya opareshoni kuti zitsimikizire kuti hemostasis yabwino popanda kuwonongeka kwakukulu kwa minofu yozungulira.
Mwachidule, gawo lalikulu la Electrosurgical Unit limagwiritsa ntchito kutentha komwe kumachitika chifukwa cha kuchuluka kwamagetsi komwe kumadutsa m'matenda osagwirizana ndi kudula minofu ndi hemostasis, yomwe ndiukadaulo wofunikira komanso wofunikira kwambiri pakupangira maopaleshoni amakono.
Zomwe Zimayambitsa Kupsa Kwambiri
Kuwotcha kwa mbale
Kuwotcha kokhudzana ndi mbale ndi imodzi mwa mitundu yodziwika bwino yoyaka chifukwa cha mayunitsi opangira ma electrosurgical pafupipafupi. Chifukwa chachikulu cha kutentha kwamtunduwu ndi kuchuluka kwamphamvu kwapano pagawo la mbale. Malingana ndi miyezo ya chitetezo, kachulukidwe kameneka pa mbale ayenera kukhala osachepera. Powerengera pogwiritsa ntchito mphamvu zambiri ndikugwira ntchito pansi pa katundu wovomerezeka, malo ocheperapo mbale ndi , omwe ndi otsika kwambiri malire a dera la mbale. Ngati malo enieni okhudzana ndi mbale ndi wodwalayo ndi ochepa kuposa mtengo uwu, chiopsezo cha kutentha kwa mbale chidzachitika.
Pali zifukwa zingapo zomwe zingayambitse kuchepetsa kukhudzana kwabwino pakati pa mbale ndi wodwalayo. Mwachitsanzo, mtundu wa mbale ya electrode ndi yofunika. Zitsulo zama elekitirodi ndizovuta ndipo sizimatsatira bwino. Pa opareshoni, amadalira kulemera kwa thupi la wodwalayo kukanikizira mbale. Wodwalayo akamasuntha, zimakhala zovuta kuonetsetsa kuti mbaleyo ikulumikizana bwino, ndipo zowotcha zimatha kuchitika. Ma conductive gelisi elekitirodi mbale amafunikira kupaka conductive phala musanagwiritse ntchito. Pamene gel osakaniza pa mbale zoipa youma kapena kuikidwa pa yonyowa pokonza dera khungu, akhoza kuwotcha wodwalayo. Ngakhale zomatira zotayidwa - mbale zokutidwa ndi electrode zimakhala ndi kutsata bwino komanso kumamatira mwamphamvu, zomwe zimatha kutsimikizira malo okhudzana ndi ntchito, kugwiritsa ntchito molakwika monga kugwiritsa ntchito mobwerezabwereza kapena kutha ntchito kumatha kuyambitsa mavuto. Kugwiritsiridwa ntchito mobwerezabwereza kungapangitse mbale kukhala yauve, yokhala ndi dander, tsitsi, ndi mafuta, zomwe zimapangitsa kuti musamayende bwino. Mambale otha ntchito amatha kukhala atachepetsa zomatira komanso zowongolera, zomwe zimapangitsa kuti pakhale ngozi yoyaka.
Kuonjezera apo, malo oyika mbale amakhudzanso malo okhudzana. Ngati mbaleyo imayikidwa pa mbali ya thupi ndi tsitsi lochuluka, tsitsi likhoza kukhala ngati insulator, kuonjezera kusokonezeka ndi kachulukidwe kameneka m'dera la mbale, kulepheretsa kayendedwe kabwino kamakono, kutulutsa chodabwitsa, komanso kungayambitse kutentha kwamoto. Kuyika mbale pa kutchuka kwa mafupa, mgwirizano, chipsera, kapena madera ena kumene kuli kovuta kuonetsetsa kuti malo akuluakulu ndi ofanana nawo amatha kuyambitsa mavuto. Maonekedwe a Bony ndi ovuta kutsimikizira malo okwanira okhudzana ndi kukhudza kufanana kwa kukhudzana. Kupsyinjika kwa mafupa a fupa ndilokwera kwambiri, ndipo kachulukidwe kameneka kameneka kakudutsapo ndi chachikulu, kuonjezera chiopsezo cha kupsa.
Zopsereza zopanda mbale
High - pafupipafupi Ma radiation
High - pafupipafupi ma radiation amayaka kumachitika pamene wodwalayo amanyamula kapena miyendo yawo ikukumana ndi zinthu zachitsulo panthawi ya opaleshoni. Magawo apamwamba kwambiri opangira ma electrosurgical amapanga minda yamphamvu kwambiri - frequency electromagnetic panthawi yogwira ntchito. Chinthu chachitsulo chikakhala mu gawo la electromagnetic iyi, kulowetsa kwamagetsi kumachitika. Malinga ndi lamulo la Faraday la electromagnetic induction (, komwe kuli mphamvu ya electromotive, ndi chiwerengero cha kutembenuka kwa koyilo, ndipo ndi chiwerengero cha kusintha kwa maginito), mphamvu yowonongeka imapangidwa mu chinthu chachitsulo. Kutentha kotereku kungayambitse kutentha kwa chinthu chachitsulo ndi minofu yozungulira.
Mwachitsanzo, ngati wodwala amavala chitsulo mkanda kapena mphete pa ntchito, kapena ngati chitsulo opaleshoni chida kukhudza mwangozi thupi la wodwalayo, chatsekedwa - kuzungulira dera aumbike pakati chitsulo chinthu ndi thupi la wodwalayo. The mkulu - pafupipafupi panopa m'munda electromagnetic umayenda mozungulira dera, ndipo chifukwa chochepa mtanda - gawo gawo la kukhudzana mfundo pakati pa chinthu zitsulo ndi minofu, kachulukidwe panopa pa mfundo imeneyi kwambiri. Malinga ndi lamulo la Joule ( ), kutentha kwakukulu kumapangidwa mu nthawi yochepa, zomwe zingayambitse kutentha kwakukulu kwa minofu ya wodwalayo.
Circuit Short - dera
Zozungulira zazifupi - mabwalo amathanso kuyambitsa kuyaka mukamagwiritsa ntchito mayunitsi apamwamba kwambiri amagetsi. Musanagwiritse ntchito chipangizocho, ngati wogwiritsa ntchitoyo akulephera kuyang'ana ngati mzere uliwonse uli bwino, mavuto angabwere. Mwachitsanzo, chingwe chotchinga chakunja chikhoza kuwonongeka chifukwa chogwiritsa ntchito nthawi yayitali, kusungidwa kosayenera, kapena mphamvu zakunja, kuwonetsa mawaya amkati. Mawaya owonekera akakumana wina ndi mnzake kapena ndi zinthu zina zoyendetsa, dera lalifupi limachitika.
Kuphatikiza apo, mukamagwiritsa ntchito mbale yolimba, ngati zinthu zakuthupi sizimachotsedwa munthawi yake, zimatha kukhudza madulidwe amagetsi ndi magwiridwe antchito a mbale. Pakapita nthawi, izi zingayambitse kupanga njira yoyendetsera pakati pa mbale ndi mbali zina za dera, zomwe zimapangitsa kuti pakhale chigawo chachifupi. Kusamalidwa nthawi zonse ndi munthu wodzipereka n'kofunikanso. Popanda kuyang'anitsitsa ndi kukonza nthawi zonse, mavuto omwe angakhalepo m'derali sangadziwike mu nthawi, monga kugwirizana kotayirira, kukalamba kwa zigawo, ndi zina zotero, zomwe zingathe kuwonjezera chiopsezo cha maulendo afupiafupi.
Pakangochitika kaduka kakang'ono, zomwe zikuchitika mderali zimawonjezeka mwadzidzidzi. Malinga ndi lamulo la Ohm (, komwe kuli pakali pano, ndi magetsi, ndipo ndi kukana), pamene kutsutsa mu gawo laling'ono laling'ono kumachepa kwambiri, zamakono zidzakwera kwambiri. Kuwonjezeka kwadzidzidzi kwamakono kungayambitse kutenthedwa kwa mawaya ndi zigawo zikuluzikulu zomwe zili muderali, ndipo ngati kutentha sikungatheke pakapita nthawi, kumasamutsira ku thupi la wodwalayo kudzera mu electrode, zomwe zimapangitsa kutentha.
Low - pafupipafupi Sparks
Kuwala kwafupipafupi kumachitika makamaka ndi zochitika ziwiri zomwe zimafanana. Chimodzi ndi pamene mpeni - chingwe chamutu chasweka. Ma frequency apamwamba mu gawo la electrosurgical amayenera kuyenda mokhazikika kudzera pa chingwe chokhazikika kupita ku mpeni - mutu. Komabe, chingwe chikathyoka, njira yamakono imasokonezeka. Pamapeto osweka a chingwe, panopa amayesa kupeza njira yatsopano, yomwe imatsogolera kupanga zonyezimira. Zoyambira izi zimapanga mafunde otsika kwambiri.
Chinthu china ndi pamene electrosurgical unit imagwira ntchito pafupipafupi kwambiri. Mwachitsanzo, ngati dokotala wa opaleshoni ayamba ndikuyimitsa gawo lopangira ma electrosurgical mwachangu, monga kudina mobwerezabwereza batani lotsegula pakanthawi kochepa, kutsegulira kulikonse ndi kutsitsa kungayambitse kuphulika pang'ono. Ngakhale kuti moto uliwonse ukhoza kuwoneka waung'ono, ukasonkhanitsidwa pakapita nthawi, ungayambitse kutsika kwafupipafupi.
Kuwopsa kwa zokoka zocheperako ndizofunika kwambiri. Zosiyana ndi mawotchi apamwamba kwambiri - amawotchera omwe nthawi zambiri amakhala pamwamba, otsika - pafupipafupi - amawotcha amatha kukhala owopsa chifukwa amatha kukhudza ziwalo zamkati. Mwachitsanzo, pamene otsika - pafupipafupi panopa amalowa m'thupi kudzera chingwe wosweka kapena ntchito pafupipafupi - anachititsa n'kutani, zingakhudze mwachindunji mtima. Mtima kwambiri tcheru zizindikiro magetsi, ndi otsika otsika - pafupipafupi mafunde akhoza kusokoneza yachibadwa magetsi conduction dongosolo la mtima, zikubweretsa arrhythmias, ndipo kwambiri milandu, mtima kumangidwa.
Lumikizanani ndi Flammable Liquids
M'chipinda chopangira opaleshoni, nthawi zambiri pamakhala zakumwa zoyaka moto zomwe zimagwiritsidwa ntchito popha tizilombo toyambitsa matenda, monga tincture wa ayodini ndi mowa. Magawo opangira ma electrosurgical okwera kwambiri amapanga zowotcha panthawi yogwira ntchito. Zinthu zoyaka izi zikakumana ndi zinthu zamadzimadzi zomwe zimatha kuyaka, zimatha kuyaka.
Mowa, mwachitsanzo, umakhala ndi malo ochepa. Pamene mowa - ankawaviika disinfection yopyapyala amasiyidwa ndi mowa kwambiri, ndipo wets ndi disinfection drape kapena pali monyanyira yotsalira mowa m`dera ntchito, ndi electrosurgical wagawo ndi adamulowetsa kutulutsa zipsera, ndi nthunzi mowa mu mlengalenga akhoza anayatsa. Ukangoyaka, motowo ukhoza kufalikira mofulumira, osati kungowotcha khungu la wodwalayo komanso kuwononga chitetezo cha chipinda chonsecho. The kuyaka ndondomeko akhoza kufotokozedwa ndi chemical reaction chilinganizo cha mowa kuyaka:. Panthawiyi, kutentha kwakukulu kumatulutsidwa, zomwe zingayambitse kutentha kwakukulu kwa minofu yozungulira komanso kuwononga zida zopangira opaleshoni ndi zipinda zogwirira ntchito.
Njira Zopewera
Odwala - Zoyenera Kusamala
Wodwala asanalowe m'chipinda chopangira opaleshoni, kuunika kokwanira kusanachitike opaleshoni kuyenera kuchitidwa. Choyamba, zinthu zonse zachitsulo pa wodwalayo, monga zodzikongoletsera (mikanda, mphete, ndolo), magalasi opangidwa ndi zitsulo, ndi zitsulo zilizonse - zomwe zili ndi zowonjezera, ziyenera kuchotsedwa. Zinthu zachitsulo izi zimatha kukhala ngati ma conductor mu gawo lapamwamba kwambiri lamagetsi opangidwa ndi ma electrosurgical unit, zomwe zimapangitsa kuti pakhale mafunde opangira mafunde komanso kuyaka komwe kungathe, monga tafotokozera m'gawo la mawotchi apamwamba kwambiri.
Panthawi ya opaleshoni, ndikofunikira kuwonetsetsa kuti thupi la wodwalayo silikukhudzana ndi zitsulo zilizonse patebulo la opaleshoni kapena zida zina zachitsulo. Ngati wodwalayo ali ndi mbiri yazitsulo zazitsulo, monga zopangira zopangira, mbale zachitsulo zopangira fracture, kapena mano opangira mano, gulu la opaleshoni liyenera kudziwa malo awo. Zikatero, kugwiritsira ntchito bipolar electrosurgical unit mmalo mwa unipolar kungaganizidwe. Bipolar electrosurgical units ali ndi loop yaying'ono, yomwe ingachepetse chiopsezo chodutsa pazitsulo zachitsulo ndikuyambitsa kuyaka. Mwachitsanzo, m'maopaleshoni a mafupa omwe muli ma implants achitsulo omwe alipo m'thupi la wodwalayo, kugwiritsa ntchito ma electrosurgery a bipolar kungachepetse kuvulaza komwe kungachitike chifukwa chapamwamba - pafupipafupi pakali pano kugwirizana ndi chitsulo.
Electrode Plate - Zoyenera Kusamala
Kusankha mbale yoyenera ya electrode ndiyo sitepe yoyamba. Mitundu yosiyanasiyana ya ma elekitirodi mbale ali ndi makhalidwe awo. Kwa odwala akuluakulu, mbale yayikulu ya electrode iyenera kusankhidwa, pomwe kwa ana ndi makanda, mbale zofananira za ana zimafunikira. Kukula kwa mbale ya electrode kuyenera kukhala kokwanira kuonetsetsa kuti kachulukidwe kameneka pa malo a mbale ali mkati mwa malo otetezeka (osachepera). Zomatira zotayidwa - mbale zokutira zama electrode zimakondedwa chifukwa chotsatira bwino komanso kumamatira mwamphamvu. Komabe, musanagwiritse ntchito, ndikofunikira kuyang'anitsitsa kukhulupirika kwa gel osakaniza pa mbale, kuonetsetsa kuti palibe ming'alu, malo owuma, kapena zonyansa. Mimba ya electrode yomwe yatha ntchito iyenera kuletsedwa kuti isagwiritsidwe ntchito, chifukwa ma conductive ndi zomatira amatha kuwonongeka.
Kuyika kolondola kwa mbale ya electrode nakonso ndikofunikira kwambiri. Mbale iyenera kuyikidwa pa minofu - yolemera ndi tsitsi - malo opanda, monga ntchafu, matako, kapena kumtunda kwa mkono. Ndikofunikira kupewa kuziyika pamafupa, mafupa, zipsera, kapena malo omwe ali ndi tsitsi lochulukirapo. Mwachitsanzo, ngati mbaleyo imayikidwa pa fupa kutchuka ngati chigongono kapena bondo, malo okhudzana nawo angakhale osagwirizana, ndipo kupanikizika panthawiyi kumakhala kwakukulu. Malingana ndi mfundo ya kachulukidwe kamakono ( , komwe kuli kachulukidwe kameneka, ndi komweko, ndipo ndi malo), malo ocheperapo okhudzana nawo adzatsogolera kuwonjezereka kwamakono, kuonjezera chiopsezo cha kutentha. Kuonjezera apo, mbaleyo iyenera kuyikidwa pafupi ndi malo opangira opaleshoni kuti achepetse kutalika kwa njira yamakono mkati mwa thupi la wodwalayo, koma panthawi imodzimodziyo, iyenera kukhala osachepera 15 cm kutali ndi opaleshoniyo kuti asasokonezedwe ndi opaleshoni.
Zida ndi Ntchito - Zoyenera Kusamala
Kuyendera kwa Zida
Opaleshoni isanayambe, kuyang'ana mwatsatanetsatane gawo lapamwamba la electrosurgical unit ndi mizere yogwirizana nayo iyenera kuchitidwa. Yang'anani chingwe chotchinga chakunja kuti muwone ngati chiwopsezo chawonongeka, monga ming'alu, mabala, kapena mikwingwirima. Ngati chigawo chosungunula chawonongeka, mawaya amkati amatha kuwululidwa, kuonjezera chiopsezo chafupikitsa - mabwalo ndi kutentha. Mwachitsanzo, chingwe chomwe chapindika pafupipafupi kapena chofinyidwa ndi zinthu zolemera chikhoza kukhala ndi chosanjikiza chowonongeka. Kuphatikiza apo, yesani magwiridwe antchito a electrosurgical unit poyesa kudziyesa ngati ilipo. Izi zitha kuthandizira kuzindikira zovuta zomwe zingachitike mu jenereta, gulu lowongolera, ndi zida zina.
Mukugwira ntchito, nthawi ndi nthawi yang'anani zida kuti muwone ngati zikumveka zachilendo, kugwedezeka, kapena kutulutsa kutentha. Phokoso losazolowereka limatha kuwonetsa zovuta zamakina mu chipangizocho, pomwe m'badwo wotentha kwambiri ukhoza kukhala chizindikiro cha kulephera kwapano kapena gawo. Mwachitsanzo, ngati wagawo electrosurgical zimatulutsa mkulu - anagwetsa kung'ung'udza phokoso pa ntchito, kungakhale chizindikiro cha zimakupiza malfunctioning mu dongosolo yozizira, zomwe zingachititse kutenthedwa kwa chipangizo ndi angathe amayaka kwa wodwala.
Opaleshoni ikatha, yeretsani ndikuphera tizilombo toyambitsa matenda molingana ndi malangizo a wopanga. Yang'ananinso zidazo kuti muwonetsetse kuti palibe zowonongeka zomwe zachitika panthawi yogwira ntchito. Yang'anani magazi otsalira, minofu, kapena zowonongeka zina pa ma electrode ndi zingwe, chifukwa zinthuzi zingakhudze ntchito ndi chitetezo cha zipangizo ngati sizikuchotsedwa panthawi yake.
Zofotokozera za Ntchito
Othandizira mayunitsi apamwamba kwambiri a electrosurgical ayenera kukhala ophunzitsidwa bwino komanso odziwa bwino njira zogwirira ntchito. Mukayika mphamvu ya electrosurgical unit, yambani ndi mphamvu yochepa ndikuwonjezera pang'onopang'ono malinga ndi zosowa zenizeni za opaleshoniyo. Mwachitsanzo, popanga opaleshoni yaying'ono, kuyika mphamvu zochepa kungakhale kokwanira kudula minofu ndi hemostasis. Kuyika mphamvu zochulukirapo mosayenera kungayambitse kutentha kwakukulu, zomwe zimapangitsa kuwonongeka kwakukulu kwa minofu ndi chiopsezo chowonjezereka cha kuyaka.
Pa opareshoni, electrode yogwira (mpeni - mutu) ayenera kuchitikira mosalekeza kuonetsetsa kudula molondola ndi coagulation. Pewani kuyika ma elekitirodi omwe akugwira ntchito kuti agwirizane ndi minyewa yomwe siili chandamale pomwe siyikugwiritsidwa ntchito. Mwachitsanzo, pamene dokotala akufunika kuyimitsa opaleshoniyo kwa kanthaŵi, mpeni - mutuwo uyenera kuikidwa pamalo otetezeka, monga ngati chogwirizira chapadera, m'malo mosiyidwa pamalo opangira opaleshoni pomwe ungakhudze thupi la wodwalayo mwangozi ndikuwotcha.
Kuganizira Zachilengedwe
Malo opangira opaleshoni amagwira ntchito yofunika kwambiri popewa kuyaka komwe kumachitika chifukwa cha mayunitsi apamwamba kwambiri amagetsi. Choyamba, onetsetsani kuti mulibe mpweya woyaka kapena zamadzimadzi m'chipinda chopangira opaleshoni. Zinthu zoyaka moto monga mankhwala ophera tizilombo tomwe timakhala ndi mowa, etha (ngakhale sagwiritsidwa ntchito movutikira masiku ano), komanso mipweya ina yosasunthika yophatikizika imatha kuyaka ikakumana ndi zoyaka zopangidwa ndi gawo la electrosurgical. Musanagwiritse ntchito makina opangira opaleshoni, onetsetsani kuti malo opangira opaleshoni ndi owuma komanso kuti mankhwala ophera tizilombo toyaka moto aphwa.
Yang'anirani kuchuluka kwa okosijeni m'chipinda chopangira opaleshoni. Malo okhala ndi mpweya wambiri amawonjezera ngozi ya moto. M'madera omwe ma electrosurgical unit amagwiritsidwa ntchito, makamaka pafupi ndi mpweya wa wodwalayo, mpweya wa okosijeni uyenera kusungidwa pamalo otetezeka. Mwachitsanzo, pochita maopaleshoni a m’kamwa kapena m’mphuno, kuyenera kuchitidwa chisamaliro chowonjezereka kuonetsetsa kuti mpweya wa okosijeni wasinthidwa bwino komanso kuti palibe kutayikira kwa okosijeni wochuluka kwambiri pafupi ndi malo opangira opaleshoni kumene chigawo cha electrosurgical chikugwiritsidwa ntchito.
Mapeto
Pomaliza, mayunitsi apamwamba kwambiri a electrosurgical ndi zida zofunika komanso zamphamvu pama opaleshoni amakono, koma kuthekera kowotcha pakagwiritsidwa ntchito sikunganyalanyazidwe.
Pofuna kupewa kupsa uku, pali njira zingapo zomwe ziyenera kuchitidwa. Ogwira ntchito zachipatala, ogwira ntchito pazida zopangira opaleshoni, ndi onse omwe akuchita maopaleshoni ayenera kumvetsetsa mozama za zomwe zimayambitsa kuwotcha komanso njira zodzitetezera. Potsatira mosamalitsa njira zodzitetezera, kuchuluka kwa kuyaka komwe kumachitika chifukwa cha mayunitsi apamwamba kwambiri a electrosurgical kumatha kuchepetsedwa kwambiri. Izi sizimangotsimikizira chitetezo cha odwala panthawi ya opaleshoni komanso zimathandizira kuti njira zopangira opaleshoni zipite patsogolo, kupititsa patsogolo ubwino wonse ndi chithandizo chamankhwala opangira opaleshoni. M'tsogolomu, kufufuza kosalekeza ndi kusintha kwa mapangidwe ndi kugwiritsa ntchito mayunitsi apamwamba kwambiri a electrosurgical akuyembekezeka kupititsa patsogolo chitetezo cha opaleshoni ndi zotsatira za odwala.
