Iimboniselo: 0 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2023-04-03 Imvelaphi: Isiza
Yintoni i-High-Frequency ICandelo loTyando loMbane?
Iyunithi ye-High-Frequency Electrosurgery i-electrosurgical device ethatha indawo ye-scalpel yomatshini yokusika izicubu, kwaye ihlukaniswe ngama-electrodes e-monopolar kunye ne-bipolar electrocoagulation. Ilawula ubunzulu bokusika kunye nesantya se-coagulation ngexesha lotyando ngekhompyuter ukufezekisa umphumo wokusika kunye ne-hemostasis.
Ngokwemiqathango ye-layman, si-scalpel esebenzisa umbane ukuphumeza ukuqiniswa kwegazi ngelixa lisika.
Iyunithi ye-HF ye-electrosurgery iqulunqwe yiyunithi ephambili kunye nezixhobo ezifana nePencil ye-Electrosurgical, i-Bipolar electrocoagulation tweezers, i-Neutral electrode, i-Bipolat foot switch, njl.
I-1.I-Electrosurgical elawulwa ngesandla i-Pencil output
2.Imowudi ye-bipolar enye inokuguqulwa kwaye ikhutshwe yi-Bipolat foot switch
3.I-electrode engathathi hlangothi isetyenziselwa ukusabalalisa i-high-frequency currents, ukuphepha ukutshisa okuphezulu kwangoku kunye nokutsha kombane ukwenzela ukhuseleko lwezempilo. abasebenzi kunye nezigulane.
4.Imodeli yeMeCan Iyunithi ye-electrosurgical ye-MCS0431 ifumaneka njenge-accessory, kunye nezinto ezisetyenziswayo ze-electrosurgical ezifana ne-Standard electrosurgical pencil (Disposable) kunye ne-Neutral electrode zingathengwa ngokwahlukileyo.
UmGaqo wokuSebenza
Imo ye-Monopolar: Ukusebenzisa amandla obushushu kunye nokukhutshwa okukhutshwe yi-high-frequency current ukusika kunye nokumisa ukopha kwezicubu. Umbane okhoyo udala ukushisa okuphezulu, amandla okushisa kunye nokukhutshwa kwinqanaba lePencil ye-Electrosurgical, ebangela ukuchithwa kwamanzi ngokukhawuleza, ukubola, ukukhupha, ukukhupha igazi kunye nokudibanisa kwegazi kwezicubu ezixhumeneyo ukuze kuphunyezwe umphumo wokuchithwa kwezicubu kunye ne-coagulation. | Imodi ye-Bipolar: I-forceps ye-bipolar idibene kakuhle kunye nezicubu, i-current idlula phakathi kwezibonda ezimbini ze-bipolar forceps kunye ne-coagulation yayo enzulu isasazeka ngokukhawuleza, i-tissue edibeneyo ijika ibe yi-crusts encinci ekhanyayo ngaphandle kokwenza i-arc ebonakalayo. Iziphumo ezilungileyo ze-electrocoagulation zinokufezekiswa kwiindawo zombini ezomileyo okanye ezifumileyo. I-bipolar electrocoagulation ayiyokusikwa, ikakhulu i-coagulation, icotha, kodwa ine-hemostasis ethembekileyo kunye nefuthe elincinci kwizicubu ezijikelezileyo. Iingcebiso ezimbini ze-forceps ze-bipolar zenza isiphaluka esiphindwe kabini, ngoko ke imodi ye-bipolar ayifuni i-electrode engathathi hlangothi. |
Ukuphindaphinda kweeyunithi ze-electrosurgery ezisetyenziswa ngokubanzi namhlanje malunga ne-300-750 KHz (kilohertz)
- Kukho amaqhosha amabini amancinci kwisibambo somela, enye yi-CUT kwaye enye yi-COAG. i-electrode engathathi hlangothi yipleyiti yomqhubi we-benign ethambileyo edibana nomzimba, ngokuqhelekileyo iphinda ilahlwe, idityaniswe kumqolo okanye ethangeni lesigulana kwaye emva koko idityaniswe kwiyunithi ephambili. Xa lonke uqhagamshelo lwenziwe kwaye iqhosha lePencil ye-Electrosurgical licinezelwe, ukuhamba kwangoku ukusuka kwiyunithi ephambili, ngocingo ukuya kwiPencil ephezulu ye-Electrosurgical, engena emzimbeni ngencam, kwaye emva koko iqukuqela ibuyela kwiyunithi ephambili ukusuka kwi-Neutral. i-electrode eqhotyoshelwe kwisigulane ukwenza i-loop evaliweyo (njengoko kuboniswe ngezantsi).
Iyunithi ye-electrosurgery yenza ukunciphisa kakhulu ixesha lokusebenza, ukunciphisa ubunzima botyando, ukunciphisa ukulahlekelwa kwegazi kwizigulane, ukunciphisa iingxaki zotyando kunye neendleko zotyando. Isantya sokusika ngokukhawuleza, i-hemostasis efanelekileyo, ukusebenza okulula, ukhuseleko kunye nokulula. Umthamo wokuphuma kwegazi wotyando olufanayo uncitshiswe kakhulu xa kuthelekiswa nexesha elidlulileyo.
Inkqubo yokusebenza
1. Xhuma intambo yamandla kwaye uqhagamshele i-Bipolat foot switch kwi-socket ehambelanayo.
2. Qhagamshela i-Neutral electrode lead kwaye uqhoboshele i-Neutral electrode kwindawo etyebileyo yemisipha yesigulane.
3. Vula iswitshi yamandla kwaye uvule umatshini ukuze uzivavanye.
4. Qhagamshela i-monopolar kunye ne-bipolar lead, khetha amandla afanelekileyo aphumayo kunye nemodi yokuphuma (i-Coag, Cut, Bipolar), kwaye ulawule imveliso usebenzisa i-hand switch okanye i-Bipolat foot switch (i-Coag eluhlaza okwesibhakabhaka, i-Yellow Cut,).
5. Emva kokusetyenziswa, buyisela amandla okuphuma kwi- '0', cima umbane kwaye ukhuphe intambo yombane.
6. Emva kokusebenza, sebenzisa irejista kwaye ucoce kwaye uququzelele izixhobo zeyunithi ye-electrosurgery.
NONE
IiNqobo zokuSeta amandla oMmandla
Thatha Imodeli ye-MeCan ye-MCS0431 i-High-frequency Electrosurgery Unit njengomzekelo, emva kombane ngamnye, imela yombane ye-HF iya kusilela kwimowudi esandul' ukusetyenziswa kunye nexabiso lokumisela amandla. Xa usebenzisa imela yombane ye-HF yokusika, ukuba awuyazi ixabiso elichanekileyo lokusetha amandla, kufuneka ubeke ummese kwixabiso eliphantsi kakhulu, kwaye wandise ngononophelo amandla alo de ube unokufezekisa umphumo oyifunayo.
1, Amandla aphantsi:
Ukusika, i-coagulation <30 watts
- Utyando lwesikhumba
-Utyando lwe-Laparoscopic sterilization (i-bipolar kunye ne-monopolar)
-Neurosurgery (i-bipolar kunye ne-monopolar)
- Utyando ngomlomo
- Uqhaqho ufakela iplastikhi
- Polypectomy utyando
- Utyando lweVasectomy
2, Amandla aphakathi:
Ukusika: 30-60 watts Coagulation 30-70 watts
- Utyando ngokubanzi
- Utyando lwentloko kunye nentamo (ENT)
- Utyando lwecandelo loKesareya
- Utyando lwamathambo (utyando olukhulu)
- Uqhaqho lweThoracic (uTyando oluQhelekileyo)
- Utyando lwemithambo (utyando olukhulu)
3. Amandla aphezulu:
Ukusika > 60 watts Coagulation > 70 watts
- Utyando lokukhupha umhlaza, ukususwa kwebele, njl njl (ukusika: 60-120 watts; coagulation: 70-120 watts)
I-Thoracotomy (i-electrocautery yamandla aphezulu, i-70-120 watts)
- I-Transurethral resection (ukusika: i-100-170 watts; i-coagulation: i-70-120 watts, ehambelana nobukhulu beringi yokubuyisela esetyenziswayo kunye nobuchule)