Kwimeko yotyando yanamhlanje, i-surgical pendant idlala indima ebaluleke kakhulu. Sisiqwenga sezixhobo ezinobunkunkqele ezidibanisa imisebenzi emininzi ukuxhasa iinkqubo zoqhaqho ngokufanelekileyo. Eli nqaku liza kuphonononga ubume bayo, imigaqo yoyilo, iimpawu zomsebenzi, kunye nemeko yesicelo sekliniki.
I. Ulwakhiwo kunye nemigaqo yoyilo
A. Uhlalutyo olupheleleyo lwesakhelo
I-surgical pendant ihlala ibonisa isakhelo esiyintloko someleleyo, esihlala sakhiwe ukusuka kwi-Aluminum yeAluminum ephezulu okanye intsimbi engenasiseko. Ukukhetha kwezi ndawo kubalulekile. Intsimbi engenasimo inika ukumelana nokunganyangeki okugqibeleleyo, nto leyo ebalulekileyo ekuchitheni iziqhulo rhoqo kunye neenkqubo zokucoca kwigumbi lokusebenza. Inokumelana neearhente zekhemikhali ezisetyenzisiweyo ngaphandle kokwenza isoba. I-Aluminium Alloy, kwelinye icala, idibanisa amandla kunye nobunzima obukhanyayo. Oku kwenza ukufakelwa kunye naluphi na uhlengahlengiso oluyimfuneko lube lula, njengoko lunciphisa umthwalo kwinkqubo yokukhwela.
Ubume be-pendant iyahluka, ngoyilo oluqhelekileyo kubandakanya i-Colmomiar, inqaba-ifana neefom ezivaliweyo. Ulwakhiwo lwekholokia lubonelela uzinzo oluqhelekileyo, lwenza ilungele izixhobo ezinzima. Umzekelo, xa ujongene nezixhobo ezinkulu zokucinga okanye izixhobo ezinzima zokuhlinzwa, i-Colminant ye-Colminant inokuthwala ubunzima ngaphandle kokukhusela ukhuseleko. Uyilo olufakelweyo, nangona kunjalo, lugqwesa kusetyenziso lwendawo kunye nokuguquguquka kwendawo. Inokwandisa ngaphezulu kwetafile yokusebenza, ivumela abasebenzi bezonyango ukuba bafumane kwaye basebenzise izixhobo ezixhonywe ngokulula, kwanaxa kufuneka basebenze kufutshane nesigulana.
B. Indawo yokunyusa kunye nokunyusa
I-pendant yenzelwe ngenkani kunye neendawo ezininzi. Umaleko ophezulu uhlala uzinikezele ekuweni-nye ukunyusa umbane. Ezi zibane zibekwe ngokusekelwe kwimigaqo ye-PHECHE. Ukuphakama kunye ne-angle yeentloko zenqanawa zothunyiwe ngononophelo ukuqinisekisa ukukhanyisela iyunifomu kunye nokunciphisa izithunzi. Izibane ezikumgangatho ophezulu kwi-pendant zinokubonelela ngesibane esikhanyayo, esingenalo selitha, esibalulekileyo kugqirha ukuze sikwazi ukwahlula izakhiwo ngokucacileyo ze-anatomical kwaye zenze iinkqubo ezinamachaphaza.
Uluhlu oluphakathi lwezindlu zezonyango ze-Super. Iigesi ezahlukileyo ezinjengeeoksijini, i-nitrous oxide, kwaye ikharbon diokside inemigangatho yazo yokunxibelelana kunye kunye namanqaku enemibala. Le nkqubo yokuchonga icacile ithintela ukuxuba kwegesi ngengozi, enokuba nemiphumo emibi. Izikhululo ze-terminal zixhotyiswa ngovavanyo loxinzelelo kunye nokulawula izixhobo. Kwimeko yokutshintsha koxinzelelo olungaqhelekanga, ialam enkulu iyabangelwa, inika abasebenzi bezonyango ukuba bathathe amanyathelo okulungisa ngokukhawuleza.
Umbeki ongezantsi ugcinelwe ukubeka izixhobo zoqhawulo-mvume njengeyunithi ye-elektrosical, izixhobo ze-suction, i-ultrasonic scalpels, okanye izixhobo zonyango ezifana neempompo ze-pumpsions kunye neempompo zesirinji. Umthamo ngamnye weqonga lomthwalo ngamnye uyenzelwe ukulungiselela ubunzima obuqhelekileyo bezi zixhobo. Oku kuqinisekisa ukuba izixhobo zihlala zizinzile ngexesha lokusebenza, ukunciphisa umngcipheko weengozi ngenxa yokufuduka kwezixhobo.
C. Intambo kunye nokudityaniswa kwepayiphu
Ngaphakathi, i-pendant ye-surgical inenkqubo yokudibanisa ukudibanisa iintambo kunye nemibhobho. Imibhobho yegesi yezamayeza idityaniswe kwizixhobo ezizodwa. Imibhobho yobhedu ihlala isetyenziselwa iigesi ezithile zokuqinisekisa ukucoceka kwaye iphazamise uxinzelelo oluphezulu, ngelixa imibhobho yeplastiki enepropathi efanelekileyo iqeshwe abanye. Imibhobho yenziwa ngendlela ethintela ukuvuza kwegesi kunye nokungcoliseka komnqamlezo.
Iintambo zombane, ezinamandla aphezulu, zichazwe ngononophelo. Balungelelaniswe ukuba bathintela ukuphazamiseka kwe-electromagnetic kwaye baxhotyisiwe kunye namanyange afikelelekayo ngokulula kubasebenzi bezonyango. Ukongeza, izinto zokhuseleko ezinje ngokuchongwa okugqithisileyo kunye nokuvuza zifakiwe. Oku kukhusela ukubonelela ngombane ngexesha lotyando, ukuthintela iingozi ezinokubakho njengeesekethe ezifutshane okanye intshaba yamandla enokuphazamisa umsebenzi okanye ukhuseleko emngciphekweni.
II. Iimpawu eziSebenzayo
A. Izixhobo zokudityaniswa kweZixhobo
I-pendant ye-surgical isebenza njengendawo ephakathi yezixhobo zotyando. Idibanisa oko bekuya kuba sisixhobo senye yegumbi lokusebenza. Lo mdibaniso unciphisa isidingo sabasebenzi bezonyango ukujikeleza kakhulu ngexesha lotyando. Umzekelo, kwinkqubo entsonkothileyo enje ngentliziyo edlulayo, oogqirha bafuna ukufikelela ngaxeshanye kwizibane zoqhaqho, oomatshini bokuzonwabisa, iiyunithi ze-elektrosical, kunye nezixhobo ze-elektrosical. I-pendant ibavumela ukuba bonke ezi zixhobo zibalulekileyo ngaphakathi kwengalo, ukulungelelanisa inkqubo yoqhaqho kwaye kusindisa ixesha elixabisekileyo.
Abanye abantu abaphumeleleyo ngoku babonisa uyilo lweemodyuli. Oku kuthetha ukuba banokwenziwa ngokwezifiso ngokweemfuno ezithile zezinto ezikhethekileyo zonyango. Ngomsebenzi we-neurosurgucal, ipendant ingamiselwa ngokukhawuleza kwiimodyuli ezibeka phambili inkcazo-ntetho kunye nokuchaneka kwe-microsurruce. Ngokwahlukileyo, kwinkqubo yotyando ngokubanzi, ugxininiso lunokubakho kwiindibaniselwano ezisisiseko zezixhobo ezisisiseko. Olu tshintsho luqinisekisa ukusebenza kakuhle kwizicwangciso zoqhaqho.
B. Ukusetyenziswa kwendawo kunye nokuguquguquka
Enye yeenzuzo ezibonakalayo ze-pendant ye-surgical kukusetyenziswa kwayo kwegumbi lokusebenza. Ngokumiswa kophahla, igcina indawo emgangathweni icacile, iququzelela intshukumo yabasebenzi bezonyango, ukuhanjiswa kwezigulana, kunye nokugculela kweetafile zokusebenza. Olu lwamo olungapheliyo lubalulekile ekugcineni indlela yokuhamba komsebenzi ogudileyo ngexesha lotyando.
Ipendant ikwabonelela ngokubhekiswa ngokubonakalayo ngokwentshukumo kunye nohlengahlengiso. Inokuxhotyiswa ngencwadana yemigaqo, yombane, okanye indibaniselwano yazo zombini iindlela zohlengahlengiso. Uhlengahlengiso lwencwadi ivumela abasebenzi bezonyango ukuba benze utshintsho olukhawulezileyo, olungecala kwi-oversim kwisikhundla sezixhobo ezixhonyiweyo. Kwiimeko zikaxakeka, ukulawulwa kwezandla kunokuba yinto yokuphila, ukuvumela ukuphinda kwenziwe ngokukhawuleza kwezibane okanye izixhobo. Uhlengahlengiso lombane, kwelinye icala, lubonelela ngolawulo oluchanekileyo. Ngoncedo lweemotor kunye neenkqubo zolawulo oluqhubela phambili, ipendant inokuphakanyiswa ngokuchanekileyo, ijikelezwe, kwaye iguqulelwe. Ezinye iimodeli zokuphela eziphezulu zinike iimodyuli zesakhiwo. Ngokucinezela iqhosha nje, i-pendant inokulungelelanisa ngokuzenzekelayo kwi-Fores yesixhobo esifanelekileyo senqanaba elithile lotyando, ukuphucula ukusebenza kakuhle.
C. Isiqinisekiso soBonelelo lweRini yeRini
Ukubonelelwa okuthembekileyo kweegesi zonyango lilitye lembombo kulo naluphi na umsebenzi otyayo, kwaye i-sundnt ye-sundnt idlala indima ephambili kule nkalo. I-terndant nganye yegesi ayinayo kuphela ilebhile yokuchonga kuphela kodwa ikwabonisa amandla osetyenziso olunesweni kunye nokulawula amandla. Xa uxinzelelo lwegesi, yithi ioksijini, iphambuka kuluhlu oluqhelekileyo, inkqubo yealam yeyokwazisa ngokukhawuleza abasebenzi bezonyango. Oku kunokuba ngenxa yezizathu ezahlukeneyo, njengokungasebenzi kakuhle kwinkqubo yokubonelela ngegesi yegesi okanye ukuvuza kumbhobho. Ukuphendula, abasebenzi banokukhawuleza ukukhawulezisa umba, mhlawumbi ngokuguqula umthombo wegesi yokulinda, ukuqinisekisa ukuba inkxaso yokuphefumla isigulana ihlala ingaphazanyiswa.
Ngapha koko, itekhnoloji yolawulo lwerhasi edityaniswe kwi-pendant inobuthathaka kakhulu. Inganika i-gesi ngokweemfuno ezithile zotyando. Ngexesha lokungasebenzi kwe-Anesthesia, umzekelo, umda ochanekileyo weoksijini kunye ne-witrous oxidey kufuneka izisiwe ukudala imeko ekhuselekileyo nekhululekileyo yesigulana. Inkqubo yokulawulwa kwegesi yegesi inokulawula oku ngokuchanekileyo, igalelo kwimpumelelo yenkqubo yotyando.
III. Imeko yesicelo sekliniki
A. utyando ngokubanzi
Kwiinkqubo zotyando ngokubanzi ezinje nge-appendectomy kunye cholecystectomy, i-surgical pendant yi-asethi engenakuphikwa. Izibane ezifakwe kwiindawo eziphakamileyo zibonelela ngombane oqaqambileyo nococekileyo. Oku kwenza ukuba oogqirha bakwazi ukuchonga ngokuchanekileyo ii-tisces kunye neempawu zomhlaba ezichanekileyo, ukuqhuba ukunqunyulwa ngokuchanekileyo, ukuhambisa kunye nokugabha.
I-terminal yegesi yegesi ibonelele kwioksijini kumatshini we-anesthesia, ukuqinisekisa ukuzinza kokuphefumla ukuphefumla kuwo wonke umsebenzi. Okwangoku, iyunithi ye-electrosugecal kunye nesixhobo sokuzincama sihlala sikulungele. Njengoko ugqirha esusa izicubu ezigulayo, isixhobo sokungenisa ngokukhawuleza sicoca intsimi yoqhaqho, ukugcina umbono ocacileyo. Ukulungelelaniswa okungenamthungo zale misebenzi kwi-pendant kuqinisekisa inkqubela phambili egudileyo yotyando.
B. I-Neurosurgery
I-neurosurgery ifuna kakhulu, kwaye i-pendant yehrging iphakama kumsitho. Inkcazo ephakamileyo, ukuguqulela imibala ephezulu yombala okhuthazayo inyamezele ngokuthembekileyo umahluko ofihlakeleyo kwizicubu zobuchopho. Oku kubaluleke kakhulu koogqirha ukwahlula phakathi kwemimandla eqhelekileyo nengasekeliyo, ukunciphisa umngcipheko womonakalo ongafanelekanga.
Iziphelo zegesi ziqinisekisa ukuhanjiswa kweegesi ezikhethekileyo ezisetyenziswa kwiinkqubo ze-neurosurrucical ezihlaselayo, njengabo babandakanyekayo kwi-Aneurysm. Ukongeza, amandla e-pendamente aphantsi kwezakhono zohlengahlengiso lombane asetyenziswa ngokupheleleyo. Njengoko utyando luhamba phantsi kwe-microscope, ngeemfuno zokuchaneka kwe-millimeter, i-pendant inokulungiswa ngexesha lokwenyani lokubeka izixhobo ngokugqibeleleyo, zibonelela nge-neurosurgeon ngeemeko ezifanelekileyo zomsebenzi.
C. Utyando we-diydiotic
Kwi-CardiotHoracie utyaries njengabangafaniyo bobugcisa bokungayimisi kunye notyando lwe-lings, i-sundnt ye-sundnt ingqina ukubaluleka kwayo. Inika isisombululo kunye nonxibelelwano lwezixhobo ezinkulu ezifana noomatshini bokujikeleza kwe-circoreary kunye noomatshini bokungadlulanga. Aba matshini bayimfuneko ekugcineni imisebenzi yezigulana ngexesha lenkqubo emide nentsonkothileyo.
Izibane zoqhaqho kwe-pendant zibonelela ngolungelelwaniso olunamandla kunye nohlengahlengiso olubonakalayo ukuthelekisa iimfuno zotyando. Ngexesha lotyando oluvulekileyo kwentliziyo, umzekelo, izibane zinokungena nzulu kwi-suvical ye-subgical, ngelixa isixhobo sokuwa sisusa ngokukuko ukuqokelelwa kwegazi. Oku kudityaniswa kudala imeko efanelekileyo yookhokho bediysiotic ukwenza umsebenzi wabo wokusindisa ubomi.
D. Obstetrics kunye ne-gynecology
Kwi-Bynecological kunye ne-Gynecological efana necandelo leCesarean kunye ne-Gynecological Tumor, i-sundant ye-sundont inika inkxaso efanelekileyo. Izibane zoqhaqho zikhupha ukukhanya okuthambileyo, okungacaphukisiyo okukhanyisa i-incasetion yehlelo ngelixa sikhusela amehlo kamama. I-terminal yegesi yegesi
I-pumpsion pumpsions ephakanyiswe kwi-pendant ichaze ngokuchanekileyo i-oxytocin, i-antibiotics, kunye namanye amayeza. Iqonga lesixhobo esincinci livumela ukufikelela ngokulula kwizixhobo zokufundisa, ukuhlangabezana neemfuno ezithile zohlobo lo utyando olugxile kwisantya kunye nokuchaneka ngelixa sikhusela impilo kamama kunye ne-sutus.
Ukuqukumbela, i-pendant ye-surgical yinto emangalisayo yezixhobo zonyango ezidibanisa uyilo oluntsonkothileyo, imisebenzi enamandla, kunye nezicelo zeklinikhi. Indaleko yayo eqhubekayo kunye nokuphuculwa kwayo kuqhutywa yimfuno eqhubekayo yotyando yanamhlanje, ethembisa ukuzisa izibonelelo ezingakumbi kwizigulana kunye neengcali zonyango kwixesha elizayo.
