Intshayelelo
Kwindawo yotyando yanamhlanje, ukuchaneka nokhuseleko kubaluleke kakhulu. Izixhobo ezimbini eziphambili ezineenkqubo zonyango eziguqukayo ziyi-Ultrasonic Scalpel kunye neyunithi ye-electrosugecal (ESU). Ezi zixhobo zidlala indima ebalulekileyo kwii-shriptions ezahlukeneyo, ukusuka kugqirha ngokubanzi ukuya kwi-neurosurgery, evumela oogqirha benza imisebenzi ngokuchaneka okukhulu kwaye banciphise umthambo omkhulu.
I-Scalpel ye-Ultrasonic, ekwabizwa ngokuba yi-Ultrasosonic surgical surgical okanye i-cusa (i-cavitron ye-Ulprosical Degical), iye yaba sisiseko kumagumbi amaninzi asebenzayo. Isebenzisa i-up-frequency i-chibrasosonic fibys ukusika kunye nokudibanisa izicubu. Itekhnoloji ivumela imeko ethe kratya, ngakumbi kwiindawo ezinomtsalane apho kuncitshiswa umonakalo kwizicubu ezijikelezileyo kubalulekile. Umzekelo, kwi-neurosurgery, xa usebenza kwingqondo, i-stalpel ye-Ultrasonic inokususa ngokuchanekileyo izicubu ze-tuma ngelixa ikhutshiwe kangangoko kunokwenzeka.
Kwelinye icala, iyunithi ye-electrosugecal (ESU), ibizwa ngokuba ngumvelisi we-elektroniki of Rulerurical, sisinye isixhobo esisetyenzisiweyo ngokubanzi kwizicwangciso zoqhaqho. Isebenza ngokudlulisela umbane ngoku kwizicubu, ukuvelisa ubushushu obunokusika, ukudibanisa, okanye ukuncwina izicubu. U-Essus uguqulela kakhulu kwaye unokusetyenziswa kuluhlu olubanzi lweenkqubo, ukusuka kuhambo oluncinci lwangaphandle lwebala ukuya kwi-upyries yentliziyo evulekileyo.
Ukuqonda umahluko phakathi kwezi zixhobo zibini zoqhaqho kubalulekile kugqirha, amaqela onyango, kunye nabafundi kwezonyango ngokufanayo. Ngokwazi iimpawu ezikhethekileyo, izibonelelo, kunye nokusikelwa umda kwe-ultrasonic scalpel kunye neyunithi ye-electrosugecal, iingcali zonyango zinokwenza izigqibo ezinolwazi malunga nesixhobo esifanelekileyo senkqubo ethile yoqhaqho. Oku akungenzi kuphela ukuphucula ukusebenza konyango kodwa kukuphucula iziphumo zesigulana. Kula macandelo alandelayo, siya kuphefumla nzulu kwimigaqo yokusebenza, izicelo, izibonelelo, ukungahambi kakuhle, kunye nokuqwalaselwa ngokukhuselekileyo kokubini kwi-iltrasonic scalpel kunye neyunithi ye-electrososical, ukubonelela ngokuthelekisa okubanzi phakathi kwezi zimbini.
Inkcazo kunye neekhonsepthi ezisisiseko
I-Ultrasonic Sclolpel
Isikali se-ultrasonic sisixhobo esinobuchule esinobuchule esizibophelela ngamaza amaza aphezulu-uphuqala, ngokuqhelekileyo kuluhlu lwama-20 - 60 khz. Ezi manzi ze-ultrasonic zivelisa ii-victions zoomatshini kwincam yoqhaqho. Xa icebiso elijikelezayo liza kuqhagamshela nezicubu zebhayoloji, ibangela iimolekyuli zamanzi ngaphakathi kweeseli ukuba zitshise ngokukhawuleza. Olu tshintsho lunzulu lukhokelela kwinkqubo ebizwa ngokuba yi-cavitity, apho i-bibble encinci kwaye iwile ngaphakathi kwezicubu. Uxinzelelo lomatshini ukusuka kwi-Cavitication kunye nesenzo esisebenzayo se-chibing chic saphule ii-tissurli ze-tissure ze-tissure, ukusikwa ngokufanelekileyo kwizicubu.
Ngaxeshanye, ii-chickents eziphezulu-uphuphume zenziwe zavelisa ubushushu, ezisetyenziselwa ukuhlasela imithambo yegazi kwindawo ekufutshane. Le nkqubo yokuhlangana itywina imithambo yegazi, ukunciphisa ilahleko yegazi ngexesha lenkqubo yoqhaqho. Umzekelo, kuhlelo lwe-thyroid, i-ultrasosonic scalpel inokuthi ilahle ngokupheleleyo i-thyroid ukusuka kwizicubu ezijikelezileyo ngelixa inciphisa ukopha. Ukukwazi ukusika kunye nokudibanisa kwangaxeshanye kwenza isixhobo esibalulekileyo ku utyando apho ukugcina intsimi yotyando ecacileyo kunye nokunciphisa ilahleko yegazi kubalulekile.
Iyunithi ye-electrosugecal
Iyunithi ye-electrosurrucgerical (i-ESU) isebenza kumgaqo owahlukileyo, nikezela kwi-frequency ephezulu yokutshintsha kombane okwangoku. Uluhlu oluqhelekileyo lwe-essus phakathi kwe-300 khz kunye ne-3 MHz. Xa umbane udlula kwizicubu zesigulana nge-electrode (njengepensile ye-subgical okanye ipensile ekhethekileyo okanye inyathelo lokuyila), ukunyangwa kombane), ukuxhathisa kombane kwe-tishu kuguqula amandla ombane kubushushu.
Kukho iindlela ezahlukeneyo zomsebenzi we-ESS. Kwimowudi yokusika, irejista ye-Right yangoku idala i-Arc ephezulu ye-ARC phakathi kwe-electrode kunye ne-tishu, evala izicubu, ukudala ukusikwa. Kwimowudi ye-COAGS, amandla asezantsi afakiweyo, ebangela iiproteni kwi-protem ukuya kwintsholongwane kwaye ahlanganisene, atywine imithambo yegazi encinci kwaye ayeke ukopha. Kwi-hysterectomy, umzekelo, u-Esu unokusetyenziselwa ukusika izicubu ze-terine kwaye emva koko ukutshintshela kwimowudi ye-COAGS ukutywina imithambo yegazi kwindawo yotyando, ukuthintela ukulahleka kwegazi. U-Essus uguquguqukayo kwaye unokusetyenziswa ngeendlela ezahlukeneyo zonyango, ukusuka kwi-dermatology yokususa izilonda zesikhumba ukuya kwi-Ortoric utyarity yethambo elithambileyo.
Imigaqo-siseko
Isebenza njani i-ultrasosic scalpel
Ukusebenza kwe-scalpel ye-ultrasonic isekwe kwimithetho-siseko ye-Ultrasonic Wave kunye noomatshini - iimpembelelo ze-thermal kwizicubu zebhayiloji.
1. Ukuveliswa kwamaza e-ultrasonic
Umvelisi we-ultrasonic ngaphakathi kwesixhobo unoxanduva lokuvelisa imiqondiso yombane. Ezi zibonakaliso zombane zihlala zinezando ezikhoyo kuluhlu lwama-20 ukuya kwengama-60 khz. I-genetor ke iguqula le miqondiso yombane ibe yi-chibnes yoomatshini usebenzisa i-piezoelectric transducer. Izixhobo ze-Piezoeelectric zinepropathi eyahlukileyo yokutshintsha imilo yabo xa kusetyenziswa intsimi yombane kubo. Kwimeko ye-scalpel ye-ultrasonic, i-piezoelectric i-piezoectric irhafisa ngokukhawuleza ekuphenduleni imiqondiso yombane ehamba rhoqo, evelisa amaza e-UltrasonOnic.
2. Ukuqulunqwa kwamandla
Amaza e-ultrasonic emva koko adluliselwa ecaleni kwe-waveGuide, edla ngokuba yintsimbi ende, ethambile yentsimbi, kwincam yoqhaqho. I-wapeGuide yenzelwe ukudlulisela ngokufanelekileyo amandla e-ultrasonic ovela kumvelisi ukuya kwincam ngelahleko yamandla amancinci. Ingcebiso yoqhaqho yinxalenye yesixhobo esiza kudibana ngqo nezicubu ngexesha lenkqubo yotyando.
I-3. Unxibelelwano lwezicubu-ukusika kunye nokudibana
Xa i-chibra eshukumayo inxibelelana nee-tishu, iinkqubo ezininzi zomzimba zenzeka. Okokuqala, i-chibipts ephezulu-upreyitha ibangela iimolekyuli zamanzi kwiiseli zezicubu zokuphumelela ngamandla. Olu tshintsho lukhokelela kwi-phenomenon ebizwa ngokuba yiCavitication. I-Cavitication yinto yokwakhiwa, ukukhula, kunye nokujikeleza kweebhubhu ezincinci ngaphakathi kwendawo engamanzi (kule meko, amanzi ngaphakathi kwi-tishu). I-leloon yezi gubble ivelisa uxinzelelo lwendawo yendawo, eyaphula imingxunya yemolekyuli kwizicubu, ukusikeka ngokufanelekileyo kuyo.
Ngaxeshanye, iindlela zokudakumba ze-icen zivelisa ubushushu ngenxa yokuxinana phakathi kwengcebiso yokugcwalisa kunye nezicubu. Ubushushu obuvelisiweyo bukuluhlu lwama-50 ukuya kwi-100 ° C. Olu bushushu lusetyenziselwa ukuhlalisa imithambo yegazi kwindawo ekufutshane. Inkqubo ye-RAGS ihlazisa iiprotein kwi-protel yomtya, ibangele ukuba inamathele kwaye itywine inqanawa, ngaloo ndlela kunciphisa ilahleko yegazi ngexesha lotyando. Umzekelo, kwi-Laparoscopic utyandele ngokususa amathumba amancinci kwisibindi, i-strasonic scalpel inokusikwa ngokuthe ngqo kwizicubu zesibindi ngelixa itywina imithambo yegazi elincinci, egcina intsimi yonyango.
Isebenza njani iyunithi ye-electrosgue
Iyunithi ye-electrosugecal (i-ESU) isebenza kumgaqo wokusebenzisa ukutshintsha kwe-upopral yombane ukuze ivelise ubushushu ngaphakathi kwi-tishu, emva koko isetyenziselwa ukusika kunye nokuhla kwe-theag.
I-1. I-Right-Frequency enye isizukulwana sangoku
I-EU iqulethe umbane kunye nemveliso evelisa i-frequency enye yombane okwangoku. Ukuhamba rhoqo kwangoku ngoku uqhekezwe ukusuka kwi-300 khz ukuya kwi-3 MHz. Oku kuphinda-phinda kabini kusetyenziswa endaweni ye-frequency ephantsi (njengombane wekhaya nge-50 ukuya kwi-60 hz) kuba i-frequency yangoku inokunciphisa umngcipheko we-qwerimu. Ngamaxesha aphantsi, umbane onokuphazamisa imiqondiso eqhelekileyo entliziyweni, enokubangela ubomi - isoyikisa i-avrethmias. Nangona kunjalo, i-RARCUTER RIMERUMER TRUNIRUNTURY i-300 khz inokwenzeka ukuba ibe nefuthe elinje kumsipha wentliziyo njengoko bengakhuthaze i-nearve kunye neeseli zemisipha ngendlela efanayo.
2. Unxibelelwano lwezicubu-ukusika kunye neendlela zokudibana
Imodi yokusikwa e-crawling : Kwimo yokusika, i-Roly-Road-upemper yombane yangoku idluliselwe kwi-elektrode encinci, ebukhali (njengepensile ye-rogical). Xa i-electrode isondela kwizicubu, ukuxhathisa okuphezulu kwezicubu kumbane okhoyo kubangela ukuba amandla ombane aguqulwe abe bubushushu. Ubushushu obuvelisiweyo buphakathi kakhulu, ukufika kwamaqondo obushushu ukuya kwi-1000 ° C kwi-Arc phakathi kwe-electrode kunye nezicubu. Ubushushu obunzulu buvusa izicubu, zenza ukusikwa. Njengoko i-electrode ihamba ecaleni kwezicubu, kwenziwe isimo esiqhubekayo. Umzekelo, kwi-Tonsillectomy, i-EU kwimowudi yokusika inokukhawuleza kwaye isuse ngokuchanekileyo iitoni ngokukhulisa izicubu.
Imowudi ye-calting , i-Ezantsi-AMANQAKU AFIKEYO isetyenziswa. Ubushushu obuvelisiweyo zanele ukuphelelwa ziiproteni kwizicubu, ngakumbi kwimithambo yegazi. Xa iiproteni kwi-proteni kwi-gazi yendawo yegazi i-verwature, zenza i-comagulum, etywina imithambo yegazi kwaye iyeke ukopha. Kukho iintlobo ezahlukeneyo zeendlela zendlela esetyenziswayo e-Esus, ezinje nge-monopolar kunye ne-Bipolar Coagtion. Kwi-monopolar canation, ukugqitha kombane ngokusuka kwi-electrode esebenzayo ngomzimba wesigulana ukuya kwi-elektrode ye-electrode (i-pad enkulu ibekwe kwisikhumba sesigulana). Kwi-Bipolar Cocappy, zombini ezi zinto zisebenzayo kwaye zibuyise i-electrodes zikwimisebenzi enye-njengesixhobo. Ukuqukuqela kwangoku kuphela phakathi kweengcebiso ezimbini ze-curcise, eziluncedo ekucoceni kwendawo encinci, njengokwemicrosurggegergergergerggegies okanye xa ujongene nezicubu ezibuthathaka. Umzekelo, kwi-neurosurgery, i-Bipolar Coagtions ene-esu inokusetyenziselwa ukutywina imithambo yegazi elincinci kumphezulu wengqondo ngaphandle kokubangela ukonakala kwengqondo ejikelezileyo.
Umahluko ophambili
Umthombo wamandla
Umahluko osisiseko phakathi kwe-scalpel ye-ultrasonic kunye neyunithi ye-electrosgues ilele kwimithombo yamandla abo. Isikali se-ultrasonic sisebenzisa amandla e-ultrasonic, esikwimo ye-frequency yomatshini. Ezi ntshukumo ziveliswa ngokuguqula amandla oombane kumatshini oomatshini nge-piezoelectric transducer. I-frequency yamaza e-ultrasonic iqhele ukusukela nge-20 ukuya kwi-60 khz. Amandla omatshini emva koko adluliselwe ngqo kwizicubu, obangela utshintsho oluqhelekileyo njengoCaviting kunye nolwalamano oluninzi.
Kwelinye icala, iyunithi ye-electrosurgerical isebenza kumandla ombane. Ivelisa i-free-frequenction enye yombane yangoku, ihlala ikwiindawo ezingama-300 khz - 3 MHz. Umbane wangoku udluliselwe kwizicubu, kwaye ngenxa yokuxhathisa kwe-tishu, amandla ombane aguqulwa abe ngamandla obushushu. Ubushushu busetyenziselwa ukusika kunye neenjongo zokucoca. Imithombo eyahlukeneyo yamandla ikhokelela kwiindlela ezahlukeneyo zokunxibelelana nezicubu, ezichaphazela iziphumo zoqhako kunye neprofayili yokhuseleko kwiinkqubo. Umzekelo, ubume boomatshini bokuqina kwamandla e-Ultrasonic scalpel ivumela i- 'i-' intsebenzo yeenxalenye ezithile, njengoko zingaxhomekeki kwiyunithi yobushushu obukhulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obunzulu njengeyunithi yobushushu obukhulu njengeyunithi yobushushu.
Unxibelelwano lwezicubu
I-stalpel ye-ultrasonic inxibelelana ne-tishu ngokudityaniswa kwengqungquthela yentshukumo yoomatshini kunye nefuthe lerm. Xa inqaku elijikelezayo le-ultrasonic scalpel inxibelelana nezicubu, i-pibency ye-vibency ye-frequency yenza iimolekyuli zamanzi kwiiseli zezicubu zokuphumelela ngamandla. Oku kukhokelela kwi-Cavitication, apho i-bibble encinci kwaye iwile ngaphakathi kwezicubu, ukudala uxinzelelo lwe-foud, ukudala uxinzelelo lwe-fountral eqhekeza i-tistur thys. Ukongeza, ukuxabana koomatshini phakathi kwengceba yokugcwala kunye ne-tishu kuvelisa ubushushu, esetyenziselwa ukugoba imithambo yegazi elincinci. Izicubu ziphazamiseka yimikhosi yoomatshini, kwaye ubushushu buyimpembelelo yesibini ye-AIDS.
Ngokwahlukileyo, iyunithi ye-electrosurruge inxibelelana nezicubu ikakhulu ngemiphumo yobushushu. I-Roft-Roftreency yombane edlulayo kwi-tishu ivelisa ubushushu ngenxa yokungaxhathisi be-tissue kwabangoku. Kwindlela yokusika, ubushushu bungaphezulu kakhulu (ukuya kuthi ga kwi-1000 ° C kwi-Arc phakathi kwe-electrode kunye ne-tishu) ukuba ivule izicubu, zisike isithuba. Kwimowudi ye-COAGS, amandla asezantsi asetyenzisiweyo, kwaye ubushushu obuvelisiweyo (ngokufuthi bujikeleze i-60 ukuya kwi-100 ° C) Ukuhlazisa iiprotein kwizicubu, ngakumbi kwi-tyhemba kunye netywina. Unxibelelwano lwe-ESU kunye nezicubu zilawulwa kakhulu bubushushu - utshintsho olwenziweyo, kwaye imikhosi yoomatshini incinci ngokuthelekisa i-scalpel ye-ultrasonic.
Umonakalo we-thermal
Omnye umahluko obalulekileyo phakathi kwezixhobo zombini ngubukhulu bomonakalo obangela kwizicubu ezijikelezileyo. I-scrasonic scalpel ngokubanzi ivelisa ubushushu obuphantsi ngexesha lokusebenza. Ubushushu obuveliswe ikakhulu busetyenziselwa ukuqalisa imithambo yegazi elincinci kwaye kuluhlu lwama-50 ukuya kwi-100 ° C. Ngenxa yoko, ukonakaliswa kwe-shirmal kwizicubu ezijikelezileyo zilinganiselwe. Ubume boomatshini bokusebenza, buthetha ukuba izicubu zinqunyulwe kwaye zidityaniswe ngomonakalo we-termal ombi, oluncedo ngokukhethekileyo kumbandela wezicubu ezibalulekileyo zibalulekile.
Kwelinye icala, iyunithi ye-electrosugecal inokubangela ukonakala okukhulu kwenkunkuma. Kwindlela yokusika, amaqondo obushushu aphezulu kakhulu (ukuya kuthi ga kwi-1000 ° C) anokukhokelela kwi-tishu yesixhobo esibalulekileyo se-tishu kwaye asiso kuphela kwindawo yokusika kodwa nakwiindawo ezikufuphi. Nokuba kwimodi ye-calting, ubushushu bunokusasazeka kwindawo enkulu ejikeleze izicubu eziphathwayo, ezinokubangela ukuba zizonakalise iiseli ezisempilweni kunye nezakhiwo. Lo monakalo mkhulu onamandla ngamanye amaxesha unokukhokelela kumaxesha amade okuphilisa, umngcipheko owongezelelekileyo we-tissis, kunye nokuthintelwa komsebenzi wamalungu okufuphi okanye izicubu. Umzekelo, kwisikali esikhulu esithambileyo sisebenzisa i-EU, izicubu ezijikelezileyo zinokuchaphazeleka bubushushu, ezinokuba nefuthe kwinkqubo yokubuyisela kwimeko yesi sigulana.
Ubuchule be-hemasticaris
Zombini i-scalpel ye-Ultrasonic kunye neyunithi ye-electrosurrugefical inesakhono esinetyhefu, kodwa ngokwahlukeneyo bahlukile ekusebenzeni kwabo nakwindlela abaphumeza i-itonesis. I-scalpel ye-ultrasonic inokudibanisa imithambo yegazi elincinci ngelixa usika izicubu. Njengoko i-chib eshukumayo inqunyulwe kwizicubu, ubushushu obuveliswe ngaxeshanye butyhila imithambo yegazi encinci kwindawo ekufutshane, ukunciphisa ilahleko yegazi ngexesha lenkqubo yotyando. Oku kukwazi ukusika kunye nokudibana kwangaxeshanye kuyayenza isebenze kakhulu ekugcineni intsimi yoqhaqho, ngakumbi kuhlelo apho ukuhamba kwegazi kunokufihla imbono yonyango. Nangona kunjalo, ukusebenza kwalo ekujonganeni nemithambo yegazi enkulu kulinganiselwe.
Iyunithi ye-electrosurrugefial ikwanazo neepropathi ezifanelekileyo. Kwimowudi ye-calting, inokutywina imithambo yegazi yobukhulu obahlukeneyo. Ngokusebenzisa amandla asezantsi, ubushushu obuveliswa bubuhlungu iiprotein kwi-proten kwi-protem yendawo yempahla, ebangela ukuba bahlangane kwaye basondele. U-Essus uhlala esetyenziselwa ukulawula ukopha ngexesha lotyando, kwaye banokuhlengahlengiswa ukuphatha ubungakanani beenqanawa ezahlukeneyo. Kwimithambo yegazi emikhulu, isicwangciso samandla aphezulu sinokufuneka ukuqinisekisa ukuhlangana ngokufanelekileyo. Kumbandela othile onobunzima, njengokuhlaziywa kophando lwe-LIN apho kukho imithambo yegazi eyahlukeneyo, i-ESU inokusetyenziswa ngokudibeneyo nezinye iindlela zezulu ze-hemastasis.
Ukuchaneka kunye nokufaka isicelo
I-scalpel ye-Ultrasonic ibonelela ngokuchanekileyo, ngakumbi iinkqubo zotyando ezibuthathaka. Ingcebiso yayo encinci, eshukumayo ivumela inkqubela phambili echanekileyo kunye nokuhlanjwa. Kumbandela ohlaselayo omncinci, njengeenkqubo ze-laparoscopic okanye ii-endoscopic, i-stalpel ye-ultrasonic inokuthi ifumaneke ngokulula ngokulinganayo kwisithuba esincinci okanye i-orifres yendalo, ibonelela ngoqhaqho ngenqanaba eliphezulu lokuchaneka. Iluncedo kakhulu ku utyando apho izicubu ezisuswe zisondele kwizakhiwo ezibalulekileyo, njengokonakaliswa kwe-thermal yayo kunye nobuncinci bokusika uncedo lokunciphisa umngcipheko wokulimala kwezi zinto.
Iyunithi ye-electrosugecal, kwelinye icala, inoluhlu olubanzi lokwenza. Ingasetyenziselwa iintlobo ezahlukeneyo zonyango, ukusuka kwiinkqubo zolusu ezincinci zotyando olukhulu oluvulekileyo. Ngelixa isenokunganikezeli kwinqanaba elifanayo lokuchaneka njengoko iinkqubo ze-Ultrasonic kwezinye iinkqubo ezinobungozi, ukusebenzisa iindlela ezahlukeneyo zezicubu kunye neemeko zotyando luncedo olubalulekileyo. Kumgangatho omkhulu-wesikali apho isantya kunye nokukwazi ukuphatha ubungqingqwa obahlukileyo kwi-tishu kunye nesayizi yenqanawa kubalulekile, i-ESU ingalungiswa ukuze ifezekise ezi mfuno. Umzekelo, kugqirha we-orthoric, u-Esu unokusetyenziselwa ukusika ngokukhawuleza kwizicubu ezithambileyo kunye nokudibanisa amanqaku okonga ngexesha lokususwa kwezicubu ezonakeleyo okanye ukufakwa kwe-prosthetics.
Izibonelelo kunye nokungancedi
I-Ultrasonic Sclolpel
The the the theices :
Ukuphelisa ukopha : Esona sibonelelo sibalulekileyo se-Ultrasonic Scalpel kukukwazi ukuhlalisa imithambo yegazi elincinci ngelixa usika. Oku kukhokelela ekunciphiseni okukhulu kwelahleko yegazi ngexesha lenkqubo yoqhaqho. Umzekelo, kwi-Laparoscopic utyandele ngokususa amathumba amancinci kwisibindi okanye i-gellbladder, i-ultrasonic sclosonic inokugcina igazi, elibalulekileyo lo utyando ukuze libe ngqongqo kwaye lenze umsebenzi ngokuchanekileyo.
Umsebenzi we-tissule encinci : Umsebenzi we-ultrasonic scraspel ikakhulu uxhomekeke kwimisebenzi yoomatshini, ekhokelela emonakalweni omncinci kwi-tishu ejikelezileyo xa kuthelekiswa nezinye izixhobo ezikufutshane. Umonakalo we-thermal onobungozi obabangela ukuba kuthetha ukuba izicubu ezikufuphi zinokuchaphazeleka, ukukhuthaza ukuphiliswa okuqhubekayo kunye nokunciphisa umngcipheko wezicelo zeposi ezifana nosulelo okanye ilungu lomsebenzi. Oku kuyingenelo ikakhulu ku utyando olubandakanya i-organs enetyala elinjengengqondo, amehlo, okanye iirveres.
Ukubuyiselwa kwakhona kwezigulana : Ngenxa yokuphulukana negazi elinciphile kunye nezicubu ezincinci, izigulana ezinotyando nge-iltrasonic scalpel ngokubanzi inamava ixesha elifutshane lokubuyela kwimeko yesiqhelo. Banokuba nentlungu encinci, bambalwa usulelo lwendlela yokusebenza, kwaye unokubuyela kwimisebenzi yesiqhelo ngokukhawuleza. Oku akuphuculi kuphela umgangatho wobomi bomguli ngexesha lokuvuselela kodwa kunciphisa iindleko zokhathalelo lwempilo ezinxulumene nokuhlala esibhedlele.
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Izixhobo zeZixhobo eziSebenzayo : Iinkqubo ze-SCLONOIC Scalpel zibiza kakhulu. Ixabiso lesixhobo ngokwalo, kunye nokugcinwa kwayo kunye neemfuno zolondolozo, zinokuba ngumthwalo obalulekileyo wezemali kumaziko athile ezempilo, ngakumbi ezo zinolwazi. Le ndleko iphakamileyo inokunciphisa umda oxhaphakileyo kwi-scrasonic scalpels, echaphazela ukufikelela kwabaguli kule teknoloji yoNcedo.
Ukufunwa kweSebe leMfundo eliSebenzayo : Ukusebenza i-stalpel ye-Ultrasonic ifuna inqanaba eliphezulu lobuchule noqeqesho. Oogqirha bafuna ukuba banobuchule ekuphatheni isixhobo ukuze kuqinisekiswe ukusika ngokungqalileyo nasekudibaniseni ngelixa kuncitshiswa umonakalo kwizicubu ezijikelezileyo. Ukufunda ukusebenzisa i-scalpel ye-ultrasonic ngokufanelekileyo kunokuthatha ixesha elininzi kunye nokuziqhelanisa, kwaye ukusetyenziswa okungafanelekanga kunokukhokelela kwiziphumo zotyando ze-suboptimal okanye iimpazamo zoqhaqho.
. Ukusebenza kakuhle kwempahla enkulu yegazi : nangona i-stalpel ye-Ultrasonic isebenza ngokukhwela imithambo yegazi elincinci, amandla ayo okulawula ukopha kwimithambo yegazi enkulu incinci Kwiimeko apho impahla enkulu yegazi kufuneka inqunyulwe okanye inyibilike ngexesha lotyando, iindlela ezongezelelweyo ezinjengeendlela zemveli okanye ukusetyenziswa kweyunithi ye-elektrosical kungafuneka. Oku kunokwandisa ubunzima kunye nexesha lenkqubo yotyando.
Iyunithi ye-electrosugecal
The the the theices :
: Ukunqunyulwa ngokukhawuleza Iyunithi ye-electrosugecal inokusika izicubu ngokukhawuleza. Ngombane apho ixesha liyinto ebaluleke kakhulu, njengokuhlinzwa kaxakeka okanye ukuphazamiseka kwe-tishuyo, amandla okusika okukhawulezayo kwe-ESU kunokuba yingenelo enkulu. Umzekelo, ngexesha lecandelo leCesarean, i-ESU inokukhawuleza ichetywe izicubu zesisu ukufikelela isibeleko, ukunciphisa ixesha lokusebenza kunye nokunciphisa umngcipheko kumama kunye nomntwana.
I- hestinasis esebenzayo yokufumana ubungakanani benqanawa eyahlukeneyo: I-ESAsus isebenza kakhulu ekufezekiseni i-hemanalis yemithambo yegazi yobukhulu begazi. Kwimowudi ye-calting, banokutywina iintloko ezincinci kunye nemithambo yegazi enkulu ngokusebenzisa isixa esifanelekileyo samandla ombane. Oku kuqalisa ukwenza i-ESU yinto ebaluleke kakhulu ekuhluleleni apho ulawula ukopha kwiindidi zeenqanawa zegazi kubalulekile, njengotyando olubandakanya amathumba amaninzi.
Ukuseta izixhobo zokuSebenzisa izixhobo : ngokuthelekiswa nezinye izixhobo eziphezulu zotyando, ukuseta okusisiseko kweyunithi ye-electrosurrucgerical kulula. Iqulathe ikakhulu i-generator yamandla kunye ne-electrode, enokuqhagamshelwa ngokulula kwaye ihlengahlengiswe ngeendlela ezahlukeneyo zoqhaqho. Oku kulula kuvumela ukulungiselela ngokukhawuleza kwigumbi lokusebenza, ukunciphisa ixesha lokuseta ukuseta izixhobo kunye nokwenza ukuba utyando luqale ukusebenza ngokukhawuleza.
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Umonakalo we-thermal onobuchule : Njengoko kutshiwo ngaphambili, iyunithi ye-electrosurrucgefic ivelisa ubungakanani obukhulu beshushu ngexesha lokusebenza, ngakumbi kwimodi yokusika. Olu bushushu obungaphezulu lobushushu lunokubangela umonakalo obanzi we-theries kwizicubu ezijikelezileyo, okhokelela kwi-charer chart, icocekile, kunye nomonakalo onokubakho kumalungu akufutshane okanye ekwakhiweni. Ngaphezulu kweendlela zombane kunye nelide ixesha lesicelo, eyona nto inzima i-thermal inokwenzeka.
Ingozi ye-tisbonization : Ubushushu obukhulu olwenziwe yi-EU lunokubangela ukuba izicubu zibe yikhadbhoni, ngakumbi kwiindawo eziphakamileyo. Izicubu zekharbhonter zinokuba nzima ukuthoba okanye ziphilise ngokufanelekileyo, kwaye zinokwandisa umngcipheko wosulelo lwendlela. Ukongeza, ubukho bezicubu zekharbbon on unokuphazamisa uviwo lwe-tismoregical ye-tishu ehloliweyo, ebaluleke ngokuCwangciswa ngokuchanekileyo kunye nokucwangciswa konyango.
Imfuneko yeSebe leMfundo leSebe leMfundo eSebenzayo : Ukusebenza kwecandelo le-electrosurgerical ngokukhuselekileyo nangokufanelekileyo kufuna inqanaba eliphezulu lobuchule kunye namava. Umqhubi kufuneka akwazi ukulawula iziphumo zombane ngokuchanekileyo, khetha imowudi efanelekileyo (ukusika okanye ukuhlangana) kwiintlobo ezahlukeneyo zezicubu kunye neemeko zotyando, kwaye uphephe ngengozi ukwenzakala kwengozi kwisigulana sengozi. Ukusetyenziswa ngokungachanekanga kwe-EUS kunokukhokelela kwiingxaki ezinkulu, ezinjengokungaphezulu kokukopha, ukonakaliswa kwezicubu, okanye ukuqhushumba kombane.
Izicelo zotyando
Imimandla eqhelekileyo yoqhaqho kwi-Ultrasonic Scalpel
1. Utyando lwe-laparoscopic
Inkqubo yenkqubo ye-laparoscopic, i-strasonic sclolpel ithandwa kakhulu. Umzekelo, ngexesha laseLaparoscopic Cholecystectomy (ukususwa kwe-gellbladder). Inqaku elincinci, elichanekileyo leStrasosonic Scalpel linokufakwa kumachweba amancinci e-laparoscopic. Ingayidibanisi ngokufanelekileyo i-gellbladder evela kwizicubu ezijikelezileyo ngelixa inciphisa ukopha. Ukukwazi ukudibanisa imithambo yegazi elincinci ngexesha lokusika kubaluleke kakhulu kolu utyando lungahlasekiyo, njengoko kunceda ukugcina umbono ocacileyo wotyando, osebenza noncedo lwekhamera kunye nezixhobo ezinde - ezisele zininzi.
Utyando lwe-Laparoscopic Coloredy Colouredy Welremel, i-Ultrasonic Scalpel ingasetyenziselwa ukwahlula ikoloni okanye i-rectum ukusuka kwizakhiwo ezikufuphi. Ingasikwa ngokuchanekileyo ngokulinganayo Oku kunciphisa umngcipheko wokulahleka kwegazi kunye nomonakalo onokubakho kumalungu akufutshane anjengesilivere okanye i-ureters.
1. Utyando lwe-thoracic
Utyando utyando lwe-ling, i-stalpel ye-ultrasonic idlala indima ebalulekileyo. Xa usenza i-pulmonary lobectoryy (isisu se-lobe yomphunga), i-ultrasosonic scalpel inokusetyenziswa ukudinisa izicubu ze-pulmonary kwaye itywine imithambo yegazi encinci kuloo ndawo. Umonakalo we-thermal onqongopheli we-ultrasonic scalpel iluncedo ekugcineni umsebenzi wezinto ezisele zisele. Umzekelo, kwiimeko apho isigulana esisiphethe kakubi kunye nomsebenzi osele i-Lung kufuneka sinyuswe, ukusetyenziswa kwe-scoalpel ye-Ultrasonic kunokunceda ukufezekisa le njongo.
Utyando olunzulu, apho umhlaba wotyando uhlala usondele kwiziseko ezibalulekileyo ezinjengentliziyo, igazi elikhulu, i-trachea, i-trachea, i-traconasic scalpel ye-Ultraspel iluncedo kakhulu. Ingasetyenziselwa ukususa i-tumurs okanye ezinye izilonda kwi-mediatinum ngaphandle kokubangela ukonakala okungaphezulu kwezakhiwo ezingqongileyo.
1. I-neurosurgery
Utyando lwe-tumary yengqondo, i-strasonic scalpel sisixhobo esixabisekileyo. Ingasetyenziselwa ukususa ngokuchanekileyo izicubu ze-tuma ngelixa kuncitshiswa umonakalo kwizicubu ezijikelezileyo. Umzekelo, ekususweni kwe-gliomas (uhlobo lwethumba lobuchopho), i-scalpel ye-Ultrasonic inokulungiswa kwizicwangciso ezifanelekileyo zamandla ukuze iphule iiseli ze-tumication kunye nentshukumo yoomatshini. Ubushushu obuveliswayo busetyenziselwa ukuhlasela imithambo yegazi elincinci ngaphakathi kwethumba, ukunciphisa ukopha ngexesha lokusebenza. Oku kubaluleke kakhulu njengawo nawuphi na umonakalo kwizicubu zobuchopho obusempilweni kunokukhokelela ekuthembenini kwe-neurologic ebalulekileyo.
I-Spinal utyando laseSpinal, i-Scinasonic Scalpel inokusetyenziselwa ukuchitha izicubu ezithambileyo ezijikeleze umqolo, ezinje ngemisipha kunye ne-ligaments, ngokuchaneka. Xa usenza i-sceckictomy (isuswa ye-isc edityanisiweyo), i-stalpel ye-ultrasonic scalpel inokusetyenziselwa ukususa i-disc kwizinto ngaphandle kokubangela umonakalo we-nerve okanye intambo ye-spinal.
Iindawo eziqhelekileyo zotyando zeyunithi ye-electrosugecal
1. Utyando ngokubanzi
Isetyenziswe sisisu, iyunithi ye-electrosugecal isetyenziswa ngokubanzi. Umzekelo, ngexesha lokukhutshwa (ukususwa kwesisu) okanye i-colectomy (isisu senxalenye yenxalenye ye-colon). I-EU ingasicheba ngokukhawuleza kwizicubu zesisu ezinzima kwaye emva koko itshintshelwe kwimodi ye-caliting yokutywina imithambo yegazi enkulu. Kwi-colectomy, i-ESU ingasetyenziselwa ukusika i-colon kwaye emva koko ihlabe imithambo yegazi kwiindawo zokuphanda ukunqanda ukopha.
Ukuhlinzwa okuphatha i-HERNIAIYO, i-ESU inokusetyenziselwa ukudinisa i-HERINIA SAC kwizicubu ezijikelezileyo kunye nokuhlabela naziphi na iindawo ezonakalisayo. Ingasetyenziselwa ukwenza inkqubela phambili kudonga lwesisu ngokunyuka kwe-mesh ngexesha lenkqubo yokulungisa i-hernia.
1. Iplastiki kunye ne-Repley yovavanyo olwakhayo
Inkqubo efana ne-liposuction, iyunithi ye-electrosugecal inokusetyenziselwa ukudibanisa imithambo yegazi elincinci kwizicubu ze-caci. Oku kunceda ukunciphisa ukulahleka kwegazi ngexesha lokuzibekisa amanqatha. Ukongeza, kuninzi lotyando, u-Esu unokusetyenziselwa ukusika ulusu kunye nezicubu ze-tissies ukwenza iflethi kwaye emva koko utywine imithambo yegazi ukuqinisekisa ukusebenzela kwe-flap.
Utyando lweplastiki wobuso, njenge-rhinoplasy (umsebenzi wempumlo) okanye iinkqubo zebala, u-Esu unokusetyenziswa ukwenza isithuba kunye nokulawula ukopha. Ukukwazi ukuhlengahlengisa izicwangciso zombane kuvumela ugqirha ukuba asebenzise i-EUSE YOKUGQIBELA
1. I-obstetrics kunye ne-gynecology
ICandelo leCesarean Cearean, i-ESU inokusetyenziselwa ukusika ngokukhawuleza kwii-absis zodonga zesisu ukufikelela kwisibeleko. Emva kokuhambisa umntwana, inokusetyenziselwa ukuvala i-incavetion ye-therine kunye nokudibanisa nayiphi na amanqaku emnyama kwi-timerine nakwizicubu zesisu.
Utyando lwe-gynecological onje nge-hysterectomy (isuswa kwesibeleko), u-Esu unokusetyenziselwa ukusika i-ligaments ye-terine kunye nokuhlambela imithambo yegazi. Ingasetyenziselwa utyando lokunyanga i-fibroids okanye i-ovarian cysts, apho inokusetyenziselwa ukususa ukukhula nokulawula ukopha ngexesha lenkqubo.
Ukuqukumbela
Ukuqukumbela, i-scalpel ye-ultrasonic kunye neyunithi ye-electrosugecal zizixhobo ezimbini ezibalulekileyo zotyando ngeempawu ezahlukeneyo. Ukukhetha phakathi kwe-scalpel ye-ultrasosuc kunye neyunithi ye-electrosuge ixhomekeke kwiimfuno ezithile zenkqubo yotyando, uhlobo lwezicubu ezichaphazelekayo, ubungakanani bemithambo yegazi, kunye nokhetho lotyando kunye nokukhetha ugqirha. Ngokuqonda umahluko phakathi kwezi zixhobo zimbini, oogqirha banokwenza izigqibo ezinolwazi ngakumbi, ezinokukhokelela kwiziphumo zoncedo olungcono, zincitshiswe isigulana sobuntu, kunye namaxesha okubuyisela. Njengoko itekhnoloji yoqhaqho iyaqhubeka nokuvela, kunokwenzeka ukuba zombini i-scalpel ye-ultrasonic kunye neyunithi ye-electrosugecal ziya kuthotyelwa ngakumbi, zinika ezinye izibonelelo ezininzi kwizigulana kunye nonyango ngokufanayo.
