Isingeniso
Ezinqubweni zokuhlinza zesimanje, i-high-frequency electrosurgical unit (HFESU) isiyithuluzi elibalulekile. Ukusetshenziswa kwayo kuhlanganisa imikhakha eminingi yokuhlinza, kusukela ekuhlinzweni okuvamile kuya kokuhlinzwa okuncane okukhethekile. Ngokukhiqiza imisinga kagesi eyimvamisa ephezulu, inganqamula kahle izicubu, ihlanganise imithambo yegazi ukuze ilawule ukopha, futhi yenze nezinqubo zokukhipha umoya. Lokhu akunciphisi kakhulu isikhathi sokuhlinzwa kuphela kodwa futhi kuthuthukisa ukunemba kokuhlinza, okuletha ithemba elengeziwe lokuthi iziguli zilulame.
Kodwa-ke, kanye nokusetshenziswa kwayo okubanzi, inkinga yokusha okubangelwa amayunithi we-electrosurgical ephezulu kakhulu iye yavela kancane kancane. Lokhu kusha kungasukela ekulimaleni kwezicubu ezincane kuye kokulimala kabi okungaholela ezinkingeni zesikhathi eside ezigulini, njengokungenwa izifo, izibazi, futhi ezimeni ezimbi kakhulu, ukulimala kwezitho. Ukwenzeka kwalokhu kusha akugcini nje ngokunyusa izinhlungu zesiguli kanye nobude bokulaliswa esibhedlela kodwa futhi kubeka engcupheni engase ibe yingozi empumelelweni yokuhlinzwa.
Ngakho-ke, kubaluleke kakhulu ukuhlola izimbangela ezivamile zokusha ngesikhathi sokusebenzisa amayunithi e-electrosurgical high-frequency kanye nezinyathelo zokuvimbela ezihambisanayo. Lesi sihloko sihlose ukunikeza ukuqonda okuphelele kwalolu daba kubasebenzi bezokwelapha, abaqhubi bemishini yokuhlinza, kanye nalabo abanentshisekelo yokuphepha kokuhlinzwa, ukuze kuncishiswe izigameko zokusha okunjalo futhi kuqinisekiswe ukuphepha nokusebenza kwezinqubo zokuhlinzwa.
Isimiso sokuSebenza se-High - Frequency Electrosurgical Unit
I-High-frequency Electrosurgical Unit isebenza ngokususelwe kumgomo wokuguqulwa kwamandla kagesi abe amandla ashisayo. Indlela eyisisekelo ihilela ukusetshenziswa kwamandla aphakeme - imvamisa alternating current (imvamisa ebangeni elingama-300 kHz kuye ku-3 MHz), elingaphezulu kakhulu kwebanga lemvamisa elingashukumisa amangqamuzana ezinzwa nemisipha (imvamisa yenzwa yomzimba womuntu nemisipha ngokuvamile ingaphansi kuka-1000 Hz). Lesi sici se-high-frequency siqinisekisa ukuthi amandla kagesi asetshenziswa yi-Electrosurgical Unit angakwazi ukushisa futhi asike izicubu ngaphandle kokubangela ukufinyela kwemisipha noma ukushukunyiswa kwemizwa, okuyizinkinga ezivamile ezinemisinga kagesi eyimvamisa ephansi.
Lapho i-high-frequency electrosurgical unit icushiwe, isifunda sikagesi siyasungulwa. Ijeneretha eyunithi ye-electrosurgical ikhiqiza amandla kagesi aphezulu. Lo msinga ube usuhamba ngekhebula uye ku-electrode esebenzayo, okuyingxenye yensimbi yokuhlinza ethintana ngokuqondile nezicubu phakathi nokuhlinzwa. I-electrode esebenzayo iklanywe ngezimo ezihlukahlukene kuye ngezidingo zokuhlinzwa, njenge-electrode efana ne-blade yokusika noma i-electrode emise okwebhola yokuhlangana.
Lapho i-current ifinyelela ku-electrode esebenzayo, ihlangana nezicubu. Izicubu emzimbeni womuntu zinokuphikiswa okuthile kukagesi. Ngokomthetho kaJoule (, lapho ukushisa okukhiqizwa khona, okwamanje, ukuphikiswa, futhi yisikhathi), lapho i-high-frequency current idlula izicubu ngokumelana, amandla kagesi aguqulwa abe amandla ashisayo. Izinga lokushisa endaweni yokuxhumana phakathi kwe-electrode esebenzayo kanye nezicubu likhuphuka ngokushesha.
Ngomsebenzi wokusika, izinga lokushisa eliphezulu elikhiqizwa ekugcineni kwe-electrode esebenzayo (imvamisa efinyelela emazingeni okushisa acishe abe ngu-300 - 1000 °C) lihwamulisa amaseli ezicubu ngesikhathi esifushane kakhulu. Amanzi angaphakathi kwamaseli aphenduka abe isitimu, okwenza amangqamuzana aqhume futhi ahlukane, ngaleyo ndlela afeze umphumela wokusika izicubu. Le nqubo inembile kakhulu futhi ingalawulwa ngokulungisa amandla kanye nemvamisa yeyunithi ye-electrosurgical, kanye nesivinini sokunyakaza kwe-electrode esebenzayo.
Ngokuphathelene nomsebenzi we-hemostasis, ukusethwa kwamandla aphansi kuvame ukusetshenziswa uma kuqhathaniswa nemodi yokusika. Lapho i-electrode esebenzayo ithinta imithambo yegazi eyophayo, ukushisa okukhiqizwayo kuhlanganisa amaprotheni asegazini kanye nezicubu ezizungezile. Lokhu kugoqa kwenza ihlule elivimba imithambo yegazi, limise ukopha. Inqubo ye-coagulation ihlobene nekhono lesicubu lokumunca ukushisa. Izicubu ezihlukene zinokuphikiswa okuhlukile kukagesi nokushisa - amandla okumunca, okudingeka acatshangelwe ngesikhathi sokusebenza ukuze kuqinisekiswe i-hemostasis ephumelelayo ngaphandle kokulimala ngokweqile kwezicubu ezijwayelekile ezizungezile.
Kafushane, i-High-frequency Electrosurgical Unit isebenzisa umphumela oshisayo okhiqizwa amandla kagesi avela kakhulu adlula ezicutshini ezikwazi ukumelana nokusika izicubu kanye ne-hemostasis, okuwubuchwepheshe obuyisisekelo nobubalulekile ezinqubweni zokuhlinza zesimanje.
Izimbangela Ezivamile Zokushiswa
I-Plate - Burns ehlobene
Ukushiswa okuhlobene ne-Plate kungenye yezinhlobo ezijwayelekile zokusha okubangelwa amayunithi e-electrosurgical ephezulu. Isizathu esiyinhloko salolu hlobo lokusha ukuminyana kwamanje okweqile endaweni yamapuleti. Ngokusho kwezindinganiso zokuphepha, ukuminyana kwamanje epuleti kufanele kube ngaphansi. Uma ubala ngokusekelwe kumandla amakhulu futhi usebenza ngaphansi komthwalo olinganiselwe, indawo yepuleti encane ithi , okuyinani eliphansi lomkhawulo wendawo yepuleti. Uma indawo yokuxhumana yangempela phakathi kwepuleti nesiguli ingaphansi kwaleli xabiso, ingozi yokushiswa kwamapuleti izokwenzeka.
Kunezici eziningana ezingaholela ekunciphiseni indawo yokuxhumana ephumelelayo phakathi kwepuleti nesiguli. Isibonelo, uhlobo lwepuleti le-electrode libalulekile. Amapuleti e-Metal electrode aqinile futhi awahambisani kahle. Ngesikhathi sokuhlinzwa, bathembela esisindweni somzimba wesiguli ukuze bacindezele ipuleti. Lapho isiguli sihamba, kunzima ukuqinisekisa indawo yokuxhumana ephumelelayo yepuleti, futhi ukusha kungenzeka kwenzeke. Amapuleti e-electrode e-conductive ejeli adinga ukufaka unamathisele osebenzayo ngaphambi kokusetshenziswa. Lapho ijeli eliqhubayo epuleti elibi loma noma libekwe endaweni eswakeme esikhumbeni, lingase futhi lishise isiguli. Nakuba okunamathelayo okulahlwayo - amapuleti e-electrode asongwe anokuhambisana okuhle nokunamathela okuqinile, okungaqinisekisa indawo yokuxhumana ngesikhathi sokusebenza, ukusetshenziswa okungalungile njengokusetshenziswa okuphindaphindiwe noma ukuphelelwa yisikhathi kusengaholela ezinkingeni. Ukusetshenziswa okuphindaphindiwe kungase kubangele ipuleti ukuthi lingcole, libe nesikhumba esinqwabelene, izinwele, namafutha, okuholela ekuziphatheni okubi. Amapuleti aphelelwe yisikhathi angase abe nezindawo zokunamathisela ezinciphile kanye ne-conductive, okwandisa ingozi yokusha.
Ngaphezu kwalokho, indawo yokubeka ipuleti nayo ithinta indawo yokuxhumana. Uma ipuleti libekwe engxenyeni yomzimba enezinwele ezinde ngokweqile, izinwele zingasebenza njengesivikeli, zikhulise i-impedance kanye nokuminyana kwamanje endaweni yamapuleti, zivimbele ukuqhutshwa okuvamile kwamanje, zikhiqize into ekhishwayo, futhi okungenzeka ziholele ekushiseni okushisayo. Ukubeka ipuleti ekugqameni kwamathambo, ukujoyina, isibazi, noma ezinye izindawo lapho kunzima khona ukuqinisekisa ukuthi indawo yokuxhumana enkulu neyunifomu nakho kungabangela izinkinga. Ukugqama kwe-Bony kunzima ukuqinisekisa indawo eyanele yokuxhumana futhi kuthinte ukufana kokuxhumana. Ingcindezi ekugqameni kwamathambo iphezulu uma kuqhathaniswa, futhi ukuminyana kwamanje okudlulayo kukhulu uma kuqhathaniswa, okwandisa ingozi yokusha.
Ukushiswa okungahlobene nepuleti
High - frequency Radiation
Ukushiswa kwemisebe yefrikhwensi ephezulu kwenzeka lapho isiguli sithwala noma izitho zaso zihlangana nezinto zensimbi ngesikhathi sokuhlinzwa. Amayunithi e-electrosurgical aphezulu kakhulu akhiqiza izinkambu eziqinile ze-electromagnetic ngesikhathi sokusebenza. Uma into yensimbi ikhona kule nkundla ye-electromagnetic, ukungeniswa kwe-electromagnetic kwenzeka. Ngokomthetho we-Faraday we-electromagnetic induction (, lapho amandla e-electromotive eyengelwe, inombolo yokuphenduka kwekhoyili, futhi izinga lokushintsha kwe-flux magnetic), i-current induced ikhiqizwa entweni yensimbi. Lokhu kwamanje okubangelwayo kungabangela ukushisa kwendawo kwento yensimbi kanye nezicubu ezizungezile.
Isibonelo, uma isiguli sigqoke umgexo wensimbi noma indandatho ngesikhathi sokuhlinzwa, noma uma insimbi yokuhlinza yensimbi ithinta ngephutha umzimba wesiguli, kwakheka i-loop-loop circuit phakathi kwensimbi nomzimba wesiguli. I-high-frequency yamanje emkhakheni we-electromagnetic igeleza kulo mjikelezo, futhi ngenxa yesiphambano esincane - indawo yesigaba sephoyinti lokuxhumana phakathi kwento yensimbi nezicubu, ukuminyana kwamanje kuleli phuzu kuphezulu kakhulu. Ngokomthetho kaJoule (), ukushisa okukhulu kukhiqizwa ngesikhathi esifushane, okungabangela ukushisa okukhulu kwezicubu zesiguli.
I-Circuit Short - isifunda
Ama-circuit short - amasekhethi angabuye aholele ekushiseni ngesikhathi sokusebenzisa amayunithi aphezulu e-electrosurgical. Ngaphambi kokusebenzisa ucingo, uma u-opharetha ehluleka ukuhlola ukuthi ulayini ngamunye uphelele yini, kungase kuphakame izinkinga. Isibonelo, ungqimba lwangaphandle lwekhebula lungalimala ngenxa yokusebenzisa isikhathi eside, isitoreji esingafanele, noma amandla angaphandle, okuveza izintambo zangaphakathi. Lapho izintambo eziveziwe zihlangana nomunye nomunye noma nezinye izinto eziqhutshwayo, isifunda esifushane senzeka.
Ngaphezu kwalokho, uma usebenzisa ipuleti eliqinile, uma i-surface organic matter ingasuswa ngesikhathi, ingathinta ukuqhutshwa kukagesi kanye nokusebenza kokufakwa kwepuleti. Ngokuhamba kwesikhathi, lokhu kungaholela ekwakhiweni kwendlela yokuhambisa phakathi kwepuleti nezinye izingxenye zesifunda, okubangela umjikelezo omfushane. Ukugcinwa njalo komuntu ozinikele nakho kubalulekile. Ngaphandle kokuhlolwa nokugcinwa okuvamile, izinkinga ezingase zibe khona kusekethe zingase zingatholakali ngesikhathi, njengokuxhuma okuxekethile, ukuguga kwezingxenye, njll., okungase kwenyuse ingozi yamasekhethi amafushane.
Lapho kwenzeka isifunda esifushane, i-current in circuit izokhula ngokuzumayo. Ngokomthetho ka-Ohm (, iphi i-current, i-voltage, futhi iwukumelana), lapho ukuphikiswa engxenyeni yesifunda esifushane kuncipha kakhulu, okwamanje kuzokhuphuka kakhulu. Lokhu kwanda okungazelelwe kwamanje kungabangela ukushisa kwezintambo kanye nezingxenye ezisesekethe, futhi uma ukushisa kungenakuqedwa ngesikhathi, kuzodlulisela emzimbeni wesiguli ngokusebenzisa ama-electrode, okuholela ekushiseni.
I-Sparks ephansi - imvamisa
Izinhlansi zefrikhwensi ephansi zibangelwa ikakhulukazi izimo ezimbili ezivamile. Enye yilapho kuphuka ummese - ikhebula lekhanda. I-high-frequency current kuyunithi ye-electrosurgical kufanele igeleze ngokuzinzile ngekhebula engaguquki iye emmese - ekhanda. Nokho, lapho ikhebula liphukile, indlela yamanje iyaphazamiseka. Ekupheleni kwekhebula eliphukile, okwamanje uzama ukuthola indlela entsha, eholela ekwakhekeni kwezinhlansi. Lezi zinhlansi zikhiqiza amaza aphansi.
Esinye isimo yilapho iyunithi yokuhlinzwa kagesi isetshenziswa kaningi. Isibonelo, uma udokotela ohlinzayo eqala futhi amise uphiko lokuhlinza ngogesi ngokushesha, njengokuchofoza kaningi inkinobho yokwenza kusebenze esikhathini esifushane, ukwenza kusebenze ngakunye nokuyekiswa kusebenze kungabangela inhlansi encane ukuthi ivele. Nakuba inhlansi ngayinye ingase ibonakale incane, uma iqoqwa ngokuhamba kwesikhathi, ingabangela izinga elithile lokushiswa kwefrikhwensi.
Ukulimala kwezinhlansi ze-low - frequency spark kubalulekile. Okuhlukile ekushiseni okuphezulu - okubangelwa imvamisa - okubangelwa ukushiswa okuvame ukuba phezulu, ukushiswa okuphansi - okungaba khona - okungaba yingozi kakhulu njengoba kungathinta izitho zangaphakathi. Isibonelo, lapho i-low - frequency current ingena emzimbeni ngekhebula eliphukile noma ukusebenza okuvamile - izinhlansi ezibangelwayo, zingathinta inhliziyo ngqo. Inhliziyo izwela kakhulu kumasignali kagesi, futhi imisinga ephansi ngokungavamile ingaphazamisa uhlelo lokuhamba kukagesi oluvamile lwenhliziyo, okuholela ekubeni i-arrhythmias, futhi ezimeni ezinzima, ukuboshwa kwenhliziyo.
Xhumana ne-Flammable Liquids
Ezimweni zegumbi lokuhlinzela, kuvame ukuba noketshezi oluvuthayo olusetshenziselwa ukubulala amagciwane, njenge-iodine tincture notshwala. Amayunithi e-electrosurgical ephezulu kakhulu akhiqiza izinhlansi ngesikhathi sokusebenza. Lapho lezi zinhlansi zihlangana noketshezi oluvuthayo, kungase kwenzeke ukusabela kokusha.
Utshwala, isibonelo, bunokukhanya okuphansi. Lapho utshwala - i-gauze ecwilisiwe ye-disinfection ishiywe notshwala obuningi, futhi imanzisa i-disinfection drape noma kukhona utshwala obuningi obusele endaweni yokusebenza, futhi iyunithi ye-electrosurgical icushiwe ukukhiqiza izinhlansi, umhwamuko wotshwala emoyeni ungavutha. Uma usubasiwe, umlilo ungabhebhetheka ngokushesha, ungagcini nje ngokubangela ukusha esikhumbeni sesiguli kodwa futhi ubeke engozini ukuphepha kwalo lonke igumbi lokuhlinzela. Inqubo yomlilo ingachazwa ngefomula yokusabela kwamakhemikhali yokushisa kotshwala: . Phakathi nale nqubo, kukhishwa inani elikhulu lokushisa, elingabangela ukushisa okukhulu kwezicubu ezizungezile futhi kungase kubangele ukulimala kwezinsimbi zokuhlinza kanye nezakhiwo zegumbi lokusebenza.
Izinyathelo Zokuvimbela
Izinyathelo Zokuqapha Ezihlobene Nesiguli
Ngaphambi kokuba isiguli singene egunjini lokuhlinza, kufanele kwenziwe ukuhlolwa okuphelele kwangaphambi kokuhlinzwa. Okokuqala, zonke izinto zensimbi esigulini, ezifana nobucwebe (imigexo, izindandatho, amacici), izibuko zensimbi ezinezinhlaka, nanoma yiziphi insimbi - eziqukethe izesekeli, kufanele zisuswe. Lezi zinto zensimbi zingasebenza njengama-conductor emkhakheni we-high-frequency electromagnetic ekhiqizwa iyunithi yokuhlinzwa kagesi, okuholela ekukhiqizeni imisinga nokusha okungase kube khona, njengoba kuchazwe esigabeni sokushiswa kwemisebe yemvamisa ephezulu.
Ngesikhathi sokuhlinzwa, kubalulekile ukuqinisekisa ukuthi umzimba wesiguli awuhlangani nanoma yiziphi izingxenye zensimbi zetafula lokuhlinza noma ezinye izinto ezisekelwe ezinsimbi. Uma isiguli sinomlando wokufakelwa kwensimbi, njengamalunga okwenziwa, amapuleti ensimbi okulungisa ukuphuka, noma ukufakelwa kwamazinyo, ithimba elihlinzayo kufanele liqaphele indawo yabo. Ezimweni ezinjalo, kungase kucatshangelwe ukusebenzisa i-bipolar electrosurgical unit esikhundleni se-unipolar. Amayunithi e-bipolar electrosurgical ane-loop yamanje encane, enganciphisa ingozi yokudlula kwamanje ku-implant yensimbi futhi ibangele ukusha. Isibonelo, ekuhlinzweni kwamathambo lapho kukhona izimila zensimbi ezikhona emzimbeni wesiguli, ukusetshenziswa kwe-bipolar electrosurgery kunganciphisa ingozi engaba khona ebangelwa i-high-frequency current ehlangana nensimbi.
Electrode Plate - Recautions ahlobene
Ukukhetha ipuleti le-electrode elifanele kuyisinyathelo sokuqala. Izinhlobo ezahlukene zamapuleti e-electrode zinezici zazo. Ezigulini ezikhulile, ipuleti le-electrode elilingana nomuntu omdala kufanele likhethwe, kuyilapho izingane nezinsana, amapuleti ahambisanayo ezingane ayadingeka. Ubukhulu bepuleti le-electrode kufanele bube ngokwanele ukuqinisekisa ukuthi ukuminyana kwamanje endaweni yepuleti kungaphakathi kwebanga eliphephile (ngaphansi kuka-). Okunamathelayo okulahlwayo - amapuleti e-electrode asongwe akhethwa ngenxa yokuthobela kwawo okuhle nokunamathela okuqinile. Kodwa-ke, ngaphambi kokusetshenziswa, kuyadingeka ukuhlola ngokucophelela ubuqotho be-gel conductive epulatifeni, ukuqinisekisa ukuthi akukho mifantu, izindawo ezomile, noma ukungcola. Amapuleti e-electrode aphelelwe yisikhathi kufanele avinjelwe ngokuqinile ukuthi asetshenziswe, njengoba izakhiwo zawo zokuqhuba nokunamathela zingase ziwohloke.
Ukubekwa okulungile kwepuleti le-electrode nakho kubaluleke kakhulu. Ipuleti kufanele libekwe endaweni enomsipha - enothile futhi engenazinwele, njengethanga, izinqe, noma ingalo engenhla. Kuyadingeka ukugwema ukuyibeka phezu kwamathambo agqamile, amalunga, izibazi, noma izindawo ezinezinwele ezinde ngokweqile. Isibonelo, uma ipuleti libekwe ekugqameni kwamathambo njengendololwane noma idolo, indawo yokuxhumana ingase ingalingani, futhi ingcindezi kuleli phuzu iphakeme kakhulu. Ngokusho kwesimiso sokuminyana kwamanje (, kuphi ukuminyana kwamanje, okwamanje, futhi kuyindawo), indawo encane yokuxhumana izoholela ekukhuleni okuphezulu kwamanje, okwandisa ingozi yokushiswa. Ukwengeza, ipuleti kufanele libekwe eduze ngangokunokwenzeka endaweni yokuhlinza ukuze kuncishiswe ubude bendlela yamanje ngaphakathi komzimba wesiguli, kodwa ngesikhathi esifanayo, kufanele kube okungenani u-15 cm kude ne-incision yokuhlinzwa ukuze kugwenywe ukuphazamiseka ekusebenzeni kokuhlinzwa.
Izisetshenziswa kanye nokusebenza - Izinyathelo zokuphepha ezihlobene
Ukuhlolwa Kwezisetshenziswa
Ngaphambi kokuhlinzwa, ukuhlolwa okuningiliziwe kweyunithi ye-electrosurgical ephezulu kakhulu kanye nemigqa ehambisana nayo kufanele yenziwe. Hlola ungqimba lwangaphandle lwekhebula lokufaka ugesi ukuze uthole noma yiziphi izimpawu zokulimala, njengokuqhekeka, ukusikeka, noma imihuzuko. Uma ungqimba lwe-insulation lonakalisiwe, izintambo zangaphakathi zingase zivezwe, okwandisa ingozi ye-short circuits and burns. Isibonelo, ikhebula eligotshwe kaningi kakhulu noma elicindezelwe izinto ezisindayo lingase libe nongqimba olulimele lokufakelwa. Ngaphezu kwalokho, hlola ukusebenza kweyunithi ye-electrosurgical ngokusebenzisa umsebenzi wokuzihlola uma ukhona. Lokhu kungasiza ekutholeni izinkinga ezingaba khona kujeneretha, iphaneli yokulawula, nezinye izingxenye.
Ngesikhathi sokusebenza, ngezikhathi ezithile hlola okokusebenza ukuze uthole noma yimiphi imisindo engajwayelekile, ukudlidliza, noma ukukhiqiza ukushisa. Imisindo engavamile ingase ibonise izinkinga zemishini kudivayisi, kuyilapho ukukhiqizwa kokushisa okudlulele kungase kube uphawu lokuhluleka kwamanje noma ingxenye. Isibonelo, uma iyunithi ye-electrosurgical ikhipha umsindo ohlabayo ophezulu ngesikhathi sokusebenza, kungase kube uphawu lwefeni engasebenzi kahle ohlelweni lokupholisa, okungaholela ekushiseni ngokweqile kwedivayisi kanye nokusha okungase kube khona esigulini.
Ngemuva kokuhlinzwa, hlanza futhi ubulale amagciwane ngokwemiyalelo yomkhiqizi. Hlola okokusebenza futhi ukuze uqinisekise ukuthi akukho monakalo odalekile phakathi nomsebenzi. Hlola noma yiliphi igazi elisele, izicubu, noma okunye ukungcola kuma-electrode namakhebuli, njengoba lezi zinto zingathinta ukusebenza nokuphepha kwezinto zokusebenza uma zingasuswa ngesikhathi.
Imininingwane Yokusebenza
Abahlinzeki bemishini ye-electrosurgical ephezulu kakhulu kufanele baqeqeshwe kahle futhi bajwayele izinqubo zokusebenza. Uma ubeka amandla eyunithi ye-electrosurgical, qala ngamandla aphansi futhi kancane kancane uwakhulise ngokwezidingo zangempela zokusebenza. Isibonelo, enqubweni yokuhlinzwa encane, ukusetha amandla aphansi kungase kwanele ukusika izicubu kanye ne-hemostasis. Izilungiselelo zamandla aphezulu ngokungadingekile zingabangela ukukhiqiza ukushisa okukhulu, okuholela ekulimaleni okukhulu kwezicubu kanye nengozi eyengeziwe yokusha.
Ngesikhathi sokusebenza, i-electrode esebenzayo (ummese - ikhanda) kufanele ibanjwe kancane kancane ukuze kuqinisekiswe ukusika okunembile nokuhlanganiswa. Gwema ukubeka i-electrode esebenzayo ukuthintana nezicubu ezingaqondiwe uma ingasetshenziswa. Ngokwesibonelo, lapho udokotela ohlinzayo edinga ukumisa okwesikhashana ukuhlinza, ummese - ikhanda kufanele libekwe endaweni ephephile, njengalapho kusibambi esikhethekile, kunokuba lishiywe endaweni yokuhlinza lapho lingase lithinte umzimba wesiguli ngephutha futhi libangele ukusha.
Ukucatshangelwa Kwemvelo
Indawo yegumbi lokuhlinzela idlala indima ebalulekile ekuvimbeleni ukusha okubangelwa amayunithi e-electrosurgical ephezulu. Okokuqala, qiniseka ukuthi awekho amagesi avuthayo noma uketshezi egunjini lokuhlinza. Izinto ezivuthayo njengezibulala-magciwane ezisekelwe kutshwala, i-ether (yize ingavamile ukusetshenziswa kakhulu ekubulaleni izinzwa yesimanje), kanye namanye amagesi okubulala izinzwa aguquguqukayo angavutha lapho uthintana nezinhlansi ezikhiqizwe iyunithi yokuhlinzwa kagesi. Ngaphambi kokusebenzisa iyunithi yokuhlinzwa kagesi, qiniseka ukuthi indawo yokuhlinza yomile nokuthi noma yiziphi izibulala-magciwane ezivuthayo sezihwamuke ngokuphelele.
Lawula ukugcwala komoyampilo egumbini lokuhlinza. Izimo zomoya-mpilo ezigxilile kakhulu zandisa ingozi yomlilo. Ezindaweni lapho kusetshenziswa iyunithi yokuhlinzwa kagesi, ikakhulukazi eduze kwendlela yokuphefumula yesiguli, ukugcwala komoyampilo kufanele kugcinwe ezingeni eliphephile. Isibonelo, lapho kwenziwa ukuhlinzwa endaweni yomlomo noma yamakhaleni, kufanele kuqashelwe okwengeziwe ukuze kuqinisekiswe ukuthi izinga lokugeleza komoyampilo lilungiswa kahle futhi akukho ukuvuza komoya-mpilo ogxilile eduze nendawo yokuhlinza lapho kusetshenziswa iyunithi yokuhlinza ngogesi.
Isiphetho
Sengiphetha, amayunithi e-electrosurgical high-frequency angamathuluzi abalulekile futhi anamandla ezinqubweni zokuhlinza zanamuhla, kodwa amandla okusha ngesikhathi sokusetshenziswa kwawo awanakunakwa.
Ukuvimbela lokhu kusha, uchungechunge lwezinyathelo ezibanzi kudingeka zithathwe. Abasebenzi bezokwelapha, abasebenza ngemishini yokuhlinza, kanye nabo bonke abathintekayo ezinqubweni zokuhlinzwa kumele babe nokuqonda okujulile kwalezi zimbangela zokusha kanye nezinyathelo zokuvimbela. Ngokulandela ngokuqinile amasu okuvimbela, izehlakalo zokusha okubangelwa amayunithi e-electrosurgical high - frequency unit zingancishiswa kakhulu. Lokhu akuqinisekisi kuphela ukuphepha kweziguli ngesikhathi sokuhlinzwa kodwa futhi kunomthelela ekuqhubekeleni phambili okushelelayo kwezinqubo zokuhlinzwa, ukuthuthukisa ikhwalithi yonke kanye nokusebenza kahle kokwelashwa kokuhlinzwa. Ngokuzayo, ucwaningo oluqhubekayo kanye nokwenza ngcono ekwakhiweni nasekusetshenzisweni kwamayunithi e-electrosurgical ephezulu kakhulu kulindeleke ukuthi kuthuthukiswe ukuphepha kokuhlinzwa kanye nemiphumela yesiguli.
