Hemostatic: description da kuma sake dubawa

Hemostatic shirye-shiryen bidiyo ana amfani da su daina zub da jini ta hanyar su ne kama, da kuma na wucin gadi matsawa daga wani jirgin ruwa da zub da jini, ko da kututture na warware jirgin ruwa. Cikin kewayon masu girma dabam na wadannan kayayyakin aiki na da 'yan dozin. Wannan bambancin saboda gaban tasoshin daban-daban masu girma dabam daga 1 zuwa 20 mm, da kuma yin amfani da daban-daban dabaru hemostasis. Kananan tasoshin warware a lokacin aiki, riko da matsa sa'an nan clamping ligated sama (sutured) dungu thread.

Hemostatic, wanda ake amfani da dan lokaci tsunkule tasoshin da bambance-bambance. A matsa aka tsara don dakatar da zub da jini daga kananan jini, shi zai iya cuta ƙarshen jirgin ruwa. Kamar yadda mai mulkin, an yi shi da m kayan. Clamps, wanda kuma ake kira jijiyoyin bugun gini, Ya sanya daga na roba abu, saboda wadannan siffofin na da zane. Sunayen wadannan kayan aikin ne Mafi m tare da su akayi amfani. A gaggawa, da suka za a iya amfani kam na share jiki.

Duk da haka, dole mu tuna cewa hemostatic shirye-shiryen bidiyo, a kalla sau daya amfani ga kam na napkins ko auduga da bukukuwa da gauze, zai iya ba a iya amfani da manufar da aka nufa. Wannan shi ne saboda da nakasawa da aiki part da kuma asarar ayyuka. A nan gaba, ya kamata su yi alama da kuma amfani ne kawai ga kayyade da bukukuwa da share jiki.

Bukatun ga tashoshi

Hemostatic dole ne hadu da wadannan bukatun:

• M kam a karshen da jirgin ruwa ba za a yarda slippage.
• Tare da maimaita yin amfani da dũkiyõyinsu kamata ba za a rasa.
• A kayan aiki dole ne su kasance da sauki mahaɗi a sama, kuma za a bude a ƙarƙashin rinjayar Likita hannuwanku.
• A kulle inji dole tam gyara muƙamuƙanka, hana inadvertent bude. Don yin wannan, alal misali, ya dace retainer a cikin nau'i na sigogi.
  Lokacin da ya ragu daga wani tsawo na 1 mita kayan aiki dole ba ne kwatsam bude aikin daga samanta, kuma akai-akai rufe da bude daga cikin muƙamuƙanka kamata ba sa su mike.
• Dole ne ya bi da dokokin ergonomics.
• Haske, ban da lacerations cewa na iya faruwa a karkashin nauyin shirye-shiryen bidiyo, kallafaffen a kan rauni gefuna.
• Ya kamata mu ba da damar amfani da electrocoagulator.
• Its size ba don toshe bayyani na m filin.
• Ƙare a kayan aiki dole ne dace da diamita daga cikin tasoshin.

rarrabuwa na clamps

Hemostatic kasu kashi da dama subgroups:

1. hemostatic shirye-shiryen bidiyo da samar da wucin gadi clamping receptacles kafin ligation ko kallafa riƙe electrocoagulation (zira kwallon hemostatic clip).

2. jijiyoyin bugun gini clamps, dan lokaci tsayawa jini ya kwarara da kuma barin zuwa mayar da mutunci da jirgin ruwa (angiorrhaphy).

3. crushing clamps da inganta da samuwar thrombus a cikin jirgin ruwa lumen bayan da ake ji da clip.

zane Features

Hemostatic shirye-shiryen bidiyo an hada da sassa wanda aka jera a kasa:

• Jaws (jaws).
• Iyawa da zobba.
• Collapsible ko kurma castle.
• Sigogi.

Form jaws (jaws)

1. Triangular elongated, msl, neurosurgical Halstead clamps.
2. Trapezoidal nuna, msl, Billroth matsa.
3. Tare da trapezoidal hakora, misali, wata Kocher matsa.
4. M, misali, Pean forceps.

Shirye-shiryen bidiyo iya samun mike kuma mai lankwasa jaws. Notches a kan muƙamuƙi saman yarda biyu mai gangara kuma QFontDatabase. Hemostatic forceps, lankwasa da aka yi amfani da quite sau da yawa.

Kocher matsa

Kocher matsa yana da hakora a karshen. Suna sandararru a karshen da jirgin ruwa, kamar yadda a rufe na daya daga cikin ɓangare na hakori yarda tsakanin sauran biyu.

Kafin tiyata, Likita ya kamata kaina duba da yanayin hemostatic shirye-shiryen bidiyo (toothed, a mike, mai lankwasa - ba kome), saboda:

• lalacewar da hakora iya haifar da sigogi samorazmykanie kayan aiki, wanda shi ne mai hadarin gaske a lokacin giciye-clamping na babban jirgin ruwa.
• Ƙirgar sulusi da aiki sassa ba zai ba da damar zuwa yadda ya kamata dakatar da zub da jini.

Clamps jaws bambanta a siffar, da profile na aiki surface, manufa da kuma size na kida.

iri clamps

Wadannan iri shirye-shiryen bidiyo:

1. hemostatic kai tsaye kaya da kuma tsawon 15 zuwa 20 cm, ko yana da wani releasable kulle dunƙule, tare da wani QFontDatabase daraja a kan aiki saman na jaws. A iyakar da jaws da hakora a gefe daya, daya da kuma biyu a daya gefen. A rufe daga cikin castle daya daga cikin hakora ya kamata fada tsakanin wasu biyu.

2. gangara daraja, su ne m zira kwallon, amma aiki surface yana da wani mai gangara sabon. Ya sanya daga bakin karfe, da farfajiya ne goge wani haske. Tsawon daga 16 zuwa 20 cm, zai iya zama a mike ko mai lankwasa.

3. Neurosurgical hemostat "sauro", hur, tsawon 15.5 cm, yana mai kulle dunƙule. Sponges a tsaye sashe a cikin siffar wani truncated mazugi, a kan su aiki surface ne na bakin ciki mai gangara notching. Samuwa mai lankwasa ko mike tsaye da kuma horizontally. Yafi amfani ga hemostasis na kananan tasoshin a lokacin neurosurgical hanyoyin.

4. The yara na "sauro" a tsarin kama da na baya, amma da thinner jaws. Tsawon 12.5 cm, ma mike kuma mai lankwasa. Tsara don angioplasty mutum arachnoid kwakwalwa a yara tiyata, ga yadda ake gudanar a cikin parenchymal gabobin.

5. Deep ciki, aka yi nufi ga hemostasis da jijiyoyin bugun gini ligation a zurfin raunuka. Su ne tsayin 26 cm, Sponges da mike ko mai lankwasa siffar da wani gajeren tsawon.

Shirye-shiryen bidiyo na "Sauro" kuma ɗauki sunayen Halstead shirye-shiryen bidiyo. Daban-daban lafiya aiki surface. изогнутый используется для новорожденных. Clip "Sauro" lankwasa amfani ga jarirai. небольших сосудов в процессе нейрохирургических операций. Aiwatar hemostasis kananan tasoshin a lokacin neurosurgical ayyukan.

Matsa Billroth kama da matse jini. Ya aka aiki gripping jaws da kananan incision, da kuma wani Tapered surface a kan waje. M jaws sanye take da incisions, sakamakon kasa nama ji rauni.

Matsa Popper ne mai dogon mike m matsa, wanda aka yi amfani da wani gall mafitsara aiki.

Kamar yadda clip ne amfani?

Kafin aiki Likita ya kamata kaina duba aiki na clamps. Wannan Gaskiya ne, tare da manyan jijiyoyi. Alal misali, overlapping phrenic-ciki jijiya, a maimakon haka, ta shimfida zuwa hagu na ciki da jijiya da matsa wanda shi ne m, shi ne fraught gudun hijira karshen da jirgin ruwa, wanda za a iya kai wa ga m zub da jini.

Yadda nakradyvat shirye-shiryen bidiyo?

Da nisa daga cikin rabo na mesentery (jijiya) tare da kayayyakin da ake gwada cikinta, ya zama inversely na gwargwado ga ta kauri.

Ka tuna da wadannan:

- sauran kututturen da babban size iya nekrozirovat cewa zai iya sa surkin jini kumburi.

- faru na babban surface yankin deserozirovannoy iya kai wa ga m cuta.

- ligature, wanda aka superimposed a kan girma kitse, za a iya lalace a kowane lokaci.

A mafi muhimmanci sassan na jijiyoyin (da mesentery), wadanda da ba za a iya cire, ligatures da kuma shirye-shiryen bidiyo kamata gabatar da wani likita a kan m sassa na mesentery suka cusa mataimaki.

Excision na jijiya, ko na mesentery tsakanin clamps aka sanya kusa da yankin da ya zauna. A girma daga cikin sauran dungu ne mafi alhẽri a yi a little more, shi zai zama a matsayin tabbacin cewa rashin lafiya ba za su zamanto ligatures.

Clamps da ligatures a kan jijiyoyin bada shawarar a yi amfani a wani kadan kwana, kamar yadda wannan qara girma daga cikin kututture, kuma wannan na taimaka wa mai karfi kam ligatures.

Akwai da wadannan dokoki, wanda bukatar da za a bi:

1. Domin iyakar da ligatures ba ja. Saboda haka za su iya yaga kashe ƙarshen jirgin ruwa.

2. Tsayar kwana na 40-50 digiri tsakanin jirgin sama na almakashi ruwan wukake diluted Cooper da yarns.

3. A ƙananan ruwa na almakashi ne dole ka huta a cikin taro.

4. A yanke ƙarshen ligature dole ba wuce 1-2 mm.

Hemostats a raunuka a ƙuntatawa

Don rarrabe rauni daga fata, yawanci amfani zira kwallon hemostatic clip line (1160 mm dogon).

The m raunuka dace a yi amfani kai tsaye. Amma ga attaching da gauze da subcutaneous mai suna more dace da mai lankwasa hemostats.

Storage daga m kida

Tools adana a mai tsanani bushe wuri a zazzabi na 15-20 ° C. Yana dole ba zama a cikin dakin da su abubuwa biyu wanda zai iya sa lalata da karafa (formalin, aidin, Bleach).

Tools tsara don wannan amfani an dage farawa daga cikin tukunya, da kasawa da su da irin da makõma. Wadanda wanda aka sanya na carbon karfe, a lokacin m kai ko ajiya sarrafa tsaka tsaki vaseline ko paraffin rufe. Don wannan karshen man fetur jelly da aka narke zuwa da zazzabi na 60-70 ° C, an nutsa cikin zurfin shi da kayan aikin sa'an nan a nade a cikin kakin zuma takarda.

Man shafawa kayan aikin ba batun na wadannan kayan: bakin karfe, aluminum, tagulla, da na tagulla. Shiri kayan aikin zuwa maiko: degrease kuma tafasa a cikin ruwa tare da soda da sabulu da ruwa, bushe, binciki for tsatsa, data kasance tsatsa cire by polishing. Processing kayan aikin kawai tare da safar hannu kamata a da za'ayi, kamar yadda potozhirovye burbushi iya kai wa ga tsatsa samuwar.

Mun tattauna a daki-daki, ga likita hemostatic clip, ta iri, dokoki na amfani da ajiya.