Hemostatic: description iyo dib u eegis

clips hemostatic waxaa loo isticmaalaa si loo joojiyo dhiigbaxa iyaga waa la qabsaday, iyo riixo ku meel gaar ah oo weel dhiig ama jiridda markabka ka jareen. kala duwan ee tirada of qalabkaan ayaa darsin dhowr ah. kala duwanaanta Tani waxay sabab u tahay jiritaanka weelashii tirada kala duwan laga bilaabo 1 ilaa 20 mm, iyo isticmaalka farsamooyinka kala duwan hemostasis. weelasha yaryar oo ka jareen intii uu socday hawlgalku, isku haysa gacanta ka dibna ku tirtirayaan ligated kor ku xusan (sutured) thread jiridda.

Hemostatic, kuwaasi oo loo isticmaalo si ku meel gaar ah noqanayaa weelasha leeyihiin kala duwan. isku haysa waxaa loogu talagalay si loo joojiyo dhiigga ka xididdada dhiigga yar, waxa ay dhaawici karaan dhamaadka markabka. Sida caadiga ah, waxaa lagu sameeyey qalabka adag. Clamps, kuwaas oo sidoo kale loo yaqaan vascular, ee wax laastikada sameeyey, ay sabab u tahay, kuwaas oo muuqaalada ay design. Magacyada qalabka si buuxda u waafaqsan tahay isticmaalkooda loogu talagalay. In degdeg ah, waxay loo isticmaali karaa qardarin ee suufka.

Si kastaba ha ahaatee, waa in aan xasuusano clips hemostatic, ugu yaraan hal mar codsatay u qardarin ee suufka ama suuf iyo faashad, mar dambe ma loo isticmaali karaa in ay ujeedada looga danleeyahay. Tan waxa u sabab lahayo ku ah ee qayb ka mid ah shaqada iyo khasaaraha ka mid ah ka shaqeynayaan. In mustaqbalka, waa in ay u xusaan oo loo isticmaalo oo kaliya qamaar ee kubadaha iyo suufka.

Shuruudaha boosteejada

Hemostatic waa in ay buuxiyaan shuruudaha soo socda:

• qardarin lagu kalsoonaan karo oo ku saabsan dhamaadka markabka looma ogolaan doono siibasho.
• Iyadoo isticmaalka soo noqnoqda ee ay hantida waa in aanay lumin.
• aalad waa in ay ahaataa mid si sahlan ilaa link oo la furay sarkhaansan gacmaha qalliinka ee.
• farsamo quful waa in uu si ammaan ah u xaliyo daamanka, ka hortagga furitaanka xayaysiiso. Si arrintan loo sameeyo, tusaale ahaan, kucusub haboon ee foomka of hayayaasha.
  Marka laga height ah 1 mitir qalab hoos waa in aan iska furo dusha shaqada, iyo celcelis ah ku dhow iyo furitaanka daamanka waa in aan iyaga si toos ah.
• Waa inay u hoggaansamaan qawaaniinta ergonomics.
• Fudaydkii, marka laga reebo dillaaciddu laga yaabaa in ay dhacaan ka yar miisaanka clips, ay ku soo rogeen on cidhifyada nabarka.
• Waa in aan oggolaado in isticmaalka electrocoagulator.
• ma Its size si loo joojiyo guudmar duurka qalliinka.
• Dhamaadaa aalad waa in ay u dhigmaan dhexroor, oo weelasha oo.

dirka clamps

Hemostatic qaybsan dhowr kooxaha:

1. clips hemostatic bixinta receptacles ku tirtirayaan ku meel gaar ah ka hor inta ligation ama rogi electrocoagulation qabtay (dhaliyay clip hemostatic).

2. Vascular clamps, ku meel gaar ah loo joojiyo qulqulka dhiigga iyo jidaynayey si loo soo celiyo daacadnimada markabka (angiorrhaphy).

3. burburiyo clamps kor u formation of thrombus in Lumen markabka ka dib codsanaya clip ah.

Features design

clips hemostatic ka kooban yihiin qaybo ka mid kuwaas oo ku qoran hoos ku qoran:

• Daamanka (daamanka).
• Ka qabtaa la siddo.
• qalcaddii buusmeynin ama dhego.
• Uqaadi kartaa.

daamanka Form (daamanka)

1. Xagalka ah elongated, tus, neurosurgical Halstead clamps.
2. Trapezoidal tilmaamay, tus, isku haysa Billroth.
3. Iyada oo ilkaha trapezoidal, tusaale ahaan, xajiye a Kocher.
4. Oval, tusaale ahaan, sygdomme qabato.

Clips yeelan karaan daamanka si toos ah iyo qalooca. Noqtay on dusha daanka loo ogol yahay codbixineed oo uugu labadaba. birqabato hemostatic, geesba waxaa loo isticmaalaa ilaa xad inta badan.

haysa Kocher

haysa Kocher leeyahay ilkaha dhamaadka. Waxa ay si adag u go'an on dhamaadka markabka, sida xiritaankii mid ka mid ah ay qayb ka mid ah ansixin ilig u dhexeeya labada kale ee.

Ka hor qaliinka, qalliinka waa in shakhsi ahaan aad u hubiso xaaladda clips hemostatic (waayihiisa, si toos ah, geesba - ma ahan), sababta oo ah:

• dhaawac ilkaha u keeni kartaa uqaadi kartaa qalab samorazmykanie, taas oo ah mid aad u halis ah inta lagu guda jiro cross-ku tirtirayaan markabka weyn.
• qaybo shaqo oo la leexiyay uma oggolaan doono in si wax ku ool joojiyo dhiigga.

Clamps daamanka ku kala duwan yihiin qaabka, profile ah ee ka shaqeeya dusha, ujeedada iyo size of alaabta.

noocyada clamps

The noocyada soo socda ee clips:

1. marsho si toos ah hemostatic oo dherer ah 15 ilaa 20 cm, ama uu leeyahay fur a quful releasable, la uruursanayey ah uugu on dusha shaqo daamanka. The daraf oo daamanka leeyihiin ilkaha hal dhinac, hal iyo laba dhinaca kale. At xiritaanka qalcadda mid ka mid ah ilkaha waa in dhici dhexeeya labada kale.

2. uruursanayey transverse, iyagu waa isku dhaliyay, laakiin dusha shaqada ayaa goynta ah transverse. Sameeyey bir, dusha sare waa la safeeyey inay iftiin ah. Length ka 16 ilaa 20 cm, waxay noqon kartaa si toos ah ama qalooca.

3. hemostat Neurosurgical "kaneecada", oo khafiifa, oo dhererkiisu wuxuu 15.5 cm, ayaa fur quful ah. Buushka qaybta a gaadhya in qaab reer koorta ah la keenin wax, oo ay dusha ka shaqeeya waa gool transverse khafiif ah. Available geesba ama si toos ah vertical iyo horizontal. Inta badan loo isticmaalo hemostasis oo weelasha yaryar inta lagu jiro nidaamka neurosurgical.

4. caruurta ah "kaneecada" in qaab-dhismeedka la mid ah hore, laakiin daamanka u khafiif ah. Length 12.5 cm, ayaa sidoo kale si toos ah iyo qalooca. Loogu talagalay qofka angioplasty maskaxda arachnoid in qalliin carruurta, hawlgallada in xubnaha parenchymal ah.

5. caloosha Deep, loogu talagalay hemostasis iyo ligation vascular in boogo qoto dheer. Dhererkooduna waa 26 cm, buushka leeyihiin qaab toosan ama qalooca iyo dhererka gaaban.

Clips ah "Kaneecada" oo kale magacyada clips Halstead. dusha shaqada ganaax kala duwan. изогнутый используется для новорожденных. Clip "Kaneecada" laaban loo isticmaalo dhallaanka. небольших сосудов в процессе нейрохирургических операций. Fulisaa hemostasis weelasha yaryar inta lagu jiro hawlgallada neurosurgical.

Haysa Billroth qabsatay iyo deysa xididdada dhiigga. Waxa uu ka shaqaynayay daamanka qabato iyo Jeexid yar, iyo dusha a tapered on baxsan. daamanka xiiso qalabaysan jeexay, taasoo keentay in unugyada yar ku dhaawacmeen.

Haysa Popper waa haysa dheer qalliinka si toos ah, taas oo loo isticmaalayo in hawlgalka xameetida ah.

Sida clip ah waxaa laga codsadaa?

Qaliinka ka hor qalliinka waa in shakhsi ahaan hubi hawlgalka clamps. Tani waa run gaar la halbowlayaasha waaweyn. Tusaale ahaan, noqnoqashada jilibka phrenic-gastric, halkii, waxa ay gaareysaa in haysa halbowlaha bidix gastric oo waa haleysan, waa ben dhamaadka baxsado markabka, taasoo keeni karta in dhiig halis ah.

Sida loo nakradyvat clips?

width ee qaybtii mesentery ah (jilibka) iyo alaabteeda in la Imtixaamo Dhexdeeda, waa in dhigmayn in dhumucdiisuna.

Xasuusnow waxyaabaha soo socda:

- yeeshee jiridda iyo ka haray size weyn nekrozirovat kara oo sababi kara caabuq purulent;

- dhacdo of deserozirovannoy a bedka badan oo keeni kara in cudurka koolo,

- ligature, kaas oo la superimposed on baruurtii bulk, la carqaladeeyey karaa wakhti kasta.

At qaybaha ugu muhiimsan seedaha (mesentery ah), kuwa aan la saaro, iyo maryaba iyo clips ku mashaqeeyo dhakhtar qalliin oo ku saabsan qaybo ka saari of mesentery ku soo rogi ay ku xigeenka.

Exzision ee jilibka ama mesentery u dhexeeya clamps la sameeyo u dhaw degaanka ah oo ka hadhay. mugga jiridda haray waa ka wanaagsan in yar oo dheeraad ah ku samayn, waxaa u adeegi doonaa sida damaanad ah in burburka ma dhici doonto iyo maryaba.

Clamps iyo maryaba on seedaha waxaa lagula talinayaa in ay ka dalban at yar xagal, sida this kordhisaa mugga jiridda, iyo this kordhinayaan in a maryaba u qardarin xoog.

Waxaa jira xeerarka soo socda, taas oo u baahan in la raaco:

1. Wixii ugu shishaysa iyo maryaba ka jiidin. Sidaas daraaddeed waxay ku jeexjeexi kartaa off dhamaadka markabka.

2. La soco xagal 40-50 digrii dhexeeya diyaarada ka mid ah garbaha maqas qasi Cooper iyo daah.

3. daab hoose ee maqas waa lagama maarmaan in la nasiyo shirka.

4. dhamaadka The cut of ligature waa in aanay ka badan 1-2 mm.

Hemostats xakameyn boogaha

In la kala saaro boogta ka maqaarka, sida caadiga ah la isticmaalayo line hemostatic clip dhaliyay (1160 mm dheer).

The boogaha gacmeed ku haboon in ay si toos ah u codsan. Laakiin lifaaqaaya faashad ku baruurta subcutaneous ku haboon hemostats geesba yihiin.

Kaydinta oo ah alaabta qalliinka

Tools lagu kaydiyaa meel qalalan kulul at heerkul ah 15-20 ° C. Waxaa waa in aanay noqon in isla qolka la iyaga walxaha labada ciyaaryahan taasoo keeni karta daxalka ee Biraha (formalin, iodine, bleach).

Tools loogu talagalay isticmaalka this waxaa la dhigay baxay in kabadhada ah, oo iyaga kala sooca by nooca iyo Noqosho. Kuwaas oo loo sameeyey bir carbon, inta lagu guda jiro gaadiidka joogto ah ama kaydinta baaraandegi faasliin dhexdhexaad ah ama la shito daboolay. Si taas loo dhamaadka petroleum jelly dhalaashay in heerkulka a of 60-70 ° C, la Hawiyaha waxa ku jira qalab ka dibna ku duudduubtay oo warqad sii xoogaystay.

qalabka labeen aan ku xiran yihiin oo ka mid ah waxyaabaha soo socda: ahama, aluminium, naxaas ah, naxaas ah. qalabka Diyaarinta si dufan: degrease iyo karkariyo biyo la soda iyo saabuun iyo biyo, qalajiyey, kormeero, waayo, miridhku, miridhku saaro by qiraan jira. qalabka Processing keliya gashi Waa in la fuliyo, sida raad potozhirovye waxay keeni kartaa in formation miridhku.

Waanu ka wada hadalnay si faahfaahsan clip caafimaadka hemostatic, nooc ay, xeerarka isticmaalka iyo kaydinta.