Koj puas tau hnov ib tug kws phais neeg hais tias lawv "siv hluav taws xob los nres qhov ntshav " thaum koj ua koj txoj kev phais? Los yog tej zaum koj tau pom ib tug kws kho mob siv ib yam cuab yeej tshwj xeeb los 'hluav taws xob' tshem tawm daim tawv nqaij lossis cov qog? Txawm hais tias lub npe yuav zoo li txaus ntshai, cov txheej txheem kho mob no hu ua Electrosurgery. Txawm hais tias nws zoo li cas los xij, nws yog ib qho thev naus laus zis uas siv ntau heev, muaj kev nyab xeeb, thiab siv tau zoo hauv kev phais mob thoob ntiaj teb. Ntawm Nirogi Lanka, peb xav pab koj nkag siab meej tias qhov no cuam tshuam li cas, hauv cov lus yooj yim.
Hauv lwm lo lus, Electrosurgery yog dab tsi?
Kev phais hluav taws xob yog ib txoj kev phais uas siv hluav taws xob ntau zaus los txiav cov nqaij, rhuav tshem cov nqaij uas tsis xav tau, lossis tiv thaiv kev los ntshav (coagulation). Thaum lub sijhawm ua haujlwm, Chav Electrosurgical (ESU) tsim hluav taws xob, uas tom qab ntawd xa mus rau lub cuab yeej zoo li cwj mem hu ua electrode uas koj tus kws kho mob tuav. Thaum lub cuab yeej no kov thaj chaw uas koj xav tau, hluav taws xob uas hla dhau cov nqaij tsim cua sov.
Xav txog nws zoo li lub lauj kaub hluav taws xob ua kom dej kub, tab sis hloov chaw, nws tsom thiab ua kom sov tsuas yog ib qho me me, meej meej ntawm koj lub cev cov ntaub so ntswg.
Qhov kub no yog qhov uas ua rau tus kws phais mob kho qhov chaw ntawd tau zoo. Feem ntau siv los tshem tawm cov tawv nqaij, cov pob khaus, thiab lwm yam kev loj hlob me me. Nws tseem ceeb heev thaum lub sijhawm phais mob kom kaw cov hlab ntsha me me kom tsis txhob los ntshav. Qee zaum nws yog kev kho mob tseem ceeb, thiab lwm lub sijhawm nws siv nrog rau lwm txoj kev phais mob.
Cov hom kev phais mob hluav taws xob tseem ceeb yog dab tsi?
Muaj ntau hom kev phais hluav taws xob tshwj xeeb uas tsim los rau ntau yam kev xav tau sib txawv hauv kev kho mob:
| Hom | Nws ua haujlwm li cas |
|---|---|
| Kev ntsuas hluav taws xob | Lub electrode tsis kov daim tawv nqaij ncaj qha. Nws raug tuav ob peb millimeters deb, thiab siv lub hluav taws xob los kho cov txheej saum npoo ntawm daim tawv nqaij. |
| Kev siv hluav taws xob los ua kom qhuav | Lub taub hau electrode kov ncaj qha rau thaj chaw raug mob. Cov hluav taws xob qhuav thiab ua rau cov ntaub so ntswg puas tsuaj, feem ntau siv rau kev tshem tawm cov cim tawv nqaij lossis cov pob khaus. |
| Kev siv hluav taws xob los ua kom cov ntshav khov | Qhov no cuam tshuam rau cov txheej nqaij tob dua thiab feem ntau yog siv los txhawb kev ntshav txhaws thiab tiv thaiv kev los ntshav. |
| Kev siv hluav taws xob | Ua zoo li rab riam phais hluav taws xob, qhov no siv los txiav thiab cais cov ntaub so ntswg kom huv si thiab meej. Feem ntau piv rau "txiav butter nrog rab riam kub." |
Puas yog Electrocautery txawv?
Yog, electrocautery txawv me ntsis. Hauv electrosurgery, cov hluav taws xob hla dhau koj cov nqaij ntawm lub cev. Hauv electrocautery , cov hluav taws xob tsuas yog ua kom lub hau hlau ntawm lub cuab yeej sov xwb, thiab tom qab ntawd lub hau uas tau ua ntej lawm ntawd raug kov rau cov nqaij kom rhuav tshem nws lossis tsis txhob los ntshav. Hais yooj yim: hauv ib qho, cov hluav taws xob hla koj; hauv lwm qhov, siv cov cuab yeej kub.
Qhov no siv rau cov xwm txheej twg?
Electrosurgery siv rau ntau yam kev kho mob tshwj xeeb:
- Kev Kho Mob Tawv Nqaij: Cov kws kho mob tawv nqaij feem ntau siv qhov no los tshem tawm cov qog nqaij hlav zoo li cov pob khaus thiab cov cim tawv nqaij . Nws kuj tseem siv los kho qee yam mob qog nqaij hlav ntawm daim tawv nqaij . Piv txwv li, hauv 'ED&C (Electrodessication & Curettage)', koj tus kws kho mob khawb cov qog nqaij hlav tawm thiab tom qab ntawd siv electrosurgery los rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav.
- Kev Phais Mob Dav Dav: Nws yog qhov tseem ceeb heev rau cov txheej txheem xws li 'Endoscopy', qhov twg nws yog siv los tshem tawm cov qog sab hauv lossis tswj kev los ntshav hauv lub cev.
Muaj dab tsi tshwm sim thaum lub sijhawm ua cov txheej txheem?
Ua ntej, koj yuav tau txais tshuaj loog hauv zos kom loog qhov chaw kom koj tsis txhob mob, lossis koj yuav raug muab tshuaj loog rau hauv qab kev mob hnyav nyob ntawm seb qhov mob hnyav npaum li cas. Qhov uas yuav tshwm sim tom ntej yog nyob ntawm seb puas siv txoj kev 'Monopolar' lossis 'Bipolar'.
Kev phais mob hluav taws xob monopolar
Qhov no yog txoj kev siv ntau tshaj plaws. "Mono" txhais tau tias "ib qho." Hauv txoj kev no, tsuas yog ib lub taub hau electrode kov koj lub cev kom xa cov hluav taws xob, thaum lub hauv paus av nyob rau lwm qhov ntawm koj lub cev ua tiav lub voj voog.
1. Lub tshuab ESU xa lub zog hluav taws xob mus rau lub electrode uas ua haujlwm (lub cuab yeej zoo li tus cwj mem uas koj tus kws kho mob tuav).
2. Cov hluav taws xob no mus los ntawm koj lub cev cov nqaij, ua kom sov rau thaj chaw uas koj xav tau.
3. Cov hluav taws xob ces hla dhau koj lub cev mus rau ib lub "grounding pad" (dispersive electrode) uas muab tso rau ntawm koj lub duav lossis lwm qhov chaw uas tsim nyog.
4. Thaum kawg, hluav taws xob mus los ntawm lub grounding pad rov qab mus rau lub tshuab ESU kom ua tiav lub voj voog.
Kev phais mob Bipolar Electrosurgery
"Bi" txhais tau tias "ob." Hauv txoj kev no, ob lub qhov hluav taws xob kov koj lub cev. Xav txog koj tus kws kho mob tuav cov nqaij mos nrog lub cuab yeej uas zoo li ob lub forceps.
1. Hluav taws xob nkag mus rau hauv cov ntaub so ntswg los ntawm ib sab ntawm lub forceps (lub electrode nquag).
2. Cov hluav taws xob tsuas yog mus ncig luv luv xwb los ntawm cov ntaub so ntswg mus rau sab tod ntawm lub forceps (lub electrode rov qab).
3. Los ntawm qhov ntawd, hluav taws xob rov qab mus rau lub tshuab ESU, ua kom tiav lub voj voog.
Hauv kev phais mob Monopolar, hluav taws xob mus deb dua los ntawm koj lub cev, thaum hauv kev phais mob Bipolar, nws tsuas hla dhau daim nqaij me me ntawm ob lub ntsis ntawm cov forceps. Qhov no ua rau txoj kev Bipolar muaj kev nyab xeeb dua rau cov neeg mob uas muaj cov khoom siv kho mob cog rau hauv xws li ' Pacemaker ' lossis 'Defibrillator'.
Cov txiaj ntsig ntawm cov txheej txheem no yog dab tsi?
Kev phais hluav taws xob muaj ntau qhov zoo dua li kev phais mob scalpel ib txwm muaj:
- Kev Tseeb: Kev puas tsuaj rau cov nqaij ntshiv noj qab haus huv nyob ib puag ncig yog tsawg heev.
- Txo Qhov Caj Npab: Feem ntau muaj qhov caws pliav tsawg dua thaum cov ntaub so ntswg raug tshem tawm.
- Kev Ua Haujlwm: Kev tshem tawm cov ntaub so ntswg tuaj yeem ua tau sai.
- Kev Tswj Ntshav (Kev Tswj Ntshav) : Nws tso cai rau koj tus kws kho mob kom tsis txhob ntshav tam sim ntawd, ua rau lub sijhawm phais luv dua.
Puas muaj tej yam tshwm sim los yog tej yam txaus ntshai?
Kev phais hluav taws xob muaj kev nyab xeeb heev thaum ua los ntawm tus kws kho mob uas muaj kev paub dhau los. Txawm hais tias, zoo li txhua txoj kev kho mob, muaj kev pheej hmoo, koj pab neeg kho mob ua txhua yam kev ceev faj kom txo qis lawv.
- Kub Hnyiab: Yog tias lub zog siab dhau, yuav ua rau daim tawv nqaij kub hnyiab tsis tau xav txog. Yuav kom tiv thaiv qhov no, koj tus kws kho mob yuav pib siv lub zog qis tshaj plaws uas xav tau rau txoj haujlwm.
- Hluav Taws Xob Tua: Qhov no tuaj yeem tshwm sim yog tias lub ncoo av tsis raug siv kom raug. Txawm li cas los xij, qhov no tsis tshua muaj vim tias koj pab neeg yuav kuaj xyuas txhua qhov kev sib txuas ua ntej pib ua cov txheej txheem.
- Kev Kab Mob: Yuav kom tsis txhob muaj kev kis kab mob, koj pab neeg siv cov khoom siv uas tau ntxuav kom huv si. Peb kuj siv cov tshuab tshem pa taws kom ntseeg tau tias cov pa taws uas tsim los ntawm kev siv lub tshuab hluav taws xob raug tshem tawm kom zoo.
- Kev Los Ntshav: Qee zaum, nyob ntawm cov nqaij ntawm lub cev, kev los ntshav yuav ntau dua li qhov xav tau. Koj tus kws kho mob tuaj yeem tswj tau qhov no yooj yim los ntawm kev kho qhov chaw teeb tsa ESU.
- Kev Hloov Pigmentation ntawm Tawv Nqaij: Qee hom kev phais hluav taws xob yuav ua rau 'Hypopigmentation' (tawv nqaij ntawm qhov chaw ua kom dawb). Koj tus kws kho mob yuav tham seb qhov no puas yog qhov txaus ntshai rau koj txoj kev kho mob tshwj xeeb.
- Kev Cuam Tshuam Nrog Cov Khoom Cog:Raws li tau hais lawm, kev phais hluav taws xob Monopolar tuaj yeem cuam tshuam rau cov khoom siv plawv xws li 'Pacemakers' lossis 'Defibrillators'. Nws yog ib qho tseem ceeb uas koj qhia rau koj tus kws kho mob txog txhua yam kev cog hniav ua ntej phais kom lawv thiaj li xaiv tau txoj kev nyab xeeb tshaj plaws rau koj.
Kev rov zoo yuav siv sijhawm ntev npaum li cas?
Lub sijhawm rov zoo nyob ntawm seb koj cov txheej txheem kho mob zoo li cas.
- Rau cov txheej txheem me me, xws li tshem tawm cov cim tawv nqaij lossis qhov txhab me me, kev kho mob feem ntau yuav siv sijhawm li ib lub lim tiam .
- Cov txheej txheem tob dua yuav siv sijhawm ob mus rau plaub lub lis piam lossis ntau dua kom rov zoo tag nrho.
Koj tus kws kho mob yuav muab sijhawm tshwj xeeb rau koj kom rov zoo raws li koj txoj kev kho mob.
Kuv yuav tsum hu rau kuv tus kws kho mob thaum twg?
Tom qab koj txoj kev kho mob, yog tias koj los ntshav tsis tu tom qab nias ruaj khov rau 20 feeb tas li, hu rau koj tus kws kho mob tam sim ntawd. Yog tias los ntshav ntau lossis tsis tuaj yeem tswj tau, thov mus rau Chav Kho Mob Xwm Ceev (ED) ze tshaj plaws.
Tsis tas li ntawd xwb, tsis txhob yig mus cuag koj tus kws kho mob yog tias koj pom cov cim qhia tias muaj kev kis kab mob (xws li kua qaub lossis liab), mob hnyav, lossis yog tias qhov txhab tsis kho raws li xav tau.
Cov Ntsiab Lus Tseem Ceeb
- Kev phais hluav taws xob yog ib txoj kev phais uas tswj tau zoo, muaj kev nyab xeeb, thiab siv dav dav—nws meej dua li lo lus "hlawv nrog hluav taws xob" qhia.
- Nws siv tau zoo los tshem tawm cov cim tawv nqaij thiab cov qhov txhab, kho qee yam mob qog nqaij hlav, thiab tswj tau qhov ntshav tam sim ntawd thaum phais.
- Thaum ua los ntawm ib tug kws tshaj lij, qhov kev pheej hmoo yuav tsawg heev, nrog rau cov txheej txheem nruj heev los tiv thaiv cov teeb meem xws li kub hnyiab lossis kev kis kab mob.
- Yog koj muaj ib yam khoom siv kho mob uas muab cog rau hauv lub plawv xws li lub Pacemaker, koj yuav tsum qhia rau koj tus kws kho mob ua ntej ua qhov kev kho mob no.
- Yog tias koj muaj cov tsos mob txhawj xeeb thaum lub sijhawm rov zoo, xws li los ntshav ntau lossis muaj cov cim qhia tias muaj kev kis kab mob, nrog koj tus kws kho mob tam sim ntawd.
