Ese wigeze wumva umuganga w’inzobere mu kubaga avuga ko “yahagaritse kuva amaraso akoresheje amashanyarazi” mu gihe cyo kubagwa kwawe? Cyangwa se wenda wabonye umuganga akoresha igikoresho cyihariye kugira ngo “akureho agatambaro k’uruhu” cyangwa icyiciro cy’umubiri? Nubwo izina rishobora kumvikana nk’aho riteye ubwoba, ubu buryo bw’ubuvuzi buzwi nka Electrosurgery. Nubwo bwumvikana uko buteye, ni ikoranabuhanga risanzwe, ryizewe kandi rifite akamaro rikoreshwa mu kubaga ku isi yose. Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa neza icyo ibi bivuze, mu magambo make.
Mu magambo make, Electrosurgery ni iki?
Ubuvuzi bw'amashanyarazi ni uburyo bwo kubaga bukoresha amashanyarazi menshi kugira ngo buce ingingo, busenye ingingo zidakenewe, cyangwa buhagarike kuva amaraso (gufungana). Mu gihe cyo kubaga, Ishami rishinzwe kubaga ryitwa Electrosurgical Unit (ESU) rikora amashanyarazi, hanyuma ayo mashanyarazi yoherezwa ku gikoresho gisa n'ikaramu cyitwa electrode ikorwa na muganga wawe. Iyo iki gikoresho gikora ku gace kagenewe, amashanyarazi anyura mu ngingo atera ubushyuhe.
Tekereza nk'amazi ashyushya isafuriya y'amashanyarazi, ahubwo, yibasira agace gato k'umubiri wawe kandi gashyushya neza.
Ubu bushyuhe ni bwo butuma umuganga ubaga avura neza aho hantu. Bukunze gukoreshwa mu gukuraho uduce tw’uruhu, ibiheri, n’utundi dusimba duto. Ni ngombwa kandi mu gihe cyo kubaga gufunga imiyoboro mito y’amaraso kugira ngo hirindwe kuva amaraso. Hari igihe ari bwo buryo bw’ibanze bwo kuvura, ubundi bugakoreshwa hamwe n’ubundi buryo bwo kubaga.
Ni ubuhe bwoko bw'ingenzi bwa Electrosurgery?
Hari ubwoko butandukanye bwihariye bwo kubaga hakoreshejwe amashanyarazi bwagenewe ibikenewe mu buvuzi bitandukanye:
| Ubwoko | Uko bikora |
|---|---|
| Guhuza amashanyarazi | Iyo electrode ntabwo ikora ku ruhu. Ifatwa muri milimetero nke uvuye aho iri, kandi hakoreshwa umuriro w'amashanyarazi mu kuvura uruhu. |
| Gutunganya amashanyarazi | Agasongero k'amashanyarazi gakora ku gace kagenewe. Umuyoboro w'amashanyarazi uruma kandi ukangiza ingirangingo, zikoreshwa cyane mu gukuraho uduce tw'uruhu cyangwa uduheri. |
| Gukoresha amashanyarazi mu gufungana kw'amaraso | Ibi bigira ingaruka ku bice byimbitse by'umubiri kandi ahanini bikoreshwa mu gutuma amaraso yibumba no guhagarika kuva amaraso. |
| Gucamo amashanyarazi | Bikora nk'icyuma gikoresha amashanyarazi, bikoreshwa mu gukata no gutandukanya ingingo neza kandi neza. Akenshi bigereranywa no "gukata amavuta ukoresheje icyuma gishyushye." |
Ese Electrocautery itandukanye?
Yego, amashanyarazi yo gutwika umubiri atandukanye gato. Mu kubaga amashanyarazi, umuriro w'amashanyarazi unyura mu ngingo z'umubiri wawe. Mu kubaga amashanyarazi , umuriro ushyushya umutwe w'icyuma w'igikoresho gusa, hanyuma uwo mutwe ushyushye ugakora ku ngingo kugira ngo uyirimbure cyangwa uhagarike kuva amaraso. Mu magambo make: muri kimwe, umuriro unyuramo; mu kindi, hakoreshwa igikoresho gishyushye.
Ibi bikoreshwa mu bihe ki?
Kubaga hakoreshejwe amashanyarazi bikoreshwa mu buvuzi butandukanye:
- Ubuvuzi bw'uruhu: Abaganga b'uruhu bakunze gukoresha ibi mu gukuraho udusimba tudakomeye nk'uduheri n'udutambaro tw'uruhu . Binakoreshwa mu kuvura kanseri zimwe na zimwe z'uruhu . Urugero, muri `ED&C (Electrodessication & Curettage)`, muganga wawe akuraho ikibyimba hanyuma agakoresha amashanyarazi kugira ngo asenye uturemangingo twa kanseri dusigaye.
- Kubaga muri rusange: Ni ingenzi cyane mu buryo nka `Endoscopy`, aho ikoreshwa mu gukuraho ibyimbirwa by'imbere cyangwa kugenzura kuva amaraso mu mubiri.
Ni iki kibaho mu gihe cyo gukorerwa ikizamini?
Ubwa mbere, uzahabwa ikinya cyo mu gace kugira ngo ushire ibinure aho hantu kugira ngo utumva ububabare, cyangwa ushobora gushyirwa muri ikinya rusange bitewe n'ubugoranye. Ibikurikiraho biterwa niba uburyo bwa `Monopolar` cyangwa `Bipolar` bukoreshwa.
Kubaga hakoreshejwe amashanyarazi ya monopolar
Ubu ni bwo buryo bukunze gukoreshwa cyane. “Mono” bisobanura “umwe.” Muri ubu buryo, umutwe umwe gusa wa electrode ukora ku mubiri wawe kugira ngo utange umuriro, mu gihe agace ko gusimbuka ahandi ku mubiri wawe gasoza uwo muyoboro.
1. Imashini ya ESU itanga ingufu z'amashanyarazi kuri electrode ikora (igikoresho gisa n'ikaramu muganga wawe afite).
2. Aya mashanyarazi anyura mu ngingo z'umubiri wawe, agashyushya agace kagenewe.
3. Hanyuma amazi anyura mu mubiri wawe akagera ku "gikoresho cyo gusimbuka" (electrode ikwirakwira) gishyizwe ku itako ryawe cyangwa ahandi hantu hakwiye.
4. Amaherezo, amashanyarazi ava ku gice cyo hasi asubira kuri mashini ya ESU kugira ngo arangize uruziga.
Kubaga amashanyarazi mu bwonko
“Bi” bisobanura “ibiri.” Muri ubu buryo, imitwe yombi ya electrode ikora ku mubiri wawe. Tekereza muganga wawe afashe agace k’umubiri w’umuntu akoresheje igikoresho gisa n’icyuma gikingira.
1. Amashanyarazi yinjira mu ngirabuzimafatizo anyuze ku ruhande rumwe rwa forceps (electrode ikora).
2. Umuyoboro w'amashanyarazi unyura mu gice cy'umubiri ugana ku rundi ruhande rwa forceps (electrode isubiza).
3. Kuva aho, amashanyarazi asubira kuri mashini ya ESU, arangiza urujya n'uruza.
Mu kubaga Monopolar, amashanyarazi anyura intera ndende mu mubiri wawe, mu gihe mu kubaga Bipolar, anyura gusa mu gace gato k'umubiri kari hagati y'impande ebyiri za forceps. Ibi bituma uburyo bwa Bipolar butekanye ku barwayi bafite ibikoresho byo kwa muganga byashyizwemo nk'icyuma gifasha mu gufunga umutima cyangwa icyuma gifasha mu gufunga umubiri.
Ni izihe nyungu z'ubu buryo?
Kubaga hakoreshejwe amashanyarazi bitanga inyungu nyinshi ugereranyije no kubaga icyuma gisanzwe cyo mu bwonko:
- Uburyo bwo gukora neza: Kwangirika kw'ingingo nzima zikikije ni bike cyane.
- Inkovu zigabanuka: Ubusanzwe inkovu ziba nke iyo umuntu akuweho.
- Ingufu: Gukuraho ingirangingo bishobora gukorwa vuba.
- Kugabanya amaraso mu mubiri (Hemostasis) : Bituma muganga wawe ahagarika kuva amaraso ako kanya, bigabanya cyane igihe cyo kubagwa.
Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?
Kubaga hakoreshejwe amashanyarazi ni umutekano cyane iyo bikozwe n'inzobere mu by'ubuvuzi. Nubwo, kimwe n'ubundi buryo ubwo ari bwo bwose, hari ingaruka zishobora kubaho, itsinda ry'abaganga rifata ingamba zose zo kubikumira.
- Ubushye: Iyo imbaraga zirenze urugero, ubushye bw'uruhu bushobora kubaho ku bw'impanuka. Kugira ngo hirindwe ibi, muganga wawe azahora atangira ku ngufu nke zishoboka zikenewe kuri uwo murimo.
- Gushotorana n'amashanyarazi: Ibi bishobora kubaho iyo agakoresho ko gusimbuza ubutaka kadakoreshejwe neza. Ariko, ibi ni gake cyane kuko itsinda ryawe rizajya rigenzura kabiri imiyoboro yose mbere yuko igikorwa gitangira.
- Kwandura: Kugira ngo wirinde kwandura, itsinda ryawe rikoresha ibikoresho byifashishijwe imiti yica udukoko. Dukoresha kandi uburyo bwo gukuraho umwotsi kugira ngo twizere ko imyotsi yakozwe mu gihe cyo gutwika ingirabuzima fatizo ikurwaho neza.
- Kuva amaraso: Hari igihe, bitewe n'imiterere y'umubiri, kuva amaraso bishobora kuba byinshi kuruta uko byari byitezwe. Muganga wawe ashobora kubikemura byoroshye ahinduye imiterere ya ESU.
- Impinduka mu gupima uruhu: Uburyo bumwe bwo kubaga hakoreshejwe amashanyarazi bushobora gutera `Hypopigmentation` (guhindura uruhu mu buryo bw'amashanyarazi aho rwakorewe). Muganga wawe azakubwira niba ibi ari ingaruka ku buvuzi bwawe bwihariye.
- Kubangamira implants:Nkuko byavuzwe, kubaga amashanyarazi hakoreshejwe uburyo bwa Monopolar bishobora kubangamira ibikoresho by'umutima nka 'Pacemakers' cyangwa 'Defibrillators'. Ni ngombwa ko umenyesha muganga wawe ibijyanye n'ibikoresho byose bya implants mbere yo kubagwa kugira ngo abashe guhitamo uburyo bwizewe kuri wewe.
Gukira bifata igihe kingana iki?
Igihe cyo gukira gishingiye gusa ku miterere y'ubuvuzi bwawe.
- Ku buryo bworoheje bwo kuvura, nko gukuraho agatambaro k'uruhu cyangwa agasebe gato, gukira bifata icyumweru kimwe .
- Uburyo bwimbitse bwo gukora bushobora gufata ibyumweru bibiri kugeza kuri bine cyangwa birenga kugira ngo umuntu akire neza.
Muganga wawe azaguha igihe runaka cyo gukira gihuye n'ubuvuzi bwawe.
Ni ryari nkwiye kuvugana na muganga wanjye?
Nyuma yo kubagwa, niba ugize kuva amaraso bidahagarara nyuma yo gukoresha igitutu gihoraho mu minota 20 ikurikirana, hamagara muganga wawe ako kanya. Niba kuva amaraso ari menshi cyangwa bidashoboka, nyamuneka gana Ishami rishinzwe ubutabazi bw'ibanze riri hafi yawe.
Byongeye kandi, ntutindiganye kuvugana na muganga wawe niba ubonye ibimenyetso by'ubwandu (nk'amabyi cyangwa gutukura), ububabare bukabije, cyangwa niba igisebe kidakira uko byari byitezwe.
Ibintu by'ingenzi byakunzwe
- Kubaga hakoreshejwe amashanyarazi ni uburyo bwo kubaga bugenzurwa cyane, bufite umutekano kandi bukoreshwa cyane—bufite ubusobanuro burambuye kurusha uko ijambo “gutwika hakoreshejwe amashanyarazi” ribivuga.
- Ikoreshwa neza mu gukuraho uduce tw’uruhu n’ibisebe, kuvura kanseri zimwe na zimwe z’uruhu, no gukumira kuva amaraso ako kanya mu gihe cyo kubagwa.
- Iyo impuguke ibikoze, ingaruka ziba nke cyane, hashyizweho amabwiriza akomeye yo kwirinda ingorane nko gushya cyangwa kwandura indwara.
- Niba ufite imashini yo kwa muganga nka Pacemaker, ugomba kubimenyesha muganga wawe mbere yo kubagwa.
- Niba ubonye ibimenyetso bikubangamiye mu gihe cyo gukira, nko kuva amaraso menshi cyangwa ibimenyetso by'ubwandu, banza uganire na muganga wawe vuba.
