Wakambonzwa here chiremba wezvekuvhiya achitaura kuti "vakamisa kubuda ropa vachishandisa magetsi" panguva yekuvhiyiwa kwako? Kana kuti pamwe wakaona chiremba achishandisa chishandiso chakasarudzika kubvisa chikwangwani cheganda kana kukura 'nemagetsi'? Kunyange zvazvo zita racho ringanzwika serinotyisa, nzira iyi yekurapa inozivikanwa seElectrosurgery. Pasinei nekuti inonzwika sei, inyanzvi yakajairika, yakachengeteka, uye inoshanda inoshandiswa mukuvhiya pasi rese. KuNirogi Lanka, tinoda kukubatsira kunzwisisa chaizvo zvinorehwa neizvi, nemashoko akareruka.
Zvichitaurwa zviri nyore, chii chinonzi Electrosurgery?
Kuvhiya neElectrosurgery inzira yekuvhiya inoshandisa magetsi emagetsi anotenderera zvakanyanya kucheka nyama, kuparadza nyama isingadiwe, kana kumisa kubuda ropa (coagulation). Munguva yekuvhiya, Electrosurgical Unit (ESU) inogadzira magetsi, ayo anozotumirwa kuchishandiso chakaita sepeni chinonzi electrode inobatwa nachiremba wako. Kana chishandiso ichi chikabata nzvimbo yaunoda, magetsi anopfuura nepakati penyama anogadzira kupisa.
Funga nezvazvo semvura inodziiswa negetsi remagetsi, asi panzvimbo pezvo, inonanga nekupisa nzvimbo diki chaiyo yenyama yemuviri wako.
Kupisa uku ndiko kunoita kuti chiremba wemazino arape nzvimbo yacho zvinobudirira. Kunoshandiswa zvakanyanya kubvisa mavara eganda, mapundu, nezvimwe zvipuka zvidiki. Zvakakoshawo panguva yekuvhiyiwa kuvhara mitsipa midiki yeropa kudzivirira kubuda ropa. Dzimwe nguva ndiyo nzira huru yekurapa, uye dzimwe nguva inoshandiswa pamwe chete nedzimwe nzira dzekuvhiya.
Ndedzipi mhando huru dzeElectrosurgery?
Kune mhando dzakasiyana-siyana dze electrosurgery dzakagadzirirwa zvinodiwa zvakasiyana zvekiriniki:
| Rudzi | Mashandiro azvinoita |
|---|---|
| Kusanganiswa kwemagetsi | Electrode haibati ganda zvakananga. Inobatwa kure nemamirimita mashoma, uye pfapfaidzo yemagetsi inoshandiswa kurapa pamusoro peganda. |
| Kugadzira magetsi | Musoro we electrode unobata nzvimbo yaunoda zvakananga. Mvura inooma uye inoparadza nyama, iyo inowanzoshandiswa kubvisa mavara eganda kana mapundu. |
| Kuomeswa kweropa nemagetsi | Izvi zvinokanganisa zvidimbu zvenyama zvakadzika uye zvinonyanya kushandiswa kukurudzira kuumbwa kweropa uye kumisa kubuda ropa. |
| Kubviswa kwemagetsi | Ichishanda sechishandiso chemagetsi chekucheka nekuparadzanisa nyama zvakanaka uye nemazvo. Kazhinji inofananidzwa ne "kucheka bota nebanga rinopisa." |
Ko Electrocautery yakasiyana here?
Ehe, electrocautery yakasiyana zvishoma. Mukuvhiyiwa kwemagetsi, magetsi anopinda nemunyama yemuviri wako. Mukuvhiyiwa kwemagetsi , magetsi anongopisa muromo wesimbi wemudziyo, uye ipapo muromo iwoyo wapiswa unobatwa panyama kuti uparadze kana kumisa kubuda ropa. Zvichitaurwa zviri nyore: mune imwe, magetsi anofamba nepakati pako; mune imwe, chishandiso chinopisa chinoshandiswa.
Izvi zvinoshandiswa mumamiriro api ezvinhu?
Kuvhiyiwa kwemagetsi kunoshandiswa mumabasa akawanda ekurapa:
- Dermatology: Vanachiremba veganda vanowanzo shandisa izvi kubvisa mapundu asina njodzi akadai semapundu uye ma tag eganda . Inoshandiswawo kurapa mamwe magomarara eganda . Semuenzaniso, mu `ED&C (Electrodessication & Curettage)`, chiremba wako anokwenya bundu racho obva ashandisa electrosurgery kuparadza chero masero egomarara asara.
- Kuvhiyiwa Kwakajairika: Kunokosha zvikuru mumabasa akaita se 'Endoscopy', uko kunoshandiswa kubvisa matumbu emukati kana kudzora kubuda ropa mumuviri.
Chii chinoitika panguva yekuvhiyiwa?
Kutanga, uchapihwa mushonga wekuti usarwadziwe, kana kuti unogona kuiswa pasi pemushonga wekuti usarwadziwe zvichienderana nekuoma kwemushonga wacho. Zvinozoitika zvinotevera zvinoenderana nekuti nzira ye`Monopolar` kana `Bipolar` inoshandiswa here.
Kuvhiyiwa kweElectropolar Monopolar
Iyi ndiyo nzira inonyanya kushandiswa. "Mono" zvinoreva "imwe chete." Munzira iyi, muromo weelectrode mumwe chete unobata muviri wako kuti upe magetsi, nepo grounding pad kune imwe nzvimbo mumuviri wako ichipedzisa circuit.
1. Muchina weESU unopa simba remagetsi kuelectrode inoshanda (chinhu chakafanana nepeni chaunobata nachiremba wako).
2. Magetsi aya anofamba nemunyama yemuviri wako, achidziisa nzvimbo yaunoda.
3. Mvura inoyerera inopfuura nemumuviri wako ichienda ku "grounding pad" (dispersive electrode) yakaiswa pachidya chako kana pane imwe nzvimbo yakakodzera.
4. Pakupedzisira, magetsi anofamba kubva pagrounding pad achidzokera kumuchina weESU kuti apedzise circuit.
Kuvhiyiwa kweBipolar Electrosurgery
"Bi" zvinoreva "mbiri." Munzira iyi, mativi ese eelectrode anobata muviri wako. Fungidzira chiremba wako akabata chipfuko chaunoda nechinhu chinoita se forceps.
1. Magetsi anopinda munyama kuburikidza nerutivi rumwe rweforceps (electrode inoshanda).
2. Mhepo inongofamba chinhambwe chipfupi chete nepakati petishu kuenda kune rimwe divi reforceps (electrode yekudzosa).
3. Kubva ipapo, magetsi anodzokera kumuchina weESU, opedzisa circuit.
Mukuvhiyiwa kweMonopolar, magetsi anofamba daro refu mumuviri wako, nepo mukuvhiyiwa kweBipolar, anongopfuura nepakati penyama diki iri pakati pemagumo maviri eforceps. Izvi zvinoita kuti nzira yeBipolar ive yakachengeteka kune varwere vane michina yekurapa yakaiswa muropa yakaita se ' Pacemaker ' kana 'Defibrillator'.
Ndezvipi zvakanakira nzira iyi?
Kuvhiyiwa kwemagetsi kune zvakanakira zvakawanda pane kuvhiyiwa kwechinyakare kwe scalpel:
- Kunyatsoshanda: Kukuvadzwa kwenyama yakakomberedza ine hutano kushoma.
- Kuderedzwa Kwemavanga: Kazhinji mavanga haanyanyi kuderera kana nyama yabviswa.
- Kushanda zvakanaka: Kubvisa matishu kunogona kuitwa nekukurumidza.
- Kudzora Kubuda Kweropa : Zvinobvumira chiremba wako kumisa kubuda ropa ipapo ipapo, zvichideredza nguva yekuvhiyiwa zvakanyanya.
Pane migumisiro kana njodzi dziripo here?
Kuvhiyiwa nemagetsi kwakachengeteka zvikuru kana kuchiitwa nenyanzvi yezvehutano ine ruzivo. Kunyange zvazvo, semamwe maitiro ese, paine njodzi dziripo, timu yako yezvekurapa inotora matanho ese ekudzivirira kudzikisa njodzi idzi.
- Kutsva: Kana simba rakawanda, ganda rinogona kutsva netsaona. Kuti izvi zvisaitike, chiremba wako anotanga nemagetsi mashoma anodiwa pabasa racho.
- Kuvhundutswa Nemagetsi: Izvi zvinogona kuitika kana grounding pad isina kushandiswa nemazvo. Zvisinei, izvi hazviwanzoitiki nekuti timu yenyu ichaongororazve zvese zvakabatana zvisati zvatanga.
- Utachiona: Kuti tidzivise hutachiona, timu yenyu inoshandisa michina yakacheneswa. Tinoshandisawo masisitimu ekubvisa utsi kuti tive nechokwadi chekuti utsi hunogadzirwa panguva yekupisa hubviswa zvakachengeteka.
- Kubuda ropa: Dzimwe nguva, zvichienderana nenyama, kubuda ropa kunogona kunge kuri kupfuura zvaitarisirwa. Chiremba wako anogona kugadzirisa izvi zviri nyore nekugadzirisa marongero eESU.
- Kuchinja kwePigmentation yeganda: Dzimwe nzira dzekuvhiya nemagetsi dzinogona kukonzera `Hypopigmentation` (kupenya kweganda panzvimbo yacho). Chiremba wako achakuudza kana izvi zviri njodzi pakurapwa kwako.
- Kukanganiswa kweZvirimwa:Sezvambotaurwa, Monopolar electrosurgery inogona kukanganisa michina yemwoyo yakaita se'Pacemakers' kana 'Defibrillators'. Zvakakosha kuti uzivise chiremba wako nezvechero implants usati wavhiyiwa kuitira kuti vagone kusarudza nzira yakachengeteka kwauri.
Kupora kunotora nguva yakareba sei?
Nguva yekupora inoenderana zvachose nemhando yemaitiro ako.
- Pakurapa kudiki, sekubvisa chikwangwani cheganda kana ronda diki, kupora kunowanzo tora vhiki imwe chete .
- Maitiro akadzama angatora mavhiki maviri kusvika mana kana kupfuura kuti apore zvakakwana.
Chiremba wako achakupa nguva chaiyo yekupora yakagadzirirwa kurapwa kwako.
Ndinofanira kutaura nachiremba wangu rini?
Mushure mekuvhiyiwa, kana ukabuda ropa risingamire mushure mekumanikidza kwakasimba kwemaminitsi makumi maviri, taura nachiremba wako nekukasika. Kana ropa racho rakawanda kana kuti risingadzoreki, ndapota enda kuEmergency Department (ED) iri pedyo.
Uyezve, usazeza kutaura nachiremba wako kana ukaona zviratidzo zvehutachiona (zvakadai semapundu kana kutsvuka), kurwadziwa kwakanyanya, kana ronda risiri kupora sezvaitarisirwa.
Zvinhu Zvinokosha Zvaunofanira Kuziva
- Kuvhiya nemagetsi inzira yekuvhiya inodzorwa zvakanyanya, yakachengeteka, uye inoshandiswa zvakanyanya—yakanyatsojeka kupfuura zvinoreva izwi rekuti “kupisa nemagetsi”.
- Inoshandiswa zvinobudirira kubvisa mavara eganda nemaronda, kurapa mamwe magomarara eganda, uye kudzora kubuda ropa nekukurumidza panguva yekuvhiyiwa.
- Kana zvichiitwa nenyanzvi, njodzi dzacho dzakaderera zvikuru, paine mitemo yakasimba yekudzivirira matambudziko akadai sekutsva kana hutachiona.
- Kana uine chinhu chekurapa chakaita sePacemaker, unofanira kuzivisa chiremba wako usati watanga kurapwa.
- Kana ukaona zviratidzo zvine chekuita nekupora, zvakaita sekubuda ropa rakawanda kana zviratidzo zvehutachiona, bvunza chiremba wako nekukasika.
