Xa uya kugqirha ukuze asuse ithumba elincinci eluswini lwakho, usenokuba umbonile 'elikrwela' ngesixhobo esincinci. Ngelo xesha, usenokuva ivumba lomsi kunye nevumba elivuthayo. Abantu abaninzi bacinga ukuba olu lunyango lwelaser. Kodwa eneneni lunyango olukhethekileyo olusebenzisa umbane. Olu nyango silubiza ngokuba lutyando lwe-electrosurgery. Nangona igama lisenokuvakala lisoyikisa kancinci, olu lubuchwepheshe bezonyango obukhuselekileyo nobuphucukileyo. Namhlanje, siza kuthetha ngalo ngokulula.
Ngamafutshane, yintoni utyando lwe-electrosurgery?
Utyando lwe-electrosurgery kukusebenzisa nje imisinga yombane elawulwayo ukwenza utyando. Lunokuphumeza izinto ezintathu eziphambili:
1. Ukusika: Le ndlela isetyenziselwa ukusika izicwili, njengemela yotyando.
2. Ukutshabalalisa izicwili: Isetyenziselwa ukutshabalalisa ukukhula okungafunekiyo eluswini, njenge-mole.
3. Ukuyeka ukopha: Oku kusetyenziswa ukunqanda ukopha ngoko nangoko 'ngokuvala' umthambo wegazi ophuma igazi ngenxa yokusikeka.
Kukho umatshini okhethekileyo obizwa ngokuba yi-Electrosurgical Unit (ESU) ngenxa yale njongo. Umbane ovela kulo matshini uqhagamshelwe kwisixhobo esincinci esibizwa ngokuba yi-electrode esetyenziswa ngugqirha. Xa le electrode ibekwe kufutshane nendawo onyangwa kuyo (umzekelo, ikhwapha lakho), ubushushu obukhulu obuveliswa ngumbane buyatshabalalisa okanye bunqumle izicubu ezichaphazelekayo.
Cinga ngayo, umonakalo obangelwa yile nto ngokwenene kukuphilisa umonakalo. Oko kukuthi, isusa izinto ezingeyomfuneko, iyeke ukopha, kwaye inceda umzimba ukuba uphile.
Ziziphi iindlela ezahlukeneyo zonyango?
Le ndlela yotyando lwe-electrosurgery ayenziwanga ngendlela enye kuphela. Kukho iindlela ezahlukeneyo ezisetyenziswayo kuxhomekeke kwimfuno. Masizijonge ngale ndlela ukuze kube lula ukuziqonda.
| Igama lendlela | Yenziwa njani kwaye isetyenziselwa ntoni? |
|---|---|
| Ukufakelwa kwe-electrofulguration | Apha, i-electrode kufuneka ibekwe ngqo eluswini.Hayi. Idala intlantsi yombane ngokuyibeka kwiimilimitha ezimbalwa ngaphezulu kolusu. Oku kutshintsha kuphela umaleko ophezulu wolusu. |
| Ukucoca ngombane | Apha, i-electrode ibekwa ngqo kwindawo ephathwayo. Umbane udlula kwithishu uze 'uyomise'. Le ndlela idla ngokusetyenziswa ukususa iintsumpa. |
| Ukuchithwa kwe-Electrocoagulation | Oku kunokubangela umonakalo kwizicubu ezinzulu. Kusebenza kakhulu ngokukhuthaza ukujiya kwegazi nokuthintela ukopha. |
| Utyando lombane | Oku kuvumela ukunqunyulwa kwezicubu ngokuchanekileyo . Kungaba lula njengokunqunyulwa kwebhotolo ngemela eshushu, ukopha kancinci. |
Ngaba i-electrocautery yahlukile?
Ewe, kukho umahluko omncinci. Abantu abaninzi bayabhidanisa ezi ndlela zimbini. Kwiindlela ezingentla, umbane udlula kwiithishu zomzimba. Kodwa kwi-electrocautery, umbane usetyenziselwa ukufudumeza incam ye-electrode kuphela. Emva koko, incam eshushu isetyenziswa kwithishu ukutshabalalisa ithishu. Apha, umbane awudluli emzimbeni.
Zeziphi iimeko ezisetyenziselwa utyando lwe-electrosurgery?
Le teknoloji isetyenziswa kwiinkalo ezininzi zonyango.
- Kwizifo zesikhumba: Oku kusetyenziswa kakhulu ngoogqirha besikhumba. Kusebenza kakhulu ekususeni ukukhula kwesikhumba okungengobungozi, iintsumpa, kunye neethegi zesikhumba.
- Kumhlaza wolusu: Le ndlela ikwasetyenziselwa ukunyanga ezinye iintlobo zomhlaza wolusu, ezifana ne-basal cell carcinoma kunye ne-squamous cell carcinoma. Oku kubandakanya kuqala ukukhuhla umaleko womhlaza ngesixhobo esibukhali (i-curettage), uze emva koko utyando lwe-electrosurgery ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo.
- Ezinye iindlela zotyando: Le ndlela isetyenziswa kwiindlela zotyando ezifana ne-endoscopy (kusetyenziswa ikhamera ukujonga ngaphakathi emzimbeni) ukususa iithumba ezincinci kunye nee-polyps emzimbeni kunye nokuyeka ukopha.
Kwenzeka ntoni ngokwenene ngexesha lonyango?
Okokuqala, unikwa i-anesthesia ukuze uvale loo ndawo ukuze ungeva ntlungu. Okwenzekayo emva koko kuxhomekeke kwindlela esetyenzisiweyo. Kukho iindlela ezimbini eziphambili.
Indlela ye-Monopolar
Le yindlela esetyenziswa kakhulu. Igama elithi "Mono" lithetha "inye". Oku kuthetha ukuba incam enye ye-electrode ifakwa emzimbeni wakho.
- Umbane ovela kumatshini we-ESU ufika kwi-electrode esebenzayo.
- Xa le electrode ichukunyiswa kwindawo yonyango, umbane uhamba ngezicubu zomzimba wakho.
- Emva koko umbane uya kwi-electrode engasebenziyo (i-electrode esasazekayo) enamathele kwenye inxalenye yomzimba. Oku kufana "nepleyiti yomhlaba." Le isenokuba yiphedi oyincamathisela ethangeni lakho.
- Ekugqibeleni, umbane ovela kuloo electrode ingasebenziyo ubuyela kumatshini we-ESU, ugqibezela isekethe.
Indlela yeBipolar
Igama elithi "Bi" lithetha "ezimbini." Apha, iincam ezimbini ze-electrode zifakwa emzimbeni wakho. Cinga ngayo njengesixhobo esifana ne-forceps. Umbane ungena kwelinye icala uze uphume kwelinye.
- Umbane ovela kumatshini we-ESU ufika kwi-electrode esebenzayo.
- Umbane uhamba ngethishu uze uye kwi-electrode ekwelinye icala lomngxuma ofanayo.
- Umbane awuhambi mgama mde emzimbeni, uhamba nje phakathi kweziphelo ezimbini zenaliti uze ubuyele kumatshini we-ESU. Oku kusetyenziselwa utyando olunobunono kakhulu .
Ziziphi iingenelo zale ndlela yonyango?
Le ndlela ineenzuzo ezininzi ngaphezu kokusika ngemela eqhelekileyo yotyando.
- Akukho monakalo mkhulu kwizicwili ezingqongileyo, kwaye yindawo ekujoliswe kuyo kuphela enokunyangeka.
- Ukuvaleka kwamanxeba kunqabile kakhulu .
- Ingatshabalalisa ngokukhawuleza izicwili (ezingenasici).
- Ukopha kunokupheliswa ngoko nangoko. Le yenye yezona nzuzo zinkulu.
Xa le ndlela isetyenziswa kumhlaza wolusu, kukho izinga eliphezulu lokunyanga eliyi-90% - 95%.
Ngaba kukho naziphi na iingozi koku?
Utyando lwe-electrosurgery luyindlela ekhuselekileyo kakhulu xa lusenziwa ngugqirha onamava. Nangona kunjalo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Makhe sijonge oko oogqirha bakwenzayo ukuthintela oku.
| Umngcipheko | Yintoni eyenziwa ngoogqirha ukuze bayithintele? |
|---|---|
| Ukutsha | Ukuba amandla ombane aphezulu kakhulu, ukutsha kunokwenzeka. Oogqirha bahlala bethintela oku ngokuqala ngamandla aphantsi afunekayo baze basebenzise useto oluchanekileyo. |
| Umothuko wombane | Le ngozi ikhona ukuba umbane awukho phantsi komhlaba ngokufanelekileyo. Iqela lezonyango lilumkile kakhulu ngale nto kwaye liqinisekisa ukuba izixhobo zifakwe ngokuchanekileyo. |
| Iintsholongwane | Iintsholongwane zinokusasazwa ngokusebenzisa izixhobo ezingabulawanga ziintsholongwane. Kwakhona, umsi oveliswa ngexesha lonyango unokusasaza iintsholongwane. Ngenxa yesi sizathu, oogqirha bahlala besebenzisa izixhobo ezibulawayo iintsholongwane kwaye benza olu nyango kumagumbi anomoya womoya womsi. |
| Ukutshintsha kombala wolusu (Hypopigmentation) | Emva konyango olunzulu, ulusu olukuloo ndawo lunokuba lukhaphukhaphu kancinci kunolusu olujikelezileyo. Ukuba kukho umngcipheko, ugqirha wakho uza kukwazisa ngale nto ngaphambi kokuba unyango luqale. |
| Iziphumo kwizixhobo ezifakwe emzimbeni | Abantu abanezixhobo ezifakelweyo ezifana nee-pacemakers kunye nee-defibrillators banokuchaphazeleka yile mbane. Ukuba unesixhobo esinjalo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaso. Uya kuthatha amanyathelo okhuseleko afunekayo. |
Kuza kuthatha ixesha elingakanani ukuphiliswa? Ndingambona nini ugqirha?
Ixesha lokuphiliswa lixhomekeke kubunzulu bonyango.
- Ukuba iqhuma elincinci okanye into efana nentsumpa isusiwe eluswini, kuya kuthatha malunga neveki ukuba inxeba liphiliswe.Ungahamba.
- Ukuba linxeba elinzulu, kungathatha iiveki ezimbini ukuya kwezine okanye ngaphezulu.
Ugqirha uza kukuchazela ixesha lokuchacha ngokwemeko yakho.
Umele ubize ugqirha wakho nini:
Ukuba, emva konyango lolusu, ubeke uxinzelelo enxebeni imizuzu engama-20 kwaye ukopha akuyeki , ngokuqinisekileyo kuya kufuneka ufowunele ugqirha wakho. Kwakhona, ukuba inxeba libonisa iimpawu zosulelo (ezifana nokubomvu, ukudumba, ubomvu) kwaye aliphili njengoko bekulindelwe, funa ingcebiso kagqirha ngokukhawuleza.
Ngaba oku kuyafana notyando lwelaser?
Hayi. Ezi ziiteknoloji ezimbini ezahluke ngokupheleleyo.
- Utyando lwe-electrosurgery lusebenzisa amandla ombane .
- Utyando lwelaser lusebenzisa amandla okukhanya .
Nangona zombini ezi ndlela zinokusika, zitshabalalise izicwili, kwaye ziyeke ukopha, imigaqo ezisebenza ngayo yahlukile.
Ekugqibeleni, utyando lwe-electrosurgery yindlela ekhuselekileyo nesebenzayo yokunyanga iimeko ezahlukeneyo usebenzisa amandla okuphilisa obushushu. Usenokukwazi ukukubona oku ngelixa ithumba lakho lisuswa. Usenokwazi nokuba le ndlela isetyenzisiwe kuba uphantsi kwe-anesthesia ngexesha lenkqubo enkulu, efana ne-endoscopy. Nangona kunjalo, khumbula ukuba oogqirha basebenza nzima ukukugcina ukhuselekile ngeli xesha lonyango.
Umyalezo Wokuya Ekhaya
- Utyando lwe-electrosurgery lunyango olusebenzisa umbane olawulwayo. Olu asilonyango lwe-laser.
- Isetyenziselwa izinto ezahlukeneyo, ukusuka ekususeni uphawu oluncinci lwesikhumba ukuya ekumiseni ukopha ngexesha lotyando olukhulu.
- Xa kwenziwa ngugqirha oqeqeshiweyo nonamava, le yindlela yonyango ekhuselekileyo kakhulu .
- Ukuba unesixhobo esifakwe emzimbeni wakho, esifana ne-pacemaker, qiniseka ukuba uxelele ugqirha wakho ngaso ngaphambi kokuba unyango luqale.
- Ukuba ufumana ukopha kakhulu, iimpawu zosulelo, okanye ukuphola emva konyango, yazisa ugqirha wakho ngoko nangoko.
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