Ngaba wakha weva ugqirha esithi “wayekisa ukopha esebenzisa umbane” ngexesha lenkqubo yakho? Okanye mhlawumbi wakha wambona ugqirha esebenzisa isixhobo esikhethekileyo ukususa uphawu lwesikhumba okanye ukukhula ‘ngombane’? Nangona igama lisenokuvakala lisoyikisa, le ndlela yezonyango yaziwa ngokuba yi-Electrosurgery. Nangona ivakala injalo, yiteknoloji eqhelekileyo, ekhuselekileyo, nesebenzayo esetyenziswa kwiinkqubo zotyando kwihlabathi liphela. Apha eNirogi Lanka, sifuna ukukunceda uqonde ukuba oku kuthetha ukuthini, ngamazwi alula.
Ngamafutshane, yintoni i-Electrosurgery?
Utyando lwe-Electrosurgery yindlela yotyando esebenzisa umbane osebenza rhoqo ukusika izicwili, ukutshabalalisa izicwili ezingafunekiyo, okanye ukunqanda ukopha (ukujiya). Ngexesha lenkqubo, iYunithi yotyando lwe-Electrosurgical (ESU) ivelisa umbane, othunyelwa kwisixhobo esifana nepeni esibizwa ngokuba yi-electrode ephathwa ngugqirha wakho. Xa esi sixhobo sichukumisa indawo ekujoliswe kuyo, umbane odlula kwicwili uvelisa ubushushu.
Cinga ngayo njengeketile yombane efudumeza amanzi, kodwa endaweni yoko, ijolise kwaye ifudumeze indawo encinci, echanekileyo yezicubu zomzimba wakho.
Olu bushushu yilo oluvumela ugqirha ukuba ayinyange kakuhle le ndawo. Isetyenziswa kakhulu ukususa amathegi esikhumba, iintsumpa, kunye nezinye izihlunu ezincinci. Kubalulekile kakhulu ngexesha lotyando ukuvala imithambo yegazi emincinci ukuthintela ukopha. Ngamanye amaxesha lolona nyango luphambili, kwaye ngamanye amaxesha lusetyenziswa kunye nezinye iindlela zotyando.
Ziziphi iintlobo eziphambili ze-Electrosurgery?
Kukho iintlobo ezahlukeneyo zotyando lwe-electrosurgery ezenzelwe iimfuno ezahlukeneyo zeklinikhi:
| Uhlobo | Ingaba isebenza kanjani |
|---|---|
| Ukufakelwa kwe-electrofulguration | I-electrode ayichukumisi ulusu ngqo. Ibanjwe kufutshane neemilimitha ezimbalwa, kwaye kusetyenziswa i-spark yombane ukunyanga umaleko wolusu. |
| Ukucoca ngombane | Incam ye-electrode ichukumisa ngqo indawo ekujoliswe kuyo. Umsinga womile kwaye utshabalalise izicubu, ezisetyenziswa kakhulu ukususa amathegi esikhumba okanye iintsumpa. |
| Ukuchithwa kwe-Electrocoagulation | Oku kuchaphazela iileya ezinzulu zezicubu kwaye kusetyenziselwa ikakhulu ukukhuthaza ukujiya kwegazi nokuthintela ukopha. |
| Utyando lombane | Isebenza njengesixhobo sokucoca ngombane, esi sisetyenziselwa ukusika nokwahlula izicwili ngendlela ecocekileyo nechanekileyo. Sidla ngokuthelekiswa “nokusika ibhotolo ngemela eshushu.” |
Ngaba i-Electrocautery yahlukile?
Ewe, i-electrocautery yahlukile kancinci. Kwi-electrosurgery, umsinga wombane udlula kwizicwili zomzimba wakho. Kwi -electrocautery , umsinga ufudumeza kuphela incam yesinyithi yesixhobo, uze emva koko incam eshushu kwangaphambili ichukunyiswe kwizicubu ukuze iyitshabalalise okanye iyeke ukopha. Ngamafutshane: kwenye, umsinga uhamba ngawe; kwenye, kusetyenziswa isixhobo esishushu.
Isetyenziselwa ntoni le meko?
Utyando lwe-electrosurgery lusetyenziswa kwiingcali ezininzi zonyango:
- I-Dermatology: Iingcali zesikhumba zihlala zisebenzisa oku ukususa izihlunu ezingengozini ezifana neentsumpa kunye neethegi zesikhumba . Ikwasetyenziselwa ukunyanga ezinye iintlobo zomhlaza wesikhumba . Umzekelo, kwi-'ED&C (Electrodessication & Curettage)', ugqirha wakho ususa ithumba aze asebenzise utyando lwe-electrosurgery ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo.
- Utyando Oluqhelekileyo: Luyimfuneko kakhulu kwiinkqubo ezifana ne-'Endoscopy', apho lusetyenziselwa ukususa amaqhuma angaphakathi okanye ukulawula ukopha ngaphakathi emzimbeni.
Kwenzeka ntoni ngexesha lenkqubo?
Okokuqala, uza kunikwa i-anesthesia yendawo ukuze uvale loo ndawo ukuze ungaziva iintlungu, okanye ungafakwa phantsi kwe -anesthesia eqhelekileyo kuxhomekeke kubunzima bayo. Okwenzekayo emva koko kuxhomekeke ekubeni kusetyenziswa indlela ye-`Monopolar` okanye ye-`Bipolar`.
Utyando lwe-Electropolar
Le yeyona ndlela ixhaphakileyo. Igama elithi “Mono” lithetha “inye.” Kule ndlela, incam enye ye-electrode ichukumisa umzimba wakho ukuze ikhuphe umbane, ngelixa i-grounding pad kwenye indawo emzimbeni wakho igqibezela umjikelo.
1. Umatshini we-ESU uhambisa amandla ombane kwi-electrode esebenzayo (isixhobo esifana nepeni esiphethwe ngugqirha wakho).
2. Lo mbane uhamba kwiithishu zomzimba wakho, ufudumeza indawo ekujoliswe kuyo.
3. Emva koko umbane udlula emzimbeni wakho uye kwi "grounding pad" (i-dispersive electrode) ebekwe ethangeni lakho okanye kwenye indawo efanelekileyo.
4. Ekugqibeleni, umbane uhamba ukusuka kwindawo yokumisa umbane ubuyela kumatshini we-ESU ukuze ugqibezele isekethe.
Utyando lweBipolar Electrosurgery
Igama elithi “Bi” lithetha “ezimbini.” Kule ndlela, zombini iincam ze-electrode zichukumisa umzimba wakho. Khawuthelekelele ugqirha wakho ephethe izicubu ekujoliswe kuzo ngesixhobo esifana ne-forceps.
1. Umbane ungena kwithishu ngecala elinye le-forceps (i-electrode esebenzayo).
2. Umsinga uhamba umgama omfutshane kakhulu kwithishu ukuya kwelinye icala le-forceps (i-electrode yokubuyisela).
3. Ukusuka apho, umbane ubuyela kumatshini we-ESU, ugqibezela isekethe.
Kwi-Monopolar surgery, umbane uhamba umgama omde emzimbeni wakho, ngelixa kwi-Bipolar surgery, udlula kuphela kwiqhekeza elincinci lezicubu phakathi kweencam ezimbini ze-forceps. Oku kwenza indlela ye-Bipolar ikhuseleke ngakumbi kwizigulana ezinezixhobo zonyango ezifakelweyo ezifana ne- 'Pacemaker ' okanye i-'Defibrillator'.
Zithini iingenelo zale nkqubo?
Utyando lwe-electrosurgery lunezibonelelo ezininzi ngaphezu kotyando lwe-scalpel lwendabuko:
- Ukuchaneka: Umonakalo kwizicubu eziphilileyo ezijikelezileyo awuncinci.
- Ukuncitshiswa kwamanxeba: Ngokuqhelekileyo amanxeba ayancipha xa kususwa izicubu.
- Ukusebenza kakuhle: Ukususwa kwezicubu kungenziwa ngokukhawuleza.
- I-Hemostasis (Ulawulo Lokopha) : Ivumela ugqirha wakho ukuba ayeke ukopha ngoko nangoko, nto leyo enciphisa kakhulu ixesha lotyando.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Utyando lwe-electrosurgery lukhuselekile kakhulu xa lwenziwa yingcali yezonyango enamava. Nangona, njengayo nayiphi na inkqubo, kukho iingozi ezikhoyo, iqela lakho lezonyango lithatha amanyathelo onke okuthintela ezo zingozi.
- Ukutsha: Ukuba amandla aphezulu kakhulu, ukutsha kwesikhumba ngengozi kunokwenzeka. Ukuthintela oku, ugqirha wakho uya kuhlala eqala ngomlinganiselo wamandla ophantsi kangangoko ofunekayo kulo msebenzi.
- Ukutshayiswa ngombane: Oku kunokwenzeka ukuba i-grounding pad ayifakwanga kakuhle. Nangona kunjalo, oku kunqabile kakhulu kuba iqela lakho liza kujonga kabini zonke ii-connections ngaphambi kokuba inkqubo iqale.
- Iintsholongwane: Ukuze uphephe iintsholongwane, iqela lakho lisebenzisa izixhobo ezicociweyo. Sikwasebenzisa neenkqubo zokukhupha umsi ukuqinisekisa ukuba i-plume eyenziwe ngexesha lokususwa kwezicubu isusiwe ngokukhuselekileyo.
- Ukopha: Ngamanye amaxesha, kuxhomekeke kwizicubu, ukopha kunokuba ngaphezulu kunokulindelekileyo. Ugqirha wakho angayilawula le nto ngokulula ngokulungelelanisa useto lwe-ESU.
- Utshintsho kwiPigmentation yoLusu: Ezinye iindlela zotyando lwe-electrosurgery zinokubangela ukuba ulusu lube mhlophe kwindawo ethile. Ugqirha wakho uza kukuxelela ukuba ingaba oku kuyingozi na kunyango lwakho oluthile.
- Ukuphazamiseka kweZityalo ezifakelweyo:Njengoko kutshiwo, utyando lwe-electropolar lunokuphazamisana nezixhobo zentliziyo ezifana ne-'Pacemakers' okanye i-'Defibrillators'. Kubalulekile ukuba wazise ugqirha wakho ngazo naziphi na izinto ezifakelweyo ngaphambi kotyando ukuze akwazi ukukhetha eyona ndlela ikhuselekileyo kuwe.
Kuthatha ixesha elingakanani ukuchacha?
Ixesha lokuchacha lixhomekeke ngokupheleleyo kuhlobo lwenkqubo yakho.
- Kwiinkqubo ezincinci, njengokususa uphawu lwesikhumba okanye isilonda esincinci, ukuphiliswa kudla ngokuthatha malunga neveki enye .
- Iinkqubo ezinzulu zingadinga iiveki ezimbini ukuya kwezine nangaphezulu ukuze umntu aphile ngokupheleleyo.
Ugqirha wakho uza kukunika ixesha elithile lokuchacha elilungiselelwe unyango lwakho.
Ndingaqhagamshelana nini nogqirha wam?
Emva kwenkqubo yakho, ukuba ufumana ukopha okungapheliyo emva kokufaka uxinzelelo oluqhubekayo imizuzu engama-20 eqhubekayo, qhagamshelana nogqirha wakho ngoko nangoko. Ukuba ukopha kukhulu okanye akulawuleki, nceda uye kwiSebe leNgxamiseko elikufutshane (ED) .
Ukongeza, ungathandabuzi ukunxibelelana nogqirha wakho ukuba ubona iimpawu zosulelo (ezifana nobomvu okanye ukubomvu), iintlungu eziqatha, okanye ukuba inxeba alipholi njengoko kulindelekile.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe
- Utyando lwe-electrosurgery luyindlela yotyando elawulwa kakhulu, ekhuselekileyo, nesetyenziswa kakhulu—ichaneke ngakumbi kunokuba igama elithi “ukutshisa ngombane” lisitsho.
- Isetyenziswa ngokufanelekileyo ukususa amathegi esikhumba kunye nezilonda, ukunyanga umhlaza othile wesikhumba, kunye nokulawula ukopha ngokukhawuleza ngexesha lotyando.
- Xa kwenziwa yingcali, iingozi ziphantsi kakhulu, kukho imigaqo engqongqo yokuthintela iingxaki ezifana nokutsha okanye usulelo.
- Ukuba unesixhobo sokufakelwa kwezonyango esifana nePacemaker, kufuneka wazise ugqirha wakho ngaphambi kokuba wenze inkqubo.
- Ukuba ufumana naziphi na iimpawu ezixhalabisayo ngexesha lokuchacha, ezinje ngokopha kakhulu okanye iimpawu zosulelo, qhagamshelana nogqirha wakho ngokukhawuleza.
