Ungesabi 'ukushiswa umsinga'! Ake sifunde nge-Electrosurgery.

Wake wezwa umuntu ethi, “Ugesi umise ukopha ” ngesikhathi sokuhlinzwa? Noma wake wambona udokotela efaka ithuluzi elincane endaweni ukuze asuse into efana ne-mole noma isimila? Le ndlela yokwelapha, ezwakala iyesabisa kancane uma uzwa igama, ibizwa ngokuthi ‘i-Electrosurgery’ kwisayensi yezokwelapha. Nakuba leli gama lingase lizwakale njengento enkulu, empeleni liyindlela esetshenziswa kabanzi futhi ephephile ekuhlinzeni emhlabeni wonke. Ngakho-ke, ake sixoxe ngakho ngokunembile nangokulula namuhla.

Kalula nje, kuyini i-Electrosurgery?

Ukuhlinzwa nge-electrosurgery inqubo yokuhlinzwa esebenzisa ugesi osebenza ngesivinini esiphezulu ukusika izicubu, ukubhubhisa izicubu ezingafuneki, noma ukuvimba ukuphuma kwegazi (ukujiya). Kulokhu, ugesi okhiqizwa umshini obizwa ngokuthi i-``Electrosurgical Unit (ESU)`` uthunyelwa kudivayisi encane efana nepeni (i-electrode) esetshenziswa udokotela. Uma ugesi ovela kule divayisi uqondiswa endaweni ephathwayo, ukushisa kukhiqizwa njengoba ugesi udlula ezicutshini.

Ukushisa okudalwa ngale ndlela kulimaza lezo zicubu ezingafuneki. Kodwa lo monakalo yiwona osisizayo. Sisebenzisa le ndlela, singasusa amaqhubu angafuneki kanye namaqhubu esikhumbeni. Iphinde isetshenziswe ukuvala imithambo yegazi emincane enqunywa ngesikhathi sokuhlinzwa nokuvimba ukopha. Ngezinye izikhathi kwenziwa njengokwelashwa okuzimele, kanti ngezinye izikhathi kwenziwa kanye nezinye izindlela zokwelapha.

Yiziphi izinhlobo eziyinhloko zokuhlinzwa ngogesi?

Kunezinhlobo eziningana zale ndlela ezenzelwe ukuhambisana nezidingo ezahlukene. Ake sibone ukuthi ziyini.

Ingabe i-electrocautery ihlukile?

Yebo, i- 'electrocautery' iyindlela ehluke kancane. Ekuhlinzeni nge-electro, ugesi udlula ngqo ezicutshini zomzimba. Kodwa ekuhlinzeni nge-electrocautery , ugesi udlula kuphela esicongweni sethuluzi. Ngakho-ke isihloko sethuluzi siyashisa. Bese kuthi, lapho leso sicongo esishisayo sithinta izicubu, ukushisa okuqondile kubhubhise izicubu noma kumise ukopha. Kalula nje, kwesinye isimo, ugesi udlula ezicutshini, kwesinye, kusetshenziswa ithuluzi elifudumele.

Yiziphi izinhlobo zezimo le ndlela esetshenziselwa zona?

Ukuhlinzwa ngogesi kuyinto esetshenziswa emikhakheni eminingi yezokwelapha.

• I-Dermatology: Odokotela besikhumba bavame ukusebenzisa le ndlela. Isebenza kahle kakhulu ekususeni izilonda ezingengozini ezifana nama-warts nama -skin tag . Iphinde isetshenziswe ekwelapheni ezinye izinhlobo zomdlavuza wesikhumba . Isibonelo, enkambisweni ye-ED&C (Electrodessication & Curettage), udokotela uqala ngokukhuhla iqhubu elinomdlavuza bese esebenzisa ukuhlinzwa kwe-electro ukuze abhubhise noma yimaphi amangqamuzana omdlavuza asele.
• Okunye ukuhlinzwa: Lokhu kubalulekile kwezinye izinhlinzeko, ikakhulukazi lezo ezihilela i-endoscopy (ukuhlolwa kusetshenziswa ikhamera ukubheka ngaphakathi emzimbeni), ukususa izicubu ezingafuneki (isib., izimila ezincane) noma ukulawula ukuphuma kwegazi .

Kwenzekani ngesikhathi sokwelashwa?

Okokuqala, uzonikezwa umuthi wokwenza kube nzima ukuqeda indawo oyelashwayo, noma ungase uzizwe ungenaso isiyezi ngokuphelele. Okwenzekayo ngokulandelayo kuncike ekutheni une-`monopolar` noma `bipolar`.

Ukuhlinzwa Kwe-Electropolar Monopolar

Lena yindlela evame ukusetshenziswa kakhulu. Igama elithi “Mono” lisho “okukodwa.” Lapha, kufakwe ithiphu elilodwa kuphela le-electrode emzimbeni wakho.

1. Ugesi ovela emshinini we-ESU ufika ku-electrode esebenzayo (idivayisi efana nepeni esandleni sikadokotela).

2. Logesi udlula ezicutshini zomzimba wakho bese ufudumeza leyo ndawo.

3. Ugesi ube usuhamba emzimbeni wonke uye “esigxotsheni sokugxumela” (i-electrode ehlakazayo) esinamathiselwe ethangeni lakho noma kwenye indawo.

4. Ekugcineni, ugesi ovela kuleyo grounding pad ubuyela emshinini we-ESU, uqedela isekethe.

Ukuhlinzwa Kwe-Bipolar Electrosurgery

Igama elithi “Bi” lisho “okubili.” Kulokhu, kufakwa amathiphu amabili e-electrode emzimbeni wakho. Cabanga ukuthi udokotela ubambe izicubu eziphathwa ngedivayisi efana ne-forceps.

1. Ugesi ungena esicutshini usuka kolunye uhlangothi lwe-electrode (i-electrode esebenzayo).

2. Ukuthi ugesi uhamba ibanga elifushane kakhulu ngezicubu bese uya kolunye uhlangothi lwe-electrode (i-electrode yokubuyisa).

3. Ukusuka lapho, ugesi ubuyela emshinini we-ESU, uqedela isekethe.

Yiziphi izinzuzo zale ndlela?

Ukuhlinzwa nge-electrosurgery kuyindlela enezinzuzo eziningana kunokusika nje nge-scalpel.

• Ukwelashwa okuqondiwe: Kunomonakalo omncane kakhulu ezicutshini eziphilile ezizungezile.
• Ukuncipha kwezibazi: Inani lezibazi ezibangelwa ukususwa kwezicubu liyancipha.
• Isivinini: Ukubhujiswa kwezicubu (ukususwa) kungenziwa ngokushesha.
• Ukuyeka ukopha : Ukopha kungamiswa ngokushesha okukhulu, kunciphisa isikhathi esichithwa ekuhlinzweni.

Ingabe ikhona imiphumela emibi noma izingozi?

Lena inqubo ephephile kakhulu uma yenziwa udokotela onolwazi. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile. Kodwa-ke, odokotela bathatha zonke izinyathelo zokunciphisa lezi zingozi.

• Ukusha: Uma amandla kagesi ebonakala ephezulu kakhulu, kungase kube nokusha. Ukuze kuvinjelwe lokhu, odokotela baqala njalo ngamandla aphansi kakhulu .
• Ukushaqeka ngogesi: Uma i-grounding pad ingaxhunywanga kahle, ungase uthole ukushaqeka ngogesi. Kodwa-ke, amathuba okuthi lokhu kwenzeke mancane kakhulu, njengoba konke kuhlolwa kahle ngaphambi kokwelashwa.
• Ukutheleleka: Ukutheleleka kungenzeka uma imishini esetshenziswayo ingahlanzwanga kahle. Futhi, amagciwane angasakazeka ngentuthu ekhiqizwa lapho kushiswa izicubu. Ngenxa yalesi sizathu, odokotela basebenzisa imishini ehlanzwa kuphela futhi benza lokhu kwelashwa emakamelweni anezinhlelo zokungenisa umoya zentuthu.
• Ukopha:Ngezinye izikhathi, ukulimala kwezicubu kungabangela ukopha okuningi kunalokho obekulindelekile, kodwa udokotela angakwazi ukukulawula ngokushintsha izilungiselelo emshinini we-ESU.
• Ukushintsha kombala wesikhumba: Ngemva kwezinhlobo ezithile zokuhlinzwa ngogesi, isikhumba singase sibe mhlophe endaweni eselashwe (hypopigmentation). Udokotela wakho uzokuchazela kusengaphambili ukuthi ikhona yini ingozi yalokhu ngenxa yokwelashwa.
• Izinkinga ngamadivayisi afakwe: Njengoba kushiwo ngaphambili, indlela ye-Monopolar ikakhulukazi ingaphazamisa ukusebenza kwamadivayisi kagesi njenge-pacemakers kanye ne-defibrillators. Uma unedivayisi enjalo, kufanele wazise udokotela wakho ngaphambi kokuhlinzwa. Ngemuva kwalokho bazokhetha indlela ephephile kuwe.

Kuzothatha isikhathi esingakanani ukuphulukiswa?

Lokhu kuncike ohlotsheni lokwelashwa.

• Uma into efana ne-mole noma isimila esingaphezulu kwesikhumba isusiwe, kuzothatha cishe isonto ukuthi inxeba liphole.
• Uma kuyinxeba elijulile, kungathatha amasonto amabili kuya kwamane noma ngaphezulu.

Udokotela uzochaza isikhathi sokululama ngokusekelwe esimweni sakho.

Kunini lapho udinga ukubonana nodokotela?

Ngemva kokwelashwa, uma inxeba lakho liphuma igazi futhi lingayeki ngemva kwemizuzu engama-20 yokucindezeleka okuqhubekayo, shayela udokotela wakho ngokushesha. Uma ukopha kukhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

Futhi, uma inxeba libonakala liqhuma, kuba nobuhlungu obukhulu, noma uma uzizwa sengathi aliphili njengoba kulindelekile, ungalibali ukukhuluma nodokotela wakho.