Magawo a Electrosurgical

Electrosurgical unit ndi chipangizo chopangira opaleshoni chomwe chimagwiritsidwa ntchito popatsira minofu, kuwononga minofu kudzera mu desiccation, komanso kuwongolera magazi (hemostasis) popangitsa kuti magazi azilumikizana.Izi zimatheka ndi jenereta yamphamvu kwambiri komanso yothamanga kwambiri yomwe imatulutsa kuwala kwa radiofrequency (RF) pakati pa probe ndi malo opangira opaleshoni yomwe imayambitsa kutentha komweko komanso kuwonongeka kwa minofu.

Jenereta ya electrosurgical imagwira ntchito m'njira ziwiri.Mu monopolar mode, electrode yogwira ntchito imayang'ana panopa kumalo opangira opaleshoni ndi dispersive (kubwerera) electrode njira zamakono kutali ndi wodwalayo.Mu njira ya bipolar, ma electrode onse ogwira ntchito ndi obwerera amakhala pamalo opangira opaleshoni.

Panthawi ya opaleshoni, madokotala amagwiritsa ntchito ma electrosurgical units (ESU) kuti adule ndi kutikita minofu.Ma ESU amapanga magetsi pafupipafupi kumapeto kwa electrode yogwira.Izi zimadula ndi kuwundana minofu.Ubwino waukadaulo uwu pa scalpel wamba ndikudula nthawi imodzi ndikulumikizana komanso kugwiritsa ntchito mosavuta njira zingapo (kuphatikiza njira za opaleshoni ya endoscopy).

Mavuto omwe amapezeka kwambiri ndi kuyaka, moto ndi kugwedezeka kwamagetsi.Kuwotcha kwamtunduwu nthawi zambiri kumachitika pansi pa electrode ya zida za ECG, pansi pa ESU grounding, yomwe imadziwikanso kuti return or dispersive electrode), kapena mbali zosiyanasiyana za thupi zomwe zitha kukhudzana ndi njira yobwerera kwa ESU pano, mwachitsanzo, manja, chifuwa, ndi miyendo.Moto umachitika pamene zinthu zamadzimadzi zoyaka moto zikakumana ndi zowala kuchokera ku ESU pamaso pa okosijeni.Kawirikawiri ngozizi zimayamba kukula kwa njira yopatsirana m'malo mwamoto.Zimenezi zingabweretse mavuto aakulu kwa wodwalayo ndipo nthawi zambiri zimawonjezera kuti wodwalayo azikhala m’chipatala.

Chitetezo

Mukagwiritsidwa ntchito moyenera, electrosurgery ndi njira yotetezeka.Zowopsa zazikulu pakagwiritsiridwa ntchito kwa electrosurgical unit zimachokera ku zochitika zaposachedwa za kutsika mwangozi, kuyaka komanso kuopsa kwa kuphulika.Kuyika pansi mosaganizira kungapewedwe pogwiritsa ntchito bwino electrode yobalalitsa komanso kuchotsa zinthu zachitsulo kuchokera kumalo ogwirira ntchito.Mpando wa wodwalayo usakhale ndi zitsulo zomwe zingakhudzidwe mosavuta panthawi ya chithandizo.Ma trolleys ogwirira ntchito ayenera kukhala ndi magalasi kapena mapulasitiki.

Kuwotcha kumatha kuchitika ngati mbale ya dispersal ikugwiritsidwa ntchito molakwika, wodwalayo ali ndi ma implants achitsulo kapena pali minyewa yowopsa pakati pa mbale ndi mwendo.Kuopsa kwake kumakhala kochepa kwambiri mu podiatry, kumene opaleshoni ndi yapafupi ndipo wodwala akudziwa.Ngati wodwala akudandaula za kutentha kulikonse m'thupi, chithandizo chiyenera kuyimitsidwa mpaka gwero lapezeka ndipo vutolo litathetsedwa.

Ngakhale zida zadzidzidzi ziyenera kukhalapo pakachitika ngozi, masilinda oponderezedwa monga okosijeni sayenera kusungidwa m'chipinda momwe ma electrosurgery akuchitikira.

Ngati preoperative antiseptic muli mowa pakhungu pamwamba ayenera youma kwathunthu pamaso ntchito adamulowetsa kafukufuku.Kulephera kuchita izi kumapangitsa kuti mowa wotsalira pakhungu uyake, zomwe zingawopsyeze wodwalayo.