Iyunithi yokuhlinzwa kagesi iyisisetshenziswa sokuhlinza esisetshenziselwa ukuhlinza izicubu, ukucekela phansi izicubu ngokusebenzisa i-desiccation, nokulawula ukopha (i-hemostasis) ngokubangela ukuhlangana kwegazi.Lokhu kufezwa ngejeneretha enamandla amakhulu kanye ne-high-frequency generator ekhiqiza inhlansi ye-radiofrequency (RF) phakathi kwe-probe nendawo yokuhlinza ebangela ukushisa kwendawo kanye nokulimala kwezicubu.
Ijeneretha ye-electrosurgical isebenza ngezindlela ezimbili.Kumodi ye-monopolar, i-electrode esebenzayo igxilisa okwamanje endaweni yokuhlinzwa kanye neziteshi ze-electrode ezihlakazekayo (zokubuyisela) zamanje kude nesiguli.Kumodi ye-bipolar, womabili ama-electrode asebenzayo nabuyayo atholakala endaweni yokuhlinzwa.
Phakathi nezinqubo zokuhlinzwa, odokotela abahlinzayo basebenzisa amayunithi e-electrosurgical (ESU) ukusika nokubopha izicubu.Ama-ESU akhiqiza amandla kagesi ngemvamisa ephezulu ekugcineni kwe-electrode esebenzayo.Lokhu kwamanje kusikeka futhi kubophe izicubu.Izinzuzo zalobu buchwepheshe ngaphezu kwe-scalpel evamile ukusika kanye nokubopha kanye nokulula ukusetshenziswa ezinkambisweni ezimbalwa (kuhlanganise nezinqubo zokuhlinzwa ze-endoscopy).
Izinkinga ezivame kakhulu ukusha, umlilo kanye nokushaqeka kukagesi.Lolu hlobo lokusha luvame ukwenzeka ngaphansi kwe-electrode yemishini ye-ECG, ngaphansi kwe-ESU grounding, eyaziwa nangokuthi i-return or dispersive electrode), noma ezingxenyeni ezihlukahlukene zomzimba ezingase zithintane nendlela yokubuya ye-ESU yamanje, isb. izingalo, isifuba, nemilenze.Imililo iyenzeka lapho uketshezi oluvuthayo luhlangana nezinhlansi ezivela ku-ESU phambi kwe-oxidant.Ngokuvamile lezi zingozi ziqala ukuthuthukiswa kwenqubo yokutheleleka endaweni yokusha.Lokhu kungaletha imiphumela emibi esigulini futhi ngokuvamile kwandise ukuhlala kwesiguli esibhedlela.
Ukuphepha
Uma isetshenziswe ngendlela efanele, i-electrosurgery iyinqubo ephephile.Izingozi eziyinhloko ngesikhathi sokusebenzisa i-electrosurgical unit zivela ezenzakalweni ezingavamile zokubeka phansi ungahlosile, ukusha kanye nengozi yokuqhuma.Ukumisa ngokungenhloso kungagwenywa ngokusetshenziswa kahle kwe-electrode ehlakazekayo kanye nokususwa kwezinto zensimbi endaweni yokusebenza.Isihlalo sesiguli akufanele sibe nensimbi engathintwa kalula ngesikhathi sokwelashwa.Izinqola zokusebenza kufanele zibe nengilazi noma ipulasitiki.
Ukusha kungase kwenzeke uma ipuleti le-dispersal lingasetshenziswanga kahle, isiguli sinezinsimbi zensimbi noma kukhona izicubu ezibomvu eziqinile phakathi kwepuleti nomlenze.Ingozi incane kakhulu ku-podiatry, lapho i-anesthesia yendawo futhi isiguli siyazi.Uma isiguli sikhala ngokushisisa noma yikuphi emzimbeni, ukwelashwa kufanele kumiswe kuze kutholakale umthombo futhi inkinga ixazululiwe.
Nakuba imishini yezimo eziphuthumayo kufanele ibe khona uma kwenzeka ingozi, amasilinda anomfutho onjengomoya-mpilo akufanele agcinwe egumbini lapho kwenziwa ukuhlinzwa ngogesi.
Uma i-antiseptic yangaphambi kokuhlinzwa iqukethe utshwala indawo yesikhumba kufanele yome ngokuphelele ngaphambi kokufaka i-probe ecushiwe.Ukwehluleka ukwenza lokhu kuzodala ukuthi utshwala obusele esikhumbeni buvuthe, okungase kuthuse isiguli.
Isikhathi sokuthumela: Jan-11-2022