Amashanyarazi

Igice cya electrosurgical ni igikoresho cyo kubaga gikoreshwa mugukata ingirangingo, gusenya ingirabuzimafatizo binyuze muri desiccation, no kugenzura kuva amaraso (hemostasis) bitera guhuza amaraso.Ibi birangizwa na generator ifite ingufu nyinshi kandi zifite ingufu nyinshi zitanga urumuri rwa radiofrequency (RF) hagati ya probe na site yo kubaga itera ubushyuhe bwaho kandi ikangiza imyenda.

Imashini itanga amashanyarazi ikora muburyo bubiri.Muburyo bwa monopolar, electrode ikora yibanda kumuyoboro wokubaga hamwe numuyoboro wa electrode ukwirakwiza (kugaruka) kure yumurwayi.Muburyo bwa bipolar, byombi bikora kandi bigaruka electrode iri kumwanya wo kubaga.

Mugihe cyo kubaga, abaganga bakoresha amashanyarazi (ESU) kugirango bagabanye kandi bagabanye ingirangingo.ESU itanga amashanyarazi mugihe kinini cya electrode ikora.Ubu bugenda bugabanya kandi bugatera ingirangingo.Ibyiza byikoranabuhanga kurenza scalpel isanzwe ni ugukata icyarimwe no guterana hamwe no koroshya imikoreshereze muburyo butandukanye (harimo na endoscopyprocedures yo kubaga).

Ibibazo bikunze kugaragara ni gutwika, umuriro no gukubita amashanyarazi.Ubu bwoko bwo gutwika busanzwe buboneka munsi ya electrode yibikoresho bya ECG, munsi yubutaka bwa ESU, bizwi kandi nko kugaruka cyangwa gukwirakwiza electrode), cyangwa kubice bitandukanye byumubiri bishobora guhura ninzira yo kugaruka kumuyoboro wa ESU, urugero, amaboko, igituza, n'amaguru.Umuriro ubaho mugihe amazi yaka ahuye nikibatsi kiva muri ESU imbere ya okiside.Mubisanzwe izi mpanuka zitangira iterambere ryinzira yanduye aho yatwitse.Ibi birashobora kuzana ingaruka zikomeye kumurwayi kandi mubisanzwe byongera umurwayi kuguma mubitaro.

Umutekano

Iyo ikoreshejwe neza, kubaga amashanyarazi nuburyo bwizewe.Akaga gakomeye mugihe cyo gukoresha amashanyarazi ya elegitoroniki ni ibintu bidasanzwe bibaho bidaturutse kubushake, gutwikwa ndetse no guturika.Ubutaka butabigambiriye burashobora kwirindwa no gukoresha neza electrode ikwirakwiza no kuvana ibintu byicyuma kumurimo.Intebe yumurwayi ntigomba kuba irimo ibyuma bishobora gukorwaho byoroshye mugihe cyo kuvura.Trolleys y'akazi igomba kuba ifite ibirahuri cyangwa plastike.

Gutwika birashobora kubaho mugihe isahani itatanye idashyizwe mubikorwa, umurwayi afite ibyuma cyangwa hari uduce twinshi twinkovu hagati yisahani namaguru.Akaga ni gake cyane muri podiatrie, aho anesthesia iba kandi umurwayi arabimenya.Niba umurwayi yinubira ubushyuhe aho ariho hose mumubiri, ubuvuzi bugomba guhagarikwa kugeza igihe habonetse isoko kandi ikibazo gikemutse.

Nubwo ibikoresho byihutirwa bigomba kuboneka mugihe habaye impanuka, silinderi ikanda nka ogisijeni ntigomba kubikwa mubyumba bikorerwa amashanyarazi.

Niba antiseptic ibanziriza gutangira irimo inzoga hejuru yuruhu bigomba kuba byumye mbere yo gukoresha probe ikora.Kunanirwa kubikora bizatera inzoga zisigaye kuruhu gutwika, zishobora gutera umurwayi.