Icandelo lotyando lombane sisixhobo sotyando esisetyenziselwa ukuhlaba izicwili, ukutshabalalisa iithishu ngokusebenzisa i-desiccation, kunye nokulawula ukopha (i-hemostasis) ngokubangela ukujija kwegazi.Oku kufezekiswa ngejenereyitha enamandla amakhulu kunye nesantya esiphezulu esivelisa i-radiofrequency (RF) intlantsi phakathi kweprobe kunye nesiza sotyando esibangela ukufudumeza kwendawo kunye nomonakalo kwithishu.
Ijenereyitha ye-electrosurgical isebenza ngeendlela ezimbini.Kwimo ye-monopolar, i-electrode esebenzayo igxininise okwangoku kwindawo yokuhlinzwa kunye ne-dispersive (return) i-electrode channels yangoku kude nesigulane.Kwimo ye-bipolar, zombini i-electrodes esebenzayo kunye neyokubuyisela ifumaneka kwindawo yotyando.
Ngexesha leenkqubo zotyando, oogqirha botyando basebenzisa iiyunithi ze-electrosurgical (ESU) ukusika kunye nokudibanisa izicubu.Ii-ESU zivelisa umbane okhoyo kwi-frequency ephezulu ekupheleni kwe-electrode esebenzayo.Oku kwangoku kusika kwaye kudibanise izicubu.Izibonelelo zale teknoloji ngaphezu kwe-scalpel eqhelekileyo kukusika kunye nokudibanisa kunye nokulula ukusetyenziswa kwiinkqubo ezininzi (kubandakanywa ne-endoscopy procedures).
Ezona ngxaki zixhaphakileyo kukutsha, umlilo kunye nombane.Olu hlobo lokutshisa luvame ukuvela phantsi kwe-electrode yezixhobo ze-ECG, phantsi kwe-ESU grounding, eyaziwa ngokuba yi-return or dispersive electrode), okanye kwiindawo ezahlukeneyo zomzimba ezinokuthi zidibane nomzila wokubuyela kwi-ESU yangoku, umz. iingalo, isifuba nemilenze.Imililo yenzeke xa ulwelo olunokutsha ludibana neentlantsi ezivela kwi-ESU kubukho be-oxidant.Ngokuqhelekileyo ezi ngozi ziqala ukuphuhliswa kwenkqubo yokusuleleka kwindawo yokutshisa.Oku kunokuzisa imiphumo enzulu kwisigulana yaye ngokuqhelekileyo kwandisa ukuhlala komguli esibhedlele.
Ukhuseleko
Xa isetyenziswe ngokuchanekileyo, i-electrosurgery yinkqubo ekhuselekileyo.Iingozi eziphambili ngexesha lokusetyenziswa kweyunithi ye-electrosurgical zivela kwisiganeko esinqabileyo sokumisa ngokungenhloso, ukutshisa kunye nomngcipheko wokuqhuma.Ukumiselwa komhlaba ngokungeyonjongo kunokuphetshwa ngokusetyenziswa kakuhle kwe-electrode yokusasazeka kunye nokususwa kwezinto zetsimbi kwindawo yokusebenza.Isitulo sesigulane asifanele sibe nesinyithi esinokuchukunyiswa lula ngexesha lonyango.Iitroli zomsebenzi kufuneka zibe neglasi okanye umphezulu weplastiki.
Ukutshisa kunokuthi kwenzeke ukuba i-dispersal plate ayisetyenziswanga kakuhle, isigulane sineentsimbi zetsimbi okanye kukho izicubu ezibukhali phakathi kwepleyiti kunye nomlenze.Ingozi incinci kakhulu kwi-podiatry, apho i-anesthesia yendawo kwaye isigulane siyayazi.Ukuba isigulane sikhalaza ngokufudumeza naphi na emzimbeni, unyango kufuneka lumiswe de kube umthombo ufunyenwe kwaye ingxaki isonjululwe.
Nangona izixhobo ezingxamisekileyo kufuneka zifumaneke xa kwenzeka ingozi, iisilinda ezicinezelekileyo ezifana neoksijini akufanele zigcinwe kwigumbi apho kwenziwa i-electrosurgery.
Ukuba i-antiseptic yangaphambili iqulethe utywala umphezulu wolusu kufuneka wome ngokupheleleyo ngaphambi kokuba usebenzise i-probe esebenzayo.Ukungaphumeleli ukwenza oku kuya kubangela ukuba utywala obuseleyo esikhumbeni buvuthe, nto leyo enokothusa umguli.
Ixesha lokuposa: Jan-11-2022