Electrosurgical unit mudziyo wekuvhiya unoshandiswa kupinza matishu, kuparadza tishu kuburikidza nekubvisa, uye kudzora kubuda kweropa (hemostasis) nekukonzera kubatana kweropa.Izvi zvinopedzwa nejenareta ine simba repamusoro-soro uye yakakwira-frequency inoburitsa radiofrequency (RF) spark pakati peprobe nenzvimbo yekuvhiya iyo inokonzera kupisa kwenzvimbo uye kukuvadzwa kwetishu.
Electrosurgical generator inoshanda nenzira mbiri.Mune monopolar mode, electrode inoshanda inotarisa ikozvino kune nzvimbo yekuvhiya uye dispersive (kudzoka) electrode channels ikozvino kure nemurwere.Mune bipolar mode, ese ari maviri anoshanda uye anodzoka emagetsi anowanikwa panzvimbo yekuvhiya.
Munguva yekuvhiya, vanachiremba vanovhiya vanoshandisa electrosurgical units (ESU) kucheka uye kubatana matishu.ESUs inogadzira magetsi emagetsi pamhepo yakakwira pakupera kweiyo inoshanda electrode.Izvi zvazvino zvinocheka uye kugadzika nyama.Zvakanakira tekinoroji iyi pamusoro peyakajairwa scalpel ndeyekucheka panguva imwe chete uye kubatana uye nyore kushandisa mune akati wandei maitiro (kusanganisira ekuvhiya endoscopyprocedures).
Matambudziko anowanzo kutsva, moto uye kuvhunduka kwemagetsi.Rudzi urwu rwekutsva runowanzoitika pasi pe electrode yeECG zvishandiso, pasi peiyo ESU grounding, inozivikanwawo sekudzoka kana dispersive electrode), kana pamativi akasiyana emuviri anogona kunge achisangana nenzira yekudzoka yeESU ikozvino, semuenzaniso, maoko, chipfuva, nemakumbo.Moto unoitika kana zvinwiwa zvinopfuta zvasangana nepfarivari kubva kuESU pamberi peoxidant.Kazhinji tsaona idzi dzinotanga kugadzirwa kwechirwere chetachiona panzvimbo yekutsva.Izvi zvinogona kuunza migumisiro yakakomba kumurwere uye kazhinji inowedzera kugara kwemurwere muchipatara.
Safety
Kana yakashandiswa nemazvo, electrosurgery inzira yakachengeteka.Njodzi huru panguva yekushandiswa kwe electrosurgical unit inobva pane zvisingawanzoitiki zvekusaziva pasi, kupisa uye njodzi yekuputika.Kudzika pasi kusingatarisirwi kunogona kudziviswa nekushandisa zvakanaka kwekuparadzira electrode uye kubviswa kwezvinhu zvesimbi kubva panzvimbo yebasa.Chigaro chemurwere hachifanirwe kuve nesimbi inogona kubatwa nyore panguva yekurapwa.Turolley dzebasa dzinofanirwa kunge dziine magirazi kana epurasitiki.
Kupisa kunogona kuitika kana ndiro yekuparadzira ikasashandiswa zvisina kunaka, murwere ane simbi inodyarwa kana kuti pane mavanga akanyanya pakati peplate negumbo.Ngozi yacho ishoma pane podiatry, uko anesthesia iri munharaunda uye murwere anoziva.Kana murwere achinyunyuta nezvekudziya chero kupi zvako mumuviri, kurapwa kunofanirwa kumiswa kusvika kwawanikwa uye dambudziko ragadziriswa.
Kunyangwe midziyo yekukurumidzira ichifanirwa kuvepo kana yaitika tsaona, masilinda akatsikirirwa akadai seokisijeni haafanire kuchengetwa mukamuri umo maelectrosurgery arikuitwa.
Kana iyo preoperative antiseptic ine doro ganda repamusoro rinofanira kunge rakaoma zvachose usati waisa iyo activated probe.Kutadza kuita izvi kuchaita kuti doro rasara paganda ripfute, izvo zvinogona kuvhundutsa murwere.
Nguva yekutumira: Jan-11-2022