Ibikoresho byo gusubiramo ibikoresho bya bronchoscopy

Kongera gukoreshwa na bronchoscope ni endoscope ishobora gukoreshwa nyuma yo kwanduza no kwanduza inshuro nyinshi, ikoreshwa cyane mugupima no kuvura indwara zubuhumekero. Ugereranije na bronchoscopes gakondo ikoreshwa, ifite ibyiza byo gukoresha neza no kurengera ibidukikije, ariko bisaba uburyo bukomeye bwo gukora isuku no kuyanduza kugirango umutekano ubeho.

1. Imiterere nyamukuru n'imikorere

Igice cyo gushiramo: umuyoboro woroshye (mubisanzwe 2.8-6.0mm muri diameter yo hanze), ushobora kwinjira muri trachea na bronchi ukoresheje umunwa / izuru.

Sisitemu nziza:

Fibre bronchoscope: ikoresha optique ya fibre bundle kugirango iyobore ishusho (ibereye ibizamini byibanze).

Bronchoscope ya elegitoronike: ifite ibyuma bisobanurwa cyane na sensor ya CMOS kumpera yimbere, ishusho irasobanutse (inzira nyamukuru).

Umuyoboro wakazi: ibikoresho nka biopsy forceps, brushes selile, laser optique fibre, nibindi birashobora kwinjizwa kugirango bitangwe cyangwa bivurwe.

Igice cyo kugenzura: hindura inguni (kugoreka no hepfo, ibumoso n'iburyo) kugirango byoroherezwe kureba amashami atandukanye ya bronchial.

2. Ibyingenzi bikoreshwa

Gusuzuma:

Kwipimisha kanseri y'ibihaha (biopsy, guswera)

Gutoranya indwara ziterwa na virusi

Ubushakashatsi kuri stenosis yumuyaga cyangwa imibiri yamahanga

Umuti:

Gukuraho inzira yumuyaga imibiri yamahanga

Kwiyongera kwa stenosis cyangwa gushyira stent

Kwinjiza ibiyobyabwenge byaho (nko kuvura igituntu)

3. Inzira zingenzi zo kongera gukoresha

Kugira ngo umutekano, kwanduza no kuboneza urubyaro (nka ISO 15883, WS / T 367) bigomba gukurikizwa byimazeyo:

Kwitegura kuryama: Hita usukamo umuyoboro ukoresheje enzyme yo gukaraba nyuma yo gukoreshwa kugirango wirinde gusohora kwumye.

Isuku y'intoki: Gusenya ibice no koza imiyoboro hamwe nubuso.

Kurwanya urwego rwo hejuru / sterisizione:

Kwibiza imiti (nka o-phthalaldehyde, aside peracetike).

Ubushyuhe buke bwa plasma sterilisation (ikoreshwa ku ndorerwamo za elegitoronike zidashobora guhangana n'ubushyuhe bwo hejuru).

Kuma no kubika: Bika muri kabine yabugenewe isukuye kugirango wirinde kwanduza kabiri.

4. Ibyiza n'imbibi

Ibyiza

Igiciro gito: Igiciro kirekire cyo gukoresha kiri hasi cyane ugereranije na bronchoscopes ikoreshwa.

Kurengera ibidukikije: Kugabanya imyanda yo kwa muganga (kwanduza plastike ahantu hajugunywa).

Imikorere yuzuye: Imiyoboro minini ikora ishyigikira ibikorwa bigoye (nka biopsy yahagaritswe).

Imipaka

Ibyago byo kwandura: Niba isuku idakozwe neza, irashobora gutera kwandura (nka Pseudomonas aeruginosa).

Kubungabunga bigoye: Kumeneka nibikorwa bya optique bigomba kugenzurwa buri gihe, kandi ikiguzi cyo kubungabunga ni kinini.

5. Icyerekezo cyiterambere

Kuzamura ibikoresho: Antibacterial coating (nka ion ya silver) igabanya ibyago byo kwandura.

Isuku yubwenge: Imashini zogusukura zikora kandi zangiza zitezimbere.

Uburyo bwa Hybrid: Ibitaro bimwe bikoresha uruvange rwa "repetitable + disposable" kugirango uhuze umutekano nigiciro.

Incamake

Gusubiramo bronchoscopes nibikoresho byingenzi byo gusuzuma no kuvura ubuhumekero. Nubukungu nibikorwa, ariko bishingikiriza kumicungire yica udukoko. Mu bihe biri imbere, hamwe n’iterambere ry’ibikoresho n’ikoranabuhanga ryo kuboneza urubyaro, umutekano wabo uzarushaho kunozwa.