Zida zamankhwala zobwerezabwereza za bronchoscopy

Reusable bronchoscope ndi endoscope kuti angagwiritsidwenso ntchito pambuyo angapo disinfection ndi yotseketsa, makamaka ntchito matenda ndi kuchiza matenda kupuma. Poyerekeza ndi ma bronchoscopes achikhalidwe omwe amatha kutaya, ili ndi ubwino wake pakuchita bwino komanso kuteteza chilengedwe, koma imafuna kuyeretsa ndi kupha tizilombo toyambitsa matenda kuti titetezeke.

1. Mapangidwe akuluakulu ndi ntchito

Gawo lolowetsa: chubu chowonda (kawirikawiri 2.8-6.0mm m'mimba mwake), chomwe chimatha kulowa mu trachea ndi bronchi kupyolera mkamwa / mphuno.

Optical System:

Fiber bronchoscope: imagwiritsa ntchito ma optical fiber bundle kuwongolera chithunzi (choyenera kuwunika koyambira).

Bronchoscope yamagetsi: yokhala ndi sensa yapamwamba ya CMOS kutsogolo, chithunzicho chikuwonekera bwino (chizoloŵezi chachikulu).

Njira yogwirira ntchito: zida monga biopsy forceps, maburashi a cell, ma laser optical fibers, ndi zina zotere zitha kuyikidwa kuti zitsatire kapena kuchiza.

Control mbali: kusintha mandala ngodya (pinda mmwamba ndi pansi, kumanzere ndi kumanja) kuti atsogolere kuonerera zosiyanasiyana bronchial nthambi.

2. Zochitika zazikulu zogwiritsira ntchito

Matenda:

Kuyeza khansa ya m'mapapo (biopsy, brushing)

Sampling wa tizilombo toyambitsa matenda matenda m'mapapo

Kufufuza kwa airway stenosis kapena matupi akunja

Chithandizo:

Kuchotsa matupi achilendo akunja kwanjira ya mpweya

Kuchulukitsa kwa stenosis kapena kuyika kwa stent

Kulowetsedwa kwamankhwala komweko (monga chithandizo cha chifuwa chachikulu)

3. Njira zazikulu zogwiritsira ntchitonso

Kuwonetsetsa kuti chitetezo, kupha tizilombo toyambitsa matenda ndi njira zotsekera (monga ISO 15883, WS/T 367) ziyenera kutsatiridwa mosamalitsa:

Kukonzekera m'mbali mwa bedi: Yambani chitolirocho nthawi yomweyo ndi mankhwala ochapira ma enzyme mutagwiritsa ntchito kuti madzi asawume.

Kuyeretsa pamanja: Sula mbali zina ndi mapaipi a brush ndi malo.

Kupha tizilombo toyambitsa matenda kwambiri/kutsekereza:

Kumizidwa kwa mankhwala (monga o-phthalaldehyde, peracetic acid).

Kuchepetsa kutentha kwa plasma (yogwiritsidwa ntchito pa magalasi apakompyuta omwe sagonjetsedwa ndi kutentha kwakukulu).

Kuyanika ndi kusunga: Sungani mu kabati yaukhondo yodzipatulira kuti mupewe kuipitsidwanso.

4. Ubwino ndi malire

Ubwino wake

Mtengo wotsika: Mtengo wogwiritsa ntchito nthawi yayitali ndi wotsika kwambiri kuposa wa ma bronchoscopes omwe amatha kutaya.

Kuteteza chilengedwe: Chepetsani zinyalala zachipatala (kuipitsidwa ndi pulasitiki m'malo otayika).

Ntchito zambiri: Njira zazikulu zogwirira ntchito zimathandizira ntchito zovuta (monga kuzizira kwa biopsy).

Zolepheretsa

Kuopsa kwa matenda: Ngati kuyeretsa sikuli bwino, kungayambitse matenda opatsirana (monga Pseudomonas aeruginosa).

Kukonza kovutirapo: Kutayikira ndi magwiridwe antchito amayenera kuyang'aniridwa pafupipafupi, ndipo mtengo wokonza ndi wokwera.

5. Njira yachitukuko

Kusintha kwazinthu: Kupaka kwa antibacterial (monga ma ions asiliva) kumachepetsa chiopsezo cha matenda.

Kuyeretsa mwaluntha: Makina otsuka okha ndi opha tizilombo amathandizira kukonza bwino.

Zophatikiza: Zipatala zina zimagwiritsa ntchito "zobwerezabwereza + zotayidwa" kuti zisamawononge chitetezo ndi mtengo wake.

Chidule

Ma bronchoscopes obwerezabwereza ndi zida zofunika zowunikira komanso chithandizo chamankhwala. Iwo ndi achuma komanso amagwira ntchito, koma amadalira kasamalidwe kotheratu kopha tizilombo toyambitsa matenda. M'tsogolomu, ndi kupita patsogolo kwa zipangizo ndi teknoloji yotseketsa, chitetezo chawo chidzapitirizidwa bwino.