Izixhobo zonyango eziphindaphindayo zebronchoscopy

I-bronchoscope ephinda isetyenziswe yi-endoscope enokuthi iphinde isetyenziswe emva kokutshatyalaliswa kweentsholongwane ezininzi kunye nokuvala inzala, esetyenziselwa ukuxilongwa kunye nokunyangwa kwezifo zokuphefumula. Xa kuthelekiswa ne-bronchoscopes yendabuko elahlayo, ineenzuzo ekusebenzeni kweendleko kunye nokukhuselwa kwendalo, kodwa ifuna ukucocwa okungqongqo kunye neenkqubo zokubulala iintsholongwane ukuze kuqinisekiswe ukhuseleko.

1. Isakhiwo esiphambili kunye nomsebenzi

Inxalenye yokufaka: ityhubhu ethambileyo eguquguqukayo (ngokuqhelekileyo i-2.8-6.0mm ububanzi obungaphandle), enokungena kwi-trachea kunye ne-bronchi ngomlomo / impumlo.

Inkqubo yokubona:

I-Fiber bronchoscope: isebenzisa i-fiber fibre bundle ukukhokela umfanekiso (ulungele uviwo olusisiseko).

I-bronchoscope ye-elektroniki: ixhotyiswe nge-sensor ye-CMOS ephezulu kwi-front end, umfanekiso ucacile (umkhwa oqhelekileyo).

Ishaneli esebenzayo: izixhobo ezifana ne-biopsy forceps, iibrashi zeeseli, iifibers ze-laser optical, njl.

Inxalenye yokulawula: lungisa i-lens angle (goba phezulu naphantsi, ekhohlo nasekunene) ukuququzelela ukubonwa kwamasebe ahlukeneyo e-bronchial.

2. Iimeko zesicelo ezingundoqo

Uxilongo:

Uvavanyo lomhlaza wemiphunga (i-biopsy, ibrashi)

Ukuthathwa kweesampulu zeentsholongwane zosulelo lwemiphunga

Ukuphononongwa kwe-stenosis yomoya okanye imizimba yangaphandle

Unyango:

Ukususwa kwemizimba yangaphandle yomoya

Ukwandiswa kwe-stenosis okanye ukubekwa kwe-stent

Ukufakwa kweyeza lendawo (elifana nonyango lwesifo sephepha)

3. Iinkqubo eziphambili zokuphinda zisetyenziswe

Ukuqinisekisa ukhuseleko, ukubulawa kweentsholongwane kunye neenkcukacha zokubulala iintsholongwane (ezifana ne-ISO 15883, WS/T 367) mazilandelwe ngokungqongqo:

Unyango olusecaleni kwebhedi: Gubha umbhobho ngoko nangoko ngesisombululo se-enzayimi yokuhlamba emva kokusetyenziswa ukunqanda umchamo ukuba wome.

Ukucoca ngesandla: Hlulisa iindawo kunye nemibhobho yebrashi kunye nomgangatho.

Ukubulala iintsholongwane/ukuvala iintsholongwane:

Ukucwiliswa kweekhemikhali (ezifana ne-o-phthalaldehyde, i-peracetic acid).

Ukushisa okuphantsi kwe-plasma sterilization (esebenzayo kwizibuko ze-elektroniki ezingenakunqanda ukushisa okuphezulu).

Ukomisa nokugcinwa: Gcina kwikhabhathi ecocekileyo ezinikeleyo ukuthintela ungcoliseko lwesibini.

4. Izinto eziluncedo kunye nemida

Iingenelo

Iindleko eziphantsi: Iindleko zokusetyenziswa kwexesha elide ziphantsi kakhulu kunezo zebronchoscopes ezilahlwayo.

Ukukhuselwa kokusingqongileyo: Nciphisa inkunkuma yonyango (ungcoliseko lweplastiki lweendawo ezilahlwayo).

Imisebenzi ebanzi: Imijelo emikhulu yokusebenza ixhasa imisebenzi entsonkothileyo (efana ne-biopsy ekhenkcezisiweyo).

Ukulinganiselwa

Umngcipheko wosulelo: Ukuba ukucocwa akucokisekanga, kunokubangela usulelo olunqamlezayo (njengePseudomonas aeruginosa).

Ukugcinwa okuntsonkothileyo: Ukuvuza kunye nokusebenza kwamehlo kufuneka kuhlolwe rhoqo, kwaye iindleko zokulondoloza ziphezulu.

5. Indlela yophuhliso

Ukuphuculwa kwezinto: I-antibacterial coating (efana neeyoni zesilivere) iyayinciphisa ingozi yosulelo.

Ukucoca ngobukrelekrele: Ukucoca ngokuzenzekelayo kunye noomatshini bokubulala iintsholongwane baphucula ukusebenza kakuhle.

Imo yeHybrid: Ezinye izibhedlele zisebenzisa indibaniselwano "yokuphindaphinda + ukulahlwa" ukulinganisa ukhuseleko kunye neendleko.

Isishwankathelo

I-bronchoscopes ephindaphindiweyo zixhobo ezibalulekileyo zokuxilongwa kokuphefumula kunye nonyango. Zinoqoqosho kwaye ziyasebenza, kodwa zithembele kulawulo olungqongqo lwe-disinfection. Kwixesha elizayo, kunye nokuqhubela phambili kwezinto kunye nobuchwepheshe bokuvala inzala, ukhuseleko lwabo luya kuphuculwa ngakumbi.