Qhov zoo ntawm cov tshuaj thiab kev noj qab haus huv ntawm lub tebchaws ncaj qha nyob ntawm cov cuab yeej siv siab thiab zoo ntawm cov qauv ntawm cov khoom siv endoscopic. Ua ntej tshaj plaws, nws tsim nyog nkag siab tias nws yog dab tsi, qhov twg nws tau pom nws daim ntawv thov, thiab lub teb chaws twg tsim cov cuab yeej kho mob no.
Dab tsi yog qhov endoscopy
Endoscopy yog ib txheej ntawm cov dej num ua nrog kev pab los ntawm cov cuab yeej tshwj xeeb rau kev tshuaj xyuas cov kab mob hauv nruab nrog cev thiab kab noj hniav ntawm tib neeg lub cev. Endoscope los ntawm Greek lus yog txhais ua "endo" - sab hauv, "scopia" - saib. Hauv cov tshuaj, ntau yam endoscopes yog siv, uas tau dhau los ntawm txoj hauv kev anatomical thiab kev phais tshwj xeeb, piv txwv li, los ntawm txoj hlab pas, qhov ncauj, lossis los ntawm bronchi. Endoscopic txoj kev yog ib txoj kev nrov tshaj plaws ntawm cov tshuaj nyob rau hauv nees nkaum-thawj xyoo pua, lawv tau siv nyob rau hauv yuav luag tag nrho cov cheeb tsam ntawm cov tshuaj.
Feem ntau, cov khoom siv endoscopic yog siv hauv plab hnyuv. Nws yog siv los tshuaj xyuas lub cevCov kab mob hauv plab hauv lawv cov pathology los txhim kho kev kho mob. Piv txwv li, nrog peptic rwj ntawm lub plab thiab duodenum, gastritis, nrog ib tug meej suspicion ntawm cov qog thiab neoplasms nyob rau hauv cov kab noj hniav ntawm lub digestive system. Tsis tas li ntawd, endoscopy tau pom nws qhov chaw hauv gynecology, nrog kev pab ntawm cov khoom siv endoscopic, nws yuav tsis yooj yim rau gynecologist los tshuaj xyuas lub tsev menyuam thiab nws cov appendages. Cov kab mob bronchopulmonary ib txwm ua rau muaj teeb meem hauv kev kho mob thiab kev kuaj mob raws sij hawm ntawm ib tus kab mob tshwj xeeb. Yog vim li cas cov khoom siv endoscopic tau pom nws qhov chaw hauv pulmonology. Koj tuaj yeem sau tau ntev hauv cov cheeb tsam twg thiab los ntawm cov txheej txheem twg cov txheej txheem txuj ci tseem ceeb tsim los ntawm tib neeg siv. Peb yuav tsom mus rau cov ntsiab lus dav dav thiab cov cai rau kev tua kab mob thiab ua kom tsis muaj menyuam ntawm cov cuab yeej no.
Kev piav qhia
Cov khoom siv Endoscopic yog cov cuab yeej kho mob siv los tshuaj xyuas cov kab noj hniav thiab cov phab ntsa ntawm cov kab mob hauv lub cev ntawm tib neeg lub cev thiab tsis yog, vim nws kuj siv rau hauv cov tshuaj kho tsiaj. Cov khoom siv endoscopy tso cai rau qhov tsis muaj teeb meem endoscopy kiag li.
Kev faib tawm
Endoscopes raug cais nyob ntawm thaj tsam ntawm cov tshuaj uas lawv yuav siv rau hauv. Gastroenterologists xa mus rau cov pab pawg tseem ceeb ntawm cov cuab yeej kho mob hauv kev lag luam: esophagoscope, universal gastroduodenoscope, gastroscope thiab duodenoscope. Cov khoom siv endoscopy yog siv rau hauv endoscopy ntawm lub urinary system. Nws suav nrog ureteroscope,cystoscope.
Tsis tas li ntawd, cov tshuaj endoscopes tau muab faib ua yoog raws thiab nruj. Lub endoscope nruj (hauv lwm lo lus, lub raj kho qhov muag) yog qhov yooj yim hauv cov qauv thiab siv. Nws yog ib lub raj ntawm txoj kab uas hla me me nrog LED fibers nyob rau hauv, uas, ntawm ib lub kaum ntse ntse thiab nrog qhov tseeb tshwm sim ntawm lub teeb, ua kom pom qhov chaw nyob rau hauv ib qho nyuaj mus cuag qhov chaw, piv txwv li, mechanical engineering thiab engineering. Yog lawm, thiab cov khoom siv endoscopic tau pom lawv siv nyob ntawd.
Kev kho qhov muag tau yooj yim muaj feem xyuam nrog tshuaj ntau dua li kev siv tshuab. Tsis tas li tam sim no muaj cov yeeb yaj kiab endoscopes uas tso cai rau koj sau txoj hauv kev ntawm lub cuab yeej thiab txhua yam uas nws ntsib thaum nws taug kev.
Kev tshuaj xyuas ntawm cov cuab yeej endoscopic nrov
Peb yuav txiav txim siab tsuas yog Lavxias teb sab endoscopes xwb, txij li feem ntau hauv Russia cov khoom siv ntawm peb tus kheej raug siv, txawm hais tias peb kuj yuav cov khoom siv los ntawm Nyiv, Lub Tebchaws Yelemees thiab Asmeskas, thiab txhua tus ntawm lawv muaj nws tus yam ntxwv hauv kev ua haujlwm..
Ib qho ntawm cov khoom lag luam zoo tshaj plaws ntawm cov khoom siv hauv Lavxias teb sab yog LOMO phiaj los nqis tes, cov cuab yeej no tau txais txiaj ntsig los ntawm peb cov kws kho mob. Cov neeg tsim khoom tau koom nrog kev tsim khoom ntawm ob qho tib si saj zawg zog thiab nruj endoscopes. Tus nqi nruab nrab yog 200-300 txhiab rubles. Tsis tas li ntawd, ib qho ntawm cov kev xaiv rau cov khoom siv zoo tuaj yeem sawv cev los ntawm cov khoom siv endoscopic ntawm lub tuam txhab "Optimed". Tus nqi nruab nrab yog 30-70 txhiab rubles. Tsis zoo li LOMO, lawv muaj ntau qhov sib txawv.
Sterilization
Muaj ntau txoj hauv kev los ua kom tsis muaj menyuam cov khoom siv endoscopic. Yuav luag tag nrho cov ntawm lawv yog siv nyob rau hauv kev xyaum nyob rau hauv tshuaj. Tab sis tsis txhob hnov qab txog kev ua haujlwm maj mam rau cov khoom siv endoscopic, txij li cov khoom siv tau ua los ntawm cov khoom siv, yog li koj tuaj yeem ua rau lub ntsuas tau yooj yim puas. Ib txoj hauv kev zoo tshaj plaws ntawm kev ua kom tsis muaj menyuam ntawm endoscopes yog kev kho cov cuab yeej nrog kev pab ntawm cov tshuaj reagents, roj sib tov, nrog rau kev kho cua sov. Qhov no yog qhov hu ua txias sterilization ntawm cov khoom siv endoscopic.
Gas sterilization tshwm sim hauv cov thawv tshwj xeeb hauv formalin vapor lossis ethylene oxide. Qhov tsuas yog qhov tsis zoo yog lub sijhawm, nws yog cov txheej txheem ntev heev, tab sis siv tau zoo. Kev kho mob endoscopes nrog tshuaj tua kab mob yog ib qho yooj yim tab sis tsis muaj tsawg txoj kev kho mob. Cov cuab yeej tau muab tso rau hauv 6% hydrogen peroxide tov rau 7 teev.
chav ntxhua khaub ncaws thiab tshuaj tua kab
Kev tua kab mob ntawm cov cuab yeej endoscopic yog cov haujlwm kho mob uas yog tsom rau kev ntxuav thiab ua cov khoom siv. Qhov no kuj suav nrog lawv qhov chaw cia tom qab hauv tsev kho mob. Ib qho ntawm cov txheej txheem tseem ceeb rau kev ua kom tsis muaj menyuam thiab tshuaj tua kab mob ntawm cov khoom siv endoscopic yog qhov muaj chav tshwj xeeb rau ntawm thaj chaw kho mob. Chav tsev no yuav tsum muaj lub dab ntxuav tes rau thawj zaug ntxuav ntawm endoscope, ntxuav cov khoom seem tom qab txheej txheem. Tsis tas li ntawd, cov chav zoo li no yuav tsum tau nruab nrog lub thawv kom qhuav.khoom siv. Lub txee ntxhua khaub ncaws thiab tshuaj tua kab muaj cais cov hlab ntsha thiab cov txee rau khaws cov khoom muag huv si.
Txhob Cia Siab
Muaj cov cuab yeej tshwj xeeb tsim tshwj xeeb rau kev tua kab mob thiab ua kom tsis muaj menyuam ntawm cov khoom siv endoscopic. Cov no yog cov uas hu ua neeg ntxeev siab. Lub repressor yog ib qho khoom siv rau kev ntxuav tus kheej. Qhov no yog ib lub thawv me me uas tau nruab nrog cov teeb ci ultraviolet. Muaj ib qho chaw uas muaj tshuaj tua kab mob tshwj xeeb, piv txwv li, cawv lossis 6% hydrogen peroxide. Kev siv cov tshuaj tiv thaiv zoo li no tau zoo dua, vim nws ntxuav cov khoom siv endoscopic yam tsis muaj kev puas tsuaj rau lawv, uas ua rau muaj kev ua haujlwm ntev ntawm endoscopes yam tsis muaj kev phom sij rau tib neeg kev noj qab haus huv. Tom qab tag nrho, qhov zoo ntawm tib neeg lub neej ncaj qha nyob ntawm qhov zoo ntawm cov cuab yeej, nws txoj kev ua kom tsis muaj menyuam thiab ua tiav. Thiab txawm tias qhov kev puas tsuaj me tshaj plaws rau qhov endoscope, uas tuaj yeem tshwm sim los ntawm kev tua kab mob tsis raug thiab khaws cia, tuaj yeem ua rau muaj kev puas tsuaj loj heev thiab tsis tuaj yeem cuam tshuam rau tib neeg kev noj qab haus huv. Yog li ntawd, nws yog ib qho tseem ceeb kom ua raws li tag nrho cov cai rau nws txoj haujlwm, tu thiab khaws cia.
