Ebirimu
Ekyuma ekikebera nnabaana kikola nga ekifo okuva ku nkomerero okutuuka ku nkomerero ekigatta ekyuma ekikebera nnabaana (ekikalu oba ekikyukakyuka), kkamera/processor, ensibuko y’ekitangaala, eky’okwolesebwa/ekiwandiika eky’obujjanjabi, ne ppampu eddukanya amazzi okugaziya mpola nnabaana, okutuusa okulaba okutebenkedde, n’okulungamya enkola z’okulaba n’okujjanjaba wansi w’okulaba obutereevu. Enkola y’emirimu ey’omugaso eri: (1) okukebera okwetegekera n’okutebenkeza enjeru; (2) londa emikutu gy’okugaziya era oteekewo ekkomo lya puleesa—CO2 etera okwetooloola 35–75 mmHg ate okugaziwa kw’amazzi okutwalira awamu kukuumibwa ku oba wansi wa ~100 mmHg; (3) okunoonyereza okutambula obutasalako mu bifo ebirimu ebituli n’okukola maapu; (4) okujjanjaba endwadde n’ekintu ekiyitibwa bipolar loop oba mechanical shaver nga olondoola okuyingira/okufuluma mu kiseera ekituufu n’okubulwa amazzi (ebifo ebitera okuyimirira biba ~1,000 mL ku hypotonic media ne ~2,500 mL ku isotonic saline mu bantu abakulu abalamu, nga balina thresholds eza wansi eri abalwadde abali mu bulabe obw’amaanyi); (5) okukwata stills/clips n’okubitwala mu EMR/PACS nga oyita mu DICOM n’omutendera gw’okubala ebitabo; (6) amangu ago okutandika okuddamu okukola ku mutindo oguliwo kati okukuuma abalwadde n’okukuuma omutindo gw’ebifaananyi.
Ebipimo ebikalu (okugeza, ebirawuli ebya mm 2.9–4.0 nga bigattiddwa wamu n’ebisenge ebikebera oba ebikola) biwa ebifaananyi ebitangaavu era biwagira ensengekera y’ebikozesebwa ebigazi ebya 5 Fr, nga 0° ne 30° okulaba kubikka ku mbeera z’abakyala ezisinga obungi. Flexible hysterovideoscopes (nga 3.1–3.8 mm OD, wide FOV, two-way angulation) za mukwano eri okugumiikiriza ofiisi n’ensengekera y’omubiri (curved anatomy); rigid optics ekyakulembera mu edge sharpness n’obugazi bw’ebikozesebwa.
Enkola y’okuyingira: londa ebyuma ebirabika obulungi ebikaluba oba ebigonvu okusobola okugumiikiriza ofiisi; kozesa ebisenge ebinene ebikola nga ebikozesebwa 5 Fr n’okukulukuta okw’amaanyi byetaagibwa.
Orientation tip: 30° optics ziyamba okutunula okwetoloola folds n’okulaba mu birowoozo byombi tubal ostia nga torque ntono.
Omutwe gwa kkamera ne CCU bikwata ku white balance, exposure, gain, enhancement, ne latency. HD ekola ku by’okukola; 4K etumbudde fine vascular detail, margin clarity, n’omugaso gw’ebitundu by’okusomesa ebiterekeddwa. Weekenneenye latency, cableling, ne ergonomics nga buttons, footswitches, ne presets.
Ddamu okutebenkeza enjeru oluvannyuma lwa lenzi oba ekitangaala okukyusa okukuuma langi entuufu.
Pair ne recorder ewagira DICOM VL Endoscopic Image Storage okusobola okulondoola.
LED ye default okutandika amangu, okukola cooler, n'obulamu obuteeberezebwa. Xenon esobola okutuusa peak intensity ne pleasing spectral rendering naye eyongera ku bulamu bwa bulb n’ebbugumu okulowooza. Ebisenge ebitambulirako bisinga kwagala LED; deep ORs bayinza okukozesa oba okusinziira ku ttiimu bye baagala.
LED: uptime ne thermal stability ku bisenge ebisinga obungi.
Xenon: okumasamasa okusingawo we kiba kyagala; enteekateeka y’okuddaabiriza bbaatule.
Monitors mu 27–32 inch range zinyuma nnyo eri ebigaali ne booms. Kulembeza langi ennywevu, ebizigo ebiziyiza okutunula, n’okuyisa amakubo amayonjo okuva ku CCU okutuuka ku monitor ne recorder. Kozesa DICOM ne Modality Worklist okukendeeza ku kuyingira mu ngalo n'obutakwatagana.
Standardize monitor sizes ne menu layouts mu bisenge byonna okusobola okwanguyirwa okutendekebwa.
Wettanire okutuuma amannya ga fayiro agakwatagana ne metadata ekwatagana ne PACS.
Pampu ya loopu enzigale ekuuma puleesa y’ekigendererwa, erondoola okuyingira/okufuluma, era n’ekuba alamu ng’ebibulamu birinnya. Noonya screens ezisomebwa, amakubo amangu aga tubing, configurable stop points, ne prompts ezikendeeza ku nsobi mu kuteekawo.
Titrate pressure to visibility nga weewala akabi k’okuyingira mu misuwa.
Kozesa okutambula kwa pampu kweyongera mu bufunze okugogola okulaba okusinga okusika puleesa waggulu.
Bipolar loops zisobozesa saline era ne zinyanguyira okulabirira electrolyte; enkola z’okusenya ez’ebyuma zisala n’okusika omulundi gumu, emirundi mingi ne ziwa okulaba okuyonjo ku polyps ne Type 0/1 fibroids. Kuuma enkola zombi nga ziriwo era olonde buli kika ky’ekiwundu, obunene, n’okutuuka.
Bipolar loop: ebiraga ebigazi; enteekateeka y’okuggya chip.
Ekyuma ekisenya: okusonseka okutambula obutasalako n’okulaba okunywevu; lowooza ku bbeeyi ya blade n’okubeerawo.
Ebigere, okukendeeza ku kunyigirizibwa kwa waya, n’ensengeka ya shelf etegeerekeka bikendeeza ku budde bw’okuteekawo n’okuziyiza okukutuka mu butanwa. Kaadi entono nga tonnabuuka ku kagaali (ekkomo ku puleesa, okuyimirira kw’ebbula, emitendera gya white-balance) esala ensobi ku nkalala ezirimu abantu abangi.
Laba obusawo ne waya; kuuma ettaala ya sipeeya ne waya za kkamera ku kagaali.
Teeka ebipiira mu butonde omusawo w’awummuza ekigere; weewale loopu za waya.
Optics: rigid and flexible options ezikwatagana n’okutabula case.
Camera/processor: Okukwata HD oba 4K nga tekulina latency ntono.
Yingini y’ekitangaala: LED oba xenon buli nkola y’emirimu.
Monitor/recorder: okwolesebwa okw’omutindo gw’obusawo nga kuliko DICOM ebweru w’eggwanga.
Pampu y’amazzi: okulondoola puleesa n’ebbula ly’amazzi mu loopu enzigale.
Amaanyi/ekisenya: bipolar loop ne mechanical shaver okubeerawo.
Okugatta: Okuyungibwa kwa DICOM/HL7 ne SOPs ennyangu.
Kebera amadirisa agagendereddwamu, ebisiba, n’ebiyunga; okuyunga kkamera; kola bbalansi y’abazungu.
Kakasa nti ekitangaala kifuluma n’obulungi bwa waya; okukendeeza ku kumasamasa kw’embeera (ambient glare).
Pulogulaamu ya pampu: puleesa y’ekigendererwa, emitendera gya alamu, n’okuyimirira kw’ebbula.
Prime tubing, clear bubbles, n’ensawo z’emikutu egy’okuwandiika.
Tegeka omunnyo ogwa bulijjo ku nkola ya bipolar n’okusenya; okutereka emikutu egitali gya masanyalaze ku pulaani za monopolar.
Kakasa olunaku/essaawa y’omuwandiisi, embeera y’omulwadde, n’ekifo we batereka.
Dduka okutambula kw’ekifaananyi okwa sikonda 30 (fundus okutuuka ku bisenge okutuuka ku ostia) okukakasa obusagwa ne langi.
Yingira wansi w’okulaba obutereevu. Kozesa enkola ya ‘gentle cervical alignment’ okwewala okumyuuka. Maapu y’ekituli mu nsengeka etakyukakyuka era owandiike obubonero oba obulwadde obuteeberezebwa nga bw’ogenda mu maaso. Angled optics oba flexible angulation ziyamba okulaba mu birowoozo ostia zombi.
Goberera ekkubo ly’okunoonyereza eriddiŋŋanwa okwewala zooni ezisubiddwa.
Wamba ebifaananyi ebisirifu ebya fundus, buli ostium, n’ebiwundu ebikulu.
Ku polyps ne Type 0/1 fibroids, mechanical shaver etera okuvaamu okulaba okuyonjo ng’osika chips nga osala. Ku septa oba adhesions, bipolar loop resection mu saline kyangu.
Okwongera ku kutambula mu bufunze okusobola okulongoosa omusaayi; kuuma puleesa wansi nga bwe kisoboka.
Laba specimens bulungi era okuume orientation nga periodic reset views.
Wamba ekibinja ekituufu eky’ebifaananyi ebisirifu n’ebitundu ebimpi mu bifo eby’okusalawo. Export via DICOM VL ne Modality Worklist kale PACS ekuuma omulwadde n'enkola embeera. Kozesa Omutendera gw’Enkola Ekoleddwa okuggalawo likodi n’okukuuma omutendera gw’okubala ebitabo.
Twala ekipande ky’ekisenge ekiraga enkola y’okutuuma amannya n’emitendera gy’okutunda ebweru w’eggwanga.
Kakasa clip emu nga case esooka ey'olunaku tennabaawo okugezesa ekkubo.
Normal saline ye workhorse ku ba bipolar ne shaver cases. Hypotonic non-electrolyte media ziterekeddwa ku masoboza aga monopolar era zeetaaga okulondoola okunywevu okunyiga olw’akabi k’okukendeera kw’omusaayi. Teeka obubonero n’obubonero bwa langi ku layini z’emikutu okuziyiza okutabula.
Okukwataganya emikutu n’engeri y’amaanyi n’akabi k’omulwadde.
Kola okukebera emikutu gy’amawulire mu bigambo nga obujjanjabi tebunnatandika.
Puleesa za CO2 okwetoloola 35–75 mmHg nga zikulukuta okutono zitera okumala omulimu gw’okuzuula. Nga olina amazzi, kuuma setpoint ku oba wansi wa ~100 mmHg era olinnye okutambula okumala akaseera katono okugogola ennimiro okusinga okwongera ku puleesa.
Ensikirizo ku mmita 1–1.5 egaba puleesa enkambwe naye terina alamu n’okutambula.
Pampu zifuga bulungi, ziraga bulungi, n’okulabula ku by’okwerinda.
Ebifo eby’okuyimiriramu abantu abakulu abalamu biba nga 1,000 mL ku hypotonic media ne 2,500 mL ku isotonic saline. Ebipimo ebya wansi biba bya magezi eri abakadde oba okukosebwa kw’omutima/ekibumba. Singa ebbula lirinnya mangu, yimirirako katono era ogaane okutomera.
Teeka nnansi omu nga nnannyini bbula ly’ensimbi okulangirira omugatte buli luvannyuma lwa kiseera.
Wandiika emitendera ku kaadi nga tonnalinnya nnyonyi okukuuma ttiimu ng’ekwatagana.
Hypotonic media: yimirira ku bbula lya 1,000 mL.
Isotonic saline: yimirira ku bbula lya 2,500 mL.
Abalwadde abali mu bulabe obw’amaanyi: bakwata ekkomo erikakali, eryesigamiziddwa ku nkola.
Okwongera ku kutambula mu kkomo; weewale okugoba okulabika n’okunyigirizibwa.
Lowooza ku vasoconstrictors buli protocol era oddemu okukebera tubing oba kinks.
Kyusa odde ku kyuma ekisenya ebyuma singa omukka oba ebitundutundu bisigala.
Bipolar loops zisiba current mu kitundu era ziddukira mu saline. Kuuma orientation nga periodic reset views era otegeke chip retrieval nga bukyali. Okulaba mu birowoozo obutakyukakyuka n’okutambula mu bugenderevu bye bikulu.
Kozesa obusannyalazo obukwatagana n’omunnyo; okukakasa ensengeka z’amasannyalaze n’okukola maapu y’ebigere.
Kuuma okusonseka nga kwetegefu okusobola okugogola ennimiro amangu.
Shaver blades zaawukana okusinziira ku dizayini y’amadirisa n’obusungu. Okusonseka obutasalako kutebenkeza ennimiro era kuyinza okukendeeza ku misango gy’ebiwundu ebirondeddwa. Tendeka abakozi ku ngeri y’okukuŋŋaanya ebiso, enzikiriziganya y’okukyusa ebigere, n’ebifo eby’okuyimirira nga tebirina bulabe.
Gyaanyisa ekika ky’embazzi n’obunene bw’ekiwundu n’obugumu.
Kakasa spare blades ne tubing sets nga olukalala terunnatandika.
Emikutu: byombi mu isotonic saline.
Okulabika: loopu ekola ebifunfugu ebyetaagisa okuggya; okusonseka kw’omusezi kukuuma ennimiro nga nnyonjo.
Lesion fit: loop ekwata ekifo ekigazi omuli septa/adhesions; shaver esinga ku polyps ne Type 0/1 fibroids.
Ebisale: loopu erina ebikozesebwa ebya wansi; shaver ayongera ku blade cost naye ayinza okufunza cases.
Okuyiga: loopu ya nnono; shaver alina enkola ennyimpi ey’okuyiga ng’erina ebiragiro ebitegeerekeka obulungi.
Yeetaaga DICOM VL Endoscopic Image Storage and Modality Worklist ku kiwandiiko oba CCU. Maapu ya MRN, okuyingira, ekitundu ky’omubiri, n’erinnya ly’enkola obutakyukakyuka. Kozesa Performed Procedure Step okuggalawo emisango n’okukuuma emitendera gy’okubala ebitabo.
Teekateeka amannya g’ebyuma ne ID z’ebisenge ku mutindo okukuuma ebiwandiiko nga biyonjo.
Gezesa mock export buli ku makya nga tonnaba live cases.
Kozesa enkola eyesigamiziddwa ku mirimu eri abasawo abalongoosa, ba nurse abatambula, SPD, ne biomed. Okussa mu nkola okuyingira okuteekeddwako sitampu y’obudde n’okusiba mu ngeri ey’obwengula ku bigaali. Patch firmware ku cadence emanyiddwa era okuume enteekateeka ya rollback. Lambulula ani asobola okusazaamu, okufulumya, n'okukuuma ebifaananyi.
Kkomya okutunda USB ebweru w’eggwanga ku bakozi abakkirizibwa nga bassa omukono ku ndagaano.
Kuuma register ya firmware y’ekyuma n’ebyafaayo bya patch.
Anchor SOPs to current standards and manufacturer IFUs: point-of-use pre-cleaning, okugezesa leak, okuyonja mu ngalo nga lumen flushing, validated HLD oba sterilization, okukala mu bujjuvu, okulondoola okutereka, n’okukakasa obusobozi.
Kuuma ebitundu bya IFU ebikubiddwa ku sinki n’ebifo we batereka.
Wandiika buli mutendera n’ennamba z’ebyuma okusobola okulondoola.
Obunnyogovu butyoboola obudde bw’okukola n’okufuga yinfekisoni. Kozesa okukala emikutu n’ekkomo ku budde bw’okuwanirira mu biwandiiko. Konteyina z’entambula eziggaddwa nga zirina embeera enyonjo/encaafu entegeerekeka zitangira okutabulwa kw’ebidduka wakati w’ebifo ebirongoosa n’ebiyonjo.
Wettanire obubonero obuliko langi ku mbeera z’entambula.
Audit hang-time logs buli wiiki n'obukulembeze bwa SPD.
Wettanire QC eya sikonda 60 buli lunaku: white-balance, okugezesa amangu okulaga ku kaadi etaliimu buwuka, okukebera ekitangaala ekifuluma, n’okukebera lenzi. Log failures era pull devices nga case eddako tennabaawo singa omutendera gwonna gulemererwa.
Kozesa kaadi ya QC eriko laminated ku buli kagaali.
Zingulula sipeeya sipeeya okwewala okukozesa ekisusse yuniti emu.
Score solutions across clinical fit, obukuumi, efficiency, okukolagana, omuwendo gwonna ogw’obwannannyini, n’obuyambi bw’abatunzi. Lambulula emisingi egipima ku buli baketi era okukung’aanya obujulizi mu biseera bya demos, okugezesebwa, n’okujuliza.
Clinical fit: okutegeera kw’ebifaananyi, obunene bw’obuwanvu, enkola y’obutonde bw’ebikozesebwa.
Obukuumi: alamu za pampu, enkola y’emirimu gy’ebbula, okuddukanya waya.
Obulung’amu: obudde bw’okuteekawo, ebiragiro ebijuliziddwa amangu, okuyonja okutuuka.
Okukolagana: Ebibanda bya DICOM VL/MWL/PPS, HL7 oba FHIR.
TCO: capex, ebikozesebwa omulundi gumu, ebiseera by’okuweereza, obulamu bw’ettaala/LED.
Obuwagizi bw’abatunzi: ebikozesebwa mu kutendekebwa, ebiseera by’okuddamu, enkola y’abawola.
Clinical fit — 25%: ekifaananyi sharpness, scope range, okukwatagana kw’ebikozesebwa.
Obukuumi — 20%: alamu, okwesigamizibwa okulondoola eby’ebbula, okutegeera kwa tubing.
Efficiency — 15%: kitegeeza obudde bw’okuteekawo, quick-ref guides, okuyonja okutuuka.
Enkolagana — 15%: DICOM ne HL7 okutuukana n’ebiwandiiko by’okugezesa.
TCO — 15%: kapito, ebikozesebwa omulundi gumu, enteekateeka z’obuweereza, okuteebereza obudde bw’okuyimirira.
Obuwagizi bw’abatunzi — 10%: okutendekebwa mu mulimu, okuddamu mu kifo, abawola.
Omuwendo gwonna gwenkana kapito (scopes, CCU, ettaala, pampu, monitor, cart) nga kwogasse n’ebintu ebikozesebwa omulundi gumu (blades, tubing), okuddamu okulongoosa (chemistry, cabinets), service (contracts, spares), n’obudde obutakola (lost cases). Model emyaka esatu okutuuka ku etaano nga olina scenario ranges n’ebiteberezebwa ebiragiddwa.
Ettaala y’olutindo okusinziira ku bulamu bwa LED; teekateeka okukyusa ne sipeeya.
Muteekemu omuwendo gw’okutaasa oba okuddamu okutunda mu mwaka ogusembayo ogwa model.
Tandika n’ekisenge kya ofiisi kimu n’OBA kimu. Lambulula emisingi gy’okukkiriza: enkalala z’okukebera okutegeera obulungi ebifaananyi, okwesigamizibwa kw’okulondoola ebibulamu, okujjuvu kwa DICOM ebweru w’eggwanga, n’okumatizibwa kw’abakozesa. Oluvannyuma lw’okugezesa wiiki mukaaga ku munaana, siba ensengeka era otende ebisenge ebirala.
Kuba olutuula lw’eby’okuyiga nga tonnaba kugerageranya.
Freeze cable routing ne cart layouts okukendeeza ku nkyukakyuka.
Tegeka ekyuma ekigonvu ekikaluba oba ekigonvu eky’amaaso nga kiriko ekifo ekikwatibwako, ppampu entono, n’ekyuma ekilondoola eby’obujjanjabi ekya yinsi 27. Olondoola obudde okuva ku kutandika okutuuka ku bunene, okugumiikiriza kw’omulwadde, n’omuwendo gw’okuddamu okuwandiika. Ttiimu zitera okulaba okukyusakyusa ekisenge mu bwangu n’obujjanjabi obw’olunaku lwe lumu ku bulwadde obutono obuyitibwa polyps.
Kuuma SOP eya see-and-treat ewandiikiddwa ku kagaali.
Pre-stage blades ne tubing okwewala okulwawo mu mid-case.
Kozesa ebipima ebikaluba, CCU ne monitor eya 4K, ettaala ya LED, pampu ya sayizi enzijuvu, n’ebikozesebwa byombi ebya bipolar ne shaver. Pima obubonero bw’okulaba wansi w’okuvaamu omusaayi, okuwanyisiganya ebikozesebwa buli musango, obujjuvu bwa DICOM ebweru w’eggwanga, n’obudde obw’okubudamya obutegeeza.
Teekawo omutindo gwa 4K profiles mu bisenge byonna okukuuma okukwatagana kwa langi nga kukwatagana.
Log pump calibrations n’ebyava mu kukebera alamu buli mwezi.
Kozesa XBX portable host nga ebisenge bitono oba nga bigabana mu clinics zonna. Pair ne slim rigid optics (2.9–3.5 mm) oba sikopu ekyukakyuka okusobola okutambula-mu diagnostics. Okwongerako ppampu entono ng’erina ‘clear deficit trending’ n’ekyuma ekilondoola eby’obujjanjabi ekya yinsi 27. Kuuma ekiwandiiko eky’amangu ekikubiddwa ku white balance ne pump presets ku kagaali.
Kirungi nnyo ku pulogulaamu z’okulaba n’okujjanjaba n’okutuuka ku ssimu.
Awagira okuteekawo amangu nga tewali buzibu bwa cable.
Ku bisenge by’eddwaliro ebigaali mwe bikyukakyuka wakati wa suites, XBX desktop host egaba ekkubo eritebenkevu erya HD output path nga lirina tactile front-panel controls. Gattako ne bipolar resection ne mechanical shaver okubikka benign pathology, kw’ogatta recorder efulumya DICOM VL ne Modality Worklist.
Teeka ebigaali ku mutindo abakozi basobole okutambula wakati w’ebisenge awatali buzibu.
Ebiwandiiko interface guides ne IT okusobola okuyingira amangu.
Awali gynecology, urology, ne ENT share stacks, standardize ku emu ku imaging user interface kale okutendekebwa kukyusa buyonjo. Zimba ebika by’akagaali bibiri: akagaali akatambula (portable host, compact pump) n’akagaali ka OR (4K imaging, full pump, shaver). Kuuma ensengeka, ebiwandiiko, n’amakubo ga waya nga bifaanagana mu bisenge.
Kendeeza ku miwendo gy’ensobi ng’okozesa ebifo by’ebipiira n’ebiyungo bye bimu.
Ddamu okozese SOPs n’enkalala z’okukebera okukendeeza ku budde bw’okutendekebwa.
Optics: enkola emu ekyukakyuka mu kuzuula obulwadde ne slim rigid set nga erina 5 Fr-compatible operative sheaths.
Okukuba ebifaananyi: HD minimum; 4K ey’okwesalirawo ng’erina okusirika okuwandiikiddwa n’okutebenkera kwa langi.
Ekitangaala: LED default; lambika okwaka, okulaga langi, n'amaloboozi.
Pampu: okufuga mu loopu enzigale, alamu ezitegekebwa, okutambula kw’ebyeya, n’amakubo ga ttanka amayonjo.
Okuggyawo ebitundu by’omubiri: bipolar loop ne mechanical shaver okubeerawo nga olina katalogu ya blade n’ebiseera by’okukulembera.
Okugatta: DICOM VL/MWL/PPS; HL7 okukola maapu; erinnya, ensonga z’enkolagana ezigezesebwa.
Okukola: SOPs ezikwatagana ne IFU; ebyuma ebikaza n’okutereka; ebiwandiiko by’obusobozi.
Okutendekebwa n‟okuwagira: okutendekebwa mu mulimu, ebiseera by‟okuddamu, n‟enkola y‟abawola.
Amasannyalaze, omukutu, n’okuyingira kwa PACS bikakasiddwa; Olukalala lw’emirimu gy’engeri (modality Worklist) lugezeseddwa.
Amakubo g’ebigaali gategekeddwa okwewala emitendera n’okusiba waya.
Maapu y’ebidduka eya SPD eraga okutambula okucaafu okutuuka ku kuyonjo; ebidomola by’entambula ebiwandiikiddwako.
Emergency backup gravity set n'emitendera egy'ebizibu ebikubiddwa giriwo.
Kaadi eziriko laminated pre-case ne end-of-case ku buli kagaali.
Kakasa nti white balance n’okugezesa okubikkulwa mu buli kisenge.
Kakasa emitendera gya alamu ya ppampu n’ebifo eby’okuyimiriramu eby’ebbula buli lukalala lw’emisango.
Dukanya okufulumya ebweru DICOM okukoppa; kebera oba embeera y’omulwadde entuufu.
Wamba ekitundu ky’okusomesa eky’omusingi ng’okozesa enteekateeka y’okutuuma amannya ekkaanyiziddwaako.
End-of-day: fulumya ebiwandiiko, sangulawo consoles, era otandike okuddamu okukola amangu.
Ekyuma ekikebera nnabaana ekitegekeddwa obulungi si bbokisi emu wabula kifo ekikwatagana. Obtics, imaging, pump, recording, integration, and reprocessing bwe biba bituukiridde era ne bipimibwa n’enkalala ennyangu, eziddibwamu, okuteekawo kuba kwa mangu, okulabika kuba kunywevu, era ebiwandiiko biba biyonjo nga tebirina nsobi ntono. Ku malwaliro agagenda gakula mutendera ku mutendera, tandika n’akagaali akakwata ku ofiisi aka XBX portable host cart, olwo osseeko akagaali ka OR nga kaliko ebifaananyi bya 4K ne pampu ya sayizi enzijuvu. Nga olina enkola emu emanyiddwa ne SOP ezitakyukakyuka mu bisenge byonna, okutendekebwa kufuuka kwangu, okuyita mu nkola kulongooka, era akabi k’obujjanjabi kangu okuddukanya awatali kugula nnyo bikozesebwa by’otogenda kukozesa.
Ekyuma ekikebera nnabaana kibeera kifo ekikwatagana, so si kibokisi kimu. Module enkulu mulimu: ekyuma ekikebera omusaayi (hysteroscope) ekikaluba oba ekikyukakyuka, ekitundu ekifuga kkamera + (HD/4K), ensibuko y’ekitangaala (LED oba xenon), eky’okulaga/ekikwata eby’obujjanjabi (nga kiriko DICOM export), ppampu eddukanya amazzi (okufuga puleesa/okukulukuta/okubulwa), n’ebikozesebwa mu kukola (bipolar loop ne/oba mechanical shaver). Ekigaali ekituufu n’ebikozesebwa (cables, pedals, couplers) bimaliriza okuteekawo.
CO2 ezuulibwa etera okufugibwa nga 35–75 mmHg. Ku kugaziwa kw’amazzi, ttiimu zitera okukuuma ebifo ebiteekeddwawo ≤ ~100 mmHg era zeesigamye ku puleesa esinga wansi ekuuma okulabika. Ebifo ebitera okuyimirira (abantu abakulu abalamu) bye bino: ~1,000 mL deficit ku hypotonic media ne ~2,500 mL ku isotonic saline; emitendera egya wansi gya magezi eri abalwadde abali mu bulabe obw’amaanyi.
Kozesa slim rigid oba flexible scopes okusobola okugumira ofiisi n’okuyita omumwa gwa nnabaana okwangu; kozesa rigid optics nga zirina operative sheaths nga weetaaga 5 Fr instruments ne higher flow. Ebipimo ebikalu bitera okuwa empenda ezisingako obulungi; flexible scopes ziwa angulation n’okubudaabudibwa ku mulimu gw’okuzuula.
HD ekola service, naye 4K erongoosa edge clarity (vascular patterns, lesion margins) era eyongera ku muwendo gw’okutendekebwa mu clips ezikwatibwa. Bw’oba otendeka abatuuze, olaga emisango, oba ogabana ebisenge n’abakugu abalala, 4K etera okusasula mu mutindo gw’okulaba.
Yee, nga erina slim rigid oba flexible scope, portable host, compact fluid pump, ne SOP entegeerekeka ey’okulondoola puleesa/ebbula. Ebikulu ebyetaagisa: abakozi abatendeke, enteekateeka ey’amangu, obusobozi bw’okuddamu okukola nga bukwatagana n’omutindo, n’olukalala lw’okukebera olutakyukakyuka ku bbalansi y’abazungu, okuteekawo ppampu, n’ebiwandiiko.
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