Patunga Pho (maimoatanga hāparapara tuatahi): he huinga o taputapu, ngā rongoā

Marutanga - tenei kiko kino e te tikanga pūkaha i roto i te aroaro o maumaui tapatahi o te kiri. Ko te aroaro o te motu, e kore te maru kanokanototo ranei e taea te tāutuhia e taua huru rite te mamae, dehiscence, toto, tauwhatinga me te tapatahi. puritia Pho marutanga te i roto i te 72 haora tuatahi i muri i whara, ki te reira he kahore contraindications.

momo o patunga

Ia motu he kōhao, nga taiepa me raro. Tei runga i te āhua o te wharanga kua wehea wharanga katoa ki tapatapahi, tapatapahi, tapatapahi, maru, ngaua ka kawa. I roto i te patunga PECVD ko reira e tika ana ki te tango i ki pūkete. I muri i te katoa, te āhua o te whara rerekē me ngā āhuatanga tuatahi-āwhina.

• Poka patunga e tono tonu ngā piki, pērā i ngira. He āhuatanga motuhake ko te hohonu nui o te kino, engari kino ki te rau iti. I roto i te tirohanga o tenei, kia tino ki reira he kore kino ki oko toto, whēkau raru ranei. He kino poka patunga no o tohu ngoikore. Na ki te mea he he patunga i roto i te kopu i reira ko te taea o te kino ate. Ehara i te mea ohie ki te kimihia i roto i PECVD.
• marutanga kōtē tono ki te ahanoa koi, whakangaromanga kiko kia iti. I te wa ano, he ngāwari ki te tirotiro me te mahi PECVD hāmama kōhao. E tukinotia pai taua patunga, ka he nohopuku whakaora, kahore pōauautanga.
• E tika ana ki te kino whakapeka tunga tapatapahi, engari ki te ahanoa taimaha, pēnei i te toki. Ko te kupu tūkino ki rire rerekē, āhuatanga e te mānawanawa whānui, me te whara kiko pātata. No te mea o tenei kaha iti ki te whakaora.
• patunga Contused puta ka whakamahi i te ahanoa puhuki. Kei te āhuatanga e he plurality o kikokiko pakaru, kaha moe ki te toto enei pāpaka. I roto i te mau ana i roto i patunga PECVD kia mōhio e reira ko te taea o te takanga o suppuration.
• patunga ngau he kătahi kino ki huware kararehe mate, a ētahi wā te tangata. He he he mōrea o te mate whakapeka, me te ahua o te huaketo rabies.
• patunga kawa te tikanga e ara i roto i te aroaro o te ngau nakahi he pungawerewere ranei.
• te pū e kitea e te momo o patu whakamahia, ngā āhuatanga o te kino me te kătahi huarahi. Tūponotanga o mate.

I roto i te mau ana i roto i patunga PECVD wāhi nui takaro e te aroaro o te pukupuku e tupu. Kei te hakihaki taua whara, svezheinfitsirovannymi me ngā iroiti.

Ko te whāinga o te PSD

he tika maimoatanga hāparapara te Paraimere ki te tango microorganisms kino e kua eke ki te motu. Ki te mahi i tenei, hatepea atu i tetahi kiko necrotic pakaru, me clots toto. I muri e kua tutakina ki tuinga me te whakamana i waikeri, ki te tika.

hiahiatia te tukanga i te aroaro o te kino kikokiko ki taha koikoi. E titau te reira i te patunga hohonu, me te paru ano. Tūkino ki oko nui toto, a ētahi wā nga wheua me raru ko titau hoki ngā mahi hāparapara. whakahaere PSD wā kotahi, me te whānui. he taote Me āwhina ki te manawanui hoki ki runga ki te 72 haora i muri i motu. kawea wawe CVD te roto mo te po tuatahi, e mau ana i te rua o nga ra - te wawaotanga hāparapara roa.

Utauta mō te PECVD

Hei kawe i te tikanga marutanga maimoatanga tuatahi titau te iti o e rua ngā tārua o te huinga. Ratou huringa i roto i te mahi, a i muri i te atamira paru - hangarua:

• Topenga "Kuku" aho, e kakau te mara whakahaere;
• scalpel oka, bryushisty;
• hoe rinena whakamahia mō te pupuri ranu me ētahi atu rauemi;
• rawhi Kocher, Billroth me "waeroa" e whakamahia ana ki te mutu toto i roto i PECVD whakamahia i roto i te rahinga nui ratou patunga;
• kutikuti, he ratou mata tonu, me te kōpiko i runga i te manureva ranei i te maha o ngā kape;
• Tirohanga Kocher, fluted a ngārara;
• huinga o ngira;
• te taata tei mau ngira;
• kopikopi;
• matau (takirua maha).

He kete hāparapara mō tenei tukanga hoki ngā suture ngira mō pāhorehore werohanga, tapo'io, pōro whāriki, karapu rapa, korere, me te ngā kopa. tūemi katoa e kua hiahiatia hoki CVD - tui me kete tauiraa hāparapara, taputapu me ngā rongoā tikanga mo te maimoatanga o te patunga - kua whakanohoia ki runga ki te tepu hāparapara.

ngā rongoā faufaa

He oti, kahore te tarukino motuhake debridement Paraimere. Ko te tino whakamahia nuitia e:

• 70% waipiro;
• 3% otinga o te hauwai;
• Yodopiron 1% otinga 0.5% bigluconate chlorhexidine ranei;
• 10% otinga o NaCl;
• 0.25% - 0.5% otinga novocaine.

wāhanga PECVD

kawea maimoatanga hāparapara Paraimere i roto i roto i te maha ngā wāhanga:

1. Examination o te patunga me ona maimoatanga muri ki rongoā horoi.
2. Tangohanga o kikokiko pakaru, tinana ke, wheua whatiwhatinga. Whakamana tuakitanga o te patunga rite hiahiatia.
3. Kāti te toto.
4. Pana i te wai.
5. Tuitui.

Kia pehea te he PECVD

Hei kawe i te pokanga whakanohoia te manawanui kei i runga i te tepu. Ko tōna tūranga tei runga i te raruraru o te motu. Me whakamarie te taote. patunga wharepaku kawea tukinotia mara hāparapara, e delimits te underwear tuku horomata. I tua atu, kua whakamana i te mānukanuka tuatahi, e hāngai ana ki te whakaora patunga e wātea ana, me te whakahaere rehunga te. I roto i te nuinga o te wā, te whakamahi i tākuta te Wisniewski tikanga - whakahaere 0.5% otinga novocaine i te tawhiti o te e rua henimita i te taha tapahia. patia i te otinga taua i runga i te tahi atu taha. Ki te whakautu tika o te manawanui i runga i te kiri a tawhio noa te motu i reira ko te "kiri rēmana". maha rapu pū te whakahaere o te rehunga whānui ki te manawanui.

Ko te taha o te kino ki te piri i te Kohhera rawhi 1 cm me te hatepea atu rite te kōwae. A, no te rāpopototia te tikanga te nezhiznedeyatelnosposobnaya kikokiko i runga i te mata maihao ranei, a ka whakaritea he tui kikī. Whakakapinga o karapu me mea whakamahia.

horoia te patunga i te chlorhexidine ka kawea i roto i tona tirohanga. patunga poka, he tapahia iti engari hohonu, tuaki. Ki te te uaua papaka, he ratou taha tangohia. meatia ana te taua i te whatiwhatinga o wheua. Next, hemostasis koe. Ko te roto rawa o te patunga i tukinotia tuatahi ki te otinga me taka ka rongoā horoi.

Tukinotia te patunga ki kahore he tohu o te sepsis tuia piri suture ā-tuatahi, me te hipoki ki te iroiti takai. Sutures mahi mangai mo hopu paparanga katoa i roto i te whanui, me te hohonu. E mea titauhia e pa ki ratou tetahi ki tetahi, engari e kore e kirimana. I roto i te whakahaere i te mahi e tika ana ki te whiwhi i te tui Paku i muri i whakaora.

I roto i ētahi wā, e kore e nga kaimono tuatahi īnaki. kia whai marutanga kōtē te wharanga atu nui atu i te mea te reira i mawhiti tuatahi. Ki te i roto i te feaa, whakamahi te taote i te suture tuatahi roa. whakamahia tēnei tikanga te ki te i huaketo te marutanga. kawea katinga te i te aroaro o te kiko adipose, a kahore e hononga tightened. He ra torutoru i muri i te kitenga o te patunga sutured te ki te mutunga.

He kaiakiko i ngau

patunga Pho, ngaua kawa ranei, he ona rerekētanga. A, no te kore ko te ngau he pea ki te rabies kararehe werewere. I te wā wawe o te mate tāmia te rabies serum. Taua patunga i roto i te nuinga o te wā hei purulent, kia ngana ki te whakaroa PECVD. A, no te tono i te tikanga te tuatahi roa suture me te tono taero rongoā horoi.

Te motu riro i te ngau nakahi, titau te whakapanga o pāpuni raru takai ranei. I tua atu, kuiti te motu mā te novocaine ranei te tono matao. Hei haamou i te paihana patia protivozmeinaya serum. āraia ngau pūngāwerewere pāhare. I mua ki tenei paihana kua romia, me te patunga tukinotia ki te rongoā horoi.

pōauautanga

arata'i o te maimoatanga maharakore ki te motu suppuration marutanga rongoā horoi. Tano ore tikanga analgesia, me te meinga whara atu meinga te manukanuka manawanui tika ki te aroaro o te mamae.

huru ware ki nga kopa, te matauranga rawakore o te anatomy ai kino ki nga oko toto nui, whekau, me te mutunga karere. Iti ai hemostasis o ngā tukanga inflammatory.

He mea nui kia kawea debridement tuatahi i roto i rite ki te mātanga ture.