Grafts Ulusu: features of operation

Njengoko usazi, eli sebe lezamayeza, uqhaqho zeplastiki, waqalisa ukuba bathungelane kakhulu kutshanje. Noko ke, ukuza kuthi ga ngoku sele yenziwe ezifunyaniswe ezininzi. Unako ukwandisa okanye ukunciphisa phantse naliphi na iqumrhu ukutshintsha ifomu yayo ukuza kuthi ga ngoku, kwezithole, etc .. njl ..

Enye yeenkqubo eyenziwa oogqirha bazilungise, kukho esinye yesikhumba. Lo msebenzi sele lakwenza kangangeminyaka emininzi, yaye ngcono njalo ngonyaka. Kukho iimeko xa zilinywe phantse ulusu lonke. Ngenxa nkqubo onjalo nje ukufihla iziphene, kodwa kwakhona ukutshintsha ngokupheleleyo imbonakalo.

Yintoni lenkohlakalo eluswini?

Ukuthathwa kwendawo umonakalo ibizwa dermoplastikoy omtsha kwesikhumba. Olo tyando lwenziwa kwisebe yotyando. Ubungqina obubonakalayo buxela ukuba kunokuba ezahlukeneyo. Kwiimeko ezininzi, oku zingonakalisa ulusu kunye nokungakwazi ukubuyisela oko ngenye indlela. Kukho ezininzi iintlobo dermoplastiki. Eyona ndlela iqhelekileyo - esinye ulusu ukusuka kwenye ingxenye yomzimba komnye, owona site umonakalo.

Kutshanje ngenkuthalo ekuphuhliseni ezinye iindlela abohlukeneyo. Ezibhedlela baxhotyisiwe kunye namaziko ophando ukuba baphumeze "elinywayo" iiseli ezintsha kwiimeko ezizodwa. Ngalo eli isikhumba 'ukudala "kwaye athathwa kwenye indawo. Le idabi omkhulu amayeza! Okwangoku, le ndlela nangoku isetyenziswa ngokubanzi, Noko ke, izinto eziza kwenziwa kule ndawo.

Ziziphi iimeko ntoni ulusu yokumilisela?

Nokusebenza grafts ulusu - ungenelelo yotyando apho kuyimfuneko ukubuyisela kwindawo lolwabo umonakalo, ngokunjalo iinjongo mhle. Okwangoku, le lenquba yenzelwa phantse kuzo zonke izibhedlele ezinkulu. Ulusu akayicingi ndlela kufuneka ube Ingcibi enkulu na elithile. Noko ke, emva kokuba utyando siphene izithambiso ngasekhohlo, kufuna uqeqesho olukhethekileyo. Ngoko ke, isikhumba grafts ngobuso bakhe yomzimba kufuneka enze uqhaqho zeplastiki.

Kaninzi kwalo lwenziwa kuphela xa kuyimfuneko (ngenxa yezizathu zempilo). Ngokuqhelekileyo, yotyando isikhumba efunekayo emva utyando olukhulu, ukutsha ezinkulu, ukwenzakala esibuhlungu. Ukongeza, kukho ungenelelo ngotyando enjalo kuba yimfuneko ngethuba iinkqubo zeplastiki. Kwezinye iimeko, le zilinywe abantu ulusu wish abangenazo isalathiso engqongqo kulo msebenzi, umzekelo, ukuba ufuna ukufihla ijwabu ibala okanye nombala. Maxa wambi dermoplastiku wenziwe ukutshintsha umbala esikhumbeni. Noko ke, kubalulekile ukukhumbula ukuba, njengawuphi na utyando, le surgery iingozi ezithile. Ngoko ke, kwiimeko ezininzi, kuliwa kuphela xa kuyimfuneko.

Ubungqina obubonakalayo buxela ukuba dermoplastiki

Yayibubungqina esingundoqo ulusu yokumilisela - umonakalo kwithishyu. Ukuphazamiseka ezinokubangelwa yezizathu ezahlukeneyo. Kukho Yayibubungqina zilandelayo dermoplastiki:

• Yombhalo. Oku kubhekisela nelahleko ebonakalayo ulusu ngenxa ukubekwa kumaqondo obushushu aphezulu okanye amachiza. Dermoplastika emva ukutsha kuxhaphake ingakumbi phakathi kwabantwana. Oku kungenxa yokuba kids usesichengeni iingozi ekhaya. Njengoko umthetho, kweli isebe olimele ifumana abantwana, scalded ngamanzi abilayo. Phakathi abadala, ukutsha yemichiza eqhelekileyo ngaphezulu bafumana emsebenzini, ubuncinane - ekhaya.

• Ubukho kukuqulungana izihlunu, nto leyo ithatha indawo enkulu ulusu.
• lahluleka esibuhlungu. isikhumba grafts emva kokufumana nokwenzakala singàphunyezwa ngoko nangoko. Inyathelo lokuqala kukuzinzisa imeko yesigulane. Kwezinye iimeko, dermoplastika kubonisiwe kweeveki ezimbalwa okanye iinyanga emva kokumiselwa kokuqala kwesiva.
• Nonhealing umphezulu nxeba. Eli qela kufuneka ibandakanye izalathisi bedsores, izilonda trophic eneentlungu semithambo, isifo seswekile.
• utyando ezitywiniweyo kwawo ebusweni, amalungu.

Ukongeza, isikhumba yokumilisela enokwenziwa eneentlungu dermatological, kunye kwasekuzalweni. Amaxesha amaninzi lo msebenzi wenziwa phambi vitiligo - depigmented amacandelo zeethishu. Hyperkeratosis kunye zisaqala ezinkulu nobukhulu nayo ibe sisiseko dermoplastiki. Kwiimeko ezinjalo, i ebonisa yinyama, kunye nokusebenza olwenziwe ngokwesicelo isigulana xa kungekho ukuphazamiseka kakhulu somatic.

Zeziphi iindlela ezahlukeneyo yesikhumba yokumilisela?

Kukho 3 iindlela kwesikhumba yokumilisela. Ukhetho ndlela kuxhomekeke kubukhulu unesiphako kunye nendawo yayo. Qaphela ukuba indlela kuhlwayelwe ulusu ukhetha ugqirha khona ngokuvumelana izixhobo clinical. Kuxhomekeka apho umbandela sithathwa abohlukeneyo, auto-ukubeka allodermoplastiku.

Yahlula yotyando iintlobo inyama isikhumba yokumilisela.

• Autodermoplasty ebanjwe izitshanguba ngaphantsi kwe 30-40% of indawo yomzimba. Ngu data lwenzelwe uqhaqho abohlukeneyo yesikhumba ukusuka kwelinye icandelo ukuya kwenye (wamxabela). Oko kukuthi, sihlume lithatyathwe isigulane efanayo. Eyona ngoyena usetyenziswa rhoqo indawo yesikhumba ukusuka kummandla gluteal, kwicala umphezulu sangasemva Isifuba. enezinto Ubunzulu uvela 0.2 ukuya 0.7 mm.
• Allodermoplastika owazenza iziphene ezinkulu. Amaxesha amaninzi le ndlela yenziwa emva isilonda kwesikhumba 3 kunye degrees 4. Phantsi allodermoplastikoy kuthetha ukusetyenziswa sihlume donor lesikhumba, okanye ukusetyenziswa kwezindlela (synthetic) ilaphu.
• dermoplastika Cell. Le ndlela lisetyenziswa kuphela kwizibhedlele ezithile enkulu. Yena "elinywayo" iiseli ulusu kwi elebhu kunye nokusetyenziswa kwawo abohlukeneyo.

Kungoku nje indlela ekhethwayo uthathwa autodermoplasty ukususela izihlunu zakhe engraftment kwenzeka ngokukhawuleza kwaye umngcipheko sihlume ukulahlwa liyehla kakhulu.

Amalungiselelo grafts isikhumba

Phambi kokuba uqalise umsebenzi lokususa ulusu, kufuneka umana usiya. Nokuba isiphako ayinkulwanga kakhulu, kuyimfuneko ukuhlola enoba kukho umngcipheko yokungenelela ngotyando, nendlela oko kwazi, Kuphezulu indlela kwimeko ethile. Kwangoko phambi laboratory dermoplastikoy kwenziwa. Phakathi kwabo; pat, OAM, ngamachiza kwe coagulation kwegazi.

Xa ukulimala ezinkulu ezifuna allograft, kuyimfuneko ukuba bapase inani elikhulu wohlalutyo. Emva abohlukeneyo yesikhumba ukusuka komnye umntu (okanye izinto chemicals) kunokukhokelela ukwaliwa. Isigulane lilungiselwa etyandwa, ukuba kwiproteni igazi lilonke ayidluli 60 g / l. Kwakhona kubalulekile ukuba inqanaba haemoglobin laba phakathi uluhlu yesiqhelo.

izixhobo ukuhlinza

Ulusu Grafts ukutsha singàphunyezwa ngoko nangoko, yaye emva ukuphiliswa nxeba nokuzinziswa isigulane. Kulo mzekelo, dermoplastika ilibazisekile. Kuxhomekeka apho yenzelwe umonakalo eluswini, njengoko inkulu ngobukhulu nobunzulu, isigqibo malunga nendlela zotyando.

Okokuqala ukulungiselela umphezulu inxeba. Ukulungiselela le njongo kususwe necrosis kunye ubomvu. Emva koko, inxalenye uneemposiso liphathwa saline. Vala inwebu lenkohlakalo abachaphazelekayo. Kufuneka Makukhunjulwe ukuba athathwe ukuze akayicingi ulusu caba kunye nexesha zancitshiswa ubukhulu. Iikona ephilile kunye lenkohlakalo sutured. ebulala ke ngebhandishi nowento ekroqiweyo, izinto zokunyanga, dioksidinovoy, linamafutha aqholiweyo. Oku kunceda ukunqanda ukusuleleka postoperative inxeba. Kule lokunxibela owomileyo uyasebenza.

Iimpawu yokusebenza kuxhomekeka kuhlobo dermoplastiki

Kuxhomekeke kubunzulu kunye nendawo sisilonda esidumbileyoesingaphakathi ubuchule ngotyando lingahluka. Umzekelo, ukuba ngaba wenza sihlume ulusu ebusweni bakhe, ukuba kuyimfuneko ukuqhuba autodermaplasty. Xa le caba kufuneka ibe band uphuphu. Ukulungiselela le njongo sihlume sithathwa isixhobo ezikhethekileyo - dermatome. Xa kunokwenzeka ukuba kukulawula zolusu Isiqwenga isilayi ubukhulu. Ukuba utyando iyafuneka phezu kobuso, sinako ukwenza iseli dermoplastiku.

Eshe ezinkulu okanye ukwenzakala oovimba zabo ulusu ngamaxa amaninzi ngokwaneleyo. Ngoko kuyimfuneko ukwenza allodermoplastiku. isikhumba grafts phezu unyawo xa isixa esikhulu wobuso inxeba ikhutshwa phandle ngokusebenzisa izinto zokwenziwa - i ezizodwa umnatha lenkohlakalo nitrogen.

Ziintoni ezinobuzaza xa kunokwenzeka emva dermoplastiki?

ezinobuzaza xa abohlukeneyo yesikhumba kuvuka. Amaninzi oko yotyando ukwaliwa. Kwiimeko ezininzi, yenzeka ngenxa usulelo amalungu. Emva kokukhatywa autodermoplasty lingaphantsi eqhelekileyo. Enye ingxaki owophayo ngenxa inxeba.

Ulusu Grafts: iifoto phambi nasemva kotyando

Abohlukeneyo yesikhumba yi eliqhelekileyo. Phambi kokuba isigqibo utyando, Loxwebhu iifoto phambi nasemva kotyando. Kwiimeko ezininzi, oogqirha abafanelekayo ukuqikelela isiphumo nomonde uze unike umfanekiso obonisa ukuba uya kukhangela njani ndawo eyonakeleyo xa sihlume leyo ibihlaba.

Uthintelo iingxaki zotyando

Kukho ubungozi ezininzi iingxaki emva kokuba ulusu yokumilisela. Phakathi abantwana nabo kunye nezigulane abadala, ubukho ezingaqhelekanga somatic, bewuhlisele nezifo.

Ukwenzela ukuphepha sihlume ukungafunwa, kucetyiswa ukusetyenziswa ngamalungiselelo hormone njengoko namafutha aqholiweyo. Kuba ekuthinteleni ukopha kunye ukudumba prescribers "Pyrogenalum" kunye antibiotics.