Zokuhlatywa Sternal: indlela yokusebenza, zikhombisa kwakunye nezigulo

zokuhlatywa Sternal - indlela yophando ezinomongo wethambo. Le ndlela iqulathe kwi medullary sternal eludongeni okuhlatywa phambi ngenaliti okhethekileyo. zokuhlatywa Sternal lwenziwa esibhedlele okanye qho kwesibhedlele. Akunamsebenzi nokuba apho okuhlatywa lwenziwa, into engundoqo obo bokugcinwa ngexesha imithetho yayo of aseptic kunye kubola.

izixhobo

Ukuze kwenzakalani kufuneka: utywala 70º-th, ayodini-5%, lidocaine okanye procaine ngenxa zomzimba, neesirinji ezimbini - ml-10 no-20, inaliti okuhlatywa sternal Kassirski (yenaliti elifutshane, nto leyo uye ekupheleni distal le nut, mandrel, kunye esikhutshwayo) ilaphu igozi kunye ngcina lwendlu.

ukulungiselela ogulayo

Le nkqubo ayifuni uqeqesho olulodwa. Isigulana ngaphambi kunye umhla okuhlatywa ivuliwe ukudla ulawulo oluqhelekileyo. Le okuhlatywa lwenziwa iiyure ezimbini okanye ezintathu emva kokutya. Lahla zonke iziyobisi, ngaphandle kwabo kuyimfuneko ngenxa yezizathu zempilo. Kwakhona, qiniseka ukuba ukurhoxisa amalungiselelo eziqulathe lweeHedfowuni. Ngosuku wokuziphatha akuvumelekanga ezinye iimvavanyo diagnostic, iinkqubo zotyando. Kunqweneleka phambi inkqubo ukukhupha lwesinyi namathumbu.

Ukufeza okuhlatywa sternal

Isiza okuhlatywa kufuneka siphathwe utywala 70º-th kunye ayodini-5%. Kwixesha elizayo, kuyimfuneko ukuba anesthetize na. Xa ngesirinji 10 ml ukuzuza ntlungu - lidocaine okanye novocaine - 90º engile kunye inaliti yaziswa, obezbolivaya. Emva kwemizuzu 3 emva ulawulo lidocaine aqale okuhlatywa. Udonga sternal okuhlatywa inaliti phambi Kassirski yaxakathwa III-IV kumgca yee-clavicular, kwaye ungakwazi ibambelele kwentamo. Inaliti kuyimfuneko ukuqalisa ngokukhawuleza nentshukumo ejikelezayo. Inaliti kubonakala kumphezulu phambi kwento compact kunye kwentamo engena isithuba lomongo wethambo, apho kukho ukusilela. Iimpawu ze oluwe isithuba cancellous oziva umqhubi kwisisu kunye nomonde - buhlungu elifutshane. Okulandelayo, susa stylet ukusuka inaliti sternal kwaye ziqhotyoshelwe apha jize isirinji of ml-20, ithwalwa nge ngeminqweno umxholo ithambo. Ukudala emoyeni aspirated hayi ngaphezulu kwe 0.20-0.30 ml. igazi. Emva koko kufuneka ndisikhuphe isirinji kunye inaliti. Xa isayithi ye okuhlatywa lisetyenziswa igozi ilaphu ngcina udaka baxhoma. Iziqulatho zale nesirinji lisetyenziswa kwiglasi kunye olubulala. Ukwenza okuhlatywa abantwana, kufuneka kukhunjulwe ukuba inaliti ugqithayo kuwo, oku kubangelwe luthambe olwaneleyo kwentamo. zokuhlatywa Sternal kwizigulane bathabatha corticosteroids ixesha elide, kufuneka ukwenziwa ngononophelo ngenxa yokuba ekuthanda ukuba kwamathambo.

Iingxaki. Ubungqina obubonakalayo buxela ukuba okuhlatywa sternal

Iingxaki ziphambili ukopha kwaye azinakugqabhuka kulo. Xa wamathambo, ukuyilwa igazi components zeselula, oko kukuthi, ukuyilwa igazi. zokuhlatywa Sternal iyafuneka ukuqinisekisa lokufunyaniswa nezifo ezininzi: anemia, leukopenia okanye leukocytosis, thrombocytosis okanye thrombocytopenia, kunye lomongo wethambo insufficiency esebenza. Kokufumana iziphumo ngokuchanileyo nokuhlola umsebenzi yenkqubo hematopoietic, ukuba iinguqulelo noshowo iiseli. zokuhlatywa Sternal nayo yenziwa ukuba izigulane kunye yobubi okukrokrelwayo kunye Ukudlulela.