Hemostatic: whakaahuatanga me arotake

E whakamahia topenga Hemostatic ki te mutu toto i roto i a ratou te horo, me te kōpeketanga rangitahi o te oko toto ranei te take o te oko wehea. Ko te awhe o ngā rahinga o enei taputapu he tatini torutoru. Tenei kanorau tika ki te aroaro o oko o ngā rahi i te 1 ki te 20 mm, me te whakamahi i ngā tikanga hemostasis. oko iti wehea i roto i te mahi, mau pu rawhi me te ka clamping ligated runga ake (sutured) tumu miro.

Hemostatic, e kua whakamahia ki te whakawiri poto oko i ngā rerekētanga. hangaia te rawhi e ki te aukati i te toto i te oko toto iti, ka taea e kino reira te mutunga o te oko. Ka rite ki te tikanga, kua hanga reira o rauemi mārō. Hononga, e te hunga kua huaina hoki iaia, hanga o te rauemi rapa, e tika ana ki enei āhuatanga o ratou hoahoa. Ko nga ingoa o enei taputapu he tino hāngai ana ki to ratou whakamahi te manakohia. I roto i te ohotata, ka taea te whakamahi e ratou mo te warea o kope.

Heoi, e ti'a ia tatou mahara e topenga hemostatic, i te iti rawa kotahi tono mō te warea o kope pōro miro me te whāriki ranei, e kore e taea te whakamahi hoki tona whakaaro e tūmanakohia ana. Ko e tika ana ki te deformation o te wahi mahi, me te mate o te taumahinga tenei. I roto i te heke mai, kia tohu ratou, ka whakamahia anake mo whakatika nga pōro me kope.

Whakaritenga mō ngā terminals

Me whakatau Hemostatic te whakaritenga e whai ake nei:

• warea pono i runga i te pito o te oko e kore e whakaaetia slippage.
• Ki te whakamahi toutou o ratou taonga e kore e ngaro.
• Me kia te taputapu ngāwari ki te hono ki runga, ka uakina raro i te mana o te ringa o te tākuta.
• Me kia humarie whakatika nga kauae, te ārai tuwhera inadvertent te tikanga maukati. Ki te mahi i tenei, hei tauira, retainer tika i roto i te puka o whata.
  A, no te maturuturu iho i te tiketike o te 1 mita taputapu kore me noa whakatuwhera te mata mahi, a tamau kati me te whakatuwheratanga o nga kauae kore e meinga tika ratou.
• Me ū ki te ture o hāneanea.
• Otinga, hāunga te haehaenga o e kia puta i raro i te taimaha o topenga, whakaritea i runga i te taha marutanga.
• kia tukua tatou te whakamahi o te electrocoagulator.
• e kore tōna rahi ki te aukati tirohanga whānui o te mara hāparapara.
• Mutu i te taputapu me hāngai ki te diameter o nga oko.

whakarōpū o hononga

Hemostatic wehea ki te maha subgroups:

1. topenga Hemostatic whakarato kuhunga clamping rangitahi i mua i ligation tangohia ranei mau electrocoagulation (kāniwha topenga hemostatic).

hononga 2. Vascular, poto tu rere toto, me te tuku ki te whakahoki i te tapatahi o te oko (angiorrhaphy).

3. kuru hononga e whakatairanga te hanganga o thrombus i roto i te lumen oko i muri i te tono i te topenga.

Āhuatanga hoahoa

E tito ngā kōnae Hemostatic o ngā wāhanga e rārangi ana i raro:

• Kauae (kauae).
• Kakau ki mowhiti.
• whare tiango turi ranei.
• Whata.

kauae Puka (kauae)

1. Tapatoru elongated, hei tauira, hononga neurosurgical Halstead.
2. tuhu Trapezoidal, hei tauira, Billroth rawhi.
3. Ki te niho trapezoidal, hei tauira, he rawhi Kocher.
4. Porotītaha, hei tauira, kuku Pean.

Ka taea e whai kauae tika, me te kōpiko topenga. Kāniwha i runga i nga papa kauae whakaaetia e rua hake me matahao. Kuku Hemostatic, niao ki whakamahia te tino maha.

rawhi Kocher

He niho rawhi Kocher i te mutunga. E mau whakaritea ratou i runga i te pito o te oko, rite i te kati o tetahi o ona wahi o te waere niho i waenganui i te tahi atu e rua.

I mua i te pokanga, kia fakatāutaha tirohia te tākuta te huru o ngā topenga hemostatic (whai niho, tika, niao ki - e kore e mea faufaa), no te mea:

• kino ki nga niho ka taea e meinga whata taputapu samorazmykanie, i te mea tino kino i roto i ripeka-clamping o te oko nui.
• e kore e wahi mahi tītaha tukua ki te mutu tōtika te toto.

Hononga rerekē kauae i āhua, te kōtaha o te mata mahi, whakaaro, me te rahi o nga mea whakatangi.

momo o hononga

Ko nga momo e whai ake nei o topenga:

1. hemostatic taputapu tika, me te roa o te 15 ki te 20 cm, ranei he tīwiri maukati releasable, ki te kakari matahao i runga i nga papa mahi o te kauae. Ko te pito o te kauae i niho i tetahi taha, kotahi me te rua i runga i te tahi atu taha. I te kati o te whare rangatira kia hinga tetahi o nga niho i waenganui i te tahi atu e rua.

2. kakari hake, he ōrite kāniwha ratou, engari te mata mahi he whakairo hake. Hanga o kowiri tira, he oro ki te whiti te mata. Roa i 16 ki te 20 cm, e taea e tika kōpiko ranei.

3. Neurosurgical hemostat "waeroa", ono tekau, roa 15.5 cm, kua he tīwiri maukati. Kāri i roto i te wāhanga roa i roto i te āhua o te tihi rāpopototia, i runga i to ratou mata mahi ko te notching kikokore hake. niao ki wātea ranei tika poutū me whakapae. Te nuinga whakamahia mō te hemostasis o oko iti i roto i ngā tukanga neurosurgical.

4. Ko nga tama a te "waeroa" i roto i te hanganga rite ki te mua, engari i kauae kikokore. Roa 12.5 cm, he tika, me te kōpiko hoki. Hangaia mō te tangata angioplasty roro arachnoid i roto i te pokanga pediatric, mo ngā mahi i roto i nga whekau parenchymal.

5. puku Deep, te tikanga mo te hemostasis me te ligation iaia i roto i patunga hohonu. Ratou roa ko te 26 cm, kāri i te āhua tika kōpiko ranei me te roa poto.

Topenga o te "waeroa" mau ano nga ingoa o ngā topenga Halstead. Rerekē mata mahi pai. изогнутый используется для новорожденных. Topenga "waeroa" piko whakamahia mō te whanau hou. небольших сосудов в процессе нейрохирургических операций. Whakatinana hemostasis oko iti i roto i ngā mahi neurosurgical.

Rawhi Billroth hopu me squeezes oko toto. I mahi ia ka peratia i kauae me te kokoti iti, me te mata te topetope i runga i te waho. kauae whakaongaonga rawa ki vahi, hua i roto i iti kikokiko whara.

Rawhi Popper Ko te rawhi roa tika hāparapara, whakamahia nei i roto i te mahi au tōngāmimi.

Ka rite ki te tono i te topenga te?

I mua i te mahi kia fakatāutaha tirohia te tākuta te mahi o hononga. Ko te rawa pono ki pera nui tenei. Hei tauira, nape phrenic-pekitīlia inaki, kaua, atu i te reira ki te rawhi iatuku pekitīlia maui i te mea hapa, he mutunga morehu mahi wehe o te oko, e taea arahi ki te toto nui.

Me pēhea te ki te nakradyvat topenga?

Ko te whanui o te wahi o te mesentery (nape) ki oko e kua whakamatauria reira, kia waiho inversely hautanga ki tona matotoru.

Kia mahara ki te whai ake:

- te toe take o te rahi nui e taea nekrozirovat e taea meinga purulent mumura;

- takanga o te deserozirovannoy rohe mata nui e taea arahi ki te mate piripiri;

- motu, superimposed nei i runga i te ngako nuinga, e taea te fakahohaasi i tetahi wa.

I te wāhanga tino nui o here (te mesentery), te hunga e kore e kia nekehia, kia tangohia mālohi me topenga he tākuta i runga i ngā wāhanga tango o te mesentery tangohia ratou kaiāwhina.

hanga excision o te nape o te mesentery i waenganui i nga hononga ranei kei te piri ki te wāhi e noho tonu. Ko pai te rōrahi o te toe take ki te mahi i te iti ake, ka mahi i te reira rite te kī taurangi e kore te rärangi e puta mālohi.

tūtohu hononga me mālohi runga i te mea tuhonohono e ki te tono i te koki iti, rite faarahi tenei te rōrahi o te take, ka whai wāhi tenei ki te mālohi warea kaha.

He nga ture e whai ake nei, e Me ki kia aru:

1. hoki nga pito o te mālohi kore ianei e hutia. Na e taea haea atu e ratou i te mutunga o te oko.

2. Kia mau koki o 40-50 nekehanga i waenganui i te waka rererangi o nga matatahi he kutikuti diluted Cooper me te ngangana.

3. He tika te mata o raro o te kutikuti ki okioki i te whakaminenga.

4. E kore Me nui te mutunga tarai o te motu 1-2 mm.

Hemostats mō patunga here

Ki te wehewehe i te patunga i te kiri, te nuinga o te whakamahi i te rārangi hemostatic topenga kāniwha (1160 mm te roa).

Ko te patunga pāpaku tika ki te tono tika. Ko mo te āpiti i te whāriki ki te ngako subcutaneous e pai ake mō ngā hemostats niao ki.

Storage o mea hāparapara

Utauta rongoa i roto i te wera wahi maroke i te pāmahana o te 15-20 ° C. kore me te mea i roto i te ruma kotahi ki matū ratou takirua e taea meinga te waikura o konganuku (formalin, iodine, hātea).

E whakatakotoria Utauta hangaia mō tenei whakamahi i roto i te kāpata, ko te kōmaka ratou i te momo, me te ūnga. tukatuka hunga e hanga nei o te waro maitai, i roto i ngā waka tonu rokiroki ranei Vaseline kūpapa parawini ranei hipoki. Ki rewa tenei mutunga hinu tiēre te ki te pāmahana o 60-70 ° C, kua rumakina roto reira nga taputapu, me te ka takaia i roto i te pepa haere.

e kore e kaupapa o te rauemi e whai ake nei taputapu hinu: kowiri tira, te konumohe, te parahi, te parahi. taputapu faaineineraa ki te taupa: degrease me kohuatia i roto i te wai ki te houra, me te hopi, me te wai, maroke, tirotirohia hoki te waikura, ngā waikura nekehia atu e te orooro. kia kawea taputapu tukatuka anake ki karapu ki waho, kia rite ki Ka taea e tohu potozhirovye arahi ki waikura hanganga.

Kua kōrero matou i roto i te taipitopito i te topenga hemostatic hauora, ona momo, ture o te whakamahi, me te rokiroki.