Pho eha (iniiaiieʻoki lāʻau lapaʻau lapaʻau): he lākou o na mea paahana, lāʻau

Eha - keia'aʻaʻa poino ma paʻi pepaʻoe i loko o ke alo o ka manao pono aʻe 'ana o ka ili. Ke alo aku o ka eha, i ka loa a me ka hematoma hiki ke hōʻike 'ia ma ka kailaʻae me ka eha, dehiscence, kahe ana ke koko, a me ka hoʻohuikau ano hoopono. Phoʻeha ua paʻa i loko o ka mua 72 hola ma hope o hewa, ina he mea ole contraindications.

ʻano o ka eha

Kēlā me kēiaʻeha i ka lua, i ka pa a me lalo. Ke kaumaha ma muli o ka 'ano o nā nā palapū a pau nā palapū, ua mahele ia i loko o kua ia, sliced, kua ia, i hooluhihewaia, nahu a me kaʻapu kōheoheo. Iloko o ka PECVD eha ia mea e pono ke lawe i ka mooolelo. Ma hope o nā mea a pau, i ke ano o na nā palapū ĸokoĸa ana nä pane a me nā hiʻona mua-kokua.

• Puncture eha he mea mau pili sharps, e like me paipu. A kiʻiona hiʻona o ka nui hohonu o ke poho, akā, pōʻino i ka a lahilahi uuku. Ma nānaina o keia, eʻoiaʻiʻo,ʻaʻole nō he poino i ke koko moku, nā loko a me nä olonä. Puncture eha he mau mea, no ka nawaliwali symptoms. No laila, inā he mea kekahi eha i loko o ka'ōpū he mea he manawa kūpono o ke akepaʻa ka pōʻino. He oluolu i kahi i PECVDʻaʻole e mau ana.
• Incised eha noi me ka pahi e hoopii mai ai, no laila, uuku'aʻaʻa luku. I ka Ia manawa, hoʻokokoke lua, he mama, e nānā, a hana PECVD. Na eha he nui i hana pono, a me ka hoola ana i ka hoʻokēʻai, me ka complications.
• Kua ia eha he mea ku pono i ka huʻi ino, akā, me ka mea kaumaha ai, e like me he koʻi lipi. Penei hoʻopilikia maoli i kekahi hohonu, wehewehe aku ma ke akea hiatus, a e pili'aʻaʻa eha. No ka mea, o keia ho'ēmi i kā akamai e regenerate.
• Contusedʻeha i hoʻomaka ai ka wā hoʻohana 'ana i ka kūmūmū mea. Mau lesions i wehewehe aku e loaa ka ai iiiaanoaa o ka poino'aʻaʻa, ikaika impregnated me ke koko. Ma ka hooko ana mai PECVD eha he ë he mähele wale ia aia no he manawa kūpono o ka hanana o ke suppuration.
• Nahu eha he mau mea pepehi anal me ka holoholona tuha maʻiʻaʻai, a me kekahi manawa kānaka. Aia He He pilikia o ka huʻi maʻiʻaʻai a me ke ano o ka rabies mea hoʻomaʻi.
• ʻapu kōheoheo eha i hookuu e ala aʻeʻoe i loko o ke alo o ka nahesa nahu a me ka punawelewele.
• Gunshotʻeha i kapa hoʻohanohano ma ka 'ano o nā mea kaua i hoʻohana, nā hiʻona o ke poho a me ka anal mau kuamoʻo. Hiki wale mai o ka maʻiʻaʻai.

Ma ka hooko ana mai PECVD eha he nui kūlana hoʻokani ma ke alo o ka festering. Oia nā palapū e festering, svezheinfitsirovannymi a me ka aseptic.

Ke AIM o ka PSD

Nʻoki lāʻau lapaʻau lapaʻau mea pono ke wehe i nā palapala microorganisms mea i loaʻa i loko o kaʻeha. E hana i kēia, oki ae la i kekahi poino necrotic'aʻaʻa, a me ke koko clots. A ma hope iho e i pani me stitches, a ua hana nōkahea, ina he pono.

Ke kaʻina hana i koi 'ia i ke alo o ka'aʻaʻa poino me ka kukū lua penei. Ua pono ka mea hohonu a me kaʻino eha. Poho i ka nui o na moku i ke koko, a me kekahi manawa i nā iwi a me nā aʻalolo hoi ponoʻoki lāʻau lapaʻau hana. PSD alakai aku ia ka poʻe a comprehensively. he surgeon Pono kōkua i ke ahonui no i ke 72 hola ma hope o hōʻeha. I kakahiaka nui CVD ua lawe mai no i ka po mua, e hali ana i ka lua o ka lā - he hoolohiʻoki lāʻau lapaʻau 'uao.

Mea Hana 'no ka PECVD

E lawe mai i ka iniiaiie eha iapaau ana i ke kaʻina hana pono i ka palena iki o ke kope elua o ka huapalapala. Lākou loli i ka hana, a ma hope o ka meaʻino ke kahua - recycle:

• Clip "forceps" laina, i mea e paʻa ai ka pae'ōnaehana kahua;
• kuhikuhi mai la lakou scalpel, bryushisty;
• olonā hoe hoʻohana no ka malama ana i dressings a me nā pono hana;
• Kocher mea'ūmiʻi, Billroth a "mosquito" i hoʻohana kahe ana ke koko ma PECVD ko lakou mau eha hoʻohana i loko o ka mea nui, e pau ana;
• 'ūpā, ka mea, ua pololei a me ka uma kae ma ka pelane, a ma kekahi mau kope;
• Probes Kocher, ka ohe a me ka opu;
• 'ia paha o nā paipu;
• ke kui kele ma paa;
• tweezers;
• lou (mau hui).

Aʻoki lāʻau lapaʻau kini puʻe wale no keia ina hana i nā suture paipu no ka pahu kui ohe, bandages, gauze kala, laholio Loan, paipu a me nā nā'aʻaʻa. Nā 'ikamu i mea e pono ai no ka CVD - ulana, aʻoki lāʻau lapaʻau ua kahikoia a nani He poho, na mea paahana, a me na laau i manao ia no ka iapaau ana o ka eha - e kau ma luna o keʻoki lāʻau lapaʻau papa.

nui lāʻau

Helu debridement Ua piha me ke kupaianaha lāʻau. Ka loa mau hoʻohana i:

• 70% waiʻona;
• 3% pāʻoihana o ka hydrogen peroxide;
• Yodopiron 1% pāʻoihana a 0.5% chlorhexidine bigluconate;
• 10% pāʻoihana a NaCl;
• 0,25% - 0.5% novocaine pāʻoihana.

kahua o ka hoʻonaʻauao PECVD

Nʻoki lāʻau lapaʻau lapaʻau ua lawe mai i loko o kekahi mau kahua o ka hoʻonaʻauao.

1. Ka ninaninau ana i kaʻeha a me kona mahope lapaʻau me antiseptic.
2. Removal o ka poino'aʻaʻa, haole kino, iwi koena ai. Hana dissection o kaʻeha e like me ka pono.
3. Hooki i ke kahe ana ke koko.
4. Nōkahea.
5. Stitching.

Pehea ka PECVD

E lawe mai i kaʻoki kino i ka hoʻomanawanui ua waihoia ma ka papa. Kona kulana hilinaʻi nui ma luna o ka dislocation o kaʻeha. Ke surgeon pono e hōʻoluʻolu. Lawe 'Ia eha he malamaia lakou nei,ʻoki lāʻau lapaʻau ke kahua, a delimits ka sterile disposable huihui. Eia, i ka iniiaiie hoʻopilikia ua hana, pahuna ma ka hoola ana iʻeha i loaʻa, a ua lawelawe anesthesia. Ma ka hapanui o hoopii, surgeons hoʻohana i ka iaoia Wisniewski - lawelawe 0.5% novocaine pāʻoihana ma ke kaawale, o mau kenimika, mai ka oki lua penei. ʻO ia pāʻoihana Ua injected ma ka kekahiʻaoʻao. Me ka pololei pane o ka hoʻomanawanui i ka ili a puni o ka eha aia mea he "lemona kaha onionio". Gunshot eha pinepine he pono i ka hooponopono ana o kekahi mau anesthesia i ka hoʻomanawanui.

Ke kihi o ke poho, e hoopili aku i ka 1 knm Kohhera mea'ūmiʻi, a oki ae la i like me ka pa alima. A hiki aku i ke kaʻina hana ua truncated nezhiznedeyatelnosposobnaya'aʻaʻa ma ka maka a manamana, a laila, kau i ka pilipaa ulana. Hope o Loan a me nā mea i hoʻohana.

Kaʻeha Ua holoi me ka chlorhexidine, a lawe mai kona nana. Puncture palapū, i ka meaʻuʻuku akā, hohonu oki, dissect. Inā i ka pōʻino, ua make Muscle, ka mea, i ka weheʻana penei. ʻO ia ua hana me ke koena o nā iwi. Next, e hemostasis. Ka loko lilo o ka eha make i hana mua me ka pāʻoihana a laila antiseptic hoomakaukau.

Lapaau ana i ka eha a me i na hoailona o ka sepsis akeke paa i iniiaiie manuale suture, a uhi i ka lole wili aseptic. Sutures hana uniformly hoʻopio aku i nā mea a pau papa ma ka laula a me ka hohonu. He pono i ka mea hoʻopā aku kekahi i kekahi, akā,ʻaʻole ano. Ma ka hooko ana mai i ka hana pono, e loaa i ka mea hoʻonani ulana ma hope o ho'ōla.

Ma kekahi mau hihia, o ka iniiaiie nakaka mai i ano. Incised eha hiki i ka eha oi nui ma mua o ka mea pono i mua kilohi. Inā i kanalua, o ka surgeon hoʻohana he hoolohi iniiaiie suture. Kēia papa hana ua hoʻohana 'ia ina ka eha make i iho mailoko o. Panina ua lawe mai ma mua o ka adipose'aʻaʻa, a me ami i ole puakai. A mau lā ma hope o ka ike ana i kaʻeha ua sutured hiki i ka hopena.

Eha maiʻaki

Pho palapū, nahuʻia pahaʻapu kōheoheo, i kona oko. A hiki i ka nahu mea,ʻaʻole mea nihoawa la holoholona hoʻoneʻe 'ia paha i ka rabies. Ma kekahi kakahiaka nui ke kahua o ka maʻi ua uhi pū rabies lāʻau lapaʻau. Mau eha ma ka hapanui o na hihia i purulent, no laila, e ho'āʻo e hookaulua PECVD. A hiki aku i ke kaʻina hana ua noi iniiaiie hoolohi suture, a pili antiseptic ai '.

Ka eha i loaa mai ka nahesa nahu, pono i ke kau ana o pilipaa tourniquet paha lole wili. Eia hou, i kaʻeha paʻahau hoʻohana novocaine a pili anuanu. E neutralize i ka make injected protivozmeinaya lāʻau lapaʻau. Punawelewele,ʻaki wahi potasiuma permanganate. Prior i keia make ua'uī, a me kaʻeha ia me ka antiseptic.

complications

O ka makaʻuʻole lapaʻau hiki aku ai i ka eha antiseptic ka eha suppuration. Kūpono ano analgesia, e like me na la hou nā palapū i ka hoʻomanawanui nui ma muli o ia i ke alo o ka eha.

Hawawa koʻu e pili ana i na nā'aʻaʻa, ilihune ike o ka 'anatomia i ke kumu poho i ka ipu nui koko, na nā loko a me nā aʻalolo a hāʻule pahū wale. Lawa ke kumu no hemostasis o hoʻoʻino keʻano o ka hanaʻana.

He mea nui i i lawe mai iniiaiie debridement e like me na rula hoʻomalu.