Operation Troyanova-Trendelenburg - abin da yake da shi?

A cikin 'yan shekaru, varicose veins ya samu hali ya rejuvenation. Kowane uku mace yana da wata cuta har yanzu na aiki da shekaru. Daga cikin maza, daya a goma sha wuya. Thrombosis ko thrombophlebitis - wani hatsari wahala na venous cuta. A wannan yanayin wajibi ne a yi amfani da crossectomy (Troyanova-Trendelenburg aiki).

Features na varicose veins

Varicose veins aka kira wata cuta hade tare da m canje-canje a cikin jijiyoyin bugun gini bango, da fadada da tsawo daga cikin tasoshin da samuwar protrusions, kullin, da kuma kara jini wurare dabam dabam.

Lower reshe venous cibiyar sadarwa da aka wakilta na waje da kuma zurfin tasoshin sadarwa tare da juna. A surface tsarin kunshi manyan da kananan saphenous jijiyoyinmu. Mai farawa a cikin makwancin gwaiwa yankin da kuma aka located in na sama na cinya, fadowa cikin zurfin femoral jannayẽnsa.

Varices tare da canje-canje a intravascular matsa lamba, inda hakan jini ya kwarara, m tafiyar matakai. Tasoshin suna dilated, cike da jini. A bawul tsarin na jijiyoyinmu ba jimre da aiki don tsara unilateral jini, da abubuwan da ake bukata domin samuwar jini reflux (da baya da baya jħfa). Sau da yawa shi ne a cikin wadannan lokacin da na asibiti hoto da cuta ne a cikin cikakken lilo, wanda ya haddasa haƙuri tuntubar wani jijiyoyin bugun gini likita.

Sau da yawa zabi na masana zama aiki Troyanova-Trendelenburg. Abin da shi ne, yadda shi ke yi da kuma abin da sakamakon da baki, la'akari da kara.

Dalilin crossectomy

A gwani kamata babban aiki - mu rabu da reflux da kuma kawar da m matakai a varicose veins canza. Saboda haka yadda za a dakatar da jini ya kwarara da taimakon magani ne ba zai yiwu, kadai hanya zuwa sama da rarrabawa da jijiyoyin bugun gini marasa lafiya da su aikin gandu.

Crossectomy (a kan Troyanov-Trendelenburg aiki) da aka dauke su a m baki. An yi a cikin hali na varices rikitarwa (msl, thrombosis ko phlebitis) ko a matsayin mahada a cikin hadaddun magani.

Ba kamar crossectomy da phlebectomy

More kwanan nan phlebectomy (venectomy) aka dauke mai kyau wani zaɓi domin lura da varicose veins. An yi karkashin kashin baya maganin sa barci a wani asibiti. Operation sãɓã wa jũna sosai traumatic da kuma ci gaban postoperative rikitarwa. Ba da da ewa flebektomii sakamakon ya fara nuna cewa shi ne dole a samu a mafi m Hanyar don rage yiwuwar cutar komawa.

Venectomy tare da tsallaka babban saphenous jijiya a cikin sama da cinya, amma ba kusa da anastomosis, abu zuwa farfado da inflows reflux safeny game da fitsari. Cutar zai sake komowa a kowane uku haƙuri.

Zamani crossectomy shi kahu a kan gaskiyar cewa yanke da mahada kai tsaye a mahaɗar tsakãninsu da zurfin femoral jijiya, tare da sakamakon cewa akwai wani jini reflux a cikin zurfin tsarin.

Alamomi ga baki

Operation Troyanova-Trendelenburg gudanar gaggawa a farkon kwanaki bayan da samuwar thrombosis, miƙa mulki ga dakatar da pathological aiwatar da waje venous tsarin da zurfi.

Alamomi ga baki ne cikin wadannan jihohi:

• thrombophlebitis matakin da gwiwa kuma sama.
• thrombophlebitis, rikitarwa na surkin jini matakai.
• maimaita thrombosis ko daya cewa ba ya ara da kanta ga sauran magani matakai.
• thrombosis na matakin da gwiwa kuma a sama.

contraindications

Yana da muhimmanci a fahimci cewa Troyanova-Trendelenburg aiki wanda shaidan ne gaggawa, kada la'akari da kasancewar contraindications. A wannan yanayin da muke magana ne game da rayuwa na haƙuri.

A lokacin da shirin wani shiga tsakani na masana gano wani adadin dalilai lokacin tiyata ne ba kyawawa:

1. Somatic cuta - haƙuri ta jiki mai tsanani rauni, kuma wani aikin na bukatar mai yawa kokarin mayar. A irin wannan yanayi wajibi ne a yi amfani da kasa m hanyoyin magani.
2. Atherosclerosis daga cikin ƙananan extremities mai tsanani.
3. A lokacin daukar ciki ko lactation.
4. A gaban cututtuka ko surkin jini rash a shafin na shirya shiga tsakani.
5. Yanayi a wanda ba shi yiwuwa a ciyar mai kyau matsawa na kafafu bayan tiyata (tsanani kiba).
6. Thrombophlebitis ko zurfin jannayẽnsa thrombosis.

Operation Troyanova-Trendelenburg bukatar m kunnawa da mãsu haƙuri bayan da baki, don haka da cutar a cikin abin da haƙuri ba zai iya fita daga gado a rana ta biyu, dauke akayi daban-daban.

Shiri for tiyata

Tun da a mafi yawan lokuta da haƙuri iso ga gaggawa baki, da binciken da kuma wuce a kan wajibi m:

• kowa jini da fitsari gwaje-gwaje;
• jini Biochemistry.
• coagulation.
• bincike a kan syphilis, hepatitis.
• nunawa ga HIV.

A ilimin a shawarci zuwa sarauta daga gaban na somatic cututtuka, wanda sun zama contraindication. Har ila yau dauki duban dan tayi jijiyoyinmu domin sanin sarrafawa na anastomoses, wurin da jini da marasa lafiya, da abin da ya faru na pathological tsari.

Bayan yin zama dole ma'aunai, a jijiyoyin bugun gini likita bayyana yadda matsawa safa ko na roba bandeji dole za a saya domin gudanar da matsawa na wata gabar jiki nan da nan bayan tiyata.

Hakika na aiki

Operation Troyanova-Trendelenburg, tushen dabara wanda bukatar wani babban fasaha na Likita, yi amfani da gida ko janar maganin sa barci. A zabi na maganin sa barci da ke sa da anesthesiologist, bunkasa duk cikakkun bayanai kai tsaye tãre da mãsu haƙuri.

Operation Troyanova-Trendelenburg da aka bayyana a cikin labarin kunshi wadannan matakai:

1. M site aka bi da tare da antiseptic mafita, amfani bakararre zanen gado, ya fita ba dakin damar.
2. Makwancin gwaiwa likita Bincikar da bugun jini na femoral jijiya, a karkashin abin da ya wuce ya juya daga tsakiya kuma kadan subcutaneous Vienna.
3. Ilimin Halittar Jiki halaye na dukan marasa lafiya ne bambance bambancen, kuma ta haka ne da wuri na daban-daban jijiyoyinmu. A incision aka yi, dangane da wurin da babban saphenous jannayẽnsa anastomosis.
4. Bayan yanke Likita kai venous katako, bandeji, kuma ta kulla shi.
5. Yana haskaka girma saphenous Vienna zuwa yankin inda shi gudana a cikin zurfin tsarin, ligated da kuma yanke da su. A wannan lokaci, tare da jini clots iya tafi.
6. Next, a cikin wannan hanya ne ya zama ruwan dare da kuma yanke akalla biyar jannayẽnsa aikin gandu tare ta tsawon (a 'yan ƙarin cuts sanya ya zama dole). An gudanar domin hana baya da jini tarin da kuma cutar komawa.
7. All incisions sutured, sanya drains.
8. A kan ƙananan iyakar sa wata matsawa tufa, ko na roba bandeji.

Operation Troyanova-Trendelenburg hade tare da kumburi da kuma samuwar jini clots, don haka a yanayin saukan gaggawa kwararru kada ka yi kokarin cire kamar yadda da yawa daga cikin jijiyoyinmu, kuma matsakaicin cropped yankin na pathological tsari.

A postoperative zamani

A ranar farko da haƙuri ciyarwa a cikin gado. Wannan shi ne saboda da yiwu illa daga maganin sa barci. A rana ta biyu ya nuna kunnawa da haƙuri domin mafi kyau kare shi daga sake amfani da thrombosis. Soreness ne matsakaici, amma likita ya furta a zafi relievers ko nonsteroidal anti-mai kumburi da kwayoyi, idan ya cancanta.

Da ake bukata kafun ne isasshen matsawa daga cikin ƙananan extremities, wanda aka gudanar har yanzu a kan wata guda bayan da suka shiga tsakani.

Ya kamata a bai wa ayyukan da nufin hana m matakai a jijiya tsarin (na tafiya, motsa jiki far).

Zai yiwu rikitarwa bayan tiyata

Operation Troyanova-Trendelenburg, da rikitarwa da wanda su ne musamman rare, yana nufin m hanyoyin magani. Yana da wani m hanyar da rikitarwa a lokacin nama rauni baki (wanda ba za a iya kauce masa), da kuma take hakkin ma'amala art. A haƙuri iya ci gaba da wadannan pathologies:

• zub da jini;
• hematoma a yankin na shiga tsakani.
• kamuwa da cuta daga m rauni.
• cuta na lymphatic tsarin da samuwar cystic conglomerates.
• paresthesia (hargitsi ji na ƙwarai daga cikin fata a lokacin da su tsallaka jijiya endings).
• lymphorrhea (outflow na Lymph daga mahada na lymphatic tasoshin).

Wasu rikitarwa ne a kan nasu, yayin da wasu bukatar ƙarin far. Hematoma a mai tsanani lokuta, zama batun kara huda da kwayoyin far. Kamuwa da raunuka ma na bukatar yin amfani da antibacterial jamiái (penicillins, macrolides, cephalosporins). Illa ji na ƙwarai ne a mayar da kansa, ba ya bukatar ƙarin matakan.

ƙarshe

Daya m hanyoyin da hadaddun jiyya na varicose veins da rikitarwa ne aiki Troyanova-Trendelenburg. Hakika na aiki ya nuna yadda za a inganta tsarin kawar da reflux da kuma rigakafin komawa da cutar. Yarda da aiki gwani shawara don kauce wa da bukatar sake magani.