Crile opaleshoni: zizindikiro, zimene, zosokonezeka zotheka. Lymph mfundo pakhosi

Mu thupi la munthu pa ndimeyi ziwiya lymphatic inali mfundo zimene zikuimira Zosefera awa kumene kusefa ndiponso kutaya zinthu zachilendo. Ngati pali kutupa kwa mwanabele, amene angapezeke akufufuza mpata kapena mitundu ina ya kafukufuku, akhoza linkanena kuti ndi yotupa ndondomeko. mankhwala panthawi yake kumabweretsa normalization wa msinkhu wawo, koma pali mavuto ofunika kuti kuchotsa mfundo khomo lachiberekero lymph. Taganizirani zitsanzo yomwe chofunika nanga zotsatira zake.

ntchito Crile

opaleshoni Izi - ichi ndi njira yaikulu ya kuchotsa mwanabele ili pa khosi. Njira imene anayamba kupanga kalekale, koma akadali ntchito opaleshoni. Cholinga chachikulu anathamangitsa ndi Crile ntchito - ndi ndiyotani pakuchotsa mwanabele anakhudzidwa ndi maselo a khansa.

Mfundo kuti ndikhale ndi cheza sangathe kuthetsa metastases okhudza lymph mfundo, kotero simungakhoze kuchita popanda opaleshoni. Mwanabele pansi pachibwano kuchotsedwa, ngati pali neoplasm kapena chinenero derali. Nthawi zina muyenera kuchotsa kuchokera ku mbali zonse.

Malo a mwanabele

Zanenedwa kuti kuwonjezeka mwanabele limasonyeza kukhalapo mu thupi la ndondomeko yotupa. Malinga kumene lymph mfundo pakhosi kuvutika, Ndizachidziwikire za woyambirira wa kudwala a. Kumene, kutero kokha ndi katswiri.

Munthu wamba ayenera kudziwa kuti dongosolo lymphatic kungathandize kwambiri kuteteza thupi ku wothandizira yachilendo. Lymph mfundo ndi mtundu wa Zosefera amene salola kudutsa zambiri pa thupi la tizilombo toyambitsa matenda ndi tizilombo tina. Lymph mfundo pansi nsagwada kapena kwina khosi akhoza kufota kuwononga maselo a khansa, amene woopsawo kwa anthu.

mwanabele zili m'madera ambiri a thupi, koma iwo akhoza kugawidwa m'magulu angapo:

1. Anaikidwa pa khoma kutsogolo kwa khosi ndi msana.
2. Khutu.
3. Occipital.
4. Chin ndi submandibular.

Ngati thupi wathanzi, ndiye kuyesa zigawo zovuta chifukwa ndi maphunziro pang'ono. Iwo pang'ono makina, koma musati chifukwa kusapeza atamukakamiza. Kutupa kwa England submaxillary zingasonyeze osauka angina ndipo zikhoza kukhala umboni wa pathologies yaikulu kwambiri. Kutanthauzira likhoza kukhala katswiri.

Zimayambitsa kutupa kwa mwanabele

Yambani kuonekera lymph mfundo akhale m'mikhalidwe yosiyana, nthawi zambiri chifukwa cha kuchuluka kwawo ndi:

• The malowedwe a nthumwi matenda m'thupi.
• Matenda uchidakwa.
• Kuvulala dongosolo kupuma kapena chotupa mu M'mimbamo m'kamwa.
• Utachepa chitetezo chokwanira.
• Nthawi yaitali ozizira.
• Kupanda mavitamini.
• Sayanjana.
• Pafupipafupi wopsinjika zinthu.
• Depression.
• Kukhala AIDS kapena HIV.
• Kukula kwa khansara.

Choncho, kutupa kwa lymph submandibular angayambe zifukwa zambiri, kotero matenda - ndi mwayi wapadera wa katswiri wa.

Grounds pa ntchito Crile

Madokotala kuonetsetsa angapo zizindikiro kwa opaleshoni izi:

• Amphamvu lymph mfundo pakhosi.
• Opaleshoni Crile anasonyezanso kuchuluka ngati ena mfundo submandibular, khomo lachiberekero si bwanji, koma pali kukayikirana kuti nawonso akuvutika.
• Pambuyo kuyendera wa bifurcation ya mitsempha carotid.

Tikumbukenso kuti chisankho opaleshoni Pamangofunika dokotala, anapatsidwa kuti opaleshoni izi m'malo zovuta njira kukwaniritsa ndipo ali ndi mphamvu pa umoyo wa wodwalayo.

N'chifukwa chake nthawi zina, dokotala si amalangiza kuchita, chifukwa kuwonongeka adzakhala wamkulu kuposa ubwino kuyembekezera.

Contraindications kwa opaleshoni

Nthawi zina, opareshoni imagwiridwa Crile, kuwunikira, koma pali zinthu pamene ndi bwino kugwiritsa ntchito opaleshoni kuti:

• Ngati metastases ali mu malo amodzi ndi sizikhudza.
• Ngati wodwala ali kwambiri zakudya m'thupi, ndiye pali cachexia.
• zaka achikulire mwalamulo kuti ntchito zimenezi. opaleshoni katundu zingachititse mavuto aakulu, omwe mwina kupitirira mphamvu ya thupi okalamba.

Kukonzekera wodwalayo kwa opaleshoni

Mwachibadwa, opaleshoni imagwiridwa pogonekedwa ndi mankhwala ambiri. Ntchito yabwino dokotalayo wodwala yaikidwa pa nsana wake pansi khosi ndi akachita wodzigudubuza.

Mutu akutembenukira ngati n'kotheka zosiyana opaleshoni ya kulenga yabwino mwachidule malo kumene lymph mfundo mu khosi kwa dokotala. Manja ayenera anakonza malo pa kumathandiza kupeza ngodya zabwino bwino kwa thupi. Pambuyo kukonzekera zonse zimene anapeza dokotala kuti ntchito.

Opaleshoni Crile: kufotokoza

Kugwira Ntchito alowererepo ikuchitika pang'onopang'ono. Ichi ndi chifukwa chakuti kuchotsa mwanabele kumabweretsa kusokonezeka kwa mitsempha jugular, kotero kuchotsa imodzi kuchokera ku mbali zonse zophwanya makope ubongo.

Mu gawo loyamba lymph mfundo achotsedwa ku mbali kumene kwambiri kuonongeka. Kudula ntchito scalpel, amene aliyense kung'ambika kusintha wotsatira. Imodzi, ndi khungu ang'ambe thupilo ayenera idzachitika hemostasis. Kukhazikitsa izo, namwino amatenga munthu wa malo othandizira, pamene lachiwiri pang'onopang'ono bwinobwino uphwetsa munda opaleshoni.

Pambuyo pa gawo loyamba la ntchito ndi yopuma masabata awiri kapena atatu, kenako ikuchitika kuchotsa mwanabele mbali inayo.

zosokonezeka opaleshoni

ntchito iliyonse - analoŵererapo waukali ndiponso kwambiri mu ntchito za thupi, kotero kuti pangakhale zotsatira yosakonzekera. dokotala aliyense ayenera kusintha yokha kuti ziyende bwino, koma zingakhale sizimadziwika. Ngati unachitikira Crile opaleshoni mavuto ali, ndipo iwo akhoza kugawidwa m'magulu awiri:

1. Zovuta anaonekera mwachindunji pa ntchito.
2. Anachedwa mavuto amene kale kuonekera mu nthawi postoperative.

Gulu lirilonse tingaone mavuto a m'deralo ndi ambiri.

mavuto amene anauka pa opaleshoni, monga:

• Kuwonongeka kwa mitengo ikuluikulu ya mitsempha. Izi zikhoza kenako kuyambitsa hoarseness, chitukuko tachycardia, chibayo.
• pneumothorax ungapezeke chifukwa cha ndiko kumayambitsa.
• Pamene ziwiya lalikulu kuonongeka, mpweya embolism amapezeka.
• magazi ochuluka tingafunike magazi.
• Mavuto imene n'zosatheka kuneneratu pasadakhale ntchito.

Tikumbukenso kuti mavuto onsewa woyenera dokotala Adzagonjetsa yake imachitika kupewa kapena kusintha njira ya opaleshoni.

Zotsatira za opaleshoni

Zotsatira za opaleshoni monga:

• Kuvutika kupuma kuti nthawi zambiri kukhala chifukwa edema laryngeal.
• Kukhumba chibayo. Amatha chifukwa kudzikundikira mu mapapo zinthu zachilendo, monga masanzi.
• Magazi, mu nkhani iyi zambiri mlandu dokotala, zomwe si mosamala kwambiri stitched nsalu.
• Kutupa nkhope.

• Cyanosis wa khungu, makamaka pakamwa.
• mavuto ena, pamene iwo amaoneka, pitani kuchipatala.

Zochita pambuyo opaleshoni

Kuchititsa opaleshoni - ndi theka nkhondo, n'kofunika kuti wodwalayo bwino zowawa nthawi postoperative, ndipo n'zovuta ndithu, ngati anagwira Crile opaleshoni.

Wodwalayo dipatimenti opaleshoni kwenikweni kunditumiza ku odwala kwambiri komwe ikuchitika anaziika zonse. ndikofunika kutenga mu nthawi iyi zinthu zonse kuteteza chitukuko cha mavuto postoperative.

Wodwala kwenikweni dokotala n'kukulemberani magulu awa mankhwala kuti thupi imathandizira kumasuka ku aakulu kusokonezedwa amenewa:

• Analgesics kuti kupweteka.
• Mankhwala kwa kuchotsa malemeredwe mitsempha ndi nkhawa.
• Onetsetsani kuti phwando la mankhwala kwa matenda bakiteriya.
• Saletsa ndi shuga jekeseni kukhalabe m'thupi.
• thupi mwamsanga kuthana ndi zotsatira za ntchito, ngati inu kutenga mankhwala zobwezeretsa.

Pambuyo ntchito, ndi kulanda ndi odwala mwakayakaya kwenikweni anagwira protivoshokovym mankhwala. Wodwala aikidwa mu kama amene poyamba anali kutenthetsa kwa firiji, monga zowonjezerazo Kutentha PAD angagwiritsidwe ntchito, omwe umagwiritsidwa ntchito manja ndi mapazi.

Pambuyo pa opaleshoni kuti achotse lymph mfundo pa maziko a Oncology radiotherapy kwenikweni kugwira.

ogwira ntchito kuchipatala akhale yake processing wa bala pambuyo opaleshoni njira antiseptic kupewa chitukuko cha kutupa ndi kudzikundikira mafinya. The bandeji ayenera kusinthidwa kangapo patsiku.

Pambuyo ntchito, onetsetsani kuchita ntchito zotsatirazi:

• Kuchita zonse zimene tingathe kupewa matenda a makope ubongo.
• Ndisonyezeni splinting.
• Tsatirani njira zonse kuteteza kutupa pakhosi.
• Ngati pa ntchito ndi wodwalayo wataya magazi ambiri, muyenera kuika.
• Pambuyo pa opaleshoni, mtima ulipo kwa wapadera chakudya zakudya.
• dokotala zambiri akuonetsa wodwala kuchita Zochita kupuma, ayenera kuperekedwa kwa mphindi zosachepera 5, katatu patsiku.

Iwo ayenera kukumbukira kuti wodwalayo pa kama ali kukhala mu theka-pansi udindo. Popeza m'mapapo mwanga mpweya ndondomeko ali bwino. Kusintha kupuma amaonetsa zina mpweya okwanira kudzera m'mphuno chubu.

Kamodzi mtima ndi okhazikika, ndi kunditumiza ku chipinda zonse, kumene iye akadali moyang'aniridwa ndi achipatala kwa masiku angapo. Only pamene alili sadzachititsa madokotala kuopa akatulutsidwa kunyumba, koma njira ya mankhwala akhoza anapitiriza, monga ulamuliro, dokotala kupezeka amapereka malangizo ofunikira pa kugwilizana ndi ntchito ndi ena, zakudya, dosing zolimbitsa thupi, amene poyamba zambiri mulibemo. N'zotheka kuti dokotala mankhwala ena mankhwala kuti ayenera kumwedwa.

Pomaliza

Tiyenera tsono kumaliza ndi kunena kuti ndemanga Crile opaleshoni osiyana kwambiri. Zimenezi n'zomveka, thupi, aliyense ali wosiyana ndi amachitira mosiyana kwambiri kulowelera mu ntchito yake. Likukhalira pali odwala amene anachira mwamsanga kuchotsa mwanabele. Koma pali gulu lotero amene adza kwa moyo kwa nthawi yaitali. Iwo ayenera nthawi zambiri kuti achire. Ngakhale pambuyo kumaliseche, zinthu zambiri akakamizidwa kuchepetsa ndekha mosamalitsa kutsatira malangizo onse dokotala.

Tiyeneranso anati odwala ambiri amene anali atachitidwa opaleshoni kuti atsimikizire kuti pambuyo pa odwala mankhwala ayenera kumwa mankhwala zotchulidwa dokotala anu, kulemekeza, kudya bwino. Kumene, opaleshoni - ndi wandiweyani kuwasokoneza, komanso pambuyo mwayi kuti achire ndi kukhala ndi moyo wabwinobwino.