Khungu Grafts: mbali ya ntchito

Monga mukudziwa, nthambi imeneyi ya mankhwala opaleshoni pulasitiki, anayamba kusintha ndi posachedwapa. Komabe, tsiku wakhala apeza zinthu zambiri. Mungathe kuwonjezera kapena kuchepetsa pafupifupi munthu wina kusintha mawonekedwe ake kuti tsiku, Thirani, etc .. etc ..

Imodzi mwa njira anachita madokotala pulasitiki, ndi khungu kumuika. ntchito wakhala ankachita kwa zaka zambiri, ndipo kuwongolera chaka chilichonse. Pali milandu pamene kuziika pafupifupi khungu lonse. Chifukwa ndondomeko otere osati kubisa ziwonongeke, komanso kwathunthu kusintha maonekedwe.

Kodi khungu kumezanitsa?

M'malo a m'dera kuonongeka amatchedwa latsopano khungu kumezanitsa dermoplastikoy. opareshoni amenewa imagwiridwa mu dipatimenti opaleshoni. Zikuonetsa kuti zikhoza kukhala zosiyana. Nthawi zambiri, imeneyi khungu ndi kulephera kuti abwezeretse izo mwa njira ina. Pali mitundu ingapo dermoplastiki. The njira ambiri - khungu kumuika kwa wina cha thupi ndi mzake, ndilo kuwonongeka malo.

Posachedwapa mwakhama kukulitsa njira zina kupatsidwa zina. M'zipatala okonzeka ndi mabungwe kafukufuku kuchita "kulima" maselo atsopano mu zikhalidwe wapadera. Kudzera mwa khungu akhoza "kulenga" ndi sanatengedwe kuchokera pamalo pena. Izi yojambula yaikulu mankhwala! Panopa njira izi komabe chimagwiritsidwa ntchito Komabe, akupangidwa mderali.

Kodi milandu kuchita khungu kumezetsanitsa?

Ntchito grafts khungu - analoŵererapo opaleshoni chimene chili chofunika m'malo minofu malo owonongeka komanso zolinga zodzikongoletsera. Panopa, njirayi imagwiridwa pafupifupi zipatala zikuluzikulu. Khungu kumezetsanitsa njira ayenera eni dokotala mu zapaderazi iliyonse. Komabe, pambuyo opaleshoni kumanzere zodzikongoletsera chilema, pamafunika maphunziro apadera. Choncho khungu grafts pa nkhope yake poyera khungu ayenera kuchita opaleshoni pulasitiki.

Nthawi zambiri opaleshoni chotero imagwiridwa pakakhala (asapatsire). Childs, khungu kumuika chofunika pambuyo opaleshoni kwakukulu, amayaka chachikulu, zoopsa choipa. Komanso, chotero alowererepo opaleshoni kungakhale kofunikira pa njira pulasitiki. Mu zina, kuziika khungu cholakalaka anthu amene alibe umboni okhwima ntchito Mwachitsanzo, ngati mukufuna kubisa minofu yovulazidwa kapena mtundu. Nthawi zina dermoplastiku ikuchitika kusintha mtundu wa khungu. Komabe, M'pofunikanso kukumbukira kuti, mofanana ndi opaleshoni iliyonse, opaleshoni uyu ali mavuto ena. Choncho, Nthawi zambiri ikuchitika pokhapokha ngati kuli koyenera.

Zikuonetsa kuti dermoplastiki

The zizindikiro zazikulu khungu kumezetsanitsa - ndi minofu kuwonongeka. Chosokoneza bwino zimayamba ndi zifukwa zosiyanasiyana. Pali zizindikiro zotsatirazi kwa dermoplastiki:

• Burns. Izi amatanthauza imfa chidwi wa khungu chifukwa kukhudzana ndi kutentha kapena mankhwala. Dermoplastika pambuyo amayaka makamaka ofala ana. Ichi ndi chifukwa chakuti ana ndi sitichedwa ngozi kunyumba. Monga ulamuliro, mu dipatimenti mungayambe ndi kuwononga amalandira ana, scalded ndi madzi otentha. Mwa akulu, ambiri amayaka mankhwala analandira kuntchito, osachepera - kunyumba.

• Kupezeka kwa minofu yovulazidwa, amene ali ndi lalikulu wa khungu.
• Mantha kugonja. khungu grafts atalandira kuvulala osati ikuchitika yomweyo. Sitepe yoyamba ndi ziziyenda alili. Nthawi zina, dermoplastika tikuonera masabata kapena miyezi yochepa mapangidwe koyamba kwa chilonda.
• Nonhealing chilonda pamwamba. gulu pazikhalanso zikuonetsa bedsores, zilonda trophic matenda mtima, matenda a shuga.
• opaleshoni pulasitiki ya nkhope, mafupa.

Komanso, khungu kumezetsanitsa angathe kuchitidwa mu matenda dermatological ndi vuto lobadwa. Nthawi zambiri ntchito imeneyi ikuchitika pamaso pa adzithandize - depigmented minofu zigawo. Hyperkeratosis ndi timadontho-timadontho zikuluzikulu makulidwe akhoza kukhala maziko dermoplastiki. Mu Zikatero, zikuoneka wachibale, ndi opareshoni ikuchitika pa pempho la wodwalayo, pakalibe matenda aakulu somatic.

Kodi njira zosiyanasiyana khungu kumezetsanitsa chiyani?

Pali 3 njira khungu kumezetsanitsa. Kusankha njira zimadalira kukula kwa chilema ndi malo ake. Onani kuti njira Thirani khungu amasankha dokotala nawo malinga ndi zida matenda. Malingana ndi kumene chuma anatengedwa kupatsidwa zina, galimoto-kuonetsetsa ndi allodermoplastiku.

Osiyana mitundu kumuika minofu ndi khungu kumezetsanitsa.

• Autodermoplasty unachitikira ku zotupa osachepera 30-40% ya malo thupi. Ndi deta amatanthauza opaleshoni kupatsidwa zina khungu pa chigawo wina ndi mzake (anamenya). Ndiko kuti, kumezanitsa pa wachotsedwa wodwala yemweyo. M'dera kaŵirikaŵiri ntchito khungu ku dera gluteal, kumbuyo mbali padziko thorax lapansi. Kuzama kutseka kuti uchiwo usatuluke ndi kuchokera 0.2 kuti 0,7 mm.
• Allodermoplastika anachita zopindika chachikulu. Nthawi zambiri njira imeneyi ikuchitika pambuyo lamoto khungu kumezanitsa 3 ndi madigiri 4. Pansi allodermoplastikoy zikutanthauza ntchito mwiniwake khungu kumezanitsa, kapena kugwiritsa ntchito yokumba (kupanga) nsalu.
• Cell dermoplastika. Njira ntchito kokha mu zipatala zina zazikulu. Iye ndi "kulima" maselo khungu zasayansi ndi ntchito zawo kuti kupatsidwa zina.

Panopa njira yochezera imatengedwa autodermoplasty kuyambira minofu mwini engraftment amapezeka mofulumira ndi chiopsezo kumezanitsa kukanidwa ndi kwambiri yafupika.

Kukonzekera grafts khungu

Musanayambe opareshoni kuti ndikasendeza khungu, muyenera ndisanabadwe. Ngakhale chilema si lalikulu kwambiri, m'pofunika kuona ngati pali chiopsezo cha phukusi opaleshoni, ndi mmene n'chapatali pa nkhani zosiyanasiyana. Asanalankhule dermoplastikoy anachita mayesero zasayansi. Pakati pawo ndi KLA, OAM, sayansi ya coagulation magazi.

Pamene kuvulala chachikulu zofuna allograft, m'pofunika pochitika nambala yaikulu ya nkhani. Pambuyo kupatsidwa zina za khungu kwa munthu wina (kapena zinthu zenizeni) kungachititse kuti kukanidwa. Wodwala zakonzedwa kuti ndondomeko opaleshoni, ngati okwana magazi mapuloteni si upambana 60 g / L. N'kofunikanso kuti mlingo hemoglobin inali mkati osiyanasiyana yachibadwa.

zida opaleshoni

Khungu Grafts amayaka osati ikuchitika yomweyo, ndipo pambuyo chilonda machiritso ndi olimba wodwala. Pankhaniyi, dermoplastika anachedwa. Malingana ndi kumene izo isanafalikire kuwonongeka kwa khungu, ngati ziri zazikulu kukula ndi kuya, kusankha njira ya opaleshoni.

Choyamba kukonza bala pamwamba. Chifukwa chaichi kuchotsedwa necrosis ndi mafinya. Ndiye, gawo zosalongosoka woyesedwa ndi saline. Ndiye kuphimba bwanji minofu kumezanitsa. Ziyenera adzanyamula kukumbukira kuti anatengedwa kumezetsanitsa khungu khumudwitsidwa ndi nthawi yafupika kukula. M'mbali mwa minofu wathanzi ndi kumezanitsa sutured. Ndiye bandeji ankawaviika antiseptics, kuchiritsa wothandizira, dioksidinovoy mafuta. Izi zimathandiza kupewa matenda bala postoperative. Pa kuvala youma umagwiritsidwa ntchito.

Features ntchito kutengera mtundu dermoplastiki

Malinga mozama ndi malo a chotupa njira opaleshoni mwina amasiyana. Mwachitsanzo, ngati inu anachita khungu kumezanitsa pa nkhope yake, m'pofunika kuchita autodermaplasty. Pamene khumudwitsidwa ayenera kukhala bandi kugawanika. Chifukwa chaichi kumezanitsa akutengedwa chipangizo wapadera - dermatome. Pamene n'zotheka zonse khungu chisamaliro mpukutu kagawo makulidwe. Ngati opaleshoni chofunika pa nkhope, n'zotheka kuchita khungu dermoplastiku.

Ndi amayaka chachikulu kapena kuvulala ya nkhokwe zawo za khungu zambiri sikokwanira. Choncho ndikofunikira kugwira allodermoplastiku. khungu grafts pa phazi pamene wambirimbiri pamwamba bala ikuchitika pogwiritsa ntchito chuma kupanga - wapadera mauna kumezanitsa fixation.

Kodi mavuto angayambe pambuyo dermoplastiki?

zosokonezeka zingachitike pa kupatsidwa zina khungu. Nthawi zambiri ndi kumuika kukanidwa. Nthawi zambiri, akufotokozera chifukwa matenda a malo. Pambuyo kukana autodermoplasty ndi zochepa wamba. Vuto lina magazi kuchokera chilonda.

Khungu Grafts: zithunzi pamaso ndipo pambuyo opaleshoni

Kupatsidwa zina khungu ndi zofala. Musanayambe kusankha opaleshoni, mtengo kuona zithunzi pamaso ndipo pambuyo opaleshoni. Nthawi zambiri, madokotala oyenerera kulosera zotsatira mtima ndi kupereka fano lomwe limasonyeza mmene adzayang'ana zowonongeka malo kumezanitsa ali anazolowera.

Kupewa mavuto opaleshoni

Pali zifukwa zingapo chiopsezo cha mavuto khungu kumezetsanitsa. Mwa iwo ana ndi odwala achikulire, pamaso pa kuvutika somatic, polowetsedwa chitetezo chokwanira.

Pofuna kupewa kumezanitsa kukana, Ndi bwino kugwiritsa ntchito yokonzekera m'thupi monga mafuta. Pakuti kupewa magazi ndi kutupa prescribers ndi "Pyrogenalum" ndi mankhwala.