Operation Troyanova-Trendelenburg - he aha te mea te reira?

I roto i nga tau tata nei, kua riro tētere uaua te haafifi i ki whakaora. He te wahine tuatoru he tonu mate o te mahi tau. I roto i nga tangata, tetahi i roto i te tekau Ua. Thrombosis ranei thrombophlebitis - he pōauautanga kino o mate venous. I roto i tenei take, ko te mea e tika ana ki te whakamahi i crossectomy (Troyanova-Trendelenburg mahi).

Āhuatanga o uaua tīponapona

huaina Varicose uaua ko te mate e pā ana ki ngā huringa tūturu i roto i te taiepa iaia, te hōrapatanga, ngā toronga o nga oko ki te hanganga o protrusions, knots, a atu tohanga toto.

Raro e alangá mo whatunga venous te māngai papa'u me hohonu oko kōrero ki ia atu. Kei o uaua nui me te iti saphenous pūnaha Mata. Te nuinga tīmata i roto i te rohe kopu, me kei te i roto i te wahi o runga o te huha, taka ki te rua femoral hohonu.

Varices haere tahi e huringa i roto i te pēhanga intravascular, tērā rere toto, tukanga whakaroau. E dilated oko, ki tonu i te toto. Ko te pūnaha takirere o uaua e kore akakoromaki i te mahi ki te whakahaere i bloodstream unilateral, nga hiahiatanga mo te hanganga o te toto Reflux (taunga whakamuri). E mea pinepine te mea i roto i enei taime o ko te pikitia haumanu o te mate i roto i te tārere tonu, e ai te manawanui ki te kōrero i te taote iaia.

E mea pinepine te kōwhiringa o tohunga riro mahi Troyanova-Trendelenburg. He aha te mea te reira, me pehea te whakamana ai me te mea i te hua o te wawaotanga, whakaaro atu.

Ko te crossectomy whakaaro

Ko te mātanga kia te mahi matua - ki too o te Reflux me ki te whakakore tukanga whakaroau i roto i uaua tīponapona ke. Na me pehea ki te mutu i te rere toto ki te awhina o rongoā e kore e taea, ki anake te ara hei te pūtahitanga o tūroro iaia me ratou hei kaihomai takoha.

Crossectomy (i runga i Troyanov-Trendelenburg mahi) whakaaro te ki te waiho i te wawaotanga tuwhena. Kei te whakamana te reira i roto i te take o varices pōauautanga (hei tauira, Thrombosis phlebitis ranei) rite te hono i roto i te maimoatanga matatini ranei.

Haunga te crossectomy i phlebectomy

More tata whakaaro phlebectomy (venectomy) ko te kōwhiringa pai mo te maimoatanga o uaua tīponapona. Kei te whakamana te reira i raro i rehunga filosilivá i roto i te fare ma'i. taa ê Operation tino ngaukino me te whanaketanga o pōauautanga postoperative. timata i maoro hua flebektomii ki te whakaatu e te mea e tika ana ki te kitea te tikanga ake tuwhena ki te whakaiti i te taea o te mate hohokitanga.

Venectomy tahi e whiti i te rua saphenous nui i roto i te huha o runga, engari e kore e tata te anastomosis, ārahi ki te Tuhinga o ngä pukenga o Reflux safeny e pā ana ki fistula. Puta matahoki i te toru o nga manawanui.

Ao hōu crossectomy i runga i te meka e puritia te tapahia me whakawhitinga e tika i te pūruatanga o te rua femoral hohonu, meinga Reflux toto puta i roto i te pūnaha hohonu.

Tuhinga mō te wawaotanga

puritia wawe Operation Troyanova-Trendelenburg i te ra tuatahi i muri i te hanganga o te Thrombosis, whakawhiti ki te aukati i te tukanga pathological ki te pūnaha venous ausia ki te rire.

Tuhinga hoki wawaotanga ko nga āhua e whai ake nei:

• taumata thrombophlebitis o te turi me te runga ake;
• thrombophlebitis, pōauautanga o tukanga purulent;
• Thrombosis recurrent tetahi e kore e tuku moni ano ki ētahi atu tukanga maimoatanga ranei;
• Thrombosis o te taumata o te turi me te runga ake.

contraindications

He mea nui ki te matau e Troyanova-Trendelenburg mahi nei iteraa papû ko te ohotata, e kore e whakaaro ki te aroaro o contraindications. I roto i tenei take e korero tatou e pā ana ki te ora o te manawanui.

A, no te whakamahere i tētahi wawaotanga o tohunga tāutuhia te maha o ngā āhuatanga ka kore he minaminatia pokanga:

1. mate Somatic - tinana o te manawanui ngoikore rawatia, a ka titau tetahi mahi he rota o te kaha ki te whakahoki. I roto i te take i taua he mea e tika ana ki te whakamahi i ngā tikanga iti uruhi o maimoatanga.
2. Atherosclerosis o nga topito o raro kino.
3. I roto i te hapū hohipera ranei.
4. Ko te aroaro o ngā mate hopuhopu purulent hikaka ranei i te pae o te wawaotanga whakaritea.
5. Tikanga i roto i te mea e kore e taea ki te noho i te kōpeketanga pai o nga waewae i muri i te pokanga (mōmona nui).
6. Thrombophlebitis Thrombosis rua hohonu ranei.

titau Operation Troyanova-Trendelenburg whakahohenga tere o te manawanui i muri i te wawaotanga, na te mate i roto i e kore e taea te tiki i te manawanui i roto i o te moenga i te rua o nga ra, whakaaro fakafo'ituitui.

Takanga hoki pokanga

Mai i roto i nuinga o te wā tae mai te manawanui mo te wawaotanga ohotata, te rangahau, me te haere i runga i te iti herea:

• toto me te mimi whakamātautau noa;
• matūora toto;
• coagulation;
• rangahau i runga i pakewakewa, kakā;
• tātari hoki HIV mate.

runanga te kaiwhakatika kia ki hei rangatira i roto i te aroaro o mate somatic, kua meinga nei e te contraindication. kawea hoki anastomoses ultrasound venous ki localize, te wāhi o oko toto o tūroro, te pā o te tukanga pathological.

I muri hanga nga inenga tika, whakamārama he taote iaia pehea Me hokona tokena kōpeketanga tipare tāwariwari ranei i roto i te tikanga ki te kawe i roto i te kōpeketanga o wahi i muri tonu pokanga.

akoranga o te mahi

Operation Troyanova-Trendelenburg, e hāngai ana tikanga e titau te pūkenga tiketike o te faitafá, i mahi te whakamahi i rehunga rohe whānui ranei. Ko te kōwhiringa o rehunga hanga te anesthesiologist, tuitui tika nga kōrero katoa ki te manawanui.

Operation Troyanova-Trendelenburg ka whakaahuatia i roto i te tuhinga ngā o te whai i ēnei:

1. tukinotia pae hāparapara te ki rongoā rongoā horoi, tono pepa horomata, rau kahore he wahi mo te uru.
2. Te taote tapatapa nga whatumanawa te pini o te iatuku femoral, i raro i nei haere medially me te iti subcutaneous Vienna.
3. He āhuatanga kikokiko o tūroro katoa momo, a ko te kupu te wāhi o te uaua rerekē. Kei te whakamana te kokoti, i runga i te wāhi o te anastomosis rua saphenous nui rānei.
4. I muri i te tapahia te tākuta tae te kurupae venous, takai me tapahia reira.
5. miramira te reira i te saphenous Vienna nui ki te rohe i reira rere ai ki te pūnaha hohonu, ligated ka hatepea atu. I tenei wāhi, me clots toto kia haere.
6. Next, i roto i te tikanga ano he taratahi me te hatepea atu i te iti rawa e rima takoha rua me tona roa (he torutoru motu atu hanga rite tika ana). Kei te whakahaere te reira mo te ārai kohinga toto whakamuri, me te mate hohokitanga.
7. vahi katoa sutured, whakanohoia manga.
8. I runga i te pito o raro kakahu he kakahu kōpeketanga takai tāwariwari ranei.

Operation Troyanova-Trendelenburg e pā ana ki mumura me te hanganga o clots toto, na roto i kore take o tohunga whawhati tata e tamata ki te tango rite nui o nga uaua, a Katohia te mōrahi rohe o te tukanga pathological.

Ko te wā postoperative

Ko te ra tuatahi Ahatia te manawanui i roto i te moenga. Ko e tika ana ki te pānga taha taea i te rehunga tenei. I te rua o nga ra whakaatu te faaitoitoraa o te manawanui i roto i te tikanga ki te pai te tiaki i te reira i anō o Thrombosis. he āhua tetahi raru, engari whakatakoto te tākuta he kairīwhi mamae nonsteroidal taero anti-inflammatory ranei, ki te tika.

Titauhia he rawaka kōpeketanga o nga topito o raro, puritia nei tonu i runga i te marama i muri i te wawaotanga.

Me whai whakaaro ki ngā mahi e hāngai ana i ārai tukanga whakaroau i roto i te pūnaha rua (e haere ana, mahi therapy).

pōauautanga taea i muri i te pokanga

Operation Troyanova-Trendelenburg, he tino onge ngā raruraru o nei, e pā ana ki te tikanga tuwhena o te maimoatanga. Ko te take auau o pōauautanga i roto i wawaotanga kiko whētuki (e kore e taea te karohia), me te tūkino tauwhitinga toi. kia whakawhanake te manawanui te pathologies e whai ake nei:

• toto;
• kanokanototo i roto i te rohe o te wawaotanga;
• mate o te patunga hāparapara;
• disorders o te pūnaha lymphatic ki te hanganga o conglomerates whēwhē;
• paresthesia (ngangau tūtohutanga o te kiri, ka whiti mutunga io);
• lymphorrhea (matamua o waitinana i te pūtahitanga o te oko lymphatic).

Ko ētahi pōauautanga i runga i to ratou ake, ētahi i rapua e therapy atu. Kanokanototo i roto i ngā take kino, kia ngohengohe ki te poka, atu ki te therapy paturopi. Belgium o patunga titau hoki te whakamahi o āpiha antibacterial (penicillins, macrolides, cephalosporins). whakahokia tūtohutanga waimaero te takitahi, e kore e rapua e mehua atu.

mutunga

Ko tētahi tikanga tuwhena o te maimoatanga matatini o uaua tīponapona me ona pōauautanga ko te mahi Troyanova-Trendelenburg. Course o te mahi whakaatu pehea ki te whakapai ake i te pūnaha ki te whakakore i Reflux me te ārai o hohokitanga o te mate. Tautukunga ki te tohutohu mātanga whakahaere ki te karo i te hiahia mō te re-maimoatanga.