dalool Sternal - hab ka mid ah cilmi-baaris ah ee dhuuxa lafaha. Habkani wuxuu ka kooban yahay in derbiga medullary sternal hore dalool irbad gaar ah. dalool Sternal waxaa lagu qabtaa isbitaalka ama bukaan socod ah. arrinta meesha dalool ah waa la fuliyay No, waxa ugu muhiimsan in la arkay inta lagu guda jiro xeer of aseptic iyo aalkolada.
qalabka
Si dillacinin loo baahan yahay: khamriga 70º-th, 5% xal iodine, lidocaine ama procaine suuxinta, laba cirbadaha - 10 iyo 20 ml, irbad dalool sternal Kassirski (irbad gaaban, taas oo uu leeyahay dhamaadka distal of lowska, mandrel ah, iyo inaanu a saari karo) maro faashad iyo koolo ku malaastaan.
diyaarinta bukaanka
Habkani waxaa uma baahna tababar gaar ah. Bukaanka ayaa ka hor iyo maalinta dalool waa on taliskii a quudinta caadiga ah. dalool ayaa waxaa lagu qabtaa laba ama saddex saacadood ka dib markaad cunto. Tuur daawooyinka oo dhan, marka laga reebo kuwa lagama maarmaanka u ah sababo caafimaad. Sidoo kale, hubi inaad baajiso diyaarinta ka kooban heparin. Oo maalintii anshaxa mamnuuc baaritaano kale lagu ogaanayo, qalliin. Waa suurad wacan ka hor habka ay u faaruqiso kaadiheysta iyo mindhicirka.
Qaadashada dalool sternal
site dalool waa in la daaweeyaa khamriga 70º-th iyo 5% xal iodine. In mustaqbalka, waxaa lagama maarmaan ah in anesthetize. In silingaha 10 ml a helo suuxinta - lidocaine ama novocaine - xagal 90º iyo irbad la soo bandhigay, obezbolivaya. 3 daqiiqo ka dib markii maamulka lidocaine dib markii bilaabi kartaa dalool. A irbad hore sternal derbiga dalool Kassirski at III-IV cidhifyada line bartamihii-clavicular, iyo xajinta sternum karo. Irbadda waa lagama maarmaan in la soo bandhigo si degdeg ah dhaqdhaqaaqa wareeg ah. Irbadda kordhiyay iyada oo dusha hore ee walax is haysta iyo sternum galo meel bannaan oo lafta dhuuxa, badanu ku jiraan failure ah. Calaamadaha ku dhacaan meesha bannaan ee cancellous dareensan operator saabka iyo bukaan - xanuun muddo gaaban ah. Next, ka saar stylet ka irbadda sternal oo ku lifaaqan darina sirinj of 20 ml, waxa ay u qaadaan via rajo gelin of content lafaha. Abuuritaanka vacuum ah wax ka badan 0.20-0.30 ml aspirated. dhiigga. Ka dib markii in aad u baahan tahay in ay ka soo baxdo dibna saliingaha ka irbadda. Ugu site of dalool waxaa laga codsadaa faashad ku malaastaan maro koolo iyo dhejiyo. Tusmada saliingaha waxaa laga codsadaa in ay galaas oo marsamaysa. Sameynta carruurta dalool, waa in la xusuusnaado in irbadda dhex mari kara, tani waa ay sabab u tahay barti ku filan oo sternum ka. dalool Sternal in bukaanka qaadato corticosteroids muddo dheer, waa in loo sameeyo si taxadar leh, maxaa yeelay, iyagu waa u nugul osteoporosis.
Dhibaha. Tilmaamayaasha for dalool sternal
Dhibaatooyinka ugu waaweyn yihiin dhiig iyo iyada oo dillacinin. In dhuuxa lafta, formation of qaybaha gacanta dhiig, ie, formation of dhiig. dalool Sternal loo baahan yahay si loo xaqiijiyo cudurka of cuduro badan: dhiig la'aan, leukopenia ama leukocytosis, thrombocytosis ama Torombositobiiniya, iyo dhuuxa lafta la'aan functional. Helitaanka natiijada si sax ah loo qiimeeyo karaan hawlaha geedi socodka hematopoietic, ka beddelka dhismaha unugyada. dalool Sternal waxaa sidoo kale ku sameeyeen iyo bukaanka qaba shakisan yahay kansar iyo metastasis.