Sternal huda - da hanyar da bincike na bargo. Wannan hanya ta kunshi a cikin medullary sternal huda gaban bango tare da wani musamman allura. Sternal huda da aka yi a asibiti ko a kan wani outpatient akai. A duk inda na huda da aka za'ayi, babban abinda ya kamata a kiyaye a lokacin da dokoki na aseptic da antiseptic.
kayan aiki
Don huda da ake bukata: 70º-th barasa, 5% aidin bayani, lidocaine ko procaine domin maganin sa barci, biyu syringes - 10 da kuma 20 ml, allura sternal huda Kassirski (short allura, wanda yana a distal ƙarshen goro, mandrel, kuma mai ciruwa rike) zane gauze da kuma m plaster.
haƙuri shiri
Wannan hanya ba ya bukatar horo na musamman. A haƙuri kafin da kuma ranar da huda ne a kan wata al'ada ciyar tsarin mulki. A huda da aka yi a cikin biyu ko uku hours bayan cin abinci. A jefar duk kwayoyi, fãce ga waɗanda zama dole domin kiwon lafiya dalilai. Har ila yau, tabbata a soke shirye-shirye dauke da heparin. A ranar da aka haramta hali sauran bincike gwaje-gwaje, m hanyoyin. Yana da kyawawa kafin a hanya zuwa komai cikin mafitsara da kuma hanjinsu.
Dauke da sternal huda
A huda site ya kamata a bi da barasa 70º-th da 5% aidin bayani. A nan gaba, wajibi ne a anesthetize. A wani 10 ml sirinji samun m - lidocaine ko novocaine - 90º kwana da allura da aka gabatar, obezbolivaya. Bayan minti 3 bayan gwamnatin lidocaine iya fara huda. A gaban bango sternal huda allura Kassirski a III-IV gefuna da tsakiyar clavicular line, da kuma iya riko da sternum. A allura wajibi ne a gabatar da wani m rotational motsi. A allura kara ta hanyar gaban farfajiya na m abu da kuma sternum shiga cikin bargo sarari, a cikinsa akwai kasawa. Ãyõyin fadowa cikin cancellous sarari suna jin rami sadarwarka kuma haƙuri - wani gajere zafi. Next, cire stylet daga sternal allura da kuma a haɗe a cikinta sirinji na 20 ml, shi ne kwashe via tsammãni daga kashi abun ciki. Samar da injin aspirated ba fiye da 0.20-0.30 ml. jini. Bayan da ka bukatar ka cire fitar da sirinji tare da allura. A site na huda da aka yi amfani da gauze zane m plaster da pasted. Contents daga cikin sirinji ne amfani da gilashi da kuma smearing. Yin huda yara, shi dole ne a tuna da cewa allura iya wuce ta, wannan shi ne saboda isasshen elasticity na sternum. Sternal huda a marasa lafiya da suke shan corticosteroids na dogon lokaci, ya kamata a Kanmu tare da taka tsantsan saboda su ne yiwuwa ga osteoporosis.
Rikitarwa. Alamomi ga sternal huda
Babban rikitarwa an zub da jini da kuma huda ta hanyar. A bargo, da samuwar jini salula gyara, watau, da samuwar jini. Sternal huda ake bukata don tabbatar da ganewar asali yawa cututtuka: anemia, leukopenia ko leukocytosis, thrombocytosis ko thrombocytopenia, da kuma bargo aikin insufficiency. Karbar sakamakon zai iya daidai kimanta da ayyuka na hematopoietic tsari, tsarin gyare-gyare na sel. Sternal huda ne ma a yi wa marasa lafiya da ake zargin malignancy da metastasis.