Operation Troyanova-Trendelenburg - ihe ọ bụ?

Na-adịbeghị anya, varicose veins ka enwetara a ọchịchọ rejuvenation. Kwa atọ nwaanyị nwere a ọrịa ka nke na-arụ ọrụ afọ. N'etiti ndị mmadụ, onye na iri na-enwe. Thrombosis ma ọ bụ thrombophlebitis - a dị ize ndụ sikwuoro nke venous ọrịa. Na nke a ọ dị mkpa iji crossectomy (Troyanova-Trendelenburg ọrụ).

Akụkụ nke varicose veins

Varicose veins a na-akpọ a na ọrịa metụtara na-adịgide adịgide mgbanwe vaskụla mgbidi, na mgbasa na ndọtị nke arịa na guzobere protrusions, mara akpụ, na n'ihu ọbara ekesa.

Lower N'ịdị venous netwọk na-anọchi anya elu elu na nke miri emi arịa na-ekwurịta okwu ọ bụla ọzọ. The n'elu usoro mejupụtara nnukwu na obere saphenous veins. Kasị amalite na ukwu ebe na-emi odude ke elu nke apata, na-ada ihe ndị miri femoral akwara.

Varices esonyere mgbanwe intravascular nsogbu, ibelata ọbara, agaghinihu Filiks. Arịa na-dilated, jupụtara n'ọbara. The valvụ usoro nke veins agaghịkwa ịnagide ozi mezie unilateral n'ọbara, na-na prerequisites nke e guzobere ọbara reflux (backward otutu). Ọtụtụ mgbe, ọ bụ na oge a na-adakarị picture nke ọrịa bụ na zuru siwing, nke na-akpata ọrịa na ịkpọ a vaskụla dọkịta na-awa.

Ọtụtụ mgbe, ndị na-ahọrọ ndị ọkachamara na-aghọ ọrụ Troyanova-Trendelenburg. Ihe ọ bụ, otú ọ rụrụ na ihe n'ihi nke aka, tụlee n'ihu.

The nzube crossectomy

The ọkachamara kwesịrị isi ọrụ - ka tufuo reflux na iji kpochapụ agaghinihu Filiks varicose veins gbanwere. Ya mere, olee kwụsị ọbara eruba na-enyemaka nke ọgwụ bụ ekwe omume, nanị ụzọ ịghọ nrutu nke vaskụla ọrịa na ha tributaries.

Crossectomy (na Troyanov-Trendelenburg ọrụ) na-atụle ga a buu aka. Ọ na-rụrụ bụrụ na nke varices nsogbu (e.g., thrombosis ma ọ bụ phlebitis) ma ọ bụ dị ka a na njikọ na mgbagwoju ọgwụgwọ.

N'adịghị ka crossectomy site phlebectomy

More na nso nso phlebectomy (venectomy) e weere ihe magburu onwe nhọrọ maka ọgwụgwọ nke varicose veins. Ọ na-rụrụ n'okpuru spinal ná Nkụnwụ na a ọgwụ. Ọrụ dị iche nke ukwuu na-akpasasị uche na mmepe nke postoperative nsogbu. N'oge na-adịghị flebektomii pụta malitere na-egosi na ọ dị mkpa iji chọta a ọzọ buu usoro iji belata ohere nke ọrịa nlọghachite.

Venectomy so site agafe oké saphenous akwara ke n'elu apata, ma ọ bụghị na nso anastomosis, na-eduga a resumption nke inflows reflux safeny banyere fistula. Na nlọghachi ọ bụla atọ ndidi.

Modernization crossectomy ya dabeere na eziokwu ahụ bụ na ịkpụ na nrutu-rụrụ kpọmkwem na confluence nke miri emi femoral akwara, na n'ihi na ọ dịghị ọbara reflux ndị miri usoro.

Egosi maka aka

Operation Troyanova-Trendelenburg ẹkenịmde ngwa ngwa na ndị mbụ mgbe e guzobere thrombosis, mgbanwe kwụsị enweghị nchịkwa na usoro na elu elu venous usoro na miri emi.

Egosi maka aka ndị na-esonụ na-ekwu:

• thrombophlebitis larịị nke ikpere n'elu;
• thrombophlebitis, nsogbu nke purulent Filiks;
• ntighari thrombosis ma ọ bụ onye na-adịghị ibinye onwe ya ka ndị ọzọ ọgwụgwọ Filiks;
• thrombosis nke larịị nke ikpere na n'elu.

contraindications

Ọ dị mkpa ịghọta na Troyanova-Trendelenburg ọrụ onye na-agba akaebe bụ ihe mberede, agaghị na-atụle ọnụnọ nke contraindications. Na nke a anyị na-ekwu okwu banyere ndụ nke onye ọrịa.

Mgbe atụmatụ ihe aka nke ndị ọkachamara kwuru na ọ bụ ọtụtụ ihe mgbe ịwa ahụ abụghị na-achọsi ike:

1. Somatic ọrịa - ọrịa ahụ ike na-agwụ, na ọ bụla ọrụ na-achọ mgbalị dị ukwuu iji weghachi. N'ọnọdụ dị otú ahụ, ọ dị mkpa na-eji obere ikeike ụzọ nke ọgwụgwọ.
2. Atherosclerosis nke ala na nsọtụ oké.
3. N'oge ime ma ọ bụ lactation.
4. Ọnụnọ nke na-efe efe ma ọ bụ purulent ọkụ ọkụ na saịtị nke zubere aka.
5. Ọnọdụ nke ọ na-agaghị ekwe omume na-eji a mma mkpakọ nke ụkwụ mgbe ịwa ahụ (oké ibu).
6. Thrombophlebitis ma ọ bụ miri emi akwara thrombosis.

Operation Troyanova-Trendelenburg achọ ngwa ngwa ebighị nke onye ọrịa mgbe aka, otú ahụ ka ọrịa nke na-enwe ndidi ike ibili ụra n'ụbọchị nke abụọ, na-ewere n'otu n'otu.

Nkwadebe maka ịwa ahụ

Ebe ọ bụ na ọtụtụ mgbe onye ọrịa abịarute maka ihe mberede aka, ka nnyocha e mere na-agafe na-amanye ịrụ kacha nta:

• nkịtị ọbara na mmamịrị ule;
• ọbara n'ihi mmiri ọgwụ;
• coagulation;
• nnyocha na syphilis, ịba ọcha n'anya;
• screening nje HIV.

The therapist ga ase na achị si n'iru nke somatic ọrịa, nke na-a contraindication. Ọzọkwa rụrụ ultrasound veins chọpụta orunótu nke anastomoses, na ọnọdụ nke ọbara arịa nke ọrịa, na omume nke enweghị nchịkwa na usoro.

Mgbe na-eme dị mkpa nha, a vaskụla dọkịta na-awa na-akọwa otú mkpakọ sọks ma ọ bụ na-agbanwe bandeeji ga-zụrụ iji mepụta mkpakọ nke aka na ụkwụ ozugbo n'ịwa ahụ.

N'ezie nke ọrụ

Operation Troyanova-Trendelenburg, dabere na Usoro nke na-achọ a elu nkà nke dọkịta na-awa, rụrụ iji obodo ma ọ bụ ofụri ofụri ná Nkụnwụ. Oke nke ná Nkụnwụ na-eme ka nkụnwụ, ịhazi niile nkọwa ozugbo na onye ọrịa.

Operation Troyanova-Trendelenburg na kọwara n'isiokwu mejupụtara ndị na-esonụ:

1. Ịwa ahụ na saịtị ahụ na-emeso ya na antiseptik ngwọta, etinyere akpali mmasị Ibé akwụkwọ, doo ụlọ maka ohere.
2. The ukwu dọkịta na-awa-eme Nchoputa Banyere usu nke femoral akwara, n'okpuru nke na-aga dakapụrụ adakapụ n'etiti na a obere subcutaneous Vienna.
3. Anatomical e ji mara niile ọrịa dịgasị iche iche, ma si otú ọnọdụ nke dị iche iche veins. The mbepụ na rụrụ, dabere na ebe nke oké saphenous akwara anastomosis.
4. Mgbe ịkpụ ndị dọkịta na-awa esịmde venous doo, ákwà ndị na egbupu ya.
5. Ọ pụta ìhè nke oké saphenous Vienna na ebe ọ na-aga ndị miri usoro, ligated bipu. N'oge a, na ọbara na-akpụkọ nwere ike na-aga.
6. Ọzọ, na n'otu ụzọ na-dịpụrụ adịpụ, bipu dịkarịa ala ise akwara tributaries tinyere ya ogologo (a ole na ole ọzọ, he mere ka ọ dị mkpa). Ọ na-mụụrụ maka igbochi reverse ọbara collection na ọrịa nlọghachite.
7. All mbepụ sutured, enịm uzo.
8. Na ala na nsọtụ na-eyi a mkpakọ uwe ma ọ bụ na-agbanwe bandeeji.

Operation Troyanova-Trendelenburg jikọtara mbufụt na guzobe egbochi mkpụkọ nke ọbara, ya mere, ọ bụrụ na nke mberede ọkachamara adịghị gbalịa wepụ ka ukwuu nke veins, na kacha cropped ebe-enweghị nchịkwa na usoro.

The postoperative oge

Ụbọchị mbụ onye ọrịa na-emefu na bed. Nke a bụ n'ihi na o kwere omume mmetụta si ná Nkụnwụ. N'ụbọchị nke abụọ na-egosi na ebighị nke onye ọrịa iji kacha mma na-echebe ya site na iwerekwa nke thrombosis. Soreness bụ agafeghị oke, ma dọkịta na-edepụta a mgbu relievers ma ọ bụ ndị so ná ndị mgbochi mkpali ọgwụ ọjọọ, ma ọ bụrụ na ọ dị mkpa.

Mkpa bụ ezigbo mkpakọ nke ala na nsọtụ, nke na-ẹkenịmde ka ihe karịrị otu ọnwa mgbe aka.

Echiche e kwesịrị na-eme iji na-egbochi agaghinihu Filiks ke akwara usoro (na-eje ije, mmega ọgwụ).

Ekwe Omume nsogbu mgbe a wasịrị

Operation Troyanova-Trendelenburg, nsogbu nke bụ oké ụkọ, na-ezo aka buu ụzọ nke ọgwụgwọ. Ọ bụ a akpata nsogbu n'oge anụ ahụ trauma aka (nke apụghị izere), na ndị mebiri azụmahịa art. Onye ọrịa nwere ike ịzụlite na-esonụ pathologies:

• agba ọbara;
• hematoma na ebe aka;
• ọrịa nke ịwa ahụ ọnya;
• ọrịa nke lymphatic usoro e guzobere cystic conglomerates;
• paresthesia (nsogbu uche nke anụ mgbe agafe akwara endings);
• lymphorrhea (outflow nke Lymph si nrutu nke lymphatic arịa).

Ụfọdụ nsogbu nwere na ha onwe ha, ebe ndị ọzọ na-achọ ndị ọzọ ọgwụ. Hematoma n'oké ikpe,-n'okpuru n'ihu ịmapusị na ogwu mgbochi ọgwụ. Ofufe Ọrịa nke ọnyá na-na-achọ na ojiji nke antibacterial elekọta mmadụ (penicillins, macrolides, cephalosporins). Mkpọchị uche e weghachiri onwe, ọ dịghị achọ ka ndị ọzọ jikoro.

ọgwụgwụ

Otu buu ụzọ nke mgbagwoju ọgwụgwọ nke varicose veins na ya nsogbu bụ ime Troyanova-Trendelenburg. N'ezie nke ọrụ na-egosi otú iji kwalite usoro iji kpochapụ reflux na mgbochi nke nlọghachite nke ọrịa. Nnabata ya na ọrụ ọkachamara ndụmọdụ iji zere mkpa re-ọgwụgwọ.