Sternal ponji - nzira kutsvakurudza kuti mwongo. Nzira iyi ine iri medullary sternal ponji pamberi pamadziro rinokosha tsono. Sternal ponji rinoitwa mu kuchipatara kana pamusoro outpatient hwaro. Hazvinei apo ponji rinoitwa, chinhu chikuru kuchengetwa panguva yayo mitemo ine aseptic uye akambozvishandisa kuuraya utachiona.
midziyo
Kuponjesa chinodiwa: 70º-fung doro, 5% ayodhini mhinduro, lidocaine kana procaine kuti yokutindivadza, syringes maviri - 10 uye 20 Rine mamiririta, tsono sternal ponji Kassirski (pfupi tsono, ine panguva distal kuguma nati, mandrel, uye bvisika mubato) jira gauze uye namira purasita.
murwere gadziriro
nzira iyi haatarisiri dzidzo chaiyo. Murwere pamberi uye zuva ponji iri hwandaiva dzokudya hwechiKomonisiti. The ponji rinoitwa mumaawa maviri kana matatu pashure kudya. Rasa zvinodhaka zvose, kunze avo zvakakodzera nezvikonzero zvoutano. Uyewo, iva nechokwadi kuti kukanzura gadziriro ane heparin. Pazuva airambidzwa mufambiro vamwe chirwere miedzo, maoparesheni. Zviri chinodiwa asati nzira vabudise dundira ura.
Akatakura sternal ponji
The ponji nzvimbo inofanira kubatwa doro 70º-ndipo uye 5% ayodhini mhinduro. Mune remangwana, zvakakodzera anesthetize. Mune 10 Rine mamiririta sirinji kuwana rufimbi - lidocaine kana novocaine - 90º pakona uye tsono kutaurwa, obezbolivaya. Mushure 3 maminitsi pashure kwokubatsira lidocaine anogona kutanga ponji. A pamberi porusvingo sternal ponji tsono Kassirski pa III-IV micheto makore clavicular mutsetse, uye zvinogona kubata yacho sternum. The tsono Zvakakosha kuisa akurumidze rotational sangano. The tsono Kunoguma pamberi pechiso tsindirana fuma uye sternum anopinda mumwongo nzvimbo, sezvamakaropafadzwa pane kutadza. Zviratidzo vasawira cancellous nzvimbo dziri kunzwa mhango opareta uye kushivirira - kurwadziwa pfupi. Next, bvisa stylet kubva sternal tsono uye zvakabatanidzwa nayo ine sirinji 20 Rine mamiririta, voitakura Via chido repfupa tigutsikane. Kutanga Vacuum aspirated hapana zvinopfuura 0.20-0.30 Rine mamiririta. ropa. Pashure paizvozvo unofanira kudhonza kunze sirinji pamwe tsono. At nzvimbo ponji rinoshandisirwa gauze jira namira kupurasita uye pasted. Zviri sirinji rinoshandisirwa girazi uye smearing. Kuita ponji vana, zvinofanira kurangarirwa kuti tsono anogona ichipfuura, ichi imhaka zvakakwana elasticity yacho sternum. Sternal ponji pavarwere vari corticosteroids kwenguva refu, anofanira ashandiswe nokungwaririra nokuti havatani osteoporosis.
Matambudziko. Zvairatidza kuti sternal ponji
Huru yematambudziko vari kubuda ropa uye kuponjesa kuburikidza. In mumwongo paumbwe ropa cellular zvinoriumba, kureva, paumbwe ropa. Sternal ponji chinodiwa kuzosimbisa chirwere kwezvirwere zvakawanda: kupererwa, leukopenia kana leukocytosis, thrombocytosis kana thrombocytopenia, uye mwongo dzichipfekeka insufficiency. Chivavarirwa anogona zvakarurama kuyera nezvebasa hematopoietic kwezvichemo, STRUCTURAL okunatsiridza nemasero. Sternal ponji zvakare kuitirwa varwere vanofungidzirwa malignancy uye metastasis.