Hana Troyanova-Trendelenburg - aha ka ia?

Ma nā makahiki varicose aa koko loaa i ka welelau o ka rejuvenation. Kela a me keia kolu o ka wahine i ka maʻi malie o ka hana makahiki. I waena o nā kānaka, hoʻokahi i loko o umi me koʻu hoomanawanui ana'ku. Thrombosis a thrombophlebitis - he mea pepehi complication o venous maʻi. Ma keia hihia ia mea pono e hoʻohana crossectomy (Troyanova-Trendelenburg hana).

Hiʻona o ka varicose aa koko

Varicose aa koko ua kapaʻia ka maʻi pili i paʻa nā loli i loko o ka vascular paia, ka? Anoe? Aiey a me ka hoʻolōʻihi 'ia' ana o nā ipu a me ka ho okumu ana o protrusions, knots, a me ka hou koko holo.

Lower lala venous aʻeo ka hoʻolele 'ua poe superficial a me ka hohonu moku pü ana me kekahi i kekahi. Kaʻilikai'ōnaehana ninoieo o ka nui a me ka uuku saphenous aa koko. Ka hapanui o Ka hoʻomaka 'ana i loko o ka groin wahi, a ua aia i loko o ka luna o ka uha, haule i loko o ka hohonu femoral aa koko.

Varices pu e loli ma intravascular puʻe, ka meheu o ke koko kahe, stagnant keʻano o ka hanaʻana. Moku i dilated, piha i ke koko. Ka nohona kiwikā nenoaiu o aa koko Makuakane hou me ka hana, e hooponopono i unilateral koko, na elue no ke kahua o ke koko reflux (hope upena). Pinepine ia mea i loko o kēia mau minute o ka lapaʻau kiʻi o ka maʻi i loko o piha kowali, i kumu no ka hoʻomanawanui, e kukakuka lakou i ka vascular surgeon.

Pinepine i ke koho ana i poe akamai i hana Troyanova-Trendelenburg. He aha ia mea, pehea he hana nō ia a me ka mea i ka hopena o ka 'uao, noʻonoʻo hou.

Ke kumu crossectomy

Ke hoʻomalu E ka papa kuhikuhiE hana - e kiʻi pohaku uinihepa, o ka reflux a me ka hoʻopau stagnant keʻano o ka hanaʻana i loko o varicose aa koko hoʻololi. A pehea, e hooki aku i ke koko a me ka kōkua o ka lapaʻauʻia mea i hiki, ka mea wale ala e lilo i ke kuʻina o vascular nā mea maʻi a me kā lākou poʻe hoʻokupu.

Crossectomy (ma Troyanov-Trendelenburg ana) ua manaoia e ia i ka'ano'ē 'uao. Ua Ua hana ma ka hihia o varices complications (e laʻa me, thrombosis a phlebitis) a me ka loulou i loko o ka luna 'lapaau.

Haʻalele crossectomy ma phlebectomy

phlebectomy (venectomy) More nei i noʻonoʻo pono i koho maikaʻi no ka iapaau ana o varicose aa koko. Ua ua hana ma lalo o spinal anesthesia i loko o ka haukapila. Hana ka oko kokua traumatic a me ka hooulu ana o postoperative complications. hoomaka koke flebektomii hopena, e hōʻike i ia mea e pono, e imi i ka oi'ano'ē iaoia e emi i ka manawa kūpono o ka maʻi recurrence.

Venectomy pu ma ka nui saphenous aa koko kuʻina i loko o ke keena uha,ʻaʻole ma ka anastomosis, e alakai ana i ka resumption o inflows reflux safeny e pili ana i fistula. Relapse ia lŘlŘ ma na kolu o Isaaka.

Modernization crossectomy ka mea, ma muli o ka mea e ke oki a me ka kuʻina e lawe mai ana i ka confluence o ka hohonu femoral aa koko, a me ka hopena i ka mea, aohe koko reflux i loko o ka hohonu ka'ōnaehana pūnaewele.

Nāʻikepili no ka 'uao

Hana Troyanova-Trendelenburg paʻa urgently i loko o nā lā mua ma hope o ka ho okumu ana o thrombosis, hoʻololi e kāpekepekeʻana i ka pathological kaʻina me ka superficial venous'ōnaehana i ka hohonu.

Nāʻikepili no ka 'uao i ka mea kēia Hawaii:

• thrombophlebitis kiʻekiʻe o ke kuli, a ma luna;
• thrombophlebitis, complications o purulent keʻano o ka hanaʻana;
• recurrent thrombosis 'ole kekahi mea' aʻole e hāʻawi liloʻole aʻe i nā lapaʻau keʻano o ka hanaʻana;
• thrombosis o ka nui o ke kuli, a ma luna.

Contraindications

He nui no ka maopopo i Troyanova-Trendelenburg hana nona ka hoike ana o ka pilikia, mai manaʻo i ke alo o contraindications. Ma keia hihia mākou e kamaʻilio e pili ana i ke ola o ka hoʻomanawanui.

I ka hoʻolalaʻo ka piʻiʻana o ka poe akamai i hōʻike 'i ka helu o nā kumumea ka wāʻoki kino mea ole kupono.

1. Somatic mai - ke hoʻomanawanui i ka kino loa hoʻonāwaliwaliʻia, a me kekahi hana pono i ka hailona o ka hana, e hoʻihoʻi mai. Ma ia he hihia ia mea pono e hoʻohana emi drastic ano o ka nohoʻana.
2. Atherosclerosis o ka laloʻaoʻao loa.
3. Ma hāpai keiki a lactation.
4. Ke alo aku o ka infectious maʻi paha purulent poʻe noʻonoʻoʻole i ke kahua o ka n ieaie? Uao.
5. Nā kūlana ma a he mea hiki ole i ka pana aku au i ka mīkini'opihia maikaʻi o nā wāwae hopeʻoki kino (loa obesity).
6. Thrombophlebitis a hohonu aa koko thrombosis.

Hana Troyanova-Trendelenburg pono kokololio ho'ā hope o ka hoʻomanawanui ma hope o ka piʻiʻana, no laila, i ka maʻi i loko o i ka hoʻomanawanui hiki ole kiʻi mai o ka moe ana ma ka lua o ka lā, noʻonoʻo pākahi.

Makaukau no kaʻoki kino

No ka mea, i loko o ka hapanui o na hihia i ke ahonui hiki no ka pilikia 'uao, i ke anamanaʻo a me kekahi, ma luna o ka muli o palena iki:

• like ke koko a me ka mimi ho'āʻo ma;
• koko biochemistry;
• coagulation;
• noiʻi ma syphilis, hepatitis;
• loiloi 'ana no HIV maʻiʻaʻai.

Ke kino e kukakuka, e alii ai maluna o mai i ke alo o somatic maʻi, a ua lilo i contraindication. I lawe ultrasound aa koko, e hooholo i ka IIeEeAIEUAA o anastomoses, i ka wahi o ka moku i ke koko o nā mea maʻi, i ka mea hiki wale mai o ka pathological kaʻina.

Ma hope o ka hana ana i ka mea e pono ana, he vascular surgeon wehewehe pehea mīkini'opihia anal a laholio lole wili pono e kuai ma ka mea e lawe mai i ka mīkini'opihia o lala koke ma hope oʻoki kino.

papa no ka hana

Hana Troyanova-Trendelenburg, me ka nānā 'ana i kūpono a pono ke kiʻekiʻe ke akamai o ka surgeon, hoʻokō hoʻohana kūloko a mau anesthesia. Ke koho ana o anesthesia i ka anesthesiologist, coordinating a pau nā lāliʻi 'ana me ka hoʻomanawanui.

Hana Troyanova-Trendelenburg, a i ho'ākāka 'ia i loko o ka pauku ninoieo o na kēia mau kapuwai.

1. ua malamaia lakou nei,ʻoki lāʻau lapaʻau paena me antiseptic pāʻoihana, noi sterile a lahilahi, na lau, aole wahi kaawale no ke kula.
2. Ke groin surgeon probes i ka lāʻau ikiʻai wale o ka femoral artery, ma lalo i hele medially, a me ka wahi subcutaneous Vienna.
3. Anatomical ano o nā mea a pau nā mea maʻi i e lauwili, a pela i ka wahi o ka mea okoa aa koko. Ke incision Ua hana, ke kaumaha ma muli o ka wahi o ka nui saphenous aa koko anastomosis.
4. Ma hope o ka mea e oki ai ka surgeon kīnā ka venous mea nana i ulana, a me bandagesʻoki ia.
5. Ua kahiāuli ka nui saphenous Vienna i ke kahi o ka mea kahe ana i loko o ka hohonu'ōnaehana, ligated a oki ae la i. Ma keia wahi, a me ke koko clots e hele.
6. Next, ma ka like e noho kaʻawale, a oki iho la ma ka liʻiliʻi elima aa koko hoʻokupu ma kona lōʻihi (he mau houʻoki i like pono). Ua Ua mālama 'ia no ka pale aʻe koko ohi a me ka maʻi ahulau recurrence.
7. All incisions sutured, kau auwai.
8. Ma ka lalo palena hōʻaʻahu aʻe i ka mīkini'opihia aahu a laholio lole wili.

Hana Troyanova-Trendelenburg pili me ka li nui, a me ka ho okumu ana o ke koko clots, no laila, ma ka hihia o ka pilikia hoʻomalu mai i ho'āʻo e wehe i ka nui o na aa koko, a me ka i kā mākou paʻapū wahi o ka pathological kaʻina.

Ka postoperative manawa

I ka lā mua o ka hoʻomanawanui ka hāhai i loko o kahi moe. O ke kumu ho i ka hikiʻaoʻao ona mai ka anesthesia. Ma ka lua o ka lā hōʻike i ka ho'ā hope o ke ahonui i ka mea i maikai loa ka hoʻopale 'ia mai ka hoʻohana hou' ana mai o thrombosis. Soreness mea lōpū, akā, ke kauka prescribes he eha relievers a nonsteroidal Anati-hoʻoʻino ai ', ina he pono.

Elue mea e pono mīkini'opihia o ka laloʻaoʻao, a ua paʻa nō ma luna o ka mahina ma hope o ka piʻiʻana.

Noonoo E e hāʻawi i ka hana nona pale stagnant keʻano o ka hanaʻana i loko o ka aa koko'ōnaehana (hele, me ka Inc).

Hiki complications ma hope oʻoki kino

Hana Troyanova-Trendelenburg, complications o i nā loa pohihihi keia, pili i ka'ano'ē ano o ka nohoʻana. He He pinepine kumu o complications i'aʻaʻa trauma 'uao (i hiki ole ke käpae'), a me ke kue hana nō. Ke hoomanawanui i hoʻomōhala i nā kēia pathologies:

• kahe ana ke koko;
• hematoma i loko o ka wahi o ka 'uao;
• maʻiʻaʻai o kaʻoki lāʻau lapaʻauʻeha;
• kāna hana o ka lymphatic'ōnaehana me ke kahua o ka cystic conglomerates;
• paresthesia (o na kanaka haunaele pā lonoaʻili o ka ili i ka wa e holo nā aʻalolo a hāʻule pahū);
• lymphorrhea (outflow o lymph, mai ke kuʻina o ka moku lymphatic).

Kekahi complications mea ma luna o lākou iho, oiai kekahi poe e noi mai ana hou Inc. Hematoma i loa hoopii, e malama i puncturing me ka hou antibiotic Inc. Maʻiʻaʻai o eha kekahi pono i ka hoʻohana 'ana o antibiotics (penicillin, macrolides, cephalosporins). Hoʻopōʻino pā lonoaʻili ua hoʻihoʻi kū kaʻawale, 'aʻole i koi hou ana.

ka hopena

Hookahi'ano'ē ano o ka luna 'lapaʻau o varicose aa koko a me kona complications o ka hana Troyanova-Trendelenburg. Papa o ka hana e hōʻike mai ana i ka upgrade i ka'ōnaehana e hoʻopau reflux a me ka Kāohiʻana o recurrence o ka maʻi. Hoʻokō 'ana i ka pae'ōnaehana hoʻomalu'ōlelo aʻo, e pale aku i ka pono no ka hou-lapaau.