Crile ukuhlinzwa: izinkomba, incazelo, ukuxakeka kungenzeka. Lymph node entanyeni

Emzimbeni womuntu phakathi ndima kwemigudu ye-lymph elise ISIZINDA ukuthi bamele izihlungi lapho zokuhlunga nokulahlwa kwamagciwane. Uma kukhona ukuvuvukala-lymph, engatholwa kumba noma ezinye izinhlobo zocwaningo, kungashiwo wagomela ukuthi kukhona ukuvuvukala. ukwelashwa esifike ngesikhathi kuholela ukuzinza yobukhulu bawo, kodwa kunezimo ezidinga ukususwa wesibeletho zamanzi. Cabanga izimo lapho kuyadingeka futhi yiziphi imiphumela.

ukusebenza Crile

Lokhu kuhlinza - lena indlela eyinhloko ekususeni-lymph sise entanyeni. Le nqubo yasungulwa kudala, kodwa isasetshenziswa ukuhlinzwa. Injongo eyinhloko bezingelwa operation Crile - is ukususa lymph node ehlaselwe amangqamuzana omdlavuza.

Iqiniso lokuthi nokwelashwa ngamakhemikhali nemisebe abakwazi ukuqeda metastases ezithinta-lymph, ngakho ngeke akwenze ngaphandle ukuhlinzwa. -Lymph ngaphansi emhlathini isuswe, uma kukhona neoplasm noma ulimi esifundeni. Ngezinye izikhathi udinga ukususa kusuka zombili.

Indawo lymph node

Kuye kuthiwe ukuthi ukwanda e-lymph kubonisa khona emzimbeni ukuvuvukala. Kuye lapho-lymph entanyeni abavusa, kumele kuphetfwe mayelana nentuthuko ekuqaleni we egunjini lokuhlolwa kwezifo. Yiqiniso, ukwenza kanjalo kuphela nguchwepheshe.

Umuntu abavamile kufanele wazi ukuthi uhlelo lymph linendima ebalulekile ekuvikeleni umzimba kusuka ejenti angaphandle. Lymph node kukhona uhlobo ukuhlunga okuyinto ungavumeli ukuba zingene phambili emzimbeni namagciwane abangela izifo nama-virus. Lymph izindlala ngaphansi emhlathini noma kwenye indawo entanyeni kungenzeka ukuwohloka kubulawe amangqamuzana omdlavuza, okuyizinto ezingaba yingozi kubantu.

Lymph node zitholakala ezindaweni eziningi emzimbeni, kodwa zingahlukaniswa zibe amaqembu amaningana:

1. Ubekwe odongeni phambi emqaleni nasemhlane.
2. Indlebe.
3. Occipital.
4. Chin futhi submandibular.

Uma umzimba uphilile ke ukuhlola izakhi kunzima ngoba imfundo kancane. Ziyakwazi kancane ezithathekayo, kodwa musa ibakhathaze lapho sicindezelwe. Ukuvuvukala indlala submaxillary kungase kubonise ekuthuthukiseni angina futhi kungase kube nobufakazi pathologies eyingozi. Chaza-ke kungaba onguchwepheshe.

Izimbangela ukuvuvukala-lymph

Qala ukuzibonakalisa lymph node kungenzeka ezimweni ezihlukahlukene, ngokuvamile imbangela ukwanda kwabo:

• Ukungena kwe-ejenti ezithathelwanayo emzimbeni.
• ukuluthwa utshwala Okungalapheki.
• Sivame ukulimala uhlelo zokuphefumula noma lesion ku ngalo ingaphakathi ngomlomo.
• Kwehliswe amasosha omzimba.
• Isikhathi eside zizwa amakhaza.
• Ukuntuleka kwamavithamini.
• Ukusabela nomzimba.
• nezimo ezicindezelayo njalo.
• Ukucindezeleka.
• Ukuba-AIDS noma igciwane lesandulela ngculaza.
• Ukuthuthukiswa umdlavuza.

Ngakho, ukuvuvukala lymph submandibular singenzeka ngenxa yezizathu eziningi, ngakho ukuxilongwa - kuba akubona onguchwepheshe.

Izizathu le Crile ukusebenza

Odokotela ukwaba eziningi izinkomba salokhu ukuhlinzwa:

• Namandla lymph node entanyeni.
• Ukusebenza Crile wabuye wabonisa anda uma abanye ISIZINDA submandibular, wesibeletho asithinteki, kodwa kukhona izinsolo ukuthi nazo enihlupheka ngenxa yawo.
• Ngemva ukuhlolwa bifurcation kwemithambo yegazi carotid.

Kufanele kuqashelwe ukuthi isinqumo ahlinzwe kuthatha udokotela kuphela, uma kubhekwa ukuthi lokhu ukuhlinzwa kuyinto inqubo esikhundleni kuyinkimbinkimbi yokufeza futhi uba nethonya elinamandla impilo isiguli.

Yingakho kwezinye izimo, lo dokotela alikukhuthazi ke ukuqhuba, ngoba umonakalo ngeke sibe ngaphezu izinzuzo kulindeleke.

Izimo ukuhlinzwa

Kwezinye izimo, i-operation wenziwa Crile, sibuyekezwe, kodwa kunezimo lapho akukuhle ukusebenzisa ukuhlinzwa okunjalo:

• Uma metastases kukhona endaweni eyodwa futhi azisebenzi.
• Uma isiguli kanzima abangondlekile, okungukuthi, kukhona cachexia.
• yobudala Asebekhulile kungaba isithiyo eyohlinzwa ezinjalo. ukuhlinzwa Heavy kungabangela eziyingozi, okungase ezingaphezu kwamandla omuntu umzimba abadala.

Ilungiselela isiguli ukuhlinzwa

Ngokwemvelo, ukusebenza wenziwa ngaphansi izinzwa jikelele. Ukuze operation elula udokotela ohlinzayo isiguli sisiba phezu kwakhe ngaphansi entanyeni is okuvalelwe roller.

Shona uphendulela ngangokunokwenzeka okuhlukile ukuhlinzwa ukudala best Uhlolojikelele kungenzeka yezindawo lapho izindlala zamanzi entanyeni udokotela. Izandla kumele ilungiswe nesikhundla engeli ilungelo emzimbeni. Phela Amalungiselelo ukuqhutshwa ukuze udokotela ohlinzayo ukusebenza.

Ukusebenza Crile: incazelo

kokungenela Wasebenza wenziwa ngezigaba. Lokhu kungenxa yokuthi ukususwa lymph node kuholela ukuphazamiseka ngemithambo jugular, ngakho-ke ukususa ngesikhathi esifanayo kuzo zombili izinhlangothi kuphula kwegazi cerebral palsy.

Ngo esigabeni sokuqala lymph node isuswa ohlangothini lapho lilimele kakhulu. Ukusika usebenzisa nommese, lapho ngasinye okwalandela ushintsho asike izidumbu zabantu. Ngasikhathi sinye, imbobo isikhumba kumele kwenziwe hemostasis. Ukuqalisa ke, unesi ethatha omunye ezikhumulweni abasizi, kanti eyesibili kabuthaka nangokuthula kahle bome emkhakheni kuhlinzwa.

Ngemva Esigabeni sokuqala ukusebenza ikhefu amasonto amabili noma amathathu, bese kwenziwe ukususwa lymph node ngakolunye uhlangothi.

yezinkinga ukuhlinzwa

Noma yimuphi operation - ukungenela okwe ezinkulu umsebenzi umzimba, ngakho kungase kube nemiphumela engahlosiwe. Noma yimuphi udokotela ohlinzayo kufanele ulungise uqobo kube nomphumela omuhle, kodwa kungaba ezingalindelekile. Uma labetibambile Crile ukuhlinzwa yezinkinga banjalo, futhi zingahlukaniswa ngamaqembu amabili:

1. Izinkinga uvele ngqo ngesikhatsi kokuhlinzwa.
2. Ibambezelekile nezinkinga ezingase kakade sobala esikhathini postoperative.

Iqembu ngalinye bungabonakala yezinkinga zendawo jikelele.

I ngezinkinga ezaphakama phakathi nokuhlinzwa, zihlanganisa:

• Ukulimala iziqu emsipheni. Lokhu kungase kamuva kuholele hoarseness, ukuthuthukiswa tachycardia, inyumoniya.
• pneumothorax angagcina ngenxa ne-emphysema.
• Lapho imikhumbi emikhulu zilimele, le embolism emoyeni kwenzeka.
• ukopha ngokweqile singase sidinge ngisho nokuba ukumpontshelwa igazi.
• Ezinye nezinye izinkinga ngesikhathi lapho akunakwenzeka ukubikezela kusengaphambili ukuhlinzwa.

Kufanele kuqashelwe ukuthi zonke lezi yezinkinga udokotela ohlinzayo abanekhono ngeke unqobe zokuvimbela ngesikhathi esifanele olwenziwa noma ukulungisa inqubo wokusebenza.

Imiphumela ukuhlinzwa

Imiphumela ukuhlinzwa zihlanganisa:

• Breathing izinkinga esikhathini esinengi ithuthukisa ngenxa edema laryngeal.
• Nenshisekelo nenyumoniya. Kungaba ukuthuthukisa ngenxa ekuqongeleleni emaphashini izidakamizwa bezinye izizwe, njenge ebuhlanzweni.
• Ukopha, kulesi simo avame ugxeka udokotela, okuyinto Indwangu akamuhle Ithungelwe ngokucophelela.
• Ukuvuvukala ubuso.

• Cyanosis kwesikhumba, ikakhulukazi emlonyeni.
• Eminye imiphumela, uma zivela, ukufuna usizo lodokotela.

Izenzo emva kokuhlinzwa

Ukwenza ukuhlinzwa - kungcono kuyigxathu, kubalulekile ukuthi isiguli wahlupheka kahle isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa, futhi kunzima ngempela, uma kwenziwe Crile ukuhlinzwa.

Isiguli emnyangweni kuhlinzwa ngempela idluliselwe labagula kakhulu, lapho wenziwa liqashelwe. kubalulekile ukuthatha kule nkathi zonke izinyathelo zokuvimbela ukuba ukuba ukuthuthukiswa yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa.

Isiguli ngempela udokotela ekunika amaqembu elandelayo kwezidakamizwa emzimbeni ukusheshisa sokuthola ukuphazamiseka ezimbi kangaka:

• Analgesics okudambisa ubuhlungu.
• Sedatives elokususa emsipheni excitation nokukhathazeka.
• Qiniseka reception kwamaphilisi ukuvimbela isifo esibangelwe igciwane.
• Ungagxambukeli glucose umjovo ukulondoloza umzimba.
• Umzimba ngokushesha abhekane nemiphumela yokusebenza, uma uthatha imithi okubuyisela.

Ngemva kokuhlinzwa, nokudluliselwa i labagula olunzulu ngokuyinhloko eyenziwa yokwelapha protivoshokovym. Isiguli ibekwa embhedeni owawuke sekuqala ukufudumala egumbini lokushisa, njengoba ingasetshenziswa ibhekwa Ukushisa pad ungakwazi, okuyinto lisetshenziswa ezandleni nasezinyaweni.

Ngemva kokuhlinzwa ukususa-lymph ku ngemuva of Oncology ngemisebe ngempela ubamba.

Abezokwelapha kufanele kube ukucutshungulwa esifike isilonda emva kokuhlinzwa izixazululo isinqandakuvunda ukuvimbela ukuthuthukiswa ukuvuvukala ekuqongeleleni ubomvu. Ibhandishi kufanele zishintshwe izikhathi eziningana ngosuku.

Ngemva kokuhlinzwa, qiniseka ukuqhuba imisebenzi elandelayo:

• Ingabe konke okusemandleni ukuvimbela izifo kwegazi cerebral palsy.
• Khiqiza splinting.
• Thatha zonke izinyathelo zokuvimbela ukuba ukuba zokuzikhukhumeza emphinjeni.
• Uma ngesikhathi ukusebenza isiguli ilahlekelwe igazi eliningi, udinga esithile ngokumpontshelwa.
• Ngemva kokuhlinzwa, isiguli inikezwe Ukudla ukudla okukhethekile.
• Udokotela ngokuvamile uncoma isiguli ukuba bahlanganyele ukuphefumula umzimba, kufanele inikezwe imizuzu okungenani 5, kathathu ngosuku.

Kufanele kuphawulwe ukuthi isiguli embhedeni kumele sibe sesimweni isigamu Ukugada. Njengoba yamaphaphu ukupholisa inqubo kuyathuthuka. Ukuze uthuthukise kwezimila Ukhombisa umoya-mpilo umncane ezengeziwe ngokusebenzisa tube acinene.

Uma isiguli uhlaliseke, it is sidluliselwe ikamelo njalo, lapho namanje ngaphansi kweso lwezokwelapha kwaphela izinsuku eziningana. Kuphela uma isimo lesiguli ngeke kukwenze odokotela banovalo ke akhishwe ekhaya, kodwa inkambo yokwelapha ingaqhutshezwa, njengoba umthetho, lo dokotela ukuya linikeza iseluleko esibalulekile ku ukuhambisana umsebenzi ukuphumula, ukudla, nokushintsha kokudla nokufakwa olunyakazisa umzimba, okuyinto ekuqaleni ukushiywa ngaphandle. Kungenzeka ukuthi udokotela imithi imithi ethile okumelwe zithathwe.

isiphetho

ingabe kumelwe siphethe ngokuthi Izibuyekezo Crile ukuhlinzwa ihlukile kakhulu. Lokhu kuyaqondakala, umzimba, ngamunye uhlukile futhi uzizwa ngendlela ehlukile ukuphazamiseka okukhulu emsebenzini wakhe. It kuvela kuneziguli abalulama ngokushesha emva ukususwa zamanzi. Kodwa kukhona iqembu yokuthi kuza ekuphileni isikhathi eside. Badinga isikhathi esiningi ukuze alulame. Ngisho emva osenyameni, ngezindlela eziningi baphoqekile ukuba kukhawulwe ngokwami banamathela zonke izincomo udokotela.

Kufanele ukuthi iziguli eziningi ngubani ethole ukuhlinzwa ukuze uqinisekise ukuthi emva e-nesineke ukwelashwa kufanele ngiphuze umuthi enqunywe udokotela wakho, ukuhlonipha, ukudla ngendlela efanele. Yiqiniso, lo msebenzi - it is a ukuphazamiseka okungathí sina, kodwa futhi emva it has ithuba sokusukuma futhi uphile impilo ejwayelekile.