Skin Grafts: izici ukusebenza

Njengoba wazi, lokhu legatsha imithi, ukuhlinzwa kokulungisa ukubukeka, waqala nokuguquguquka esanda kutholakala. Nokho, kuze kube manje liye bathole okuningi. Ungakwazi ukwandisa noma ukunciphisa sanoma yisiphi umzimba ukushintsha injalo kuze kube manje, zitshala, njll .. njll ..

Omunye izinqubo eyenziwa odokotela abahlinzayo plastic, kuyinto ukufakelwa kwesikhumba. Lo msebenzi Kuye wayekwenza iminyaka eminingi, futhi ngcono njalo ngonyaka. Kukhona amacala ngesikhathi zidluliselwa bacishe bayifunda yonke isikhumba. Ngenxa inqubo enjalo akakwazi kuphela ukufihla amacala, kodwa futhi ukushintsha ngokuphelele ukubukeka.

Uyini xhumelela isikhumba?

Ukubuyiselwa endaweni ezilimele libizwa entsha isikhumba xhumelela dermoplastikoy. eyohlinzwa enjalo wenziwa umnyango kuhlinzwa. Izinkomba ukuba kungaba ezahlukene. Ezimweni eziningi, lokhu ilimaze isikhumba nokungakwazi ulibuyise ngenye indlela. Kunezinhlobo eziningana izinhlobo dermoplastiki. Indlela ejwayeleke kakhulu - ukufakelwa kwesikhumba komunye umzimba okuyingxenye komunye, okuyinto isayithi umonakalo.

Okusanda ngenkuthalo ekuthuthukiseni izindlela ukufakelwa. Ngo izibhedlela ifakwe kanye nezikhungo zocwaningo lokufeza "ukutshalwa" amangqamuzana amasha e izimo ezikhethekile. Ngalesi isikhumba kungaba "ukudala" hhayi athathwa kwenye indawo. Lena umgoqo omkhulu kwezokwelapha! Nokho, Okwamanje, le ndlela Namanje hhayi asetshenziswa kabanzi, isakhiwa kule ndawo.

Ngaphansi kwaziphi izimo ukwenza isikhumba ngokuxhunyelelwa?

Ukusebenza grafts isikhumba - ukungenela kuhlinzwa okuyinto edingekayo ukuze esikhundleni ezilimele izicubu indawo, kanye ngezinhloso ayeyisimonyo. Okwamanje, le nqubo wenziwa cishe zonke izibhedlela ezinkulu. Skin ukuxhumelela amasu kufanele ngumnikazi udokotela ohlinza izinhliziyo zabantwana iyiphi okukhethekile. Nokho, ngemuva kokuhlinzwa isici yezimonyo kwesokunxele, idinga ukuqeqeshwa okukhethekile. Ngakho-ke, isikhumba grafts ngobuso yomzimba kufanele enze ukuhlinzwa isikhumba.

Ngokuvamile ukuhlinzwa okunjalo wenziwa kuphela uma kunesidingo (izizathu zempilo). Ngokuvamile, isikhumba ukufakelwa edingekayo emva kokuhlinzwa olukhulu, ukusha okukhulu, ukulimala esibuhlungu. Ngaphezu kwalokho, ukungenela kuhlinzwa ezinjalo kungase kudingeke phakathi nezinqubo plastic. Kwezinye izimo, le utshalwe isikhumba isifiso abantu abangenayo liyisibonelo esiqinile kulo msebenzi, isibonelo, uma ufuna ukufihla izicubu isibanda noma lesikhumba. Ngezinye izikhathi dermoplastiku eyenziwa ukushintsha umbala kwesikhumba. Noma kunjalo, kuwufanele ukukhumbula ukuthi, njenganoma yiluphi ukuhlinzwa, lokhu kuhlinza kunemiphumela izingozi ezithile. Ngakho-ke, ezikhathini eziningi, it is kwenziwe kuphela uma kunesidingo.

Izimpawu ze-dermoplastiki

I izinkomba esiyinhloko isikhumba ngokuxhunyelelwa - zilimele izicubu. Ukuphazamiseka kungadalwa izizathu ezahlukene. Kukhona izimpawu ezilandelayo ukuze dermoplastiki:

• Burns. Lokhu kusho ukulahlekelwa okukhulu kwesikhumba ngenxa ukuchayeka okushisa aphakeme noma amakhemikhali. Dermoplastika ngemva ukusha luvame ikakhulukazi ezinganeni. Lokhu kungenxa yokuthi izingane ezisengozini izingozi ekhaya. Njengomthetho, emnyangweni olimele uthola izingane, scalded ngamanzi abilayo. Phakathi abadala, kwande chemical ukusha wathola emsebenzini, okungenani - ekhaya.

• Ukuba khona isibazi izicubu, okuyinto oluthatha indawo enkulu isikhumba.
• ukunqotshwa Obungapheli. isikhumba grafts ngemuva kokuthola ukulimala hhayi kwenziwe ngokushesha. Isinyathelo sokuqala siwukuba ekulinganiseni isimo lesiguli. Kwezinye izimo, dermoplastika kuboniswa kwamasonto noma izinyanga ezimbalwa ngemva kokwakhiwa kokuqala sesibazi.
• Nonhealing ebusweni isilonda sisheshe siphole. Leli qembu kuzomele sifake izinkomba bedsores, izilonda trophic yezifo semithambo, isifo sikashukela.
• ukuhlinzwa Plastic ebusweni, emalungeni.

Ngaphezu kwalokho, isikhumba ngokuxhunyelelwa kungenziwa kwenziwe izifo dermatological, kanye nezinkinga ekuzalweni. Ngokuvamile lo msebenzi wenziwa khona vitiligo - depigmented izicubu izigaba. Hyperkeratosis futhi amavukuzi emikhulu osayizi Ungase futhi kumelwe ibe isisekelo sokukholelwa dermoplastiki. Ezimweni ezinjalo, inkomba lilinganiselwe futhi ukusebenza Kwenziwa ngesicelo isiguli ngokungabi bikho iziyaluyalu ezinzima ukuphathwa kwabathintwayo.

Yiziphi izindlela ezahlukene isikhumba ngokuxhunyelelwa?

Kukhona 3 izindlela isikhumba ngokuxhunyelelwa. Kukhethwa indlela incike ubukhulu ukwephuka kuthi indawo yayo. Qaphela ukuthi indlela zitshala isikhumba ukhetha udokotela ukuba khona ngokuvumelana imishini emtholampilo. Kuye lapho impahla sithathwa ukufakelwa kwezitho ngokuzenzakalela ukwaba kanye allodermoplastiku.

Hlukanisa zinhlobo ukufakelwa izicubu isikhumba ngokuxhunyelelwa.

• Autodermoplasty labetibambile e izilonda esingaphansi 30-40% endaweni umzimba. Ngu idatha ehloselwe ukuhlinzwa ukufakelwa isikhumba kusuka kwesigaba esisodwa kuya kwesinye (washaya). Okungukuthi, abangabantwana xhumelela ethathwa isiguli esifanayo. The njalo kunazo esetshenziswa endaweni isikhumba kusukela esifundeni gluteal, ngemuva ohlangothini kobuso thorax. Ukujula enezinto ivela 0.2 kuya 0.7 mm.
• Allodermoplastika owazenza ukukhubazeka okukhulu. Ngokuvamile lokhu ngendlela wenziwa emva ezishile isikhumba xhumelela 3 no-4 degrees. Ngaphansi allodermoplastikoy kusho ukusetshenziswa donor isikhumba milisa, noma ukusetshenziswa kwezindlela (zokwenziwa) Indwangu.
• Cell dermoplastika. Le ndlela isetshenziswa kuphela izibhedlela ezithile ezinkulu. He is "ukutshalwa" kwamaseli isikhumba endaweni yokucwaninga nokusetshenziswa kwabo ukufakelwa.

Okwamanje indlela oyithandayo kubhekwa autodermoplasty kusukela izicubu siqu engraftment kwenzeka ngokushesha futhi ingozi xhumelela kwenqatshwa is kakhulu ziyancipha.

Amalungiselelo grafts isikhumba

Ngaphambi kokuthi uqale eyohlinzwa ukuze kabusha isikhumba, kufanele bahlolwe. Ngisho noma isici singesabo ingenkulu kakhulu, kubalulekile ukuze kubhekwe ukuthi kukhona ingozi kokungenela kuhlinzwa, futhi indlela okusezingeni eliphezulu endabeni ethile. Ngokushesha ngaphambi ukuhlolwa laboratory dermoplastikoy kwenziwa. Phakathi kwabo: i-kla, OAM, biochemistry igazi coagulation.

Lapho ukulimala okukhulu okudinga allograft, kubalulekile ukuba kudlule inombolo enkulu cwaningo. Ngemva ukufakelwa isikhumba kusuka omunye umuntu (noma zokwenziwa impahla) kungaholela ukwenqatshwa. Isiguli sikulungele phakathi nenqubo yokuhlinzwa, uma amaprotheni igazi Imininingwane ingeqi 60 g / l. Kubalulekile futhi ukuthi hemoglobin kwaba esezingeni evamile.

imishini ukuhlinzwa

Skin Grafts ukusha hhayi kwenziwe ngokushesha, futhi ngemva isilonda sisheshe siphole futhi sinjalo isiguli. Kulokhu, dermoplastika imisiwe. Kuye lapho yenziwe yaba yasendaweni umonakalo isikhumba, njengoba inkulu ngobukhulu nokujula, isinqumo mayelana nendlela ukuhlinzwa.

Okokuqala ukulungiselela ebusweni isilonda. Ngenxa yale njongo isuswe necrosis futhi ubomvu. Khona-ke, ingxenye engaphelele Welashwa nge nosawoti. Khona-ke amboze abathintekayo izicubu milisa. Kumele kukhunjulwe ukuthi uthathwe ukuxhumelela isikhumba ichopho nge isikhathi encishisiwe ngobukhulu. Imiphetho izicubu onempilo kanye xhumelela sutured. antiseptics Khona ngebhandeshi ofakwe, ephulukisa ejenti, dioksidinovoy wamafutha. Lokhu kusiza ukugwema nasezinkingeni ezilandela ngemva kokuhlinzwa isilonda ukutheleleka. Eminyakeni sigqoka ezomile sisetshenziswa.

Izici ukusebenza kuye ngohlobo dermoplastiki

Kuye ukujula indawo lesion amasu kuhlinzwa angahluka. Ngokwesibonelo, uma wenza xhumelela isikhumba ebusweni bakhe, kubalulekile ukuqhuba autodermaplasty. Uma lokhu ichopho kufanele kube yokuhlukanisa band. Ngenxa yale njongo xhumelela esithathwayo idivayisi ekhethekile - dermatome. Lapho kungenzeka ukuba alawule ukunakekelwa kwesikhumba isinqamu locezu ukujiya. Uma ukuhlinzwa liyadingeka ebusweni, kungenzeka ukwenza cell dermoplastiku.

Nge ukusha okukhulu noma ukulimala reserves zabo kwesikhumba ngokuvamile akwanele. Ngakho-ke kuyadingeka ukwenza allodermoplastiku. isikhumba grafts onyaweni lapho semali ebusweni isilonda Kwenziwa ngokusebenzisa zokwenziwa impahla - elikhethekile anezikhala xhumelela nenkanuko edlulele.

Yini yezinkinga, zingaba khona ngemva dermoplastiki?

yezinkinga ezingavela phakathi kwezitho zesikhumba. Ngokuvamile kuba ukufakelwa ukwenqatshwa. Ezimweni eziningi, yenzeka ngenxa isifo amalunga omzimba. Ngemva ukwenqatshwa autodermoplasty lingaphansi ezivamile. Enye inkinga is opha isilonda.

Skin Grafts: izithombe ngaphambi nangemva kokuhlinzwa

Ukufakelwa zesikhumba kuyinto lalivamile. Ngaphambi kokuba unqume on ukuhlinzwa, kuwufanele bebona izithombe ngaphambi nangemva kokuhlinzwa. Ezimweni eziningi, odokotela abaqeqeshiwe ukubikezela imiphumela ezigulini futhi ahlinzeke isithombe esibonisa kanjani uyobheka indawo obonakele lapho ihlumela ojwayele.

Ukuvimbela yezinkinga ukuhlinzwa

Kunezinhlobo eziningana engcupheni yezinkinga emva kwesikhumba ngokuxhunyelelwa. Phakathi kwabo izingane ezigulini esezikhulile, khona kwezinso ukuphathwa kwabathintwayo, kwehlisa amasosha omzimba.

Ukuze ugweme xhumelela kwenqatshwa, kutuswa ukusetshenziswa amalungiselelo hormone njengoba yokugcoba. Ngokuba nokuvimbela ukopha zivuvukale prescribers "Pyrogenalum" nemithi elwa namagciwane.