Supuni Volkmann: ofotokoza ndi ukulu

Vuto dokotala kuchita achire kapena matenda mpheto amafuna chida ena. Kwa zaka zambiri zochitika asonyeza zipangizo zambiri zachitsulo, koma posachedwapa anayambitsa pulasitiki, yomwe sterility kwambiri. Komabe, zosangalatsa zimadalira ntchito. Mwachitsanzo, pa maziko ofanana ndi ntchito disposable ndi reusable supuni Volkmann, tikambirana chiyani m'nkhani ino.

mafotokozedwe

chida ndi losavuta yomanga, wopangidwa mwa khasu kwambiri ku pakati Ndi m'mithunzi therefrom malangizo onse nthambi za diameters osiyana (2 and 4 mm) supuni woboola pakati. Mbali yoyamba ya unakhuthala mosiyana onse, ndi zambiri ali pamwamba akhakula. M'pofunika woyamba wa zonse pofuna kuti amalowetsa m'manja a dokotala, chifukwa patsogolo mayeso nthawi zonse amavala lalabala wosabala magolovesi. Zitsulo ntchito monga analogi ndi mobwerezabwereza choncho nthawi zonse ayenera kukhala sterility ake. Choncho, reusable agwira supuni Volkmann, amene mwamsanga pambuyo ntchito ndi ankawaviika ndi chlorinated tizilombo toyambitsa matenda yankho, ndiyeno ndasambitsa kachiwiri ndi burashi, ndi kuika mu autoclave lapansi. Pulasitiki tingatsimikize zobwezerezedwanso ndi chiwonongeko wotsatira, komanso chifukwa chakuti yopangidwa ndi zisulo wotchipa. Komabe, popeza chida matenda pokhudzana ndi wosakhwima, mosavuta maganizo mucosa pa mundawo maliseche, izo kulengedwa kuchokera polystyrene woyera, lochita ndi apyrogenic.

Ntchito mu matenda achikazi

Mwina ambiri amene zipangizo amafuna madokotala ndi matenda specializations opaleshoni, ndipo otorhinolaryngology. Komabe, mu munda woyamba zochiritsira, pali kusiyana poyerekezera ndi ntchito kuchipatala kapena chipatala. Choncho, matenda outpatient ntchito ofesi kwambiri za makamaka pa matenda oyambirira a matenda ndi chisamaliro njira, ndi chifukwa amagwiritsa ntchito zipangizo disposable pafupipafupi. Choyamba zofunika kwambiri kwa iwo a supuni Volkmann, amene ankakonda kutenga kwambiri mayesero. Choncho, akhoza kuthandiza Tengani zinsinsi urethral mucosa, nyini ndi khomo pachibelekeropo, amene amalola kudziwa venereologic, Urological, oncological ndi nonspecific yotupa matenda a thirakiti maliseche. matenda awo ikuchitika onse pa zizindikiro ndi madandaulo mtima, ndipo prophylactically.

Mayesero ena matenda

Imodzi mwa mayesero zofunika kwambiri ndi kuipitsa mbiri pa onkotsitologiyu, chimene, makamaka ntchito supuni Volkmann matenda. Mmenemo analanda epithelium wa ngalande khomo lachiberekero pa mayeso izi, ndiyeno amanena kuti okonzeka galasi Wopanda kwa Kupenda histological. Choncho wapezeka khansa khomo lachiberekero ndi matenda ake precancerous - erythroplakia, leukoplakia ndi tizilombo ting'onoting'ono. zofufuza wina amene amagwiritsa supuni Volkmann, ndi kuipitsa mbiri pa chiyero. M'kupita kwa Phunziro lino amaweruza ndi microbiocenosis kumaliseche, amene amathandiza kwambiri chizindikiritso cha matenda yotupa pa mundawo maliseche ndi kudziwa nthumwi kapena gulu. Pakuti zofewa kutsetsereka zoyenda kuipitsa mbiri ya kale atatu: ndi kutsegula kunja mkodzo, ndi Kakhungu mucous ya nyini ndi khomo pachibelekeropo. Kenako, chagwiritsidwa magalasi Wopanda atatu amalembedwa makalata «U», «V» ndi "C" motero.

Ntchito Opaleshoni

Volkmann supuni - chida kuti ali ndi kuchuluka osiyana. Kwenikweni, ntchito madokotala zochizira pathologies fupa ku zotsala za minofu zofewa. M'dera limeneli, umatchedwa "pachimake amgwirizano fupa supuni" (supuni Bruns ndi mmodzi ndiye amaganiza). Mosiyana ndi zolinga matenda kwa mwai achire ntchito zida zina zingapo ndi lakuthwa akadaulo a gawo ntchito, m'pofunika kwa mokwanira curettage minofu. Mwachitsanzo, mu opareshoni spoons ntchito mankhwalawa osteomyelitis , kapena kupwetekedwa fupa, ndi matenda achikazi - ndi opaleshoni kuchotsa tizilombo ting'onoting'ono, mimba endometrial ndi zatsalira latuluka mu nkhani ya increment ake.