Ho fetisoa hoa linomoro

Ho kenya linomoro bocha ke ho buuoa ho hokela menoana kapa menoana ea maoto e khaotsoeng (e khaotsoe).

Ho buuoa ho etsoa ka tsela e latelang:

• Anesthesia e akaretsang e tla fuoa. Sena se bolela hore motho o tla be a robetse mme a sa khone ho utloa bohloko. Kapa anesthesia ea tikoloho (mokokotlo le epidural) e tla fuoa ho otlolla letsoho kapa leoto.
• Ngaka e buoang e tlosa lisele tse senyehileng.
• Lipheletsong tsa masapo li sehiloe.
• Ngaka e buoang e beha monoana kapa monoana oa letsoho (o bitsoang palo) sebakeng sa eona. Masapo a kopantsoe hape le lithapo kapa poleiti le likurufu.
• Li-tendon lia lokisoa, li lateloa ke methapo le methapo ea mali. Ho lokisa methapo le methapo ea mali ke mohato oa bohlokoahali oa katleho. Haeba ho hlokahala, ho sebelisoa lisele tse nang le methapo le methapo ea mali tse tsoang karolong e 'ngoe ea' mele.
• Leqeba le koetsoe ka masela ebe le tlamisoa.

Ho buuoa ho etsoa ha menoana kapa menoana ea maoto e khaotsoe 'me e ntse e le maemong a ka lumellang ho hlongoa hape.

Likotsi tsa anesthesia le ho buuoa ka kakaretso li kenyelletsa:

• Likabelo tsa meriana, mathata a ho hema
• Ho tsoa mali, ho koala mali, tšoaetso

Likotsi tsa ts'ebetso ena li kenyelletsa:

• Ho shoa ha lisele tse ncha
• Ho fokotsa ts'ebetso ea methapo kapa motsamao oa linomoro tse nchafalitsoeng
• Ho lahleheloa ke maikutlo meleng e nchafalitsoeng
• Ho thatafala ha lipalo
• Bohloko bo tsoelang pele kamora ho buuoa
• Ho hlokahala opereishene e eketsehileng bakeng sa linomoro tse nchafalitsoeng

Tlhokomelo e khethehileng e tla nkuoa ha o le sepetlele ho etsa bonnete ba hore mali a phalla hantle karolong e hoketsoeng. Letsoho kapa leoto li tla lula li phahamisitsoe. Kamore e ka bolokoa e futhumetse ho netefatsa phallo e nepahetseng ea mali. Karolo e hokeloang hape e tla hlahlojoa khafetsa ho netefatsa hore ho na le phallo e ntle ea mali.

Kamora hore o lokolloe sepetlele, o kanna oa hloka ho roala samente ho sireletsa monoana kapa monoana oa leoto. Ngaka e buoang e ka fana ka meriana e fokotsang mali ho thibela ho koaloa ha mali.

Tlhokomelo e nepahetseng ea karolo kapa likarolo tse khaotsoeng e bohlokoa haholo molemong oa ho lema hape. Tlas'a maemo a nepahetseng, ho na le monyetla o motle oa hore opereishene e ka khutlisa ts'ebeliso ea monoana kapa monoana oa letsoho. U tla hloka maeto a ho latela le mofani oa tlhokomelo ea bophelo ba hau, ea tla tsoelapele ho lekola phallo ea mali sebakeng sa ho buuoa.

Bana ke ba khethiloeng hamolemo bakeng sa ho buuoa hape ka lebaka la bokhoni ba bona ba ho folisa le ho nchafatsa lisele.

Ho jaleha karolo e khaotsoeng ho ka etsoa hantle pele ho feta lihora tse 6 kamora ho tsoa kotsi. Empa ho lema hape ho ntse ho ka atleha haeba karolo e khaotsoeng e pholile ho fihlela lihora tse 24 kamora ho tsoa kotsi.

U ke ke ua ba le maemo a tšoanang monoaneng kapa menoaneng ka mor'a ho buuoa. Liphetoho tsa bohloko le maikutlo li ka tsoelapele.

Revascularization ea linomoro tse khaotsoeng; Ho hokeloa hape ha menoana e khaotsoeng

• Monoana o ponngoeng
• Ho fetisoa hoa linomoro - letoto la lihlooho

Litaba tsa Higgins JP. Pheta hape. Ka: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, bahlophisi. Opereishene ea Letsoho ea Green. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 42.

Klausmeyer MA, Jupiter JB. Pheta hape. Ka: Browner BD, Jupiter JB, Krettek C, Anderson PA, bahlophisi. Skeletal Trauma: Saense ea Motheo, Tsamaiso le Kaho ea Bocha. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 51.

Rose E. Tsamaiso ea ho khaola litho. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 47.