ibe_banner

ngwaahịa

Ọrịa valvụ obi nkịtị


Nkọwa ngwaahịa

Mkpado ngwaahịa

Ọrịa obi valvular

1. Congenital : congenital ntụpọ

2. Ndị ọzọ:

1) Ọrịa obi rheumatic

Isi ihe kpatara ya

Mitral stenosis / mitral enweghị ike

Aortic senosis / Aortic erughị eru

Mbelata nke mitral

2) Ọrịa obi na-adịghị rheumatic

Dị ka ndị agadi na-adịghị ala ala ischemia ;Coronary obi ọrịa myocardial infarction; oké trauma; nje nje bacteria nke valvụ.

ọrịa1

Ọdịmma nke valvụ ọdịnala na-agbanwe ahịrị

- The transverse akara ike nke suture n'onwe ya na nkwa bụ isi efu.

-Nkwa ahụ nwere ntụzịaka dị mma na nke na-adịghị mma

- The suture twine mfe

-Nkwa ahụ na-atụgharị ngwa ngwa

- Nkwa ahụ dị nro, ọ dịkwa mfe ịpịkọta na deform mgbe ị na-ekekọta. Mgbe stichara na knotting, ma nsọtụ nke gasket na-elu na-enweghị ike iwusi ike

ọrịa2
ọrịa3

Sutures valvụ mgbochi mgbochi mgbakwụnye ụdị ọhụrụ

● Nkwa na-enweghị ntụziaka: Ọ dịghị mkpa iji dozie ntụziaka nkwa ahụ pụrụ iche

● Suture na-enweghị ejima

● Kwesịrị ekwesị maka dọkịta na-awa ahụ ka ọ nwee ahụmịhe ọrụ ka mma

● Kwesịrị ekwesị maka nnọchi valvụ obi na-adịghị emerụ ahụ

ọrịa4
ọrịa5

Isi ịwa ahụ nnọchi valvụ aortic aortic Usoro pụrụ iche:

1. Mbipu na nguzobe nke mgbasa ozi extracorporeal

2. Mbipu aortic. Mgbe arụ ọrụ mgbochi obi na-arụ ọrụ, mgbe okpomọkụ dara ruo 30 ℃, a na-egbochi aorta na-arị elu, a na-etinyekwa cardioplegia oyi, ebe a na-eme ka obi dị jụụ. Mgbe e jidere obi obi, a na-eme ntụgharị ma ọ bụ oblique aortic, na njedebe dị ala nke mbepụ ahụ dị ihe dịka 1-1.5cm site na oghere nke oghere akwara nri. nnọchi maka ọrịa valvụ aortic

3. A na-agbanye eriri traction na nke ọ bụla n'ime njikọ atọ nke valvụ aortic.

4. Mwepụ nke valvụ E wepụrụ lobes atọ dị iche iche, na-ahapụ 2mm na nsọtụ. Mgbe ahụ, e wepụrụ anụ ahụ calcified na mgbanaka ahụ. Ejiri mita valvụ tụọ mgbanaka ahụ iji chọpụta ọnụọgụ nke valvụ prosthetic

5.Suture A na-eji eriri dochie polyester 2-0 maka suture matraasi na-adịte aka site n'elu ruo ala. Mgbe akwachara mgbanaka ahụ, a ga-ekesa ahịrị suture nke ọma ma kesaa ya n'etiti mgbanaka na valvụ obi wuru. Ogologo agịga ahụ na-adịkarị 2mm

ọrịa6

6. ntinye akwa akwa niile na-agbaji na valvụ artificial na-agbanye n'okpuru mgbanaka valve iji gosi na a na-etinye ya na valvụ artificial adịghị egbochi oghere akwara aka ekpe na aka nri. E wee kee eriri ahụ otu otu. Nnyocha ikpeazụ gosiri na oghere akwara ekpe na aka nri doro anya

7.Ịsacha nke ọma na-ekpochapụ aorta na ventricle aka ekpe n'elu na n'okpuru valvụ prosthetic ma jupụta aorta na ventricle aka ekpe na saline nkịtị.

8.Suturing Iji 4-0 ma ọ bụ 5-0 polypropylene iji suture, Akpụkpọ ụkwụ abụọ aortic na-ejikọta ọnụ. Ekwesịrị ịme ikuku ikuku tupu emechie stitch ikpeazụ.

Aortic valvụ nnọchi suture- Polyester, Polyester nwere nkwa, Polypropylene

ọrịa7

  • Nke gara aga:
  • Osote:

  • Dee ozi gị ebe a ziga anyị ya