Ngecephe Volkmann: inkcazelo kunye nesiqulatho

Phantse wonke ugqirha owenza okubi kwezonyango okanye diagnostic ufuna isixhobo esithile. Kwiminyaka emininzi yokusebenza ziye zabonisa izixhobo ebuntsimbi kakhulu, kodwa kutshanje yaqalisa zeplastiki, nebonelela inzalo engqongqo. Kodwa kunjalo, eli ukhetho ixhomekeke kwi sicelo. Ngoko ke, umzekelo, ngendlela elinganayo kusetyenziswa icephe ongasetynziswayo kunye ngebhegi Volkmann, nto leyo eza kuxutyushwa kweli nqaku.

incazelo

Isixhobo silula ulwakhiwo, kuqulethe handle efumaneka kwiziko kunye nokunabisa siso macala omabini ngecephe ezimilise amasebe ngobubanzi ezahlukeneyo (2 no-4 mm). Inxalenye yokuqala ye eqinileyo, ngokuchaseneyo bonke, yaye idla kumphezulu rough. Kuyimfuneko kuqala nokuthintela ukuba oku ekuweleni ezandleni kagqirha, kuba ngaphambi kokuba uvavanyo usoloko unxiba iiglavu wawuqalekisa latex. Le wentsimbi kusetyenziswa analog rhoqo kwaye ngoko rhoqo kufuneka sihlale inzalo yayo. Ngenxa yoko, icephe esebenza ngayo Volkmann, leyo ngoko nangoko emva kokuba zifakwe kumxube zintsholongwane ikhlorini, uze emva koko wahlamba kwakhona ibhrashi, wazibeka kungena esisodwa. Plastic kwakhona enokwenziwa ntsha kwakhona kwaye intshabalalo olandelayo, kodwa ngenxa yokuba ezenziwe ngezinto cheap. Noko ke, ekubeni sixhobo yamanina wadibana ne-ethe, isifo ngokwengqondo ngokulula ye phecana esini, wadala ukusuka istro emhlophe, ayiphazamisi kunye apyrogenic.

Isicelo e G

Mhlawumbi elona nani likhulu izixhobo kufuna oogqirha kunye specializations yamanina zotyando, kunye otorhinolaryngology. Noko ke, kwintsimi yokuqala yezonyango, kukho umahluko ngokunxulumene ukusebenza esibhedlele okanye ekliniki. Ngoko ke, imisebenzi ofisi kwezigulane yamanina zijolise kakhulu kwi uxilongo ekuqaleni kwezifo kunye nokhathalelo zothintelo, yaye ngoba usebenzisa izixhobo ezilahlwayo rhoqo. Okokuqala zonke kakhulu eziyimfuneko kubo bangamalungu icephe Volkmann, nto leyo esetyenziselwa kuthatha ixesha elininzi iimvavanyo. Ngoko ke, yi nga ku pfuna ukuthatha iisampulu amahlebo urethral isifo, ikuku kunye wesizalo, nto leyo evumela ukuba ukuchonga venereologic, yomchamo, izifo oncological kunye nonspecific yokukrala phecana zangasese. uphethwe yazo ikhutshwa phandle bobabini phezu ezibonisa kunye nezikhalazo nomonde, kwaye prophylactically.

Ezinye iimvavanyo izifo

Enye iimvavanyo ibalulekileyo a smear kwi onkotsitologiyu, apho, ngokukodwa, wasebenzisa ngecephe Volkmann izifo. Kulo wathimba epithelium lomsele wesibeleko ngexesha lo vavanyo, kwaye ngoko ke lusetyenziswa kwisilayidi yeglasi uzilungiselele ukuba uviwo histological. Ngoko uchonge umhlaza womlomo wesibeleko kunye amanxeba ayo precancerous - erythroplakia, leukoplakia kunye polyp. Enye kulingwa esebenzisa ngecephe Volkmann, i -smear xa ntumbuluko. Ekuhambeni yolu phando oluvavanya microbiocenosis ikuku, nto leyo inceda kakhulu nokuchongwa kwezifo yokukrala iphecana esini kunye nokumisela arhente okanye iqela elithile. Kuba oku soft sliding smear motion wayithatha: ukuvulwa olungaphandle urethra, i inwebu kwiinwebu lobufazi kunye wesibeleko. Okulandelayo, ekuchongwa ngayo kwi iindondo kwisilayidi ezintathu iphawulwe iileta «U», «V» kunye "C" ngokulandelelana kwazo.

Sebenzisa Surgery

Volkmann naan - sisixhobo othe Umda eyahlukileyo. Ngokukodwa, isetyenziselwa ukunyanga ezimbi ithambo iintsalela yezihlunu ezithambileyo yi oogqirha. Kule ndawo, ibizwa ngokuba "icephe ithambo mazwe etsolo" (icephe Bruns yenye macala-). Ngokungafaniyo iinjongo diagnostic, kuba zazo zonyango ezisetyenzisiweyo nezinye izixhobo eziliqela kunye igawulwa usiko lwendawana zokusebenza, kuyimfuneko ukuba curettage inyama ngokucokisekileyo. Ngoko ke, umzekelo, xa neenkamba utyando esetyenziswa ukunyanga osteomyelitis , okanye umothuko amathambo, yaye zuza - kunye utyando ukususa polyp, isisu endometrial kunye iintsalela beendawo kwimeko anyuswe yayo.