Ukumunca kanye Nokuchelela

Ukumunca: Kususa uketshezi emigodini yesisu ne-pelvic. Uma amahlule egazi edinga ukususwa, angasetshenziswa kanye nama-forceps okuhlinza ukuze ahlukanise amahlule ngaphambi kokuwadonsa. Uma uyisebenzisa ngomthamo omkhulu woketshezi, vele uthinte ichopho ledivayisi yokumunca uye ezingeni loketshezi bese uliyisa phambili kancane. Lokhu kugwema izicubu ezifisayo, kuthuthukisa ukusebenza kahle kokumunca nokuphepha. Uma isilonda sibanzi futhi sopha ngokuqhubekayo, sidinga ukuchayeka, ithiphu lokumunca lishanelwa ngokushesha enxebeni ngenkathi kanye kanye lidonsa igazi — lokhu kubizwa ngokuthi "ukumunca ukushanela." Lokhu kuveza ngokushesha iphuzu lokopha, kusiza i-hemostasis.

Ukuvimba: Ukuvimba imithambo yegazi. Lapho uveza imikhumbi ye-iliac ngesikhathi sokuhlukaniswa kwe-lymph node, ukusebenzisa idivayisi yokudonsa ukuvimbela imithambo kungashintsha umsebenzi wokuhlakaza amandla.

 

Ukusunduza: Ngokusebenzisa amandla afanele ngokusebenzisa ithiphu yokumunca phakathi komkhumbi nezicubu ezizungezile, igebe phakathi komkhumbi nezicubu ezizungezile lingadalulwa. Yiqiniso, ukuma okunembile kubalulekile; ngaphandle kwalokho, alikho inani lokusunduza elizodala igebe. Ukwengeza, lapho ukopha phakathi nokuhlinzwa, ithiphu lokumunca lingabekwa eduze nendawo yokopha ukuze kuncishiswe ukopha, futhi amandla afanelekile angasetshenziswa ukuze kugcinwe isilonda sihlanzekile, okwenza izimo zokwelashwa okwengeziwe. Lapho ulawula ukopha, ukusunduza kufanele kube indlela eyinhloko, ngokumunca okuncane, ikakhulukazi ukugwema ukumunca ngqo endaweni yokopha. Uma kungenjalo, nakuba isilonda singase sibonakale sihlanzekile, ukopha kungase kukhule ngempela.

 

I-Dissection: Ukusebenzisa idivayisi yokumunca kungasiza ekuhlukaniseni izicubu ngenkathi kususwa igazi eliphumayo kanyekanye.

 

Ukusunduza nokudonsa (noma ukuklwebha): Uma igebe livela phakathi kweshubhu lokumunca kanye nezicubu ezizungezile, ukunyakaza kokusunduza nokudonsa kungasetshenziswa eduze kwe-eksisi ende yeshubhu ukuze kwandiswe igebe futhi kuhlukanise izicubu eziqondiwe esicutshini esizungezile.

 

Ngokusebenzisa lezi zindlela ngobuchule nokusebenzisa imisebenzi ehlukene yedivayisi yokumunca ngangokunokwenzeka ngokwesimo sokuhlinza, udokotela ohlinzayo udinga ukujwayela ngokucophelela ukusunduza nokudonsa ukunyakaza kwedivayisi yokudonsa ngaphandle kwesiteji, ukuqeqesha imisipha yezithupha ukwenza isenzo esivamile esigxilile ebuchosheni, ukuze kusetshenziswe lesi sisetshenziswa esikhulu.