- Kamehla sebelisa heparin ka methapo pele o e kenya methapong (ntle le haeba mokuli a na le nalane ea heparin e bakoang ke thrombopenia (HIT)
- Ho utloisisa liphapang tsa bohlokoa lipakeng tsa lisebelisoa tsa 'ho tlama' (mohlala, DeBakey vascular clamp vs Overholt clamp)
- Ho kenya di-clamp tsa methapo ka nepo (ela hloko moo di-plaque tse nang le calcium di shebaneng teng)
- Ho etsa arteriotomy ka nepo (Nr. 11 scalpel (ho ea holimo!) le likere tsa Potts)
- Ho sebetsana le li-forceps ka nepo ho qoba tšenyo maboteng a methapo ea mali (u se ke ua hatella)
- Ho beha nale ka nepo ka hara setshwari sa nale (hangata 1/3 ho isa ho 2/3; 30° pele)
- Ho amohela ho tšoara lisebelisoa ka tsela e sebetsang hantle le boemo ba 'mele le matsoho
- Ho roka ka nepo maboteng a methapo (tsela e otlolohileng)
- Ho otlolla lithupa ka nepo: ho tlohaka hare ho tsoamethapong le ho leba ho phallo ya madi (ho qoba ho kgaoha ha methapo); ho tlohakantle hoka li-prostheses (le, haeba ho hlokahala, methapong ea mali e lebisang phallong
- Ho se ke ha tšoaroa lithupa ka lisebelisoa (li ka senyeha kapa tsa robeha)
- Ho lula o khomaretse lebota la methapo (ho qoba ho kopana ha phallo ea mali le lisele tse hokahaneng tse tlang)
- Ho utloisisa melemo le mathata a suture e sitisitsoeng khahlanong le ho tsamaisa suture
- Ho utloisisa sebaka se setle sa suture ka har'a suture e mathang ho netefatsa suture e tiileng (ho lebisa pele ho stitch e 'ngoe le e 'ngoe, sebaka se sekhutšoanyane pakeng tsa ho roka le ho roka)
- Jwalo ka mothusi: moo o ka tshwarang suture ho tiisa mola wa suture, qoba ho etsa di-loops tsa suture e setseng empa o fane ka sebaka se lekaneng bakeng sa ho roka ho latelang (molao-motheo wa 45% ho isa ho 55%).
- Jwalo ka mothusi: ho hula suture ka lehlakoreng la moroko, eseng morao (ho qoba phello ya pursestring
- Jwalo ka mothusi: ho dumella ngaka e buwang ho fetola dinama pelepele hoho hula suture (ho qoba ho tsoa mali ka masoba a suture)
- Ho hlatswa kamehla pele ho kwalwa, ho phuthwa le ho phuthollwa
- 2x transverse / 2x longitudinal arteriotomies. Kwala arteriotomies ka bobedi ka mekgwa ena ka bobedi: ho sitiswa le ho sebedisa suture, ka ho latellana.
- Ho sebetsana le lebota la methapo ea mali: tšoara feela adventitia ka li-forceps tsa hao
- Ho tlama methapo ea mali hantle: ela hloko plaque, sebelisa vascular clamp, lokisa matla a clamp, u se ke ua lebala ho fa heparin pele u tlama!
- Arterialotomy: e sebelise e le lehare la scalpel Nr 11, ho hlaba lehare le tšoereng lehare ho ea holimo
- Atolosa arteriotomy ka ho sebelisa likere tsa Potts
- Ho sebetsana le mothapo oa mali ka forceps: u se ke ua hatella intima, sebelisa forceps e le matla a ho loantša nakong ea ho roka, tšoara adventitia feela
- Tšoara setshelo sa nale ka nepo
- Sebaka sa nale ka nepo
- Roka mealo eohle ea lebota ka moalo o otlolohileng (ha ho na lithupa tse tangential)
- Tsela ea ho roka ka hare le kantle (marakong a methapo ea mali ho qoba ho senngoa)
- Tšebelisano pakeng tsa nale, setshwari sa nale le matlapa: ho nka nale, rera ho roka e latelang
Taolo ea lipheo tsa ho ithuta
- Phetolelo
- Ho nepahala ha li-stiches
- Ho tiea ha suture
Nako ea poso: Phuptjane-15-2026