Manufar:
Dole a sake gina garun bango idan akwai wani lahani a cikin kogin thoracic ko yankin kirji. Dalili mafi mahimmanci na cututtukan aljihun ƙwayar cuta shine kamuwa da cuta ko rashin lafiya wanda ke fama da lalacewa. Tsarin daji na tsakiya shine wata hanya ta hanyar da aka sanya shinge a tsaye tare da sternum (wanda aka sani da nono), bayan haka sternum ya raba ko fashe.
Wannan hanya yana ba da damar samun dama ga zuciya da kuma huhu don hanyoyin aiki.
Etiology:
An tsara rukuni na bango a cikin manyan nau'i biyu: samo da kuma yanayin .
An samo:
- Cutar
- Tumor
- Kamuwa da cuta
- Radiation
Abinda ke ciki:
- Poland Ciwo
- Pectus Excavatum
- Pectus Carinatum
Manufofin:
Manufofin sake fasalin su ne:
- Cire kayan da ba su da lafiya, nama mai tsagewa daga bangon kirji
- Sabunta kwanciyar hankali da tsari a bangon katako
- Gyara kowane wuri marar mutuwa (sarari marar mutuwa shine sararin samaniya wanda ya samo bayan cire wani ɓangare na huhu ko dukan ƙwayar cuta)
- Samar da cikakken ɗaukar hoto don murfin kirji
- Yi sakamako mai ban sha'awa
Anatomy:
Akwatin kirji yana da nau'i uku:
- Layer waje: Nau'in sutura, wanda ya hada da fatar jiki, mai sassauki, da tsoka
- Tsakiyar tsakiya: Kwan zuma, wanda ya hada da haƙarƙari, guringuntsi, da sternum
- Rubutun ciki: Tsarin sararin samaniya, wanda shine sarari (rami) tsakanin kwarangwal da huhu
Ɗaya, biyu, ko kowane lakabi uku za'a iya sake gina su dangane da lahani.
Sakamakon sake farawa yana farawa tare da kyakyawa mafi zurfi kuma ya kai ga mafi girma - ƙananan shinge, sa'an nan kuma skeletal framework, kuma a karshe kayan taushi.
Bugu da ƙari, irin gyare-gyaren da aka yi zai dogara ne akan wurin lahani a kan bangon kirji.
Hanyar Maɓallin Inner:
- Manufar sake sake gina ɗakunan ciki, wanda aka fi sani da gadon kwakwalwa, shine don samo wani ɓangaren sararin samaniya.
- Anyi wannan ta wurin cika wuri mai mutuwa don kauce wa cike da ruwa da / ko turawa.
- An cika matattun lalacewa ta hanyar amfani da lakaran tsoka (wanda aka fi sani da launi na locoregional) a cikin ɓangare na lahani ko yin amfani da omentum :
- Latissimus dorsi m
- Salon tsohuwar launi
- Pectoralis manyan m
- Raccin abdominis
- Ƙananan asali
Hanyar Magungunan Layer:
- Kwancen skeletal yana dauke da tsakiyar Layer
- Ana buƙatar wannan layin don kare kaya masu muhimmanci (zuciya, huhu, da dai sauransu) kuma don samar da numfashi na jiki
- Idan an cire wasu haƙarƙarin ƙwayar ƙarfe huɗu ko fiye da biyar ko fiye da biyar simimita, ana bukatar sake gina lakabin skeletal.
- Anyi karuwa tare da zaɓuɓɓuka masu zuwa:
Magungunan Alloplastic:
- Sakamakon ƙarfafa da methacrylate na methyl
- Kashe yare
Rashin sake gina jiki:
- Latissimus dorsi m
- Salon tsohuwar launi
- Pectoralis manyan m
- Raccin abdominis
- Ƙananan asali
Hadawa daga Ƙananan Layer:
- Abun mai laushi (launin fata, nama mai laushi) ana dauke dashi mai laushi
- Lalacewar nama mai laushi zai iya zama kauri mai zurfi (ciwo mai rauni) ko kuma yana iya zama cikakken kauri (ciwo mai zurfi)
An sake sake raunin raunin kauri tare da:
- Gyara-kauri fata takalma ko
- Ƙungiyoyi na Locoregional
Cikakken raunuka suna sake gina su da:
- Ƙungiyoyi na Locoregional
- Raɗaɗɗen launi a cikin ƙananan lokuta
Sources:
Din AM, Evans GRD. Girman Wall Wall. A cikin McCarthy JG, Galiano RD, Boutros SG, eds. Farfesa na yau da kullum a Firar Firayi. Philadelphia: Saunders Elsevier, 2006.
Janis JE. Girman Wall Wall. A Janis JE (ed). Muhimmancin aikin tiyata. St. Louis: Gidajen Lafiya na Kwaskwarima inc., 2007.
Chang RR. Tashin Thoracic. A Thorne CHM, Beasely RW, Aston SJ, Bartlett SP, Gurtner GC, Spear S, eds. Grabb da Smith ta Plastics Surgery, 6th ed. Philadelphia: Lippincott, 2007.
Pectus Carinatum Medline Plus.
An shiga Afrilu 2, 2011.
Pomerantz J, Hoffman W. Tashin Gargajiya. A cikin Kryger, ZB, Sisco M (eds.). Hanyar Plastics Jirgin. Austin, Texas: Landes Bioscience, 2007.
http://www.microsurgeon.org/. An shiga Afrilu 2, 2011.