Indlela yokusetyenziswa kwamacandelo eyeza

Nangona kukho inkqubela phambili yezobuchwepheshe, iziqhelo eziqhelekileyo zisasetyenziswa kwiyeza. Ngokomzekelo, zisetyenziselwa ukubuyisela ukujikeleza kwegazi emva kokusebenza ngokukhawuleza. Ukubuyiselwa kwamahlaya kwiplastiki yeklastiki kunye nokuhlinzwa ngokutsha kwakubangelwe kwinkqubela yezobugcisa kwi-microsurgery. Njengoko oogqirha abaninzi baqaphela ubuchule bokubuyisela iindlebe, iinduku, iminwe kunye nezinye izinto ezilahlekileyo zomzimba, umqobo omkhulu kwimpumelelo yale mi sebenzi yinkinga yokubuyisela ukujikeleza kwegazi. Indlela yokusetyenziswa kwezihlunu zonyango ngumxholo wale nqaku.

Ukubuyiswa kwemithambo yegazi

Ngokuqhelekileyo, ugqirha unakho ukubuyisela enye imitha okanye iireyriyiti ezininzi zindonga, ezivumela igazi ukuba liphumelele kwiifom. Nangona kunjalo, iimvumba zineendonga ezinqabileyo, ezinzima kakhulu ukusebenza nazo. Njengomthetho, ugqirha unako ukubonelela ngegazi kwindawo egcotyiweyo yomzimba, kodwa kaninzi akakwazi ukubonelela ngokukhupha okwaneleyo. Ngenxa yoko, inxalenye yokuphinda iphinde ibe yimizimba ngenxa yokuxinwa kweengcungcuthe iyabanda kwaye i-cyanotic - kwaye kukho umngcipheko omkhulu wokulahlekelwa kwayo. Amaqhekeza anceda ukuqinisekisa ukuphuma kwegazi ngenxa yokuba inqanda ukuguquka kwayo. Iinqununu zisetyenziselwa ukuqeda ukudibanisa kwezilwanyana iintsuku enye okanye ezimbini emva kwesikhumba okanye ukuhlengahlengisa inxalenye yomzimba. Iintlobo zokuzisebenzisa zibaluleke kakhulu kuba indawo yokuluma ye-leech yegazi ihamba ngeeyure ezili-10. Akukho mveliso yonyango inokukwazi ukubonelela ngegazi elide ixesha elivela kwinqanaba lokungena. Iinqwenqa zenza umsebenzi ngokukhululeka.

Ukusetyenziswa kwezihlwayo

Abagqirha banikela enye okanye ezimbini izilwanyana ukuba zinywe kwindawo ye-flap kunye nokujikeleza kwegazi kwaye zihambe zize zizaliswe (malunga nemizuzu engama-30). Emva kokuba iinqwenya zinyamalale, ukuphuma ngokukhawuleza kwindawo yokuluma kuqhubeka ixesha elide. Inikeza ukujikeleza okubonakalayo, okwenza ngokukhawuleza imeko yesigulane. Igazi elitsha lingene kwi-flap ngokusebenzisa imirhobho, kodwa ngoku inendlela yokuphuma kwindawo echaphazelekayo. Oku kukuvumela ukuba ugcine i-flap okanye inxalenye ephumayo yomzimba iphile kuze kube yinto yokuba umzimba uvuselele ukuxhamla kwawo. Ngokuqhelekileyo kuthatha iintsuku ezingama-3-5. Ukuba kuyimfuneko, iinqweno zitsalwa kwakhona emva kweeyure eziyi-8 okanye xa ukuphuma kumabhozo angaphambili kudlulayo. Isiphumo sokusebenzisa iinqwenqa simangalisa. I-flap ebandayo ebomvu neyayibhakabhaka iyafudumala kwaye ithinki ngemizuzu embalwa nje. Isiqinisekiso sokuphumelela esiqinisekisiweyo singaphezu kwama-90%. Nangona kunjalo, kufuneka ikhunjulwe ukuba oko, okokuqala, ukunikezelwa kwegazi okwaneleyo kufuneka kunikwe. Ngenxa yokungapheli kwamagciwane, izilwanyana azincedi. Kule meko, i-flap iyakwazi ukuthintela isifo (kubandakanywa iinqweno ngokwazo). Iinqununu zisetyenziselwa ukunciphisa ubuhlungu okanye ukuphazamisa iimpawu ze-edema ezinxulumene neekliniki ezithile. Ngokomzekelo, kwiimeko apho isigulane asivuli amehlo ngenxa ye-edema okanye i-scrotum ibuhlungu bukhulu. I-leech ine-sucker i-sucked on bothini zomphelo womzimba. I-sucker yangasemva isebenza kuphela kwi-attachment, ngelixa enye yangaphakathi ijikeleza umlomo. Nangona kukho iindidi ezingama-650 zeeplanga emhlabeni, kuphela ezimbalwa zazo zichitshiyelwe ukuba zihlasele izilwanyana. Ngokuhlinzwa okwangoku, i-leech ye-Europe leech Hirudo i-medicinalx isetyenziswa.

Indlela Yokutya Kwamahlaya

I-leech yezokwelapha ifanelwe ngokufanelekileyo ukunyusa igazi lezilwanyana ezincelisayo. Inemingxuma emithathu ejikelezayo, umgca wayo ngamnye ophethe amazinyo angama-100 abukhali. Xa ukondla umhlathi unqunywe ngesikhumba sexhoba ngelixa phakathi kwamazinyo uphuma. Ngamanye amazwi, umhlathi usebenza ngokufanayo njengowona, obangela isilonda esineentsimbi ezintathu eziguqukayo kwinqanaba elinye. I-saliva yeengcambu iqukethe isethi epheleleyo yezinto eziphathekayo ze-pharmacologically, ezinye zazo ziye zahlula kwaye zifundiswa ngoku ngoku. Okulungileyo kunazo zonke i-anticoagulant hirudin enamandla, inhibitor ye-thrombin (inzyme ebandakanyekayo kwinkqubo yegazi). Okwamanje i-Hirudin iveliswa ngoncedo lobunjineli bezofuzo kwaye isetyenziswa ngempumelelo kunyango lwe-thrombosis enzulu.

Ixesha lokuhlamba

Iingcamango, nangona kunjalo, zibonise ukuba i-non-hirudin ibangela uxanduva olulodwa olulodwa lokuphuma kwegazi olwenzekayo ngenxa yokuluma kwe-leech. Le nkunkuma ihlanjwe ngaphandle kwelonda malunga nemizuzu eyi-15, emva koko igazi kufuneka lifakwe. Nangona kunjalo, ukuphuma kwegazi kuqhubeka iiyure ezili-10. Kucacile ukuba, ngexesha lokukhethwa kwendalo kwindlela ephumelelayo. Ujoyina i-collagen, enye yezona zivuselelo ezinamandla kakhulu zokugubha igazi, kwaye zivimbela ukukwazi ukuqala inkqubo ye-thrombosis. Igazi lokuphuma ngegazi kuzo zonke ezinye iinkalo liqhelekile kwaye likwazi ukuhlaziya. Ngokujoyina kwi-collagen kwimida yesilonda, i-caleline ayiyi kuhlamba kuyo, ngaloo ndlela ityusa umphumo kwieyure ezininzi. Ihlabathi lifuna imivuno ye-microsurgery inkulu kakhulu kangangokuthi iyakhutshwa ngokukhethekileyo kule njongo kwiifama ezizodwa, apho zixhaphaza igazi lehagu ngokusebenzisa umlenze. Abantu abadala abagciniweyo banokubekwa ukuveliswa kwiiseli ezixutywe ngamanzi amanzi. Ngethuba lokubeka amaqanda, i-leech inika imfihlelo enqabileyo ngesimo secocoon kwinqanaba eliphakathi lomzimba. Ezi zilayidi ze-cocoon phezu kwentloko, icocoon nganye iyahlulwa ibe ngama-cell angama-15, nganye equlethe i-leech encinci. Kwisondlo ngasinye, i-leech ekhula ikhula malunga namaxesha amahlanu ngobukhulu bomzimba. Emva kokutya oku-5 i-leech ifinyelela ubude malunga no-7 cm ubukulungele ukusetyenziswa kwiinjongo zeklinikhi.