Spoon Volkmann: incazelo nobukhulu

Cishe zonke udokotela kokwenza zokukhwabanisa zokwelapha noma zokuxilonga kudinga ithuluzi elithile. Eminyakeni eminingi yokwenza bezibonakalise amadivayisi metallic ngaphezulu, kodwa sisanda kukhipha plastic, okunikeza inzalo esiqinile. Kodwa namanje, lokhu kukhetha kuncike isicelo. Ngakho, ngokwesibonelo, njalo alinganayo futhi wasebenzisa spoon alahlwayo futhi esebenza Volkmann, okuzoxoxwa ngayo kulesi sihloko.

incazelo

Ithuluzi ilula ekwakheni, ehlanganisa isibambo elitholakala esikhungweni nokwelula therefrom zombili izinkomba spoon emise amagatsha diameters ezahlukene (2 no-4 mm). Ingxenye yokuqala a uqweqwe, ngokungafani bonke, futhi ngokuvamile kuba ebusweni anolaka. Kuyadingeka lokuqala zonke ukuvimbela siye kuzo ezandleni udokotela, ngoba ngaphambi test wayehlale othwala latex amagilavu oyinyumba. I metal isetshenziswa njengenhlangano analog ngokuphindaphindiwe futhi ngenxa yalokho njalo kudingeka silondoloze inzalo yayo. Ngakho, spoon esebenza iphathwe Volkmann, okuyinto ngokushesha ngemuva ukusetshenziswa it is ofakwe isixazululo magciwane kampompi ukuxova umuthi wokugoma, bese wageza futhi nge ibhulashi, futhi ayifake autoclave. Plastic futhi kungenziwa kabusha nokubhujiswa okwalandela, kodwa ngoba esakhiwe ngezinto ezishibhile. Nokho, kusukela ithuluzi izifo zabesifazane nabo obucayi, mucosa ohlukumezekile kalula ipheshana zangasese, wadala kusuka polystyrene ezimhlophe, noninvasive futhi apyrogenic.

Isicelo e zabesifazane

Mhlawumbe abaningi kakhulu amathuluzi kudinga kodokotela specialisation izifo zabesifazane kuhlinzwa, futhi otorhinolaryngology. Nokho, emkhakheni wokuqala zokwelapha, kunomehluko maqondana ukusebenza esibhedlela noma emtholampilo. Ngakho, nemisebenzi yasehhovisi sinenkonzo yokunakekela iziguli izifo zabesifazane bagxile ikakhulukazi ekuhlonzweni kwezifo kanye nokunakekela kokuvimbela, futhi ngenxa yokuthi usebenzisa amathuluzi alahlwayo njalo. Okokuqala adingekayo kakhulu okungesabo spoon Volkmann, esisetshenziselwa ukuthatha okuningi ukuhlolwa. Ngakho, kungasiza ukuthatha amasampula izimfihlo urethral mucosa, esithweni sangasese futhi wesibeletho, okuvumela ukuba abone venereologic, urological, izifo oncological futhi nonspecific ukuvuvukala yaleli pheshana zangasese. Imiphumela yaloku kuhlola okungenhla yabo iqhutshwa kokubili izinkomba kanye nezikhalo nesineke, futhi prophylactically.

Olunye uvivinyo izifo zabesifazane

Omunye ukuhlolwa ezibaluleke kakhulu kuyinto smear ku onkotsitologiyu, okuyiwona, ngokukhethekile, wasebenzisa spoon Volkmann izifo zabesifazane. Kuyo athumba epithelium we-canal wesibeletho ngalesi ukuhlolwa, bese-ke lisetshenzisiwe ukulungele ingilazi slide for luhlolo histological. Ngakho Kutholwe umdlavuza wesibeletho kanye izilonda zayo precancerous - erythroplakia, leukoplakia futhi ama-polyp. Enye Assay olusebenzisa Volkmann spoon, a smear ku ubumsulwa. Ngokuhamba yalolu cwaningo ucubungula le microbiocenosis sangasese, esiza kakhulu ekuhlonzeni izifo ukuvuvukala yaleli pheshana zobulili sokunquma ejenti noma iqembu. Ngenxa yalesi ezithambile ngokuhambisa ezinyakazayo smear athathwa ezintathu: ngokuvula kwangaphandle urethra, ulwelwesi lwamafinyila sangasese kanye wesibeletho. Ngokulandelayo, kusetshenziswe ku ezintathu slide izibuko imakwe izinhlamvu «U», «V» futhi "C" ngokulandelana.

Sebenzisa Zokuhlinza

Volkmann spoon - ithuluzi has a ububanzi ezahlukene. Ikakhulukazi, isetshenziswa odokotela abahlinzayo for ekwelapheni ithambo pathologies kusukela izinsalela izicubu zomzimba ezithambile. Kule ndawo, ubizwa ngokuthi "acute ithambo zamazwe amabili spoon" (spoon Bruns ingenye emaceleni). Ngokungafani ngezinhloso zokuxilonga, ngoba manipulations zokwelapha ezisetshenziswa namanye amathuluzi amaningana ehlome cutting edge ingxenye ukusebenza, kubalulekile ukuba olunzulu curettage izicubu. Ngakho, ngokwesibonelo, ukuhlinzwa nezinkezo lisetshenziswe ekwelapheni osteomyelitis , noma ithambo ukuhlukumezeka, futhi zabesifazane - ne ukuhlinzwa ukhishwe polyp, isisu endometrial futhi placenta izinsalela esimweni anyuswe yayo.