
shiraparak katauti

shiraparak cutdown ack aapaatkaaleen prakriya haye jisamen nus koo shalya chikitsa dwara ujagar kiya jaataa haye aur phir seedhi drishti key tahat nus mein ack canula daala jaataa haye. iska upayog aghaat key mamalon mein shiraparak pahunch key liye kiya jaataa haye, aur hypovolemic sadame key liye jaba paridhiya shiraparak catheter kaa upayog yaa tou kathin yaa asambhav hotaa haye. mahaan saphanus nus kaa sabse adhik upayog kiya jaataa haye. yeh prakriya kendriya shiraparak catheterization key liye surakshit takneekon key vikas key saath anukool naheen hoe gaee haye jaise kii seldinger takneek, sanshodhit seldinger takneek, intraosius infusion, saath hii saath cutdown takneek kaa upayog kiye binaa kendriya shiraparak catheter key placement key liye ultrasound margadarshan kaa upayog.
prakriya.
samay mille tou twacha koo saaf kiya jaataa haye, dhakaa jaataa haye aur anaesthetise kiya jaataa haye. madhya malliolus key oopar kii satah parr badee saphanus nus kii pehchaan kii jaati haye, ack poorna-motai anuprasth twacha cheera banaaya jaataa haye, aur nus kaa 2 semi aspas kii sanrachanaon seey mukt hotaa haye. pott koo door seey bund kiya jaataa haye, sameepasth bhaag koo parivartit (vish-pratiropan) kiya jaataa haye aur dheere-dheere failaaya jaataa haye, aur vish-pratiropan key madhyam seey ack canula pesh kiya jaataa haye aur nus aur canula key chaaron or ack adhik nikatasth ligture key saath surakshit kiya jaataa haye. prakriya koo puuraa karane key liye ack antahshira rekha canula seey judee hoti haye.
jatilataaen.
shiraparak cutdown kii jatilataon mein cellulitis, hematoma, flabitis, nus kii pashch deewaar kaa chhidran, shiraparak ghanastrata aur tantrika aur dhamani kaa anuchhedan shamil hain. iss prakriya key parinamswarup badee saphanus nus key saath isake antarang maarg key kaaran saphanus tantrika koo nuksan hoe sakata haye, jisake parinamswarup madhya pair mein twachiya samvedana kaa nuksan hoe sakata haye. varshon seey, siron mein katauti kii prakriya aghaat/hypovolemic sadame key rogiyon mein intraosius infusion key parichay aur haal key aspatal seey pahale key vikas seey purani hoe gaee haye.

