sirala taggimpu

sirala kotha anedi oka atyavasara prakriya, dheenilo sira shastrachikitsa dwara bahirgatamavutundi, aapai pratyaksha drushti kinda siraloki oka kanulanu choppistaaru. idhi gaayam sandarbhaalalo sirala pravesam kosam mariyu paridheeya sirala catheter vadakam kashtamgaa ledhaa asadhyamga unnappudu hypovolemic shock kosam upayoginchabadutundi. grate saphenus siranu saadhaaranamgaa upayogistaaru. seldinger technic, savarinchina seldinger technic, intraosius infusion, alaage cutt down tekniknu upayoginchakundaa central veenus catheterlanu unchadaaniki ultrasound maargadarsakatvam vanti central veenus catheterization kosam surakshitamaina paddhatula abhivruddhitho eee prakriya anukuulamgaa ledhu.
prakriya.
samayam anumatiste charmam subhram cheyabadutundi, kappabadutundi mariyu anaesthetise cheyabadutundi. madhyastha maleolus paina uparitalampai pedda saphinus sira gurtinchabadutundi, puurti mandam viloma charma kotha cheyabadutundi mariyu sira yokka 2 sem. mea. chuttupakkala nirmaanaala nundi vimukti pondutundi. noukanu dhooram varaku moosi, sameepa bhaagam transect cheyabadi (venotomy) mariyu sunnitamgaa vistarinchabadutundi, mariyu venotomy dwara oka kanula pravesapettabadutundi mariyu sira mariyu kanula chuttoo marinta sameepa bandhamtho surakshitamgaa unchabadutundi. prakriyanu puurti cheyadaaniki oka intravenous line kanulaku anusandhaaninchabadi untundi.
samasyalu.
sirala kotha yokka samasyalalo cellulitis, hematoma, flabitis, sira yokka venuka goda yokka randhram, sirala raktam gaddakattadam mariyu naraalu mariyu dhamanula vibhajana unnaayi. eee prakriya goppa saphinus siratho sannihita maargam kaaranamgaa saphinus naraniki nashtam kaligistundi, phalitamgaa madhya kaalulo charma samvedana kolpotundi. samvatsaraalugaa, gaayam/hypovolemic shock rogulalo intrasosius infusion parichayam mariyu iteevali prii hospital parinaamaala dwara sirala cutt down prakriya paatadigaa maarindi.

