Cauterization inosanganisira kupisa jira, zvichida nenzira ye conductor inotakurwa inopisa nemagetsi emagetsi kana nekemikari. Chinangwa chinobva chave chekuparadza nyama ine chirwere kana kumisa kubuda ropa. Etymologically, izwi rinobva pazita rechiLatin cautionary, zvinoreva cauterization, uye yakaumbwa kubva pashoko rechiLatini I will cauterize zvichireva kuti “kupisa nesimbi inopisa”.

Chokwadi, kuparadzwa kwenyama uku kunoita kuti zvibvire kubvisa ronda asiwo kumisa kubuda ropa kana kudzoreredza kuputika kwevanga. Cauterization inowanzoitwa paganda kana pa mucous membrane. Zvigadzirwa zvemagetsi zvekare senge galvanocautery kana thermocautery, tsvimbo inochengeterwa incandescent kubvumira kupisa kwakanyanya, haichashandiswi nhasi.

Nhoroondo, cauterization yakashandiswa kubva kuMiddle Ages. Nokudaro, Albucassis (936-1013), chiremba wokuvhiya wechiArab anobva kuSpain uyo aivawo nyanzvi huru yekuvhiya kweSpanish-Arab panguva iyoyo, akagadzira zvakawanda zvitsva mukurapa. Pakati pavo: hemostasis nedhijitari compression uye chena iron cauterization. Zvadaro, muna XVI^e zana remakore, chiremba anovhiya Ambroise Paré (1509-1590) akazvisiyanisa panhandare dzehondo, achiunza hutsva hwakawanda mukurapa maronda. Iye nokudaro akagadzira kubatanidzwa kwetsinga kutsiva cauterization nesimbi tsvuku. Kutaura zvazviri, iye, uyo akanga ari muvambi wezviridzwa zvakawanda uye anowanzoonekwa sebaba vekuvhiyiwa kwemazuva ano, akabatanidzwa mukuvandudza nekuparadzira nzira itsva ye cauterization, panguva iyo yakakonzerwa nesimbi tsvuku kana mafuta ari kufashaira. njodzi yekuuraya vakakuvadzwa.

Cauterization inoshandiswa kunyanya munyaya iyo inofanirwa kumisa kubuda kweropa, uye kunyanya epistaxis (a nosebleed), kana kurapa kenza. Inoratidzwawo, mune dzimwe nguva, kukurudzira kufema zviri nani kuburikidza nemhino.

• Kubuda ropa mumhino: lKubuda ropa mumhino, kunonziwo epistaxis, kunogona kuva pakati nepakati kana kurema, uye migumisiro yaro inogona kubva pachirwere chiduku kusvika kune chinogona kuuraya ropa rinotyisa. Zvinonyanya muzviitiko zvekubuda ropa kwakanyanya kana kudzokororwa izvo vanachiremba dzimwe nguva vanogona kutora cauterization. Saka, vachengeti vanobva vavhara panobuda ropa vachishandisa kemikari, kazhinji sirivheri nitrate, kana kuita cauterization vachishandisa magetsi ekudziya. Iyi nzira yechipiri inonziwo electrocautery, uye zvinoreva kuti cauterization yezvinyama inoitwa nenzira ye conductor inopisa nemagetsi emagetsi;
• Kurapwa kwegomarara: electrocautery, ichishandisa magetsi emagetsi akakwira zvakanyanya kuparadza maseru kana matishu, inogona kushandiswa mugomarara, kumisa kubuda ropa mutsinga dzeropa, kana kubvisa zvikamu zvebundu regomarara. Semuenzaniso, electrocautery inoshandiswa mugomarara remapapu nekuti inobvisa zvikamu zvebundu iri riri pedyo netsinga yeropa;
• Fema zviri nani kuburikidza nemhino: cauterization ye turbinates ine chinangwa chekuvandudza kufema kuburikidza nemhino. Nokudaro, mhino ine turbinates, iyo mapfupa akafukidzwa nehutu hwakapfava. Kana iyo mucous membranes ye turbinates yakanyanya kuvhuvhuta neropa rinopfuura mukati, aya mucous membranes haabvumiri mhepo kuti ipfuure zvakanaka: saka inodzivirira murwere kufema zvakanaka kuburikidza nemhino. Iko kupindira, iyo ichavewo cauterization pano, ichaita kuti mucous membranes iite mutete, ichiita kufema kuri nani.

Cauterization yakaitwa kurapa epistaxis iine hunyoro gesture, hakusi kuvhiya chaiko. Iyi cauterization inoitwa pasi pemunharaunda kuonana anesthesia. Izvi zvinoda donje swab, iyo yakanyoroveswa mumvura yeanesthetic isati yabatwa kwemaminetsi mashoma mumhino yozobviswa.

Iyo chiridzwa chinoita cauterization pachayo inozoiswa kwemasekondi mashoma kune iyo nzvimbo kuti ibatane. Iyi cauterization inogona kuitwa nekemikari, yakadai sesilver nitrate kana chromic acid: nzira iyi, iyo inowanzobatanidza kushandiswa kwesimbi yenitrate tsvimbo, inobvumira tsinga yeropa inoonekwa mukati memhino uye inowanzoputika. Iyi cauterization inogonawo kuitwa uchishandisa magetsi emagetsi: iyi inobva yaita electrocoagulation.

Vese ENT (otorhinolaryngology) nyanzvi vanogona kuita rudzi urwu rwe cauterization. Izvi zvinogona kuitwa mukamuri yavo yekubvunza kana mudhipatimendi reENT munzvimbo yechipatara. The gesture inogona kushandiswa vana, kunyanya kana vakadzikama: nasal cauterization pamwe sirivheri nitrate pasi romunharaunda yokutindivadza saka zvinobvira kubva pazera remakore mana kusvika mashanu. Iyi nzira yekuvhara inomiririrwa ne cauterization dzimwe nguva inogona kurwadza, pasinei neanesthesia yemunharaunda.

Mamwe marudzi e cauterization anosanganisira cancers, uye mune iyi nyaya kupindira kuchave nechinangwa chekuparadza matishu asina kujairika kana maseru egomarara nenzira yekupisa, magetsi emagetsi kana chigadzirwa chemakemikari. Mukuwedzera, cauterization ye turbinates, mapfupa maduku ari mukati memhino, inoshandiswawo: pano, chinangwa chichava kubvumira murwere kufema zviri nani.

Kuti ugadzirire nzira ye cauterization, kana iwe uchiwanzoitora, iwe unofanirwa kuve nechokwadi, kunyanya, kumira mazuva mashoma kuvhiyiwa kusati kwatora mishonga ine chinangwa chekuita kuti ropa riwedzere kuyerera, senge semuenzaniso:

• anti-coagulants;
• anti-inflammatory drugs;
• anti-platelet mishonga.

Zvichavawo zviri nani kune vanosvuta kurega kusvuta vasati vavhiyiwa uye mushure mekuvhiyiwa, sezvo izvi zvinowedzera njodzi yehutachiona mushure mekuvhiyiwa, uye zvinonyanya kukosha, inononoka kuporesa, kunyanya munyaya ye cauterization yemakona.

Cauterization yekurapa epistaxis kazhinji inopa mhedzisiro inogutsa. Izvi zvinobvisa dzimwe tsinga dzinokonzera kubuda ropa.

Cauterization yekurapa cancer inokonzeresa kuparadzwa kwemasero egomarara, kana matishu asina kujairika.

Kana iri cauterization ye turbinates, iyo inosanganisira kushandisa kupisa kuitira "kupisa" tsinga dzeropa dzinopfuura nemu mucous membranes, zvinoguma nekuderera kweropa kuzvimba kwe mucous membranes. Kuderedza saizi yeaya mucous membranes, kuvhiya kuchaita kuti zvikwanise kusunungura nzvimbo yekupfuura kwemhepo. Kufema kwomurwere zvechokwadi kuchavandudzwa.

Pane njodzi maererano necauterization mukurapa epistaxis apo nzira idzi dzinodzokororwa kakawanda: munguva refu, kupera kweseptum yemhino kunogona kuitika. Nekudaro, ichi kusagadzikana hachikonzeri chero chakakanganisika, chinogona kungova chikonzero cheropa shoma remhino crusts.

Nezve cauterization ye turbinates, njodzi dzakaderera, zvisinei, zvinogona, kashoma, kuitika hutachiona panzvimbo yekupindira, zvinogona zvakare muzviitiko zvisingawanzo kukonzera kubuda ropa kana kuunganidzwa kweropa pasi pe mucous membrane, iyo ichaita. kukonzera hematoma.

Pakupedzisira, yakaratidzwa mune zvidzidzo zvesayenzi kuti nzira ye electro-coagulation inokonzera kupisa kwakanyanya uye necrosis pane kuvhiyiwa kwescalpel, semuenzaniso munyaya ye laparotomy. Uye kutaura zvazviri, cauterization inoratidzika kunge inowedzera njodzi yehutachiona kana ichienzaniswa nedzimwe nzira dzekuvhiya.

Kufungidzira kwakaiswa mberi neboka revatsvakurudzi (Peter Soballe neboka rake) ndeyokuti nhamba yakaderera yebhakitiriya inodiwa kuti iparadze maronda anokonzerwa ne electro-cautery pane kuuraya maronda anokonzerwa nescalpel.