- Ukufaka i-heparin ngemithambo yegazi njalo ngaphambi kokubopha imithambo yegazi (ngaphandle kokuthi isiguli sinomlando we-heparin induced thrombopenia (HIT))
- Ukuqonda umehluko obalulekile phakathi kwamadivayisi 'okubopha' (isb. i-DeBakey vascular clamp vs i-Overholt clamp)
- Ukusebenzisa ama-clamp emithambo yegazi ngendlela efanele (qaphela indlela ama-plaque ane-calcified aqondiswa ngayo)
- Ukwenza i-arteriotomy ngendlela efanele (i-scalpel engu-No. 11 (phezulu!) kanye nesikele sikaPotts)
- Ukuphatha ama-forceps ngendlela efanele ukugwema ukulimala kwezindonga zemithambo yegazi (ungacindezeli)
- Ukubeka inaliti ngendlela efanele esibambi senaliti (ngokuvamile kusuka ku-1/3 kuya ku-2/3; 30° phambili)
- Ukwamukela ukubamba okuqondile kwezinsimbi kanye nendawo yomzimba nezingalo
- Ukuthunga kahle phakathi kwezindonga zemithambo yegazi (indlela eqondile)
- Ukuqondisa izithungo ngendlela efanele: kusukelaphendukezelweemithanjeni yegazi nasekuphumeni kwegazi (ukugwema ukuqhekeka);ngaphandle ngaphakathikuma-prostheses (futhi, uma kudingeka, emithanjeni yegazi ebheke ekungeneni
- Ukungalokothi ubambe izithungo ngamathuluzi (kungonakala noma kuphuke)
- Ukuvikela njalo udonga lwemithambo yegazi (ukugwema ukuthintana kwegazi nezicubu ezixhumeneyo ezifikayo)
- Ukuqonda izinzuzo kanye nokubi kwe-sutures eziphazamisekile vs ukusebenzisa i-sutures
- Ukuqonda indawo efanele yokuthunga emithungweni yokugijima ukuqinisekisa ukuthi umthungo uqinile (ukuqondisa phambili kokuthunga ngakunye, ibanga elifushane phakathi kokuthunga nokukhipha)
- Njengomsizi: lapho kufanele ubambe khona umthungo ukuze uqinise umugqa womthungo, gwema ukugoqa umthungo osele kodwa unikeze ithuba elanele lokuthunga okulandelayo (umgomo ongu-45% kuya ku-55%).
- Njengomsizi: ukudonsa umthungo ngendlela yokuthunga, hhayi emuva (ukugwema umphumela we-pursestring
- Njengomsizi: ukuvumela udokotela ohlinzayo ukuthi alungise izicubu kuqalangaphambiukudonsa umthungo (ukugwema ukopha kwembobo yomthungo)
- Ukuhlanza njalo ngaphambi kokuvala, ukubopha nokuhlukanisa
- Ama-arteriotomies angu-2x ajikelezayo / angu-2x aqondile. Vala womabili ama-arteriotomies ngezindlela zombili: ama-suture aphazamisekile kanye nama-suture asebenzayo, ngokulandelana
- Ukuphatha udonga lwemithambo yegazi: bamba i-adventitia kuphela nge-forceps yakho
- Ukubopha kahle kwemithambo yegazi: qaphela i-plaque, sebenzisa i-vascular clamp, lungisa amandla e-clamp, ungakhohlwa ukunikeza i-heparin ngaphambi kokubopha!
- Ukuhlinzwa kwemithambo yegazi: sebenzisa njenge-scalpel blade Nr 11, ukugwazwa kwe-incision kubambe i-blade phezulu
- Nweba i-arteriotomy usebenzisa izikele zePotts
- Ukuphathwa kwemithambo yegazi nge-forceps: ungacindezeli i-intima, sebenzisa i-forceps njenge-counterforce ngesikhathi sokuthunga, bamba i-adventitia kuphela
- Bamba isibambi senaliti ngendlela efanele
- Indawo yenaliti ngendlela efanele
- Thunga zonke izendlalelo zodonga ngesitishi esiqondile (akukho zitishi eziqondile)
- Indlela yokuthunga ngaphakathi nangaphandle (ezindongeni zemithambo yegazi ukugwema ukuqhekeka)
- Ukusebenzisana phakathi kwenaliti, isibambi senaliti kanye ne-forceps: inaliti yokuthatha, hlela ukuthunga okulandelayo
Ukulawulwa kwemigomo yokufunda
- Ukuguqulwa
- Ukuhlala njalo kwezitishi
- Ukuqina kwe-suture
Isikhathi sokuthunyelwe: Juni-15-2026