Alamun aminci
Wani bincike da aka buga a mujallar Infection Control and Asibiti Epidemiology (tinyurl.com/pdjoesh) ya nuna kashi 99% na likitocin fiɗa sun sha wahala aƙalla allura 1 a cikin ayyukansu.Matsalar, lura da masu binciken, ita ce huda safar hannu na tiyata sau da yawa ba a lura da su ba yayin lokuta, ma'ana likitocin tiyata na iya fuskantar jini da haɗarin kamuwa da cuta ba tare da saninsa ba.
SANARWA LIKIYA
Ana ɗaukar Makonni 2 Kacal don Samun Ji don Yin Salon Sau Biyu
YKila likitocin mu suna tunanin cewa yin safar hannu sau biyu yana rage azancin hannu da ƙwazo."Duk da tarin bayanan da ke goyan bayan safar hannu biyu, babban koma baya na wannan tsoma baki shine rashin amincewar likitocin," in ji masu binciken Ramon Berguer, MD, da Paul Heller, MD, a cikin Journal of the American College of Surgeons. tinyurl.com/cd85fvl).Labari mai dadi, in ji masu binciken, shi ne, ba a dauki lokaci mai tsawo ba likitocin fida su fara jin sanin ya kamata ga raguwar hannaye da ke hade da safar hannu biyu.
"Tsarin safofin hannu na yanzu yana sa safar hannu biyu ya fi dacewa kuma ya haifar da ingantaccen nuna bambanci na 2 - ikon likitan fiɗa don jin maki 2 yana taɓa fata," in ji Dokta Berguer, wanda ke jin likitocin tiyata na iya daidaitawa sosai don yin safar hannu biyu a ciki. 2 makonni na gwada shi a karon farko.
- Daniel Cook
Masu binciken sun ce adadin huda safar hannu ya bambanta, kodayake haɗarin ya karu zuwa kashi 70 cikin ɗari yayin da ake yin tsayin daka da kuma lokacin tiyata da ke buƙatar matsakaicin ƙoƙari a cikin rami mai zurfi da kewaye.
kashi.Sun kuma lura cewa bincike ya nuna haɗarin haɗin jini ya ragu daga kashi 70% tare da safar hannu ɗaya zuwa ƙasa da kashi 2% tare da safar hannu biyu, mai yiwuwa saboda an nuna safar hannu na ciki ya ci gaba da kasancewa har zuwa 82% na lokuta.
Don sanin adadin jinin da ake canjawa wuri ta hanyar safofin hannu guda ɗaya da biyu a wurin raunin da ya faru, masu binciken sun makale fata na alade tare da lancets na atomatik, wanda ya kwaikwayi alluran suture.Bisa ga binciken, ana canja ma'anar girman 0.064 L na jini a cikin huda a zurfin 2.4mm ta hanyar safar hannu 1, idan aka kwatanta da 0.011 L na jini kawai ta hanyar.
biyu-hannun hannu yadudduka, wanda ke nufin an rage ƙarar da kashi 5.8.
Musamman ma, safofin hannu biyu da aka yi amfani da su a cikin binciken sun haɗa da tsarin nuna alama: koren safar hannu na ciki wanda aka sawa tare da safar hannu mai launin bambaro.A cewar masu binciken, duk huda na safofin hannu na waje ana iya gane su a fili ta launin kore na karkashin safofin hannu da ke nunawa a wurin huda.Bambancin launi yana rage haɗarin bayyanar jini ta hanyar faɗakar da likitocin fiɗa da ma'aikata don keta da ƙila ba a lura da su ba.
"Ya kamata a ba da shawarar yin amfani da safar hannu sau biyu don duk hanyoyin tiyata kuma ya kamata a buƙaci hanyoyin da aka yi wa marasa lafiya da aka sani da cututtuka ko marasa lafiya waɗanda ba a gwada su ba tukuna," in ji masu binciken.Har ila yau, sun nuna cewa, yayin da tasirin kariya na safar hannu biyu ya bayyana, har yanzu bai zama na yau da kullum ba saboda an ce an rage girman kai da ma'anar taɓawa (don shaida sabanin haka, duba labarun gefe a ƙasa).
Kwarewar tiyata mafi haɗari
Wani rahoto a cikin Acta Orthhopædica Belgica (tinyurl.com/qammhpz), wata jarida ta hukuma ta Belgian Society of Orthopedics and Traumatology, ya ce yawan zubar da safar hannu ya tashi daga kashi 10% a cikin ilimin ido zuwa 50% a aikin tiyata gabaɗaya.Amma damuwa da nau'in sarrafa saws masu girgizawa, kayan ƙarfe da na'urorin da aka sanyawa a lokacin hanyoyin gyaran kasusuwa suna haifar da safar hannu zuwa matsanancin ƙarfi mai ƙarfi, sanya orthopods cikin haɗari mafi girma tsakanin ƙwararrun tiyata, in ji masu binciken.
A cikin wannan binciken, masu binciken sun tantance ƙimar ƙwanƙwasa safar hannu a lokacin manyan jimillar maye gurbin hip da gwiwa da ƙarin ƙananan arthroscopies na gwiwa.Sun kuma yi nazari kan yadda safar hannu biyu ke shafar adadin hushi da ko adadin ya bambanta tsakanin likitocin fiɗa, mataimakan su da OR ma'aikatan jinya.
Matsakaicin ɓarnawar safar hannu gabaɗaya shine 15.8%, tare da ƙimar 3.6% yayin arthroscopies da ƙimar 21.6% yayin maye gurbin haɗin gwiwa.Fiye da kashi 72 cikin 100 na ƙetare ba a san su ba har sai bayan hanyoyin sun kasance
ya ƙare.3% kawai na safofin hannu na ciki sun kasance cikin haɗari - babu ɗaya yayin arthroscopies - idan aka kwatanta da 22.7% na safofin hannu na waje.
Musamman ma, kawai kashi 4 cikin 100 na ɓangarorin da aka yi rikodin yayin manyan hanyoyin sun haɗa da yaduddukan safar hannu.Kashi ɗaya cikin huɗu na likitocin fiɗa 668 da ke cikin binciken sun fuskanci huɗaɗɗen safar hannu, wanda ya zarce kashi 8% na mataimakan 348 da ma'aikatan jinya 512 waɗanda suka fuskanci irin wannan kaddara.
Masu binciken sun lura cewa yin safar hannu sau biyu a cikin hanyoyin orthopedic yana rage yawan abin da ke faruwa na perforation na safofin hannu na ciki.
Ko da yake ma'aikatan fiɗa da ke gogewa da kyau suna rage haɗarin kamuwa da cututtukan da ke haifar da jini a lokacin da aka huda safar hannu, sun ƙara da cewa, binciken da aka yi a baya ya nuna al'adun ƙwayoyin cuta da ake ɗauka a wuraren da ake yin lalata suna da kyau kusan kashi 10% na lokaci.
Lokacin aikawa: Janairu-19-2024