The vachiongorora Blackmore - ari kurapwa mudziyo inoshandiswa kurega ropa kubva varicose mutsinga muviri akadai yegurokuro. Zvinofanira kucherechedzwa kuti hosha hwapedyo yakafanira extra- kana intrahepatic portal hurongwa chikwata. Ropa mutsinga mudumbu kana yegurokuro ndiyo mamiriro zvakakwana kupfuura ngozi uye kakawanda kuti kukanganisa upenyu murwere. Ndokusaka pakurapa pathological mamiriro nokushingaira kushandisa installation vanoda vachiongorora Blackmore. Kuti mhando mudziyo, kuti anotarisa, uye dzimwe nguva yatichakurukura pazasi.
Chii vachiongorora Blackmore-Sengstakena?
mudziyo uyu chubhu (lumen katatu), iro rine kureba 100 masendimita. Pakuguma kwayo inzira kumativi bottle cylindrical kamuri iri zvishoma yepamusoro. Two dzokuwana mudziyo izvi zvichiitirwa kuti negomba midziyo, uye wechitatu lumen zvinokosha vachiongorora kubudirira hemostasis uye chido pamusoro gastric mukati.
Nhoroondo chiitiko
Blackmore yokutanga vachiongorora rakashandiswa mukupera kwezana remakore rechi19, kureva muna 1893. Munguva nguva kubva 1930 kusvika 1950, mudziyo uyu akanga dzakachinjwa kanoverengeka. Yakanga pashure kuvandudza kwakadaro kunoda kurapwa tsika vachishingaira achiedza esophageal vachiongorora pamwe lumens vatatu uye nemidziyo miviri. Zvose zvinhu zvinoitwa kuti vanomboenda kumisa dzomunyika ropa, inonyatsobudirira inomiririrwa zano chete pneumatic sepombi. Handiti, zviri kushandisa hazvivanetsi kutarisira nepavaigona ropa varicose mutsinga dziri yepazasi yegurokuro uye Cardia.
Yakarurama yokuti kuna Blackmore vachiongorora
Kuita nzira dzakadaro anofanira copiously lubricated namafuta vaseline uye rabha sepombi distal kuguma mudziyo. Uyezve, zvinofanira akaiswa kuburikidza murwere mhuno uye kusvika nasopharynx. Kana yakawedzera dzepanguva, uyewo kusagadzikana murwere pfungwa, pakarepo risati chiitiko pachii yokutindivadza yacho mucous membranes. Shure kwaizvozvo, murwere unofanira kuunganidza mumuromo mangu zvishoma remvura uye panguva imwe chete pakuparadza imvura rokutsanya fambisa kusundira Blackmore vachiongorora kuti mudumbu mhango. Kutaura huru zvomudumbu nhengo nyanzvi anofanira kudza distal chibharuma kuburikidza Kubayiwawo jekiseni pamwe vanenge 60 ml mhepo. nzira iyi rinoitwa vachishandisa sirinji. Uyezve sungisa kuti vachiongorora kuti manzwiro abutment pamusoro gastric Cardia nharaunda, uye zvino ndee aine varinamire kune rokumusoro muromo. Nokuda zvinhu zvakadai Blackmore vachiongorora adopts zvakarurama chinzvimbo, uye humburumbira wechipiri unoiswa chaicho yegurokuro. Kuti inflated saizvozvo, kupomba mhepo 110-140 Rine mamiririta.
Kana mudziyo unoiswa wechokwadi, ipapo ropa mupanda payo hunoguma. Kuti tidzivise paumbwe kufurirwa nemaronda mu yegurokuro, kuburikidza wechipiri chibharuma 2 chasa akatura. Pakadaro, kana kubuda kweropa mberi, ngarava yacho kuzodzosera inflated.