{"id":29935,"date":"2019-09-25T17:20:15","date_gmt":"2019-09-25T16:20:15","guid":{"rendered":"https:\/\/cram.org\/?page_id=29935"},"modified":"2019-09-25T17:20:16","modified_gmt":"2019-09-25T16:20:16","slug":"extraccio-hams-via-oral","status":"publish","type":"page","link":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/","title":{"rendered":"Extracci\u00f3 d’hams via oral"},"content":{"rendered":"

EXTRACCI\u00d3 D’HAMS VIA ORAL<\/strong><\/h1>\n<\/div>
<\/div><\/div><\/div><\/div><\/div>

DADES<\/strong><\/h2>\n<\/div>
  • <\/i><\/span>
    Esp\u00e8cie: Caretta Caretta<\/span><\/div><\/li>
  • <\/i><\/span>
    Sexe: Femella<\/span><\/div><\/li>
  • <\/i><\/span>
    Longitud: 25 cm<\/span><\/div><\/li>
  • <\/i><\/span>
    Pes: 5.3 kg<\/span><\/div><\/li>
  • <\/i><\/span>
    Lloc de recollida: Tarragona<\/span><\/div><\/li>
  • <\/i><\/span>
    Data: 25\/07\/2002<\/span><\/div><\/li><\/ul>
    <\/div><\/div><\/div>

    HIST\u00d2RIA<\/strong><\/h2>\n<\/div>

    L’animal va ser capturat per un pescador de palangre mentre pescava entre Menorca i Barcelona per a la captura de la tonyina. Va ser recollit mitjan\u00e7ant salabre poc temps despr\u00e9s d’ingerir l’ham.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div><\/div><\/div><\/div>
    <\/path><\/svg><\/div>
    <\/div><\/div><\/div>
    <\/div><\/div><\/div>

    EXAMEN F\u00cdSIC<\/strong><\/h2>\n<\/div>

    La tortuga estava activa, tots els reflexos eren positius i la seva condici\u00f3 corporal era bona. Presentava un sedal curt (que el pescador havia tallat pr\u00e8viament) sortint per la boca. No es va poder accedir a l’ham en una primera exploraci\u00f3.<\/p>\n<\/div>

    DIAGN\u00d2STIC<\/strong><\/h2>\n<\/div>

    Es van realitzar diverses radiografies, tant laterolaterls com dorsventrals i es va poder comprovar que l’ham estava ancorat a nivell de l’es\u00f2fag mitj\u00e0. Les anal\u00edtiques sangu\u00ednies no van indicar alteraci\u00f3 cap, els valors obtinguts, tant en hematologia com en bioqu\u00edmica van ser normals, per la qual cosa, es va decidir intervenir immediatament.<\/span><\/p>\n<\/div>

    <\/div><\/div><\/div>

    TRACTAMENT<\/strong><\/h2>\n<\/div>

    Ja que l’ham estava ancorat en un lloc accessible, es va optar per realitzar la seva extracci\u00f3 via oral. Per a aix\u00f2, la tortuga va ser anestesiada completament. En una primera maniobra, es va localitzar l’ham en la llum esof\u00e0gica gr\u00e0cies a l’elasticitat d’aquest, que permet prolapsar-lo (treure’l cap a l’exterior) amb suavitat cap a la cavitat oral. Una vegada localitzat, mitjan\u00e7ant un tub de metacrilat, es va aconseguir un camp quir\u00fargic net per a procedir a la maniobra que permet la seva extracci\u00f3: intentar acabar de clavar l’ham de forma controlada mitjan\u00e7ant un instrument de pressi\u00f3, per a posteriorment, poder tallar la reguarda de l’ham. Finalment, es va aconseguir tallar la punta i es va retirar l’ham per complet. Es va desinfectar la ferida i es va col\u00b7locar a l’animal en el tanc despertador mentre es recuperava de l’anest\u00e8sia.<\/p>\n<\/div>

    <\/div><\/div><\/div><\/div><\/div>
    <\/path><\/svg><\/div>
    <\/div><\/div><\/div>
    <\/div><\/div><\/div>

    EVOLUCI\u00d3<\/strong><\/h2>\n<\/div>

    L’animal es va recuperar favorablement de la intervenci\u00f3 i despr\u00e9s de 4 mesos va poder ser alliberat i en bona condici\u00f3 corporal.<\/p>\n<\/div>

    <\/div><\/div><\/div><\/div><\/div>
    <\/div>
    <\/div><\/div>
    <\/div><\/div><\/div>
    <\/div><\/div><\/div>

    COMENTARIS<\/strong><\/h2>\n<\/div>

    El palangre \u00e9s un dels arts de pesca que m\u00e9s afecta a les tortugues marines i aquest tipus d’intervencions s\u00f3n freq\u00fcents en els mesos d’estiu, quan aquests pescadors surten a pescar per a la captura del peix espasa i la tonyina fonamentalment. Es calcula que uns 20.000 animals s\u00f3n capturats anualment per la flota palangrera mediterr\u00e0nia per\u00f2 gr\u00e0cies a la col\u00b7laboraci\u00f3 dels pescadors catalans i CRAM, aquest \u00edndex \u00e9s menor en la nostra costa.<\/p>\n<\/div>

    <\/div><\/div><\/div>

    INFORMACI\u00d3 COMPLEMENT\u00c0RIA<\/strong><\/h2>\n<\/div>
    <\/div><\/div><\/div>
    \"\"<\/div><\/div>
    <\/div>
    \n

    Una vegada localitzat l’ham ha de fixar-se.<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    Amb una tracci\u00f3 suau per\u00f2 constant l’es\u00f2fag, que \u00e9s prou el\u00e0stic, pot prolapsar-se cap a la cavitat oral, fent el procediment m\u00e9s c\u00f2mode.<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    Amb ajuda d’una sutura o un sedal es mant\u00e9 localitzada la mort de l’ham perqu\u00e8 no es perdi en el moment del tall.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div>
    <\/div><\/div><\/div>
    \"\"<\/div><\/div>
    <\/div>
    \n

    Una vegada tallada la canya s’acaba de passar tot l’ham per la lesi\u00f3 per a poder extreure’l.<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    L’endoscopia permet determinar el grau de lesi\u00f3 i, en alguns casos, l’extracci\u00f3 de l’ham.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div>
    <\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":5110,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-29935","page","type-page","status-publish","hentry"],"yoast_head":"\nExtracci\u00f3 d'hams via oral - CRAM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Extracci\u00f3 d'hams via oral - CRAM\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/\" \/>\n<meta property=\"og:site_name\" content=\"CRAM\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/fundacioncram\" \/>\n<meta property=\"article:modified_time\" content=\"2019-09-25T16:20:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cram.org\/wp-content\/uploads\/2013\/12\/logo-CRAM.png\" \/>\n\t<meta property=\"og:image:width\" content=\"420\" \/>\n\t<meta property=\"og:image:height\" content=\"79\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@crampress\" \/>\n<meta name=\"twitter:label1\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"17 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/extraccio-hams-via-oral\\\/\",\"url\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/extraccio-hams-via-oral\\\/\",\"name\":\"Extracci\u00f3 d'hams via oral - CRAM\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cram.org\\\/#website\"},\"datePublished\":\"2019-09-25T16:20:15+00:00\",\"dateModified\":\"2019-09-25T16:20:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/extraccio-hams-via-oral\\\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/extraccio-hams-via-oral\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/extraccio-hams-via-oral\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/cram.org\\\/ca\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cl\u00ednica i Rescat\",\"item\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Medicina i Cirurgia\",\"item\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Extracci\u00f3 d’hams via oral\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/cram.org\\\/#website\",\"url\":\"https:\\\/\\\/cram.org\\\/\",\"name\":\"CRAM\",\"description\":\"Fundaci\u00f3 per a la Conservaci\u00f3 i Recuperaci\u00f3 d'Animals Marins\",\"publisher\":{\"@id\":\"https:\\\/\\\/cram.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/cram.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/cram.org\\\/#organization\",\"name\":\"FUNDACI\u00d3N CRAM\",\"url\":\"https:\\\/\\\/cram.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\\\/\\\/cram.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/cram.org\\\/wp-content\\\/uploads\\\/2020\\\/11\\\/cram-logo-azul-inferior.png\",\"contentUrl\":\"https:\\\/\\\/cram.org\\\/wp-content\\\/uploads\\\/2020\\\/11\\\/cram-logo-azul-inferior.png\",\"width\":500,\"height\":500,\"caption\":\"FUNDACI\u00d3N CRAM\"},\"image\":{\"@id\":\"https:\\\/\\\/cram.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/fundacioncram\",\"https:\\\/\\\/x.com\\\/crampress\",\"https:\\\/\\\/www.youtube.com\\\/user\\\/FundacioCRAM\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Extracci\u00f3 d'hams via oral - CRAM","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/","og_locale":"ca_ES","og_type":"article","og_title":"Extracci\u00f3 d'hams via oral - CRAM","og_url":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/","og_site_name":"CRAM","article_publisher":"https:\/\/www.facebook.com\/fundacioncram","article_modified_time":"2019-09-25T16:20:16+00:00","og_image":[{"width":420,"height":79,"url":"https:\/\/cram.org\/wp-content\/uploads\/2013\/12\/logo-CRAM.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@crampress","twitter_misc":{"Temps estimat de lectura":"17 minuts"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/","url":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/","name":"Extracci\u00f3 d'hams via oral - CRAM","isPartOf":{"@id":"https:\/\/cram.org\/#website"},"datePublished":"2019-09-25T16:20:15+00:00","dateModified":"2019-09-25T16:20:16+00:00","breadcrumb":{"@id":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/extraccio-hams-via-oral\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/cram.org\/ca\/"},{"@type":"ListItem","position":2,"name":"Cl\u00ednica i Rescat","item":"https:\/\/cram.org\/ca\/clinica-i-rescat\/"},{"@type":"ListItem","position":3,"name":"Medicina i Cirurgia","item":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/"},{"@type":"ListItem","position":4,"name":"Extracci\u00f3 d’hams via oral"}]},{"@type":"WebSite","@id":"https:\/\/cram.org\/#website","url":"https:\/\/cram.org\/","name":"CRAM","description":"Fundaci\u00f3 per a la Conservaci\u00f3 i Recuperaci\u00f3 d'Animals Marins","publisher":{"@id":"https:\/\/cram.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cram.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ca"},{"@type":"Organization","@id":"https:\/\/cram.org\/#organization","name":"FUNDACI\u00d3N CRAM","url":"https:\/\/cram.org\/","logo":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/cram.org\/#\/schema\/logo\/image\/","url":"https:\/\/cram.org\/wp-content\/uploads\/2020\/11\/cram-logo-azul-inferior.png","contentUrl":"https:\/\/cram.org\/wp-content\/uploads\/2020\/11\/cram-logo-azul-inferior.png","width":500,"height":500,"caption":"FUNDACI\u00d3N CRAM"},"image":{"@id":"https:\/\/cram.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/fundacioncram","https:\/\/x.com\/crampress","https:\/\/www.youtube.com\/user\/FundacioCRAM"]}]}},"_links":{"self":[{"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/pages\/29935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/comments?post=29935"}],"version-history":[{"count":0,"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/pages\/29935\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/pages\/5110"}],"wp:attachment":[{"href":"https:\/\/cram.org\/ca\/wp-json\/wp\/v2\/media?parent=29935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}