Qee lub sij hawm nws yog qhov tsim nyog los xaws lub qhov txhab, thiab qee zaum qhov no tsuas yog txoj hauv kev los tiv thaiv los ntshav ntau thiab nkag mus ntawm cov kab mob microflora. Muaj ntau cov lus qhia thiab cov lus qhia uas tuaj yeem cawm tib neeg txoj sia nyob rau qhov xwm txheej tseem ceeb.
Kev faib tawm qhov mob
txhais li cas los xaws lub qhov txhab? Qhov no yog ib tug neeg kho tshuab manipulation, uas muaj nyob rau hauv kev sib txuas ntawm cov npoo ntawm cov tawg integument ntawm daim tawv nqaij, uas yuav pab tiv thaiv kev nkag mus ntawm microbes nyob rau hauv thiab xyuas kom meej ib tug ceev rov qab. Sutures yog siv los kho lub ntuj anatomical txoj hauj lwm ntawm cov ntaub so ntswg epithelial.
Lub qhov txhab twg yuav tsum tau sutured? Tsis yog txhua qhov kev raug mob yuav tsum tau suturing, tab sis nyob rau hauv tshwj xeeb tshaj yog txaus ntshai xwm txheej, xws li manipulations yuav cawm tau ib tug neeg txoj sia. Yuav tsum paub txog qhov txhab kom sutured:
- kev puas tsuaj rau ob qho tib si epithelium thiab cov ntaub so ntswg subcutaneous;
- feem ntau yuav tsum tau xaws ib lub laceration uas yuav tsum tau txuam nws cov npoo;
- txiav hauv thaj chaw ntawm daim tawv nqaij nruj: nqua,pob qij txha (lub luj tshib, hauv caug, thiab lwm yam).
Yuav tsis sewn?
Qhov tseem ceeb ntawm kev tswj hwm tsuas yog ntsuas los ntawm kws kho mob xwb. Tsis tuaj yeem stitched:
- abrasions, khawb;
- qhov txhab uas cov npoo diverge mus txog ib centimeter;
- xav qhov txhab;
- stab qhov txhab thaum tsis muaj kev puas tsuaj rau lub cev tseem ceeb.
Suturing yog contraindicated thaum ib tug neeg poob siab thiab muaj ib tug pom tseeb purulent-inflammatory txheej txheem nyob rau hauv lub qhov txhab.
Tsis yog txhua tus paub xaws qhov txhab.
Nyob ntawm seams by overlay time
Muaj ntau hom kev xaws, txhua qhov nyob ntawm qhov xwm txheej:
- Dab laug thawj seam. Nws yog siv tom qab ua kom tsis muaj menyuam thiab kho qhov txhab kom tiv thaiv kev nkag mus ntawm pathogenic microflora rau hauv cov hlab ntsha.
- Nyob thawj seam. Nws yog siv tom qab peb hnub ntawm kev raug mob, yog hais tias tus txheej txheem inflammatory thiab o nyob rau hauv lub qhov txhab tau poob ho. Cov kua dej tau qhia, dhau los ntawm cov ntsiab lus purulent yuav raug coj tawm yam tsis muaj stagnation ntawm qhov txhab.
- Secondary thaum ntxov seam. Nws yog siv los txiav txim thawj cov tsos mob ntawm kev kho dua tshiab ntawm cov txheej txheem sib sib zog nqus ntawm dermis. Cov dej ntws tawm nruab nrab ntawm cov sutures, cov hlwb tshiab tsis tas yuav tsum tau excised.
- Late secondary seam. Nws yog superimposed yog tias muaj qhov txhab tob heev, kev kho dua tshiab uas yog tsim los ntawm sab hauv. Manipulation yog ua yog tias tsis muaj cov txheej txheem pathological hauv lub qhov txhab.
Yuav ua li cas xaws lub qhov txhab?
Nyob twj ywm thiab npaj
Nyob hauv chav kho mob phais, cov txheej txheem yog ua los ntawm cov khoom siv suture, sterile koob, tweezers, sterile bandages thiab nrog tus kws kho mob tsim nyog. Yog xav tau cov sutures tseem ceeb los cawm tib neeg txoj sia, cov ntaub ntawv hauv qab no tau npaj:
- txhua daim ntaub huv lossis ntaub qhwv tsis muaj menyuam;
- needle, nuv ntses kab, txhob lo lo ntxhuav los yog lwm yam xov;
- tweezers thiab txiab;
- cawv, vodka, ci ntsuab, hydrogen peroxide.
Yog tias muaj los ntshav, ces nws yuav tsum nres nrog hydrogen peroxide. Nyob rau hauv cov ntaub ntawv ntawm los ntshav hnyav, yuav tsum tau ib tug tourniquet - ib ntus txheej txheem, nws yuav tsum tau muab tshem tawm tom qab cov ntshav ntws lawm. Lub qhov txhab yuav tsum tau ntxuav nrog dej thiab tag nrho cov av tshem tawm ntawm nws. Yog tias muaj cov khoom tawg, lawv tau ua tib zoo tshem tawm nrog tweezers. Hauv thaj chaw, tag nrho cov cuab yeej tsim nyog tau kho nrog cov tshuaj muaj cawv, lossis calcined ntawm ceg txheem ntseeg.
Ntxuav tes nrog xab npum, tom qab ntawd kho nrog vodka lossis cawv. Yog tias muaj cov tshuaj tua kab mob nyob rau hauv daim ntawv ntawm cov kev daws teeb meem, lawv raug tso cai txiav tawm ntawm qhov txhab, uas txo qhov mob ("Ultracaine", "Novocaine", "Lidocaine").
Yog tias los ntshav hnyav, txhais tau hais tias cov hlab ntsha lossis cov hlab ntsha puas lawm. Ntawm no, tsis muaj kev xav - maj nrawm thov lub tourniquet! Tiamsis yog cov ntshav tsis nplawm ces yeej tsis ntshai poob ntshav ntau.
Yuav ua li cas xaws lub qhov txhab yuav piav qhia hauv qab no.
Txoj kev ua haujlwm
Muaj ntau theem ntawm kev phais qhov txhab, vim yog kev ua raws li lawv cov kab ke, nws tuaj yeem ua kom raug:
- Kev npaj cov khoom siv suture thiab koob. Ib rab koob yog muab thiab threaded los ntawm ib qho me me ntawm xov. Tom qab ntawd cov xov nrog rab koob yog moistened nyob rau hauv vodka los yog cawv tov. Rau kev yooj yim, rab koob tuaj yeem khoov rau hauv daim ntawv ntawm arc nrog forceps.
- thawj txoj hlua tau thov. Cov ntaub so ntswg dissected yog compressed ntawm ob sab, ces rab koob yog dhau los ntawm qhov chaw nrog kev ntes ntawm ob npoo. Txhua suture yog siv nyias. Qhov chaw yog sewn ua ntej, ces cov npoo.
- Tom qab ntawd lwm cov stitches raug siv, cov pob qij txha txuas. Cov sutures yuav tsum tau muab tso rau ntawm cov npoo ntawm daim tawv nqaij, thiab cov nodules yog tsau nyob rau sab ntawm lub qhov txhab. Nruab nrab ntawm stitches yuav tsum nyob deb ntawm ib nrab mus rau ib centimeter.
- Cov seam tau ua tiav. Nws yog zoo lubricated nrog ib tug antiseptic npaj. Qhov kom zoo dua yog muab rau "Chlorhexidine" thiab Zelenka.
- Ib daim ntaub qhwv uas tsis muaj menyuam yog siv, ua los ntawm cov ntaub qhwv ntsej, ntaub qhwv lossis cov ntaub so ntswg huv uas yuav tawm ob mus rau peb centimeters dhau ntawm cov npoo ntawm qhov txhab. Kho kom nruj rau cov seam, ntaub qhwv kom tsis txhob ntog.
- thaj chaw puas yog immobilized. Ib txoj hlua yuav tsum tau muab qhwv rau ntawm caj dab.
Yog tias tus mob hnyav zuj zus los yog muaj kua paug, ichorus lossis ntshav tawm ntawm txoj hlua khi, yuav tsum tau kuaj xyuas tam sim los ntawm cov kws kho mob tsim nyog.
Yuav ua li cas kho qhov txhab sutured?
Cov Cai Saib Xyuas Kev Kho Mob Tom Qab: Kev Kho Mob Tom Qab
Txog qhov kev pheej hmookab mob ntawm lub seam, koj yuav tsum tau saib xyuas qhov mob ntawm lub qhov txhab ob peb zaug ib hnub twg. Cov qhov txhab raug muab qhwv ob mus rau peb zaug hauv ib hnub. Ua tib zoo tshem tawm cov hnav tsis taus. Yog tias nws qhov tso tawm tsis yooj yim, cov ntaub qhwv yog pre-soaked nrog hydrogen peroxide.
Lub seam yog kho nrog tshuaj tua kab mob, nyiam yog muab rau "Chlorhexidine" thiab ci ntsuab. Tom qab ob lossis peb hnub, thaum cov ntaub qhwv qhuav qhuav thaum hnav khaub ncaws, tom kawg raug tso cai tsis txhob siv. Yog tias lub qhov txhab khaws cia hauv txoj kev qhib, tom qab ntawd cov suture tau ua tiav yam tsis tas siv cov ntaub qhwv ntxiv.
Nws raug nquahu kom tsis kam lees cov txheej txheem tu cev rau lub sijhawm ntawm cov ntaub so ntswg fusion, vim tias dej tuaj yeem ua rau suppuration thiab ntxiv teeb meem ntawm lub sijhawm tom qab kev ua haujlwm. Tom qab tsib mus rau xya hnub, nws raug tso cai rau da dej, tom qab ntawd cov seam yuav tsum tau blotted nrog ib daim phuam terry thiab kho nrog tshuaj tua kab mob ntxiv.
Txoj kev tshem tawm kev tshem tawm
Khaub ncaws raug tshem tawm rau hnub 10-14, thaum cov tawv nqaij puas lawm tau loj hlob ua ke. Cov khoom siv suture yog txiav nrog txiab nrog ntev nyias, ua rau ob hnub. Tom qab ntawd lawv muab cov tweezers, clamp ib kawg thiab rub cov xov. Twb muaj punctures ntawm lub cev uas kho sai sai.
Cov txheej txheem mob hnyav heev, thiab yog li nws tau ua tiav hauv kev tshuaj loog hauv zos. Thaum cov sutures raug tshem tawm, lub qhov txhab raug kho ob zaug ib hnub twg nrog cov tshuaj tua kab mob. Nws yog qhov tsis xav tau da dej kom txog thaum kho tiav.
Lub neej yog qhov tsis paub tseeb, thiab thaum raug mob, tsis tas limuaj peev xwm nrhiav kev pab tam sim ntawd, yog li nws yuav muaj txiaj ntsig zoo kom paub xaws lub qhov txhab hauv tsev.
xaws hauv tsev
Koj tsis tuaj yeem ua tiav tsis muaj menyuam hauv tsev. Txawm li cas los xij, nrog kev sib txawv ntawm cov ntaub so ntswg muaj zog, cov txheej txheem no dhau los ua qhov kev ntsuas tsim nyog uas txo qhov kev loj hlob ntawm sepsis.
Npaj cawv, dej npau, hnab looj tes, ntaub qhwv tsis muaj menyuam thiab xov nrog rab koob. Nws tsis muaj teeb meem dab tsi ntawm cov xov lub qhov txhab yuav raug sutured nrog, raws li cov stitches yuav rov ua dua tom qab tuaj txog ntawm qhov chaw kho mob.
Tes ntxuav tes nrog xab npum thiab kho nrog cawv. Cov xov yog threaded rau hauv rab koob, dipped nyob rau hauv cawv los yog tshuaj tua kab mob rau ob peb feeb. Lub diverging npoo yog coj los ze zog rau ib leeg, thawj suture yog siv nyob rau hauv nruab nrab ntawm lub qhov txhab. Txhua seam yuav tsum tau knotted, tus naj npawb yog txiav txim los ntawm qhov ntev ntawm qhov txhab.
Txhua yam kev siv tau ua tib zoo ua tib zoo, cov khoom yuav tsum muaj kev sib cuag nrog lub qhov txhab me me. Tom qab ntawd muab daim ntaub qhwv los yog ntaub qhwv tsis muaj menyuam thiab tus neeg mob raug coj mus rau qhov chaw kho mob.
Tau kawg, koj tuaj yeem xaws lub qhov txhab hauv tsev. Tab sis yog tias ua tau, nws yog qhov zoo dua los ua nws hauv chav ua haujlwm. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum nyob rau hauv cov txheej txheem ntawm suturing, ib tug dav txheej txheem ntawm o tuaj yeem tsim.
