Kev Siv Hluav Taws Xob
Electrocoagulation yog siv los ua kom cov ntaub so ntswg ntxaum dua thiab kom tsis txhob los ntshav nrog carbonisation tsawg heev. Tus kab mob haemostatic thiab muaj peev xwm ntawm electrocoagulation ua rau nws zoo tshaj plaws rau kev kho mob ntawm daim tawv nqaij tawv nqaij thiab vascular daim tawv nqaij mob xws li pyogenic granuloma. Nws kuj tseem siv tau los txwv cov ntshav me me kom los ntshav thaum phais mob.
Electrocoagulation siv monopolar lossis bipolar electrodes los tsim hluav taws xob tsawg thiab siab-tso hluav taws xob tam sim no ntawm cov hluav taws xob tsawg. Ib qho tsis zoo electrode tiv thaiv kom tsis txhob tsub zuj zuj ntawm tus neeg mob hauv tus neeg mob, yog li qhov hluav taws xob qis yog qhov txaus los tsim qhov khiav dej tam sim no. Siab amperage ua rau cov nqaij mos sib sib zog nqus rhuav tshem thiab haemostasis los ntawm kev fusion ntawm cov hlab ntshav collagen thiab cov hlab ywj.
Qhov hluav taws xob tau thov thoob qhov chaw mob kom txog rau thaum me ntsis paj yeeb los daj ntseg coagulation tshwm sim. Cov nqaij mos coagulated muaj qhov ua tau ntau dua rau cov hluav taws xob tam sim no ntau dua li cov tawv nqaij ib txwm, thiab txwv cov khoom puas tsuaj.
Electrocoagulation tuaj yeem ua rau mob ua pob txuv thiab ua rau lub cim dawb (hypopigmentation).
Ywj siab
Kev ntsuas hluav taws xob
Kev siv tshuab hluav taws xob yog siv los txiav cov tawv nqaij thiab txaws cov hlab ntsha los ntawm kev sib tov damped thiab undamped wavetrains. Nws yog qhov tsim nyog rau kev tshem tawm ntawm cov qhov txhab mob voos loj, xws li benign dermal naevi (moles), daim tawv nqaij tawv, lossis rau kev ua kom cov plaub hau hle seborrhoeic keratoses, folliculitis keloidalis nuchae thiab rhinophyma (saib rosacea). Electrosection yuav tsum tau yuav luag tsis muaj kev ceev los ntawm tus neeg teb xov tooj thaum lub tshuab hluav taws xob los ntawm cov ntaub so ntswg nrog tsis kam tiv thaiv tsawg.
Kev siv hluav taws xob siv hluav taws xob monopolar electrode los tsim hluav taws xob qis thiab siab-tso hluav taws xob tam sim no ntawm lub zog siab dua li siv rau electrocoagulation. Qhov tam sim no tau tsom mus rau vaporise cov ntaub so ntswg nrog qhov tsawg kawg nkaus thaum kub kub. Cov electrode feem ntau yog cov hlau zoo nkauj xaim lossis cov voj.
Kev puas tsuaj los ntawm cov ntawv pov thawj cov tshuaj lom neeg los yog ua rau lub cev ntawm cov nqaij mos ua rau dhau los ntawm cov khoom cua kub (hluav taws xob ua kom sov) thiab electrolysis (dhau ntawm DC hluav taws xob-tam sim no). Lub ntsiab ntawm cov ntaub so ntswg yog dej, uas tau tawg rau hauv nws lub cheebtsam, hydrogen thiab oxygen.
Radiofrequency cov khoom siv feem ntau siv rau kev xaim hluav taws xob, piv txwv li Ellman Surgitron®. Lawv tsim hluav taws xob me ntsis thiaj li ua rau cov nqaij me me ua rau lub tsev puas tsuaj.
Ib qho kev tsim khoom ntawm kev siv ib qho los yog cov xaim hluav taws xob siv tau rau lub Surgitron.
Koob yog muaj ntau yam ntev thiab taub.
Ncej yuav ncaj, ntawm lub kaum lossis nkhaus.
Txiav hlau, hloov puag ncig, daim duab peb sab lossis cov duab puab ua ntu zus tuaj hauv ntau yam diam thiab hlau loj.
Cov lus qhia ntawm pob ntawm ntau qhov loj me tuaj yeem siv rau kev coagulation.
Hniav 'tawv taub hau' electrodes
Insulated, txheej koob yuav siv tau sclerotherapy lossis hauv qhov chaw sab hauv.
Cov khoom siv tes tshwj xeeb tuaj yeem siv rau cov tawv nqaij tsis xeb (radiothermoplasty).
Piv nrog kev tshem tawm kev phais mob, cov txiaj ntsig ntawm xaim hluav taws xob suav nrog kev txo sij hawm phais, txo kev mob tom qab (mob, o, mob), qhov nyeem tau ntau tshaj ntawm cov kab mob histologic tshem tawm, txhim kho kom zoo thiab zoo nkauj cov txiaj ntsig. Tsis muaj qhov sutures yog qhov tsim nyog thaum nws siv los tshem cov tawv nqaij me me yaug nrog cov tawv nqaij sib txig.
Thermocautery
Cov tshuaj Thermocautery yog siv rau kev ntsuas cov kabmob haemostasis thaum siv cov txheej txheem phais lossis txhawm rau tshem tawm cov hlab ntshav me me (telangiectasias).
Kev siv hluav taws xob ncaj qha yog siv los ua cua sov rau kev phais, uas tom qab ntawd ua rau thermal raug mob los ntawm qhov hloov cov cua kub ncaj qha mus rau daim ntaub. Hauv kev sib piv, hauv txoj kev xaim hluav taws xob, qhov kho cov electrode tseem txias.
Cov cuab yeej siv hluav taws xob sov thiab cov khoom siv pov tseg tau muaj los ntawm roj teeb lub roj teeb. Tus Shaw Hemostatix® Scalpel yog ib hom qauv ntawm cov thermocautery uas cov khoom siv tooj liab uas siv tau los txiav cov ntaub so ntswg nrog txo cov ntshav hauv thaj chaw siab heev.
Cov tshuaj Thermocautery yog qhov tsim nyog rau cov neeg mob uas siv lub tshuab zaws hluav taws lossis cov tshuaj tiv thaiv kab mob.
Kev txaus ntshai ntawm electrosurgery
Cov kev pheej hmoo ntawm cov xim xaim hluav taws xob suav nrog hluav taws xob thiab hluav taws xob, hluav taws xob kub, kis tau tus mob thiab tsim cov pa roj lom.
Hluav taws xob poob siab
Hluav taws xob poob siab tuaj yeem txo los ntawm:
Kev siv cov nplaim hluav taws xob / hluav taws xob tsis zoo
Tus kws phais neeg looj hnab looj tes yas
Hluav taws xob / cua sov hlawv
Hluav taws xob / cua sov tuaj yeem raug txo qis los ntawm:
Kev siv cov tshuaj ntxuav tsis huv xws li chlorhexidine lossis povidone-iodine
Ua kom tsis muaj qhov tsis zoo electrode muaj qhov sib chwv nrog rau daim tawv nqaij ntau thiab tsis tso rau hauv lub siab tawv, qhov caws pliav, lossis cov hniav cog
Xyuas kom tus neeg mob tsis nyob hauv kev sib cuag nrog cov khoom hlau
Tshem tawm ntawm eschar: qhov no yog qhov hluav taws kub txaus ntshai vim tias nws tuaj yeem zes.
Kev sib kis ntawm kev kis tau thiab tsim cov pa roj lom
Kev siv tshuaj kho tus mob tej zaum yuav siv los kho tus mob cos pob. Thermolysis yuav tsim cov pa luam yeeb / pa taws uas yuav muaj tib neeg cov kab mob papillomavirus (HPV) uas kis tau rau tus neeg teb xov tooj uas ua pa lossis nkag rau hauv cov pa. Thaum ua haujlwm nrog cov mob txhab HPV, txo qis kev pheej hmoo kis tus mob.
Siv cov pa hluav taws tawm hauv lub tsev nrog qhov ntev li 2 cm ntawm thaj tsam ua haujlwm
Looj ntsej muag phais ntsej muag (N95 zoo dua) thiab tiv thaiv qhov muag.
Lwm cov kab mob DNA, kab mob, carcinogens, thiab ua xua kuj tseem paub tias muaj nyob hauv cov pa taws hluav taws xob. NIOSH (Lub Chaw Haujlwm Hauv Tebchaws ntawm Kev Ua Haujlwm Kev Nyab Xeeb thiab Kev Noj Qab Haus Huv) ib feem ntawm CDC (Chaw Tiv Thaiv Kab Mob, Tebchaws Asmeskas) tseem tau kawm txog cov pa hluav taws xob hauv qhov ntev. Lawv hais tias: “Cov kev tshawb fawb tshawb fawb tau lees tias cov plume pa luam yeeb no tuaj yeem muaj cov kuab lom thiab vapors xws li benzene, hydrogen cyanide, thiab formaldehyde, bioaerosols, tuag thiab muaj sia nyob cov khoom siv (nrog rau cov ntshav), thiab kab mob.”
Cov pa luam yeeb tuaj yeem muab tshem tawm uas siv tes xuas. Cov pa hluav taws xob tshiab tshaj tawm tuaj yeem txuas ncaj qha rau tus qauv ntsuas xoos hluav taws xob txo qhov ua haujlwm ntawm tus pab cuam thaum phais mob.
Mob nqaij ntshiv tes thiab cov tshuaj tiv thaiv kab mob
Tus xaim hluav taws xob hluav taws xob los ntawm hluav taws xob hluav taws xob dhau los ntawm tus neeg mob' s lub cev mus rau qhov tsis zoo ntawm electrode. Qhov no qee zaum yuav ua rau lub cev tsis ua haujlwm ntawm cov khoom cog hauv lub plawv.
Qhov kev pheej hmoo no tuaj yeem raug txo qis hauv hauv qab no.
Siv cov thermocautery suav nrog Shaw scalpel (tam sim no tsis ntws los ntawm tus neeg mob)
Siv bipolar forceps nrog electrosurgery ntaus ntawv (txo qis tam sim no los ntawm tus neeg mob)
Yog tias ua tau, zam kev khiav haujlwm nyob ze ntawm lub cuab yeej cog
Hloov pacemaker rau hom ncua-nqi lossis magnetically deactivate implantable cardioverter-defibrillator thaum electrosurgery.
Cov tswv yim ua ntej thiab tom qab los ntawm kws kho plawv tuaj yeem xav tau hauv cov neeg mob nyuaj.