Yog tias koj lossis koj tus menyuam muaj qhov nqaij me me lossis khawb hauv tsev, koj yuav tsum ntxuav qhov txhab ntawd thiab muab ntaub qhwv los qhwv nws.
Tab sis yog tias koj muaj qhov ncauj loj dua, txiav lossis tawg ntawm daim tawv nqaij, kws kho mob yuav siv lwm txoj hauv kev los kaw koj lub qhov txhab. Cov no suav nrog plooj, staples, kua nplaum, lossis zippers. Cov hom khoom thiab txheej txheem uas koj tus kws kho mob siv yuav yog nyob ntawm ntau yam, xws li hom kev raug mob uas koj muaj, koj lub hnub nyoog thiab kev noj qab haus huv, koj tus kws kho mob dhau los thiab kev nyiam, thiab cov khoom siv twg muaj.
Daim kab xev nplaum
Cov kws kho mob siv cov ntawv nplaum nplaum (xws li Steri-Strips) los rub ua ke cov npoo ntawm cov tawv nqaij me. Cov ntaub nplaum rau daim tawv ua qis dua li lwm yam khoom siv coj los kaw cov qhov txhab zoo. Tab sis cov kab xev tuaj yeem plam nws cov nplaum ntawm lub sijhawm, tshwj xeeb yog tias nws tau ntub. Yog tias nws xoob, lub qhov txhab yuav tawg.
Koj tus kws kho mob tuaj yeem siv cov ntaub nplaum nplaum yog tias koj muaj qhov nqaij me me, tawv nqaij me me, lossis phais (mob qes-siab). Lawv tseem tuaj yeem siv nws thaum phais yog tias koj tau faus lossis nqus tau cov tawv nqaij tawv tawv (txoj hlua).
Cov ib daim hlab feem ntau poob los ntawm lawv tus kheej hauv 10 hnub.
Sutures (Ntaus)
Qhov no yog cov txheej txheem feem ntau ua rau kaw qhov txhab nqaij. Tus kws kho mob siv ib daig ntawm xov xov phais hu ua suture mus xaws (lossis plooj) ob qho kawg ntawm daim tawv nqaij ua ke. Cov kws phais ib zaug siv cov tsiaj caj dab, horsehair, ntawm cov nroj tsuag, lossis tib neeg cov plaub hau los tsim cov sutures. Niaj hnub no, lawv tau ua los ntawm cov khoom siv ua ntuj lossis txiv neej zoo li yas, nylon, lossis txhob lo lo ntxhuav.
Sutures tuaj yeem yog mus tas li los yog tuaj yeem siv (lawv yaj hauv lub cev). Hom twg koj tus kws kho mob xaiv nyob ntawm ntau yam, nrog rau kev phais thiab koj muaj feem kis tau mob.
Koj tus kws kho mob yuav siv cov sutures mus tas li rau:
Cov qhov txhab uas yuav siv sijhawm ntev heev los kho
Kaw txoj kev phais mob, nrog rau cov uas tau ua rau cov raj dej tawm
Khi cov hlab ntshav lossis qee qhov ntawm cov nyhuv
Cov qhov txhab uas txuam nrog cov nqaij sib txuas (fascia), cov leeg, lossis cov hlab ntshav
Lawv tuaj yeem xaiv cov yeeb yaj kiab uas nqus tau rau cov qhov txhab uas muaj:
Qhov qis qis dua ntawm daim tawv nqaij
Mob nqaij thiab cov ntaub so ntswg sib txuas
Sab hauv hauv qhov ncauj
Thaj chaw nrog cov hlab ntshav ze rau thaj tsam ntawm daim tawv nqaij
Cov kws kho mob qee zaum siv cov yeeb yaj kiab sai sai rau daim tawv nqaij. Ntawd yog thaum koj tus kws kho mob npog cov tawv nqaij ploj lossis puas nrog ib thaj ntawm daim tawv nqaij noj qab haus huv.
Cov kua nplaum (Cov ntaub so ntswg nplaum)
Cov kws kho mob siv cov kua nplaum phais - tseem hu ua "cov ntaub qhwv ntsej muag" lossis" cov kua nplaum ua kua" - txhawm rau kaw qhov mob loj thiab me, xws li mob caj dab, phais plab thaum phais mob laparoscopic, thiab cov qhov txhab ntawm lub ntsej muag lossis hauv puab tais Cov.
Cov txiaj ntsig ntawm kev phais kua nplaum muaj:
Cov nqi qis dua ntawm kev kis mob
Tsawg sijhawm nyob hauv chav haujlwm
Tsawg caws pliav
Tsis muaj rab koob los yog xaws (me nyuam tus phooj ywg)
Sai rau rov qab mus ua haujlwm thiab lwm yam haujlwm, xws li kev ua kis las
Tsis muaj lub pluaj tshem
Cov kua nplaum phais siv ntau dua li sutures. Qee tus neeg ua xua rau nws. Siv kua nplaum tsis tuaj yeem siv yog tias koj muaj kev pheej hmoo ua rau lub qhov txhab kho qeeb (qhov no tshwm sim muaj ntshav qab zib thiab lwm yam mob).
Daim ntawv thov ntawm kua nplaum yuav tsum muaj txheej txheem npliag. Nug koj tus kws kho mob txog lawv qhov kev paub dhau los siv cov ntaub qhwv no.
Staples
Cov kws kho mob tuaj yeem siv cov tawv nqaij plahaum kom kaw qhov ntev ntawm daim tawv nqaij ntev lossis txiav hauv thaj chaw uas nyuaj mus rau. Staples yuav yaj hauv lub cev - txhais tau tias lawv tuaj yeem nqus tau - lossis tej zaum sab nraud thiab xav kom raug tshem tawm los ntawm koj tus kws kho mob.
Txuas ntxiv
Muaj ntau tus txiaj ntsig los siv kev mob staples. Lawv tso cai rau koj tus kws kho mob kom kaw koj lub qhov txhab sai sai nrog kev puas tsuaj tsawg. Lawv yooj yim tshem tawm dua pob tw, thiab koj siv sijhawm tsawg dua hauv tshuaj loog.
Nrog rau cov tshuaj staples, koj kuj muaj tus mob qis dua. Cov qhov txhab siab mob zoo dua, thiab koj muaj teeb meem tsawg dua nrog caws pliav.
Zab
Qhov no yog lwm txoj hauv kev los ua sutures pa. Feem ntau nws siv rau cov qhov txhab uas yuav tsum tau saib xyuas los ntawm koj tus kws kho mob txhua lub sijhawm. Nws sib txuas nrog cov zipper nrog ob lub strips ntawm cov nplaum, uas tau muab tso rau ntawm ob sab ntawm lub qhov txhab thiab ua kom zoo li loj tom qab kev phais. Thaum tus zipper kaw, nws rub tawm cov npoo ntawm daim tawv nqaij ua ke. Kev tshawb fawb qhia nws tsis mob dab tsi los tshem tawm, yog li nws tuaj yeem yog qhov kev xaiv zoo rau menyuam yaus. Tus swb tsis tuaj yeem siv rau cov neeg mob rog thiab cov uas muaj qhov txhab uas nkhaus ntau tshaj 20 degrees.
Soj ntsuam los ntawmNayana Ambardekar, MDhnub tim 27 lub Plaub Hlis, 2019