Kafin aikin, ya kamata a sanar da majiyyaci cewa, kamar yadda ake buƙatar cire suture don yankewa da sutura na al'ada, cire ƙusa kuma ya zama dole bayan tiyata tare da kayan aikin kaciya.Saboda bambance-bambance a cikin marasa lafiya ɗaya, mai haƙuri yana da tsammanin da shiri na tunani.Kuma bari marasa lafiya su gane cewa tsarin yana daidai da cire suturar tiyata na al'ada.
Matakan aiki na na'urar suturar kaciya da za a iya zubar da ita
1. Na farko, a yi ayyuka na yau da kullun daidai da dokokin asibiti, a yi gwajin jini a kan marasa lafiya kafin a yi musu tiyata, sannan a cire gashi.Sauke kaciyar don fallasa gilashin kuma ɗauki fim ɗin auna girman glans don auna girman 2mm daga glans zuwa 2/3 na coronal sulcus, da kuma yin maganin rigakafi da maganin sa barcin gida bisa ga ƙayyadaddun samfur.
2. An haramta sosai a yi amfani da babban mazugi mai girman mazauni don ƙananan glans, da ƙaramin madaidaicin magudanar kaciyar don babban glan don tiyata.Fitar da samfurin da za a iya zubar da kaciya, kuma daidaita baƙar fata a baya kamar juyi takwas don fita daga kujerar glans.Mutanen da ke da phimosis suna buƙatar faɗaɗa buɗaɗɗen kaciyar ko yanke ƙaramin buɗewa da almakashi don sauƙaƙe kaciyar da za a sanya a kan kujerar glans.
3. Sanya wurin zama na glan ɗin da aka fita akan glans, daidaita layin alamar baƙar fata akan gilashin karfe 12 ko 6 na yamma, ku ba shi sha'awa iri ɗaya da coronal sulcus, sannan ku matse faranti na ciki da na waje da shi. Hemostatic forceps 3 maki don kunsa kaciyar a kan glans tushe, kula da farantin ciki da kuma ci gaba da yadin da aka saka Hakanan zaka iya amfani da alkalami mai alama don zana da'irar don sakawa bayan yanke layin alamar.
4. Cire murfin kariya na ƙusa mai haske a kan babban jiki kuma saka sandar ƙarfe na ginin glans wanda aka gyara ta jakar juzu'i a cikin rami na tsakiya na babban jiki.A wannan lokacin, kula da daidaita tushen glans tare da layin alamar baƙar fata zuwa babban harsashi na jiki tare da fitacciyar alama Saka zaren a cikin tsagi mai matsayi a layi daya kuma daidaita karkatacciyar karkace har sai kaciyar ta kasance anastomosed kuma ba sako-sako ba.Abin da ake bukata shine ganin ko jirgin sandar motsi a baya an daidaita shi zuwa jirgin rami na goro?Ta wannan hanyar, ana iya shirya shi don yankewa da sutura.Idan akwai kauri mai kauri, za a iya ja da baya kadan.
5. Bayan daidaitawa zuwa matsayi, duba ko matsayi na goyan bayan jakar yankan daidai ne kuma ko har yanzu kaciyar tana kwance.Idan al'ada ce, zaku iya ciro fil ɗin aminci na rawaya kuma ku riƙe hannaye masu motsi biyu a layi daya kuma a hankali ku matse shi da ƙarfi har sai kun ji sautin ƙaho.Juya madaidaicin dunƙule don fita daga kujerar glans 5-6mm nesa da babban jiki don ganin ko kaciyar ta makale?Idan haka ne, zaku iya amfani da yatsun hannu ko almakashi don danna ƙasa a hankali akan kaciyar don cire shi a hankali.
6. Matsalolin gama gari.Idan akwai sassan da ba a yanke su gaba daya ba, zaka iya amfani da almakashi don yanke su kusa da gefen suture.Idan akwai zubar jini, zaku iya danna yatsa don dakatar da zubar jini na kusan minti 1.Idan har yanzu zubar jini yana da yawa, kuna buƙatar ƙara dinki.Ƙananan jini a kan fata al'ada ne.Bandage bayan disinfection na kewayen yankin.Zabi na farko shine a yi amfani da gauze na petroleum jelly zuwa bandeji sosai, sannan a yi amfani da gauze na likita don kariya, sannan a yi amfani da tef ɗin yadi na roba don gyarawa.Marasa lafiya a lokacin lokacin warkaswa na aikin suna buƙatar haɗin gwiwa tare da likita don kulawa da amfani da kwayoyi.
7. Washegari, an nemi majiyyaci da ya koma asibiti don dubawa kuma ya sake yin maganin kashe-kashen da kuma sake yin suturar da aka yi masa don kare raunin da aka yi masa.Bayan kwanaki hudu, majiyyaci zai shirya ruwan bakararre sau ɗaya safe da yamma bisa ga umarnin likita.Ko kuma ana iya kashe shi da feshin maganin kashe kwayoyin cuta.Kuna iya amfani da tweezers masu cire ƙusa da suka dace don matse shi a hankali kamar kwanaki goma bayan tiyata ko kuma dole ne ku koma asibiti don ziyarar biyo baya a cikin makonni biyu don cire duk abubuwan da ba su faɗi ba (amfani da na musamman na kamfanin. Fitar cire ƙusa).Dangane da cire ƙusa, da farko a shafa kirim ɗin lidocaine na fili a kusa da saman inda majiyyaci ke buƙatar cire ƙusa.Tasirin shine kusan 30 ko makamancin haka.Sakamakon cire ƙusa yana da kyau sosai kuma baya buƙatar maganin sa barci.Mai haƙuri ba shi da zafi.
8. Dangane da bambance-bambancen mutum, yawancin marasa lafiya a hankali za su fado daga suturar a cikin kwanaki goma na aikin, amma wasu marasa lafiya waɗanda ba za su iya faɗuwa ba duk suna buƙatar komawa asibiti don cirewa da hannu (an ba da shawarar komawa asibiti a cikin kwana biyu). makonni don dubawa da magani).
9. A guji yawan aiki kafin murmurewa bayan tiyata.A kula da tsafta, a yi kokarin kauce wa tsauri, kar a sha barasa da cin kifi da abincin teku, kuma an haramta yin jima'i a cikin wata guda.
Lokacin aikawa: Oktoba 18-2021
