Opaleshoni isanayambe, wodwalayo ayenera kudziwitsidwa kuti, monga momwe kuchotsa kwa suture kumafunika kuti pakhale kudula kwachindunji ndi kudulidwa, kuchotsa msomali kumafunikanso pambuyo pa opaleshoniyo ndi stapler yotayika.Chifukwa cha kusiyana kwa odwala payekha, wodwalayo ali ndi chiyembekezo komanso kukonzekera maganizo.Ndipo aloleni odwala azindikire kuti njirayi ndi yofanana ndi kuchotsa ochiritsira ochiritsira.
Masitepe ogwiritsira ntchito chipangizo chotayika cha mdulidwe
1. Choyamba, chitani maopaleshoni mwachizoloŵezi motsatira malamulo a chipatala, kuyesa magazi kwa odwala musanachite opaleshoni, ndiyeno muchotse tsitsi.Tsitsani khungu kuti liwonetse glans ndikutenga filimu yoyezera magalasi kuti muyeze kukula kwa 2mm kuchokera pagalasi kufika pa 2/3 ya coronal sulcus, ndikuchita opaleshoni yophera tizilombo toyambitsa matenda ndi mankhwala ogonetsa am'deralo molingana ndi zomwe zagulitsidwa.
2. Ndizoletsedwa kugwiritsa ntchito stapler yayikulu kukula kwa khungu laling'ono, ndi kansalu kakang'ono kakang'ono ka khungu la khungu lalikulu la opaleshoni.Chotsani chinthu chotayidwa cha mdulidwe, ndipo sinthani zomangira zakuda kumbuyo kwa makhoti asanu ndi atatu kuti mutuluke pampando wa glans.Anthu omwe ali ndi phimosis ayenera kukulitsa kutsegula kwa khungu kapena kudula kabowo kakang'ono ndi lumo kuti khungu likhale lokhazikika pampando wa glans.
3. Ikani mpando wa glans wotuluka pa glans, gwirizanitsani mzere wakuda wolembera pa glans nthawi ya 12 koloko kapena 6 koloko, perekani malingaliro ofanana ndi a coronal sulcus, ndiyeno chepetsani mbale zamkati ndi zakunja ndi hemostatic forceps 3 mfundo kukulunga chikopa pa glans m'munsi, tcherani khutu mbale mkati ndi kusunga lace Mukhozanso kugwiritsa ntchito cholembera cholembera kujambula bwalo poika pambuyo kudula cholemba mzere.
4. Chotsani chivundikiro chotetezera cha msomali woonekera pa thupi lalikulu ndi kuyika ndodo yachitsulo ya m'munsi mwa glans yokhazikika ndi thumba lopindika pakati pa bowo lapakati pa thupi lalikulu.Panthawiyi, tcherani khutu kugwirizanitsa glans m'munsi ndi mzere wakuda wakuda ku chipolopolo chachikulu cha thupi chokhala ndi chizindikiro chodziwika Ikani ulusi mu poyambira motsatizana ndikusintha nsonga yakuda mpaka nsonga ya ntchafu ikhale yosasunthika.Chofunikira ndikuwona ngati ndege ya ndodo yosuntha kumbuyo imasinthidwa ku ndege ya dzenje la mtedza?Mwa njira iyi, ikhoza kukonzekera kudula ndi kudulidwa.Ngati pali khungu lakuda, limatha kubwezeretsedwanso pang'ono.
5. Mutatha kusintha malo, fufuzani ngati thumba lothandizira thumba ndilolondola komanso ngati khungu likadali lotayirira.Ngati zili zachilendo, mukhoza kutulutsa pini yotetezera yachikasu ndikugwira zogwirira ntchito ziwirizo mofanana ndikuzitsina molimba mpaka mutamva kulira kwa lipenga.Bwezeretsani zomangira kuti mutuluke pampando wa glans 5-6mm kutali ndi thupi lalikulu kuti muwone ngati khungu lakhazikika?Ngati ndi choncho, mutha kugwiritsa ntchito zala zanu kapena lumo kuti mutsike pang'onopang'ono pakhungu kuti muchotse mwachilengedwe.
6. Mavuto wamba.Ngati pali magawo omwe sanadulidwe kwathunthu, mutha kugwiritsa ntchito lumo kuti muwadule pafupi ndi m'mphepete mwa suture.Ngati magazi akutuluka, mukhoza kukanikiza zala zanu kuti magazi asiye kutuluka kwa mphindi imodzi.Ngati magazi akadali ochuluka, muyenera kuwonjezera nsonga.Kutuluka magazi pang'ono pakhungu ndikwachilendo.Bandeji pambuyo disinfection m'madera ozungulira.Chosankha choyamba ndikugwiritsa ntchito mafuta odzola odzola kuti amange bandeji mwamphamvu, ndiye gwiritsani ntchito yopyapyala yachipatala kuti mutetezeke, kenako gwiritsani ntchito tepi yotanuka kuti muyike.Odwala pa nthawi ya machiritso a opaleshoni ayenera kugwirizana ndi dokotala kusunga ndi kugwiritsa ntchito mankhwala.
7. Tsiku lotsatira, wodwalayo anafunsidwa kuti abwerere ku chipatala kuti akawonedwe ndi kuthiranso mankhwala ophera tizilombo toyambitsa matenda ndi kuvalanso choboolacho kuti chitetezeke.Pambuyo pa masiku anayi, wodwalayo amakonzekera madzi osabala kamodzi m'mawa ndi madzulo malinga ndi malangizo a dokotala.Kapena itha kuthiridwa ndi mankhwala ophera tizilombo.Mutha kugwiritsa ntchito zingwe zofananira zochotsa misomali kuti mutseke mosamala patatha masiku khumi mutachita opareshoni kapena muyenera kubwereranso kuchipatala kuti mukachezerenso pakadutsa milungu iwiri kuti muchotse zotsala zonse zomwe sizinagwe (gwiritsani ntchito yapadera ya kampaniyo. Zoperekera misomali).Ponena za kuchotsa misomali, choyamba gwiritsani ntchito zonona za lidocaine padziko lonse lapansi pomwe wodwalayo ayenera kuchotsa msomali.Zotsatira zake ndi pafupifupi 30 kapena apo.Kuchotsa msomali ndikwabwino kwambiri ndipo sikufuna opaleshoni.Wodwalayo samva ululu.
8. Malingana ndi kusiyana kwa anthu, odwala ambiri amatha kugwa pang'onopang'ono kuchokera ku sutures mkati mwa masiku khumi kuchokera ku opaleshoni, koma odwala ena omwe sangathe kugwa ayenera kubwerera kuchipatala kuti akachotsedwe pamanja (ndiko bwino kubwerera ku chipatala mkati mwa awiri. masabata kuti akawonedwe ndi kulandira chithandizo) .
9. Pewani kuchita zinthu mopitirira muyeso musanachira pambuyo pa opaleshoni.Samalani ukhondo, yesetsani kupewa erections, osamwa mowa ndi kudya nsomba ndi nsomba zam'madzi, ndipo moyo wogonana ndi woletsedwa mkati mwa mwezi umodzi.
Nthawi yotumiza: Oct-18-2021
