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Umboneleli wenkonzo yotyando oluqhelekileyo lwezixhobo zonyango
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Imiyalelo yokusebenza yestapler solwaluko olulahlwayo

Imiyalelo yokusebenza yestapler solwaluko olulahlwayo

Ngaphambi kotyando, isigulane kufuneka saziswe ukuba, njengoko kufuneka ukususwa kwe-suture kwi-suture yesiqhelo yokusika kunye ne-suture, ukususwa kwe-nail kuyafuneka emva kokuhlinzwa kunye ne-stapler yolwaluko olulahlwayo.Ngenxa yokungafani kwezigulane ngamnye, isigulane sinokulindela kunye nokulungiswa kwengqondo.Kwaye vumela izigulane ziqonde ukuba inkqubo ilingana nokususwa kwe-suture yokuhlinzwa.

Amanyathelo okusebenza kwesixhobo sokuthunga esilahlwayo solwaluko

1. Okokuqala, yenza imisebenzi yesiqhelo ngokuhambelana nemimiselo yezibhedlele, wenze uvavanyo lwegazi kwizigulane ngaphambi kokuhlinzwa, uze wenze ukususwa kweenwele.Yehlisa ijwabu ukuze uveze i-glans kwaye uthathe ifilimu yokulinganisa i-glans ukulinganisa ubukhulu be-2mm ukusuka kwi-glans ukuya kwi-2/3 ye-coronal sulcus, kwaye wenze utyando lokubulala iintsholongwane kunye ne-anesthesia yendawo ngokuhambelana nemveliso yemveliso.

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2. Akuvumelekanga ngokungqongqo ukusebenzisa ijwabu stapler ubungakanani enkulu ukuba inkantsi encinane, kunye nejwabu elincinane stapler ijwabu ukuba inkangeleko enkulu utyando.Khupha imveliso yestapler yolwaluko olulahlwayo, kwaye unyenyise isikrufu esimnyama ngasemva malunga nokujika okusibhozo ukuphuma kwisihlalo seglans.Abantu abane-phimosis kufuneka bakhulise ukuvulwa kwejwabu okanye banqumle imbobo encinci ngesikere ukuze kube lula ukuba ijwabu libekwe kwisihlalo se-glans.

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3. Beka isihlalo seglans esiphumileyo kwi-glans, lungelelanisa umgca omnyama wokumakisha kwi-glans ngentsimbi ye-12 okanye ngentsimbi yesi-6, yinike ukuthambekela okufanayo njenge-coronal sulcus, kwaye emva koko ubambe iipleyiti zangaphakathi nangaphandle nge i-hemostatic forceps 3 amaphuzu ukugubungela ijwabu kwisiseko se-glans, nikela ingqalelo kwipleyiti yangaphakathi kwaye ugcine i-lace Ungasebenzisa kwakhona ipeni yokumakisha ukudweba isangqa sokumisa emva kokusika umgca wokumakisha.

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4. Susa isigqubuthelo esikhuselayo sesikhonkwane somgqomo ocacileyo kumzimba oyintloko kwaye ufake intonga yentsimbi yesiseko seglans elungiswe yiflip bag kumngxuma osembindini womzimba oyintloko.Ngeli xesha, nikela ingqalelo ukulungelelanisa isiseko se-glans kunye nomgca wamanqaku amnyama kwiqokobhe lomzimba eliphambili elinophawu olubalaseleyo Faka intambo kwi-groove yokumisa ngokunxuseneyo kwaye ulungelelanise i-spiral emnyama de ijwabu libe ne-anastomosed kwaye lingakhululeki.Imfuneko kukubona ukuba indiza yentonga ehamba ngasemva ihlengahlengiswe kwinqwelomoya yomngxuma we nut?Ngale ndlela, inokulungiswa ukusika kunye ne-suture.Ukuba kukho ijwabu elishinyeneyo, linokuphinda libuyiselwe kancinci.

5. Emva kokulungelelanisa isikhundla, khangela ukuba indawo yokuxhasa isikhwama sokusika ichanekile kwaye ijwabu lisakhululekile.Ukuba iqhelekile, unokutsala isikhonkwane sokhuseleko esityheli kwaye ubambe iziphatho ezibini ezishukumayo ngokunxuseneyo kwaye uyicinezele kancinane de uve isandi sesigodlo.Buyisela umva isikrufu sohlengahlengiso ukuze uphume kwisihlalo se-glans 5-6mm kude nomzimba omkhulu ukubona ukuba ijwabu libambekile na?Ukuba kunjalo, ungasebenzisa iminwe yakho okanye isikere ukucinezela ngobunono kwijwabu ukuze uyikhuphe ngokwemvelo.

6. Iingxaki eziqhelekileyo.Ukuba kukho iindawo ezinganqunyulwanga ngokupheleleyo, ungasebenzisa isikere ukuze usike kufuphi nomda we-suture.Ukuba kukho ukopha, unokucinezela iminwe yakho ukuyeka ukopha malunga nomzuzu omnye.Ukuba kusekho ukopha okuninzi, kufuneka udibanise umthungo.Inani elincinci lokopha esikhumbeni liqhelekileyo.I-Bandage emva kwe-disinfection yendawo ejikelezileyo.Ukhetho lokuqala kukusebenzisa i-petroleum jelly gauze ukubopha ngokuqinileyo, emva koko sebenzisa i-gauze yonyango yokukhusela, kwaye usebenzise i-tape yelaphu e-elastic ukulungiswa.Izigulane ngexesha lokuphulukiswa komsebenzi kufuneka zisebenzisane nogqirha ukugcina nokusebenzisa iziyobisi.

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7. Ngosuku olulandelayo, isigulane sacelwa ukuba sibuyele esibhedlele ukuze sihlolwe kwaye siphinde sibulale iintsholongwane kwaye siphinde sinxibe i-incision ukukhusela ukusika.Emva kweentsuku ezine, isigulane siya kulungiselela amanzi angcolileyo kanye ekuseni nangokuhlwa ngokwemiyalelo kagqirha.Okanye inokubulawa iintsholongwane ngesitshizi sokubulala iintsholongwane.Ungasebenzisa i-tweezers ehambelanayo yokususa isikhonkwane ukuyicinezela ngononophelo malunga neentsuku ezilishumi emva koqhaqho okanye kufuneka ubuyele esibhedlele kutyelelo olulandelayo emva kweeveki ezimbini ukususa zonke iziseko ezingawanga (sebenzisa i-special yenkampani. Iipilisi zokususa izikhonkwane).Ngokuphathelele ukususwa kwezikhonkwane, qala ngokufaka i-compound lidocaine cream ejikeleze umphezulu apho isigulane kufuneka sisuse isikhonkwane.Isiphumo simalunga ne-30 okanye kunjalo.Isiphumo sokususa isikhonkwane sihle kakhulu kwaye asifuni i-anesthesia.Umguli akanantlungu.

8. Ngokweyantlukwano yabantu ngabanye, izigulane ezininzi ziya kuwa ngokuthe ngcembe kwi-sutures phakathi kweentsuku ezilishumi zotyando, kodwa ezinye izigulane ezingenakukwazi ukuwa zonke kufuneka zibuyele esibhedlele ukuze zisuswe ngesandla (kucetyiswa ukuba ubuyele esibhedlele kwisithuba sesibini. iiveki zokuhlolwa kunye nonyango) .

9. Gwema umsebenzi ogqithisileyo ngaphambi kokuba ululame emva kokuhlinzwa.Nika ingqalelo ukucoceka, zama ukuphepha ukulungiswa, ungaphuzi utywala kwaye utye ukutya okunentlanzi kunye nokutya kwaselwandle, kwaye ubomi besondo bunqatshelwe ngokungqongqo kwinyanga.

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Ixesha lokuposa: Oct-18-2021