Kodi kuchotsa stitches kwa mphaka kunyumba?

Ndi zosoka ziti zomwe zingachotsedwe ndipo zomwe sizingachotsedwe?

Zosoka zimatha kuyikidwa pazifukwa zosiyanasiyana. Amayikidwa pamwamba pa maopaleshoni ndi mabala ovulala. The sutures ndi khungu, superimposed pa mucous nembanemba diso ndi cornea, maliseche, minofu, ziwalo.

Zimaloledwa kuchotsa sutures osakanikirana bwino pakhungu pawekha, ngati dokotala yemwe adawagwiritsa ntchito adawona kuti n'zotheka.

Nthawi zambiri tikukamba za kuchotsa sutures pambuyo ovariohysterectomy, ndiko kuti, kutsekereza.

Uzani dokotala wanu kuti aike suture ya dip (cosmetic) ndi suture yotsekemera. Zosokerazi siziyenera kuchotsedwa.

Mulimonse momwe zingakhalire, zosokera siziyenera kuchotsedwa:

• Zogonjera Iwo safunikira kuchotsedwa.

• ndi zizindikiro za kutupa - kutupa, kufiira, kuyabwa, fungo losasangalatsa, pamene chinachake chimachokera ku msoko, chimadetsa nkhawa mphaka. Zonsezi ndizizindikiro zakuchipatala mwachangu.

• Wopanda ndalamam’mene m’mphepete mwa chilondacho simunakulire pamodzi. Suture yotereyi mwina imafunikira kuchotsedwa kwa opaleshoni ndikuyambiranso.

• Sems yokhala ndi ma drainage systems - machubu, mphira, zopyapyala zosokedwa pabala kuti zikhetse madzimadzi.

• Ngati nyama akufotokozera zokhudza zonse zizindikiro za postoperative mavuto. Mwachitsanzo, ulesi, kukana kudyetsa, kusafuna kusuntha, kupweteka kwambiri.

Momwe mungamvetsetse pamene msoko ukhoza kuchotsedwa?

1. Pafupifupi masiku 10 apita kuchokera opaleshoni (molondola, adokotala omwe adawagwiritsa ntchito anena)

2. Kuchotsa stitches mu mphaka pambuyo yolera yotseketsa zambiri analola pambuyo 10-14 masiku

3. Msoko wouma, woyera

4. Iye anasokoneza kotheratu.

Kukonzekera kuchotsa suture

Chovuta kwambiri chochotsa nsonga za mphaka ndikuwonetsetsa kuti sadzipweteka yekha kapena kukupwetekani akamamatira.

Kuti njirayi ikhale yofulumira komanso yopanda ululu, muyenera:

• Othandizira awiri

• Gome lokhazikika lokhala ndi anthu osachepera atatu

• Kuunikira kwabwino

• Magolovesi otsala

• Opaleshoni yopyapyala, zopukuta zosabala

• Mowa kapena mowa wamphamvu

• 0,05% yothetsera chlorhexidine bigluconate

• Malumo ang'onoang'ono akuthwa okhala ndi malekezero ozungulira

• Tweezers (makamaka opaleshoni, koma wina aliyense angachite).

Momwe mungachotsere stitches mu mphaka pambuyo pa opaleshoni - malangizo

1. Valani magolovesi, gwirani manja anu ndi antiseptic (mowa, mowa wamphamvu).

2. Othandizira kukonza mphaka. Mmodzi amaugwira m'dera la zofota (ndi scruff) ndi miyendo yakutsogolo, winayo akugwira ntchafu zakumbuyo ndikutembenuzira wodwala kuzungulira malo omwe amakukondani. Ngati tikulankhula za suture pambuyo yotseketsa, mwachitsanzo, nthawi zina ndikofunikira kufalitsa miyendo yakumbuyo kapena kumangitsa mafuta a m'mimba kuti zikhale zosavuta kugwiritsa ntchito manja onse awiri.

3. Yang'anani ndikumva msoko. Ngati wakula palimodzi bwino, palibe zizindikiro zotupa zomwe zimawoneka mozungulira, ndiye kuti zitha kuchotsedwa. Ngati chinachake chikuwopsya - khungu lozungulira msoko ndi lotupa, lofiira, lotupa, fungo loipa, pali kutulutsa kwakukulu - muyenera kuwona dokotala. Pamene tsiku loyenera (pafupifupi masiku 10) ladutsa, ndipo m'mphepete mwa chilonda sichinakulire palimodzi, ndiye kuti ndi veterinarian yekha amene angathetse vutoli.

4. Pukutani msoko ndi njira yamadzi 0,05% chlorhexidine pogwiritsa ntchito chopyapyala.

5. Ngati msoko uli ndi mfundo, ndiye kuti umakhala ndi masikelo osiyana ndi mfundo imodzi. Msokowu ndi wosavuta, wokhala ndi majekeseni awiri ndi mfundo, kapena zovuta, zokhala ndi p- kapena z-mawonekedwe ndi jekeseni 4 ndi mfundo imodzi. Kuti muchotse msoko wokhala ndi mfundo, muyenera kunyamula nsonga za ulusi kuchokera pa mfundo ndi zolembera kapena zala, kuzichotsa kutali ndi inu, kudula ulusi pafupi ndi khungu momwe mungathere, kubwerera kumbuyo kuchokera ku mfundo mpaka kutali. momwe zingathere. Kenako, muyenera kukanikiza khungu kwa thupi la mphaka, ndi kukokera ulusi. Choncho ulusiwo udzatambasula, zomwe zimapangitsa kuti chiwetocho chisamve bwino.

6. Ngati suture yosalekeza ikugwiritsidwa ntchito (yomwe ili ndi mfundo ziwiri - kumayambiriro ndi kumapeto kwa bala la opaleshoni), ndiye kuti msoti uliwonse uyenera kudulidwa, ndipo zidzakhala zovuta kwambiri kuchita popanda tweezers, popeza m'mphepete mwake mulibe. zowoneka, ndizovuta kutola ulusi ndi zala zanu. Choyamba, timagwira mfundoyi ndi tweezers ndikuyikokera mmwamba ndi kutali ndi ife, ndiye timadula ulusi woyamba pafupi ndi khungu momwe tingathere. Kenaka, timachotsa chingwe chilichonse padera: timachikoka ndi tweezers, kukonza, kudula ulusi pakati pa khungu ndi mfundo pafupi ndi khungu momwe tingathere, kukoka ulusi. Onetsetsani kuti mwachotsa mfundo yomaliza.

7. Thirani msoko ndi 0,05% yankho lamadzi la chlorhexidine.

8. Ikani bulangeti kapena kolala pa mphaka kuti asanyambire msoko watsopano. Patangotha ​​​​masiku angapo mutachotsa ulusi, zidzatheka kuchotsa chitetezo.

Tsopano mukudziwa momwe mungachotsere stitches mu mphaka nokha kunyumba.

Zolakwa zotheka ndi zovuta

Cholakwika chofala kwambiri ndikuchotsa msanga kwa suture mu mphaka. Ngati muchotsa msoti woyamba ndikuwona kuti m'mphepete mwa chilondacho chikung'ambika, imani. Kuyang'anitsitsa mosamala ndi palpation musanayambe njirayi kungathandize kupewa izi. Nthawi zina, poyang'ana suture pambuyo pa kutseketsa kapena opaleshoni ina ya m'mimba, ming'oma yosiyanasiyana ndi zisindikizo zimapezeka pansi pa khungu. Izi zitha kukhala zosiyana ndi zomwe zimachitika (momwemo ndi momwe chipsera chimapangidwira pakhoma la m'mimba), vuto lomwe limakhala lotetezeka (kupangika kwa mtsempha momwe magazi ndi / kapena mitsempha imasonkhanitsira). Koma nthawi zina kupeza koteroko kungakhalenso chizindikiro cha zoopsa za moyo - kusiyana kwa sutures mkati kapena kupanga abscess. Mulimonsemo, muyenera kuonana ndi veterinarian nthawi yomweyo.

Nthawi zambiri, poyesa kuchotsa msoko, mwiniwake amavulazidwa ndi mano kapena zikhadabo za chiweto. Kukonzekera kokhazikika koma kolimba kungathandize kupewa izi.

Ngati simukudziwa za othandizira, funsani akatswiri.

Zimachitika kuti msoko kapena ulusi wosiyana umaphonya. Pankhaniyi, ingrowth kapena kukana suture zakuthupi zikhoza kuchitika nthawi yomweyo kapena patapita nthawi, nthawi zina ngakhale zaka. Vutoli limathetsedwa pokhapokha atayesedwa ndi veterinarian.

Zimachitika kuti sanaveke bulangeti, ndipo mphaka adanyambita chilonda cha postoperative. Kukula kwa zochitika kumadalira kukula kwa kuvulala komwe kunalandira. Ngati khungu silili bwino, ndiye kuti ndikwanira kupukuta ndi chlorhexidine ndikuyika kolala. Ngati inyambita moyipa, ndiye, mwatsoka, ndi dokotala yekha amene angathandize. Mwachidziwikire, idzafunika kusinthidwa.

Chithandizo cha ayodini ndizomwe zimayambitsa zovuta. Mulimonsemo musamachitire seams ndi yankho la ayodini, khungu la mphaka limakhudzidwa kwambiri.

Nsonga

1. Kuchotsa sutures mu mphaka pambuyo yotseketsa sikofunikira ngati dip suture ikugwiritsidwa ntchito. Funsani dokotala kuti agwiritse ntchito suture yotere musanayambe opaleshoni, izi zikhoza kuwonjezera mtengo wa opaleshoniyo, koma zidzathandiza kwambiri chisamaliro cha postoperative.

2. Ngati suture imakhala yolimba kwambiri pakhungu kapena pali zouma zouma, mafuta a Levomekol angathandize. Onjezani msoko mowolowa manja ndi mphindi 10-15 musanachotse, ndipo njirayi idzakhala yosavuta.

3. Pali mphaka mphuno. Amakhala omasuka, koma samawonetsa momwe wodwalayo amapumira. Khalani anzeru pokonza mphaka, yang'anirani momwe nyamayo ilili.

4. Chepetsani misomali tsiku limodzi kapena awiri musanachotse ma sutures, izi zimathandizira kwambiri ntchitoyi.

5. Onetsetsani kuti mukambirane ndi dokotala kuti mukufuna kuchotsa stitches nokha. Dokotala wanu adzakuuzani kuchuluka kwa zingwe zomwe mwakhala nazo komanso nthawi yomwe ziyenera kuchotsedwa.

chisamaliro note

1. The sutures ntchito mabala opaleshoni safuna mankhwala antiseptic; ndikwanira kupukuta suture ndi saline sodium kolorayidi njira m'masiku oyambirira, ngati pali kumaliseche kapena kutumphuka. Mabala oterowo ndi oyera, palibe chifukwa cha maantibayotiki ndi ma antiseptics ankhanza, chilondacho sichikhala choyera pambuyo pakugwiritsa ntchito. Koma liwiro la kuchira likhoza kuchepetsedwa kwambiri chifukwa cha zotsatira zawo zokwiyitsa komanso zaukali.

2. Choopsa chachikulu cha msoko wa mphaka ndi lilime lake. Ndizovuta, ndipo nyamayo imachotsa mosavuta ulusi, kuvulaza khungu kuzungulira msoko. Komanso, m'kamwa mwake muli tizilombo tambirimbiri tomwe titha kuwononga bala. Tetezani msoko ku kunyambita!

3. Ngati dokotala walamula kuvala chovala cha postoperative kapena kolala, ndiye kuti sangathe kuchotsedwa nthawi zonse chilonda chikuchiritsidwa.

4. Amphaka amadya bwino mu makola, koma mbaleyo iyenera kukhala yokhazikika komanso yaying'ono m'mimba mwake kuposa kolala yokha.

Mayankho a mafunso omwe amafunsidwa nthawi zambiri