Suturing yog lo lus siv los piav qhia txog qhov kaw qhov txhab, cov hlab ntshav, lossis ib feem ntawm lub cev siv lub koob tshwj xeeb thiab xov. Qhov laj thawj tseem ceeb rau kev tso lub suture yog kom tsis txhob los ntshav thiab txwv tsis pub kis kab mob los ntawm kev puas tsuaj ntxiv. Txawm hais tias tsis tham hauv nplooj ntawv no, qee cov txheej txheem suturing tau ua tiav rau qhov laj thawj zoo nkauj lossis tiv thaiv qhov caws pliav los ntawm kev tsim. Thawj kauj ruam ntawm kev ua ib qho xaws yog kom paub tseeb tias nws tau tsau thiab yuav tsis qhib nrog kev txav ntawm tus neeg mob, yog li yuav tsum tau siv txoj hlua khi. Tom qab ntawd, ib tus tuaj yeem mus tom ntej thiab txuas ntxiv nrog qee qhov txheej txheem suture, xws li cuam tshuam yooj yim, khiav yooj yim, khiav xauv, thiab ntsug thiab kab rov tav txaj txaj sutures.
Cov kauj ruam
Ntu 1 ntawm 7: Npaj
Kauj Ruam 1. Sau cov cuab yeej tsim nyog:
- Txhawm rau xyaum cov txheej txheem suturing, koj yuav xav tau daim ntaub xaws. Nws tuaj yeem tau txais online yooj yim (los ntawm Amazon, piv txwv).
- Cov ntaub qhwv lub cev: qhib qhov txhab thiab tso cai pom tseeb ntawm qhov chaw txhaj tshuaj
- Txiab: Txiav cov xov ntau dhau.
- Koob tuav: Txhawm rau tiv thaiv kev kis tus kab mob, koob yuav tsum tau tuav los ntawm tus tuav rab koob tsis yog tuav koj txhais tes.
- Koob nrog xov: Qhov xaiv ntawm rab koob loj thiab hom xov yog nyob ntawm qhov laj thawj rau kev ua haujlwm xaws thiab qhov xwm txheej ntawm qhov txhab. Koob nrog xov siv hauv cov kauj ruam hauv qab no yog 2-0 txhob lo lo ntxhuav.
Kauj Ruam 2. Tuav cov cuab yeej kom raug:
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Rau cov neeg sab xis, tuav lub koob nrog koj tus ntiv tes ntiv tes thiab ntiv tes xis. Kom tswj tau ntau dua thiab ruaj khov, tso koj tus lej cim thiab cov ntiv tes nruab nrab ntawm sab ntev ntawm rab koob tuav.
IMG_9049 7 - Cov neeg sab laug tuaj yeem ua raws tib cov kauj ruam (suav nrog cov hauv qab no) tab sis yuav tsum hloov cov cuab yeej siv nrog sab tes laug nrog cov uas siv los ntawm sab tes xis, thiab hloov pauv.
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Cov ntaub so ntswg yuav tsum tau tuav ntawm tes laug nrog tus ntiv tes xoo thiab ntiv tes ntsuas, ib yam li tuav tus cwj mem.
Tuav cov ntaub so ntswg forceps
Kauj Ruam 3. Nrog rab koob tuav, nqa rab koob los ntawm nws pob
Nco ntsoov rub tag nrho cov xov tawm
Kauj ruam 4.
Kauj Ruam 1. Siv cov ntaub qhwv lub cev, nthuav tawm daim tawv nqaij mus rau qhov kawg ntawm sab xis ntawm qhov txhab
Qhov no tso cai rau kev pom kev zoo dua thiab zam kev tsoo cov leeg.
- Cov kauj ruam no yuav tsum tau ua tas li ua ntej puncturing ntawm daim tawv nqaij, uas yog qhia nyob rau hauv cov kauj ruam tom ntej.
- Nco ntsoov nco ntsoov tsis txhob thawb rau ntawm daim tawv nqaij nrog cov nqaij quab yuam.
Kauj Ruam 2. Txhaum sab xis ntawm daim tawv nqaij (noj tom)
Ua kom kwv yees li ib nrab cm los ntawm qhov kawg ntawm lub qhov txhab nrog lub kaum sab xis 90 degrees nruab nrab ntawm daim tawv nqaij thiab rab koob, ntswj koj ob txhais tes raws lub moos raws li ntawm ib nrab ntawm lub voj voog.
- Koob txhaj hla ntawm daim tawv nqaij sab nraud mus rau sab hauv.
- Tsis tas li, nco ntsoov tias koj rab koob tawm ntawm sab hauv ntawm daim tawv nqaij; nws yuav tsum nqes mus rau qhov tob txog 0.5cm.
- Txhawm rau tso tus neeg tuav rab koob "nyem" kom rub rab koob tawm, rub tus tuav nrog koj tus ntiv tes ntiv tes rau sab xis thiab thawb koj tus ntiv tes xoo mus rau sab laug.
Kauj Ruam 3. Sib npaug rau thawj qhov tom, txhawm rau sab laug ntawm daim tawv nqaij ib yam li koj tau ua hauv qib kawg
Txawm li cas los xij, hauv cov theem no, rab koob mus los ntawm sab hauv mus rau sab nraud.
Kauj Ruam 4. Tuav lub koob nrog rab koob tuav (tsis tas yuav hnov lub suab nyem) thiab rub kom tag nrho cov xov, tsuas yog kwv yees li 3-5 cm (1–2 in), nyob rau sab laug ntawm qhov txhab
Kauj Ruam 5. Tom qab tso lub koob los ntawm rab koob tuav, siv koj txhais tes laug los tuav cov xov nyob ze ntawm lub qhov txhab thiab qhwv nws kwv yees li ib lossis ob los ntawm qhov taub nyob ib ncig ntawm tus tuav rab koob kaw
- Nco ntsoov qhwv xov peb zaug sab nrauv (raws lub moos) thaum khaws cov xov nyob ze rau ntawm qhov txhab.
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Nco tseg:
Cov lus qhia uas koj qhwv cov xov tsis muaj teeb meem tsuav nws hloov pauv ntawm cov kauj ruam sib law liag.
Kauj Ruam 6. Qhib lub taub hau me ntsis nrog cov xov qhwv ib puag ncig nws, rub qhov 3-5 cm (1.2-2.0 in) ntawm xov ntawm sab xis nrog rab koob tuav
Kauj Ruam 7. Siv koj txhais tes laug, rub cov xov ntev kom tso cov xov qhwv kom dhau ntawm rab koob thiab rub ib ncig ntawm txoj kab xoob 3-5 cm (1.2-2.0 in) ntawm txoj cai
- Ceev faj Tsis txhob rub ntau dhau ntawm daim tawv nqaij, ua rau ib sab raug thawb rau saum ib sab.
- Tsuas yog rub ntau npaum li koj xav tau txhawm rau coj ua ke thiab kaw ob sab ntawm qhov txhab.
Kauj Ruam 8. Tom ntej no, ua cov kauj ruam 5 txog 7 dua nrog ob peb yam kev hloov pauv:
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Nco tseg:
peb cov kauj ruam no (5 txog 7) yuav ua tiav tag nrho 3 zaug, nrog qhov sib txawv me me hauv lawv txhua lub sijhawm.
- Ua ntej, ua cov kauj ruam 5 txog 7, qhwv cov xov sab hauv (thim rov qab) ob zaug nyob ib ncig ntawm tus tuav rab koob.
- Tom qab ntawd, ua cov kauj ruam 5 txog 7 thib peb, qhwv cov xov nkaus xwb ib zaug tawm sab nraud (raws lub moos) ntawm tus tuav lub koob.
Ntu 3 ntawm 7: Yooj Yim cuam tshuam Suture
Kauj Ruam 1. Qhov suture no muaj ntau yam kev sib txuas ua ke tau rov ua dua raws qhov ncab ntawm qhov txhab
Yooj yim ua txoj hlua khi, txiav cov xov ntau dhau, txav lub qhov txhab ntawm sab xis kwv yees li ib cm los ntawm thawj qhov xaws, thiab pib lwm txoj hlua khi. Ua qhov no kom txog thaum lub qhov txhab raug kaw
Ntu 4 ntawm 7: Yooj Yim Khiav Suture
Kauj Ruam 1. Rov ua dua, pib nrog txoj hlua khi thaum pib ntawm qhov txhab txhawm rau txhawm rau kho cov xov hauv qhov chaw tab sis tsis txhob txiav cov xov ntau dhau
Kauj Ruam 2. Txhawm rau txhawm rau sab xis thiab sab laug ntawm qhov txhab, feem, nqa lawv ua ke
Ua kom ntseeg tau tias txhua lub voj uas koj ua yog nyob rau sab saud ntawm daim ntaub xaws (nyob deb ntawm koj).
- Qhov no yuav yog ib qho ntev suture khiav raws tag nrho lub qhov txhab nrog txoj hlua khi ntawm qhov pib thiab qhov kawg ntawm qhov xaws.
- Qhov kev xaws no zoo li yog koj tab tom ua cua daj cua dub raws li txoj kev taw qhia.
- Siv lub voj kawg ntawm qhov suture khiav los ua txoj hlua khi txij li tsis muaj qhov xoob kawg los tuav nrog rab koob tuav.
Kauj Ruam 3. Nov yog qhov kawg yuav tsum zoo li cas, ntau dua lossis tsawg dua
Ntu 5 ntawm 7: Khiav Xauv Suture
Kauj Ruam 1. Zoo li ua ntej, pib qhov hloov pauv no ntawm kev yooj yim suture nrog txoj hlua khi thaum pib ntawm lub qhov txhab thiab tom qab ntawd txhawm rau ntawm daim tawv nqaij li ib cm los ntawm txoj hlua khi ntawm sab xis thiab sab laug ntawm qhov txhab, feem
Kauj Ruam 2. Ua ntej rub cov xov kom kaw qhov txhab, nws tseem ceeb heev kom MUAJ TSHAJ PLAWS tias lub voj nyob rau sab qis ntawm daim ntaub xaws (rau koj)
Kauj Ruam 3. Mus txuas ntxiv ua cov kauj ruam 1 thiab 2 ntau zaus raws qhov mob thiab ua rau lub qhov txhab kaw nrog txoj hlua khi kom tiv thaiv kom tsis txhob xoob qhov chaw
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Nco tseg:
Koj yuav pom tias ib txoj kab yuav tsim nyob rau sab laug ntawm lub suture, uas muab kev ruaj khov ntxiv, tso cai rau cov xaws kom nyob hauv qhov chaw.
Kauj Ruam 4. Nov yog qhov kawg yuav tsum zoo li cas, ntau dua lossis tsawg dua
Ntu 6 ntawm 7: Lub Vertical Mattress (lossis "nyob deb-ze-ze-ze") Suture
Kauj Ruam 1. Pib nrog qhov tawv nqaij ntawm sab xis ntawm lub qhov txhab, tab sis nco ntsoov ua li kwv yees li ob npaug qhov kev ncua deb uas koj tau siv rau yav dhau los sutures, yog li kwv yees li 2 centimeter (0.79 hauv) tawm ntawm qhov txhab.
Kauj Ruam 2. Mus hauv qab daim tawv nqaij mus rau sab laug ntawm lub qhov txhab thiab nqa rab koob tawm ntawm qhov deb tib yam, yog li kwv yees li 2 centimeter (0.79 in) tawm ntawm qhov txhab
Kauj Ruam 3. Tig lub koob nyob ib ncig ntawm 180 degrees nrog kev pab ntawm cov ntaub so ntswg thiab tuav nws nrog rab koob tuav
- Qhov no yuav ua rau cov kauj ruam tom ntej yooj yim dua.
- TSIS TXHOB siv koj txhais tes los kho thiab tig lub koob.
Kauj Ruam 4. Lub tom qhov chaw nkag sab hauv yuav nyob rau ib sab ntawm qhov txhab (sab laug) thiab ib nrab ntawm qhov chaw raug rau hauv qib 2 thiab qhov txhab
Kauj Ruam 5. Thaum kawg, tom qhov txhab sab xis ntawm lub qhov txhab, ib nrab ntawm qhov pib qhov txhab thiab qhov txhab
4 qhov chaw txhaj tshuaj raug sawv cev los ntawm 4 tus liab teev
Kauj Ruam 6. Tau kawg, koj yuav tsum rub cov xov tawm, nqa ob sab ntawm daim tawv nqaij ua ke, thiab ua kom tiav nrog txoj hlua khi kom ruaj khov
Yog tias koj tso koj daim ntaub xaws nrog lub qhov txhab ua kab rov tav, tom qab ntawd koj yuav pom tias qhov chaw txhaj tshuaj ua kab ntsug, li no lub npe no lub npe. Ib qho ntxiv, rab koob loj dua feem ntau yog siv los ua hom xaws
Ntu 7 ntawm 7: Kab Rov Tav Kab Rov Tav Kab Rov Tav
Kauj Ruam 1. Pib thaum pib ntawm lub qhov txhab thiab noj tom hauv ntej kwv yees li 1 centimeter (0.39 in) los ntawm qhov txhab
Cia kwv yees li 3 centimeter (1.2 in) ntawm cov xov xoob
Kauj Ruam 2. Tom ntej no, siv tus hniav tawm sab nraub qaum mus rau qhov qub, tab sis nyob rau sab nraud ntawm qhov txhab
Kauj Ruam 3. Tsiv ib sab ntawm lub qhov txhab (sab laug), siv tus ntiv tes sab hauv kwv yees li 2 centimeter (0.8 in) los ntawm yav dhau los tom
Ib "kab" yuav tsim ntawm qhov thib ob thiab thib peb tom
Kauj Ruam 4. Qhov tom kawg rau qhov xaws no yog hla los ntawm txoj hlua thib peb, tawm sab nraud li 2 centimeter (0.8 in) los ntawm thawj qhov tom
Cov chaw txhaj tshuaj yog sawv cev los ntawm 4 lub cim liab
Kauj Ruam 5. Txhawm rau xaus qhov xaws no, ua txoj hlua khi thiab txiav xov ntau dhau
Nrog cov ntaub qhwv suture tso kab rov tav nyob rau hauv pem hauv ntej ntawm koj, nws yuav zoo li koj tau txav mus los raws kab mob, li no lub npe lub npe.
Lub tswv yim
- Ib txwm nco ntsoov tias ob sab ntawm daim tawv nqaij tuaj ua ke txhawm rau tiv thaiv kab mob thiab kab mob nkag los ntawm qhov txhab.
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Yog tias koj tab tom ua haujlwm xaws ntawm tus neeg tiag tiag, tom qab ntawd ua kom ntseeg tau tias txhua yam ntawm cov cuab yeej tau siv tshuaj tua kab mob, npaj siv tau, thiab nkag tau yooj yim.
Cov khoom siv tsis huv tuaj yeem ua rau khaus thiab kis kab mob
- Lwm lub npe rau Vertical Mattress Suture yog "nyob deb-ze-ze-ze" vim qhov twg raug tom raug saib xyuas rau qhov txhab, uas tuaj yeem pab koj nco qab tus txheej txheem.
- Thaum rub cov xov ntawm rab koob, xyuas kom tsis txhob rub ntau dhau, ua rau tawv nqaij ntau dhau mus; me me daim tawv nqaij eversion yog preferable.
