Dermabond yog FDA-pom zoo phais cov kua nplaum siv los kaw qhov txhab me me, tawv nqaij, thiab qhov txhab. Cov kws tshaj lij kho mob tau siv nws qhov chaw me me ntawm cov xaws (xaws), tom qab ntxuav lub qhov txhab. Nws yog ib txoj hauv kev zoo rau kaw qhov txhab, raws li nws ib txwm ua haujlwm nyob rau hauv qis dua 3 feeb thiab txo qhov tsis xis nyob. Yog tias koj tab tom thov nws, tsuas yog ceev faj kom koj tsis txhob txau cov kua nplaum ntau dhau, vim nws muaj zog heev thiab nws teeb tsa sai.
Cov kauj ruam
Ntu 1 ntawm 3: Ua Kev Tiv Thaiv Thaum Siv Dermabond
Kauj Ruam 1. Ceev faj kom tsis txhob Dermabond hauv plaub hau
Dermabond yuav ua plaub hau rau nws tus kheej lossis rau ntawm daim tawv nqaij. Qhov tseeb, koj yuav tsis xav siv Dermabond ntawm tawv taub hau hlo li, vim nws tuaj yeem nyuaj kom tsis txhob kis nws hauv cov plaub hau ib puag ncig.
Qee tus kws kho mob qhia tias koj tuaj yeem siv Dermabond ntawm tawv taub hau. Txawm li cas los xij, yog tias koj ua, koj yuav tsum tau ceev faj heev kom tsis txhob cia nws khiav mus rau hauv cov plaub hau tas li
Kauj Ruam 2. Siv daim npog qhov muag thaum thov Dermabond ze ntawm lub qhov muag
Thov ib qho ophthalmic cream nyob ib ncig ntawm lub qhov muag. Qhov no tsim cov teeb meem uas ua rau Dermabond ncig nws tsis yog nyob hauv nws. Tsis tas li, tig tus neeg mob lub taub hau kom deb ntawm lub cev thiab mus rau sab tuaj yeem pab tiv thaiv cov kua nplaum los ntawm lawv lub qhov muag.
- Piv txwv li, yog tias qhov kev txiav ze ze rau sab nrauv ntawm lub qhov muag sab xis, qaij tus neeg mob lub taub hau qhov kev taw qhia, yog li cov kua nplaum ntws tawm ntawm lub qhov muag.
- Lwm qhov kev xaiv yog tsau ib daim ntaub qhwv hauv cov ntsev thiab tso nws nruab nrab ntawm lub qhov muag thiab qhov txhab.
Kauj Ruam 3. Ntxuav koj txhais tes thiab muab hnab looj tes tsis huv
Koj yuav tsum tseem ua raws cov txheej txheem kev ntxuav tu kom huv si ua ntej thov Dermabond. Tom qab ntxuav koj txhais tes, muab cov hnab looj tes uas tsis muaj menyuam rau cov txheej txheem.
- Koj tuaj yeem qhia cov kab mob rau lub qhov txhab yog tias koj tsis ceev faj, nrog rau kis tau cov kab mob los ntawm lub qhov txhab.
- Khaws ib lub hnab looj tes nyob ze yog tias koj xav hloov lawv thaum koj siv cov kua nplaum.
- Koj kuj tseem yuav xav txiav txim siab hnav tsom iav kev nyab xeeb txhawm rau tiv thaiv cov khoom siv phom sij lossis cov kua nplaum los ntawm qhov muag thaum koj qhib thiab siv cov khoom lag luam.
Ntu 2 ntawm 3: Npaj rau Kev Siv Dermabond
Kauj Ruam 1. Siv Dermabond nyob rau hauv qhov chaw ntawm 5-0, 6-0, thiab 7-0 sutures
Dermabond yog qhov tsim nyog rau kev txiav me me uas ib txwm xav tau 5-0 sutures. Koj tseem tuaj yeem siv nws qhov chaw me me sutures.
Feem ntau, 5-0 sutures tau siv rau ntawm qhov txhab. Sutures tau me dua qhov loj dua USP loj dua. Piv txwv li, 4-0 suture loj dua li 5-0 suture. Qhov 6-0 thiab 7-0 qhov me me me dua li 5-0 qhov xaws, thiab lawv tau siv rau kev txiav me me ntawm txhais tes, ntsej muag, thiab lub txaj ntsia thawv, piv txwv
Kauj Ruam 2. Tsis txhob siv Dermabond nrog qhov txhab nyuaj
Qhov txhab zoo li tsiaj tom, cov kab mob sib kis, mob txhab, thiab qhov txhab muaj cov kab mob ntau ntxiv hauv lawv thiab yuav tsum tsis txhob kaw. Dermabond tsis yog qhov kev xaiv zoo rau cov hom mob no.
Tsis txhob siv Dermabond rau ntawm qhov txhab uas tau kis tus kab mob lossis kis tau tus kab mob, vim nws tuaj yeem ua rau qhov teeb meem loj tuaj
Kauj Ruam 3. Thov tshuaj loog hauv zos yog xav tau
Yog tias qhov txhab mob rau tus neeg mob lossis tus neeg mob thov nws, koj tuaj yeem siv tshuaj loog hauv zos. Qhov zoo tshaj, xaiv ib qho uas muaj 0.25% bupivacaine lossis 1% lidocaine.
Thov cov gel los yog cream rau thaj tsam uas siv cov ntaub qhwv tsis huv
Kauj Ruam 4. Ntxuav lub qhov txhab kom huv
Rau Dermabond txhawm rau kho kom zoo, koj yuav tsum ua kom cov kab mob hauv qhov txhab ua ntej. Yaug lub qhov txhab nrog 0.9% cov kua ntsev kom pab tshem tawm cov kab mob.
- Siv 10 cc lossis 20 cc rab koob txhaj tshuaj kom tsis muaj menyuam nrog lub npog npog txhawm rau siv cov ntsev rau qhov txhab.
- Yog tias xav tau, koj tuaj yeem tshem cov khib nyiab ntawm qhov no nrog kev nplua (me me) ntawm cov qau kom tsis muaj menyuam.
Kauj Ruam 5. Tos kom txog thaum lub qhov txhab tsis los ntshav
Koj tsis tuaj yeem thov Dermabond thaum lub qhov txhab tseem los ntshav dawb. Thov lub siab rau lub qhov txhab nrog daim ntaub huv si kom txog thaum nws pib khov thiab lub qhov txhab qhuav.
Kauj Ruam 6. Ua kom thaj tsam qhuav
Thaum lub qhov txhab tsis los ntshav, so cov ntshav ntau dhau. Npuaj nws qhuav nrog daim ntaub huv huv. Sim tsis txhob siv Dermabond rau lub qhov txhab ntub, vim nws yuav tsis ntim ib yam nkaus.
Hws noo ntawm qhov txhab kuj tseem tuaj yeem nres tus neeg thov kev pab, ua rau nws nyuaj rau siv
Ntu 3 ntawm 3: Siv Cov Kua nplaum
Kauj Ruam 1. Zuaj lub ampoule hauv qhov huv ntawm lub raj
Nyem rau ntu seem ntawm lub raj thov tshuaj. Nws muaj lub ampoule me me sab hauv uas tso tawm ib feem ntawm cov kua nplaum rau hauv daim ntawv thov, zoo ib yam li 2-ntu epoxy.
- Thaum koj tab tom nyem, tsis txhob taw cov kua nplaum rau tus neeg mob. Khaws nws deb ntawm tus neeg mob thiab taw tes rau hauv pem teb.
- Tom qab nyem, tso lub siab.
Kauj Ruam 2. Nyuaj qhov ib sab ntawm lub raj kom maj mam rov ua dua
Thaum koj tso lub raj los ntawm kev rhuav lub ampoule, koj yuav tsum tau nyem qhov qub ib zaug ntxiv. Txawm li cas los xij, siv lub siab maj lub sijhawm no, vim koj tsis xav nyem lub ampoule zaum ob. Qhov kev txiav txim no thawb cov nplaum rau hauv lub lim dej sab hauv.
- Yog tias koj tsoo lub raj hnyav dhau, koj tuaj yeem thawb daim iav hla ob sab, ua rau koj tus kheej raug mob.
- Co lub raj kom maj mam txhawb kom cov kua nplaum ntws los qis.
Kauj Ruam 3. Muab txhua qhov kawg ntawm qhov txhab nrog Adson forceps
Koj yuav xav tau lwm tus neeg los pab koj. Txhua tus neeg yuav tsum tuav qhov kawg ntawm lub qhov txhab nrog rab rawg. Nqa cov tawv nqaij txog 2 hli (0.079 hauv) tawm ntawm qhov kawg ntawm qhov txhab. Rub tawm sab nraud ntawm lub ces kaum ntawm lub qhov txhab kom cov npoo ntawm qhov txiav nruj rau ib leeg.
Adson forceps yog cov quab yuam me me feem ntau siv los ua daim tawv nqaij. Siv cov uas muaj hniav, vim lawv muab tuav ntau dua
Kauj Ruam 4. Thov siv ib txheej ntawm Dermabond hla lub qhov txhab
Khiav tus neeg thov tshuaj hla qhov ntev ntawm qhov txhab, siv kua nplaum rau hauv ib txheej, khov kho. Tus neeg thov yuav tsum kov cov tawv nqaij. Tuav daim tawv nqaij ua ke tsawg kawg 180 vib nas this kom ntseeg tau tias cov kua nplaum pib qhuav. Siv cov kua nplaum rau saum qhov txhab, tsis yog hauv qhov txhab.
- So ib qho kua nplaum ntau tshaj tam sim ntawd siv daim ntaub huv huv.
- Ceev faj thaum siv cov kua nplaum, vim nws tuaj yeem lo yuav luag txhua yam rau ntawm daim tawv nqaij. Piv txwv li, nws yuav ua raws koj lub hnab looj tes lossis lub zog rau ntawm daim tawv nqaij yog tias koj tsis ceev faj.
Kauj Ruam 5. Ntxiv txheej thib ob hauv 30 vib nas this rau Dermabond Adhesive
Yog tias koj yuav ntxiv txheej thib ob, ntxiv nws tom qab thawj txheej tau qhuav li 30 feeb. Khiav tus neeg thov tshuaj hla lub qhov txhab zaum ob.
- Muaj 2 hom Dermabond, Dermabond Adhesive thiab Dermabond Advanced Adhesive. Yog tias koj muaj cov mis zoo, koj yuav tsum siv tsuas yog 1 txheej. Thaum thov Dermabond Adhesive, cov txheej nyias nyias zoo dua vim tias txheej tuab tuaj yeem ua kom sov, ua rau cov neeg mob tsis xis nyob.
- Koj tseem tuaj yeem thov txheej thib peb li no.
- Tuav daim tawv nqaij rau lwm qhov 180 vib nas this.
Kauj Ruam 6. Tos rau cov kua nplaum los teeb yog tias koj xav thov daim ntaub qhwv
Nws tsis yog qhov yuav tsum tau siv daim ntaub qhwv tom qab siv Dermabond. Txawm li cas los xij, nws tuaj yeem pab nrog cov menyuam yaus uas tuaj yeem xaiv ntawm cov kua nplaum. Tos kom txog thaum cov kua nplaum ua kom tiav thiab tsis lo rau qhov kov ua ntej thov ntaub qhwv.
- Cov kua nplaum yuav ua kom tiav hauv 95-3 feeb thib ob rau Dermabond Advanced lossis hauv 3 feeb rau Dermabond Adhesive. Nws yuav siv sijhawm li 5 feeb kom lub qhov txhab tsis hnov nplaum.
- Yog tias koj txhawj xeeb tias lub qhov txhab yuav rov qhib dua, koj tuaj yeem thov daim kab xev phais lossis daim ntaub qhwv npauj npaim hla lub qhov txhab thaum nws qhuav tas.
Kauj Ruam 7. Tsis txhob siv tshuaj los yog kua nplaum rau ntawm qhov txhab tom qab siv
Yog tias koj siv tshuaj pleev tshuaj tua kab lossis lwm hom tshuaj tom qab siv Dermabond, nws tuaj yeem ua rau cov kua nplaum tsis muaj zog. Nws kuj tseem yuav ua rau cov kua nplaum los sib nrug.
Vim li no, nws yog ib qho tseem ceeb kom ntseeg tau tias koj tau ntxuav lub qhov txhab kom huv ua ntej thov Dermabond vim tias koj tsis tuaj yeem siv cov tshuaj tua kab mob tom qab
Kauj Ruam 8. Siv roj av jelly lossis acetone yog tias koj xav tshem tawm Dermabond ntau dhau
Yog tias koj tau txais Dermabond sab nraum thaj tsam qhov txhab, siv roj av jelly lossis acetone rau thaj chaw. Cov kuab tshuaj no yuav pab ua kom cov kua nplaum lo, thiab tom qab ntawd koj tuaj yeem tshem cov kua nplaum los ntawm daim tawv nqaij.
- Tsis txhob sim rub daim tawv nqaij sib nrug.
- Tsis txhob siv acetone nyob rau thaj tsam tam sim ntawd ib ncig ntawm lub qhov txhab, vim qhov no tuaj yeem ua rau muaj qhov kub hnyiab.
Kab hauv qab
- Dermabond yog ib daim ntaub nplaum rau qhov txhab, thiab koj tuaj yeem siv nws tsis siv sutures ntev npaum li cov ntaub qhwv uas koj yuav siv yuav yog 5-0 lossis me dua.
- Koj yuav tsum ua tib zoo ntxuav, ywg dej, thiab ua kom lub qhov txhab ua ntej thov Dermabond, thiab tus neeg mob yuav xav tau tshuaj loog hauv zos kom zam rau tus txheej txheem.
- Feem ntau nws tsis qhia kom siv Dermabond yog tias lub qhov txhab tsis zoo li qub lossis xav tau kev saib xyuas tshwj xeeb (piv txwv li kub nyhiab, mob txhab, thiab tsiaj tom).
- Txhawm rau thov Dermabond, tsoo lub ampoule hauv qhov huv ntawm lub raj kom qhib nws, tuav lub qhov txhab kaw (koj yuav xav tau kev pab ntxiv thiab qee qhov quab yuam), thiab thov tsawg kawg 3 du, txawm tias txheej Dermabond hla lub qhov txhab.
