Kev phais kom tshem tawm atheroma - txheej txheem, lub sijhawm tom qab phais

Cov txheej txheem:

Kev phais kom tshem tawm atheroma - txheej txheem, lub sijhawm tom qab phais
Kev phais kom tshem tawm atheroma - txheej txheem, lub sijhawm tom qab phais
Anonim

Kev phais Atheroma tshem tawm: qhov zoo thiab qhov tsis zoo

Kev kho mob atheroma
Kev kho mob atheroma

Tib txoj kev zoo los kho atheroma yog tshem tawm los ntawm txoj kev radical. Spontaneously, qhov tsim no tsis tuaj yeem yaj nyob rau hauv ib qho xwm txheej. Yuav tsum tau muaj kev cuam tshuam kev phais nrog ib txwm scalpel lossis cov cuab yeej niaj hnub - laser lossis xov tooj cua yoj riam.

Yog tsis qhib lub capsule, nws tsis tuaj yeem tshem tawm cov ntsiab lus ntawm atheroma, tab sis txawm tias koj tho lub qhov nrog rab koob tso tawm cov ntsiab lus, qhov no yuav tsis daws qhov teeb meem. Qhov zais cia ntawm cov qog sebaceous tuaj yeem tawm, tab sis cov kab noj hniav los ntawm cov ntaub so ntswg hauv cov kav dej yuav nyob twj ywm, thiab yuav ua rau cov qog sebum dua. Yog li, atheroma yuav rov tshwm sim sai sai.

Txhawm rau tshem tawm qhov tsim tawm, nws tsis tas yuav qhib lub atheroma, tab sis kom tshem tawm cov tshuaj ntsiav uas txhaws cov hlab ntsha. Thaum lub sijhawm ua haujlwm, cov phab ntsa ntawm cov cyst raug cais tawm ntawm cov ntaub so ntswg thiab tshem tawm nrog rau cov ntsiab lus. Ib qho tsis xws luag yog tsim nyob rau ntawm qhov chaw ntawm kab noj hniav, los ntawm qhov sai sai tsis muaj kab, vim tias cov tshuaj ntsiav nrog cov hlwb uas zais sebum raug tshem tawm tag nrho.

Yog tias ib qho me me raug kev puas tsuaj, nws muaj peev xwm zam kom tsis txhob muaj qhov tsis xws luag ntawm cov tshuaj pleev ib ce hauv daim ntawv caws pliav. Atheroma ntawm qhov loj me yuav tsum raug tshem tawm, txawm li cas los xij, qhov no, lub cyst yuav tsum tau husked thiab sutured.

Thaum tshem tawm cov mob atheroma, muaj kev pheej hmoo siab ntawm kev txiav tawm tsis tiav ntawm cov ntaub so ntswg ntawm cov tshuaj ntsiav thiab qhov tshwm sim ntawm qhov rov ua dua ntawm lub cyst. Qhov zoo tshaj plaws tactic nyob rau hauv cov ntaub ntawv no yog nqa tawm anti-inflammatory kev kho nyob rau hauv thawj theem kom txog thaum tus txheej txheem yog kiag li nres, thiab ces tshem tawm cov neoplasm nyob rau hauv lub "lub xeev txias".

Thaum kho festering atheroma, koj yuav tsum qhib lub qhov ncauj kom tshem tawm cov kua paug, tawm hauv lub qhov dej. Lub husking ntawm lub cyst yog nqa tawm tom qab kawg ntawm cov txheej txheem purulent, thaum lub o tshwm sim. Resection ntawm festering cyst tsis tuaj yeem lav qhov kev kho kom tiav, txij li qhov no nws nyuaj rau lav qhov kev tshem tawm radical ntawm cov tshuaj ntsiav.

Yuav ua li cas tshem tawm atheroma?

Atheroma raug tshem tawm raws li hauv qab no:

  • Laser riam;
  • Siv ib txwm scalpel;
  • Radio yoj phais txoj kev.

Tus kws phais xaiv hom kev phais nyob ntawm qhov loj thiab qhov mob ntawm atheroma. Kev puas tsuaj ntawm cov qauv me me yog qhov zoo tshaj plaws nrog lub laser lossis xov tooj cua yoj riam. Tom qab siv cov hau kev no, cov caws pliav tom qab yuav luag tsis pom.

Atheromas ntawm qhov loj me yog qhov zoo dua los muab tshem tawm hauv txoj kev ib txwm muaj nrog lub scalpel. Thaum lub sijhawm ua haujlwm no, siv tshuaj loog hauv zos. Tus kws phais neeg muaj peev xwm tuaj yeem tshem tawm txawm tias tus mob atheroma nrog cov txheej txheem purulent hauv nws, uas muaj qhov loj me, siv cov txheej txheem niaj hnub no. Txawm li cas los xij, feem ntau, cov txheej txheem zoo li no yuav tsum tau muab tshem tawm nrog cov pa scalpel.

Txoj kev ua haujlwm

Muaj ob txoj hauv kev tseem ceeb ntawm kev cuam tshuam kev phais. Kev khiav hauj lwm yog ua raws li kev tshuaj loog hauv zos thaum lub sij hawm teem caij rau tus neeg mob sab nraud. Festering formations ntawm impressive loj raug tshem tawm nyob rau hauv lub tsev kho mob. Tus kws phais tshem tawm cov tshuaj ntsiav, siv cov ntaub qhwv thiab aseptic bandage. Kev kho kom tiav ntawm qhov txhab yuav siv sijhawm 15-20 hnub, cov sutures raug tshem tawm rau hnub 10-12.

Kev tshem tawm ntawm lub atheroma capsule loj tshwm sim hauv qhov kev txiav txim hauv qab no:

  • Ntawm qhov "equator" ntawm atheroma, ib qho kev txiav ntawm daim tawv nqaij.
  • Lub cyst yog tshem tawm mus rau saum npoo ntawm lub cev los ntawm extrusion los yog tshem tawm nrog ib rab diav.
  • Cov cyst membrane tau rub tawm.
  • Ib qhov txhab ntev dua 25 mm yog sutured.

Lwm qhov kev ua haujlwm no yog raws li hauv qab no:

  • Daim tawv nqaij hla ntawm atheroma raug txiav, thaum lub tshuaj ntsiav tseem tsis zoo.
  • Cov npoo ntawm qhov txhab tau txav mus sib nrug nrog cov quab yuam tshwj xeeb.
  • Atheroma yog nyem tawm ua ke nrog lub plhaub.
  • Ib qho kev txiav ntev dua 25 hli yog sutured.

Muaj lwm txoj hauv kev los rhuav tshem atheroma, nws yog siv los kho cov kab mob festering thiab hlwv.

Surgeon sequence:

  • Ua ob daim tawv nqaij ua raws li ciam teb ntawm cyst.
  • Tshem tawm ntawm daim tawv nqaij flap raws kab incision.
  • Sib cais ntawm lub cyst nrog txiab txiav los ntawm lwm cov ntaub so ntswg.
  • rub tawm qhov loj tawm sab nraud nrog rau cov ntaub so ntswg sib txuas.
  • Suturing cov ntaub so ntswg subcutaneous nrog nws tus kheej-absorbable ligature, thiab nyob rau saum npoo ntawm daim tawv nqaij nrog cov pa suture khoom.
  • Tightening daim tawv nqaij nrog ntsug seam.

Tom qab qee lub sijhawm, koj tuaj yeem ntsuas kev tshem tawm cov caws pliav tom qab, npaj kev phais yas.

Siv riam laser tshem tawm atheroma

Siv lub Laser Riam
Siv lub Laser Riam

Kev puas tsuaj ntawm kev tsim nrog lub laser yog ua nyob rau hauv cov tshuaj loog hauv zos. Feem ntau, cov hlwv me me raug tshem tawm nrog rab riam laser, tab sis yog tias tus kws phais mob tsim nyog, nws muaj peev xwm tshem tau cov atheromas loj, lossis cov hlwv festering, ua li no.

Techniques rau laser tshem tawm atheroma:

  • Photocoagulation - evaporation ntawm lub cyst nrog ib tug laser riam yog siv nyob rau hauv kev kho mob ntawm formations nrog ib txoj kab uas hla tsis tshaj 0.5 cm. Crust cov ntaub ntawv ntawm qhov chaw ntawm pathology, nyob rau hauv uas cov txheej txheem kho. Thaum lub pob zeb poob, yuav muaj daim tawv nqaij nyob rau hauv nws nrog ib tug NW nyuam qhuav pom caws pliav.
  • Laser excision of atheroma with sheath - siv rau cov hlwv uas muaj txoj kab uas hla ntawm 5-20 hli, tsis hais seb nws puas mob los yog tsis. Kev phais ntawm daim tawv nqaij yog thawj zaug nrog lub scalpel, lub cyst yog cais los ntawm cov ntaub so ntswg nyob ib puag ncig thiab evaporated nrog lub laser. Tom qab tshem tawm ntawm lub cyst, cov kua yog ntsia rau hauv lub qhov txhab, nws yog sutured. Kev kho mob tshwm sim nyob rau hauv 1-2 lub lis piam, stitches raug tshem tawm tom qab 8-12 hnub, tso dej tawm ua ntej.
  • Laser evaporation ntawm lub cyst capsule - siv los tshem tawm cov atheromas loj nrog txoj kab uas hla ntau tshaj 20 hli. Nyob rau thawj theem ntawm kev ua haujlwm, cov ntsiab lus ntawm atheroma raug tshem tawm, lub qhov txhab yog stretched, qhuav nrog gauze swabs, thiab capsule plhaub yog evaporated nrog ib tug laser riam. Tom qab txhim kho cov kua dej, lub qhov txhab yog sutured rau 8-12 hnub. Tom qab ntawd cov kua dej raug tshem tawm, cov stitches raug tshem tawm, tawm hauv qhov tsawg kawg nkaus ntawm cov khoom siv ntawm daim tawv nqaij.

Kev tshem tawm ntawm neoplasm siv xov tooj cua nthwv dej

Cov hlwv me me uas tsis yog mob hlwv teb zoo rau kev kho mob phais nrog rab riam xov tooj cua. Nws cov hluav taws xob tuaj yeem raug qhia tshwj xeeb rau thaj tsam ntawm pathology thiab tua cov hlwb atypical nyob ntawd. Hauv thaj tsam ntawm atheroma, cov cyst cov ntaub so ntswg evaporates, thiab tom qab kev sib cais ntawm cov crust, tsis muaj kab nyob rau ntawm daim tawv nqaij.

Post-operative period

Lub sijhawm postoperative
Lub sijhawm postoperative

Nyob ntawm qhov loj ntawm qhov tsim, txawm tias nws yog festering, nws tuaj yeem kwv yees seb lub caws pliav yuav nyob twj ywm rau ntawm atheroma lossis tsis.

Kev hnav khaub ncaws ua ob zaug ib hnub:

  • Thaum sawv ntxov, ntxuav nrog hydrogen peroxide, lub qhov txhab raug kaw nrog ib pab pawg;
  • Nyob rau yav tsaus ntuj, tom qab kev kho mob peroxide, Levomekol tshuaj pleev yog siv.

Tom qab cov txheej txheem ntawm kev kho qhov txhab thiab gluing ntawm nws cov npoo tau pib, koj tuaj yeem tso tseg tsis siv thaj chaw siv cov kua nplaum kho mob BF-6. Kev siv cov plaster thiab cov kua nplaum kho mob nyob rau hauv qhov chaw ntawm kev phais sutures tsis ua kom txog thaum lawv raug tshem tawm. Cov txheej txheem saum toj no yog tus qauv rau kev tswj qhov txhab tom qab phais. Nyob rau hauv cov xwm txheej uas muaj ntau yam sib txawv los ntawm tus qauv, tus kws phais tau tsim txoj kev kho tus kheej.

Hauv 3% ntawm cov neeg mob, rov tshwm sim ntawm atheroma raug kuaj pom vim tsis tiav exfoliation ntawm cyst membrane. Feem ntau qhov no tshwm sim thaum ib qho festering raug tshem tawm.

Cov neeg mob teb li cas rau kev tshem tawm atheroma?

Cov neeg mob li cas
Cov neeg mob li cas

Kwv yees li 90% ntawm txhua qhov kev tshuaj xyuas ntawm kev phais kom tshem tawm cov cyst muaj cov ntsiab lus zoo. Kev cuam tshuam ncaj qha tsis tso cov kev xav tsis zoo - nws yuav luag tsis mob, tsis cuam tshuam nrog kev paub ntev ntev. Cov neeg mob feem ntau koom nrog cov kev tsis txaus siab nrog lub sijhawm ua haujlwm tom qab, thaum tsis pub dhau 1-2 lub lis piam kev txav mus los ntawm thaj chaw cuam tshuam ntawm lub cev yog qhov txwv, koj yuav tsum mus rau kev hnav khaub ncaws.

Tsis tas li ntawd, tom qab kev cuam tshuam ib txwm muaj, caws pliav, tshem tawm uas koj yuav tsum siv laser tawv resurfacing. Feem ntau, kev muaj peev xwm tshem tawm tag nrho ntawm atheroma nrog cov txheej txheem niaj hnub muab kev cia siab tias kev rov qab los yuav tsis tas yuav tsum tau nyiaj dhau.

Tus nqi ua haujlwm

Kev puas tsuaj ntawm atheroma nyob rau hauv txoj kev niaj zaus nrog scalpel yuav raug nqi rau tus neeg mob txog 1,500 rubles. Cov txheej txheem nyuaj dua siv lub laser lossis xov tooj cua yoj riam yuav raug nqi ntawm 5 txhiab rubles thiab ntau dua.

Pom zoo: