Daim tawv flaps thiab grafts - kev saib xyuas tus kheej

Daim tawv nqaij txuas yog daim ntawm cov tawv nqaij noj qab haus huv raug tshem tawm ntawm ib thaj chaw ntawm koj lub cev kom kho cov tawv nqaij puas lossis ploj hauv lwm qhov ntawm koj lub cev. Daim tawv nqaij no tsis muaj nws tus kheej cov ntshav ntws.

Kawm paub tu cov ntsej muag tawv nqaij thiab pob txha caj dab tuaj yeem pab kho kom sai dua thiab txo qhov caws pliav.

Daim tawv nrov nrov ntawm daim tawv nqaij yog cov tawv nqaij noj qab haus huv thiab cov nqaij mos uas yog txiav tawm ib nrab thiab txav mus los npog cov qhov txhab nyob ze.

• Daim npog ntsej muag tawv nqaij yuav muaj cov tawv nqaij thiab rog, lossis tawv nqaij, rog, thiab cov leeg.
• Feem ntau, ntsej muag tawv nqaij tseem txuas rau nws lub vev xaib nyob rau ntawm ib kawg thiab tseem txuas rau cov leeg ntshav.
• Qee zaum ib qho nrov plig plawg tau tsiv mus rau qhov chaw tshiab thiab cov hlab ntshav tau phais dua. Qhov no yog hu ua nrov plig plawg dawb.

Daim tawv nqaij txhuam yog siv los pab ntau qhov mob hnyav, loj dua thiab ntxaum pob txha zoo, suav nrog:

• Cov qhov txhab uas mob heev kho tsis tau lawv tus kheej
• Hlawv
• Daim tawv nqaij poob los ntawm daim tawv nqaij hnyav
• Kev phais mob qog nqaij hlav cancer
• Mob voos rau, mob txhab rau qhov txhab, lossis mob txhab uas mob uas kho tsis tau zoo
• Tom qab cov tawv nqaij los yog txiav tes taw

Thaj chaw los ntawm kev coj tawv nqaij no hu ua thaj chaw pub dawb. Tom qab phais tas, koj yuav muaj ob qhov txhab, txuas rau lossis nws nrov plig plawg nws tus kheej thiab tus neeg pub dawb qhov chaw. Cov chaw pub rau graft thiab flaps yog xaiv raws:

• Yuav ua li cas tuab ntawm daim tawv nqaij phim thaj tsam ntawm qhov txhab
• Yuav ua li cas pom qhov caws pliav yuav los ntawm tus xaib
• Yuav ua li cas kom ze tus xaib lub xaib rau lub qhov txhab

Feem ntau ntawm tus neeg pub khoom siv rau qhov chaw tuaj yeem mob nrawm dua tom qab kev phais mob dua li lub qhov txhab vim tshiab khiv qhov kawg.

Koj yuav tsum tau saib xyuas qhov nrov plig plawg lossis qhov chaw txuas nrog rau cov xaib xaib. Thaum koj los tsev tom qab phais tas, koj yuav tau hnav khaub ncaws ntawm koj lub qhov txhab. Kev hnav khaub ncaws ua ntau yam, nrog rau:

• Tiv thaiv koj lub qhov txhab los ntawm cov kab mob thiab txo qhov kev pheej hmoo kis mob
• Pov thaiv thaj chaw zoo li nws kho tau
• Nqus tej kua uas tau xau tawm ntawm koj lub qhov txhab mus

Txhawm rau saib xyuas qhov txuas los yog qhov chaw nrov plig plawg:

• Koj yuav tau so ntau hnub tom qab phais koj tus mob zoo.
• Hom kev hnav khaub ncaws koj muaj nyob ntawm seb hom kiav txhab thiab nws nyob qhov twg.
• Khaws qhov hnav khaub ncaws thiab thaj chaw ncig nws kom huv thiab dawb los ntawm av lossis hws.
• Tsis txhob hnav khaub ncaws ntub.
• Tsis txhob kov cov hnav khaub ncaws. Tso rau hauv qhov chaw kom ntev li ntev tau uas koj tus kws kho mob pom zoo (li ntawm 4 txog 7 hnub).
• Noj ib yam tshuaj twg los sis qhov yuav daws tau qhov mob raws li qhia.
• Yog tias ua tau, sim ua kom lub qhov txhab ntxiv kom nws nyob siab dua koj lub siab. Qhov no pab txo kev o. Koj yuav tau ua qhov no thaum zaum lossis pw. Koj tuaj yeem siv lub hauv ncoo los txhawb qhov chaw.
• Yog tias koj tus kws kho mob hais tias tsis ua li cas, koj tuaj yeem siv pob dej khov rau ntawm daim ntaub qhwv los pab kom o. Nug seb koj yuav tsum thov pob dej khov npaum li cas. Nco ntsoov tias daim ntaub qhwv kom qhuav.
• Zam txhua qhov kev txav uas yuav ncab lossis ua kom raug mob nrov plig plawg lossis pob zeb. Zam kev ntaus los yog tsoo thaj chaw.
• Koj yuav tsum zam kev ua kom lub cev tawm mus ob peb hnub. Nug koj tus kws kho mob kom ntev li cas.
• Yog tias koj muaj lub tshuab nqus khaub ncaws, koj tuaj yeem muaj ib txoj raj txuas nrog txoj kev hnav khaub ncaws. Yog tias lub raj poob tawm, qhia koj tus kws kho mob.
• Tej zaum koj yuav pom koj tus kws kho mob kom hloov koj hnav khaub ncaws li 4 rau 7 hnub. Tej zaum koj yuav tsum tau hnav khaub ncaws rau koj qhov nrov plig plawg lossis qhov chaw txuas hloov los ntawm koj tus kws kho mob ob peb zaug dhau 2 mus rau 3 asthiv.
• Raws li tus xaib mus kho, koj tuaj yeem tu nws hauv tsev. Koj tus kws kho mob yuav qhia koj seb yuav tu koj qhov mob li cas thiab thov hnav ris tsho.
• Lub vev xaib yuav dhau los ua khaus thaum nws kho. Tsis txhob khawb qhov mob lossis xaiv nws.
• Tom qab qhov chaw ntxuav kho, thov SPF 30 lossis siab dua hnub ci tshuaj rau qhov chaw phais mob yog tias raug lub hnub.

Txhawm rau saib xyuas cov chaw pub khoom:

• Tso cov khaub ncaws rau hauv qhov chaw. Txuag nws kom huv thiab qhuav.
• Koj tus kws kho mob yuav tshem tawm kev hnav khaub ncaws li ntawm 4 mus rau 7 hnub, lossis muab cov lus qhia rau koj kom tshem nws.
• Tom qab txoj kev hnav khaub ncaws raug tshem tawm, koj tuaj yeem tso tawm qhov mob tsis nco qab. Txawm li cas los xij, yog tias nws nyob hauv ib cheeb tsam uas tau npog nrog cov khaub ncaws, koj yuav xav kom npog lub xaib los tiv thaiv nws. Nug koj tus kws kho mob seb yuav hnav khaub ncaws twg siv.
• Tsis txhob siv tshuaj pleev lossis pleev ntau rau qhov txhab tshwj tsis yog koj tus kws kho mob hais kom. Raws li thaj chaw kho, nws tuaj yeem khaus thiab khaus. Tsis txhob xaiv pob khaus lossis khawb qhov txhab zoo thaum nws kho.

Koj tus kws kho mob yuav qhia koj paub thaum nws zoo da dej tom qab phais mob. Nco ntsoov:

• Koj tuaj yeem yuav tsum tau da dej txhuam rau li 2 rau 3 lub lis piam thaum koj qhov txhab nyob hauv cov theem pib zoo.
• Thaum koj tau txais txoj kev da dej OK, da dej tau zoo dua li kev da dej vim tias lub qhov txhab tsis tso dej hauv dej. Soaking koj lub qhov txhab yuav ua rau nws rov qhib.
• Nco ntsoov tiv thaiv koj cov hnav ris tsho thaum koj da dej kom lawv qhuav. Koj tus kws kho mob yuav hais kom npog lub qhov txhab nrog lub hnab yas kom nws qhuav.
• Yog tias koj tus kws kho mob muab tshuaj OK, maj mam ntxuav koj lub qhov txhab nrog dej thaum koj da dej. Tsis txhob txhuam los yog txhuam qhov mob. Koj tus kws kho mob yuav qhia cov tshuaj tshwj xeeb los siv rau ntawm koj qhov mob.
• Maj mam so qhov chaw ib ncig ntawm koj lub qhov txhab nrog phuam huv. Cia lub qhov txhab cua kom qhuav.
• Tsis txhob siv xab npum, tshuaj pleev, hmoov, tshuaj pleev ib ce, lossis lwm yam khoom siv tawv nqaij rau ntawm koj lub qhov txhab tshwj tsis yog koj tus kws kho mob hais kom ua.

Ntawm qee lub sijhawm thaum kho kom zoo, koj yuav tsis xav tau hnav khaub ncaws ntxiv lawm. Koj tus kws kho mob yuav qhia koj thaum koj tuaj yeem tawm ntawm koj lub qhov txhab tsis pom thiab yuav ua li cas saib xyuas nws.

Hu rau koj tus kws kho mob yog hais tias:

• Qhov mob yuav mob heev dua lossis tsis zoo tom qab noj tshuaj pab mob
• Koj los ntshav uas yuav tsis tso tseg tom qab 10 feeb nrog maj, txo koj lub siab
• Koj cov khaub ncaws los ua xoob
• Cov ntsiab ntawm cov kab txuas los yog nrov plig plawg pib los txog
• Koj xav tias muaj qee yam sib thab tawm ntawm cov txuas los yog qhov chaw nrov plig

Hu rau koj tus kws kho mob yog tias koj pom muaj cov tsos mob ntawm kev kis mob, xws li:

• Ua kom muaj kua ntau ntxiv los ntawm qhov mob
• Ntws tau los ua tuab, ziab, ntsuab, lossis daj, lossis tsw ntxhiab tsw zoo
• Koj qhov kub siab tshaj 100 ° F (37.8 ° C) ntev dua 4 teev
• Cov pob liab liab tshwm sim uas ua rau deb ntawm lub qhov txhab

Autograft - kev saib xyuas tus kheej; Hloov cev ntawm daim tawv nqaij - saib xyuas tus kheej; Cais-daim tawv nqaij txhuam pob zeb - kev saib xyuas tus kheej; Puv tuab daim tawv nqaij txuas - kev saib xyuas tus kheej; Ib nrab-dermal daim tawv nqaij txhuam hniav - kev saib xyuas tus kheej; FTSG - kev saib xyuas tus kheej; STSG - kev saib xyuas tus kheej; Zos hauv zos - kev saib xyuas tus kheej; Kev nrov npe hauv ib cheeb tsam - saib xyuas nws tus kheej; Qhov chaw nyob deb - tu nws tus kheej; Dawb nrov plig plawg - kev saib xyuas tus kheej; Tawv nqaij daim tawv - kev tu tus kheej; Siab ulcer daim tawv nqaij nrov plig plawg tu nws tus kheej; Kub yus lub ntsej muag tawv yus tus kheej; Kev mob txhab rau daim tawv nqaij txhuam pob txha rau kev saib xyuas tus kheej

McGrath MH, Pomerantz JH. Yas phais. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 68.

Pettengill KM. Kev kho kev kho mob ntawm kev raug mob ntawm tes. Hauv: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, eds. Rov Kho Cov Tes thiab Tshaj LojCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 75.

Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L. Kev tu thiab hnav khaub ncaws hnav. Hauv: Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L, eds. Soj Ntsuam Kws Kho Mob Txawj NtseCov. 9le ed. Hoboken, NJ: Pearson; 2017: chap 25.

Wysong A, Higgins S. Cov hauv paus ntsiab lus hauv kev rov ua dua tshiab. Hauv: Rohrer TE, Ua noj JL, Kaufman AJ, eds. Flaps thiab Grafts hauv Kev Kho Mob DermatologicCov. 2nd ed. Philadelphia, PA: Elsevier; 2018: chap 2.

• Daim tawv nqaij mob
• Mob thiab raug mob