Pākuʻi ʻili

ʻO kahi paʻa o ka ʻili kahi wahi o ka ʻili i lawe ʻia e ka ʻoki ʻana mai kekahi ʻāpana o ke kino a kanu ʻia, a i hoʻopili ʻia i kekahi wahi ʻē aʻe.

Hana pinepine ʻia kēia ʻokiʻoki ʻoiai ʻoe ma lalo o ka anesthesia ākea. ʻO ka manaʻo e hiamoe ʻoe a ʻaʻohe ʻeha.

Lawe ʻia ka ʻili olakino mai kahi wahi o kou kino i kapa ʻia ka pūnaewele hāʻawi. ʻO ka hapa nui o ka poʻe e loaʻa ana i kahi ʻili i loaʻa iā lākou kahi hui o ka ʻili mānoanoa. Lawe kēia i nā papa ʻelua o ka ʻili mai ka pūnaewele hāʻawi (ka epidermis) a me ka papa ma lalo o ka epidermis (dermis).

Hiki i ka pūnaewele hāʻawi i nā ʻāpana o ke kino. ʻO ka hapanui o nā manawa, he wahi ia e hūnā ʻia e nā lole, e like me ka ʻūhā a i ʻole ka ʻūhā o loko.

Hoʻolahalaha pono ʻia ke kēpau ma kahi ākea kahi e hoʻoili ʻia ai. Mālama ʻia ia ma kahi e kaomi akahai mai kahi kapa pale maikaʻi e uhi iā ia, a i ʻole i nā staples a i ʻole i kahi mau kuʻi liʻiliʻi. Uhi ʻia ka wahi pūnaewele me kahi lole ʻaila sterile no 3 a 5 mau lā.

Pono paha ka poʻe me ka pohō o ka hohonu i kahi paʻa o ka ʻili mānoanoa. Pono kēia i ka mānoanoa holoʻokoʻa o ka ʻili mai ka pūnaewele hāʻawi, ʻaʻole wale i nā papa ʻelua i luna.

ʻO kahi paʻa o ka ʻili mānoanoa piha kahi hana ʻoi aku ka paʻakikī. ʻO nā pūnaewele hāʻawi manawaleʻa no nā hoʻopili ʻili mānoanoa piha i ka paia o ka umauma, kua, a i ʻole ka paia ʻōpū.

Paipai ʻia nā ʻōpala ʻili no:

• ʻO nā wahi kahi i loaʻa ai ka maʻi i hana i ka nui o ka nalo ʻana o ka ʻili
• Burns
• Nā kumu Cosmetic a i ʻole nā ​​hana hou hana hou kahi i ʻeha ai ka ʻili a i ʻole ka nalo ʻana o ka ʻili
• ʻOki maʻi ʻaʻai ʻili
• ʻO nā mea ʻoki pono e pono e hoʻopili i nā ʻili e hoʻōla
• Ulcer Venous, puʻupuʻu puʻupuʻu, a i ʻole nā ​​maʻi maʻi diabetic ʻaʻole ola
• ʻEha nui loa
• ʻO kahi ʻeha i hiki ʻole i ke kaukipō ke pani pono

Hana ʻia nā grafts mānoanoa piha ke lilo ka nui o nā kiko. Hiki i kēia ke hana me nā haki hāmama o ka wāwae lalo, a ma hope paha o nā maʻi ʻino.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena āpau i nā lāʻau
• Nā pilikia me ka hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

ʻO nā pilikia no kēia ʻoki kino penei:

• Kahena
• Paʻi ʻeha (kākaʻikahi)
• Maʻi kīnā
• Ka nalowale ʻana o ka ʻili i hoʻopili ʻia (ʻaʻole hoʻōla ka graft, a i ʻole ka hoʻōla palupalu ʻana)
• Hoʻoemi a nalowale paha i ka ʻili, a i ʻole hoʻonui ʻia ka ʻike
• Scarring
• Hoʻololiʻili o ka ʻili
• Ka ʻili kaulike ʻole

E haʻi i kāu kaukipoki a kahu wahine paha

• He aha nā lāʻau āu e lawe nei, ʻo nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau.
• Inā inu nui ʻoe i ka waiʻona.

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī i kou koko ke naue. Hoʻopili kēia i ka aspirin, ibuprofen, warfarin (Coumadin), a me nā mea ʻē aʻe.
• E noi i kāu kaukipona i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. Hoʻonui ka puhipaka i kou manawa o nā pilikia e like me ka hoʻōla lohi. E noi i kāu mea mālama ola no ke kōkua ʻana e haʻalele.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E hoʻi koke ʻoe ma hope o ka hoʻopili ʻana o ka ʻili mānoanoa. Pono nā grafts mānoanoa piha i kahi manawa hoʻōla hou. Inā loaʻa iā ʻoe kēia ʻano graft, pono ʻoe e noho ma ka haukapila no 1 a 2 mau pule.

Ma hope o kou hoʻokuʻu ʻia ʻana mai ka haukapila, e hāhai i nā ʻōkuhi pehea e mālama ai i kou hoʻopili ʻana i kou ʻili, me:

• Ke komo nei i kahi kapa komo no 1 a 2 mau pule. E noi i kāu mea e hoʻolako pehea ʻoe e mālama ai i ka lole, e like me ka pale ʻana iā ia mai ka pulu.
• Ka pale ʻana i ke kuhi mai ka trauma no 3 a 4 mau pule. Hoʻopili pū kēia me ka hōʻalo ʻana i ka pā a hana ʻana paha i nā ʻano hana ʻino e hōʻeha a huki paha i ka hoʻopili.
• Ke kiʻi ʻana i ka hoʻōla kino, inā paipai kāu kauka iā ia.

Kūleʻa ka hapa nui o nā ʻōʻili ʻōʻili, akā ʻaʻole hoʻōla maikaʻi kekahi. Oe e pono i ka lua o graft.

Ka hoʻoneʻe ʻili; ʻIli autografting; FTSG; STSG; Hoʻokaʻawale ʻili paʻa mānoanoa; Hoʻopili i ka ʻili mānoanoa piha

• Kāohi ʻana i nā ulia puʻe
• Mālama ʻeha ʻeha - wehe

• Pākuʻi ʻili
• Nā ʻili o ka ʻili
• Pākuʻi ʻili - moʻo

ʻO McGrath MH, Pomerantz JH. ʻOki kino ea. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 68.

ʻO Ratner D, Nayyar PM. Nā hana, In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 148.

ʻO Scherer-Pietramaggiori SS, ʻo Pietramaggiori G, ʻo Orgill DP. Pākuʻi ʻili. I: Gurtner GC, Neligan PC, eds. Ke kaha ea, Volume 1: Nā Kumumanaʻo. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 15.