Tulolan kɔ min bɛ munumunu ka kɛ tulo fununen ye walima a sɔgɔlen tigɛlen: A bɔli lakananen ni kolotuguda banakisɛ¶

Ni aw kununna k’a ye ko tulolanɛgɛ nɛgɛbere walima disiki fla kɔkanna tununna pewu fari fununen ni kurukurulen jukɔrɔ min bɛ aw walima aw den tulo kɔkanna na, o ye furakɛli kɔrɔtɔko ye min bɛ kɛ tuma caman na, min bɛ dɔn kɛnɛyako siratigɛ la ko tulokolo dunan farikolo donna. O bɛ kɛ tuma bɛɛ dɔgɔkun 2 fo dɔgɔkun 8 kɔnɔ, marifa sɔgɔlen kɔfɛ ni resɔn ye, sunɔgɔlen kɔfɛ jirisun sirilen dɔ kan, walima farikolojidɛsɛ jugumanba dɔ kɔfɛ min farala banakisɛfagalanw tali kan sigida la. Ikomi ressort-gun daminɛlanw bɛ ni poste janya jɔlen ye, min ka surun (a ka c’a la milimɛtɛrɛ 6 fo 7,5, walima santimɛtɛrɛ 0,24 fo 0,30) ani jirisunba dɔ bɛ u la min bɛ butterfly clutch datugu kosɛbɛ fari la, tulo funu fɛn o fɛn bɛ kɛ, o bɛ butterfly kɔsegin kamankun nɔgɔlenw wajibiya ka tigɛ ka tɛmɛ kɔfɛ fari ani ka taa yɔrɔ wɛrɛ la sogo-yɔrɔ la. Ni ɲɛda bilenni jɛnsɛnnen bɛ a tigi la, ni sumaya ka bon, ni farikolo taamasiɲɛ jugumanw bɛ a la, walima ni fiɲɛbɔyɔrɔw bɛ a minɛ, aw bɛ aw ka sigida kɔrɔtɔko nimɔrɔ wele (911 Ameriki ni Kanada, 112 Erɔpu tɔnba bɛɛ kɔnɔ, 999 Angletɛri) an ka kɔrɔtɔko nimɔrɔw ɲɛbilasɛbɛn ani seginnkanni bololanɛgɛ min sirilen don bolokɔni fununen dɔ kan: juru degunni sirilan ni bololanɛgɛ tigɛlan triage, . joli bɔli jugumanba, ani denmisɛnw ni denmisɛnniw kɔrɔtɔko la.

Aw bɛ a jɔ sani aw ka du kɔnɔ pikirijikɛlanw, pinɛsi walima nɛgɛ tigɛlanw minɛ walasa ka den walima baliku tulo fununen kɔfɛla sɔgɔ. Ni nɛgɛdaga walima ɲɛfɛla masirifɛn kabakurunba wulila ka taa ɲɛgɛnɛsira jukɔrɔ ani ni fari datugulen don walima ka kurukuru nɛgɛberew kan, ka ɲɛfɛla jiribolo sama walima ka a sɔgɔ fiyentɔya la ni anestezi tɛ, o bɛ dimi jugu lase mɔgɔ ma, ka lobule farikolo yɔrɔ nɔgɔlenw tigɛ, ani ka to ka solder joint kari walasa nɛgɛ kɔkanna ka to ka siri hali lobe kɔnɔ ka taa a fɛ. Min ka kan ka tɛmɛ o kan, o ye ka sɔgɔsɔgɔninjɛ yɔrɔ dɔn farikolo la: k’a sɔrɔ banakisɛ min bɛ duguma tulo yɔrɔ nɔgɔlen na, sogo bɛ min na (lobule) o ye farikolo yɔrɔ nɔgɔlenw gɛlɛya ye min bɛ sɔrɔ yɔrɔ dɔ la, sanfɛla tulo kolotuguda gɛlɛnw bilenni ni funu (tulo gerenni, tragus, walima antihelix) o ye opereli kɛcogo kɔrɔtɔlen ye min bɛ wele ko tulolabanaw o bɛ se ka tulo wuli kuda ani ka a kɛ "kafe tulo" ye sanga 48 fo lɛri 72 kɔnɔ fo ni a furakɛra ni banakisɛfagalan kɛrɛnkɛrɛnnenw ye minnu bɛ se ka banakisɛfagalanw faga.

Aw bɛ o kɛ sisan¶

1. Aw bɛ a dɔn joona ni sɔgɔsɔgɔninjɛ bɛ tulo duguma yɔrɔ nɔgɔlen na walima ni tulo sanfɛla kolotuguda gɛlɛn don. Aw bɛ sɔgɔli lamini yɔrɔ dɔn nɔgɔya la. Ni sɔgɔsɔgɔninjɛ tɛmɛna sanfɛla kolotuguda gɛlɛn fɛ (helix, scapha, conch, walima tragus) ani ni sanfɛla tulo bilennen don, a ka suma, a fununa, ani a bɛ dimi kosɛbɛ ni a gosi dɔɔni dɔɔni, aw bɛ taa kɛnɛyaso kɔrɔtɔlen na walima dɔgɔtɔrɔso la bi ka banakisɛfagalanw ta minnu bɛ ta da la walima joli la (i n’a fɔ siporofɛlokisasini walima levofloxacin) walasa ka kolotugudaw bali min tɛ se ka segin kɔ.
2. Aw bɛ tulo kɔkanna ni ɲɛfɛla lajɛ lanpan jɛman dɔ kɔrɔ walasa ka a dɔn ni nɛgɛ bɛ ye hali bi. Aw bɛ aw tɛgɛw ko ka ɲɛ ni safinɛ ni ji ye fo sekɔndi 20. Aw bɛ telefɔni lanpan yeelen ka ɲɛsin tulo kɔkanna ma:
3. Surface Crust Only (Partially Embedded): Aw bɛ se ka hali bi ka jɛya ko butterfly clutch walima fla kɔ nɛgɛ fila kɛmɛsarada la 50 ni kɔ sigilen bɛ kuru jɛman jalen ni fari fununnen dingɛ kɔnɔ.
4. Subdermal Migration (Completely Swallowed): Tulo kɔkanna fari fununen don pewu tulolanɛgɛ kɔkanna kan (pinɛ misɛnni walima nɛgɛ gɛlɛn dɔ dɔrɔn de bɛ se ka ye fari jukɔrɔ ni aw ye tulolanɛgɛ sɔgɔ), WAALIMA ɲɛfɛ kabakurun/bololanɛgɛ tun bɛ jigin pewu ɲɛfɛla dingɛ kɔnɔ.
5. Aw kana du kɔnɔ pikirijikɛlan kɛ abada walima ka tulolanɛgɛ min munumunu pewu sɔgɔ ka segin so kɔnɔ. Ni tulolanɛgɛ kɔfɛla walima ɲɛfɛla sɔgɔlen su donna pewu fari jukɔrɔ, aw bɛ a samali dabila. Aw bɛ taa Urgent Care dɔgɔtɔrɔso la, denmisɛnw ka biro la, walima Kɔrɔtɔko ɲɛmɔgɔso la, dɔgɔtɔrɔ bɛna tulolabanaw sɔgɔsɔgɔ sekɔndi 30 kɔnɔ ni 1% lidocaine sigida lafiyalan pikiri fitinin ye (walima marabolo tulo bali), ka dimi tɛ min na milimɛtɛrɛ 2 (0,08-inch) nick kɛ kɔkanna kan, ka clutch bɔ ni soso hemostats ye.
6. Ni tulolanɛgɛ kɔ bɛ ye hali bi sanfɛ ani ni a sirilen bɛ kuru jalen dɔrɔn na ani funu nɔgɔman, aw bɛ miniti 15 kɛ ka saline sterili sumalen kɛ. Aw bɛ kɔgɔ kutu ɲɛ kelen (mililitiri 1,25) kɛ ji sanuman mililitiri 240 (onsi 8) la (walima aw bɛ joginda ko kɔgɔ sterili kɛ). Aw bɛ gazemugu sumalen dɔ digi dɔɔni dɔɔni tulo kɔkanna na miniti 15 kɔnɔ walasa ka nɔgɔ jalen wuli ani ka fari nɔgɔya, o kɔ aw bɛ vaseline gansan sterili (Vaseline) dab kɛ a tulo lamini na.
7. Aw bɛ ɲɛfɛla kabakurunba minɛ ni aw bolo kelen ye ka a to a bɛ sɛgɛn - aw kana a kɔrɔta abada - wuluwulu sirilan bɛ ye ka ɲɛ ka taa kɔfɛ. Ni tulolanɛgɛ nɔgɔlen bɛ ye ka jɛya fari sanfɛ, aw bɛ tulolanɛgɛ ɲɛfɛla jɔ ka jɔ aw kininbolo bolokɔni ni aw bolokɔnincinin cɛ walasa bere kana se ka gɛrɛ tulo kɔnɔ ka taa a fɛ, ka aw kɛ ka aw kininbolo bolokɔniw (minnu saniyalen don ni 70% isopropyl alcohol ye) kɛ ka a sama butterfly loops tilennen kɔ ka bɔ poste notch la. Ni a ma sɛgɛn ka bɔ ni degun dɔɔni ye sekɔndi 10 kɔnɔ, aw bɛ a jɔ ka taa dɔgɔtɔrɔso la min bɛ wele ko Urgent Care.
8. Ni tulolanɛgɛ dɔ sirilen don ni fanga ye ni sutura, finimugu walima denmisɛnnin bolo ye, ka a tigɛ ka bɔ tulo jukɔrɔla la (Split Earlobe), aw bɛ miniti 10 kɛ ka gazi sterili tilennen kɛ a la. Tulokisɛ tigɛlen bɛ joli bɔ joona a daminɛ na aw bɛ gazi sterili digi ɲɛgɛnɛsira fan fila bɛɛ kan miniti 10 kɔnɔ ka tugu ɲɔgɔn na, ka tulolanɛgɛ mara walasa ka a jira ko a yɔrɔ si ma to fɛnɲɛnamafagalan kɔnɔ, ani ka taa dɔgɔtɔrɔso la joona walima opereli plastiki la lɛri 24 kɔnɔ walasa ka a jateminɛ.

Desizɔn jiri : Tulolan kɔfɛla min bɛ don a kɔnɔ, kolotugudaw banakisɛ, ani sɔgɔsɔgɔninjɛ tigɛcogo tigɛlen¶

flowchart TD
    A["Tulokɛlan kɔ donna, a fununen don, walima a tulo sirilen don/a tigɛlen don"] --> B{"Piercing bɛ min ani mun kɛra?"}
    B -->|"Tulolanɛgɛ tigɛlen pewu walima a yɔrɔ dɔ fari la (Traumatic Tear / Split Lobe) ."| C["Aw bɛ tulo dawolo siri ni gazi sterili ye miniti 10 kɔnɔ walasa joli ka bɔ -> Aw bɛ taa kɛnɛyaso kɔrɔtɔlen na lɛri 12-24 kɔnɔ walasa ka joginda ladon walima ka joginda dilan"]
    B -->|"Tulo sanfɛla sɔgɔsɔgɔninjɛ (Helix, Tragus, Conch, Industrial) ni bilenni bɛ jɛnsɛn, funteni ani dimi min bɛ wuli"| D["DƆGƆRƆLI KƆRƆBƆLI: Siga bɛ a la ko Pseudomonas Auricular Perichondritis -> Aw bɛ taa furakɛli kɔrɔtɔlen / ER la bi walasa ka banakisɛfagalanw sɔrɔ minnu bɛ se ka banakisɛfagalanw faga (misali la, Ciprofloxacin)"]
    B -->|"Soft Lower Earlobe (Lobule) walima Surface Dermal Anchor ni kɔkanna walima ɲɛfɛla sɔgɔli bɛ don a kɔnɔ"| E{"Yala aw bɛ se ka nɛgɛberew walima disiki fla ye hali bi fari sanfɛ wa?"}
    E -->|"Ayi: Fari datugulen don nɛgɛ kan (kuru gɛlɛn dɔrɔn de bɛ ye lobe kɔnɔ walima kasi pinɛ misɛnnin dɔ) ."| F["AW KAN’a sama walima ka a sɔgɔ ni pince/pliers ye so kɔnɔ -> Aw bɛ taa Urgent Care walima Pediatrice fɛ walasa ka Lidocaine numbing dimi tɛ a la + 2-mm hemostat extraction"]
    E -->|"Ɔwɔ: Nɛgɛberew bɛ ye jirisunba dɔ kɔnɔ min man dun, kuru jalen ni funu nɔgɔman bɛ min na"| G["Aw bɛ tulo dawolo su miniti 15 kɔnɔ ni saline compress sterili sumalen ye walasa ka kurukuruw labɔ + ka vaseline gansan kɛ a la"]
    G --> H["Aw bɛ ɲɛfɛla jɔ ni bolo kelen ye + aw bɛ butterfly clutch sɔgɔ ka bɔ poste la ka ɲɛ (aw bɛ segin 10 kɛ siɲɛ kelen dɔrɔn ni dususuma ye)"]
    H --> I{"Yala debriya tun bɛ sɛgɛn ka bɔ ka saniya k’a sɔrɔ a ma fari tigɛ wa?"}
    I -->|"Ayi: A sirilen don kosɛbɛ poste groove kɔnɔ walima a su donna ka dun kojugu"| F
    I -->|"Ɔwɔ: Backing bɔra yen"| J{"Yala banakisɛfagalanw tali taamasiɲɛw bɛ yen (nɔgɔ, bilenni jɛnsɛnni, funteni) vs masin/nikɛri ŋɛɲɛ nɔgɔman wa?"}
    J -->|"Pus, funteni min bɛ wuli, walima sɔgɔsɔgɔninjɛ bilenmanw"| K["Aw bɛ taa dɔgɔtɔrɔ fɛ banakisɛfagalanw tali da la/fagalanw na; aw bɛ ɲininkali kɛ sani aw ka poste bɔ pewu walasa kurukuruw ka se ka ji bɔ"]
    J -->|"A bɛ kɛ ni sɔgɔsɔgɔninjɛ dɔɔni ye ani ka ɲɛgɛnɛsiraji jɛlen dɔrɔn"| L["Aw bɛ butterfly stud sirilen falen ni Titanium (ASTM F136) fla-back labret post janyalen ye min janya ye milimɛtɛrɛ 8-10 ye, a kɔkanna fla + saniya siɲɛ 2 don o don ni saline sterile ye"]

Mun na wuluwulu tulolanɛgɛ kɔw bɛ jigin tulolanɛgɛw kɔnɔ (The Piercing Gun Trap) .¶

Tulo kɔrɔtɔlen minnu bɛ don a kɔnɔ, olu kɛmɛsarada la, 90 ni kɔ minnu bɛ ye denmisɛnw ka kɔrɔtɔko yɔrɔw la ani kɔrɔtɔko yɔrɔw la, olu bɛ tali kɛ o fɛnɲɛnamafagalan kelen tigitigi de la: daminɛlan min sɔgɔlen don ni "butterfly clutch" kɔkanna ye min bɛ sɛrɛkili fila min bɛ sigi ni resɔn-loaded mall walima pharmacy piercing gun ye. Ni an y’a faamu mun na nin fɛnɲɛnɛma in bɛ dɛsɛ, o bɛ tulolanɛgɛ kisicogo ɲɛfɔ ani a bali cogo min na a kana kɛ tuguni:

1. Fixed Short Poste janya + A ka sɔgɔsɔgɔninjɛ sɔgɔli¶

Piercing-gun studs standards bɛ dilan ni poste janya surun ye min jɔlen don, o janya ye 6,0 fo 6,5 milimɛtɛrɛ (0,24 fo 0,26 inch) ye ani lamini notch juguman min tigɛra poste kun nɛrɛma kɛrɛfɛ. Ni marifa min bɛ sɔgɔ, a bɛ butterfly clutch (butterfly clutch) sɔgɔ o datugulan kan ni ninakiliyɔrɔ zeru ye walasa ka farikolo yɔrɔw bonya. Ni tulolabana funu a yɛrɛ la milimɛtɛrɛ 2 fo 4 ye ka kɛɲɛ ni joginda ye, ka sunɔgɔ kunkolo kɛrɛ fɛ, walima ni faritanabana ye nikɛri la min bɛ sanu walima nɛgɛdaga sɔngɔ gɛlɛnw na, funu tɛ taa yɔrɔ si.

2. Pressure Ischemia ani "Cookie-Cutter" nɔ min bɛ sɔrɔ Butterfly Loops fɛ¶

A tɛ i n’a fɔ labret disiki gɛlɛn min bɛ degun tila ɲɔgɔn na, laadala butterfly clutch bɛ ni nɛgɛ wulu fila kurulen ye minnu ɲɛsinnen bɛ kɔnɔna ma ka taa tulo fari fan fɛ. I n’a fɔ tulolanɛgɛ bɛ balo kɛnɛma ka o nɛgɛdaga kurulenw kɛlɛ: - Nɛgɛ dakun sirilenw bɛ joli-sira-funu-minɛnw degun fari bololanɛgɛ fitinin dɔ kɔnɔ min bɛ ɲɛgɛnɛsira kɔfɛ, o bɛ kɛ sababu ye ka tansiyɔn jiginni yɔrɔ dɔ (fari tiɲɛni) bila mɔgɔ la. - Ni kɛnɛma ɲɛda sɔgɔra dɔrɔn, ɲɛda fununen bɛ wuli ka wuluwulu kɔkanna da wulilenw lamini ani ka tɛmɛ u fɛ. - Su kelen kɔnɔ, joli-sira-funu (nɔgɔ) ni joli bɛ woyo nɛgɛberew lamini na ka ja ka kɛ farikolojɔlifɛn ye min ka gɛlɛn i n’a fɔ fara, ka sɔrɔ granulasiyɔn farikolo yɔrɔ min bɛ caya, o bɛ bonya tiɲɛ na ka tɛmɛ wuluwulu sirilan dingɛ fila fɛ, k’a datugu fari jukɔrɔ i n’a fɔ rebar min bɛ bɛton kɔnɔ.

Tablo de triage clinique : Irritation de l’arlobe soft ni Backing embedded ni tulo sanfɛla perikondriti¶

Aw bɛ nin sɛgɛsɛgɛli tabali in kɛ ka tulo kurukuru misɛnniw ni dunan suturalen walima banakisɛ min bɛ kolotugudaw tiɲɛ, o danfara don:

So bɔli protocole step-by-step (DƆRƆN ni nɛgɛ kɔkanna bɛ ye hali bi sanfɛ) .¶

Lakanali sariya gɛlɛn: Aw bɛ a ɲini dɔrɔn ka so bɔ ni nɛgɛ wuluwulu sirilan tilancɛ ni kɔ bɛ ye hali bi ka jɛya fari sanfɛ ani gɛlɛya ye kuru jalen dɔrɔn ye ani rimi funu nɔgɔman min bɛ debriya minɛ a nɔ na. Ni fari falenna nɛgɛberew kan walima ni aw ye pinɛ dibiman dɔ dɔrɔn ye kuru gɛlɛn dɔ kan tulo kɔnɔ, aw bɛ tɛmɛ ka taa Ladonni kɔrɔtɔlen yɔrɔ la min bɛ duguma.

Taabolo fɔlɔ : Aw bɛ aw bolow, yeelenbɔlan ani kɔgɔji sterili labɛn¶

1. Aw bɛ a tigi bila ka sigi walima ka a da ka ɲɛ dilan walima sofa kan, a kunkolo bɛ lafiɲɛ finimugu sanuman kan walasa a kana se ka wuli ka taa yɔrɔnin kelen.
2. Aw bɛ aw tɛgɛw ko ka ɲɛ ni safinɛ ni jisuma ye fo sekɔndi 20, o kɔ aw bɛ aw bolokɔniw ko ni 70% isopropyl alcohol pad ye walima ka nitirili sɛgɛsɛgɛli ganw sanumanw don minnu bɛ kɛ siɲɛ kelen.
3. Aw bɛ kɔgɔji sterili sumalen labɛn : aw bɛ 0,9% Kɔgɔjida la joginda ko tasa datugulen dɔ sumaya jisuma tasa dɔ kɔnɔ, walima aw bɛ kɔgɔ sanuman ¼ (militiri 1,25) kɛ kɔgɔ sanuman na min tɛ iyodi ye, aw bɛ mililitiri 240 (tase 1) kɛ jisuma tobilen ni nɛnɛman na.

Taabolo 2nan : Aw bɛ miniti 15 kɛ ka saline Crust-Dissolving Compress sumalen kɛ¶

Aw kana tulolanɛgɛ jalen ni kurukurulen sama ka segin kɔ abada. Ji jalen bɛ siri kunsigi ni fari kɛnɛ la ni superglue fanga ye. 1. Aw bɛ gaze sterili dabɔlen walima cotton sanuman su kɔgɔji sumalen na. 2. Aw bɛ furakisɛ ɲiginnen ni sumayalen minɛ dɔɔni dɔɔni tulo ɲɛfɛla ni a kɔfɛla la fo miniti 10 fo miniti 15 ka tugu ɲɔgɔn na, ka segin ka a ɲigi ni kɔgɔ sumalen ye miniti 3 o miniti 3 walasa a ka to funteni na. 3. Miniti 15 kɔfɛ, kuru gɛlɛn jɛman-buluman min bɛ siman kɛ wuluwuluw la ka taa fari la, o bɛna kɛ nɔgɔ ye ani ka kɛ jelatɛni ye. Aw bɛ nɛgɛw lamini kurukuru nɔgɔlen ko dɔɔni dɔɔni ni bɔgɔmugu ye min mɔlen don ni kɔgɔ ye (Q-tip).

3nan : Aw bɛ tulu kɛ poste la ka baara kɛ ni "Two-Hand Counter-Traction Slide" ye.¶

1. Aw bɛ baara kɛ ni bɔgɔmugu sanuman ye, ka vaseline finman gansan sterili (Vaseline) walima banakisɛfagalan tulu min tɛ sɔrɔ dɔgɔtɔrɔso la dɔ kɛ ka a da nɛgɛbere kan ani ka wuluwulu da lamini walasa fari ni nɛgɛ ka sɔgɔ pewu.
2. Aw bɛ ɲɛfɛla sɔgɔli sabati (Taabolo kɔrɔba): Ni aw bolokɔnincinin ni aw bolokɔnincinin min tɛ fanga sɔrɔ, aw bɛ tulolanɛgɛ ɲɛfɛla masirilen kun digi k’a minɛ pewu, k’a sama milimɛtɛrɛ 1 dɔrɔn ka taa ɲɛfɛ walasa kɔfɛla ka wuli dɔɔni ka bɔ farilaji la. Aw kana kɔ digi abada k’a sɔrɔ aw ma ɲɛfɛla minɛ, n’o tɛ aw bɛna ɲɛfɛla kabakurun boli ka ɲɛ ka don tulo ɲɛfɛla la.
3. Aw bɛ sɔgɔsɔgɔ ka segin kɔfɛ: Ni aw bolokɔnincinin fangama ni aw bolokɔnincinin bolokɔnincininw ye (walima joli-sira-funu-minɛn fila minnu sterilizelen don dɔlɔ la, olu bɛ dɔrɔn minɛ butterfly clutch nɛgɛdaga yelen na, u tɛ maga fari la abada), aw bɛ butterfly clutch sama ka segin kɔfɛ ka kɛɲɛ ni poste ye fo a ka digi ka bɔ locking notch la.
4. "One Gentle Try" sariya: Ni butterfly clutch ma bɔ sekɔndi 10 kɔnɔ ni a ye counter-traction sabatilen, nɔgɔya la, walima ni samali bɛ dimi jugu lase mɔgɔ ma barisa fari bridge dɔ falenna butterfly loops fɛ, aw bɛ a jɔ joona. Aw kana a sama ka taa a fɛ.

Fɛn min bɛ kɛ kɔrɔtɔko la walima kɔrɔtɔko yɔrɔ la (Mun na aw man kan ka siran taa bɔli ɲɛ) .¶

Bangebagaw ni balikuw ka teli ka taa kɔfɛ Ladonni kɔrɔtɔlen na walasa ka tulolanɛgɛ dɔ don u kɔnɔ, bawo u bɛ siran opereli ɲɛ min bɛ dimi walima min bɛ mɔgɔ farikolo tiɲɛ. Tiɲɛ na, ka tulolanɛgɛ min munumunu bɔ kɔfɛ dɔgɔtɔrɔso la min bɛ kɛnɛyaso kɔrɔtɔlen na walima kɛnɛyaso la, o bɛ miniti 10 bɔ ani a dimi tɛ a la pewu ni a sɔgɔra siɲɛ kelen:

1. Topical Pre-Numbing (Denmisɛnw kama): Denmisɛnw ka kɛnɛyaso kɔrɔtɔlenw bɛ LET gel (Lidocaine-Epinephrine-Tetracaine) walima EMLA cream kɛ tulo la miniti 20 fɔlɔ walasa den kana sɔgɔsɔgɔninjɛ furakisɛ fitinin in ye.
2. Lidocaine 30-Second Local Lidocaine Infiltration (walima Greater Auricular Nerve Block): Dɔgɔtɔrɔ bɛ tulo saniya ni banakisɛfagalan ye (chlorhexidine walima povidone-iode) ka 0,5 fo 1,0 mililitiri lidokayini 1% tampon pikiri kɛ tulo da la ka ɲɛsin tulo da la ni ultra-fine 30-gauge ye pikirijikɛlan min bonya bɛ se inisɔndiya ma. Seginnkanni 60 kɔnɔ, tulo bɛɛ bɛ kirin kɛmɛsarada la - banabagatɔ tɛ dimi zeru ye, a bɛ degun dɔɔni dɔrɔn de ye.
3. Micro-Release ani Hemostat bɔli:
4. Ni da min bɛ wuluwulu suturalen sirilan kan, o ye sɔgɔsɔgɔninjɛ fitini ye hali bi, dɔgɔtɔrɔ bɛ sogo jɔlen hemostat kurulen sterili kun finmanw don fɛnɲɛnamafagalan kɔnɔ, ka wuluwulu suturalen minɛ, ka a tigɛ ka bɔ jiribolo la k’a sɔrɔ a bɛ ɲɛfɛla sɔgɔlan sama ka bɔ ɲɛfɛ.
5. Ni fari kɛnɛyara pewu wuluwuluw kan, dɔgɔtɔrɔ bɛ **milimɛtɛrɛ 2 fo 3 (insi 0,08 ka se 0,12) fitinin dɔ kɛ ka ɲɛsin nɛgɛmugu ma min bɛ tulolanɛgɛ kɔkanna dogolen na ni #11 sɔgɔlilan ye, ka wuluwulu kɔkanna kɔrɔta ka bɔ sekɔndi 5 kɔnɔ, ka bɔrɔ ko ni o ye saline sterili.
6. Sɛbɛnni man kan ka kɛ tulo kɔkanna na: Ikomi milimɛtɛrɛ 2 bɔli niki bɛ tulo kɔkanna na, wa a ka kan ka ji walima banakisɛ minnu sirilen don, olu bɛɛ bɔ, a bɛ se ka fɔ ko a bɛ to da la tuma bɛɛ walasa a ka kɛnɛya a yɛrɛ la ni sɔgɔli tɛ a la (a bɛ se ka kɛ ko taamasiɲɛ yelen si tɛ to a la) ani ka furakɛ ni tile 5 fo 7 ye mupirocin 2% tulu walima da la sɛfalɛkisini ni selilɛri bɛ a la.

Kɔrɔtɔko kɛrɛnkɛrɛnnenw minnu bɛ kɛ ka fɛnw sɔgɔ: Surface Dermal Anchors, Flat-Back Labrets, ani Split Earlobes¶

Kɔrɔtɔko minnu bɛ kɛ ka tulo tigɛ, olu bɛɛ tɛ kɛ ni tulolanɛgɛw ye minnu bɛ kɛ ni tulolanɛgɛw ye minnu bɛ kɛ ka kɛɲɛ ni sariya ye. Faratiba bɛ u ka sɔgɔsɔgɔninjɛ gɛlɛya saba wɛrɛw ɲɛnabɔcogo filɛ nin ye:

1. Farikolo yɔrɔ min sirilen don walima min bɛ don a kɔnɔ (Microdermal Piercing) .¶

farikolo sirilan kelen (min bɛ bila ɲɛda kolo, kɔkolo, kɔ, disi, walima bolokɔni na) kɔ bɔyɔrɔ dingɛ tɛ o la: o nɔ na, titaniyɔmu sen min bɛ i n’a fɔ L, ni a kɔnɔna misɛnniw bɛ sigi kudayi farikolo jukɔrɔ walasa kolajɛ fɛnɲɛnamafagalan ka bonya dingɛw fɛ walasa k’a siri a nɔ na, ka sɔrɔ sanfɛla fla masirilen dɔ bɛ siri jirisunba sanfɛ fari. - Ni farikolo sanfɛla bɛ jigin fari fununnen jukɔrɔ (After a Snag on a Towel or Shirt): Aw bɛ pake nɛnɛma dɔ kɛ a la min sirilen don finimugu finman na miniti 10 kɔnɔ (aw kana a sumaya abada, o bɛ dɔ fara farikolo fununi kan) ani ka ibuporofɛni hakɛ dɔ ta min bɛ farikolo funu kɛlɛ walasa ka sanfɛla disiki lamini farikolo yɔrɔw dɔgɔya. Aw kana a ɲini abada ka farikolojidɛsɛbanakisɛ dɔ bɔ aw fari la ka ɲɛ so kɔnɔ - barisa fari ni kolajɛ min bɛ kɛ ni fiɲɛ ye, o falenna sen dawolo la min bɛ farikolo jukɔrɔ, ni aw ye farikolojɔlan dɔ tigɛ ka bɔ ni pinikɛlan ye, o bɛ farakurunba dɔ tigɛ fari la ani ka joginda banbali to ɲɛda walima disi la. Dɔgɔtɔrɔ min bɛ se ka sɔgɔsɔgɔninjɛ kɛ walima min bɛ kɛnɛyaso kɔrɔtɔ, o bɛ se ka sanfɛla jiginlen bɔ a la walima ka anchor sen hɔrɔnya ka saniya ni sɔgɔsɔgɔninjɛ fitini dɔ ye.

2. Flat-Back Labret walima Threadless/Internally Threaded Barbell min bɛ munumunu ni kolotugudaw fununi ye¶

Bi farikoloɲɛnajɛla ŋanaw bɛ baara kɛ ni labret studs flat-back ye (yɔrɔ min na disiki fla nɔgɔlen dɔ bɛ lafiɲɛ tulo kɔfɛ walima dawolo kɔnɔ) sanni ka kɛ ni butterfly backs ye. - Nka ni kolotuguda, tragus, conch walima dawolo sɔgɔli kura fununna ka tɛmɛ barbell fɔlɔ janya kan, nɛgɛ disiki fla min bɛ kɔfɛ (walima bololanɛgɛ fitinin min bɛ ɲɛfɛ) o bɛ se ka jigin ka kɛ bɔgɔdaga ye min bɛ i n’a fɔ saucer fari la ("nesting" min bɛ wuli ka kɛ embedding lakika ye). - Tɔni: Aw bɛ taa aw ka dɔgɔtɔrɔso la min bɛ se ka fɛnw sɔgɔ joona walima ka taa dɔgɔtɔrɔso la min bɛ wele ko Urgent Care sanni fari ka datugu disiki fla kan walasa ka milimɛtɛrɛ 6 walima milimɛtɛrɛ 8 sɔgɔlen surun ɲɔgɔn falen ni milimɛtɛrɛ 10 walima milimɛtɛrɛ 12 jiribolo janyalen ye min bɛ se ka kɛ titaniyɔmu (ASTM F136) ye walasa ka funu ladon.

3. Traumatic Split Earlobe (Tɔlɔsili min bɛ tigɛ pewu ka tɛmɛ a ɲɛda duguma) fɛ .¶

Ni tulolanɛgɛ gɛlɛn walima tulolanɛgɛ girinman dɔ ye sutura, kunsigi burusi, farikoloɲɛnajɛ nɛgɛ, walima den bolo minɛ ka a tigɛ ka tɛmɛ tulo duguma da bɛɛ fɛ, o bɛ tulolanɛgɛ tigɛlen dafalen (tulolanɛgɛ fila) dilan: - Miniti 15 fɔlɔ : Aw bɛ tulolabanaw tilayɔrɔ fila bɛɛ siri ɲɔgɔn na gaze sterili dabɔlen kɔnɔ ni bolokɔni digidigi gɛlɛn ye, ka to ka miniti 10 fo miniti 15 fo joli ka jɔ. - Opereli dilan waati: Aw bɛ taa kɛnɛyaso kɔrɔtɔlen walima kɔrɔtɔko yɔrɔ la lɛri 12 fo lɛri 24 kɔnɔ walasa joginda ka se ka ji kɛ a la, ka a lajɛ ni nɛgɛ tigɛlenw maralen don, ka a lajɛ ni a bɛ tetanɔsi lakanani na ni a mago bɛ a la. Aw ye a kɔlɔsi ko plastiki operelikɛla ni tulolabanaw (ENT) caman b’a fɛ ka tulolabana funu walima banakisɛ bɛ min na, o ka kɛnɛya ka saniya fo dɔgɔkun dɔgɔkun 6 fo dɔgɔkun 8 sani u ka opereli fitinin dafalen kɛ Z-plasty walima L-plasty cleft earlobe reconstruction sigida la anestezi kɔnɔ, o bɛ kɛ sababu ye ka ɲɛgɛnɛsiralabanaw ni bɛ sira di ka segin-ka-bɔnye kɛ cogo la min tɛ mɔgɔ tɔɔrɔ kalo 3 o kɔfɛ.

Farati bɛ nsiirinw ni filiw la minnu ka kan ka kɔlɔsi ni banakisɛfagalanw walima fɛn minnu bɛ don u kɔnɔ¶

1. Aw kana sɔgɔsɔgɔninjɛ saniya abada ni Dɔlɔmugumugu (Isopropyl Alcohol), Hydrogène Peroxide, walima Tea Tree Oil ye: Dɔlɔmugu 70% ni perokisidi idɔrɔji 3% fila bɛɛ ye sitotokisi ye hadamadenw ka fibroblaste ni keratinocytes tilalen kura la - u bɛ sɔgɔsɔgɔninjɛ sira kɔnɔfɛn kɛnɛw jeni, ka funu kɛ min bɛ tulolanɛgɛ kɔ munumunu teliya la, ani ka selilɛri salenw kurukuru jɛmanw jɔ. Aw bɛ joginda ko 0,9% kɔgɔlen sterili dɔrɔn de kɛ (ani banakisɛfagalan tulu min ɲɛfɔlen don dɔgɔtɔrɔ fɛ ni banakisɛ bɛ a la).
2. Never "Twist or Rotate" a Healing Earring Stud Daily: Ladilikan kɔrɔlen minnu bɛ bɔ mall piercing kiosks fɛ, olu b'a fɔ kiliyanw ye k'u ka tulolanɛgɛw tigɛli siɲɛ fila tile kɔnɔ walasa fari kana nɔrɔ nɛgɛ la. Adamaden fari tɛ se ka fara titaniyɔmu walima sanu gɛlɛn kan; ka sɔgɔsɔgɔninjɛ jalen dɔ tigɛli kɛ, o bɛ kuru jalen jalenw ni bolokɔni banakisɛw sɔgɔ ka ɲɛ ka tɛmɛ kɛnɛyaji nɔgɔlen fɛ, ka funu basigilen ni u doncogo lawuli.
3. Aw kana a to abada ka Butterfly Clutch Pushed All the Way Against the Earlobe: Ni aw ka kan ka butterfly-back tulolanɛgɛ don, butterfly clutch ka kan ka sigi poste kuncɛ yɛrɛ la ni fiɲɛbɔyɔrɔ ye min bɛ ye milimɛtɛrɛ 1,5 fo 2 (0,06-to-0,08-inch) aw tulo kɔkanna ni nɛgɛdaga cɛ o la fiɲɛ ni jisumaji bɛ se ka yaala ani funu tɛ maga debriya la abada.

Sigidaw ka kɔrɔtɔko nimɔrɔw ani baaradaw ka sariyaw¶

Ni tulolabanaw ni fariganba bɛ taa ɲɔgɔn fɛ, ɲɛda selilɛriw jɛnsɛnni, tulo kɔfɛ funu bɛ kɛ mastoid kolo kan (mastoïditis), walima tulo sanfɛla kolotugudaw dimi jugumanba (auricular pericondritis), aw bɛ taa dɔgɔtɔrɔso la joona:

• Etazini ni Kanada: Aw bɛ 911 wele ni farikolo yɔrɔ banakisɛ jugumanw bɛ aw la, ni fiɲɛbɔyɔrɔw/anaphylactic reactions bɛ aw la, walima ni joli bɔli ma kunbɛn. Ni tulolanɛgɛ kɔkanna donna walima ni siga bɛ a la ko tulo sanfɛla sɔgɔsɔgɔninjɛ bɛ a la, aw bɛ taa sigida la Kɔrɔtɔko ladonni yɔrɔ la, Denmisɛnw ka kɔrɔtɔko ladonni yɔrɔ la, walima dɔgɔtɔrɔso kɔrɔtɔko ɲɛmɔgɔso la. Kanada jamana na, aw bɛ se fana ka 811 (HealthLink / Telehealth) wele walasa ka furakɛlikɛlaw ka sɛgɛsɛgɛli sɛbɛn 24/7.
• Royaume-Uni: Aw bɛ telefɔni 999 wele ni kɔrɔtɔko minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la. Ni tulolanɛgɛ kɔ donna walima ni tulo kolo bilenman fununen don, aw bɛ NHS 111 wele walima aw bɛ taama ka don sigida la NHS furakɛli kɔrɔtɔlen yɔrɔ (UTC) walima Jogin misɛnninw yɔrɔ (MIU), dɔgɔtɔrɔsow ni dɔgɔtɔrɔw bɛ to ka sigida la tulo dunanw bɔli kɛ sigida la ani ka banakisɛfagalanw di aw ma minnu bɛ kɛ da la.
• Erɔpu tɔnba: Aw bɛ 112 wele furakɛli kɔrɔtɔlenw kama UE jamanaw bɛɛ kɔnɔ, walima aw bɛ taa aw ka sigida dɔgɔtɔrɔso kɔrɔtɔko ɲɛmɔgɔso la (Urgences / Notaufnahme / Urgencias) walima dɔgɔtɔrɔso min bɛ weleli la (Maison Médicale de Garde / Ärztlicher Bereitschaftsdienst kan 116 117).
• Ɔsitarali ani Zelande kura: Aw bɛ se ka 000 (Ɔsitarali) walima 111 (Zélande kura) wele ni kɔrɔtɔko dɔw kɛra. Ni tulolanɛgɛ walima tulolabanaw donna a kɔnɔ, aw bɛ taa Medicare Urgent Care Clinic la, sigida la GP furakɛli dɔgɔtɔrɔso la, walima dɔgɔtɔrɔso kɔrɔtɔko yɔrɔ la, walima aw bɛ Healthdirect wele telefɔni 1800 022 222 (Ɔsitarali) walima Healthline telefɔni 0800 611 116 (New Zealand).
• Endi ni Azi Pasifiki: Aw bɛ 112 wele Ɛndujamana na, 119 Zapɔn ni Kore Dugu, walima 995 Singapuri, walima aw bɛ taa ENT (Otolaryngology) kɛnɛyaso la walima dɔgɔtɔrɔso la. Aw ye an ka diɲɛ kɔnɔ kunnafonisɛbɛn dafalen lajɛ nin yɔrɔ in na kɔrɔtɔko nimɔrɔw.

Ɲininkali minnu bɛ kɛ tuma caman na¶

Ne bɛ se k’a dɔn cogo di ni ne den ka tulolanɛgɛ kɔ munumununa tiɲɛ na tulo kɔnɔ walima ni sɔgɔsɔgɔninjɛ ye a datugu dɔrɔn?¶

Aw bɛ aw tɛgɛw ko, ka telefɔni lanpan jɛman dɔ yeelen ka ɲɛsin tulo kɔkanna ma, ka sɔrɔ ka o yɔrɔ su nɔgɔya la ni kɔgɔmugu sterili sumalen ye miniti 10 fo miniti 15 walasa ka kuru jɛman jalen o jalen nɔgɔya. Ni kurukuru nɔgɔlen ko ka bɔ yen, o bɛ wuluwulu kɔkanna nɛgɛbere fila jira minnu sigilen bɛ fari sanfɛ, a kurulen tun don dɔrɔn; nka ni aw ye fari fununen nɔgɔlen ye ni pini dingɛ fitinin ye ani ni aw ye kuru gɛlɛn dɔ sutura tulo kɔnɔ min bonya bɛ i n’a fɔ pɔmutɛri, n’aw y’a sɔgɔ, o kɔfɛ, a kɔkanna jiginna fari jukɔrɔ, wa a bɛ kɛ ni Urgent Care bɔli ye dimi tɛ min na.

Dɔgɔtɔrɔ minnu bɛ Urgent Care la, olu bɛ tulolanɛgɛ min sirilen don a kɔnɔ, o segin ka bɔ denmisɛn tulo fununen na cogo di?¶

Ladonni kɔrɔtɔlen na walima Kɔrɔtɔko yɔrɔ la, dɔgɔtɔrɔ bɛ fɔlɔ ka kiribi kɛ min bɛ mɔgɔ farikolo sɔgɔsɔgɔ ani ka sigida lafiyalan (1% lidocaïne) dɔ pikiri kɛ tulo la walasa den ka dimi zeru sɔrɔ segin 60 kɔnɔ. Ni sɔgɔsɔgɔninjɛ sɔgɔra pewu, dɔgɔtɔrɔ bɛ sosow ka joli-sira-funu-minɛn finmanw sɔgɔ ka don kɔfɛla la walasa ka wuluwulu kɔkanna sɔgɔ walima ka milimɛtɛrɛ 2 sɔgɔli misɛnnin dɔ kɛ tulo kɔkanna na walasa ka nɛgɛ kɔkanna bɔ sekɔndi 5 kɔnɔ - a ka c’a la, a mago tɛ sɔgɔli si la.

Mun na tulo sanfɛla kolotugudaw sɔgɔsɔgɔninjɛ farati ka bon kosɛbɛ ka tɛmɛ tulolabana basigilen kan?¶

A tɛ i n’a fɔ tulo duguma yɔrɔ nɔgɔlen, joli caman bɛ min na, wa a ka ca a la farikolo banakisɛw bɛ a minɛ, tulo sanfɛla gɛlɛn (helix, tragus, walima conch) bɛ se ka kɛ joli sira tilennen tɛ a la, wa a ka teli ka banakisɛ Pseudomonas aeruginosa sɔrɔ ji la. Faribanakisɛfagalan minnu bɛ kɛ ka caya i n’a fɔ sefalɛkisini walima amɔkisisilini, olu tɛ Pseudomonas faga; ni furakɛli ma kɛ joona ni banakisɛfagalan kɛrɛnkɛrɛnnenw ye (i n’a fɔ siporofiloksasini), banakisɛ bɛ se ka kolotugudaw labɔ tile damadɔ kɔnɔ ka "kafe tulo" tiɲɛni banbali to.

Yala ne ka kan ka tulolanɛgɛ bɔ ni banakisɛ bɛ ne ka tulolanɛgɛ la wa, walima n’a bɔra ka bana in minɛ a kɔnɔ wa?¶

Ni tulolanɛgɛ kɔ dɔ donna farikolo la fari jukɔrɔ, walima ni bana in bɛ tulo sanfɛla kolotugudaw la (tulokololabanaw), dɔgɔtɔrɔ ka kan ka tulolanɛgɛw bɔ walasa a ka baara dabila i n’a fɔ dunan farikolo nidus banakisɛw kama. Ni banakisɛ misɛnni don, min man gɛlɛn, tulolanɛgɛ duguma yɔrɔ nɔgɔlen na, tulolanɛgɛ TƐ don yɔrɔ min na, dɔgɔtɔrɔ bɛ se ka ladilikan di ko aw ka wuluwulu sirilan sirilen dɔ bila titaniyɔmu poste jan na min bɛ se ka don a kɔnɔ, ka sɔrɔ ka banakisɛfagalanw daminɛ minnu bɛ kɛ fari la walima minnu bɛ ta da la walasa tulolanɛgɛ ka se ka ji bɔ a yɛrɛ la.

Ne ka kan ka waati joli makɔnɔ ka tulolanɛgɛ dɔ sɔgɔ kokura tulolanɛgɛ kɔfɛla dɔ bɔlen kɔfɛ?¶

Ni tulolanɛgɛ kɔfɛla dɔ bɔra ka ban, aw bɛ a to tulolanɛgɛ ka kɛnɛya pewu dɔgɔkun 6 fo dɔgɔkun 12 la fo ka se a bilenni, a sɔgɔsɔgɔninjɛ, ani kɔnɔnatumuw bɛɛ (fiɲɛ fitini min bɛ tulo kɔnɔ) ka nɔgɔya ani ka ban. Ni aw ye segin-ka-bɔnye kɛ, aw bɛ aw yɛrɛ tanga mall piercing marifaw ni butterfly kɔw ma pewu; o nɔ na, ​​aw bɛ a to pikirijikɛla ŋana dɔ ka pikirijikɛlan dingɛ sterili kɛ ka titaniyɔmu (ASTM F136) kɛ a kɔkanna flakɛlen dɔ sigi sen kan min janya ye milimɛtɛrɛ 8 fo 10 ye.

Gafe minnu bɛ tali kɛ o ko la¶

• Bolo min sirilen don bolokɔni fununen na: Jiriw sirilan ni bololanɛgɛ tigɛlan triage
• Joli jugumanba ni joli bɔli kunbɛnni
• Farikoloɲɛnajɛ ni faritanabana furakɛli fɔlɔ
• Denmisɛnw ni denmisɛnniw kɔrɔtɔko la

Sosow ani ɲɛmɔgɔyaso ka bilasiralikan¶

• Amerika denmisɛnw ka kɛnɛyako kalanso (AAP, Etazuni) & Denmisɛnw ka kɛnɛyako lajɛ la: Ttulolanɛgɛ kɔkanna fɛnɲɛnamafagalanw ɲɛnabɔli denmisɛnw ka tulo la, sigida la anestezi fɛɛrɛw, ani seliluzi lobular ni tulolabanaw danfara.
• Amerika ka tulolabanaw ka kalanso-kunkolo ni kɔ opereli (AAO-HNS, Etazuni): Dɔgɔtɔrɔso ka baarakɛcogo ɲɛfɔli minnu bɛ kɛ ka ɲɛsin ɲɛdalabana jugumanba ma, tulolabanaw, sɔgɔsɔgɔninjɛ sɔgɔsɔgɔninjɛ, ani sɔgɔsɔgɔninjɛ tigɛcogo jugumanba kan.
• Jamana ka kɛnɛyaso (NHS, Angletɛri): Dɔgɔtɔrɔso ka laadilikanw ka ɲɛsin banakisɛw tigɛcogo ma, ka biyew bɔli don u kɔnɔ furakɛli kɔrɔtɔlenw na, ani Perikondriti banakisɛfagalanw ka sariyaw.
• Association des professionnels piercers (APP, International): Sariya fitininw ka ɲɛsin biyew ma piercing fɔlɔw kama (ASTM F136 Implant-Grade Titanium), Post length Allowances for Swelling, ani Sterile Saline Aftercare.
• Banaw kɛlɛli ni u kunbɛnni baaradaw (CDC, Etazuni): Pseudomonas aeruginosa Auricular Chondritis (Pseudomonas aeruginosa Auricular Chondritis) bɔli min bɛ tali kɛ tulo sanfɛla kolotugudaw sɔgɔ marifaw ni furakɛli kɔfɛ fura nɔgɔlenw na.