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Nzeve Kumusana Yakamedzwa MuRlobe Yenzeve Yakazvimba kana Kuboorwa: Kubviswa Kwakachengeteka vs Cartilage Infection.

Nhamba dze emergency dzinosiyana nenyika. Iri peji rinoshandisa 911, nhamba yeUnited States neCanada. Dzimwe nyika dzakawanda dzinoshandisa 112, 999, kana imwe nhamba. Tsvaga nhamba yenyika yako.

Wamuka waona kuti simbi yeshavishavi clutch kana kuti flat disc inotsigirwa nemhete yanyangarika zvachose pasi peganda rakazvimba, rakakora kuseri kweberere renzeve yako kana yemwana wako idambudziko rinozivikanwa rekurapa rinozivikanwa nekiriniki se** rakaiswa nzeve yekunze muviri**. Izvi zvinogara zvichiitika mukati memavhiki maviri kusvika masere ekuboorwa kwepfuti, mushure mekurara padanda, kana kutevera acute nickel contact dermatitis flare pamwe chete nehutachiona hwehutachiona hwemunharaunda. Nekuda kwekuti pfuti dzinotanga pfuti dzine yakagadzika, pfupi pfupi (kazhinji 6 kusvika 7.5 millimeters, kana 0.24 kusvika 0.30 inches) uye groove isina kuchekwa inovhara shavishavi rakabatirira zvakasimba paganda, chero kuzvimba kwekuzvimba kwenzeve kunomanikidza kupinza kwakapinza-kukapetwa mapapiro maviri kuseri kweganda mukati me butterfly. lobule tissue. Kana munhu wacho aine hutsvuku hwechiso, kupisa kwakanyanya, zviratidzo zvakanyanya, kana kuita kwemhepo, fonera nhamba yako yekune emergency (911 muUnited States neCanada, 112 mhiri kweEuropean Union, 999 kuUnited Kingdom) kuburikidza neyedu. nhamba dze emergency dhairekitori uye kuongorora mhete yakanamira pachigunwe chakazvimba: tambo yekumisikidza kuputira uye ring cutter triage, kubuda ropa kwakanyanya,uye vana nevacheche munguva dzekukurumidzira.

Chimbomira usati wabata imba yetsono-mhuno pliers, tweezers, kana waya cutter kuti uchere mukati meseri kwenzeve yemwana kana yemukuru yakazvimba. Kamwe simbi shavishavi clutch kana mberi decoration gemstone atamira pasi dermis uye ganda rakavhara kana crusted pamusoro simbi zvishwe, yanking mbiru pamberi kana kuchera upofu pasina kutindivadza kunokonzera marwadzo anorwadza, kubvarurwa hutete lobule tishu, uye kazhinji kutyora solder joint saka simbi inotsigirwa inoramba yakabatwa zvakadzika mukati melobe. Zvinotonyanya kukurumidza kuziva nzvimbo yeanatomical yekuboora: nepo hutachiona mune yakapfava, ine nyama yakadzika ** earlobe (lobule) ** idambudziko renzvimbo yakapfava-tishu, tsvuku uye kuzvimba munzvimbo yakaoma yepamusoro ** nzeve cartilage (auricular helix, tragus, kana antihelix)** inonzi surgical metrical * giredhi yekukurumidza iyo inonzi surgical metrical * giredhi. shandura nzeve kuti ive "cauliflower ear" mukati memaawa 48 kusvika 72 kunze kwekunge yarapwa nemishonga inorwisa mabhakitiriya.

Ita izvi ikozvino

  1. Tsvaga nekukasika kuti kuboora kwacho kuri mukati kwenzeve yezasi yakapfava here kana kuti pakatsinga shwashwa repamusoro penzeve. Inzwa zvinyoro nyoro nzvimbo yakatenderedza kuboora. Kana kuboora kuchipfuura ne kuoma kwe cartilage rim (helix, scapha, conch, kana tragus) uye nzeve yepamusoro yakatsvuka, inopisa, yakazvimba, uye inorwadza zvikuru kana yakaputika zvishoma, ** enda kuUrgent Care kana Hospital Emergency Department nhasi ** kunonwa kana intravenous antiproxic ( cifloxacinudo antibiotics) Irreversible cartilage necrosis.
  2. Ongorora kumashure nekumberi kwembozha kwenzeve pasi pemwenje wakajeka kuti simbi ichiri kuoneka here. Geza maoko ako zvakanaka nesipo nemvura kwemasekonzi makumi maviri. Penesa tochi yefoni yakananga kumashure kwezeve:
  3. Surface Crust Only (Partially Embedded): Unogona kunyatsoona zvinokwana zvikamu makumi mashanu kubva muzana zvemarata maviri erutchetche reshavishavi kana musana wakafuratira wakagara mugomba reyero yakaomeswa neganda rakazvimba.
  4. Subdermal Migration (Yakanyatsomedzwa): Ganda riri kuseri kwemboro kwenzeve rakazvimba zvachose pamusoro pemusana wemhete (paburi diki chete kana bundu resimbi rakaomarara rinogona kunzwika pasi peganda paunenge wadzvanya muromo), KANA kuti gemstone/bhora remberi ranyura zvachose mukati meburi repamberi.
  5. Usamboshandisa zvipikiso zvemumba kana kuchera mhete yakamedzwa zvachose uchidzokera kumba. Kana mhete yekumashure kana yekumberi yakafushirwa pasi peganda, rega kudhonza. Enda kukiriniki yeUrgent Care, hofisi yevana, kana Dhipatimendi reEmergency, uko murapi anozoita chiveve muromo wenzeve mumasekonzi makumi matatu nekadiki 1% lidocaine remunharaunda jekiseni reanesthetic (kana redunhu nzeve), ita isingarwadze 2-millimeter (0.08-inch) nick pamusoro pebacking, uye buritsa moquitotch hemo.
  6. Kana mhete yemhete ichiri kuoneka pamusoro uye yakanamira mugoko wakaomeswa uye yakazvimba zvishoma, shandisa 15-Minute Warm Sterile Saline Soak. Dissolve one-quarter teaspoon (1.25 milliliters) yemunyu usina iodized mu240 milliliters (8 ounces) emvura inodziya-wash-wash. Dzvanya pedhi inodziya-yakanyoroveswa gauze pedhi zvinyoro nyoro kuseri kwezeve kwemaminetsi gumi nemashanu kunyungudutsa lymph crust yakaomeswa uye kupfavisa ganda, wozora dab ye sterile plain petroleum jelly (Vaseline) yakatenderedza positi.
  7. *Sunga dombo remberi neruoko rumwe chete uchitsvedza - usamborerekera - shavishavi rinobata rakadzokera kumashure. notch. Kana ikasatsvedza nekudzvanya zvinyoro mumasekonzi gumi, mira uye shanyira Urgent Care.
  8. Kana mhete yakabatwa zvine chisimba nejuzi, tauro, kana ruoko rwemwana mudiki ikabvarura nepasi pebeche (Split Earlobe), isai maminetsi gumi ekumanikidza kwegauze isina utachiona. Rudzi rwenzeve rwakabvaruka rwunobuda ropa nekukurumidza pakutanga; dzvanya sterile gauze pamativi ese elobe kwemaminetsi gumi anoenderera, chengetedza mhete kuti usimbise kuti hapana zvidimbu zvinosara mukati mematishu, uye shanyira Urgent Care kana chiremba anovhiya mukati memaawa makumi maviri nemana kuti uongororwe.

Danger

The "Red Hot Upper Ear" vs. "Red Tip of the Earlobe" Rule (Auricular Perichondritis): Utachiona hunotapukira munzeve yakapfava, ine mafuta yezasi (kazhinji Staphylococcus aureus kana Streptococcus pyogenes) inopindura utachiona hweganda secephalexin. Kusiyana neizvi, kuboorwa kweshwashwa repamusoro kwenzeve kune ropa rinenge rakananga zero uye rinowanzobatwa nePseudomonas aeruginosa (inowanikwa mumvura yemupombi, mvura yekugeza, nemumadziva ekutuhwina). Mishonga inorwisa mabhakitiriya yakafanana necephalexin kana amoxicillin ine zero effect paPseudomonas*. Mucherechedzo wekiriniki wePseudomonas auricular perichondritis ndewekuti nzeve yese yekumusoro inoshanduka kuita tsvuku, kuzvimba, uye kurwadza zvakanyanyisa, ukuwo mvere dzakapfava dzakapfava dziri kuzasi chaiko dzichiramba dzakapingiki uye dzasara. Tsvaka rubatsiro rwekukurumidza kurapwa nekukurumidza fluoroquinolone antibiotic kurapwa kusati kwaitika cartilage abscess uye kuremara zvachose.

Muti wesarudzo: Mhete dzakaiswa kumashure, hutachiona hwecartilage, uye tambo yekuboora yakabvaruka

flowchart TD
    A["Nzeve Kumashure Yakamisikidzwa, Yakazvimba Kuboora, kana Kutsemuka/Kubvaruka Nzeve"] --> B{"Kuboora kunowanikwa kupi uye chii chakaitika?"}
    B -->|"Mhete dzakabvarurwa zvachose kana zvishoma kuburikidza neganda (Traumatic Tear / Split Lobe)"| C["Dzvanya nzeve ine gauze isina utachiona kwemaminetsi gumi kuti urege kubuda ropa -> Enda kune Urgent Care mukati memaawa gumi nemaviri-24 kuti utariswe ronda kana kugadzirisa suture."]
    B -->|"Upper Ear Cartilage Kuboorwa (Helix, Tragus, Conch, Industrial) ine hutsvuku hunopararira, kupisa, uye kurwadziwa kunorwadza."| D["URGENT MEDICAL EMERGENCY: Suspect Pseudomonas Auricular Perichondritis -> Enda kune Urgent Care / ER nhasi kune antipseudomonal antibiotics (e.g., Ciprofloxacin)"]
    B -->|"Soft Lower Earlobe (Lobule) kana Surface Dermal Anchor ine yakadzikwa kutsigira kana kumberi stud"| E{"Uchiri kuona simbi shavishavi zvishwe kana kuti flat disc pamusoro peganda?"}
    E -->|"Kwete: Ganda rakavharira simbi (bundu rakaoma chete rinonzwika mukati melobe kana buri diki rekuchema)"| F["USADZWA kana kuchera nematinji / pliers kumba -> Enda kune Urgent Care kana Chiremba wevana pasina kurwadziwa Lidocaine numbing + 2-mm hemostat kutorwa"]
    E -->|"Hongu: Metal zvishwe zvinoonekwa mune isina kudzika crater yeakaomeswa goko uye kuzvimba kwakapfava"| G["Soak earlobe kwemaminetsi gumi nemashanu nekudziya sterile saline compress yekunyungudutsa crust + shandisa plain petroleum jelly."]
    G --> H["Gadzirisa posvo yepamberi neruoko rumwe + tsvedza shavishavi clutch yakananga kure nepositi (imwe yakapfava gumi-yechipiri kuedza chete)"]
    H --> I{"Iyo clutch yakatsvedza zvakanaka isina kubvaruka ganda?"}
    I -->|"Kwete: Yakakiyiwa zvakasimba mu post groove kana kuvigwa zvakadzika"| F
    I -->|"Hongu: Kutsigira kwakabviswa"| J{"Pane zviratidzo zvehutachiona hwehutachiona (pus, kupararira hutsvuku, kupisa) vs nyore mechini / nickel irritation?"}
    J -->|"Urwa, kupisa kunopisa, kana mitsetse yakatsvuka"| K["Ona chiremba wemuromo / wepamusoro mishonga inorwisa mabhakitiriya; bvunza usati wabvisa post zvachose kuti abscess ibude"]
    J -->|"Hunyoro hunyoro uye kujeka lymph fluid chete"| L["Tsiva chitubu cheshavishavi chakareba ne8-10 mm kudyara-giredhi Titanium (ASTM F136) flat-back labret post + chenesa 2x zuva nezuva nesaline isina utachiona."]

Nei misana yemhete yeshavishavi ichinyura munzeve (The Piercing Gun Trap)

Pamusoro pe90 muzana yenjodzi dzakamisikidzwa dzemhete dzinoonekwa munzvimbo dzevana dzekukurumidzira uye madhipatimendi ekukurumidzira anosanganisira iyo chaiyo hardware: a ** yakarodzwa stereki stud ine mapatya-mupumburu "butterfly clutch" inotsigira ** yakaiswa nechirimo-yakatakura mall kana pharmacy kuboora pfuti. Kunzwisisa kuti nei iyi Hardware ichitadza inotsanangura zvese nzira yekununura iyo earlobe uye nzira yekudzivirira kuti irege kuitika zvakare:

1. Fixed Short Post Length + The Locking Friction Groove

Matudhi epfuti akajairwa anogadzirwa ane pfupi, yakagadzika posvo kureba kwe 6.0 kusvika 6.5 millimeters (0.24 kusvika 0.26 inches) uye yakadzika denderedzwa notch yakachekwa pedyo neinongedzo yeposvo. Kana pfuti inobaya ichirira, inorovera shavishavi yakabatirira pamukoto iwoyo usina mhepo yekufema kuti nyama iwedzere. Kana buri renzeve richizvimba nemamilimita maviri kusvika mana nekuda kwekurwadziswa, kurara nedivi remusoro, kana kusanzwana nenickel mune goridhe-yakaputirwa kana simbi isina tsvina yakachipa, kuzvimba kwacho hakuna kwekuenda.

Kusiyana neakasimba flat-back labret disc inogovera kudzvanywa zvakaenzana, chinyakare shavishavi clutch ine mapapiro maviri akamonereka esimbi akakomberedzwa akatarisana ** nechomukati akananga kuganda rezeve**. Semabharumu enzeve ari kunze achitarisana neaya akamonereka simbi mipendero: - Mipendero yakasimba yesimbi inomanikidza kuyerera kweropa recapillary mumhete diki yeganda kuseri kwelobe, zvichikonzera localized pressure necrosis (kuputsika kweganda). - Kana imwe epidermis yekunze yanyura, iyo dermis yakazvimba inoputika ichitenderedza uye kuburikidza neakavhurika zvishwe zve butterfly inotsigira. - Husiku hwose, serous fluid (lymph) neropa zvinoyerera zvakatenderedza simbi zvishwe uye zvooma mudombo-rakaoma protein crust, ukuwo kuwedzera granulation tissue inokura nemaburi maviri e butterfly clutch, ichiivharira pasi peganda kunge rebar mukongiri.

Clinical Triage Table: Soft Earlobe Irritation vs. Embedded Backing vs. Upper-Ear Perichondritis

Shandisa iyi tafura yekuongorora kusiyanisa diki huturu kubva kune yakavigwa yekunze mutumbi kana chirwere chinoparadza cartilage:

Clinical Feature Nyore Mechanical / Nickel Irritation (Earlobe) Mhete Yakaiswa Kumashure kana Yemberi Stud (Earlobe) Acute Earlobe Abscess / Cellulitis (Lobule) Auricular Perichondritis / Chondritis (Upper Ear Cartilage)
**Anatomical Nzvimbo ** Yakapfava, ine nyama yezasi nzeve (lobule) Kumashure (posterior) kana kumberi (anterior) kwezasi kwenzeve Nzeve yakapfava, dzimwe nguva ichipararira yakananga padama/mutsipa Nzeve yekumusoro yakaomarara (helix, antihelix, tragus, conchal bowl); lobe rezasi rinogara riri pingi
**Kuonekwa kweEarring Hardware ** Front stud uye back clutch zvese zvinoonekwa pamusoro peganda, asi zvakaomesesa ** Rear butterfly clutch (kana kumberi diki dombo) ranyangarika pasi peganda rakazvimba **; inorarika sechipundu chakaoma pizi mukati melobe Hardware inogona kuoneka kana kuvigwa zvishoma mune yakagadzikana, inoshanduka homwe yeyero pus Hardware inogara mune yakazvimba, inopenya, dusky-red cartilage tishu
Kurwadziwa & Hunyoro Kurwadza kunyoro kana ukabatwa; itches kana inokonzerwa ne nickel allergy Yakapinza, kurwadza kunorwadza kana lobe yakasvinwa pamusoro pesimbi yakavigwa Kurwadza kurwadza, kupisa kusvika pakubata, kuzvimba kunyoro Kurwadza kwakanyanya, kurwadza kana rimu repamusoro kwenzeve richikwenya zvishoma kana kubhenda
**Mabhakitiriya Anonyanya Kukonzera ** Zvisina utachiona (kana maruva eganda repamusoro) Sekondari Staphylococcus epidermidis kana S. aureus yakavharirwa nesimbi * Staphylococcus aureus * (kusanganisira MRSA) kana Streptococcus pyogenes Pseudomonas aeruginosa (65-85% yezviitiko) kana Staphylococcus aureus
Yakarurama Emergency Action Saline inodziya inodziya soak + chinja kune refu implant-giredhi titanium post ** Kana yakavigwa zvachose: Kurumidza Kuchengeta Lidocaine block + 2-mm nick kubviswa ** (usambofa yakanyura nembambo) Urgent Care for abscess drainage + oral antistaphylococcal antibiotics Nekukurumidza Emergency/Kukurumidzira Kutarisirwa kwemuromo Ciprofloxacin (kana IV antipseudomonal therapy) + kubviswa kwehardware

Nhanho-ne-nhanho imba yekuburitsa protocol (CHETE kana simbi inotsigirwa ichiri kuoneka pamusoro)

Strict Safety Rule: Edza chete kubviswa pamba kana inenge hafu yesimbi butterfly clutch ichiri kuoneka zvakajeka pamusoro peganda uye dambudziko rinongove ganda rakaoma uye kupfava rim kuzvimba kwakabata clutch panzvimbo. Kana ganda rakura pamusoro pezvishwe zvesimbi kana kuti ukangoona kapini kadiki-diki pamusoro pebundu rakaomarara mukati melobe yenzeve, svetuka wakananga kuchikamu cheUrgent Care pazasi.

Danho 1: Gadzirira maoko ako, mwenje, uye sterile saline solution

  1. Itai kuti munhu wacho agare kana kurara pasi zvakanaka pamubhedha kana pasofa musoro wake wakatsikitsira pajira rakachena kuti asakwanise kuzununguka pakarepo.
  2. Geza maoko ako nesipo nemvura inodziya kwemasekonzi makumi maviri, wozopukuta nzwara dzako ne 70% isopropyl alcohol pad kana kupfeka magirovhosi ebvunzo enitrile akachena anoraswa.
  3. Gadzirira saline inodziya isina mvura: kana kudziisa kapu yakavharwa yeover-the-counter 0.9% Sterile Saline Wound Geza mundiro yemvura inodziya, kana kunyungudutsa *¼ teaspoon (1.25 mL) yemunyu chaiwo usina iodized mu240 mL (1 kapu) yemvura yakafashaidzwa uye yakatonhodzwa inodziya.

Nhanho yechipiri: Ita iyo 15-Minute Inodziya Saline Crust-Dissolving Compress

Usambodhonza mhete yakaoma, yakakoshwa kumashure. Yakaomeswa lymph fluid zvisungo kune bvudzi uye mbishi ganda nesimba re superglue. 1. Nyura gauze padhi rakapetwa risingaite kana donje padhi mune inodziya yesaline solution. 2. Bata pedhi rakanyorova, rinodziya zvinyoro nyoro nechekumberi nekuseri kwemboro yenzeve kwe10 kusvika 15 maminetsi anoramba achienderera mberi*, uchinyorovesazve nesaline inodziya maminetsi matatu ega ega kuti igare ichidziya. 3. Mushure memaminitsi gumi nemashanu, iyo yakaoma yero-brown crust inosimbisa butterfly zvishwe paganda inoshanduka yakapfava uye gelatinous. Zvinyoro pukuta goko rakapfava rakatenderedza mapapiro esimbi uchishandisa saline-yakanyoroveswa donje swab (Q-tip).

Nhanho 3: Zora iyo positi uye shandisa iyo "Two-Hand Counter-Traction Slide"

  1. Uchishandisa mushonga wedonje wakachena, dhaya donhwe guru resterile plain white petroleum jelly (Vaseline) kana mafuta anorwisa mabhakitiriya ari pamusoro-the-counter zvakananga padanda resimbi uye kumativi emupendero weshavishavi clutch kuitira kuti ganda nesimbi zvinyatsotsvedza.
  2. Gadzirisa Yekumberi Stud (Yakakosha Danho): Nechigunwe chako chisiri-chikuru nechigunwe, pinza uye bata musoro wekushongedza wemhete wakamira zvachose, uchiidhonzera 1 millimeter (0.04 inches) kumberi kuitira kuti clutch yekumashure isimudze zvishoma kubva mugomba reganda. ** Usambofa wakasundidzira kumashure usina kubata kumberi **, kana kuti uchatyaira dombo rekumberi rakananga kumberi kwenzeve.
  3. Sveerera Yakatwasuka Kumashure: Nezvigunwe zvechigunwe chako chikuru uye chigunwe che index (kana peya yedoro-yakaomeswa hemostats yakabata chete zambuko resimbi rinooneka rebhavire clutch, risingambobatiki ganda), dhonza bhavireta clutch yakatwasuka kumashure inoenderana netsamba kusvikira yavhara.
  4. Mutemo we "One Gentle Edza": Kana shavishavi clutch rikasadonha mukati memasekonzi gumi ekudzikamisa, zvinyoro-nyoro, kana kudhonza kunokonzera kurwadziwa kwakanyanya nekuti zambuko reganda rakura kuburikidza nezvishwe zveshavishavi, **mira ipapo ipapo **. Usadhonza nesimba.

Warning

Nei Mapuranga Epamba Nemawaya Zvisingakundike Uye Kukonzera Kukuvara: Mubereki paanoedza kudhonza shavishavi rakazvimba kubva muburi renzeve remwana rakazvimba achishandisa mapini ebhokisi rematurusi, pane zvinhu zvitatu zvinokanganisa: (1) ganda renzeve razvimba risingarware rinorwadza zvikuru, zvichiita kuti mwana atsemuke pamutsipa wake uye simbi yake irove; (2) shavishavi clutch yakakiyiwa mukati memechanicha notch padanda inoda anenge 2 kusvika 4 makirogiramu (4.5 kusvika 9 makirogiramu) yekuputsika simba, iro rinobvarura zambuko reganda rinokura kuburikidza nezvishwe zveshavishavi; uye (3) kudzvinya simbi yekumberi kunotyora dombo rekushongedza kubva pambiru, zvichiita kuti simbi inopinza yakatsemuka idzoke zvachose mukati mezamu renzeve rakazvimba umo pasina divi richaonekwa zvakare.

Chii chinoitika kuUrgent Care kana Dhipatimendi reEmergency (Nei usingafaniri kutya kushanya)

Vabereki nevakuru vanowanzononoka kuenda kuUrgent Care kune yakadzikwa mhete kumashure nekuti vanotya kuvhiyiwa kunorwadza kana kukanganisa chimiro. Muchokwadi, kubvisa mhete yakamedzwa kudzoka mukiriniki yeUrgent Care kana Dhipatimendi reEmergency kunotora ** isingasviki maminetsi gumi ** uye haina kurwadzisa zvachose ** kana yambonzwa:

  1. Topical Pre-Numumbing (Yevana): Makiriniki evana anokurumidza kukurumidza anoisa dab gobvu reREGA gel (Lidocaine-Epinephrine-Tetracaine) kana EMLA cream pamusoro pezamu renzeve kwemaminetsi makumi maviri kutanga kuitira kuti mwana asanzwe katsono kekuverera.
  2. 30-Second Local Lidocaine Infiltration (kana Greater Auricular Nerve Block): Murapi anochenesa nzeve neantiseptic (chlorhexidine kana povidone-iodine) uye anobaya 0.5 kusvika 1.0 milliliter ye1% buffered lidocaine yakananga mujinga re ultra-figa-insulin tsono. Mukati memasekonzi makumi matanhatu, mboro yese yave kuita chiveve nechikamu che100 muzana - murwere haanzwi kurwadziwa, kungodhonza zvinyoro-nyoro.
  3. Micro-Release uye Hemostat Extraction:
  4. Kana pakavhurika pamusoro pechavha cheshavishavi chakavigwa chichiri kamboro kadiki, chiremba anopinza matipi akanaka emushonga wakakombama Wakamiswa mosquito hemostat mupore, obata bata reshavishavi rakavigwa, orisunungura kubva paburiro uku achivhomora nhokwe yekumberi.
  5. Kana ganda rakanyatsopora pamusoro pezvipembenene zve butterfly, chiremba anoita diki ** 2-to-3-millimeter (0.08-to-0.12-inch) nick ** zvakananga pamusoro pesimbi yesimbi paHidden Back Side yezeve uchishandisa # 11 scalpel blade, inosimudza butterfly inotsigira kunze kwe5 seconds, uye flushesline.
  6. ** Hapana Stitches Inodiwa Kuseri kweLobe: ** Nekuti iyo 2-millimeter yekuburitsa nick iri kuseri kwezeve uye inoda kudonhedza chero yakavharirwa mvura kana mabhakitiriya, inogara yakasiiwa yakavhurika kuti iporese pasina stitches (kusiya chero chiratidzo chisingaoneki) uye inorapwa ne5-to-7-zuva kosi ye topical ** mupiroul* 2 kana ointcephalexin 2% present.

Special kuboora Emergency: Surface Dermal Anchors, Flat-Back Labrets, uye Split Earlobes

Hazvisi zvese zvekuboora zvekukurumidzira zvinosanganisira zvakajairwa earlobe butterfly studs. Heano maitiro ekugadzirisa mamwe matatu ane njodzi yekuboora matambudziko:

1. Yakatsemurwa kana Yakamisikidzwa Pamusoro peDermal Anchor (Kuboorwa kweMicrodermal)

A single-point dermal anchor (yakaiswa pacheekbone, collarbone, nape yemutsipa, chipfuva, kana wrist) haina gomba rekubuda kumashure: pachinzvimbo, tsoka yetitanium yakaita L ine maburi madiki inogara zvachose pasi pedermis saka collagen tissue inokura nemaburi kuti isimbise ganda padanda pamusoro penzvimbo. - Kana Dermal Pamusoro Inonyura Pasi Pakazvimba Ganda (Mushure mekunge Snag paTauro kana Shirt): Isa paki inotonhora yakaputirwa nemucheka mutete kwemaminetsi gumi (usambopisa, izvo zvinowedzera dermal kuzvimba) uye tora anti-inflammatory dose yeibuprofen kuderedza tishu kutenderedza dhisiki repamusoro. ** Usamboedza kubvisa dermal anchor kubva paganda rako kumba ** - nekuti ganda uye fibrous collagen yakakura kuburikidza netsoka ine perforated pazasi pedermis, kubvarura dermal anchor kunze nemapiresi anobvarura gombe rakakura paganda uye rinosiya mavanga zvachose kumeso kana chipfuva. Nyanzvi inoboora kana chiremba wekukurumidzira anogona kusunungura kumusoro kwakanyura kana kusunungura tsoka yekumisa zvakachena nekaburi kadiki diki.

2. Flat-Back Labret kana Threadless/Internal Threaded Barbell Yakamedzwa neCartilage Kuzvimba

Vanoboora muviri vemazuva ano vanoshandisa flat-back labret studs (apo dhisiki rakatsetseka rakamhara nechekuseri kwenzeve kana mukati memuromo) kwete misana yeshavishavi. - Zvisinei, kana shwashwa itsva, tragus, conch, kana kuboora muromo kukazvimba kupfuura kureba kwekutanga barbell shaft, iyo flat metal disc kumusana (kana bhora diki kumberi) rinogona kunyura mugomba rakaita soso muganda ("nesting" inoshanduka kuita yekumisikidza kwechokwadi). - Chiito Chekukurumidza: Shanyira munhu wako anoboora nyanzvi kana kuti Urgent Care kiriniki ganda risati ravhara pamusoro pedisiki rakati sandara kuti uchinje shaft pfupi ye6-millimeter kana 8-millimeter nerefu 10-millimeter kana 12-millimeter implant-giredhi titanium (ASTM F136) shaft to the acmolling.

3. Traumatic Split Earlobe (Mhete Yakabvamburwa Zvakakwana Nepazasi peLobe)

Kana mhete inorembera kana mhete yakarembera ikabata juzi, bhurasho rebvudzi, mambure emitambo, kana ruoko rwemwana uye kubvarura kusvika nekumucheto kwezasi kwenzeve, inoita ** yakazara cleft earlobe (bifid earlobe): - Maminitsi gumi nemashanu Ekutanga: Dhonza mativi ose emboro yenzeve iri kubuda ropa pamwe chete mukati megedhi rakapetwa risingabereki riine kudzvinyirirwa kweminwe yakasimba kwemaminetsi gumi kusvika gumi nemashanu kusvika kubuda ropa kwamira. - Nguva Yekugadzirisa Kuvhiya: Enda kuDhipatimendi Rekuchengetedza Nechimbichimbi kana Emergency Department mukati memaawa 12 kusvika 24 kuitira kuti ronda rigone kudiridzwa, kuongororwa kuti hapana zvimedu zvesimbi zvakasara, uye kuvandudzwa kuti zvidzivirire tetanus kana zvichidiwa. Ziva kuti vazhinji vanovhiya mapurasitiki epurasitiki uye otolaryngologists (ENTs) vanosarudza kurega mhino yakaputika kana utachiona yakabvaruka ichipora zvakachena kwe6 kusvika kumavhiki masere** isati yaita yakananga micro-kuvhiya Z-plasty kana L-plasty cleft earlobe reconstruction pasi peanesthesia yemo, iyo inobereka yakasimba zvakanyanya, yakachengeteka mwedzi mitatu isati yaonekwa uye isingaonekwe.

Tip

Nei Uchifanira Kuchinjira KuImplant-Giredhi Titanium (ASTM F136) Panzvimbo pe“Simbi Yekuvhiyiwa”: Vanhu vazhinji vanotenga mhete dzakanyorwa kuti “Hypoallergenic Surgical Stainless Steel” (senge 316L simbi) vachifungidzira kuti haina nickel. Muchokwadi, 316L yekuvhiya simbi isina tsvina ine ** 10% kusvika 14% nickel *, uye kunyange 14k goridhe alloys anowanzo aine nickel hardener anopinda mumaturakiti ekubaya uye anokonzeresa allergic contact dermatitis, kuzvimba, nekumisikidza. Kudzivirira mhete kubva pakuzvimba nekunyura zvakare, shandisa chete Implant-Giredhi Titanium (yakasimbiswa ASTM F136 kana ISO 5832-3), Implant-Giredhi Niobium, kana Nickel-Yemahara 14k/18k Goridhe Rakasimba ine *flat-kumashure yakadzorwa shinda isina tambo kana 10 mukat mamirimita kureba panguva yekuporesa.

Ngano dzine ngozi uye zvikanganiso zvekudzivirwa nekuboora utachiona kana kwakaiswa

  1. Usafe wakachenesa pakaboorwa neRubbing Alcohol (Isopropyl Alcohol), Hydrogen Peroxide, kana Tea Tree Oil: Zvose 70% yekukwesha doro uye 3% hydrogen peroxide i cytotoxic kune ichangobva kupatsanura fibroblasts dzevanhu nemakeratinocytes - zvinopisa mbishi mukati memugero wekuboora, kumedza nekukasira kwegero rekubaya, kumedza kumashure kweyero. akafa-sero crusts. Shandisa isina utachiona 0.9% yekugeza ronda resaline (uye mafuta anonyorerwa anotungamirwa nemishonga inorwisa mabhakitiriya kana abatwa).
  2. Usambofa waka "Twist or Rotate" a Healing Earring Stud Daily: Zano rechinyakare kubva kuzvitoro zvekuboora mall rinoudza vatengi kumonya mhete dzavo kaviri pazuva kuitira kuti ganda risanamire kusimbi. Ganda remunhu harigoni kusanganisa kune yakasimba titanium kana goridhe; kumonyorora chitubu chakaoma chinogaya goko rakaomeswa uye mabhakitiriya emunwe zvakananga kuburikidza neinopora epithelial chubhu, zvichikonzera kuzvimba kusingaperi uye kunyudzwa.
  3. Usafe Wasiya Bhavireshe Clutch Yasundidzira Nzira Yese Kurwisa Nzeve: Kana uchifanira kupfeka mhete yeshavishavi-kumashure, shavishavi clutch rinofanirwa kugara pamuromo chaipo pepositi ne **inooneka 1.5-kusvika-2-millimita (0.06-kusvika-0.08-inchrip yesimbi yekumashure uye simbi yekuseri kwemhepo) mvura yekugeza inogona kutenderera uye kuzvimba hakumbobata clutch.

Note

Kutora kosi yerubatsiro rwekutanga yakatenderwa kubva kuRed Cross, St John Ambulance, kana mupi wenharaunda wenharaunda anokudzidzisa maitiro ekudzora kubuda kwenyama yakapfava, kuziva zviratidzo zvekutanga zve cellulitis uye hutachiona hwematishu akadzika, uye kutarisira maronda evana zvakachengeteka.

Nhamba dzenharaunda dzechimbichimbi uye zvirongwa zveagency

Kana hutachiona hwenzeve huchiperekedzwa nefivha yakakura, kuparadzira chiso chinonzi cellulitis, kuzvimba kuseri kwenzeve pamusoro pemastoid bone (mastoiditis), kana kurwadziwa kwakanyanya kwepamusoro-nzeve cartilage (auricular perichondritis), tsvaga kurapwa nekukurumidza:

  • United States neCanada: Fonera 911 kuti uwane utachiona hwakanyanya, mhepo/anaphylactic reactions, kana kubuda ropa kusingadzoreki. Kuti uwane mhete yakakamirirwa kumashure kana fungidziro yekuti perichondritis, shanyira Urgent Care centre, Pediatric Urgent Care, kana Hospital Emergency Department. MuCanada, unogona zvakare kufonera 811 (HealthLink / Telehealth) ye24/7 akanyoreswa mukoti triage.
  • United Kingdom: Fonera 999 nekuda kwenjodzi dzinotyisa. Kune mhete yakadzikwa kumashure kana kuti tsvuku, yakazvimba shwashwa renzeve, fonera NHS 111 kana kufamba uchipinda munharaunda NHS Urgent Treatment Center (UTC) kana Minor Injuries Unit (MIU), uko vanamukoti nanachiremba vanogaroita zvekubvisa nzeve dzekutindivadza kunze-kubvisa muviri uye kurayira nemuromo mishonga inorwisa mabhakitiriya.
  • European Union: Fonera 112 kuti uwane rubatsiro rwechimbichimbi munyika dzese dziri nhengo dzeEU, kana shanyira chipatara chako chemuchipatara dhipatimendi rekukurumidzira (Urgences / Notaufnahme / Urgencias) kana pa-call imba yekurapa (Maison Médicale de Garde / Ärztlicher Bereitschaftsdienst1 pa **716).
  • Australia neNew Zealand: Fonera 000 (Australia) kana 111 (New Zealand) kuitira emergency. Kuti uwane chirwere chemhete kana nzeve, shanyira Medicare Urgent Care Clinic, GP procedural clinic yeko, kana dhipatimendi rekukurumidzira muchipatara, kana kufonera Healthdirect pa1800 022 222 (Australia) kana Healthline pa0800 611 116 (New Zealand).
  • India neAsia-Pacific: Fonera 112 muIndia, 119 muJapan neSouth Korea, kana 995 muSingapore, kana shanyirai ENT (Otolaryngology) varwere vekunze kana kiriniki yevakakuvara muchipatara. Ona dhairekitori redu repasi rose pa nhamba dze emergency.

Mibvunzo inowanzo bvunzwa

Ndingaziva sei kana mhete yemwana wangu yakamedzwa mukati mebepa renzeve kana kuti yakangovharwa nemhezi?

Geza maoko ako, vhenekera mwenje wefoni wakajeka wakananga kumashure kwezeve, uye zvinyoro nyoro nyorovesa nzvimbo yacho neinodziya isina simbi saline compress kwemaminetsi gumi kusvika gumi nemashanu kupfavisa chero yakaomeswa yero crust. Kana kupukuta ganda rakapfava rinoratidza zvishwe zviviri zvesimbi yeshavishavi rinotsigira rakagara pamusoro peganda, raingove ndere; zvisinei, kana ukaona ganda rakatsvedzerera rakazvimba riine kaburi kadiki uye uchinzwa bundu rakaomarara rakaenzana nepizi rakavigwa mukati melobe renzeve paunoridzvanya, tsigiro yakatama pasi peganda uye inoda kusingarwadzi Urgent Care kubviswa.

Vana chiremba veku Urgent Care vanowana sei mhete yakavharirwa kubva muburi renzeve remwana rakazvimba?

PaUrgent Care kana kuti Emergency Department, murapi anotanga azora ruomba uye obaya kadonhwe kadiki kekutindivadza (1% lidocaine) munzeve kuitira kuti mwana asanzwe kurwadziwa pasina mukati memasekonzi 60. Kana mboro yave kuita chiveve chose, chiremba anotsveta mahemostats asina utachiona muberere rekumashure kuti asunungure tsigiro yeshavishavi kana kuita kaburi kadiki kemamilimita maviri kuseri kwembozha kwenzeve kuti aburitse simbi inobuda mumasekonzi mashanu - kazhinji pasina anombosonwa.

Sei utachiona hwekuboora shwashwa panzeve huri nengozi zvakanyanya kudarika utachiona hwenguva dzose?

Kusiyana nerobe rezasi rakapfava, iro rine ropa rakawanda uye rinowanzobatwa nemabhakitiriya eganda akajairika, iyo yakaomarara yekumusoro nzeve shwashwa (helix, tragus, kana conch) inenge isina tsinga dzeropa dzakananga uye inogara ichibatwa nehutachiona hwemvura Pseudomonas aeruginosa. Mishonga inorwisa mabhakitiriya yeganda yakafanana necephalexin kana amoxicillin haiurayi Pseudomonas; pasina kurapwa nekukurumidza uchishandisa chaiyo antipseudomonal antibiotics (yakadai se ciprofloxacin), hutachiona hunogona kunyungudutsa shwashwa mukati memazuva uye kusiya zvachose "cauliflower nzeve" kuremara.

Ndinofanira kubvisa mhete kana kuboora kwangu kwatapukirwa, kana kuti kuibvisa kunoteya utachiona mukati?

Kana mhete kumashure yakabatanidzwa mumuviri pasi peganda, kana kuti hutachiona huri munzeve yepamusoro ye cartilage (auricular perichondritis), chiremba anofanira kubvisa hardware kuitira kuti irege kuita sekunze-muviri nidus kune mabhakitiriya. Kune utachiona hwakapfava, husina kuomesesa munzvimbo yakapfava yezasi kwenzeve uko mhete HASINA kubatirwa, chiremba anogona kuraira kutsiva bhavishavi clutch neakarebesa implant-giredhi titanium post uchitanga mishonga inorwisa mabhakitiriya kana yemuromo kuitira kuti turakiti rekuboora ribude zvakasununguka.

Ndinofanira kumirira kwenguva yakareba sei kuti ndiboorezve mhindo yenzeve mushure mekunge mhete yakavharirwa kumashure yabviswa?

Kana mhete yakavharirwa kumashure yabviswa, bvumira kuti chiuno chenzeve chipore zvachose kweinenge 6 kusvika mavhiki gumi nemaviri kusvika kutsvuka kwese, kupfava, uye mavanga emukati (diki bundu refibrous mukati melobe) rapfava uye ragadziriswa. Paunoboorazve, dzivisa pfuti dzinobaya mall nemisana yemashavishavi zvachose; pachinzvimbo, iva nenyanzvi inobaya tsono isina mhango uye isa 8-to-10-millimeter implant-giredhi titanium (ASTM F136) flat-back labret post.

Mazano anoenderana

Nzvimbo uye nhungamiro yepamutemo

  • American Academy of Pediatrics (AAP, United States) & Pediatrics in Ongororo: Kutarisira Embedded Earring Backs muPediatric Earlobe, Local Anesthesia Techniques, uye Differentiation yeLobular Cellulitis vs. Auricular Perichondritis.
  • American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS, United States): Clinical Practice Guidelines on Acute Otitis Externa, Auricular Perichondritis, Pseudomonas Cartilage Infections, uye Traumatic Split Earlobe Reconstruction.
  • National Health Service (NHS, United Kingdom): Nhungamiro yeClinical pamusoro peKuboora Kwakabatwa, Kubviswa kweJewellery kuKukurumidzira Kurapa Nzvimbo, uye Perichondritis Antibiotic Protocols.
  • Kubatanidzwa Kwevanyanzvi Vanoboora (APP, International): Minimum Standards yeZvishongo Zvekutanga Kuboora (ASTM F136 Implant-Grade Titanium), Post Length Allowances yekuzvimba, uye Sterile Saline Aftercare.
  • Centers for Disease Control and Prevention (CDC, United States): Kubuda kwePseudomonas aeruginosa Auricular Chondritis Yakabatana neUpper Ear Cartilage Piercing Pfuti uye Yakasvibiswa Aftercare Solutions.