Izikhungo zokunakekelwa kwamanxeba

-Delile

• Ukuhlanjululwa
• Ukwelashwa Kwe-Oxygen Hyperbaric
• Okunye Ukwelashwa

Isikhungo sokunakekela izilonda, noma umtholampilo, siyisikhungo sezokwelapha eselapha amanxeba angapholi. Ungaba nesilonda esingapholi uma:

• Akaqalanga ukuphola emavikini ama-2
• Ayikalulami ngokuphelele emavikini ayisithupha

Izinhlobo ezijwayelekile zamanxeba angapholi afaka:

• Izilonda zengcindezi
• Amanxeba okuhlinzwa
• Izilonda zemisebe
• Izilonda ezinyaweni ngenxa yesifo sikashukela, ukungahambi kahle kwegazi, ukutheleleka okungapheli kwamathambo (i-osteomyelitis), noma imilenze evuvukele

Amanxeba athile kungenzeka angapholi kahle ngenxa:

• Isifo sikashukela
• Ukusakazwa kabi
• Ukulimala kwemizwa
• Ukutheleleka kwamathambo
• Ukungasebenzi noma ukunganyakazi
• Amasosha omzimba abuthakathaka
• Ukungondleki kahle
• Ukuphuza ngokweqile
• Ukubhema

Amanxeba angapholi angathatha izinyanga ukuphola. Amanye amanxeba awapholi ngokuphelele.

Uma uya emtholampilo wezilonda, uyosebenza nethimba labahlinzeki bezempilo abaqeqeshelwe ukunakekelwa kwamanxeba. Ithimba lakho lingafaka:

• Odokotela abengamele ukunakekelwa kwakho
• Abahlengikazi abahlanza futhi bagqoke isilonda sakho futhi bakufundise ukuthi kufanele ulinakekele kanjani ekhaya
• Abelaphi bomzimba abasiza ngokunakekelwa kwesilonda futhi basebenze nawe ukukusiza ukuthi uhlale umakhalekhukhwini

Abahlinzeki bakho bazogcina udokotela wakho wokunakekela oyinhloko esesikhathini ngenqubekela phambili nokwelashwa kwakho.

Ithimba lakho lokunakekela izilonda lizo:

• Hlola futhi ulinganise isilonda sakho
• Hlola ukugeleza kwegazi endaweni ezungeze isilonda
• Thola ukuthi kungani kungaphulukisi
• Dala uhlelo lokwelashwa

Izinhloso zokwelashwa zifaka:

• Ukwelapha isilonda
• Ukuvimbela isilonda ukuthi singabi sibi noma sitheleleke
• Ukuvimbela ukulahleka kwezitho zomzimba
• Ukuvimbela amanxeba amasha ukuthi angaveli noma amanxeba amadala angabuyi
• Kukusiza ukuthi uhlale umakhalekhukhwini

Ukuze welaphe isilonda sakho, umhlinzeki wakho uzosikhipha isilonda bese egqoka. Ungaba nezinye izinhlobo zokwelashwa ukukusiza ukuthi yelapheke.

Ukuhlanjululwa

Ukudilizwa yinqubo yokususa isikhumba esifile nezicubu. Lesi sicubu kufanele sisuswe ukusiza ukuphola kwesilonda sakho. Kunezindlela eziningi zokwenza lokhu. Ungadinga ukuthi ube ne-anesthesia ejwayelekile (ilele futhi ayinazinhlungu) yokwehliswa kwesilonda esikhulu.

Ukwehliswa kokuhlinzwa kusebenzisa isikela, isikele, noma amanye amathuluzi abukhali. Ngesikhathi senqubo, udokotela wakho uzo:

• Hlanza isikhumba esizungeze isilonda
• Hlola isilonda ukuze ubone ukuthi sijule kangakanani
• Sika izicubu ezifile
• Hlanza isilonda

Isilonda sakho singahle sibonakale sikhulu futhi sijule ngemuva kokuncipha. Indawo izobomvu noma ibomvana ngombala futhi ibukeke njengenyama entsha.

Ezinye izindlela zokususa izicubu ezifile noma ezinegciwane yilezi:

• Hlala noma ubeke isitho sakho kubhavu lwe-whirlpool.
• Sebenzisa isirinji ukugeza izicubu ezifile.
• Faka okokugqoka okumanzi nokoma endaweni. Kusetshenziswa okokugqoka okumanzi enxebeni bese kuvunyelwa ukuba kome. Njengoba isoma, imunca ezinye zezicubu ezifile. Ukugqoka kumanzi futhi bese kukhishwa ngobumnene kanye nezicubu ezifile.
• Faka amakhemikhali akhethekile, abizwa ngokuthi ama-enzyme, esilondeni sakho. Lezi zincibilikisa izicubu ezifile enxebeni.

Ngemuva kokuthi isilonda sihlanzekile, udokotela wakho uzofaka okokugqoka ukugcina inxeba limanzi, okukhuthaza ukuphola, nokusiza ukuvikela ukutheleleka. Kunezinhlobo eziningi zokugqoka, kufaka phakathi:

• AmaGels
• Amagwebu
• Gauze
• Amafilimu

Umhlinzeki wakho angasebenzisa uhlobo olulodwa noma oluningi lokugqoka njengoba isilonda sakho siphola.

Ukwelashwa Kwe-Oxygen Hyperbaric

Ngokuya ngohlobo lwesilonda, udokotela wakho angancoma ukwelashwa kwe-oksijeni ye-hyperbaric. Oxygen ibalulekile ekwelapheni.

Ngesikhathi salokhu kwelashwa, uhlala ngaphakathi kwegumbi elikhethekile. Ingcindezi yomoya ngaphakathi kwegumbi icishe iphindwe kabili nengxenye enkulu kunengcindezi ejwayelekile esemoyeni. Le ngcindezi isiza igazi lakho lithwale umoya-mpilo omningi uye ezithweni nakumathishu emzimbeni wakho. Ukwelashwa kwe-oksijeni ye-Hyperbaric kungasiza amanye amanxeba ukuthi aphole ngokushesha.

Okunye Ukwelashwa

Abahlinzeki bakho bangancoma ezinye izinhlobo zokwelashwa, kufaka phakathi:

• Ukucindezela amasokisi- amasokisi aminyanisa noma ukugoqa okuthuthukisa ukugeleza kwegazi nokusiza ekuphulukisweni.
• I-Ultrasound - usebenzisa amaza omsindo ukusiza ukuphulukiswa.
• Isikhumba sokufakelwa - "isikhumba somgunyathi" esimboza isilonda izinsuku eziningi ngesikhathi sisaphola.
• Ukwelashwa kwengcindezi okungekuhle - ukudonsa umoya ekugqokeni okuvaliwe, kwakha isikhala. Ingcindezi engemihle ithuthukisa ukugeleza kwegazi futhi ikhiphe uketshezi oluningi.
• Ukwelashwa kwesici sokukhula - izinto ezikhiqizwa ngumzimba ezisiza amangqamuzana aphulukisa amanxeba ukuba akhule.

Uzothola ukwelashwa esikhungweni sezilonda masonto onke noma kaningi, kuya ngohlelo lwakho lokwelashwa.

Abahlinzeki bakho bazokunikeza imiyalo ngokunakekela isilonda sakho ekhaya phakathi kokuvakasha. Ngokuya ngezidingo zakho, ungathola futhi usizo nge:

• Ukudla okunempilo, ngakho uthola izakhamzimba ozidingayo ukuze welaphe
• Ukunakekelwa yisifo sikashukela
• Ukuyeka ukubhema
• Ukuphathwa kobuhlungu
• Ukwelashwa ngokomzimba

Kufanele ushayele udokotela wakho uma ubona izimpawu zokutheleleka, njenge:

• Ububomvu
• Ukuvuvukala
• Umfutho noma ukopha enxebeni
• Ubuhlungu obuya buba bubi kakhulu
• Imfiva
• Amakhaza

Ingcindezi yesilonda - isikhungo sokunakekelwa kwesilonda; I-Decubitus ulcer - isikhungo sokunakekelwa kwesilonda; Isilonda sikashukela - isikhungo sokunakekela isilonda; Isilonda sokuhlinzwa - isikhungo sezilonda; Ischemic ulcer - isikhungo sezilonda

de Leon J, Bohn GA, DiDomenico L, et al. Izikhungo zokunakekelwa kwamanxeba: amasu okucabanga abucayi nokwelashwa kwamanxeba. Amanxeba. 2016; 28 (10): S1-S23. I-PMID: 28682298 pubmed.ncbi.nlm.nih.gov/28682298/.

UMarston WA. Ukunakekelwa kwesilonda. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 115.

• Izikhungo Zezempilo
• Amanxeba nokulimala