Ukuhlinzwa kokutheleleka kwenxeba - ukwelashwa

Ukuhlinzwa okubandakanya ukusika (ukusikeka) esikhunjeni kungaholela ekutheleleni kwesilonda ngemuva kokuhlinzwa. Ukutheleleka okuningi kokulimala okuhlinzwa kuvela ezinsukwini ezingama-30 zokuqala ngemuva kokuhlinzwa.

Ukutheleleka kwamanxeba okuhlinzwa kungahle kukhiphe ubomvu kubo futhi kungaba bomvu, kubuhlungu noma kushise ukukuthinta. Ungaba nomkhuhlane futhi uzizwe ugula.

Amanxeba okuhlinzwa angangenwa yi:

• Amagciwane asevele asesikhunjeni sakho asakazekela enxebeni lokuhlinzwa
• Amagciwane angaphakathi komzimba wakho noma avela esithweni lapho ukuhlinzwa kwenziwa khona
• Amagciwane asendaweni ezungeze wena njengezinto zokuhlinza ezinegciwane noma ezandleni zomhlinzeki wezokunakekelwa kwempilo.

Usengozini yokutheleleka ngenxeba lokuhlinzwa uma:

• Unesifo sikashukela esilawulwa kabi
• Yiba nezinkinga ngamasosha akho omzimba
• Ukhuluphele ngokweqile noma ukhuluphele ngokweqile
• Uyabhema
• Thatha i-corticosteroids (ngokwesibonelo, i-prednisone)
• Yenza ukuhlinzwa okuhlala isikhathi eside kunamahora ama-2

Kunezigaba ezehlukene zezifo zesilonda:

• Phezulu - ukutheleleka kusendaweni yesikhumba kuphela
• Okujulile - ukutheleleka kuyajula kunesikhumba emisipheni nasesicutshini
• Umzimba / isikhala - ukutheleleka kujulile futhi kufaka phakathi isitho nendawo lapho wahlinzwa khona
  

Ama-antibiotic asetshenziselwa ukwelapha ukutheleleka okuningi kwesilonda. Kwesinye isikhathi, nawe ungadinga ukuhlinzwa ukwelapha ukutheleleka.

I-ANTIBIOTICS

Ungaqaliswa kuma-antibiotic ukwelapha ukutheleleka kwesilonda sokuhlinzwa. Ubude besikhathi ozodinga ukuthi uphuze ama-antibiotic buyahlukahluka, kepha ngokuvamile buzoba okungenani iviki elilodwa. Ungaqaliswa kuma-antibiotic e-IV bese ushintshelwa kumaphilisi ngokuhamba kwesikhathi. Thatha wonke ama-antibiotic akho, noma ngabe uzizwa ungcono.

Uma kukhona ukuphuma kwamanzi enxebeni lakho, kungahlolwa ukuthola i-antibiotic engcono kakhulu. Amanye amanxeba atheleleka nge-methaphillin-resistant Staphylococcus aureus (MRSA) engazweli kuma-antibiotic asetshenziswa kakhulu. Ukutheleleka kwe-MRSA kuzodinga i-antibiotic ethile ukuyelapha.

UKWELASHWA KOKUQHAWULA

Kwesinye isikhathi, udokotela wakho ohlinzayo udinga ukwenza inqubo yokuhlanza inxeba. Bangakunakekela lokhu egumbini lokuhlinzwa, egumbini lakho lasesibhedlela noma emtholampilo. Bazo:

• Vula isilonda ngokususa okuyisisekelo noma ama-sutures
• Vivinya ubomvu noma izicubu enxebeni ukuthola ukuthi ngabe kukhona yini ukutheleleka nokuthi hlobo luni lomuthi olwa namagciwane ongasebenza kahle kakhulu
• Khipha isilonda ngokususa izicubu ezifile noma ezinegciwane enxebeni
• Hlanza isilonda ngamanzi anosawoti (i-saline solution)
• Khipha iphakethe lobomvu (ithumba), uma likhona
• Phathisa isilonda ngezinto zokugqoka ezinosawoti kanye nebhandishi

UKUNAKEKELWA KWESILIMA

Isilonda sakho sokuhlinzwa singadinga ukuhlanzwa futhi ukugqoka kushintshwe njalo. Ungase ufunde ukukwenza lokhu ngokwakho, noma abahlengikazi bangakwenzela kona. Uma wenza lokhu ngokwakho, uzo:

• Susa ibhandishi elidala nokupakisha. Ungageza ukuze umanzise isilonda, esivumela ukuthi ibhandishi liphume kalula.
• Hlanza isilonda.
• Faka izinto ezintsha zokupakisha ezihlanzekile ufake ibhandishi elisha.

Ukusiza amanye amanxeba okuhlinzwa ukuba aphole, ungahle ube nokugqoka kwe-VAC (ukuvalwa okusizwa nge-vacuum). Kwandisa ukugeleza kwegazi enxebeni futhi kusiza ekwelapheni.

• Lokhu kungcindezi okungekuhle (ukugcoba) ukugqoka.
• Kunepompo yokuhlanza, kusike ucezu lwe-foam ukuze lilingane nesilonda, neshubhu le-vacuum.
• Ukugqoka okucacile kufakwa phezulu.
• Ingubo yokugqoka nengcezu yegwebu kuyashintshwa njalo ezinsukwini ezi-2 kuye kwezi-3.

Kungathatha izinsuku, amasonto, noma izinyanga ukuthi isilonda sihlanzeke, singabi nasifo bese sigcina sipholile.

Uma isilonda singavali sodwa, ungahle udinge ukuhlinzekelwa kwesikhumba noma ukuhlinzwa kwemisipha ukuvala isilonda. Uma kunesiphambano semisipha, udokotela ohlinzayo angathatha ucezu lwemisipha ezinqeni, ehlombe noma esifubeni ukuze abeke isilonda sakho. Uma udinga lokhu, udokotela ohlinzayo ngeke akwenze lokhu kuze kube ngemuva kokuba isifo sesisuliwe.

Uma ukutheleleka kwesilonda kungejule kakhulu futhi imbobo enxebeni incane, uzokwazi ukuzinakekela ekhaya.

Uma ukutheleleka kwesilonda kujulile noma kunembobo enkulu enxebeni, kungadingeka ukuthi uchithe okungenani izinsuku ezimbalwa esibhedlela. Ngemuva kwalokho, uzoba:

• Iya ekhaya ulandele udokotela wakho ohlinzayo. Abahlengikazi bangafika ekhaya lakho bezokusiza ngokunakekelwa.
• Iya esikhungweni sabahlengikazi.

Shayela umhlinzeki wakho uma isilonda sakho sokuhlinzwa sinezimpawu zokutheleleka:

• I-Pus noma i-drainage
• Iphunga elibi elivela esilondeni
• Imfiva, amakhaza
• Kuyashisa ukuthinta
• Ububomvu
• Ubuhlungu noma ubuhlungu bokuthinta

Ukutheleleka - isilonda sokuhlinzwa; Ukutheleleka kwendawo yokuhlinzwa - i-SSI

U-Espinosa JA, uSawyer R. Ukutheleleka kwendawo yokuhlinzwa. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 1337-1344.

I-Kulaylat MN, iDayton MT. Izinkinga zokuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 12.

I-Weiser MC, iMoucha CS. Ukuvimbela ukutheleleka kwendawo okuhlinzekwayo. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.