Kuyini Ukulimala Kwamanxeba futhi Kuyadingeka Nini?

-Delile

• Incazelo ye-Debridement
• Kudingeka nini ukukhishwa?
• Izinhlobo ze-Debridement
• Ukususwa komzimba
• Ukukhishwa kwe-Enzymatic
• Ukukhishwa kwe-Autolytic
• Ukukhishwa kwemishini
• Ukwehliswa okubukhali okubukhali nokuhlinza okubukhali
• Ukudilizwa kwamazinyo
• Yini ongayilindela kwinqubo
• Ingabe ukukhipha isisu kubuhlungu?
• Ukunakekelwa kwesilonda se-Debridement
• Ukululama ekuhlinzweni kokukhishwa emanzini
• Izinkinga zokwehliswa
• Ukubonana nodokotela nini
• Ukuthatha

Incazelo ye-Debridement

Ukuphazamiseka kungukususwa kwezicubu zesikhumba ezifile (i-necrotic) noma ezinegciwane ukusiza ukulimala kwesilonda. Kuyenziwa futhi ukususa izinto zangaphandle ezicutshini.

Inqubo ibalulekile emanxebeni angabi ngcono. Imvamisa, la manxeba abhajwe esigabeni sokuqala sokuphola. Lapho kususwa izicubu ezimbi, isilonda singaqala kabusha inqubo yokuphola.

Ukulinyazwa kwesilonda kunga:

• siza izicubu ezinempilo zikhule
• ukunciphisa izibazi
• ukunciphisa izinkinga zokutheleleka

Kudingeka nini ukukhishwa?

Ukudilizwa akudingeki kuwo wonke amanxeba.

Imvamisa, isetshenziselwa amanxeba amadala angapholi kahle. Iphinde isetshenziselwe izilonda ezingapheli ezithelelekile futhi ziba zimbi kakhulu.

Ukudilizwa kubuye kudingeke uma usengozini yokuthola izinkinga ekungenweni yizilonda.

Kwezinye izimo, izilonda ezintsha nezinzima zingadinga ukususwa.

Izinhlobo ze-Debridement

Uhlobo oluhle kakhulu lokususwa emzimbeni kuncike kokulandelayo:

• isilonda
• ubudala
• impilo yonke
• ingozi yezinkinga

Imvamisa, isilonda sakho sizodinga ukuhlanganiswa kwezindlela ezilandelayo.

Ukususwa komzimba

Ukwehliswa kwezinto eziphilayo kusebenza izimpethu eziyinyumba ezivela kohlobo Lucilia sericata, impukane yebhodlela eluhlaza evamile. Le nqubo ibizwa nangokuthi ukwelashwa kwesibungu, ukwelashwa kwezibungu, kanye ne-biosurgery.

Izimpethu zisiza ukulashwa ngokudla izicubu ezindala. Zilawula nokutheleleka ngokukhipha izinto ezilwa namagciwane nokudla amagciwane ayingozi.

Izimpethu zibekwa enxebeni noma esikhwameni esinama-mesh, esigcinwa sigqokwa ngendlela. Zishiywa amahora angama-24 kuya kwangu-72 bese zishintshwa kabili ngesonto.

Ukwehliswa kwezinto eziphilayo kungcono kakhulu kwamanxeba amakhulu noma atheleleke ngamagciwane amelana nemithi elwa namagciwane, njenge-MRSA. Kuyasetshenziswa futhi uma ungakwazi ukuhlinzwa ngenxa yezimo zezempilo.

Ukukhishwa kwe-Enzymatic

Ukwehliswa kwe-enzymatic, noma ukwehliswa kwamakhemikhali, kusebenzisa amafutha noma i-gel enama-enzyme athambise izicubu ezingenampilo. Ama-enzyme angavela esilwaneni, esitshalweni, noma kubhaktheriya.

Umuthi usetshenziswa kanye noma kabili ngosuku. Isilonda simbozwe ngokugqoka, okushintshwa njalo. Ukugqoka kuzosusa izicubu ezifile lapho zisusiwe.

Ukukhishwa kwe-enzymatic kuhle uma unezinkinga zokopha noma ubungozi obukhulu bezinkinga zokuhlinzwa.

Akunconyelwa amanxeba amakhulu futhi atheleleke kakhulu.

Ukukhishwa kwe-Autolytic

Ukuncipha kwe-Autolytic kusebenzisa ama-enzyme omzimba wakho noketshezi lwemvelo ukuthambisa izicubu ezimbi. Lokhu kwenziwa ngengubo egcina umswakama eguqulwa njalo kanye ngosuku.

Lapho kunqwabelana umswakama, izicubu ezindala ziyavuvuka zihlukane nenxeba.

Ukuncipha kwe-Autolytic kungcono kakhulu kwamanxeba angenagciwane nezilonda zengcindezi.

Uma unesilonda esinegciwane eselaphwayo, ungathola ukukhishwa kwe-autolytic ngolunye uhlobo lokuncipha.

Ukukhishwa kwemishini

Ukukhishwa kwemishini uhlobo oluvame kakhulu lokususwa kwenxeba. Isusa izicubu ezingenampilo ngamandla ahambayo.

Izinhlobo zokwehliswa kwemishini zifaka:

• I-Hydrotherapy. Le ndlela isebenzisa amanzi agobhozayo ukugeza izicubu ezindala. Kungabandakanya ukugeza kwe-whirlpool, ukwelashwa kweshawa, noma isirinji kanye nethubhu ye-catheter.
• Ukugqoka okumanzi. I-gauze emanzi isetshenziswa enxebeni. Ngemuva kokuthi yomile futhi inamathele enxebeni, isuswe ngokomzimba, esusa izicubu ezifile.
• Amaphakethe wokukhishwa kwe-Monofilament. Iphedi ye-polyester ethambile ibhulashiwe ngokunensa enxebeni. Lokhu kususa imfucumfucu emibi nenxeba.

Ukwehliswa kwemishini kufanele amanxeba angenagciwane futhi athelelekile.

Ukwehliswa okubukhali okubukhali nokuhlinza okubukhali

Ukwehliswa okucijile kususa izicubu ezingenampilo ngokukusika.

Ukwehliswa okucijile kwe-Conservative kusebenzisa ama-scalpels, ama-curettes, noma isikele. Ukusikeka akunwebeli izicubu ezinempilo ezizungezile. Njengokuhlinzwa okuncane kombhede, kungenziwa ngudokotela womndeni, umhlengikazi, udokotela wesikhumba, noma udokotela wezinyawo.

Ukwehliswa okucijile okuhlinzwa kusebenzisa amathuluzi okuhlinza Ukusikeka kungafaka izicubu ezinempilo ezungeze isilonda. Kwenziwa ngudokotela ohlinzayo futhi kudinga i-anesthesia.

Imvamisa, ukwehliswa okucijile akuyona inketho yokuqala. Kuvame ukwenziwa uma enye indlela yokususa ukungasebenzi ingasebenzi noma uma udinga ukwelashwa okuphuthumayo.

Ukukhishwa kwe-debridement ebukhali nakho kusetshenziselwa amanxeba amakhulu, ajulile, noma abuhlungu kakhulu.

Ukudilizwa kwamazinyo

Ukwehliswa kwamazinyo kuyinqubo esusa i-tartar ne-plaque buildup emazinyweni akho. Kuyaziwa nangokuthi ukukhishwa komlomo okugcwele.

Inqubo iyasiza uma ungazange ube nokuhlanzwa kwamazinyo iminyaka eminingana.

Ngokungafani nokukhishwa kwesilonda, ukukhishwa kwamazinyo akususi noma yiziphi izicubu.

Yini ongayilindela kwinqubo

Ngaphambi kokuthola ukukhishwa kwesilonda, ukulungiselela kuncike ku:

• isilonda
• izimo zezempilo
• uhlobo lokususwa

Ukulungiselela kungafaka:

• ukuhlolwa ngokomzimba
• ukulinganisa kwesilonda
• imithi yezinhlungu (ukukhishwa kwemishini)
• i-anesthesia yendawo noma ejwayelekile (ukususwa okucijile)

Uma uthola i-anesthesia ejwayelekile, kuzodingeka uhlele ukugibela ekhaya. Kuzofanele futhi ukuthi uzile ukudla isikhathi esithile ngaphambi kwenqubo yakho.

Ukukhishwa kwe-nonsurgical kwenziwa ehhovisi likadokotela noma egumbini lesiguli. Uchwepheshe wezokwelapha uzosebenzisa le ndlela yokwelashwa, ephindaphindwa amasonto amabili kuya kwayisithupha noma ngaphezulu.

Ukukhishwa kwe-Sharp okusheshayo kuyashesha. Ngesikhathi kwenziwa le nqubo, udokotela ohlinzayo usebenzisa izinsimbi zensimbi ukuhlola isilonda. Udokotela ohlinzayo usika izicubu ezindala futhi ugeza isilonda. Uma uthola ukuhlanganiswa kwesikhumba, udokotela ohlinzayo uzokubeka endaweni.

Imvamisa, ukukhishwa kwesikhumba kuyaphindwa kuze kuphole isilonda. Ngokuya ngesilonda sakho, inqubo yakho elandelayo ingaba yindlela ehlukile.

Ingabe ukukhipha isisu kubuhlungu?

Ukwehliswa komzimba kwe-biological, enzymatic, ne-autolytic kuvame ukudala ubuhlungu obuncane, uma bukhona.

Ukwehliswa kwemishini nokubukhali kungaba buhlungu.

Uma uthola ukukhishwa kwemishini, ungathola imithi yezinhlungu.

Uma uthola ukwehliswa okucijile, uzothola i-anesthesia yendawo noma ejwayelekile. I-anesthesia yendawo izonqena isilonda. I-anesthesia ejwayelekile izokwenza ulale, ngakho-ke ngeke uzwe lutho.

Kwesinye isikhathi kungalimaza lapho ukugqoka kuguqulwa. Buza udokotela wakho ngemithi yezinhlungu nangezinye izindlela zokuphatha izinhlungu.

Ukunakekelwa kwesilonda se-Debridement

Kubalulekile ukunakekela isilonda sakho. Lokhu kuzoyisiza ukuthi yelaphe futhi inciphise ubungozi bezinkinga.

Nakhu ongakwenza ukuvikela isilonda sakho ngesikhathi sokuphulukiswa:

• Shintsha ukugqoka njalo. Shintsha nsuku zonke noma ngokwemiyalo kadokotela wakho.
• Gcina ukugqoka kumile. Gwema amachibi okubhukuda, izindawo zokugeza namabhavu ashisayo. Buza udokotela wakho lapho ungageza khona.
• Gcina inxeba lihlanzekile. Hlanza izandla zakho njalo ngaphambi nangemva kokuthinta isilonda sakho.
• Ungasebenzisi ingcindezi. Sebenzisa amakhushini akhethekile ukugwema ukubeka isisindo enxebeni lakho. Uma isilonda sakho sisemlenzeni noma onyaweni lwakho, ungahle udinge izinduku.

Udokotela wakho uzokunikeza imiyalo ethile yokuthi ungasinakekela kanjani isilonda sakho.

Ukululama ekuhlinzweni kokukhishwa emanzini

Ngokuvamile, ukululama kuthatha amasonto ayisithupha kuye kwayi-12.

Ukululama okuphelele kuya ngobukhulu, usayizi, nendawo yesilonda. Kuya futhi ngendlela yokwehliswa.

Udokotela wakho uzonquma ukuthi ungabuyela nini emsebenzini. Uma umsebenzi wakho ubanzima ngokomzimba noma uhilela indawo ethintekile, qiniseka ukuthi utshela udokotela wakho.

Ukunakekelwa okufanele kwesilonda kubalulekile ukuze umuntu alulame kahle. Kufanele futhi:

• Yidla uphilile. Umzimba wakho udinga izakhamzimba ezanele ukuze welaphe.
• Gwema ukubhema. Ukubhema kwenza kube nzima ukuthi izakhi zomzimba nama-oxygen zifinyelele esilondeni sakho. Lokhu kubambezela ukuphulukiswa. Ukubhema kungaba nzima, kepha udokotela angakusiza ukuthi udale uhlelo lokuyeka ukubhema olulungele wena.
• Iya kuma-aphoyintimenti wokulandelela. Udokotela wakho kudingeka ahlole isilonda sakho futhi aqiniseke ukuthi siphola kahle.

Izinkinga zokwehliswa

Njengazo zonke izinqubo zokwelashwa, ukukhishwa emanzini kusengozini yezinkinga.

Lokhu kufaka phakathi:

• ukucasuka
• ukopha
• ukulimala kwezicubu ezinempilo
• ukusabela okweqile
• ubuhlungu
• ukutheleleka kwamagciwane

Ngaphandle kwale miphumela engemihle engaba khona, izinzuzo zivame ukudlula izingozi. Amanxeba amaningi awakwazi ukuphola ngaphandle kokususwa.

Ukubonana nodokotela nini

Nakani isilonda sakho. Uma usola ukuthi unesifo, xhumana nodokotela wakho.

Izimpawu zokutheleleka zifaka:

• ukwanda kobuhlungu
• ububomvu
• ukuvuvukala
• ukopha ngokweqile
• ukukhishwa okusha
• iphunga elibi
• imfiva
• Ukugodola
• isicanucanu
• ukuhlanza

Uma uthole i-anesthesia ejwayelekile, funa usizo lwezokwelapha uma une:

• ukukhwehlela
• ukuphefumula kanzima
• ubuhlungu besifuba
• isicanucanu esinzima
• ukuhlanza

Ukuthatha

Uma isilonda sakho singabi ngcono, ungahle udinge ukukhishwa emanzini. Inqubo isiza ukuphola kwamanxeba ngokususa izicubu ezifile noma ezinegciwane.

Ukudilizwa kungenziwa ngezimpethu ezibukhoma, ukugqoka okukhethekile, noma amafutha okuthambisa izicubu. Izicubu ezindala nazo zingasikwa noma zisuswe ngamandla womshini, njengamanzi asebenzayo.

Uhlobo oluhle kakhulu lokususwa emzimbeni kuncike esilondeni sakho. Imvamisa izindlela eziningi zisetshenziswa ndawonye.

Ukululama kuthatha amasonto ayisithupha kuye kwayi-12. Ukuzijwayeza ukunakekelwa kwesilonda okuhle kuzosiza isilonda sakho sipholise kahle. Shayela udokotela wakho uma unezinhlungu ezandayo, ukuvuvukala, noma ezinye izimpawu ezintsha ngesikhathi sokululama.