Kuyini ukususwa, kuyini futhi ngamasu aphambili

-Delile

• Yenzelwe ini
• Izinhlobo eziyinhloko zokususwa
• Kwenziwa kanjani
• Izinkinga ezingenzeka

Ukudilizwa, okungaziwa nangokuthi ukususwa komzimba, inqubo eyenziwayo ukususa izicubu ezine-necrotic, ezifile nezithelelekile emanxebeni, kuthuthukisa ukwelashwa nokuvimbela ukutheleleka ukuthi kusabalale kuze kufike kwezinye izingxenye zomzimba. Kungenziwa futhi ukukhipha izinto zangaphandle ngaphakathi kwesilonda, njengezicucu zengilazi, isibonelo.

Inqubo yenziwa ngudokotela, udokotela ojwayelekile noma imithambo yegumbi, egumbini lokuhlinza noma ngumhlengikazi oqeqeshiwe, emtholampilo wabangalalayo noma emtholampilo futhi izinhlobo ezihlukile zingakhonjiswa, kuya ngezimpawu zesilonda nezimo zempilo yomuntu.

Yenzelwe ini

Ukudilizwa yinqubo ebaluleke kakhulu yokwelapha isilonda ngezicubu ezine-necrotic futhi ezinegciwane, njengoba ukususwa kwalesi sicubu esifile kuthuthukisa ukwelashwa, kunciphisa uketshezi, njenge-exudate, kunciphisa ukusebenza kwama-microorganism futhi kuthuthukise ukumuncwa kwamafutha ngama-antibiotic.

Ukwehliswa kokuhlinzwa, ngokwesibonelo, kusetshenziswa kakhulu ezimweni zabantu abanamanxeba ezinyawo zikashukela, njengoba le nqubo inciphisa ukuvuvukala futhi ikhiphe izinto ezisiza ukukhula kwezicubu ezinempilo ngaphakathi kwesilonda. Funda ukuthi unakekelwa kanjani futhi uphathwe kanjani amanxeba ezinyawo zikashukela.

Izinhlobo eziyinhloko zokususwa

Kunezinhlobo ezahlukahlukene zokwehliswa emzimbeni okukhonjiswa ngudokotela ngokuya ngezici zesilonda njengosayizi, ukujula, indawo, inani lemfihlo nokuthi unegciwane noma cha, futhi kungaba:

• Okuzenzakalelayo: kwenziwa ngumzimba uqobo lwawo ngendlela engokwemvelo, ngezinqubo ezifana nokuphulukiswa, ezikhuthazwa ngamaseli wokuvikela, ama-leukocyte. Ukwenza ngcono imiphumela yalolu hlobo lokuncipha, kuyadingeka ukugcina isilonda simanzi ngosawoti nokugqokwa nge-hydrogel, ama-fatty acids (AGE) ne-calcium alginate;
• Ukuhlinzwa: iqukethe ukuhlinzwa ukususa izicubu ezifile enxebeni futhi kwenziwa ezimweni lapho amanxeba emakhulu khona. Le nqubo ingenziwa kuphela ngudokotela, esikhungweni sokuhlinzwa, ngaphansi kwe-anesthesia yendawo noma ejwayelekile;
• Okokusebenza: kungenziwa ngumhlengikazi oqeqeshiwe, egumbini lokugqoka, futhi kusekelwe ekususweni kwezicubu ezifile nesikhumba esinegciwane ngosizo lwe-scalpel kanye nodlawana. Ngokuvamile, kufanele kwenziwe izikhathi eziningana ukususwa kancane kancane kwezicubu ze-necrotic futhi akubangeli ubuhlungu, njengoba lesi sicubu esifile singenawo amaseli aholela ekuzweleni kobuhlungu;
• Enzymatic noma amakhemikhali: iqukethe ukusetshenziswa kwezinto, njengamafutha okugcoba, ngqo enxebeni ukuze kususwe izicubu ezifile. Ezinye zalezi zinto zinama-enzyme aqeda i-necrosis, njenge-collagenase ne-fibrinolysins;
• Umakhenikha: kuhilela ukususwa kwezicubu ezifile ngokungqubuzana nokunisela nge-saline; noma kunjalo, ayisetshenziswa kabanzi ngoba idinga ukunakekelwa okuthile ukuze ukopha kungenzeki enxebeni.

Ngaphezu kwalokho, kunendlela esetshenziswa ebizwa ngokuthi yi-biological debridement esebenzisa izibungu eziyinyumba zohlobo Lucilia sericata, wempukane evamile eluhlaza, ukudla izicubu ezifile namagciwane asesilondeni, ukulawula ukutheleleka nokwenza ngcono ukuphulukiswa. Izibungu zibekwa enxebeni ngokugqoka okumele kushintshwe kabili ngesonto.

Kwenziwa kanjani

Ngaphambi kokwenza le nqubo, udokotela noma umhlengikazi uzohlola isilonda, abheke ubukhulu bezindawo ze-necrosis futhi abuye ahlaziye nezimo zezempilo ngokujwayelekile, njengoba abantu abanezinkinga ezijiyisayo, njenge-idiopathic thrombocytopenic purpura, bangaba nobunzima bokuphola, ngaphezu kwalokho ukuba nengozi ephezulu yokopha ngesikhathi sokukhishwa emzimbeni.

Indawo nobude benqubo buxhomeke kunqubo yokukhipha isisu okufanele isetshenziswe, engenziwa esikhungweni sokuhlinza esibhedlela noma emtholampilo wabangalalwayo onegumbi lokugqoka. Ngakho-ke, ngaphambi kwenqubo, udokotela noma umhlengikazi uzochaza inqubo ezokwenziwa futhi enze izincomo ezithile, okufanele zilandelwe njengokuyalelwa.

Ngemuva kwenqubo, kuyadingeka ukuthatha izinyathelo ezithile njengokugcina ukugqoka kuhlanzekile futhi komile, ukugwema ukubhukuda echibini noma olwandle futhi ungasebenzisi ingcindezi endaweni yesilonda.

Izinkinga ezingenzeka

Izinkinga ezivame kakhulu zokwehliswa kwegazi kungaba ukuphuma kwegazi enxebeni, ukucasuka kwesikhumba esizungezile, ubuhlungu ngemuva kwenqubo kanye nokusabela okweqile kwemikhiqizo esetshenzisiwe, noma kunjalo, izinzuzo zikhulu futhi kufanele zibhekwe njengezihamba phambili, ngoba kwezinye izimo, isilonda asipholi ngaphandle kokukhishwa.

Noma kunjalo, uma izimpawu ezinjengomkhuhlane, ukuvuvukala, ukopha nobuhlungu obunzima buvela ngemuva kokukhishwa komzimba, kuyadingeka ukuthi ufune usizo lwezokwelapha ngokushesha ukuze kunconywe ukwelashwa okufanele kakhulu.