Ama-Maggots adla ngaphezu kokudla okubolile kuphela. Badla izicubu ezifile, futhi.
Iningi labantu lingacabanga kuphela kuma-dumpsters. Kodwa-ke, ukwelashwa kwe-maggot ukukwenyuka kwamagciwane kukhula ekuthandweni njengendlela ephephile futhi ephumelelayo yokukhipha izicubu ezifile futhi kukhuthaze ukukhula kwe-granulation enempilo noma izicubu ezinzima.
I-Maggot Therapy Debridement Ichazwe
Ukwehlukaniswa okulimazayo kuyinkqubo lapho udokotela esusa khona izicubu ze-necrotic noma ezifile kusukela enxebeni, futhi ngaleyo ndlela uveza isisekelo senxeba ehlanzekile.
Ukwehlukaniswa okulimazayo kungenziwa ngezindlela ezine:
- ukuguqulwa kokuhlinzeka lapho izicubu ezifile zisuswe udokotela ohlinzayo egumbini lokusebenza
- i-debridement yamakhemikhali esebenzisa imikhiqizo yamakhemikhali ukuze ihlanganise izicubu ezifile
- ukuhlukaniswa okubhaliwe lapho isisindo esomile sisetshenziselwa ukuqothula izicubu zesifo sochungechunge
- i-debridement yemagog esebenzisa izimpethu noma izimpungushe ezindizayo ukuze zidle izicubu ezifile
Ukwehlukaniswa kweMaggot kuyindlela yokwelashwa ekhangayo ngoba izimbungulu ezisetshenziselwa izinhloso zomtholampilo zidla kuphela izicubu ezifile futhi zishiya izicubu eziphilayo. Zonke ezinye izinqubo zokukhwabanisa zibhubhisa nakanjani izicubu ezithile eziphilayo ezidingekayo ekuphulukiseni. Ngaphezu kwalokho, izinqubo ezinjalo zingahle zingakhululekile, futhi ukuhlinzeka ngokukhethekile kudinga i-anesthesia ejwayelekile ephethe izingozi zayo. Ngamanye amazwi, nge-debridement ye-maggot, isiguli asilahleki izicubu ezinempilo futhi akudingeki ukuba sibe ne-anesthesia.
Ama-Maggots asetshenziselwa ukukhwabanisa kufanele agcine kuphela izicubu ezifile.
(Ezinye izinhlobo zegciwane zidla zombili izicubu eziphilayo futhi ezifile futhi ngaleyo ndlela azifaneleki ukuphathwa njengokwelapha.) Ngokwesibonelo, uLucilia sericata noma i-bottlefly blowfly yizinhlobo ezijwayelekile ezisetshenziselwa amagagane.
Ngaphandle kokweqa noma ukuhlanza izicubu ezifile, ucwaningo lwamuva lubonisa ukuthi ukuvinjwa kwezimbungulu kungasiza ekunciphiseni ukuvuvukala nokubhujiswa kwezicubu eziphilayo ngaleyo ndlela kuvikela ubhede olunamahloni alukhuni oludingekayo ukusiza ukwakha izicubu ezibomvu.
Umlando wamaMaggots njengeMithi yokwelapha
Akukho lutho olusha mayelana nokwelashwa kwe-maggot. Sekungamakhulu eminyaka, odokotela bezempi beqaphele ukuthi amasosha abalimele aphethwe ama-maggots aphulukiswe kangcono. Phakathi neminyaka yama-1920, uWilliam Baer eYohns Hopkins University wasebenzisa ama-laboratory-aphakanyiswe izimbungulu ukuze aphathe izingane nge-osteomyelitis (izifo zamathambo) nezifo ezithintekayo zezicubu. Ngenxa yalokho, ukusebenzisa ama-maggots ukuxubha amanxeba kwaziwa kakhulu kuma-1930, kanti izinkulungwane zenkambiso zakhiwe. Kodwa-ke, ukuza kwama-antibiotics kanye nokuthuthukiswa okuhlinzekwe ukuhlinzekwa kwezinto eziphuthumayo kwandlulisela ukusetshenziswa kwamagagots okuyinto yaphela njengesilinganiso "sokuthatha isikhathi sokugcina."
Ngawo-1990, isithakazelo ekusetshenzisweni kwamagagots njengokwelashwa kwamanxeba avuselelwe. Ucwaningo olwenyukayo lwaphakamisa izinzuzo zemithi yokwehlukaniswa kwemigog njengendlela yokwelashwa kwangaphambili emlonyeni wokunakekelwa kwezilonda, futhi ngonyaka ka-2004, ama-FDA avunyelwe amagogi angenayo ukuze asetshenziswe ezindaweni zokunakekelwa kwezempilo. Ngonyaka ka-2008, abantu abangaba ngu-50 000 emhlabeni wonke baphathwa ngamagogot for ukuxilongwa kwesilonda.
Okucacile okuthe xaxa ku-Therapy Treatment Therapy
Ukwelashwa kwe-Maggot ukuguqulwa kusetshenziselwa ukwelapha izinhlobo ezahlukene zezilonda kufaka okulandelayo:
- izilonda ezingapheli
- i-osteomyelitis engapheli
- izilonda ezinomsoco
- ukucindezeleka izilonda ( izilonda "zokulala" ezitholakala kubantu ababe belele immobile izinsuku eziningi noma amasonto-bacabange abantu ezindaweni zokunakekela isikhathi eside)
- i-neuropathic (isifo sikashukela) izilonda ezinyawo
- izilonda ezingezona ukuphulukisa ngemuva kokuhlinzwa noma ezibuhlungu
Ukunqatshwa kwe-maggot yokwehlukanisa imitha kufaka lokhu okulandelayo:
- amanxeba ase-ischemic (amanxeba e-ischemic ayenziwe kahle noma aphethwe yi-oxygenated edges angadliwa yizibungu ngaleyo ndlela akhulise indawo yesilonda)
- amanxeba avuleka emzimbeni womzimba noma ezithombeni zangaphakathi
- izilonda ezibangelwa ukusongela impilo noma ezinye izifo ezimbi
- abantu abanomdlavuza we-brewer, i-soy protein, noma i-larva ngokwabo (isisembululo nesiprotheni se-soy esetshenziselwa ukukhulisa izibungu)
Okuphawulayo, abantu abakwelashwa i-anticoagulation (okungukuthi, abahlinzekeli begazi) kufanele bacatshangwe ngokucophelela njengabazongela ukwelashwa ngamagogotha ngoba izimbungulu zingabangela ukuphuma.
Kuye ngobukhulu besilonda, noma kuphi lapho kutholakala khona ama-maggot aphakathi kuka-50 no-1000, endaweni yesilonda ezinsukwini ezimbili noma ezintathu futhi zihlanganiswe (ezodwa) ekugqokeni ukulimala. Abantu abaningi badinga ukwelashwa okubili noma ezintathu, kepha abantu abanezilonda ezinzima bangadinga imijikelezo emihlanu noma eyisithupha. Ukuphela kokuphela kokwelashwa ngamagagots kubheka isisekelo segundane elihlanzekile. Imiphumela emibi evamile ye-maggot sedridement therapy ngokuvamile ibekezelela futhi ihlanganisa ubuhlungu, ukunganaki, nokusuka okuncane. Ngokwesibonelo, ama-analgesics noma ukuphulukisa ubuhlungu ngokuvamile kuvunyelwa ubuhlungu.
Izwi elivela
Uma wena noma umuntu omthandayo enesilonda esingelapheki noma amanye amanxeba anikezwa ukwelashwa kwe-maggot sedridment, uma kunikezwa njengendlela yokwelashwa, kungaba umqondo omuhle ukucabangela lokwelapha. Akekho ozophika ukuthi izimangalo ezitholakala kudoti ziyi- "yucky" futhi zihlambalaza. Kodwa ama-maggots aphethwe ebhodini ayenamandla, aqondile, ahambayo, aguquguqukayo, imishini emincane yokuhlinza eyenza ukuthi ilulame. Eqinisweni, ukuxubana ngamagagots ngezinye izikhathi kuthiwa yi- biosurgery .
Imithombo:
I-Iserson KV. Isahluko 22. Amanxeba nokushisa. Ku: Iserson KV. ama-eds. Ukwelashwa Okuthuthukisiwe: Ukunakekelwa Kwezindawo Ezimbi . ENew York, NY: McGraw-Hill; 2012.
van der Plas, MJA et al. I-Novel Serine Protease Efihliwe Amagogotsheni Ezokwelapha Ithuthukisa I-Plasminogen Activator-I-Fibrinolysis Ebonakalayo. I-PLOS ONE. 2014. 9 (6): e101646.
I-Pfenninger, i-JL, i-Fowler, i-GC. "I-Maggot Treatment for Ulcers Okungapheli" ku: Izinqubo ZasePfenninger neFowler zokuNakekela Okuyinhloko. 2010.