Dehiscence and Evisceration

I-Dehiscence iyinkinga yokuhlinzeka lapho izingxenyeni zesilonda zingasatholi khona. Kuyaziwa nangokuthi "ukuhlukana okulimazayo." Iilonda eliphilile, lokuphulukisa kufanele lilinganiswe kahle, okusho ukuthi imiphetho ihlangana kahle futhi ibanjwe ngokubambisana yi-sutures, okuyisisekelo noma enye indlela yokuvala. Njengoba i-incision iphilisa, isilonda sigcwele izicubu ezintsha, okuthiwa "i-granulation" noma "izicubu ezinamafutha." Lezi zicubu ezintsha aziqine njengesikhumba evamile, njengoba sisha futhi asizange sibe nesikhathi sokuqinisa.

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Kuyini Ukuguqulwa Kwezingcoliso Zokuhlinza?

Inxeba engozini enkulu kakhulu ye-dehiscence emasontweni amabili okuqala ngemva kokuhlinzwa, lapho isilonda sisasanda futhi sinzima kakhulu. I-Dehiscence ingaba mnene, lapho indawo encane ye-incision iqala ukuhlukanisa futhi ishiye igebe phakathi kwezinhlangothi zombili. Lokhu kungenzeka uma i-suture noma isitshalo siphuphuma mahhala noma ngemuva kokucindezeleka ekugwenyweni, okubangelwa into elula njengokuchofoza noma ukukhwehlela.

Ezimweni ezimbi, i-dehiscence ingabangela ukuthi ama- sutures, ama-staples noma i-glue yokuhlinzeka ihlinzeke ngokuphelele futhi konke ukuchotshozwa kuvula kusukela phezulu kuya phansi. Kulezi zimo, ukugxeka okuvulekile kuyisimo esiphuthumayo sokuhlinzeka futhi ukunakekelwa kwezempilo kufanele kutholakale ngokushesha.

Okufanele Ukwenze Uma Dehiscence Ifika

Njengoba i-dehiscence ingaba kalula, ukuhlukumezeka okukhulu lapho izitho ziqala ukuqhuma ngaphandle kwe-incision evulekile, zonke izimo ze-dehiscence kufanele zibikwe kudokotela wakho ohlinzayo. Ngisho neziphuzo ezincane ekukhungweni kufanele zixoxwe ngoba ngisho nokuvulwa okuncane kuyindlela yokutheleleka futhi kufanele kuphathwe. Uma ungabona "imbobo" ekukhungeni kwakho, ama-bacteria angangena kalula ukuchotshozwa futhi abangela izinkinga ezinkulu.

Esikhathini esifushane, uma uye wafaka ukubopha kwakho nge-bandage noma ube nempahla yokuhlanza ehlanzekile, vala ukufakwa komshini kuze kube yilapho uthola imiyalo eqhubekayo evela ohlinzayo wakho.

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Izimbangela Ze-Dehiscence Ngemuva Kokuhlinzwa

Dehiscence ingabangelwa izici eziningi. Isiguli esingenamsoco noma esingakwazi ukudla singase singakwazi ukuphulukisa isilonda sabo ngokushesha noma ngendlela enamandla ngokwanele yokumelana nokucindezeleka okuvamile. Kwezinye izimo, isilonda singase siphulukise kahle, kodwa ukwanda okungazelelwe kwesisindo somzimba, ngenxa yokukhwehlela , ukukhipha, ukuhlanza, ukuhlushwa kwesisu noma ukuphakamisa into enzima, kubangela ukuba isilonda sesisu sivuleke.

Ukutheleleka ku-incision kwandisa amathuba okudonscence. Ukwephuza ukuphuza ukuphulukisa ukuphulukisa, okuhlanganisa isikhathi esithile lapho ukufakwa komzimba kungengozini yokulimala. Ukutheleleka nakho kungenza buthakathaka izicubu ezisanda kubunjwa njengoba umzimba usebenza ukuvala ukuhlaselwa nokulwa nesifo kunokugxila ekuphulukiseni.

Iziguli ezitholakala kalula zikwazi ukubhekana nezinkinga ngokuvalwa kwesilonda nokuphulukiswa, njengoba isilonda sinokuvinjelwa okunzima futhi ukuchotshozwa okuphulukisiwe kumele kube namandla ukusekela isisindo esengeziwe samathambo amanoni.

Kuzo zonke izimo, i-dehiscence kufanele ibikwe kudokotela wakho ohlinzayo, njengoba ingaba inkinga engathí sina nakakhulu ebizwa ngokuthi "ukuvota."

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Yini Ukucabangela Ukulimala Okuhlinzekwayo

Ukucabangela kuyinkimbinkimbi engavamile kepha eqondile yokuhlinzwa lapho ukuvulwa kokuhlinzwa kuvula (dehiscence) kanye nezitho zangasese bese kuqhuma noma kuphuma ekukhunjweni (ukuvota). Ukucabangela kuyisimo esiphuthumayo futhi kufanele siphathwe kanjalo.

Ukucabangela kungabonakala kunzima kakhulu, kanti izitho (ngokuvamile ngesisu) zibonakala futhi zihamba kancane ngaphandle kokungcola kakhulu, lapho amathumbu angaphuma khona.

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Okufanele Ukwenze Uma Ukukhwabanisa Kwakho Kucabanga

Kuzo zonke izimo zokuxoshwa, kufanele kutholakale ukunakekelwa kwezempilo okuphuthumayo ngokusebenzisa i-EMS, 911 noma ukubika esikhungweni sezokwelapha esiphuthumayo esiseduzane.

Okulandelayo, faka ukuvulwa kanye nezitho ngephepha elihlanzekile noma impahla yokubopha, emva kokuyihlanza ngokuphelele. Uma ngabe ubopha isilonda sakho, kufanele ube nempahla yokumboza izicubu ngezingubo ezibophayo. Indwangu / i-bandage idinga ukuba yinyene, ukuyivimbela ekunameni kumathishu. Uma une-saline oyinyumba, yisebenzise ukugcwalisa ibhande noma ithawula. Uma kungenjalo, amanzi asebhodleleni noma amathinta angasetshenziswa.

Uma ungenayo izinto zokubopha amabhande, ithawula elihlanzekile noma ishidi lingasetshenziswa.

NGAPHAMBI KWE-CIRCUMSTANCES kufanele uzame ukuphoqa izitho emuva emgodini wesisu. Uma isimo esibi kunazo zonke sesenzekile futhi izilo zamathumbu ziye zaphuma ngaphandle kwe-incision, zibuthe ekhondeni elimanzi noma eboshiwe bese ugcina isiguli sithulile futhi sihlezi noma silele phansi.

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Indlela Yokuvimbela Dehiscence Nokuqaphela

Ukukhwabanisa - Uma wenza noma yimuphi umsebenzi okwandisa ukucindezeleka kwesisu (ukukhipha, ukukhwehlela, ukuhlanza, ukuhleka, ukubekezela ukunyakaza kwamathumba) ubambe ingcindezi phezu kokufakela kwakho usebenzisa izandla noma umcamelo. Lokhu kungavimbela ukudonscence nokunciphisa ubuhlungu ngesikhathi somsebenzi.

Ukuvimbela ukuqothulwa - Ukuqothulwa kuvamile emva kokuhlinzwa, futhi ukuhlushwa ukuba nokunyakaza kwamathumbu kubeka ukucindezeleka okungadingekile ekuziphatheni kwakho. Vimbela ukuqinisekiswa ngokudla okunempilo ngemuva kokuhlinzwa, noma uma usuqedile, cela udokotela wakho ohlinzayo ngemithi ukuthi asize.

Ukunakekelwa Okufanele Ukunyuswa - Ukunakekelwa kahle kokukhipha imishini ngeke kuphuthumise ukuphulukisa kuphela, kodwa kusiza ukuvimbela ukutheleleka, okungawenza buthakathaka ukukhungatheka futhi kwandise amathuba okudambisa.

Vimbela ukukhwehlela nokuklolodela - Uma usuhlinzwa futhi izifo zakho ze-allergies zenza noma zikhwehlela, yiba nesisindo sokugcina ukugcoba nokukhwehlela okungenani. Ukukhwehlela okuphindaphindiwe nokunyundela kunganciphisa kancane ukuchotshozwa kwakho, okungahle kwenzeke ukuphulukisa futhi (kwezinye izimo) kuholele ekudambiseni.

Gwema Ukukhuphula - Uma udokotela wakho ethi awuvunyelwe ukuphakamisa noma yini eyindlula ukwedlula amakhilogremu angu-5 emasontweni amabili ngemuva kokuhlinzwa, akasiyo. Ukuphakamisa izinto kungabeka ukucindezeleka ekuziphatheni kwakho okungaholela ekuvuleni.

Izwi elivela:

Ngemuva kokuhlinzwa kwesilonda kwesilonda ngokuvamile kuncane, kunendawo encane yokuvulwa kwesilonda noma ukugaya kancane. Uma leyo ndawo incane, ngokuvamile iyinkimbinkimbi, ukuphazanyiswa okuncane kokuthola okunye okujwayelekile. Ukucabangela ukude kakhulu, kepha okubi nakakhulu lapho kwenzeka, futhi ngeke ukwazi ukunakwa. Ukuvimbela, ngokukhipha ukukhwabanisa nokungazinaki ukukhwehlela okukhulu kanye nokugwema ukuphakama okukhulu, kuyisihluthulelo.

> Umthombo:

> Ukunakekelwa kwePatient Postoperative. Okubalulekile Abahlengikazi.