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Kungani uthole ama-SuturesUma unquma ukuthi idinga ukulingana, usadingeka unakekele isilonda uze uthole usizo lochwepheshe.
Uma uhlaziya isilonda ukuze unqume uma sidinga ukulingana, kunemibuzo eminingana edinga ukuphendulwa. Owokuqala yingakho ucabangela ukulingana nhlobo. Ukumiswa kusetshenziswa ngezizathu ezimbili.
- Vala isilonda ukuze ukhuthaze ukuphulukiswa futhi unciphise ukutheleleka
- Nciphisa ukwedlula
Ake sibheke isizathu sesibili kuqala, ukuze sikhiphe endleleni. Uma isilonda sisendaweni lapho kutholakala khona ukuhlukumeza futhi isilonda sijulile ngokwanele ukubona izicubu ezinamafutha ngaphansi kwesikhumba ( izicubu ezingaphansi kwesisu ), khona-ke iziqu zingabonakaliswa ukunciphisa ukonakala. Xhumana nodokotela uma ukhathazekile ngokukhwabanisa.
Isizathu sokuqala sinzima kakhulu futhi sidinga ukuqonda okungaphezulu.
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Izinhlobo zamanxebaAmanxeba abangela ukuphuka esikhumbeni abizwa ngokuthi amanxeba avulekile. Lezi yizinhlobo zamanxeba angase adinge iziqu. Amanxeba avaliwe angenawo isikhala esikhumbeni futhi abonakala ngokuvuvukala nokuvuthwa.
Kunezinhlobo eziningana zamanxeba avulekile:
- Ukuhlukanisa (bheka isithombe). Yilokhu esikucabangayo uma sithi "ukusikeka." Ukwahlukanisa kukhona ama-breaks alula esikhumbeni.
- Ukucubungula . Amanxeba okuhlinzwa , ngokuvamile awenziwe nge-scalpel. Lezi zifana nokugqunywa, kodwa ube nemigqa ebushelelezi kakhulu.
- Amaphutha . Kulukhuni ukutshela ukukhishwa kwesikhumba (bheka isithombe ) uma into eyenza isilonda sikhulu ngokwanele. Ukwahlukana okudabula isikhumba, kanti ama-punctures angena futhi abuye aphume. Uma into eyenza i-puncture isagxiliwe, ibizwa ngokuthi into ebethelwe .
- Ama-avulsions . Lezi zicucu zesikhumba, noma i-flap evulekile ezinhlangothini ezintathu noma ixoshwe ngokuphelele.
- Abrasions . Lezi zihlazo. Umehluko phakathi kwe-abrasion kanye nokuvuswa kungukujula. Ukushiya isikhumba kushiya isikhumba ikakhulukazi, kodwa ukuxoshwa kususa isikhumba ngokuphelele.
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Amanxeba Okumele Abonwe NguDokotelaLezi yizilonda - neziguli - okufanele zihlale kudokotela:
- Iziguli zesifo sikashukela ezinezilonda ezivulekile
- Ukulunywa kwezilwane noma abantu (khumbula, sikhuluma ngamagundane avulekile )
- Ukungcola okungeke kuphume kwilonda
- Ayikwazi ukuvala imiphetho yesilonda
- Ukuphapha okungalawuleki - Shayela u-911
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Kungabe Kuqiniswa?Ama-lacation, ama-punctures, kanye nama-incision yizo zonke izilonda ezinokuhlushwa (zingagcinwa). Ama-avulsions asenayo i-flap yesikhumba enamathiselwe nayo ingase ibe nokuhlanzeka. Ukuphelelwa yisikhathi nokuphefumula akugcini, kodwa isisidingo sami udokotela uma sinesisindo ngokwanele.
Ukuze unqume ukuthi ukukhishwa kuyadingeka, bheka izinto ezintathu:
- Ukujula . Ingabe isilonda sijulile ngokwanele ukubona izicubu ezingaphansi (izicubu ezinamafutha aphuzi)? Uma kunjalo, isilonda sijulile ngokwanele ukuze uthole iziqu, kepha kungase kungadingeki.
- Ububanzi . Ingabe isilonda singasuswa sivaliwe kalula? Uma isilonda sishaya futhi singakwazi ukuchofoza kalula, kuzodinga ukulingwa ukuze sikubambe isikhathi eside ukuze sikhulule kahle.
- Indawo . Amanxeba ezindaweni zomzimba elula futhi ehambisa okuningi uzodinga ukugxila kaningi kunezinye izindawo ezingadluli kakhulu. Isibonelo, isilonda esihlokweni angeke sishukumise okuningi njengelonda elithole, ngakho-ke angeke sidinge iziqu.
Ukukhathazeka kokugcina kodwa okungenani - ukuthi sekuyisikhathi eside kangakanani ukugoma kwakho kokugcina kwe-tetanus . I-booster shot tetanus shot inconywa yonke iminyaka engu-10, ngaphandle uma uthola isilonda esingcolile-lapho kwenzeka ochwepheshe abathile batusa ukuthola i-booster uma sekuyiminyaka engaphezu kwengu-5.
Ngokuvamile, uma sekuyiminyaka engaphezu kwengu-10 kusukela ekudutsheni kwakho kwe- tetanus yokugcina, khona-ke kufanele uhambe ubone udokotela. Futhi ngenkathi ukhona, kungenzeka ukuthi isilonda sakho sihlolwe ngeziqu. Ekugcineni, uma ukhathazekile ngesilonda futhi ungaqiniseki ukuthi udinga ukunakekelwa kochwepheshe, bese ubona udokotela.
> Imithombo:
> Achten, J., Parsons, N., Bruce, J., Petrou, S., Tutton, E., & Willett, K. et al. (2015). I-Protocol for a > randomized > trial elawulwayo yokulawulwa kwezilonda ezijwayelekile ngokumelene nengcindezi engalungile ukwelashwa okulimalayo ekwelapheni iziguli ezikhulile ezinezinkinga ezivulekile zomlenze ophansi: Ukulawulwa kwezilonda zase-UK ze-Open Limb Fractures (UK WOLFF). BMJ Vula , 5 (9), e009087. i-doi: 10.1136 / bmjopen-2015-009087
> Steen K. [Ingabe amanxeba abulalayo angavalwa phakathi namahora ayisishiyagalombili?]. Tidsskr Nor Laegeforen. 2014 Sep 16; 134 (17): 1657-60. doi: 10.4045 / tidsskr.13.1551. eCollection 2014 Sep 16. Ukubuyekeza. IsiNorway.