Ukuhlinzeka ngamapulangwe kuyindlela yokwelashwa esetshenziselwa izimo ezivela e- shoulder arthritis kuya kwezinye izinyembezi zokuqhuma . Ezinye izinqubo zokuhlinza zihlinzeka ngokuhlinzwa okuyingxenye encane ye-arthroscopic, kanti ezinye zihlinzekwa ngokujwayelekile zendabuko ezinemibono emikhulu. Ukuphumelela kweningi lalezi zinqubo kuphakeme kakhulu, noma kunjalo, kunezinkinga ezingase zibe khona ekuhlinzekeni kwamahlombe , okunye okuphathelene nokutheleleka.
Okwenza Izifo Zenzeke
Iningi lamahlombe ehlombe okubangelwa ukuhlinzeka ngenxa yokuhlinzwa kubangelwa amagciwane avame ukutholakala ebusweni sesikhumba sakho. Lawa ma-bacteria angakwazi ukufinyeleleka ezinhlobonhlobo ezijulile ezithambile nezindawo ezihlangene ehlombe ngesikhathi sokuhlinzwa. Uma amabhaktheriya anele angenele kula ma tissue ajulile, futhi ukuvikeleka kwegciwane lomzimba wakho akukwazi ukuphatha izifo, bese kungenwa isifo.
Kunezici eziningana eziyingozi ezingaziwayo, noma zenze kube lula, ukuthi uzohlakulela isifo emva kokuhlinzwa kwehlombe. Iningi lalezi zingozi ziwumphumela wesinkinga se-immune system okungenza ukuthi izifo zingeneke, kufaka phakathi:
- Ukungondleki
- Isifo sikashukela
- Ukukhuluphala
- Ukusetshenziswa kotshwala
- Ubudala obudala
- Izimo zokungena emzimbeni (isib. Ukuhluleka kwesibindi, isibindi noma izinso)
- Imithi ye-immunosuppressive (isib prednisone, chemotherapy)
Izifo ezithintekayo nazo ziyinselele ngoba ukubhekwa kokuhlinzwa kuvame ukuhlala eduze kwe-axilla (noma i-armpit).
I-axilla yindawo yezinhlayiya eziningi ze-sebaceous nezinwele zezinwele ezidala imvelo ekhuthaza ukukhula kwebhaktheriya. Kunamabhaktheriya angavamile, futhi amaningi awo, eduze kakhulu nendawo yokuhlinzwa kwakho.
Ukuvimbela Izifo
Indlela engcono kakhulu yokubhekana nezifo emva kokuhlinzwa ukugxila ezinyathelo zokuvimbela eziqinisekisiwe ukuqinisekisa ukuthi le nkinga iyinto engenakwenzeka ngangokunokwenzeka.
Kunezinyathelo eziningana ezingathathwa ukuze kuqinisekiswe ukuvimbela ukutheleleka kwamahlombe. Owokuqala ukuhlinzekela i-antibiotic emangcwabeni ngaphambi nje kokuba inqubo yokuhlinzeka yenziwe. Le antibiotic kufanele inikezwe ngaphakathi kwehora elilodwa ekuqaleni kokuhlinzwa kwangempela. Ngaphezu kwalokho, ukuqhubeka kwama-antibiotics emva kokuhlinzwa akudingekile ukuvimbela ukutheleleka okungenakwenzeka. Ngakho-ke, akudingeki uthathe ama-antibiotic engeziwe emva kokuhlinzwa, umthamo owodwa nje ngaphambili kufanele ube khona cishe zonke izinqubo zokuhlinzwa.
Ukuhlanza indawo yokuhlinza yisinye isinyathelo esibonakalisiwe sokusiza ukuvimbela ukutheleleka. Isixazululo esihle sokuhlanza ukuhlinzekwa sitholakale sibe nenhlanganisela yotshwala ne-chlorhexidine. Abanye odokotela abahlinzayo bacela iziguli zabo ukuba zishaye ngesepha ekhethekile ngaphambi kokuza esibhedlela ngenxa yokuhlinzwa kwabo, futhi nakuba lokhu kungakaze kuboniswe ukuthi kuyasiza, kuyaba ngokwengeziwe.
Abahlinza abaningi abahlinzayo bazosusa izinwele ezivulekile, nakuba lokhu empeleni kungakaze kuboniswe ukwenza umehluko omkhulu emathubeni okuthuthukisa ukutheleleka. Uma izinwele ze-armpit zisuswa, kufanele zenziwe ngama-clippers hhayi i-razor, njengoba i-microabrasions ebangelwa i-razor iye yaboniswa ukwenza ithuba lokutheleleka liphakeme!
Ingabe I-Infection?
Ukwenza ukuxilongwa kokutheleleka kungaba yinselele esikhathini esilandelayo sokuhlinzwa. Noma ubani onokuhlinzekwa kwehlombe angalindelwa ukuthi abe nokungazi kahle nokuvuvukala emaphethweni-kokubili izimpawu ezivamile zokutheleleka. Ngakho-ke, udokotela wakho angase afune izibonakaliso ezithile eziqondene nesifo. Lokhu kufaka:
- Ukubomvu okuzungeze ukuqubuka
- Ukucwiliswa okuvela ku-incision, ikakhulukazi i- purulent fluid
- Ubuhlungu obandayo (kunokuba buthule kancane kancane)
- Amaphutha, amahlumela, noma ama-sweats
Uma unezi zimpawu zokutheleleka, kufanele uvumele udokotela wakho ohlinzayo wazi ngokushesha. Ukuxilongwa kokuqala kokutheleleka kungasiza ekunakekeleni ukwelashwa kalula.
Uma ukutheleleka kusolwa, udokotela wakho ohlinzayo kungenzeka enze izivivinyo ezingaphezulu, kuhlanganise nokuhlolwa kwegazi ukufuna izimpawu zokutheleleka. Ngaphezu kwalokho, isampula esiphuthumayo ingatholakala ukuze ubuke amabhaktheriya. Uma kukhona amanzi okusuka kulokhu okufakiwe, lo mketshezi ungatholakala esilonda. Uma ukuchotshozwa kusindiwe, inaliti ingafakwa ezingxenyeni ezijulile zehlombe ukuze ithole isampula yetshezi ukuze ihlaziywe.
Izinhlobo ezivame kakhulu zebhaktheriya ezibangelwa ukutheleleka ngemva kokuhlinzekwa kwehlombe zihlanganisa ukutheleleka kwe-Staph (kokubili i- S. aureus ne- S. epidermidis ) kanye ne-Propionibacterium infections. Lokhu ukutheleleka okulandelayo, uP. acnes , akuvamile futhi kuhlotshaniswa nokuhlanganiswa kwehlombe, ngokumelene nokutheleleka kwe-Staph okwenzeka kuwo wonke umzimba. Izifo ze- P. acnes ziyinselele kakhulu ngoba amabhaktheriya aphethwe kanzima angaba nzima ukuthola amasampula okuhlaziya ahlanzekile, futhi angadinga izinqubo ezikhethekile zokuhlola ukuze zibone.
Ukwelashwa kwesifo
Uma sekutholakale ukuthi ukutheleleka, kunezinqumo eziningana okumelwe zenziwe ukuze kunqunywe ukwelashwa okufanele kakhulu kwenkinga. Ukwelashwa kungase kutholakale ekuphathweni kwama-antibiotic ngomlomo kwezinye izinqubo zokuhlinzwa zokuhlanza ukujoyina. Ngokuvamile, ukutheleleka okungaphezu kakhudlwana (eduze kwesikhumba) kuziguli ezinempilo kungaphathwa ngama-antibiotic. Ukutheleleka okujulile, ikakhulukazi labo abangena endaweni ehlangene yehlombe, kungenzeka ukuthi badinga ukuhlinzekwa okungeziwe kanye nama-antibiotic ahlala isikhathi eside. Ngenxa yokuthi isikhala sendawo yehlombe sinciphise ukuvikelwa kwamagciwane, uma ukutheleleka kungena esikhaleni sokuhlanganyela esikhwameni-futhi-socket, izifo ziba yinselele ukuphatha ngaphandle kwenqubo yokuhlinza.
Izifo ezitholakala lapho kusetshenziswe izimpande zokuhlinzwa , ezifana nokufakelwa kwamapayipi noma amaqabunga okuphuza, zisetshenziswe ngokuyinselele. Izimpande zokuhlinzeka zingaba indawo yezifo zokufihla emzimbeni wokuzivikela omzimba, futhi lezi zimpande ngezinye izikhathi kudingeka zisuswe ngenxa yezifo okufanele zelashwe. Lokhu kungaba yizinto eziphathekayo ze-suture, amahange asetshenziselwa ukulungiswa, nezimpande zokufaka esikhundleni. Uma ukutheleleka kwenzeka kulezi zimo, ukwelashwa okunamandla kungase kudingeke.
Kuvamile kepha kunzima
Izifo ezithintekayo ziyizinkinga ezingavamile zokuhlinzwa kwegazi. Nokho, ngenxa yemvelo yendawo ye-axilla, lezi zifo zingenzeka. Ukuvimbela kufanele kube umgomo odokotela neziguli ezihlinzayo ngokufanayo, kodwa uma kwenzeka ukutheleleka, ukwelashwa kwasekuseni kulungile. Uma ucabanga ukuthi ukutheleleka kungenzeka kwenzeke ehlombe lakho, kufanele uxhumane nodokotela wakho ohlinzayo ngokushesha futhi uqiniseke ukuthi uthola ukwelashwa okufanele kakhulu kwalesi simo.
> Imithombo:
> Saltzman MD, uMarecek GS, u-Edwards SL, uKalainov DM. "Ukwelashwa ngemva kokuhlinzwa kwe-shoulder" J Am Acad Orthop Surg. 2011, 19 (4): 208-18.