Ukungahambisani kahle kuyinkqubo yokususa izicubu ezingekho emzimbeni emzimbeni. Lezi zicubu zingase zibe necrotic (ezifile), ezitheleleke , ezimele, zigcotshwe noma kungenzeka kube nomzimba wangaphandle emzimbeni.
Okwenziwe Isiyaluyalu
Isibonelo, isiguli sinesilonda esingathí sina esithathelelekile futhi asiphuculanga ngama-antibiotic nokunakekelwa kwezilonda . Isilonda senza sikhulu, isiguli sigula, futhi ngaphandle kokulawulwa okungcono kokutheleleka, isiguli singasesimweni esisongela ukuphila .
Kule gulane, ukuhlinzwa ngokugonywa isilonda nokususa ezinye izicubu ezifayo nezingenwe igciwane kungase kusho ukuthi umzimba ungalwa nokutheleleka futhi uphulukise isilonda kalula. Njengoba izicubu ezifile zisusiwe, izicubu ezinempilo ezisele zingase zihlale ziphilile futhi zingenasifo.
Izinhlobo zeDebridement
Izindlela ezihlukahlukene zokukhwabanisa zisetshenziselwa ukwelashwa, futhi ngesilonda esinzima noma isilonda esinenkinga yokuphulukisa, izinhlobo eziningi zalezi zindlela zingasetshenziswa. Isibonelo, isilonda esingathí sina esinama-necrotic (efa) singase siphathwe kuqala ngokukhathala okuhlinzekwayo kodwa singaba ne-enzymatic and mechanical debridement emavikini alandelayo.
- Ukukhishwa Kwesivumelwano : Lokhu kuyinkqubo yokususa izicubu ezilimazayo noma ezifayo. Kulesi simo, udokotela ohlinzayo ubheka ngokucophelela izicubu, unquma ukuthi yiziphi izicubu ezibonakalayo, futhi ususe izicubu ezingenabuhlungu. Izicubu ezimbi ziqedwa ngokoqobo ngokusebenzisa insimbi ebukhali noma ukushisa, nodokotela ohlinzayo ezama ukugcina izicubu eziningi kakhulu ngangokunokwenzeka.
- Ukukhishwa kwesibindi : Lena inqubo yomzimba yokuqeda izicubu ezifile nokugcina izicubu ezinempilo. Le nqubo ingasizwa ukugqoka noma ukunakekelwa kwezilonda, kepha lolu hlobo lokudiliza luya emuva futhi luvumela umzimba ukuba uziphilise.
- Ukuguqulwa kwe-enzymatic : Lolu hlobo lokukhathala lusebenzisa izixazululo ze-enzyme noma amafutha okugaya izicubu. Ngokuvamile, ikhambi noma amafutha ahlanganiswe nokugqoka okuguqulwa njalo, okunciphisa izicubu futhi kuvumela ukuthi izicubu ezimbi zisuswe lapho kukhishwa ukugqoka.
- Ukuguqulwa komshini : Leli fomu lokukhathala ukukhishwa kwezicubu ngokusebenzisa ukugqoka okuguqulwa njalo. Ukugqoka okuvame ukubhekwa njengomuntu omanzi wokugqoka, kuqukethe i-gauze enomanzi esetshenziswa ekilweni elidinga ukukhipha, okuyinto ehlanganiswa ne-bandage oyinyumba. Ngemuva kwesikhathi esithile, ukugqoka kuzokoma, okuvumela ukuthi izicubu zihambelane ne-gauze. Lapho ukugqoka kususiwe, izicubu ezihambisana ne-gauze nazo zisusiwe. Lolu hlobo lokuxoxisana lubizwa nangokuthi "ukungabikho okukhethiweyo" njengoba kokubili izicubu ezinempilo nezingozi zingasuswa ngale nqubo.
- Ukukhishwa kweMaggot : Lolu hlobo lokudiliza lusebenzisa izimbungulu, noma ukuqhuma i-larva, ephakanyiswa endaweni engumhlabathi ukuze uhlasele amanxeba. Ama-maggots afakwa esilonda, ngokuvamile ngaphansi kwe-bandage evulekile, lapho badla khona izicubu ezifile noma ezifa. Ama-Maggots ayindlela yokukhetha yokukhetha, okusho ukuthi ayidla kuphela izicubu ezingekho emzimbeni, eshiya izicubu ezinempilo ezingenakulinganiswa.
- I-Hydrotherapy (Mechanical) Ukukhishwa kwezidakamizwa : Hydrotherapy, noma amanzi acindezelekile, avame ukusetshenziselwa ukunciphisa amanxeba. Indlela engakhethi yokwehlukanisa, lokhu ukwelashwa kungaba buhlungu kakhulu, kuye ngokuthi uhlobo lwamanxeba aluphi.
Ukunciphisa ukudilizwa
Inqubo yokwehlukaniswa kwemigqa kusukela ekucaseni okuncane kuya ebuhlungu kakhulu. Kuncike ekutheni uhlobo olwenziwe ngalo, uhlobo lwesilonda nokuthi isilonda esiyingozi kangakanani sizocacisa ukuthi luhlobo luni lokuphumula oluzodinga ukuhlinzekwa ngaphambi kokuba kwenziwe inqubo. Ezinye izinqubo zizokwenziwa ngaphandle kokungenelela kobuhlungu, kanti ezinye zizodinga i-anesthesia ngakho isiguli ngeke sazi ukuthi inqubo yenziwe kanjani.
Nakuba i-anesthesia iyadingeka ezimweni ezinzima, imithi ebuhlungu ethathwe ngomlomo ngokuvamile ingaphezu kokwanele kuningi lwezinhlobonhlobo zezinkinga zokudiliza futhi ezimweni eziningi, imithi yokwelashwa ngeke idingeke.
Izwi elivela
Ukudabuka ngokuvamile kuyisimo esidingekayo; kuyilapho kungaba buhlungu, amanxeba amaningi ngeke aphulule ngaphandle kwalolu hlelo olubalulekile. Funda okuningi ngangokunokwenzeka mayelana nenqubo yokukhipha, bese unganqikazi ukuthola umbono wesibili uma ungaqiniseki ukuthi uhlobo luni lwenqubo luyoba ngcono kakhulu ngesimo sakho esiyingqayizivele. Thatha isikhathi sokubuza imibuzo mayelana nezinketho ezitholakalayo, izindleko zalawo angakhetha, futhi okubaluleke kakhulu, yikuphi uhlobo lokudiliza okuyoholela ekuphulukiseni okungcono kakhulu kwilonda lakho.