Umhlaba wezinhlinzeko zepulasitiki akuyona yonke i-glitz ne-glamor. Nakuba ukuhlinzekwa kwepulasitiki okucwebezelayo ngokuvamile kuvame ukubonakala, ukuhlinzekwa kabusha kwepulasitiki okubalulekile kubaluleke kakhulu ekusizeni abantu bazizwe behle ngokwabo.
Ukwelapha izilonda ezicindezelayo kuwela ngaphansi kwesigaba sokuhlinzekwa kabusha kweplastiki. Abahlinza abahlinzayo basePlastiki baqeqeshwe ukuphatha izilonda ezicindezelayo, njengoba nje baqeqeshwe ukwenza iziphakamiso zobuso kanye ne-liposuction.
Incazelo
Isilonda soguquko yindawo yesikhumba ephuka phansi uma ingcindezi eqhubekayo, noma ukucindezelwa okuhambisana ne-shear kanye / noma ukuqhuma, kufakwe esikhumbeni. Lokhu kuphazamiseka kwesikhumba kungaholela ekuboniseni izicubu ezisekelayo, kufaka phakathi amathambo.
Izilonda ezicindezelayo zivame ukwenzeka phezu kwe-bony ezivelele, njenge-sacrum (umsila), isifuba se-hip, i-elbow, noma i-ischium.
Amagama ahlukile ahlanganisa ukucindezeleka okukhulu, isilonda se-decubitus, i-decubiti, nemibhede.
Kulindeleke ukuthi abantu abadala abayizigidi ezingu-1.3 kuya kwezi-3 kuthiwa banesilonda.
Amaphakheji aphezulu kakhulu we-Ulcers
Izimo eziphakeme kakhulu zezilonda zomshoshaphansi zitholakala kulaba bantu abalandelayo:
- Iziguli ezikhulile ezinamaqabunga e- hip : amaphesenti angu-66 anesilonda esicindezelayo
- Iziguli ezine-quadriplegic: amaphesenti angama-60 ane-ulcer isifo
- Intsha engakwazi ukukhubazeka (izingane ezinokukhubazeka, i-spina bifida, ukulimala kwengqondo, njll)
- Iziguli ezingakapheli izibhedlela
Izimbangela Zama-Ulcers Ocindezelayo
Ukuqothula (ukuphazamiseka kwesikhumba) kubangelwa ukucindezelwa okuqhubekayo esikhumbeni. Ukucindezela okwenyuka kunciphisa noma kwehla imithwalo yegazi, eyanciphisa ukugeleza kwegazi esikhumbeni nasezicathulweni ezingaphansi. Lokhu ekugcineni kuholela ekufweni kwezicubu.
Ukumiswa kobunzima be-Ulcer
Izilonda ezicindezelayo zihlukaniswa ngokwezinyathelo ezichaza inani lokulahlekelwa kwezicubu.
- Isigaba 1: Isikhumba esingenakunyaka nokubomvu okuqhubekayo kwendawo esendaweni. Isikhumba esimnyama esikhanyayo singahluka ngombala kusuka endaweni ezungezile.
- Isigaba sesi-2: Ukulahleka okuyingxenye ye- dermis . Isilonda sibonakala njengesilonda esingavundile noma isilwane esiphezulu noma esaphukile.
- Isiteji sesi-3: Ukulahlekelwa okugcwele kwe-dermis. Amafutha angaphansi kwamakhemikhali angabonakala, kodwa amathambo, i-tendon noma i-muscle ayibonakaliswa.
- Isigaba sesi-4: Ukulahleka okuphelele kokucupha kwamathisipuni ne-bone, tendon noma imisipha evelele.
Ezinye izilonda ezicindezelayo azikwazi ukuqinisekiswa ngenxa yokulahlekelwa kwezicubu noma ukukhishwa yi-eschar.
Izindawo zokucindezela Ulcer
Isilonda esicindezelayo singase senzeke noma ngabe kunjani ukucindezelwa isikhathi eside. Kodwa-ke, izindawo ezivame kakhulu ezikhungethwe yizibhamu ezivelele:
- I-Ischium: Amaphesenti angama-28 e-ulcers okucindezelayo ase-ischium
- I-bone ye-Hip: Amaphesenti angama-19 wezilonda ezicindezelayo zisezintweni ze-hip
- I-sacrum (Tail Bone): Amaphesenti angu-17 okucindezeleka okuyi-prescru ase-sacrum
- Isithende: amaphesenti ayisishiyagalolunye wezilonda ezicindezelayo zisesithendeni
- Scalp
Ukwelapha
Izilonda zomshoshaphansi ziphethwe kokubili ngokwemithi kanye / noma ngokuhlinzwa.
Izitebhisi ze-Stage 1 no-2 zingaphathwa ngaphandle kokuhlinzwa. Izinguquko zokugqoka njalo zisetshenziswa ukugcina isilonda sihlanzekile futhi silwe nama-bacterium. Ngezinye izikhathi, imishanguzo yokulwa namagciwane asetshenziselwa isilonda esiswini.
Izigulane ze-Stage 3 no-4 zivame ukungenela ukungenelela. Isinyathelo sokuqala ukususa zonke izicubu ezifile. Lokhu kwaziwa ngokuthi "ukukhishwa kwezimali". Ukudonswa kwesilonda sesisindo kulandelwa ukuvuselelwa kwe-flap . Ukwakhiwa kabusha kwe-Flap kuhilela ukusebenzisa izicubu zakho ukuze ugcwalise umgodi / isilonda
Ukuvimbela
Izilonda zokucindezela ziyavinjelwa. Nawa amanye amathiphu wokuthi ungawagwema kanjani.
- Nciphisa umswakama ukugwema ukukhwabanisa isikhumba nokudiliza. Lokhu kusho ukugwema ukuthintana okuqhubekayo ngendwangu, umchamo, noma ukujuluka.
- Qaphela lapho udlulisela futhi kusuka embhedeni wakho noma esihlalweni. Lokhu kugwema ukukhathala nokugqoka isikhumba.
- Gwema ukuhlala noma ukubeka endaweni eyodwa isikhathi eside. Ukushintsha izikhundla kunika isikhumba sakho ikhefu futhi kuvumela ukubuya kwegazi.
- Gcina ukudla okunempilo efanele. Ukudla ukudla okunempilo kugcina isikhumba sakho siphilile futhi sithuthukise ikhono layo lokugwema ukulimala nokulwa nokutheleleka.
Izinkinga
- Hematoma
- Ukutheleleka
- Ukwehliswa kwesilonda
- Ukuphindaphindiwe
Imithombo
UDisa JJ, uCarlton JM, i-Goldberg NH. Ukusebenza kokwelashwa okusebenzayo ezigulini ezinzima ezicindezelayo. I-Plast Recon Surg 89: 272, 1992.
U-Evans GR, uDufresne CR, Manson PN. Ukulungiswa kokuhlinzwa kwezilonda ezicindezelayo esikhungweni semadolobheni: Ingabe kuyasebenza? Ukwelashwa kwe-Adv Wounds 7: 40,1994.
I-Kierney PC, i-Engrave LH, Isik FF, et al. Imiphumela yezilonda ezingu-268 ezicindezelayo ezigulini ezingu-158 ziphethwe ngokuhlanganyela ngokuhlinzekwa kwepulasitiki kanye nemithi yokwelapha i-Plast Recon Surg 1-2: 765, 1999.
Miller H, Delozier J. Impindiselo yezindleko zesikhombiso sokwelashwa kwesilonda. Columbia: Isikhungo sezinqubomgomo zezeMpilo, ngo-1994.
Iphaneli lezokuHlola le-National Pressure Ulcer. I-Updated Staging System.
U-Relander M, uPalmer B. Ukuphindaphindiwe kwezilonda zokucindezeleka eziphathwayo. I-Scand J Plast Recon Surg 22:89, 1988.
UTavakoli K, Rutkowski S, Cope C, et al. Izinga eliphindaphindiwe lamalonda e-ischial ku-para-ne-tetraplegics aphathwe ngama-flap-flaps: Isifundo sonyaka-8. Ukwelashwa Kwama-Br 52: 476, 1999.