Okuyisisekelo, ama-Sutures, nama-Adhesives
Uma uhlinzwa, noma uma unesilonda, isikhumba sakho singavalwa ngezindlela ezihlukahlukene. Kunezindlela eziningi ezisetshenziselwa ukugcina ukugcoba okuhlinzekwa noma ukulimala kuvaliwe ukuze kuphulukiswe ngokushesha ngokushaywa okuncane futhi ngaphandle kokutheleleka.
Kwezinye izimo, amanxeba kanye nokucubungula akuvalwa ngesikhathi sokuhlinzwa kepha kuvaliwe ngemva kokuphulukiswa sekuqalile, kodwa iningi livaliwe ekupheleni kwenqubo.
Ukuvalwa kwesilonda kubalulekile, ngoba isilonda esivulekile ngumnyango ovulekile wokutheleleka. Isikhumba sethu yisithiyo phakathi kwamagciwane kanye nemizimba yethu, futhi ukuvula isikhumba kwandisa ingozi yokuba nesifo.
Kungakhathaliseki ukuthi isilonda sivaliwe kanjani, ukunakekelwa okufanelekile kokusiza ukukhunjulwa kuzosiza ekuphuculeni ukuphulukiswa ngokunciphisa amathuba okutheleleka nokuhlinzeka isilonda ngemvelo ehlanzekile yokuphulukiswa. Ukushintsha ibhande lakho njengoba kuqondiswa udokotela wakho ohlinzayo, ukugeza izandla ngokufanele , nokudla kahle emva kokuhlinzwa kuzosiza bonke ukuphulukisa ukuphulukiswa kwamailonda.
Ukuvalwa Ngenhloso Eyisisekelo
Amanxeba amaningi aphulukisa ngenhloso eyinhloko, okusho ukuvala isilonda ngaso leso sikhathi. Amanxeba afaneleka ngokubambisana athiwa "afanelwe kahle." Yilapho lapho izingxenyeni zesilonda zivumelane kahle, njengokungeniswa kokuhlinzwa, futhi zingavimba kalula.
Ukuletha imiphetho ndawonye kungadinga ukufakwa (sutures), noma enye indlela yokuvala isilonda, noma isilonda singase sibe mncane ngokwanele ukuthi akukho usizo olungaphandle oludingekayo, njengokunqunywa kwephepha.
Ngezilonda ezinemiphetho engavamile, isikhumba singase "sinqunywe" ukwenza isilonda siphelele ngokwengeziwe, ukwenza ukuvalwa kube lula. Lokhu kuyiqiniso ikakhulukazi uma ubeka ama-sutures, futhi, ngokubonga, kwenziwa ngemuva kokuthi isayithi elilinxeba liphazamiseke.
Kulezi zinhlobo zamanxeba, kunesilindelo ukuthi isilonda sizophulukisa ngokushesha futhi kalula, ngokunqunywa okuncane.
Lolu hlobo lokuphuka esikhumbeni lulula ukuphulukisa, njengoba amangqamuzana omzimba wesikhumba angagcina igebe ngokushesha, njengoba igebe eligcwala lilula. Uma le ndlela isetshenzisiwe, ukuphulukiswa kwesilonda kungenzeka ezinsukwini ezimbalwa ukulimala okuncane, futhi amasonto ambalwa okubandakanya ukuhlinzwa okukhulu.
Khumbula ukuthi ukucutshungulwa kokuhlinzwa kufana ne-iceberg-okuningi okwenzekile kungaphansi komhlaba. Isikhumba esibusweni siphulukisa masinyane, kodwa izicubu kanye nezicubu ezinqunywe ngaphansi zingathatha isikhathi eside ukuphulukisa nokufinyelela amandla aphelele. Ukuvalwa kwesikhumba kusabalulekile ngoba ingozi yokutheleleka ihla kakhulu lapho isikhumba singasavulwa kuma-bacteria.
Kuvaliwe nge-Intellectual Intelligence
Inhloso yesibili ibonisa ukuthi isilonda asikwazi ukuhlanganiswa kahle ukuze ivaliwe. Lokhu ngokuvamile ngenxa yesilonda noma ukuhlinzwa okususa isigaba sezincuba, ngakho ngeke sisakwazi ukukhipha ndawonye ngendlela efanele. Le ndlela ingase isetshenziswe nalapho isilonda sidinga ukuxoxwa. Ukuphazamiseka kuyinkqubo eyosusa izicubu ezifile kusukela esilonda emzamweni wokushiya ngemuva kuphela izicubu ezinempilo nokuphulukiswa kwejubane.
Isibonelo sokuvalwa ngenhloso yesibili lapho isiguli sinendawo yomdlavuza wesikhumba esuswe.
Indawo ayifanele, futhi indawo isusiwe ngu-intshi engu-1 ngamasentimitha amabili ngobukhulu. Akunakwenzeka ukudonsa emaphethelweni esikhumba ndawonye ukuze abenze bahlangane, ngakho-ke isilonda sishiywe ukugcwalisa sodwa.
Le nqubo yokugcwalisa isilonda ibizwa ngokuthi i-granulation, futhi inani le-granulation okumelwe lenzeke ngokubanzi, isilonda esivulwe kakhulu sanda kakhulu. Lokhu kwenza inqubo ithathe isikhathi eside, njengoba amangqamuzana amancane esikhumba anendawo enkulu yokugcwalisa.
Loluhlobo lwesilonda luzophulukisa kancane kancane, ngokususelwa ekuguleni kwesiguli sokuphulukisa, ubukhulu besilonda, nesimo sesilonda. I-small biopsy isikhumba esincane, ubukhulu be-pencil eraser futhi engajulile, iyophulukisa ngokushesha.
Isilonda esikhulu esinegciwane lizophulukisa ngesilinganiso esinciphile. Ezimweni eziningi, isikhumba esisha esizalweni singabonakala senza isonto eliqhubekayo ngesonto, futhi kwezinye izimo, kuzobe ngcono kakhulu usuku nosuku.
Lezi zilonda kufanele zinakekelwe ngobumnene , zihlanjwe ngensipho namanzi futhi zingagxiliwe, njengoba ziyizintambo futhi zijwayele ukunqamuka. Ungafaki noma yikuphi ukukhwehlela okuvela, ngoba lokhu kuyisignali yokuphulukisa futhi yingxenye yenqubo yokugcwalisa isikhumba kwilonda.
Ukuvalwa nge-Intellectual Intent (Ukuvalwa Kwemivimbo Esinciphile)
Ukuvalwa kwesivinini esinciphile, owaziwa nangokuthi ukuvalwa ngenhloso ephakeme, kuyindlela yokuphulukiswa kwesilonda lapho isilonda singavali khona ngokushesha. Ngakho, ivaliwe ngosuku oluthile ngoba ucwaningo lubonisa ukuthi kunomphumela ongcono uma isilonda sivaliwe esikhathini esizayo.
Amanxeba amaningi avaliwe ngokushesha, kodwa amanye amanxeba azuza ngokulibaziseka. Lokhu kungenziwa ngemuva kokuhlinzwa, ukuphatha isilonda esingase sithathe igciwane, noma isilonda esonakele futhi sidinga ukuhlanzwa okuphindaphindiwe. Kwezinye izimo, uma isikhumba esizungezile isilonda singeke sibe namandla, kungase kube khona ukulinda futhi ubone indlela, kunokuvala isikhumba esingase singasinda futhi siholele ekuqhutshweni kwenqubo kamuva.
Isibonelo esihle kakhulu sokuvalwa kwesilonda ngenhloso yasemfundeni yinkomo yokulimala inja. Ake ucabange isiguli sinamaphilisi amaningi okujula esandleni sabo kusuka kumazinyo enja. Lezi zilonda zijulile futhi zincane, okwandisa ingozi yokutheleleka. Amanxeba okuboshwa nawo angase ahloleleke kakhulu, ngenxa yamabhaktheriya atholakala emlonyeni nasematheni. Esikhundleni sokugxilisa phezulu kwalezi zilonda, ushiya i-cavern encane ngaphansi engase ibe isikhwama sokutheleleka, amanxeba asele evulekile. Bangakwazi ukuhlanzwa kalula, izinto zokugulisa nezifo ezithathelwanayo zingakwazi ukukhipha kalula, imithi ingasetshenziswa ngokuqondile ekilweni futhi isilonda asinamandla okuthuthukisa ukutheleleka. Loluhlobo lwesilonda sokuluma lungavalwa ngemuva kokusongelwa kokutheleleka, noma kungaze kuvaliwe, nje kuboshwe futhi kuvunyelwe ukuphulukisa ngokwakho.
Ekuhlinzekeni, lolu hlobo lokuphulukisa lungadingeka ngezinqubo ezinkulu zesisu. Cabanga ukuhlinzeka okukhulu emathunjini. Ukwenziwa okukhulu kokuhlinzwa, kwenziwa umsebenzi wokuhlinza, kodwa amathumbu isiguli avuvuka kakhulu ekuguleni kwawo futhi aqhubeke evuvukala kakhulu ngesikhathi senqubo yokuhlinzwa ngoba isikhumba sivulekile futhi kukhona indawo engaphezulu yokuvuvukala. Ekupheleni kokuhlinzwa, amathumbu avuvukile kakhulu, futhi manje amathumbu akhulu kakhulu ukuba afane nesisu esiswini ngaphandle kokubeka ukucindezela okukhulu ezingxenyeni nasezikhungweni. Eqinisweni, kungenzeka ukuthi akunakwenzeka ukuba uzivumelanise nhlobo, uma ukuvuvukala kunzima ngokwanele. Kulolu cala, isilonda sizogqoka ukugqoka okubolayo, ngokuvamile ukugqoka okucacile ngakho-ke isayithi lingabonwa. Lapho ukuvuvukala kwehla ngokwanele ukuze isilonda sivaliwe ngokuphepha, isiguli sibuyela ekuhlinzekeni ukuze isiboshwa sivaliwe.
Izindlela Ezivamile Zokuvinjelwa Amanxeba
Okuyisisekelo sokudla:
Ngokufana nezitshalo ezisetshenziselwa ukubamba iphepha ndawonye, ukudla okuyisisekelo okusetshenziselwa ukufaka isilonda ndawonye. Izibambiso kulula ukubeka, ezinamandla ngokwanele ukugcina isilonda kuvaliwe endaweni ehamba njalo njengesisu, futhi ngokuvamile ayinakuphulukisa. Lezi zinhlamvu, ngokungafani nempahla yehhovisi, ziyinyumba ukusiza ekuvimbeleni ukutheleleka kulesilonda.
Izitshalo kufanele zisuswe ngabasebenzi bezokwelapha futhi kufanele zisuswe ngesimiso ukuze izicubu ezinempilo zingakhuli ngaphezu kwesidakamizwa.
Ama-Sutures
Eyaziwa nangokuthi izigqoko, i-sutures yinkambo yokwenziwa okusetshenziselwa ukuthunga isilonda ivaliwe. Zisetshenziselwa ukuvala ukujula okujulile, futhi zisetshenziselwa ukuvala ukucutshungulwa kokuhlinzwa. I-Sutures ayithengi futhi ingabekwa ngokushesha uma indawo isinganiselwe.
Ama-Sutures kufanele asuswe ngudokotela wezokwelapha, futhi ubude besikhathi abahlala endaweni buhlotshaniswa uhlobo lwesilonda. Ezinye i-sutures, ebizwa ngokuthi i- sutures engenakwenzeka , yenziwa ukuba ichithe ngokuhamba kwesikhathi futhi ingasuswa. Lolu hlobo lwezintambo ngokuvamile lisetshenziselwa ungqimba lwangaphakathi lwesilonda esijulile noma esikhulu futhi asibonakali uma isilonda sivaliwe.
I-Dermabond Glue Yokuhlinza
Lolu hlobo lokuvalwa kwesilonda lusebambe iqhaza njenge SuperGlue ukubamba ukuvala okuvaliwe. Lokhu kuvame ukuqhutshwa emibonweni encane engadingi amandla amakhulu kakhulu okumele abekwe endaweni yokuphulukisa. I-glue igqoke ezinsukwini nasemasontweni emva kokubekwa, ngakho-ke uchwepheshe wezokwelapha akadingeki ukuba asuse.
Kwezinye izimo, i-dab encane ye-glue yokugqoka ingafakwa kwi-sutures. Lokhu kwenziwa ukugcina izigxoko zingasebenzi ekusebenzeni okujwayelekile.
Ama-steristrips
Ama-steristrips ayimidwebo encane yezinto ezinamathele ezinamathelisi ezisetshenziselwa "ukushaya" isilonda sivaliwe. Zijwayele ukusetshenziselwa ukucubungula okuncane okungahlangani nokucindezeleka okukhulu ngesikhathi senqubo yokuphulukisa isilonda. Lezi zingcezu zezinto zigqokiswe kuze kube yilapho ziwa, ngokujwayelekile zihlala endaweni cishe isonto bese ziwa ngesikhathi noma emva kokugeza. Umdwebo onenkani ongeke usawudinga ungasuswa kahle emva kokugeza lapho umthamo ulula.
Abantu abanenkinga eyaziwayo abanamathele kufanele benze udokotela wabo ohlinzayo bazi kahle ngale ndaba ngaphambi kokuhlinzwa, njengezinye izindlela ngaphandle kokunamathela.
Umthombo:
Isikhungo Sokusiza Sokulimala sika-3M. Kufinyelelwe ngo-Ephreli 2016. http://solutions.3m.co.uk/wps/portal/3M/en_GB/skin-care/wound-resource-centre/