Ukulungiswa kweminwe eboshiweyo okanye iinzwane

Ukulungiswa kweminwe yewebhu okanye iinzwane kutyando ukulungisa i-webbing yeenzwane, iminwe, okanye zombini. Iminwe ephakathi kunye neeringi okanye iinzwane zesibini nezesithathu zihlala zichaphazeleka. Rhoqo olu tyando lwenziwa xa umntwana ephakathi kweenyanga ezi-6 kunye neminyaka emi-2 ubudala.

Ugqirha lwenziwa ngale ndlela ilandelayo:

• I-anesthesia ngokubanzi inokunikwa. Oku kuthetha ukuba umntwana wakho ulele kwaye akazukuva zintlungu. Okanye i-anesthesia yengingqi (yomqolo kunye neyesifo) inikwa ukuba ibambe ingalo kunye nesandla. I-anesthesia ngokubanzi isetyenziselwa abantwana abancinci kuba kukhuselekile ukuyilawula ngelixa ilele.
• Ugqirha uphawula iindawo zolusu ezifuna ukulungiswa.
• Ulusu lusikwa lube ziimpiko, kwaye izicwili ezithambileyo zinqunyulwa ukwahlula iminwe okanye iinzwane.
• Iimpuphu zithunyelwe kwindawo. Ukuba kukho imfuneko, kuthatyathwa ulusu (ukufakelwa) kwezinye iindawo zomzimba kusetyenziselwa ukugubungela iindawo ezingekhoyo kulusu.
• Isandla okanye unyawo emva koko lusongelwe ngebhandeji elinobuninzi okanye isamente ukuze ingabi nakushukuma. Oku kuvumela ukuphilisa ukuba kwenzeke.

Ukubamba ngokulula iminwe okanye iinzwane kubandakanya ulusu kunye nezinye izicwili ezithambileyo. Olu tyando luyinkimbinkimbi ngakumbi xa lubandakanya amathambo ahlanganisiweyo, imithambo-luvo, imithambo yegazi kunye neethenda. Ezi zakhiwo zinokufuna ukuphinda zilungiswe kwakhona ukuvumela amanani ukuba ahambe ngokuzimela.

Olu tyando luyacetyiswa ukuba i-webbing ibangela iingxaki ngokubonakala, okanye ekusebenziseni okanye ekushukumiseni iminwe okanye iinzwane.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Iingxaki zokuphefumla
• Impendulo kumayeza
• Ukopha, ihlwili legazi, okanye usulelo

Ezinye iingxaki ezinokubakho ezinxulumene nolu tyando zibandakanya oku kulandelayo:

• Umonakalo wokungafumani gazi laneleyo esandleni okanye elunyaweni
• Ukuphulukana nokufakelwa kolusu
• Ukuqina kweminwe okanye iinzwane
• Ukwenzakala kwimithambo yegazi, imisipha, okanye amathambo eminweni

Fowunela umboneleli wakho ukuba ubona oku kulandelayo:

• Ifiva
• Iminwe engcangcazelayo, ebindindisholo, okanye eneblue tinge
• Intlungu ebuhlungu
• Ukudumba

Xelela ugqirha womntwana wakho ukuba ngawaphi amayeza asetyenziswa ngumntwana wakho. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

• Buza ugqirha womntwana wakho ukuba ngawaphi amayeza ekufuneka uwanike umntwana wakho ngosuku lotyando.
• Yazisa ugqirha kwangoko xa umntwana wakho enokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi kotyando.

Ngomhla wotyando:

• Uya kucelwa ukuba ungamniki umntwana wakho nantoni na yokutya okanye yokusela iiyure ezingama-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Nika umntwana wakho nawaphi na amayeza ugqirha akuxelele ukuba umnike kunye nokusela okuncinci kwamanzi.
• Qiniseka ukuba ufika esibhedlele ngexesha.

Ukuhlala esibhedlele kangangeentsuku ezi-1 ukuya kwezi-2 kudla ngokufuneka.

Ngamanye amaxesha isamente idlulela ngaphaya kweminwe okanye iinzwane ukukhusela indawo elungisiweyo ekwenzakaleni. Abantwana abancinci abalungiswe ngomnwe webhedi banokufuna isamente efikelela ngaphezulu kwengqiniba.

Emva kokuba umntwana wakho egodukile, tsalela ugqirha wotyando ukuba uphawula oku kulandelayo:

• Ifiva
• Iminwe engcangcazelayo, ebindindisholo, okanye eneblue tinge
• Intlungu ebuhlungu (umntwana wakho unokuba engxolayo okanye akhale rhoqo)
• Ukudumba

Ukulungiswa kuhlala kuyimpumelelo. Xa ukudityaniswa kweminwe kwabelana ngozipho olunye, ukwenziwa kwezikhonkwane ezibonakala ziqhelekileyo kunqabile ukuba kwenzeke. Isikhonkwane esinye siya kujongeka siqheleke ngakumbi kunesinye. Abanye abantwana bafuna uqhaqho lwesibini ukuba le webhu inzima.

Iminwe eyahluliweyo ayinakuze ijonge okanye isebenze ngokufanayo.

Ukulungiswa kweminwe yewebhu; Ukulungiswa kweenzwane zewebhu; Ukulungiswa ngokufanelekileyo; Ukukhululwa ngokufanelekileyo

• Ngaphambi nasemva kokulungiswa kweminwe yewebhu
• Ngokudibeneyo
• Ukulungiswa kweminwe ebhijelweyo- uthotho

UKay SP, uMcCombe DB, uKozin SH. Iziphene zesandla kunye neminwe. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 36.

Mauck BM, Jobe MT. Iziphene esizalwa nazo zesandla. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 79.