Usulelo lwenxeba lotyando - unyango

Utyando olubandakanya ukusikwa (ukusikwa) kulusu kunokukhokelela kusulelo lwenxeba emva kotyando. Uninzi losulelo lwenxeba lotyando lubonakala kwiintsuku zokuqala ezingama-30 emva kotyando.

Usulelo lwenxeba lotyando lunokukhupha ubomvu kubo kwaye lunokuba bomvu, lube buhlungu okanye lushushu ukubamba. Unokuba unefiva kwaye uzive ugula.

Amanxeba otyando angosulelwa ngu:

• Iintsholongwane esele ziluswini lwakho ezisasazeka kwilonda lotyando
• Iintsholongwane ezingaphakathi emzimbeni wakho okanye kwilungu ekwenziwa kulo utyando
• Iintsholongwane ezikummandla okujikelezileyo ezinje ngezixhobo zotyando ezosulelekileyo okanye ezandleni zomboneleli wezempilo.

Usemngciphekweni wosulelo lwenxeba lotyando ukuba:

• Isifo seswekile esilawulwa kakubi
• Yiba neengxaki kwi-immune system yakho
• Batyebe kakhulu okanye batyebe kakhulu
• Ngaba uyatshaya
• Thatha i-corticosteroids (umzekelo, i-prednisone)
• Yenza utyando oluhlala ixesha elingaphezulu kweeyure ezi-2

Kukho amanqanaba ahlukeneyo osulelo lwenxeba:

• Phezulu - usulelo lusendaweni yesikhumba kuphela
• Nzulu - usulelo luye lungene ngakumbi kunesikhumba esihlunwini nakwizicubu
• Umzimba / indawo - usulelo luyinzulu kwaye lubandakanya ilungu kunye nendawo apho wawenziwe khona utyando
  

Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga uninzi losuleleko lwamanxeba. Ngamanye amaxesha, unokufuna utyando ukunyanga usulelo.

IZIQULATHO

Ungaqaliswa kwii-antibiotics ukunyanga usulelo lwenxeba lotyando. Ubude bexesha oya kuyidinga ukuthatha i-antibiotics liyahluka, kodwa ngokuqinisekileyo liya kuba yiveki enye. Ungaqaliswa kwii-antibiotics ze-IV emva koko utshintshe ube ziipilisi kamva. Thatha onke amayeza okubulala iintsholongwane, nokuba uziva ungcono.

Ukuba kukho umsele ophuma enxebeni, kusenokuvavanywa ukuze kufunyanwe eyona ntsholongwane ilungileyo. Amanye amanxeba osulelwe yi-Staphylococcus aureus (MRSA) enganyangekiyo kwimithi esetyenziswa ngokuqhelekileyo. Usulelo lwe-MRSA luya kufuna i-antibiotic ethile yokuyinyanga.

UNYANGO OLUHAMBELELEYO LOKWENZIWA KOMSEBENZI

Ngamanye amaxesha, ugqirha wakho wotyando kufuneka enze inkqubo yokucoca inxeba. Banokukhathalela oku nokuba kukwigumbi lokusebenza, kwigumbi lakho lasesibhedlele okanye eklinikhi. Baza ku:

• Vula inxeba ngokususa i-staples okanye i-sutures
• Yenza uvavanyo lobofu okanye izicwili enxebeni ukuze ufumanise ukuba kukho usulelo na kwaye loluphi uhlobo lwamayeza okubulala iintsholongwane anokusebenza ngcono
• Shenxisa inxeba ngokususa izicwili ezifileyo okanye ezosulelekileyo enxebeni
• Pula inxeba ngamanzi anetyuwa (isaline solution)
• Yicofe ingxowa yepus (ithumba), ukuba ikho
• Pakisha inxeba ngezinxibo ezimanzi zetyuwa kunye nebhandeji

UKUNAKEKELWA KWAMANXEBA

Inxeba lakho lotyando lisenokufuna ukucocwa kwaye nokunxiba kutshintshwe rhoqo. Unokufunda ukuyenza le nto ngokwakho, okanye abongikazi banokwenzela yona. Ukuba wenza oku ngokwakho, uya:

• Susa i-bandage endala kunye nokupakisha. Ungahlamba ukuze umanzise inxeba, elivumela ukuba ibhandeji liphume ngokulula.
• Coca inxeba.
• Faka izinto ezintsha, ezicocekileyo zokupakisha kwaye ufake nebandage entsha.

Ukunceda amanxeba otyando aphile, unokuba nenxeba VAC (ukuvalwa okuncediweyo). Yonyusa ukuhamba kwegazi enxebeni kwaye iyanceda ekuphiliseni.

• Olu luxinzelelo olubi (lokucoca) ukunxiba.
• Kukho impompo yokuqhobosha inkunkuma, iqhekeza lamagwebu elisikiweyo ukuze lilingane nenxeba, kunye netyhubhu yokufunxa.
• Ukunxiba okucacileyo kucwecwe ngaphezulu.
• Isinxibo kunye nesiqwenga sogwebu siyatshintshwa rhoqo kwiintsuku ezi-2 ukuya kwezi-3.

Kungathabatha iintsuku, iiveki, okanye neenyanga ukuba inxeba licoceke, licace nakusulelo, kwaye ekugqibeleni linyange.

Ukuba inxeba alizivaleli lodwa, unokufuna utyando lolusu okanye uqhaqho lomsipha ukuze usivale. Ukuba imipu yemisipha iyimfuneko, ugqirha wotyando usenokuthatha isiqwenga semisipha ezinqeni zakho, igxalaba, okanye isifuba esingaphezulu ukubeka phezu kwenxeba lakho. Ukuba uyayifuna le nto, ugqirha wotyando akazukuyenza de kube emva kokuba usuleleko luye lwasuswa.

Ukuba usulelo lwenxeba alinzulu kakhulu kwaye nokuvuleka kwenxeba kuyinto encinci, uya kuba nakho ukuzikhathalela ekhaya.

Ukuba usulelo lwenxeba lunzulu okanye kukho ukuvuleka okukhulu enxebeni, kuya kufuneka uchithe ubuncinci iintsuku ezimbalwa esibhedlele. Emva koko, uya kuthi:

• Yiya ekhaya kwaye ulandele ugqirha wakho wotyando. Abongikazi banokuza ekhayeni lakho ukuze bancede ngononophelo.
• Yiya kwiziko lokonga.

Biza umnikezeli wakho ukuba inxeba lakho lotyando linayo nayiphi na imiqondiso yosulelo:

• I-Pus okanye i-drainage
• Ivumba elibi livela enxebeni
• Umkhuhlane, ukubanda
• Kushushu ukubamba
• Ubomvu
• Intlungu okanye ukuba buhlungu ukubamba

Usulelo - inxeba yotyando; Usulelo lotyando lwendawo-i-SSI

I-Espinosa JA, iSawyer R. Ukosulelwa kwendawo yokuhlinzwa. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahl. 1337-1344.

I-Kulaylat MN, iDayton MT. Iingxaki zotyando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 12.

I-Weiser MC, iMoucha CS. Uthintelo losulelo lwendawo. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.