Lithini Ukupheliswa kwenxeba kwaye kufuneka nini?

Umxholo

• Inkcazo yetyala
• Kunyanzeliswa nini?
• Iindidi zokuphulukana
• Ukupheliswa kwendalo
• Ukucocwa kwe-enzymatic
• Ukucocwa kwe-Autolytic
• Ukucocwa koomatshini
• Ukuncitshiswa okubukhali okubukhali kunye notyando
• Ukuphelisa amazinyo
• Yintoni onokuyilindela kwinkqubo
• Ngaba ukwehliswa kwesondo kubuhlungu?
• Ukunyamekela kwenxeba
• Ukubuyiselwa kwimeko yoqhaqho lwangaphantsi
• Iingxaki zokuncitshiswa
• Nini ukubona ugqirha
• Ukuthatha

Inkcazo yetyala

Ukudakumba kukususa into efileyo (necrotic) okanye ulusu olosulelekileyo ukunceda ukuphola kwenxeba. Kuyenziwa kwakhona ukususa izinto zangaphandle kwithishu.

Inkqubo ibalulekile kumanxeba angapholiyo. Ngokwesiqhelo, la manxeba abanjelwe kwinqanaba lokuqala lokuphilisa. Xa kususwe izicwili ezimbi, inxeba lingaqala kwakhona inkqubo yokuphilisa.

Ukuncitshiswa kwenxeba:

• nceda izicubu ezinempilo zikhule
• ukunciphisa ukutyhafa
• ukunciphisa iingxaki zosulelo

Kunyanzeliswa nini?

Ukuphazamiseka akufuneki kuwo onke amanxeba.

Ngokwesiqhelo, isetyenziselwa amanxeba amadala angapholi kakuhle. Isetyenziselwa amanxeba angapheliyo asulelekileyo kwaye esiba mandundu.

Ukupheliswa kwakhona kuyimfuneko ukuba usemngciphekweni wokukhula kwengxaki yosulelo lwenxeba.

Kwezinye iimeko, amanxeba amatsha kwaye aqatha angafuna ukususwa.

Iindidi zokuphulukana

Olona hlobo lubalaseleyo lokushenxiswa kuxhomekeke kwelakho:

• inxeba
• ubudala
• impilo iyonke
• umngcipheko weengxaki

Ngokwesiqhelo, inxeba lakho liya kufuna indibaniselwano yezi ndlela zilandelayo.

Ukupheliswa kwendalo

Ukonakaliswa kwezinto eziphilayo kusetyenziswa iimpethu ezingenazintsholongwane koluhlobo Ifayile yeLucilia sericata, Ukubhabha kwebhotile eluhlaza oluqhelekileyo. Inkqubo ikwabizwa ngokuba lunyango lwe-larval, unyango lwe-maggot debridement, kunye ne-biosurgery.

Iimpethu zinceda ukupholisa inxeba ngokutya izicwili ezindala. Zikwalawula nosulelo ngokukhupha izinto zokulwa neentsholongwane kunye nokutya iintsholongwane eziyingozi.

Iimpethu zibekwa enxebeni okanye kwingxowa enemingxunya, egcinwa endaweni yokunxiba. Bashiye iiyure ezingama-24 ukuya kwezingama-72 kwaye batshintshwe kabini ngeveki.

Ukuchithwa kwebhayoloji kulunge kakhulu kumanxeba makhulu okanye asulelwe ziintsholongwane ezinganyangekiyo ziintsholongwane, njenge-MRSA. Kukwasetyenziswa kwakhona ukuba awukwazi ukwenza utyando ngenxa yeemeko zonyango.

Ukucocwa kwe-enzymatic

Ukuncitshiswa kwe-Enzymatic, okanye ukuthotywa kweekhemikhali, kusetyenziswa ioyile okanye ijeli enee enzymes ezithambisa izicwili ezingenampilo. Ii-enzymes zinokuvela kwizilwanyana, kwisityalo, okanye kwintsholongwane.

Iyeza lisetyenziswa kanye okanye kabini ngemini. Inxeba ligutyungelwe ngokunxiba, elitshintshwa rhoqo. Ukunxiba kuya kususa inyama efileyo xa isusiwe.

Ukuchithwa kwe-Enzymatic kuyinto efanelekileyo xa unengxaki yokuphuma kwegazi okanye umngcipheko omkhulu wokuhlinzwa.

Akukhuthazwa ngamanxeba amakhulu kwaye asuleleke kakhulu.

Ukucocwa kwe-Autolytic

Ukususwa kwe-Autolytic kusebenzisa ii-enzymes zomzimba wakho kunye nolwelo lwendalo ukuthambisa izicwili ezimbi. Oku kwenziwa ngokunxitywa kokugcina ukufuma okutshintsha ngokwesiqhelo kanye ngemini.

Xa kufuma ukufuma, izicwili ezindala ziyadumba zize zohlukane nenxeba.

Ukuncitshiswa kwe-Autolytic yeyona nto ilungileyo kumanxeba angosulelwanga kunye nezilonda zoxinzelelo.

Ukuba unenxeba elosulelekileyo elinyangwayo, unokufumana ukususwa kwe-autolytic ngolunye uhlobo lokwehla.

Ukucocwa koomatshini

Ukuncitshiswa koomatshini lolona hlobo luqhelekileyo lokuncitshiswa kwenxeba. Isusa izicwili ezingenampilo ngamandla ahambayo.

Iindidi zokwehliswa komatshini kubandakanya:

• Unyango lwamanzi. Le ndlela isebenzisa amanzi abalekayo ukuhlamba izicwili ezindala. Inokubandakanya ibhafu ye-whirlpool, unyango lweshawa, okanye isirinji kunye netyhubhu yecatheter.
• Ukunxiba okomileyo okomileyo. I-gauze emanzi ifakwe kwilonda. Emva kokuba yome kwaye inamathele enxebeni, isuswe ngokwasemzimbeni, esusa inyama efileyo.
• Iipads zokuncitshiswa kweMonofilament. Iphedi ye-polyester ethambileyo ibrashiwa ngobunono enxebeni. Oku kususa izicwili ezimbi kunye nenkunkuma yenxeba.

Ukuncitshiswa koomatshini kufanelekile kumanxeba angosulelekanga nasosulelekileyo.

Ukuncitshiswa okubukhali okubukhali kunye notyando

Ukwehliswa okubukhali kususa izicwili ezingasempilweni ngokuzisika.

Ukuncitshiswa okubukhali kusetyenziswa i-scalpels, i-curettes, okanye isikere. Ukunqunyulwa akunwebeli kwimizimba esempilweni. Njengotyando oluncinci lwecala lokulala, inokwenziwa ngugqirha wosapho, umongikazi, ugqirha wesikhumba, okanye ugqirha wezifo zenyawo.

Utyando olusisixhobo esomeleleyo esisebenzisa izixhobo zotyando. Ukusikwa kunokubandakanya izicubu ezisempilweni ezijikeleze inxeba. Yenziwe ngugqirha wotyando kwaye ifuna i-anesthesia.

Ngokwesiqhelo, ukuncitshiswa okubukhali ayisiyiyo ukhetho lokuqala. Ihlala isenziwa ukuba enye indlela yokususa ukungasebenzi ayisebenzi okanye ukuba ufuna unyango olukhawulezileyo.

Ukuthotywa kobutyobo obukhali bukwasetyenziselwa amanxeba amakhulu, anzulu, okanye abuhlungu kakhulu.

Ukuphelisa amazinyo

Ukucocwa kwamazinyo yinkqubo esusa itartar kunye neplaka yokwakha emazinyweni akho. Kwakhona kwaziwa ngokuba ngumlomo ogcweleyo.

Inkqubo iluncedo ukuba khange ube nokucoca amazinyo iminyaka eliqela.

Ngokungafaniyo nokuncitshiswa kwenxeba, ukonakaliswa kwamazinyo akususi naziphi na izicwili.

Yintoni onokuyilindela kwinkqubo

Phambi kokuba ufumane ukupheliswa kwenxeba, ukulungiswa kuxhomekeke:

• inxeba
• iimeko zempilo
• uhlobo lokuthotywa

Ukulungiselela kunokubandakanya:

• uvavanyo lomzimba
• umlinganiselo wenxeba
• amayeza entlungu (ukungcola ngomatshini)
• i-anesthesia yendawo okanye eqhelekileyo (ukungcola okubukhali)

Ukuba ufumana i-anesthesia ngokubanzi, kuya kufuneka ulungiselele ukukhwela ekhaya. Kuya kufuneka uzilile ixesha elithile ngaphambi kwenkqubo yakho.

Ukuncitshiswa okungafunekiyo kwenziwa kwiofisi kagqirha okanye kwigumbi lesigulana. Ingcali yezonyango iya kulusebenzisa olu nyango, oluphindaphindiweyo iiveki ezimbini ukuya kwezintandathu okanye nangaphezulu.

Ukonakaliswa kwe-Sharp ngokukhawuleza. Ngexesha lenkqubo, ugqirha usebenzisa izixhobo zentsimbi ukuvavanya inxeba. Ugqirha usika izicubu ezindala kwaye uhlamba inxeba. Ukuba ufumana ufakelo lolusu, ugqirha uya kulubeka endaweni yalo.

Rhoqo, ukuphanziswa kuyaphindwa de inxeba liphole. Ngokuxhomekeke kwilonda lakho, inkqubo yakho elandelayo inokuba yindlela eyahlukileyo.

Ngaba ukwehliswa kwesondo kubuhlungu?

I-Biological, enzymatic, kunye nokuchithwa kwe-autolytic zihlala zibangela iintlungu, ukuba zikhona.

Ukususwa koomatshini kunye nokubukhali okubukhali kunokuba buhlungu.

Ukuba ufumana ukonakaliswa koomatshini, unokufumana amayeza eentlungu.

Ukuba ufumana ukutshatyalaliswa okubukhali, uya kufumana i-anesthesia yendawo okanye jikelele. I-anesthesia yendawo iya kuliphazamisa inxeba. I-anesthesia ngokubanzi iya kwenza ukuba ulale, ngoko awuyi kuva nantoni na.

Ngamanye amaxesha kunokuba buhlungu xa ukutshintsha kunxitywa. Buza ugqirha wakho malunga namayeza eentlungu kunye nezinye iindlela zokulawula iintlungu.

Ukunyamekela kwenxeba

Kubalulekile ukukhathalela inxeba lakho. Oku kuyakunceda ukuphilisa kunye nokunciphisa umngcipheko weengxaki.

Nantsi into onokuyenza ukukhusela inxeba lakho ngexesha lokuphilisa:

• Rhoqo tshintsha ukunxiba. Yitshintshe yonke imihla okanye ngokwemiyalelo kagqirha wakho.
• Gcina isinxibo somile. Gwema amachibi okudada, iibhafu, kunye neebhafu ezishushu. Buza ugqirha wakho xa unokuhlamba.
• Gcina inxeba licocekile. Ngalo lonke ixesha hlamba izandla zakho ngaphambi nasemva kokuba ubambe inxeba lakho.
• Sukufaka uxinzelelo. Sebenzisa imitya ekhethekileyo ukunqanda ukubeka ubunzima enxebeni lakho.Ukuba inxeba lakho lisemlenzeni okanye elunyaweni, usenokufuna iintonga.

Ugqirha wakho uya kunika imiyalelo ethile ngendlela yokunyamekela inxeba lakho.

Ukubuyiselwa kwimeko yoqhaqho lwangaphantsi

Ngokubanzi, ukuchacha kuthatha iiveki ezi-6 ukuya kwezi-12.

Ukubuyiswa okupheleleyo kuxhomekeke kubukhali, ubungakanani, kunye nendawo enenxeba. Kuxhomekeke kwindlela yokwehla.

Ugqirha wakho uya kugqiba xa ungabuyela emsebenzini. Ukuba umsebenzi wakho unzima ngokwasemzimbeni okanye ubandakanya indawo echaphazelekayo, qiniseka ukuxelela ugqirha wakho.

Ukhathalelo olufanelekileyo lwenxeba kubalulekile ukuze lubuyiswe kakuhle. Kuya kufuneka:

• Yitya usempilweni. Umzimba wakho ufuna izakhamzimba ezaneleyo ukuze uphilise.
• Kuphephe ukutshaya. Ukutshaya kwenza kube nzima kwizakhamzimba nakwiioksijini ukufikelela enxebeni lakho. Oku kunciphisa ukunyanga. Ukutshaya kunokuba nzima, kodwa ugqirha unokukunceda wenze isicwangciso sokuyeka ukutshaya sikulungele.
• Yiya kwiindawo zokulandelela. Ugqirha wakho kufuneka ahlole inxeba lakho kwaye aqiniseke ukuba liyaphola ngokufanelekileyo.

Iingxaki zokuncitshiswa

Njengazo zonke iinkqubo zonyango, ukususwa kobungozi kubeka umngcipheko weengxaki.

Oku kubandakanya:

• ukucaphuka
• ukopha
• umonakalo kwizicubu ezisempilweni
• negazi lakho
• intlungu
• usulelo lwebhaktiriya

Ngaphandle kweziphumo ebezingalindelekanga ezinokubakho, izibonelelo zihlala zigqithile kumngcipheko. Amanxeba amaninzi awakwazi ukuphola ngaphandle kokwehliswa.

Nini ukubona ugqirha

Nika ingqalelo kwisilonda sakho. Ukuba ukrokrela usulelo, qhagamshelana nogqirha wakho.

Iimpawu zosulelo zibandakanya:

• iintlungu ezandayo
• bomvu
• ukudumba
• ukopha kakhulu
• Ukukhutshwa okutsha
• ivumba elibi
• ifiva
• Ukugodola
• isicaphucaphu
• ukugabha

Ukuba ufumene i-anesthesia jikelele, khangela uncedo lwezonyango ukuba unayo:

• ukukhohlela
• ubunzima bokuphefumla
• iintlungu zesifuba
• isicaphucaphu
• ukugabha

Ukuthatha

Ukuba inxeba lakho aliphucuki, usenokufuna ukubola. Inkqubo inceda amanxeba ukuphilisa ngokususa izicwili ezifileyo okanye ezosulelekileyo.

Ukudakumba kunokwenziwa ngeempethu eziphilayo, ukunxiba okukhethekileyo, okanye ioyile ethambisa izicwili. Izicubu ezindala zinokunqunyulwa okanye zisuswe ngamandla oomatshini, njengamanzi abalekayo.

Olona hlobo lubalaseleyo lokushenxiswa kuxhomekeke kwilonda lakho. Rhoqo kusetyenziswa iindlela ezininzi kunye.

Ukuchacha kuthatha iiveki ezi-6 ukuya kwezi-12. Ukuziqhelanisa nokunakekela amanxeba kuya kukunceda ukuba uphole ngokufanelekileyo. Biza ugqirha wakho ukuba unentlungu eyandayo, ukudumba, okanye ezinye iimpawu ngexesha lokubuyela kwimeko yesiqhelo.