Yintoni ukuthotywa, yintoni kunye neendlela eziphambili

Umxholo

• Yenzelwe ntoni
• Ezona ntlobo ziphambili zokuyekiswa
• Kwenziwa njani
• Iingxaki ezinokwenzeka

Ukuphulukana, okunokwaziwa nangokuthi kukususa, yinkqubo eyenziwayo ukususa i-necrotic, ifile, kwaye intsholongwane inesifo kumanxeba, ukuphucula ukuphilisa kunye nokuthintela usulelo ukusasazeka kwamanye amalungu omzimba. Kananjalo kuya kwenziwa ukususa izinto zangaphandle ngaphakathi kwenxeba, ezinje ngeengcezu zeglasi, umzekelo.

Inkqubo yenziwa ngugqirha, ugqirha oqhelekileyo okanye imithambo yegumbi, kwigumbi lokusebenza okanye ngumongikazi oqeqeshiweyo, kwiklinikhi yezigulana ezingalaliswayo okanye eklinikhi kwaye iintlobo ezahlukeneyo zinokuboniswa, ngokuxhomekeke kwiimpawu zenxeba kunye neemeko zempilo yomntu.

Yenzelwe ntoni

Ukuphulukana nenkqubo yinkqubo ebaluleke kakhulu yokunyanga inxeba nge-necrotic kunye ne-tissue eyosulelekileyo, njengoko ukususwa kwesi sihlunu sifileyo kuphucula ukuphilisa, kunciphisa ukufihlakala, okufana ne-exudate, kunciphisa isenzo se-microorganisms kwaye kuphucula ukufunxwa kwezithambiso ngamayeza okubulala iintsholongwane.

Utyando lokuthotywa, umzekelo, lusetyenziswa ngokubanzi kwimeko yabantu abanamanxeba eswekile enyawo, njengoko le nkqubo inciphisa ukudumba kwaye ikhupha izinto ezinceda ukukhula kwethishu esempilweni enxebeni. Funda ngendlela yokunyanga kunye nokunyanga amanxeba ezinyawo zeswekile.

Ezona ntlobo ziphambili zokuyekiswa

Kukho iintlobo ezahlukeneyo zokuthotywa emzimbeni okuboniswa ngugqirha ngokweempawu zesilonda ezinje ngobukhulu, ubunzulu, indawo, ubungakanani bemfihlo nokuba unesifo okanye akunjalo, kwaye banokuba:

• Ukuzenzekelayo: lwenziwa ngumzimba ngokwawo ngendlela yendalo, ngokusebenzisa iinkqubo ezifanayo zokuphilisa, ezikhuthazwa ziiseli zokhuselo, iiseli ezimhlophe zegazi. Ukuphucula iziphumo zolu hlobo lokuthotywa komzimba, kuyafuneka ukugcina inxeba limanzi ngetyuwa kunye nokunxityiswa ngehydrogel, ii-acid ezifanelekileyo (i-AGE) kunye ne-calcium alginate;
• Utyando: iqulathe utyando lokususa inyama efileyo enxebeni kwaye yenziwa kwimeko apho amanxeba emakhulu khona. Le nkqubo inokwenziwa kuphela ngugqirha, kwiziko lotyando, phantsi kwe-anesthesia yendawo okanye ngokubanzi;
• Isixhobo: inokwenziwa ngumongikazi oqeqeshiweyo, kwigumbi lokunxiba, kwaye isekwe ekususeni izicubu ezifileyo kunye nolusu olosulelekileyo ngoncedo lwe-scalpel kunye ne-tweezers. Ngokubanzi, iiseshoni ezininzi kufuneka zenziwe ukususwa ngokuthe ngcembe kwethishu ye-necrotic kwaye ayibangeli zintlungu, njengoko esi sihlunu sifileyo singenazo iiseli ezikhokelela kwiimvakalelo zentlungu;
• Enzymatic okanye imichiza: iqulathe ukusetyenziswa kwezinto, njengezithambiso, ngokuthe ngqo enxebeni ukuze kususwe isicwili esifileyo. Ezinye zezi zinto zinee-enzyme ezisusa i-necrosis, enjenge-collagenase kunye ne-fibrinolysins;
• Umatshini: kubandakanya ukususwa kwethambo elifileyo ngokukhuhlana kunye nokunkcenkceshela nge-saline; nangona kunjalo, ayisetyenziswa ngokubanzi kuba ifuna ukhathalelo oluthile ukuze ukopha kungenzeki enxebeni.

Ukongeza, kukho ubuchule obusetyenziswayo obubizwa ngokuba kukungxengxezeleka kwendalo kusetyenziswa izibungu ezingavaliyo zohlobo Ifayile yeLucilia sericata, yokubhabha okuluhlaza okuqhelekileyo, ukutya izicwili ezifileyo kunye neentsholongwane ezivela enxebeni, ukulawula usulelo kunye nokuphucula ukunyanga. Imibungu ibekwa enxebeni ngokunxiba ekufuneka kutshintshwe kabini ngeveki.

Kwenziwa njani

Phambi kokwenza le nkqubo, ugqirha okanye umongikazi uza kuvavanya inxeba, ejonge ubungakanani beendawo ze-necrosis kwaye uza kuhlalutya imeko zempilo ngokubanzi, njengoko abantu abaneengxaki zokunqanda igazi, ezinje nge-idiopathic thrombocytopenic purpura, banokuba nobunzima bokuphilisa, ukongeza ukuba nomngcipheko ophezulu wokopha ngexesha lokuncitshiswa.

Indawo kunye nobude benkqubo kuxhomekeke kubuchwephesha bokuncitshiswa okusetyenziswayo, okunokwenziwa kwiziko lotyando lwesibhedlele okanye kwiklinikhi yokunyanga enegumbi lokunxiba. Ke ngoko, ngaphambi kwenkqubo, ugqirha okanye umongikazi uyakuchaza inkqubo eza kwenziwa kwaye enze iingcebiso ezithile, ekufuneka zilandelwe njengoko kuyalelwe.

Emva kwenkqubo, kufuneka uthathe amanyathelo okhuseleko njengokugcina ukunxiba kucocekile kwaye komile, ukunqanda ukuqubha echibini okanye elwandle kwaye ungasebenzisi uxinzelelo kwindawo enenxeba.

Iingxaki ezinokwenzeka

Ezona ngxaki zixhaphakileyo zokwehliswa komzimba kukopha kwilonda, ukucaphuka kolusu olujikelezileyo, iintlungu emva kwenkqubo kunye nokusabela okungalunganga kwiimveliso ezisetyenzisiweyo, nangona kunjalo, izibonelelo zikhulu kwaye kufuneka zithathelwe ingqalelo njengeyona iphambili, kuba kwezinye iimeko, a Inxeba alipholi ngaphandle koxinzelelo.

Okwangoku, ukuba iimpawu ezinje ngomkhuhlane, ukudumba, ukopha kunye neentlungu ezibuhlungu ziyavela emva kokuyekiswa komzimba, kufuneka ukuba ufune unyango ngokukhawuleza ukuze kunyangwe olona nyango lufanelekileyo.