Unyawo lweswekile Ubuhlungu kunye nezilonda: oonobangela kunye nonyango

Umxholo

• Ukuchonga iimpawu kunye nokuchongwa
• Oonobangela bentlungu yesifo seswekile kunye nezilonda
• Izinto ezinobungozi kwizilonda zeenyawo zeswekile
• Ukunyanga izilonda zesifo seswekile
• Amayeza
• Unyango olwaNgaphezulu kokuBala
• Iinkqubo zoqhaqho
• Ukuthintela iingxaki zeenyawo zeswekile
• Nini ukubona uGqirha wakho
• Imbonakalo
• Q:
• A:

Unyawo lweswekile Ubuhlungu kunye nezilonda

Izilonda ezinyaweni ziyingxaki eqhelekileyo yesifo seswekile esingalawulwayo kakuhle, esenza njengesiphumo sokwaphuka kwezicubu zolusu kunye nokuveza umaleko ongaphantsi. Ziqhelekileyo phantsi kweenzwane zakho ezinkulu kunye neebhola zeenyawo zakho, kwaye zinokuchaphazela iinyawo zakho ukuya emathanjeni.

Bonke abantu abanesifo seswekile banokuba nezilonda ezinyaweni kunye neentlungu zonyawo, kodwa ukhathalelo lweenyawo olulungileyo lunokubanceda. Unyango lwezilonda ezinyaweni zesifo seswekile kunye nentlungu yeenyawo ziyahluka ngokuxhomekeka koonobangela. Xoxa ngayo nayiphi na intlungu yonyawo okanye ukungonwabi ngugqirha wakho ukuqinisekisa ukuba ayongxaki enkulu, njengoko izilonda ezisulelekileyo zinokubangela ukunqunyulwa xa kungakhathalelwanga.

Ukuchonga iimpawu kunye nokuchongwa

Olunye lweempawu zokuqala zesilonda seenyawo kukudonsa elunyaweni lwakho okunokuthi kungcolise iikawusi zakho okanye kuphume izihlangu zakho. Ukudumba okungaqhelekanga, ukucaphuka, ukuba bomvu, kunye namavumba asuka kwelinye okanye kwiinyawo zombini ziimpawu eziqhelekileyo zesilonda seenyawo.

Olona phawu lubonakalayo lwesilonda esinzulu esibuhlungu ziinyama ezimnyama (ezibizwa ngokuba yi-eschar) ezijikeleze isilonda. Ezi fom ngenxa yokungabikho kokuhamba kwegazi okunempilo kwindawo ejikeleze isilonda. Isilonda esonakeleyo okanye esigcweleyo, esibhekisa ekufeni kwethishu ngenxa yosulelo, sinokubonakala sijikeleze isilonda. Kule meko, ukuphuma okumnandi, iintlungu kunye nokuqaqamba kungenzeka.

Iimpawu zezilonda ezinyaweni azisoloko zibonakala. Ngamanye amaxesha, ngekhe ubonakalise iimpawu zezilonda kude kube isilonda sinesifo. Thetha nogqirha wakho ukuba uqala ukubona naluphi na ulusu olunombala, ngakumbi izicwili ezijike zaba mnyama, okanye uziva nayiphi na intlungu ejikeleze indawo ebonakala ngathi ayisebenzi okanye iyacaphuka.

Ugqirha wakho uya kuthi achonge ubuzaza besilonda sakho kwinqanaba le-0 ukuya kwele-3 usebenzisa ezi ndlela zilandelayo:

0: akukho sisilonda kodwa unyawo lusemngciphekweni

1: isilonda sikhona kodwa akukho sulelo

2: isilonda nzulu, ukuveza amalungu kunye neetoni

3: izilonda ezikhulu okanye amathumba kusulelo

Oonobangela bentlungu yesifo seswekile kunye nezilonda

Izilonda zeswekile zixhaphake kakhulu:

• Ukuhamba kakubi
• iswekile yegazi ephezulu (hyperglycemia)
• umonakalo wemithambo-luvo
• Ukucaphuka okanye ukulimala kweenyawo

Ukujikeleza kwegazi okungalunganga luhlobo lwesifo semithambo apho igazi lingahambeli kwiinyawo zakho ngokufanelekileyo. Ukuhamba gwenxa kungenza ukuba kube nzima ukuba izilonda ziphilise.

Amanqanaba aphezulu eswekile anokuyicothisa inkqubo yokufumana isilonda esasulelweyo elunyaweni, ke ulawulo lweswekile yegazi lubalulekile. Abantu abanesifo seswekile sesi-2 badla ngokuba nexesha elinzima ukulwa usulelo olusuka kwizilonda.

Ukonakala kwemithambo sisiphumo sexesha elide kwaye kunokukhokelela ekuphulukaneni neemvakalelo ezinyaweni zakho. Iimbilini ezonakalisiweyo zinokuziva zibuhlungu kwaye zibuhlungu ekuqaleni. Ukonakala kwamathambo kunciphisa ubuntununtunu kwiintlungu zonyawo kwaye kukhokelela kwizilonda ezingenantlungu ezinokubangela izilonda.

Izilonda zinokuchongwa ngokuhambisa amanzi kwindawo echaphazelekayo kwaye ngamanye amaxesha iqhuma elibonakalayo elingasoloko libuhlungu.

Ulusu olomileyo luqhelekile kwisifo seswekile. Iinyawo zakho zinokuthi zithambekele ekuqhekekeni. Iifowuni, umbona, kunye namanxeba wokopha angenzeka.

Izinto ezinobungozi kwizilonda zeenyawo zeswekile

Bonke abantu abanesifo seswekile basemngciphekweni wezilonda ezinyaweni, ezinokuba nezizathu ezininzi. Ezinye izinto zinokunyusa umngcipheko wezilonda ezinyaweni, kubandakanya:

• izihlangu ezingalungiswanga kakuhle okanye ezisemgangathweni
• ucoceko olubi (akuhlanjwa rhoqo okanye ngokucokisekileyo)
• Ukucheba iinzwane ngendlela engafanelekanga
• utywala
• isifo samehlo esivela kwisifo seswekile
• isifo sentliziyo
• isifo sezintso
• ukutyeba kakhulu
• ukusetyenziswa kwecuba (kuthintela ukujikeleza kwegazi)

Izilonda ezinyaweni zeswekile zixhaphake kakhulu kumadoda amadala.

Ukunyanga izilonda zesifo seswekile

Hlala ngaphandle kweenyawo zakho ukukhusela iintlungu kunye nezilonda. Oku kubizwa ngokuba kukothula umthwalo, kwaye kuluncedo kuzo zonke iintlobo zezilonda ezinyaweni zeswekile. Uxinzelelo ekuhambeni lungenza usulelo lube mandundu kwaye sandise isilonda. Kubantu abagqithisileyo, uxinzelelo olongezelelekileyo lunokuba sisizathu seentlungu eziqhubekayo zonyawo.

Ugqirha wakho unokucebisa ukuba unxibe izinto ezithile ukukhusela iinyawo zakho:

• izihlangu zeswekile
• isamente
• izihlangu ezinyaweni
• uxinzelelo olusongelayo
• ukufakwa kwezihlangu ukunqanda umbona kunye neefowuni

Oogqirha banokususa izilonda ezinyaweni zeswekile ngokuthomalalisa, ukususa ulusu olufileyo, izinto zangaphandle, okanye usulelo olunokubangela isilonda.

Usulelo luyinkxalabo enkulu yesilonda seenyawo kwaye ifuna unyango kwangoko. Asizizo zonke izifo eziphathwa ngokufanayo. Izicubu ezijikeleze isilonda zingathunyelwa elebhu ukufumanisa ukuba yeyiphi na iyeza eliza kunceda. Ukuba ugqirha wakho ukrokrela usulelo olubi, unokuyalela i-X-ray ukuba ijonge iimpawu zosulelo lwethambo.

Usulelo lwesilonda seenyawo lunokuthintelwa nge:

• iibhafu zeenyawo
• iintsholongwane kulusu olujikeleze isilonda
• ukugcina isilonda esomileyo kunye notshintsho lokunxiba rhoqo
• Unyango lwe-enzyme
• Ukunxiba okune-calcium alginates ukuthintela ukukhula kwebhakteria

Amayeza

Ugqirha wakho unokukunika amayeza okubulala iintsholongwane, ii-antiplatelets, okanye amayeza okulwa ne-clotting ukunyanga isilonda sakho ukuba ngaba usulelo luyaqhubeka nasemva konyango okanye kuthintelo loxinzelelo. Uninzi lwezi ntsholongwane zihlasela IStaphylococcus aureus, Iibhaktheriya ezaziwayo ukuba zibangele usulelo lwe-staph, okanye ß-haemolytic iStreptococcus, efumaneka ngokuqhelekileyo emathunjini akho.

Thetha nogqirha wakho ngezinye iimeko zempilo onokuthi unyuse umngcipheko wosulelo ngezi ntsholongwane ziyingozi, kubandakanya ne-HIV kunye neengxaki zesibindi.

Unyango olwaNgaphezulu kokuBala

Unyango oluninzi lwezihloko ziyafumaneka kwizilonda ezinyaweni, kubandakanya:

• Iingubo ezinesilivere okanye isilivere sulphadiazine cream
• I-polyhexamethylene biguanide (PHMB) ijeli okanye izisombululo
• iodine (nokuba yi-povidone okanye i-cadexomer)
• ubusi bebanga lezonyango kwioyile okanye kwifom yejeli

Iinkqubo zoqhaqho

Ugqirha wakho unokucebisa ukuba ufune uncedo lotyando kwizilonda zakho. Ugqirha unokunceda ukunciphisa uxinzelelo olujikeleze isilonda sakho ngokucheba ithambo okanye ukususa ukukhubazeka kweenyawo ezinje ngeebunion okanye ihammertoes.

Ngokuqinisekileyo awuyi kufuna utyando kwisilonda sakho. Nangona kunjalo, ukuba alukho olunye unyango olunokuthi luncede isilonda sakho siphilise okanye siqhubekeke ngakumbi kusulelo, utyando lunokuthintela isilonda sakho ekubeni sibi okanye sikhokelele ekunqunyulweni.

Ukuthintela iingxaki zeenyawo zeswekile

Ngokwe-American Podiatric Medical Association, ama-14 ukuya kuma-24 epesenti yabantu baseMelika abanezilonda ezinyaweni ezineswekile banqunyulwe amanxeba. Unonophelo lothintelo lubalulekile. Lawula ngokusondeleyo i-glucose yegazi lakho, njengoko amathuba akho esifo seswekile ahlala esezantsi xa iswekile yegazi lakho izinzile. Unokukunceda ukunqanda iingxaki zeenyawo zeswekile ngo:

• ukuhlamba iinyawo zakho yonke imihla
• gcina iinzipho zichetywe ngokwaneleyo, kodwa hayi mfutshane kakhulu
• ukugcina iinyawo zakho zomile kwaye kufumile
• Ukutshintsha iikawusi zakho rhoqo
• ukubona i-podiatrist yengqolowa kunye nokususwa kwefowuni
• unxibe izihlangu ezifanelekileyo

Izilonda ezinyaweni zinokubuya emva kokuba zinyangiwe. Isikizi sezicubu zinokosuleleka ukuba le ndawo iphinde yanda kwakhona, ke ugqirha unokucebisa ukuba unxibe izihlangu zeswekile ukukhusela izilonda ekubuyeni.

Nini ukubona uGqirha wakho

Ukuba uqala ukubona inyama emnyama ejikeleze indawo endikindiki kuyo, jonga ugqirha ngoko nangoko uyokufuna unyango lwesilonda seenyawo ezinesifo. Ukuba azinyangwa, izilonda zinokubangela amathumba kwaye zinwenwele nakwezinye iindawo ezinyaweni nasemilenzeni. Okwangoku, izilonda zihlala zinokunyangwa ngoqhaqho, ukunqunyulwa, okanye ukutshintshwa kwesikhumba esilahlekileyo ngokufakelwa kolusu endaweni.

Imbonakalo

Xa ubanjwe kwangethuba, izilonda ezinyaweni ziyanyangeka. Yiya kugqirha kwangoko ukuba unesihlungu elunyaweni lwakho, njengoko amathuba osulelo enyusa ixesha ulindile. Izifo ezinganyangekiyo zinokufuna ukunqunyulwa.

Ngelixa izilonda zakho ziphola, hlala ezinyaweni zakho kwaye ulandele isicwangciso sakho sonyango. Izilonda ezinyaweni zeswekile zingathabatha iiveki ezininzi ukuphola. Izilonda zingathatha ixesha elide ukuphilisa ukuba iswekile yegazi lakho liphezulu kwaye ukuba uxinzelelo rhoqo lusetyenziswa kwisilonda. Ukuhlala ekutyeni okungqongqo kunye nokulayisha uxinzelelo kwiinyawo zakho yeyona ndlela isebenzayo yokuvumela izilonda zonyawo lwakho ukuba ziphilise. Nje ukuba isilonda siphilise, ukhathalelo olungaguquguqukiyo luya kukunceda uyeke isilonda ukuba singabuyi.

Q:

Ngaba akhona amayeza asekhaya anokunceda izilonda ezinyaweni?

Isigulana esingaziwayo

A:

Kukho inani lezonyango ze-homeopathic zokunyanga izilonda ezinyaweni. Ubusi (njengoko kuchaziwe kwizifundo ezininzi) kubonisiwe ukubulala iintsholongwane kunye nokuphilisa amanxeba ezilonda, kwaye ke oko kungaziphilisa izilonda ezinyaweni. Ukukhutshwa kwembewu yomdiliya- equlathe iproanthocyanidins- nayo inokunceda ekunyangeni izilonda ezinyaweni. Olunye unyango lwe-herbal okanye lwe-naturopathic lubandakanya i-aloe vera gel, gingko biloba, kunye necalendula crème.

Steve Kim, iimpendulo ze-MDA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.