Unyawo lweswekile: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Ngubani osemngciphekweni ophezulu wonyawo lweswekile
• Lwahlelwa njani unyawo lweswekile
• 1. Ukwahlulahlula kukaWagner
• 2. Ukwahlulahlula iTexas
• Unyango lwenziwa njani
• Amanyathelo ama-5 okuthintela iingxaki ezinzulu
• 1. Gcina iswekile yegazi lakho iphantsi kolawulo
• 2. Bukela iinyawo zakho yonke imihla
• 3. Gcina iinyawo zakho zicocekile kwaye unamanzi
• 4. Sika iinzipho zakho kabini ngenyanga kwaye ungazisusi ii-calluses
• 5. Nxiba izihlangu ezivaliweyo, ezithambileyo
• Iingxaki ezinokubakho unyawo seswekile

Unyawo lweswekile sesinye sezona ngxaki ziphambili kwisifo seswekile, esenzeka xa umntu sele enesifo seswekile kwaye, ke ngoko, akaliva ukubonakala kwamanxeba, izilonda kunye nolunye unyawo olonzakeleyo. Ngenxa yesifo seswekile, la manxeba athabatha ixesha elide ukuphola kunesiqhelo kwaye, ke, kunokubangela ukosuleleka okuphindaphindayo, ukwandisa umngcipheko wokuba kufuneka unqunyulwe unyawo.

Olu hlobo lokuxakeka luxhaphake xa amanqanaba eswekile egazini engalawuleki kwaye, ke ngoko, enye yeendlela eziphambili zokuthintela ukuqala kwayo kukuthatha unyango olufanelekileyo lwesifo seswekile. Jonga iingxaki ezi-6 eziphambili zesifo seswekile.

Ukongeza, ukunqanda ukubonakala kwenyawo yeswekile kuyacetyiswa ukwenza Jonga iinyawo eziqhelekileyo, ezinokwenziwa yonke imihla ekhaya, kodwa kufuneka zenziwe ngugqirha eofisini. Kwiimeko apho unyawo lweswekile sele lukhona, kubaluleke kakhulu ukwenza iilokhwe kwiziko lempilo okanye esibhedlele, kunye nokunxiba izihlangu ezifanelekileyo kunye nokugcina ucoceko olufanelekileyo lweenyawo.

Iimpawu eziphambili

Olona phawu luphambili lonyawo lwesifo seswekile kukubonakala kwamanxeba angonzakalisiyo nothatha ixesha ukuphola. Nangona kunjalo, ezinye iimpawu kunye neempawu zinokubandakanya:

• Intlungu eqhubekayo okanye ukubetha;
• Ukuphulukana nokuziva unyawo;
• Ukudumba konyawo;
• Iphunga elibi kunyawo;
• Isikhumba esityebileyo elunyaweni;
• Ukuphuma kobofu ngokusebenzisa amanxeba;
• Utshintsho kubushushu bolusu lonyawo.

Phambi kwazo naziphi na kwezi mpawu, kubaluleke kakhulu ukudibana nogqirha wakho ukuba enze uvavanyo olunzulu lolusu kwaye achonge umngcipheko wonyawo lweswekile, aqalise unyango olufanelekileyo.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwenyawo yeswekile kwenziwa ngugqirha oqhelekileyo okanye ugqirha we-endocrinologist okanye ugqirha we-vascular kwaye isekwe kwiimpawu kunye neempawu ezibonakaliswe kwilungu lasezantsi. Nangona kunjalo, ugqirha unokusebenzisa izixhobo zeklinikhi kunye / okanye uku-odola ezinye iimvavanyo ukuqinisekisa isifo, ezinje ngeRydel-Seiffer ifolokhwe yokulungisa, esetyenziselwa ukuvelisa ukungcangcazela umntu anokukwazi ukuziva ngonyawo. Olunye uvavanyo oluqhelekileyo yi-Eco-doppler, apho kusetyenziswa khona i-ultrasound ukuvavanya ukuhamba kwegazi kwimithambo yegazi enkulu kunye nemithambo yeengalo nemilenze.

Ngubani osemngciphekweni ophezulu wonyawo lweswekile

Ukubonakala kwonyawo lweswekile kuxhaphake kakhulu kubantu abane:

• Ukuchongwa kwesifo seswekile ngaphezulu kweminyaka eli-10;
• I-neuropathy yeswekile;
• Imbali yezilonda okanye ukunqunyulwa kwamalungu asezantsi;
• Utshintsho kwiinzipho.

Olu hlobo lokuxakaniseka luqheleke kakhulu emadodeni nakubantu abangenalo unyango olufanelekileyo lwesifo seswekile okanye abangaboniyo gqirha rhoqo kuvavanyo.

Lwahlelwa njani unyawo lweswekile

Kukho izikali ezibini zokuchonga inqanaba lokukhula konyawo lweswekile:

1. Ukwahlulahlula kukaWagner

Ukusetyenziswa kwesi sikali kuye kwancipha, kuthathelwa indawo sisikali saseTexas. Kolu luhlu kukho iidigri ezi-6, ngohlobo lweenguqu ezikhoyo:

• IBakala 0Unyawo olunomngcipheko omkhulu, kodwa ngaphandle kwamanxeba okanye izilonda;
• IBakala IUbukho besilonda esingaphezulu;
• IBakala IIUbukho besilonda esinzulu, kunye nokubandakanyeka kwethenda;
• IBakala III: isilonda ngokubandakanyeka kwethambo;
• IBakala IV: ukubola kwendawo
• IBakala V: ukubola konyawo.

2. Ukwahlulahlula iTexas

Eli nqanaba laphuhliswa yiDyunivesithi yaseTexas kwaye yahlula amanqanaba esifo seswekile ngokobunzulu nobukho bosulelo okanye ischemia elunyaweni:

Kubalulekile ukuba zonke izilonda zonyawo lwesifo seswekile zivavanywe kwaye zihlelwe ngugqirha, kuba oku kuyakunceda ukulungelelanisa unyango kunye nokunyamekela okuyimfuneko.

Unyango lwenziwa njani

Unyango lonyawo lweswekile lwenziwa ngokweempawu kunye neempawu ezibonisiweyo, ukongeza kulwahlulo lokonzakala kunyawo lweswekile, kwaye kufuneka soloko ukhokelwa ngugqirha, nokuba kunokusikwa okuncinci okanye amanxeba, njengoko enokuba mandundu ngokukhawuleza .

Unyango lunokubandakanya:

• Ukusetyenziswa kwee-antibiotics;
• Ukusetyenziswa kweoyile yokuthintela ukubulala intsholongwane kwindawo echaphazelekayo;
• Utshintsho olutsha ekutyeni okanye ekusetyenzisweni kwamayeza ukulawula isifo seswekile;
• Ukunxiba inxeba imihla ngemihla.

Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukwenza utyando ukuze kususwe indawo echaphazelekayo kulusu kwaye kukhuthaze ukuphiliswa. Nangona kunjalo, xa inxeba lingafunyanwa kwangethuba okanye xa isigulana singanyangeki kakuhle, ummandla ochaphazelekayo unokuba mkhulu kakhulu, kwaye kunokuba yimfuneko ukunqunyulwa unyawo okanye inxalenye yonyawo.

Ngamanye amaxesha, xa isilonda sinzulu kakhulu kwaye sifuna ukhathalelo oluqhubekayo, ukungeniswa esibhedlele kunokucetyiswa.

Amanyathelo ama-5 okuthintela iingxaki ezinzulu

Ezinye iindlela zokukhusela ekufuneka zigcinwe ngexesha lonyango, kodwa ezikunceda ukuthintela ukuqala konyawo lwesifo seswekile zezi:

1. Gcina iswekile yegazi lakho iphantsi kolawulo

Eli lelona nyathelo libaluleke kakhulu ekunyangeni okanye ukunqanda unyawo lweswekile, kuba xa amanqanaba eswekile ehlala ephezulu ixesha elide, igazi linobunzima bokufikelela kwimiphetho yomzimba, kwaye iinyawo zezona ndawo zichaphazeleka kakhulu kukuhamba gwenxa.

Ke, xa kukho igazi elincinci elifikelela ezinyaweni, iiseli ziba buthathaka kwaye unyawo luqala ukuphulukana nobuntununtunu, lubangele ukusikeka okanye amanxeba ukuba aphole kancinci kwaye aqatshelwe kuphela xa sele sele ekwisigaba esisezingeni eliphezulu kakhulu.

2. Bukela iinyawo zakho yonke imihla

Ngenxa yomngcipheko wokuphulukana nemvakalelo, abantu abanesifo seswekile kufuneka babe kumkhwa wokuvavanya iinyawo zabo yonke imihla, nokuba kukuhlamba okanye xa bevuka, umzekelo. Ukuba imeko yomzimba ayivumeli okanye ukubonakala akulunganga, ungasebenzisa isipili okanye ucele uncedo komnye umntu ngexesha lokuhlolwa kweenyawo.

Kuya kufuneka ujonge iintanda, ukusikeka, ukusika, amanxeba, ukufowuna okanye utshintsho kumbala, kwaye kuya kufuneka ubone ugqirha wakho ukuba uyabubona ubukho balo naluphi na olu tshintsho.

3. Gcina iinyawo zakho zicocekile kwaye unamanzi

Kuya kufuneka uhlambe iinyawo zakho yonke imihla ngamanzi afudumeleyo kunye nesepha engathathi hlangothi, unakekele ukuyicoca kakuhle phakathi kweenzwane kunye nesithende. Emva koko, yome iinyawo ngetawuli ethambileyo, ngaphandle kokurabha ulusu, ukomisa nje ngoxinzelelo olukhanyayo kwitawuli.

Emva kokuhlamba, kusabalulekile ukufaka into yokuthambisa engenavumba unyawo lwakho lonke, ulumke ungashiyi nayiphi na ikrimu eqokelelwe phakathi kweminwe kunye neenzipho. Kuya kuvunyelwa ukuba yome ngokwendalo ngaphambi kokufaka iikawusi ezivaliweyo okanye izihlangu.

4. Sika iinzipho zakho kabini ngenyanga kwaye ungazisusi ii-calluses

Kubalulekile ukunqanda ukwenza iinzipho zakho rhoqo, ngokufanelekileyo ukukwenza kabini ngenyanga, ukuze ungakhuthazi ukubonakala kweekona zezikhonkwane okanye iinzipho ezingaphakathi. Ukongeza, i-cuticle kufuneka ithintelwe, njengoko kubalulekile ukukhusela ulusu kumanxeba nakwimikrwelo.

Kubalulekile ukusika iinzipho zakho kumgca othe tye, kwaye iifowuni kufuneka zisuswe kuphela yingcali ejolise kwiinyawo kwaye ngubani obaziyo ubukho besifo seswekile. Ukuba iifowuni zivela rhoqo, kuya kufuneka uthethe nogqirha ukuphanda oonobangela kwaye uqale unyango.

5. Nxiba izihlangu ezivaliweyo, ezithambileyo

Isihlangu esifanelekileyo kubantu abanesifo seswekile kufuneka sivaliwe, ukuthintela amanxeba kunye nokuqhekeka, ukongeza ekubeni uthambile, ukhululekile kwaye unee-soles eziqinileyo, ukubonelela ngokhuseleko ngexesha lokuhamba.

Abasetyhini kufuneka bakhethe izithende ezisezantsi, ezinesikwere, ezibonelela ngolungelelwano olungcono lomzimba. Kuya kufuneka uphephe izihlangu zeplastiki, ezibhityileyo okanye ezomeleleyo, kwaye incam elungileyo kukusoloko unezihlangu zesibini zokutshintsha embindini wemini, ukuze unyawo lungasokoli uxinzelelo kunye nokungonwabi kwesihlangu esinye ixesha elide ixesha.

Iingxaki ezinokubakho unyawo seswekile

Ezona ngxaki zixhaphakileyo zonyawo lwesifo seswekile kukusuleleka kwamalungu asezantsi, iintlungu okanye ukuba ndindisholo kuloo ndawo kunye neschemia. Esona ngxaki siphambili nesona sinzima kulonyawo lweswekile kukunqunyulwa kwelungu lomzimba elisezantsi, oko kukuthi, ukusikwa kotyando, nokuba kungonyawo okanye umlenze kuphela.

Ukongeza, ekubeni isifo seswekile sinqanaba eliphambili lesifo seswekile, umntu unokuba nengxaki yokubona, njengokungaboni, kunye neengxaki zezintso ezikhokelela kwi-dialysis okanye unyango lwe-hemodialysis emva kotyando. Olona sulelo luqhelekileyo lonyawo lwesifo seswekile yi-osteomyelitis, enokuthi ikhokelele ekunqunyulweni kolusu ngenxa yolawulo lwezifo olubi. Funda ngakumbi malunga neempawu ze-osteomyelitis kunye nonyango. Ukuqonda ngcono ukuba yintoni isifo seswekile kunye nokuba ungasiphepha njani.