Uxinzelelo lwesilonda: yintoni, amanqanaba kunye nokhathalelo

Umxholo

• Amanqanaba aphambili wesilonda soxinzelelo
• Inqanaba 1
• Inqanaba 2
• Inqanaba 3
• Inqanaba 4
• Olona nyango luphambili lokonga
• 1. Ungasiphilisa njani isilonda
• 2. Uzivavanya njani izilonda zoxinzelelo
• 3. Yintoni onokuyifundisa umntu onezilonda ezinengcinezelo
• 4. Uwuvavanya njani umngcipheko wezilonda ezitsha

Isilonda soxinzelelo, esaziwa njenge-eschar, sisilonda esibonakala ngenxa yoxinzelelo olude kunye nokuhla kwesiphumo sokuhamba kwegazi kwindawo ethile yolusu.

Olu hlobo lwenxeba luxhaphake kakhulu kwiindawo apho amathambo adibana kakhulu nolusu, njengasezantsi komqolo, entanyeni, esinqeni okanye kwizithende, kuba apho uxinzelelo kulusu lukhulu kakhulu, ukujikeleza ngokuya kusiba mandundu. Ukongeza, uxinzelelo lwezilonda lukwenzeka rhoqo kubantu abalele ebhedini, kuba banokuchitha iiyure ezininzi belandelelana bekwindawo enye, ekwenza kube nzima ukujikeleza kwezinye iindawo zolusu.

Nangona izilonda zoxinzelelo zizilonda zolusu, zithatha ixesha elide ukuphilisa kwaye oku kwenzeka ngenxa yezizathu ezininzi, ezinje ngobuthathaka bemeko yomntu ngokubanzi, ukutshintsha kobunzulu besikhumba kunye nobunzima ekunciphiseni ngokupheleleyo lonke uxinzelelo kwiindawo ezichaphazelekayo . Ke ngoko, kubaluleke kakhulu ukuba zonke iintlobo zezilonda zivavanywe ngugqirha okanye ngumongikazi, ukuze unyango olunemveliso efanelekileyo luqaliswe, kunye nolona nyango lubaluleke kakhulu ukukhawulezisa ukuphilisa.

Amanqanaba aphambili wesilonda soxinzelelo

Ekuqaleni, izilonda zoxinzelelo zivela kulusu kuphela njengendawo ebomvu, kodwa ngokuhamba kwexesha le ndawo inokubonisa inxeba elincinci elingapholiyo elonyuka ngokobukhulu. Kuxhomekeka kumzuzu wokuvela kwesilonda, kunokwenzeka ukuba uchonge amanqanaba ama-4:

Inqanaba 1

Inqanaba lokuqala lezilonda zoxinzelelo laziwa ngokuba yi "blanching erythema" kwaye lithetha ukuba, ekuqaleni, isilonda sibonakala njengendawo ebomvu xa sithe sacofa utshintsha umbala ube mhlophe okanye ube ubonakala ungacacanga, kwaye ugcina lo mbala ngexesha lemizuzwana okanye imizuzu embalwa, nasemva kokuba uxinzelelo lususiwe. Kwimeko yesikhumba esimnyama okanye esimnyama, le ndawo inokuba nombala omnyama okanye o-purplish, endaweni ebomvu.

Olu hlobo lwebala, ukongeza ekubeni mhlophe ixesha elide emva kokucinezelwa, kunokuba nzima ngakumbi kunesikhumba sonke, kushushu, kungenjalo kupholile kunawo wonke umzimba. Umntu unokubhekisa kwimvakalelo yokutswina okanye ukutshisa kuloo ndawo.

Kwenziwe ntoni: Okwangoku, izilonda zoxinzelelo zisenokuthintelwa kwaye, ke, eyona nto ifanelekileyo kukugcina ulusu luqinile kwaye luphucule ukujikeleza kwegazi. Kule nto, umntu kufuneka azame ukugcina ulusu lomile kangangoko kunokwenzeka, thambisa amafutha okuthambisa rhoqo, kunye nokuthintela izikhundla ezinokuthi zibeke uxinzelelo kwindawo engaphezulu kwemizuzu engama-40 elandelelana. Ukongeza, kubalulekile ukuba ube nokuthanjiswa rhoqo kwindawo ukulungiselela ukuhanjiswa.

Inqanaba 2

Okwangoku inxeba lokuqala liyavela, elinokuba lincinci, kodwa elibonakala njengokuvula kwesikhumba kwingingqi yeblotch ye-erythema bleach. Ukongeza enxebeni, ulusu kwindawo yebala lubonakala lucekeceke kwaye lunokubonakala lomile okanye lukhanye ngakumbi kunesiqhelo.

Kwenziwe ntoni: nangona inxeba sele livelile, kweli nqanaba kulula ukukhuthaza ukuphola kunye nokuthintela usulelo. Ngenxa yoko, kubalulekile ukuya esibhedlele, okanye kwiziko lempilo, ukuze indawo ivavanywe ngugqirha okanye ngumongikazi, ukuze uqalise unyango ngezona mveliso zifanelekileyo kunye nokunxiba. Ukongeza, kuya kufuneka uqhubeke nokukhulula uxinzelelo lwendawo, ukuze usele amanzi amaninzi kwaye wandise ukutya ukutya okuneprotheyini kunye neevithamini, njengeqanda okanye intlanzi, njengoko zilungiselela ukunyanga.

Inqanaba 3

Kwinqanaba lesi-3, isilonda siyaqhubeka nokukhula kunye nobukhulu, siqala ukubachaphazela ulusu olunzulu, kubandakanya umaleko ongaphantsi, apho kufumaneka khona idipozithi. Kungenxa yoko le nto, kweli nqanaba, ngaphakathi kwenxeba kunokwenzeka ukuba uqaphele uhlobo lwethishu engaqhelekanga netyheli, eyenziwa ziiseli ezinamanqatha.

Okwangoku, ubunzulu besilonda buyahluka ngokwendawo echaphazelekayo kwaye, ke ngoko, kuyinto eqhelekileyo ukuba empumlweni, ezindlebeni okanye emaqatheni akunakwenzeka ukugcina umaleko ongaphantsi, kuba awukho.

Kwenziwe ntoni: unyango olwaneleyo kufuneka lugcinwe ngokukhokelwa ngumongikazi okanye ugqirha, kwaye kuyafuneka ukuba kwenziwe ukunxiba okuvaliweyo yonke imihla. Kubalulekile ukusela amanzi amaninzi emini kunye nokubheja kokona kutya kuninzi ngeprotein. Ukongeza, kuya kufuneka uqhubeke nokukhulula uxinzelelo lweendawo ezichaphazelekayo, kwaye kunokucetyiswa ngugqirha ukuba athenge umatrasi owahlula uxinzelelo emzimbeni wonke, ngakumbi kubantu abalele ebhedini ixesha elide.

Inqanaba 4

Eli linqanaba lokugqibela lokukhula kwesilonda soxinzelelo kwaye luphawulwa ngokutshatyalaliswa kwamanqanaba anzulu, apho kufumaneka khona izihlunu, imisipha kunye namathambo. Kolu hlobo lwezilonda kukho umngcipheko omkhulu wosulelo kwaye, ngenxa yoko, umntu lowo angadinga ukuba alaliswe esibhedlele ukuze azinxibe rhoqo kwaye afumane i-antibiotics ngqo emthanjeni.

Olunye uphawu oluxhaphakileyo bubukho bevumba elibi kakhulu, ngenxa yokufa kwezihlunu kunye nokuveliswa kwencindi enokusulela.

Into enokuyenza: Ezi zilonda kufuneka zinyangwe esibhedlele kwaye kungafuneka nokuba uhlale esibhedlele ukwenza i-antibiotics kunye nokuthintela usulelo olunokwenzeka. Kusenokufuneka ukuba kususwe umaleko wethishu efileyo, kwaye kunokucetyiswa utyando.

Olona nyango luphambili lokonga

Olunye unonophelo olubaluleke kakhulu kwimeko yezilonda ezinesifo kukunxiba ngokwaneleyo, nangona kunjalo, umongikazi kufuneka agcine uvavanyo lwenxeba rhoqo, kwaye afundise umntu ukuba aphephe ukwanda kwesilonda kwaye avavanye umngcipheko wezilonda ezintsha.

1. Ungasiphilisa njani isilonda

Ukunxiba kufuneka kusoloko kulungelelaniswa nohlobo lwethishu ekhoyo enxebeni kunye nezinye izinto ezibandakanya: ukukhutshwa kwemfihlo, ukunuka okanye ubukho bosulelo, ukukhuthaza ukunyanga okwaneleyo.

Yiyo loo nto ukunxiba kunokubandakanya iintlobo ezahlukeneyo zemathiriyeli, ezona ziqhelekileyo zibandakanya:

• Ikhalsiyam alginate: amagwebu asetyenziswa kakhulu kwizilonda zoxinzelelo ukufunxa ukhuseleko kunye nokwenza indawo efanelekileyo yokuphilisa. Zingasetyenziselwa ukuba kukho ukopha, njengoko zinceda ukuyeka ukopha. Ngokwesiqhelo, kufuneka zitshintshwe rhoqo emva kweeyure ezingama-24 okanye ezingama-48.
• Isilivere yeAlginateukongeza ekufunxeni imfihlo kunye nokukhuthaza ukunyanga, zikwanceda ukunyanga usulelo, ukuba lukhetho olufanelekileyo kwizilonda zoxinzelelo;
• IHydrocolloid: Kukulungele ukuthintela ukubonakala kwenxeba kwangexesha lesigaba 1 sesilonda soxinzelelo, kodwa inokusetyenziswa kwizilonda ezingaphezulu kwinqanaba le-2;
• IHydrogel: inokusetyenziswa ngohlobo lokunxiba okanye ijeli kwaye inceda ukususa izicwili ezifileyo enxebeni. Olu hlobo lwezixhobo lusebenza kakuhle kwizilonda ezinemfihlo encinci;
• ICollagenase: luhlobo lwe-enzyme olunokusetyenziswa enxebeni ukuthotywa kwezicubu ezifileyo kunye nokwenza lula ukhuseleko, kusetyenziswa ngokubanzi xa kukho iindawo ezinkulu zezicwili ezifileyo zokususa.

Ukongeza ekusebenziseni isinxibo esifanelekileyo, umongikazi kufuneka asuse iintsalela zokunxiba kwangaphambili kwaye acoce inxeba ngokufanelekileyo apho, ukongeza ekusebenziseni i-saline, isikhumba esinokusetyenziswa sinokusetyenziselwa ukususa iziqwenga zezicubu ezifileyo, ekuthiwa kukuthotywa komzimba. Oku kuncitshiswa kungenziwa ngokuthe ngqo kunye necompress ngexesha lokucoca okanye ukwenziwa ngokusetyenziswa kweoyinti ye-enzymatic, efana ne-collagenase.

Jonga ngakumbi malunga namafutha okuthambisa ukunyanga izilonda zoxinzelelo.

2. Uzivavanya njani izilonda zoxinzelelo

Ngexesha lokunyanga inxeba, umongikazi kufuneka aqwalasele zonke iimpawu anokuzijonga okanye azichonge, ukuze kwenziwe uvavanyo ngokuhamba kwexesha, ukuze kuqondwe ukuba ngaba kukho unyango olwaneleyo kusini na. Olu vavanyo lukwabaluleke kakhulu ekuqwalaseleni ukutshintsha izinto zokunxiba, ukuze zihlale zanele kulo lonke unyango.

Ezinye zeempawu ezibaluleke kakhulu, ekufuneka zivavanywe ngalo lonke ixesha lokunxiba kubandakanya: ubungakanani, ubunzulu, ukumila komphetho, ukuveliswa kwemfihlo, ubukho begazi, ivumba kunye nobukho beempawu zosulelo, ezinje ngokuba bomvu kulusu olungqongileyo, ukudumba , imveliso yobushushu okanye ubofu. Ngamanye amaxesha, umongikazi unokuthatha imifanekiso yendawo enenxeba okanye enze umzobo ngephepha elingaphantsi kwenxeba, ukuthelekisa ubungakanani ngokuhamba kwexesha.

Xa kuvavanywa iimpawu zezilonda zoxinzelelo, kuyacetyiswa ukuba unike ingqalelo kulusu olujikeleze inxeba, kuba ukuba ayifakwanga kakuhle, inokuba negalelo ekwandeni kwesilonda.

3. Yintoni onokuyifundisa umntu onezilonda ezinengcinezelo

Kukho iimfundiso ezininzi ezibaluleke kakhulu emntwini onezilonda zoxinzelelo kwaye ezinokunceda ekuphuculeni kakhulu isantya sokunyanga, kunye nokuphepha iingxaki. Ezinye zezi mfundiso zibandakanya:

• Chazela umntu ngokubaluleka kokungahlali kwindawo enye ngaphezulu kweeyure ezi-2;
• Fundisa umntu ukuma endaweni ukuze angasebenzisi uxinzelelo kwisilonda;
• Bonisa indlela yokusebenzisa imiqamelo ukunciphisa uxinzelelo kwiindawo zamathambo;
• Fundisa ngomonakalo wokutshaya uye egazini kwaye ukhuthaze umntu ukuba ayeke ukutshaya;
• Chaza malunga neempawu zeengxaki ezinokubakho, ngakumbi usulelo.

Ukongeza, kunokuba kubalulekile ukubhekisa umntu kudliwanondlebe nesondlo, kuba ukutya okufanelekileyo kubaluleke kakhulu ukukhuthaza ukwenziwa kwe-collagen kunye nokuvalwa kwenxeba.

Ukuba yimeko yomntu olele ebhedini, nantsi indlela yokubeka umntu ebhedini:

4. Uwuvavanya njani umngcipheko wezilonda ezitsha

Abantu abaphuhlisa isilonda soxinzelelo basemngciphekweni omkhulu wokukhula kwezilonda ezintsha. Ngesi sizathu, kuyacetyiswa ukuba kuvavanywe umngcipheko wokuba nesilonda esitsha, esinokwenziwa kusetyenziswa isikali seBraden.

Isikali seBraden sivavanya izinto ezi-6 ezinokuthi zibe negalelo ekubonakaleni kwesilonda kwaye kubandakanya: amandla omntu okuva iintlungu, ukufuma kolusu, inqanaba lomsebenzi womzimba, ukukwazi ukuhamba, imeko yesondlo kunye nokubakho kokungqubana ulusu. Ixabiso elisusela ku-1 kuye ku-4 labelwe into nganye kwezi, kwaye ekugqibeleni onke amaxabiso kufuneka ongezwe ukufumana ukuhlelwa komngcipheko wokukhula kwesilonda soxinzelelo:

• Ngaphantsi kwe-17: akukho mngcipheko;
• I-15 ukuya kwi-16: umngcipheko ophakathi;
• 12 ukuya ku-14: umngcipheko ophakathi;
• Ngaphantsi kwe-11: umngcipheko omkhulu.

Ngokomngcipheko, kunye nezinto ezinamanqaku asezantsi, kunokwenzeka ukuba wenze isicwangciso sokhathalelo esinceda ukukhusela isilonda esitsha, ukongeza ukuququzelela ukuphilisa esele ikho. Olunye unonophelo lunokubandakanya ukufakela ulusu ngokufanelekileyo, ukukhuthaza ukutya okwaneleyo okanye ukuvuselela imisebenzi yomzimba, nokuba iphakathi.