I-Debridement yinkqubo yokususa izicubu ezingekho emzimbeni emzimbeni. Iimpawu zingaba necrotic (ezifile), ezithelelekileyo , ezonakalisiweyo, ezingcolileyo okanye zingaphantsi komzimba ongaphandle kwezinye izicubu.
Kutheni kuqhutyelwa i-Debridement
Ngokomzekelo, isigulane sinesilonda esinzulu esasulelekile kwaye asikuphuculanga ngamayeza omzimba kunye nokunakekelwa kwilonda . Inxeba iya kukhula, isigulane siyagula, kwaye ngaphandle kokulawula okungcono ukusuleleka, isigulane sinokuba sisimo esongela ubomi .
Kulo gulane, ukucoca ngokugqithisileyo isilonda nokususa ezinye iiscuba ezifayo kunye neentsholongwane kunokuthetha ukuba umzimba unokulwa nesifo kwaye uphilise isilonda ngokulula. Ngezicubu ezifayo zisusiwe, izicubu ezinempilo ezisele zihlala ziphilile kwaye zingenasifo.
Iintlobo zeDibridment
Uhlobo olubanzi lweendlela zokuxhatshazwa lisetyenziswe kwiyeza, kunye nesilonda esinzima okanye isilonda esinzima ukuphilisa, iintlobo ezininzi zezo zonyango zingasetyenziswa. Ngokomzekelo, isilonda esinzulu esinesifo esinezifo (ezifa) sisenokuqala ukuphathwa ngokuxhatshazwa kodlova kodwa sinokuba ne-enzymatic and mechanical debridement kwiiveki ezilandelayo.
- I-Debridement yokuphanda : Le nkqubo yinkqubo yokususa izicubu ezonakalisiweyo okanye ezifayo. Kule meko, ugqirha ogqithisileyo uhlolisisa izicubu, uqikelela ukuba iziphi izicubu ezinokusebenza, kwaye ususe izicubu ezingenakulinganiswa. Iimpawu ezimbi zichithwa ngokuchanekileyo usebenzisa isixhobo esibukhali okanye ukushisa, kunye nodokotela ogqirha ezama ukugcina izicubu ezintle kangako.
- Ukugqithiswa kwe-Autolytic : Le yinkqubo yomzimba yokulahla izicubu ezifileyo kunye nokugcina izicubu ezinempilo. Le nkqubo inokuncediswa ngokunyameka okanye ukunyamekelwa kwilonda, kodwa lolu hlobo lokukhawulelana luye lwaluya emva kwaye luvumela umzimba ukuba uziphilise.
- I-Debridement ye-Enzymatic : Olu hlobo lokuxoxwa lisebenzisa izixazululo ze-enzyme okanye amafutha okugulisa izicubu. Ngokuqhelekileyo, isisombululo okanye umgubo udibaniswa nokugqoka okutshintshiweyo rhoqo, okunciphisa izicubu kunye nokuvumela ukuba izicubu ezimbi zisuswe xa kugqitywa ukugqoka.
- I-Debridement yeMechanical : Le fom yokudibanisa ukukhutshwa kwezicubu usebenzisa isambatho esitshintshile rhoqo. Ukugqoka ngokuqhelekileyo kubhekiswe njengomanzi wokugqoka, kuqulethwe i-gauze ye-humity esetyenziswe kwilonda efuna ukuxoxwa, ehlanganiswa ngombala ongezantsi. Emva kwexesha elimiselweyo, ukugqoka kuya kumeka, okuvumela ukuba izicubu zihambelane ne-gauze. Xa ukugqoka kugqitywa, izicubu ezinamathele kwi-gauze nazo zisuswe. Olu hlobo lokukhawulelana lubizwa nangokuthi "ukungabikho okukhethiweyo" njengoko zombini izicubu ezinempilo kunye neziphilileyo zingasuswa nale nkqubo.
- Ukugqithiswa kweMaggot : Olu hlobo lokuxhatshazwa lusebenzisa izilwanyana, okanye i-volrrrrrrrr, ephakanyiswayo kwindawo engaselunxwemeni ukuba ihlasele amanxeba. Amaggots afakwe kwilonda, ngokuqhelekileyo phantsi kwebhanki evulekile, apho badla khona ukufa okanye izifunu ezifa. Amagogotshi ayiluhlobo olukhethiweyo lokukhawulelana, oku kuthetha ukuba badla kuphela izicubu ezingekho emzimbeni, beshiya izicubu eziphilileyo.
- I-Hydrotherapy (Mechanical) I-Debridement : Hydrotherapy, okanye amanzi aphefumlelweyo, aqhelekileyo asetyenziselwa ukuhlambala amanxeba. Ifom ye-non-selective of debridement, le nyango inokuba yintlungu kakhulu, kuxhomekeke kwimeko yemanxeba.
Ukuxhatshazwa kwemida
Inkqubo yokwahlukana kwemigangatho ukusuka ekunciphiseni okuncinci kuya kubuhlungu. Ngokuxhomekeke kuhlobo lokuxoxwa kwenzalo, uhlobo lwesilonda kunye nendlela enzima ngayo isilonda esiya kubangela ukuba luhlobo luni lweentlungu eziya kudingeka ukuba lunikwe ngaphambi kokuba kwenziwe inkqubo. Ezinye iinkqubo ziya kwenziwa ngaphandle kokungenelela kwintlungu, ngelixa abanye baya kufuna i-anesthesia ukuze isiguli singayi kuqaphela ukuba inkqubo iya kwenziwa.
Nangona i-anesthesia iyimfuneko kwiimeko ezinzima, amayeza enhlungu athathwa ngomlomo ngokuqhelekileyo anokwaneleyo kuninzi lweentlobo ezinobunzima bokuxubusha kwaye kumaxesha amaninzi, amayeza enzondo akayi kuyimfuneko.
ILizwi
Ukutshatyalaliswa ngokuqhelekileyo kuyimfuneko ebalulekileyo; ngelixa kunokuba buhlungu, amanxeba amaninzi aya kuphuluza ngaphandle kwenkqubo ebalulekileyo. Funda ngokubanzi njengoko unako malunga nenkqubo yokuxoxwa, kwaye unganqikazi ukufumana uluvo lwesibini ukuba awuqinisekanga malunga naluphi uhlobo lwenkqubo eya kuba yinto efanelekileyo kwiimeko zakho ezizodwa. Thatha ixesha lokubuza imibuzo malunga neendlela ezikhoyo, iindleko zezo zikhetho, kwaye ngokubaluleke kakhulu, luhlobo luni lokuhlawulela luya kukhokelela ekuphulukisweni okulungileyo kunxeba lakho.