Ukuthintela nokuPhathwa
Umxinzelelo wesilonda, owaziwa ngokuba ngumxinzelelo obunzima okanye obhedu, unobungozi kwesikhumba kunye nokuba zikhona izicubu ngaphantsi kwesikhumba. Olu hlobo lokulimala lubangelwa uxinzelelo kwindawo leyo, enokubangela ubunzima bomzimba, izixhobo zonyango okanye ukungabikho kokuhamba. Kwiindawo zeBony ezingenamafutha okanye imisipha phantsi kwesikhumba kunokwenzeka ukuba zivelise izilonda kuneendawo ezinamafutha kunye nezihlunu.
Ngokomzekelo, ibhuloho yempumlo yesikhumba phezu kwe-cartilage, kwaye yindawo enkulu yengozi yokubunjwa kwesilonda.
Izigulane ngokugqithiseleyo zisengozini yokulonda izilonda ngenxa yokuba zigcinwe kwindawo enye ixesha elide kwaye azikwazi ukuhamba ngexesha lenkqubo. Umntu ovukekileyo unokuvakalelwa intlungu okanye angakhathazeki xa elele kwindawo enye ixesha elide, kwaye uphendule kweso sinzo ngokuhamba okanye ukuguqula isimo sakhe somzimba. Umntu ogqithisiweyo, unikwe i- anesthesia okanye ugula kakhulu ukuhamba, akakwazi ukwenza okufanayo.
Ukuthintela ngexesha loPhando
Enye yezona ndlela eziphambili zokuthintela izilonda zengcinezelo ekuveleni ukuhamba rhoqo, ngokukodwa ukuma nokuhamba, kodwa oko akunakwenzeka ngexesha lotyando. Kunoko, ngenxa yokuba isigulane sihlala singanyanzelwanga kwi- anesthesia jikelele , ukuthintela izilonda kuwela kubasebenzi begumbi lokusebenza kunye nezixhobo.
Amagumbi amaninzi asebenzayo asebenzisa iitafile ezisebenzayo, ezisebenzisa izixhobo ezahlukeneyo ukubonelela isigulane esilulayo ukuba isiguli silale ixesha elide.
Abasebenzi begumbi lokusebenza bayagxininisa kwiindawo ezinobungakanani, njengebhulorho lempumlo, ezinokufumana uxinzelelo kumaski okuphefumula asetyenziswa ngexesha le-anesthesia. Kweminye, ibhuloho yempumlo ifakwe i-dressing encinci, kwabanye, i-pad efakekileyo ingafakwa phantsi kwesigontsho okanye i-hip.
Ukuthintela emva kokuPiliswa
Emva kokuhlinzwa, ukuthintela izilonda zengcinezelo luxanduva lwabahlengikazi kunye nesigulane. Isigulane sinembopheleleko yokuthatha amayeza ngokuchanekileyo, ukunyuka nokuhamba ngokukhawuleza. Abahlengikazi banomthwalo wokuqatshelwa kwangaphambili kwezigulane ezisengozini yokulimala kalukhuni, nokubeka amanyathelo okuthintela endaweni, kwakunye nokuchonga izilonda zengcinezelo eziphuthuma ngokukhawuleza . Abahlengikazi banembopheleleko yokuguquka rhoqo kwezigulane ezingakwazi ukuphuma ebhedeni okanye zijika. Abahlengikazi banokugubungela iinyawo, ii-ankle kunye nezinye iindawo ezinobungqina ukuba isigulane sibonakala sisengozini yomonakalo wesikhumba. Baye baqeqeshwa ukukhusela ukulimala, okunye uhlobo lokulimala kwesikhumba okubangelwa ukufuduswa, ngokusebenzisa amashidi phantsi kwesigulane ukunciphisa ukuxubana kwesikhumba.
Kwezinye izigulane, iibhedi ezizodwa zingasetyenziswa ezinganciphisa ukubunjwa kwezilonda zamagciwane.
Izinto zobungozi
Kukho izinto ezininzi ezinobungozi bezilonda zesilonda, kunye nokungakwazi ukuhamba rhoqo kubaluleke kakhulu. Izigulane kwizibhedlele ezingakwazi ukufuduka zihlala zihlala kwindawo entsha ubuncinane nganye iiyure ezimbini ukukhusela ukubunjwa kwezilonda zesilonda.
Ezinye izinto ezinobungozi ziquka:
- Sikashukela
- Ixesha elipheleleyo kwigumbi lokusebenza (lingabandakanya ukuhlinzwa ezininzi)
- Ubudala (izigulane ezindala ziyakwazi ukuvelisa izilonda)
- Ukusetyenziswa kwemithi ebizwa ngokuthi i-vasopressors ukwandisa uxinzelelo lwegazi
- Umngcipheko ophezulu kwinqanaba leBraden, isixhobo esisetyenziselwa ukucacisa izinga lomngcipheko njengomgqatswa ogqityiweyo
- Isalathisi sesiswini somzimba esezantsi (izigulane ezincinci zisengozini ephezulu, zingaphantsi "zihluthe" kunye nezinye "ibony")
Ukucwangcisa
Izilonda zengcinezelo yindlela yokubeka ubunzima bokulimala. Iindidi ezahlukileyo zezilonda zamachiza zidinga unyango oluye lwahluka ngokuxhomekeke kwimeko enzulu ngayo.
Ezinye izilonda zengcinezelo ziboshwe ngebhanki ukuyeka umonakalo owodwa xa abanye befuna enye okanye ngaphezulu ukuhlinzwa ukuze ilungiswe kwaye iphathwe.
Udidi / Isigaba I I-erythema engeyona i-blanchable: I- skin entle kunye nobomvu obungabonakaliyo bendawo eqhelekileyo ngokuqhelekileyo ngaphezu kwe-bony evelele. Ikhumba elimnyama lingenayo i-blanching ebonakalayo; umbala wawo ungahluka kwiindawo ezikufutshane. Ummandla unokuba buhlungu, uqine, ulula, ufudumeze okanye upholile xa uthelekiswa nezicubu ezikufutshane.
Udidi / Isigaba II Ubungakanani obukhethekileyo: Ukulahleka okwenziwe kwintsholongwane yesikhumba ebonisa njengesilonda esingavaliyo esivulekileyo kunye nebhedi elibomvu elincinci. Kwangathi kwakhona ingabonakalisa njenge-britter egcweleyo okanye evulekile okanye ephulekileyo okanye evuliwe.
Udidi / Isigaba III Ubunzima bokulahleka kwesikhumba: Ukulahleka kwamathambo. I-fat ingabonakala kodwa ithambo, i-tendon okanye i-muscle ayibonakali . Ubunzulu beCandelo / iSigaba III soxinzelelo lwesilonda siyahluka ngendawo. Ibhuloho yempumlo, indlebe, intloko kunye nesifuba lesifuba asinayo iisisindo ezinamafutha kwaye ingaba nzima. Ngokwahlukileyo, iindawo zokufakelwa kweoli ziyakwazi ukuhlakulela iCandelo leNgcaciso yeCandelo leNqanaba III.
Udidi / Isigaba IV Ubukhulu bokulahleka kweethambo: Ukulahleka kweesisipha zokulahleka kunye nethambo, i-tendon okanye i-muscle. Ubunzulu beCandelo / Isigaba se-IV sesilonda esisinyanzelo sichaphazelekayo. I-bone / imisipha evezweyo ibonakala okanye iyakwazi ukuziva lula.
Ukungaqiniseki / ukungahlanjululwa: Ubunzima obupheleleyo besikhumba okanye ukulahleka kweethambo, ubunzulu obungabonakaliyo (eli candelo lusetyenziswa eUnited States): Ukulahleka kwamathambo amaninzi apho ubunzulu bobunzima besilonda bufihliwe ngokupheleleyo ngamathambo ebizwa ngokuba yi-slough okanye eschar kwilonda. Kuze kubekho ukususwa okwaneleyo kunye / okanye eschar kususwe ukuveza isiseko sesilonda, ubunzulu bokwenyaniso abukwazi ukuchongwa.
> Imithombo:
> I-NPUAP Inkxalabo ye-Ulcer Stages / Categories. Iqela leNgcaciso ye-Ulcer ye-Ulcer Advisory Panel.
> Umonde ochanekileyo kunye neendlela zokupasa kwiNtuthuko ye-Ulcers. I-American Journal Yokunakekelwa Okubalulekileyo.