Utyando lwegulane lusetyenziso lweemeko ezisuka kwi- arthritis yamagxa kuya kwiindwangu zokujikeleza . Ezinye iinkqubo zokugqirha ziyi-arthroscopic, kwaye ezinye zivame ukuhlinzwa ngokuvakalayo. Inqanaba lempumelelo le mininzi yale nkqubo iphakamileyo kakhulu, nangona kunjalo, kukho iingxaki ezinokuthi zenziwe ngugxininiso lwegulane , enye yeyona nto ininzi malunga nokusuleleka.
Kutheni Izifo Zenzeke
Uninzi lwamagciwane aphethwe yi-operesheni lubangelwa yiibhaktheriya eziqhelekileyo zifunyenwe ebusweni besikhumba sakho. Ezi bhaktheriya zingafikelela kwiindawo ezincinci ezincinci kunye neendawo ezidibeneyo ehlombe ngexesha lotyando. Ukuba iibhaktheriya ezaneleyo zingena ezi zicubu ezinzulu, kwaye ukhuseleko lomzimba wakho alukwazi ukulawula izifo, ngokosuleleke isifo.
Kukho iziganeko ezinobungozi ezinokuthi zingadlulisela phambili, okanye zenze kube lula, ukuba uza kuhlakulela intsholongwane emva kokuhlinzwa kwamagxa. Uninzi lwaloo mngcipheko luyisiphumo se-immune system ingxaki engenza izifo ezinokwenzeka, kuquka:
- Ukungondleki
- Sikashukela
- Ukunyanya
- Ukusetyenziswa kotywala
- Ubudala
- Izimo zokungena emzimbeni (umz. Ukubola, isibindi okanye ukungaphumeleli kwezintso)
- Amachiza omzimba (eg prednisone, chemotherapy)
Izifo ezinamahlombe nazo zicelomngeni kuba ukubandakanywa ngokugqithisileyo kukuhlala kusondele kakhulu kwi-axilla (okanye i-armpit).
I-axilla yindawo yeentlanzi ezininzi kunye neenwele zezinwele ezidala indawo ekhuthaza ukukhula kwebhaktheriya. Kukho ezinye iibhaktheriya ezingavamile, kwaye ezininzi zazo, zisondele kakhulu kwindawo yokuhlinzwa.
Ukukhusela izifo
Indlela efanelekileyo yokujongana nezifo emva kokuhlinzwa kukuba kugxininiswe kumanyathelo okukhusela okuqinisekisiweyo ukuqinisekisa ukuba le nkxalabo ayinakwenzeka ngathi kunokwenzeka.
Kukho amanyathelo amanyathelo angathathwa ukuze kuqinisekiswe ukukhuselwa kwezifo zentlungu. Eyokuqala kukulawula i-antibiotics emfutshane ngaphambi kokuba kwenziwe inkqubo yokuhlinzwa. Le antibiotics kufuneka inikezwe ngeyure enye ekuqaleni kokuhlinzwa okwenziweyo. Ukongezelela koko, ukuqhubeka kwezixhobo zokulwa neengxaki emva kokuhlinzwa kungabalulekanga ukuba kuthintela usuleleko olwenzekayo. Ngenxa yoko, akudingeki ukuba uthathe i-antibiotics eyongezelelweyo emva kokuhlinzwa, i-dose eyodwa kuphela ngaphambili kufuneka iwanele phantse zonke iinkqubo zokucanda.
Ukuhlanjululwa kwendawo yokuqhawulwa yile nyathelo ebonakaliswe ukunceda ukukhusela intsholongwane. Isisombululo sokucoca ukucoceka esona sigqityiweyo sitholakale sinokudibanisa utywala kunye ne-chlorhexidine. Abanye oogqirha bacela izigulane zabo ukuba zihlambe ngeesepha ezikhethekileyo ngaphambi kokuba zifike esibhedlele ngenxa yokuhlinzwa kwabo, kwaye nangona oku kungakhange kuboniswe ukuba luncedo, kuya kuba nzima kakhulu.
Amagqirha amaninzi aya kususa iinwele, kodwa nangona oku kungenakuboniswa ukuba wenze umehluko omkhulu kumathuba okuphuhlisa isifo. Ukuba iinwele zikhutshwe, kufuneka zenziwe nge-clippers kwaye kungekhona i-razor, njengoko i-microabrasions ebangelwa i-razor iboniswe ukuba yenze ithuba lokusuleleka kuphezulu.
Ngaba Ingxaki?
Ukwenza ukuxilongwa kwentsholongwane ibe ngumngeni kwixesha lokuvavanya. Nabani na onobungqina begulane angalindelwa ukuba abe neentlungu kunye nokuvuvukala emagxeni-zombini iimpawu zentsholongwane. Ngako oko, ugqirha wakho unokukhangela iimpawu ezithile zentsholongwane. Ezi ziquka:
- UkuBomvu ngokujikeleza ukufakwa
- Umsele ovela kwi-incision, ingakumbi i- purulent fluid
- Ukwenyuka kwentlungu (kunokuba yehla kancane)
- Imfiva, i-chills, okanye i-sweats
Ukuba unayo le miqondiso yentsholongwane, kufuneka uvumele ugqirha wakho ukuba azi ngokukhawuleza. Ukuxilongwa kwangaphambili kwintsholongwane kunokunceda unyango lwenkqubo lube lula ngakumbi.
Ukuba isifo sityholwe, ugqirha wakho unokwenza iimvavanyo ezingaphezulu, kuquka iimvavanyo zegazi ukujonga iimpawu zentsholongwane. Ukongezelela, isampula eselungelelanayo ingafunyanwa ukujonga ibhaktheriya. Ukuba kukho umjelo ovela kwi-incision, lo mkhuhlane unokufumaneka kwisilonda. Ukuba ukubethelwa kutywinwe, inaliti ingafakwa kwiindawo ezinzulu zegxalaba ukuze zithole isampuli yetshefu ukuhlalutya.
Iindidi eziqhelekileyo zebhaktheriya ezibangela ukusuleleka emva kokuhlinzwa kwamagxala ziquka izifo eziseStaph (zombini i- S. aureus ne- S. epidermidis ) kunye ne-Propionibacterium. Le ntsholongwane kamva, i- P. acnes , ayiqhelekanga kwaye ixhomekeke kumxhelo wegxala, ngokuchasene ne-Staph izifo ezenzeka kuwo wonke umzimba. Izifo eziseP. acnes zinzima kakhulu kuba ibhaktheriya echaphazelayo ingaba nzima ukuyifumana kuma-sampuli ohlalutyo, kwaye ingafuna iinkqubo ezizodwa zokuhlola ukuba zifumane.
Unyango lweNtsholongwane
Emva kokusuleleka isifo, kukho iinqununu zezigqibo ezifunekayo ukwenzela ukuchonga unyango olufanelekileyo lweengxaki. Unyango lunokuluhlula ukusuka ekulawuleni i-antibiotics yomlomo kwiinkqubo zokuphanda ezongezelelweyo zokucoca idibeneyo. Ngokuqhelekileyo, iziganeko ezingaphezulu (ezikufutshane nolusu) kwizifo eziphilileyo zingalawulwa ngamayeza. Izifo ezithinteleyo, ngakumbi abo bangena kwindawo ehlangeneyo yegxalaba, banokudinga ukuhlinzwa okongeziweyo kunye neentsholongwane ezithintekayo zokulwa namayeza. Ngenxa yokuba indawo ehlangene yamagxa iyanciphisa ukukhusela kumzimba, xa usuleleko ungena kwindawo yokubamba ibhola kunye ne-socket, ukusuleleka kuyimingeni yokunyanga ngaphandle kwenkqubo yokucoca.
Izifo ezenzekayo xa ukufakelwa kwezigulane , ezifana nokufakelwa kwesigxina okanye izitya zokuqhawula, sele zisetyenzisiweyo. Iziplantshi zokugada ziba yindawo yokukhusela ukufihla emzimbeni wokuzivikela omzimba, kwaye izimpembelelo ngamanye amaxesha kufuneka zisuswe ngenxa yezifo eziza kuphiliswa. Oku kunokwenyaniso kwimpahla yesikhombi, ama-anchors asetshenziselwa ukulungiswa, kunye nezimpembelelo zokutshintsha. Xa usuleleko luvela kule mimeko, unyango olungakumbi luyimfuneko.
Kuqhelekile kodwa kunzima
Izifo ezithintekayo ziqhelekileyo iingxaki zokuhlinzwa. Nangona kunjalo, ngenxa yendawo yendawo ye-axilla, ezi zifo ziyakwenzeka. Ukuthintela kufuneka kube yinjongo yoogqirha kunye nezigulane ezigqityiweyo, kodwa xa kukho isifo, unyango lwasemva lungcono. Ukuba ucinga ukuba usulelo luya kwenzeka ehlombe lakho, kufuneka uqhagamshelane nodokotela wakho ugqirha kwaye uqiniseke ukuba ufumana unyango olufanelekileyo kakhulu kule meko.
> Imithombo:
> I-Saltzman MD, i-Marecek GS, i-Edwards SL, i-Kalainov DM. "Usulelo emva kokuhlinzwa kwamagxa" J Am Acad Orthop Surgery. Ngo-2011 kuMatshi; 19 (4): 208-18.