Ihlabathi le-plastic surgery alisizo zonke i-glitz kunye nobuhle. Nangona utyando lweplastic plasma luhlala lubonakala ngakumbi, uphando lweplastiki olusesikweni lubaluleke kakhulu ekuncedeni abantu ukuba bazive kakuhle ngabo.
Unyango lweengcinezelo zogonyamelo luwela phantsi kwecandelo lotyando lweplastiki. Abagqirha beeplastiki baqeqeshwa ukunyanga izilonda zamagciwane, njengokuba baqeqeshwe ukwenza ukuqhuma ubuso kunye ne-liposuction.
Inkcazo
Uxinzelelo lwesilonda ngummandla wesikhumba owehla xa uxinzelelo oluqhubekayo, okanye uxinzelelo oludibeneyo kunye ne-shear kunye / okanye ukutshatyalaliswa, kufakwa kwesikhumba. Ukuchithwa kwesikhumba kunokugqibeleni kubangele ukuvezwa kwezicubu ezincinci, kubandakanywa namathambo.
Izilonda zogonyamelo zivame ukuvela kwi-bony evelele, njenge-sacrum (umsila wesithambo), ithambo le-hip, i-elbow, okanye i-ischium.
Amagama athile afaka uxinzelelo olunzima, i-decubitus isilonda, i-decubiti, kunye nemibhede.
Kulinganiselwa kwi-1.3 yezigidi ukuya kwi-3 yezigidi zabantu abadala ngonyaka ngamnye kuthiwa banengcinezelo yesilonda.
Abantu abaPhakamileyo beNgcipheko be-Ulcers Press
Iziganeko eziphezulu zeengcinezelo zifumaneka kwiindawo ezilandelayo:
- Izigulane ezisebekhulile ezinamaqabunga e-hip : ama-66 ekhulwini aneengcinezelo zesilonda
- Izigulane ze-Quadriplegic: iipesenti ezingama-60 zineengcinezelo zesilonda
- Abantwana abanokukhubazeka ngokwemvelo (abantwana abanokukhubazeka, i-spina bifida, ukulimala kwengqondo, njl.)
- Izigulane ezingapheliyo kwizibhedlele
Iimbangela zee-Ulcers zengcinezelo
Ukugqithwa (ukuphulwa kwebala) kubangelwa ukunyanzeliswa okuqhubekayo kwesikhumba. Uxinzelelo olunyulileyo lunciphisa okanye ludibanisa imithana yegazi, eyanciphisa ukuphuma kwegazi kwesikhumba kunye nezicubu eziphantsi. Ekugqibeleni oku kukhokelela ekufeni kwesisu.
Udidi lwe-Ulcer Classification
Izilonda zogonyamelo zihlelwa ngokwezigaba ezichaza inani lokulahleka kweethambo.
- Isigaba se-1: I-skin ehambelanayo kunye nobomvu obuqhubekayo kwingingqi ekhoyo. Ikhumba elibomvu elimnyama lingavumelana nombala kummandla ojikelezayo.
- Isigaba sesi-2: Ukulahlekelwa kwintsebenziswano ye- dermis . Isilonda sibonakala njengesilonda esingavaliyo okanye isilwanyana esicacileyo okanye siphule.
- Isigaba sesi-3: Ukulahleka kwe-dermis. Amanqatha amancinci angabonakala, kodwa ithambo, i-tendon okanye i-muscle ayibonakali.
- Isigaba sesi-4: Ukulahleka kweesisipha zokulahleka kunye nethambo ebonakalayo, isithoni okanye isisu.
Ezinye izilonda zengcinezelo zingenakunqunywa ngenxa yokulahleka kweethambo okanye ukuxhaswa ngu-eschar.
IiNdawo zoPhulo lwe-Ulcer
Ingcinezelo yecindezelo inokuvela apho kukho uxinzelelo olude lusetyenziswa. Nangona kunjalo, iindawo eziqhelekileyo eziqhelekileyo ziindawo ezibonakalayo:
- Ischium: iipesenti ezingama-28 zengcinezelo zezilonda zise-ischium
- I-bone ye-Hip: Iipesenti ezingama-19 zengcinezelo zesilonda zisexeni le-hip
- Isigubhu (Umsila weThambo): Iipesenti ezili-17 zengcinezelo zengcinezelo zisekhram
- Isithende: Iipesenti ezili-9 zengcinezelo zontlungu zisesithende
- Scalp
Unyango
Izilonda zogonyamelo zilawulwa zombini kunye / okanye ukuhlinzwa.
Isigaba 1 no-2 izilonda zengcinezelo zingaphathwa ngaphandle kokuhlinzwa. Ukutshintsha rhoqo ukuguqulwa kwendlela yokugqoka kusetyenziswa ukugcina isilonda sihlambulukile kwaye silwe nama-bacterium. Ngamanye amaxesha, imishanguzo yamachiza e-antibiotics isetyenziselwa isilonda sengcinezelo ngokunjalo.
Isigaba se-3 kunye no-4 izilonda zengcinezelo zidinga ukuba kungenelelo olunyango. Isinyathelo sokuqala ukususa zonke izicubu ezifileyo. Oku kuyaziwa ngokuba yi "debridement." Ukutshatyalaliswa kweengcinezelo zengcinezelo kulandelwa ukuvuselelwa kwakhona . Ukwakhiwa kwe-Flap kubandakanya ukusebenzisa izicubu zakho ukuzalisa umgodi / isilonda
Thintelo
Izilonda zoxinzelelo ziyazikhusela. Nazi ezinye iingcebiso malunga nendlela onokuziphepha ngayo.
- Ncitshisa umswakama ukuphepha ukukhupha i-skin and breakdown. Oku kuthetha ukuthintela ukuqhagamshelana ixesha elide kunye neendwangu, umchamo, okanye ukujuluka.
- Yilumke xa uthumela kwi-bed yakho okanye kwisihlalo. Oku kunqanda ukuxabana kunye nokweba isikhumba.
- Gwema ukuhlala okanye ukulala kwindawo enye ixesha elide. Izikhundla zokutshintsha zinika isikhumba isikhala kwaye sivumela ukubuyela kwegazi.
- Ukugcina isondlo esifanelekileyo. Ukutya ukutya okunempilo kugcina isikhumba sakho siphilile kwaye siphucula ukukwazi ukukhusela ukulimala nokulwa nesifo.
Iingxaki
- Hematoma
- Sulelo
- Ukutshatyalaliswa kwesilonda
- Ukuphindaphinda
Imithombo
UDisa JJ, uCarlton JM, iGoldberg NH. Ukusebenza kokunyanga okusebenzayo kwizigulane ezinzima. I-Plast Recon Surgery 89: 272, 1992.
Evans GR, uDufresne CR, Manson PN. Ukulungiswa kokunyanzeliswa kweengcinezelo kwidolophu yedolophu: Ngaba iyasebenza? Inkcazo ye-Adv Wound Care 7: 40,1994.
I-Kierney PC, i-Engrave LH, i-Isik FF, ne-al. Iziphumo zezilonda zengcinezelo ezingama-268 kwizigulane ezingama-158 zilawulwa ngokubambisana nophando lweplastiki kunye neyeza lokubuyisela i-Plast Recon Surg 1-2: 765, 1999.
Miller H, Delozier J. Impembelelo yeendleko zengcinezelo yonyango lwezilonda. Columbia: Iziko loPhando lwezeMpilo, ngowe-1994.
Iqela leNgcaciso ye-Ulcer ye-Ulcer Advisory Panel. Ukuhlaziywa kwesistim.
U-Relander M, i-Palmer B. Ukuphindaphinda kwezilonda zogonyamelo zokunyanga. I-Scand J Plast Recon Surgery 22:89, 1988.
Tavakoli K, Rutkowski S, Cope C, et al. Izinga eliphindaphindiweyo lezilonda ezisisigxina kwi-para-ne-tetraplegics ephatyathwa nge-flapring flaps: Uvavanyo lwesithuba se-8. UBr J Ukugqama kwama-52: 476, 1999.