Isitapu, i-Sutures, ne-Adhesives
Ukuba utyunjwa, okanye ukuba unesilonda, isikhumba sakho singavalwa ngeendlela ezahlukeneyo. Kukho iindlela ezininzi ezisetyenziselwa ukugcina ukugqitywa kokugqitywa okanye ukulimala kuvaliwe ukuze kuphulukiswe ngokukhawuleza kwaye kungabikho unyango.
Kwezinye iimeko, amanxeba kunye nokuzibandakanya akuvaliwe ngexesha lotyando kodwa kuvaliwe kamva emva kokuphulukiswa kuqalile, kodwa ininzi ivalwe ekupheleni kwenkqubo.
Ukuvalwa kwesilonda kubalulekile, kuba isilonda esivulekile ngumnyango ovulelekileyo wokusuleleka. Ulusu lwethu luyisithintelo phakathi kweebhaktheriya kunye nemizimba yethu, kwaye ukuvula kwesikhumba kwandisa ingozi yokusuleleka.
Kungakhathaliseki ukuba isilonda sivaliwe, unonophelo olufanelekileyo lokuncedisa ukunyanga luza kunceda ukuphucula ukuphulukiswa ngokunciphisa amathuba okusuleleka kwaye unike isilonda kwindawo ecocekileyo yokuphilisa. Ukutshintshela ibhanji yakho njengoko ulandiswa ngugqirha wakho, ukuhlamba izandla ngokufanelekileyo , nokutya kakuhle emva kokutyunjwa kuya kunceda konke ukuphucula ukuphulukiswa kwesilonda.
Ukuvalwa kweSiseko esiPhambili
Uninzi amanxeba aphilisa ngenjongo ephambili, oku kuthetha ukuvala isilonda ngokukhawuleza. Amanxeba afanelekileyo ngokubambisana athiwa "afaneleke kakhulu." Yilapho iindawo eziselunxwemeni zilungelelanise ngokufanelekileyo, njengento yokugonywa, kwaye ingavala ngokulula.
Ukuzisa umgca ndawonye kungadinga izibonda (i-sutures), okanye enye indlela yokuvala isilonda, okanye isilonda singancinci ngokwaneleyo ukuba akukho ncediso lwangaphandle olufunekayo, njengoluhlu lwephepha.
Ngezilonda ezinemijikelezo engavumelekanga, isikhumba sinokuthi "sinqunywe" ukwenzela ukuba isilonda sibe sisigxina ngokuphindaphindiweyo, ukuze kuvalwe ukuvalwa. Oku kuyinyani ngokukodwa xa ubeka i-sutures, kwaye, ngokubulela, yenziwa emva kokuba isilonda sesinxephe.
Kule ntloba yamanxeba, kunokulindela ukuba isilonda siya kuphulukana ngokukhawuleza kwaye kulula, ngokukhawuleka okuncinci.
Olu hlobo lokuphuka esikhumbeni lulula ukuphulukisa, njengoko iiseli zelusu zivaliwe ukuvala i-gap ngokukhawuleza, njengoko isithuba esizaliswayo sincinci. Xa le ndlela isetyenziswe, ukuphulukiswa kwesilonda kunokuthi kwenzeke kwiintsuku ezimbalwa ukwenzakaliswa kancinci, kunye neeveki ezimbalwa zokubandakanya ukugqithwa okukhulu.
Khumbula ukuba ukubandakanywa okugqithisileyo kufana ne-iceberg-into eninzi eyenziwe phantsi komhlaba. Ikhumba emlonyeni uphulukisa ngokukhawuleza, kodwa iisiphako kunye nezicubu ezinqunywe ngaphantsi zingathabatha ixesha elide ukuphilisa nokufikelela ngamandla. Ukuvalwa kwesibhakabhaka kusebalulekile kuba umngcipheko wokuba usulelo luhla kakhulu xa isikhumba singasavulwa kwiibhaktheriya.
Ukuvalwa kweNgcaciso yeSibini
Injongo yesibini ibonisa ukuba inxeba ayikwazi ukuhlanganiswa ngokufanelekileyo ukuba ivaliwe. Oku kudla ngenxa yesilonda okanye utyando olususa isigaba seetyhubhu, ngoko alukwazi ukutsalwa kwakhona ndawonye ngendlela efanelekileyo. Le ndlela ingasetyenziselwa xa isilonda sidinga ukuxoxwa. I-Debridement yinkqubo eshenxisa izicubu ezifayo kwisilonda ngomzamo wokushiya emva nje izicubu ezinempilo kunye nokuphulukiswa ngokukhawuleza.
Umzekelo wokuvalwa ngenjongo yesibini xa isigulane sinomdla wesikhumba esususwe.
Ummandla awukho, kwaye indawo isuswe ngu-intshi eyi-intshi ngamasentimitha amabili ngobukhulu. Akunakwenzeka ukudonsa imiphetho yesikhumba ndawonye ukuze bahlangane, ngoko isilonda sishiywe ukuzalisa sisodwa.
Le nkqubo yokuzaliswa kwesilonda kuthiwa i-granulation, kwaye isixa semigodi esimele senzeke kwinqama evulekileyo, evulekileyo yanda kakhulu. Oku kwenza inkqubo ithathe ixesha elide, njengoko iiseli zesikhumba elitsha zinendawo enkulu yokuzalisa.
Olu hlobo lwesilonda luya kuphilisa ngokukhawuleza, ngokusekelwe kwikhono lomguli lokuphilisa, ubungakanani besilonda, kunye nesimo sesilonda. I-biopsy encinci yesikhumba ejikelezileyo, ubukhulu bepencil eraser kunye ne-shallow, iya kuphulukisa ngokukhawuleza.
Inxeba elikhulu elikhulelwe liya kuphulukisa ngezinga elincinci. Kwiimeko ezininzi, ukukhutshwa kwesikhumba esitsha kwilonda kunokuba kubonakale kwenziwe inkqubela yeveki ngeveki, kwaye kwezinye iimeko, kuya kubakho ukuphucula imihla ngemihla.
Ezi zilonda kufuneka zigcinwe ngobumnene , zihlanjwe ngesepha kunye namanzi kwaye zingakhange zitshitshwe, njengoko zincinci kwaye zithinteka ekunqandeni. Musa ukuhlamba i-scabs ebonakalayo, njengoluphawu lokuphulukisa kunye nenxalenye yenkqubo yokuzalisa isikhumba kwilonda.
Ukuvalelwa kweNkundla yeMfundo ePhakamileyo (ukuvalwa kwesiLonda seNxeba)
Ukuvalwa kwesilonda, esaziwa nangokuvalwa komnqophiso omkhulu, yindlela yokuphulukisa isilonda apho isilonda singavaliwe ngokukhawuleza. Ngoko, ivaliweyo ngomhla ozayo kuba uphando lubonisa ukuba kukho umphumo ongcono xa isilonda sivaliwe kwikamva.
Uninzi lwamanxeba luvaliwe ngokukhawuleza, kodwa amanye amanxeba azuza ngokulibaziseka. Oku kunokukwenziwa emva kokuhlinzwa, ukunyanga isilonda esinokusuleleka, okanye isilonda esingcolileyo kwaye siya kufuna ukuhlanjululwa ngokuphindaphindiweyo. Kwezinye iimeko, ukuba ulusu olujikeleze isilonda alinakusebenza, kunokulinda kwaye ubone indlela, kunokuba uvale isikhumba esingaze saphila size siqhubekele kwinkqubo ephindaphinda kamva.
Umzekelo obalaseleyo wokuvalwa kwesilonda ngeenjongo zemfundo ephakamileyo inja yokuluma inxeba. Khawucinge nje isigulane sineenxeba ezininzi ezinqamlekileyo ezandleni zabo kwizinyo zeenja. Ezi zilonda zinzulu kwaye zincinci, ezandisa ingozi yokusuleleka. Iilonda zamabhitane nazo zinokwenzeka kakhulu ukuba zikhulelwe, ngenxa yemali yeebhaktheriya ezitholakala emlonyeni nasematheni. Esikhundleni sokubetha phezulu kwala manxeba, ukushiya i-cavern encinane engaphantsi kwayo leyo ingaba yipokethi yentsholongwane, amanxeba asele evulekile. Baya kuhlambulula ngokulula, iimpahla kunye nezifo ezithintekayo ziyakunqumla kalula, amayeza angasetyenziswa ngqo kwilonda kwaye isilonda asinako ukukhusela intsholongwane. Olu hlobo lwesilonda sokuluma lungavalwa emva kokuba usongelo lwentsholongwane luye lwadlula, okanye aluvumelekanga ukuba luvaliwe, luboshwe kuphela kwaye luvunyelwe ukuphulukisa ngokwabo.
Ngophando, olu hlobo lokuphulukisa lunokuba luyimfuneko ngeenkqubo ezinkulu zesisu. Cinga ukuba uphando olukhulu luyenziwa emathumbu. Kuqhutywe i-incision enkulu, umsebenzi wokuhlinzwa, okwenziwe ngumzimba, kodwa amathumbu esiguli avuvuke kakhulu ekuguleni kwawo kwaye aqhubeke ekhula ngakumbi ngexesha locwangco ngoba ulusu luvulekile kwaye kukho indawo yokuvuvukala. Ekupheleni kokuhlinzwa, amathumbu avuvuke kakhulu, kwaye ngoku amathumbu aphezulu kakhulu ukuba angenele kwisisu ngaphandle kokubeka uxinzelelo olukhulu kwizitho kunye nokukhangela. Enyanisweni, akunakwenzeka ukuba ulungele kuzo zonke, ukuba ukuvuvukala kunzima ngokwaneleyo. Kule meko, isilonda siza kugutyungwa ngokugqoka okuyizinyumba, ngokugqithiseleyo ukugqoka ukuze isayithi ikwazi ukubonwa. Xa ukuvuvukala kwehla ngokwaneleyo ukwenzela ukuba isilonda sivaliwe ngokukhuselekileyo, isiguli siya kubuya ukuhlinzwa ukuba kuvaliwe.
Iindlela eziqhelekileyo zokuvala amanxeba
Izicwangciso zokuPhepha:
Kunjengeentlobo ezisetyenziselwa ukubamba iphepha kunye, izibambiso zokucoca zisetyenziselwa ukubamba inxeba kunye. Izibambiso zilula ukubeka, zomelele ngokwaneleyo ukuba ubambe isilonda esivaliweyo kwindawo ehamba rhoqo njengesisu, kwaye kaninzi ibuhlungu. Ezi zixhobo, ngokungafani neempahla zeeofisi, zizinyumba zokuncedisa ukuthintela kwintsholongwane.
Izibambiso kufuneka zisuswe ngabasebenzi bezonyango kwaye kufuneka zisuswe kwishedyuli ukwenzela ukuba izicubu eziphilileyo zingakhuli ngaphezu kwesiqhelo.
Sutures
Eyaziwa nangokuthi izibonda, i-sutures yintambo yokwenziwa komsebenzi esetyenziselwa ukugoba isilonda sivalwe. Zisetyenziselwa ukuvala ukusila okunzulu, kwaye zisetyenziselwa ukuvalela ukuchithwa kwezicwangciso. I-Sutures ayithengi kwaye ingafakwa ngokukhawuleza xa loo ndawo idibene.
I-Sutures kufuneka isuswe ngabaqeqeshi bezokwelapha, kwaye ubude bexesha abahlala kuyo lichongiwe ngohlobo lwesilonda. Ezinye i-sutures, ezibizwa ngokuba yi- sutures ezingenakwenzeka , zenziwe zichithwe emva kwexesha kwaye zingasuswa. Olu hlobo loluhlu lusetyenziswa ngokubanzi kwisalathisi sangaphakathi sesilonda esinzulu okanye esikhulu kwaye asibonakali xa isilonda sivaliwe.
I-Dermabond YokuGlue
Olu hlobo lokuvalwa kwesilonda lusetyenziso olunjenge- SuperGlue ukubamba i-incision closed. Oku kudlalwa rhoqo kwizinto ezincinci ezingafunanga amandla amaninzi okuza kubanjwa endaweni yokuphilisa. I-glue igqoke kwiintsuku kunye neveki emva kokubekwa, ngoko ke uncedo lwezempilo alufunayo ukususa.
Kwezinye iimeko, i-dab encinci yeglue yokugonywa ingafakwa kwi-sutures. Oku kwenziwa ukwenzela ukugcina izibonda zingabonakali ngexesha lomsebenzi oqhelekileyo.
Steristrips
I-Steristrips imivalo encinci yezinto ezinamathele ezinamathelisi ezisetyenziselwa "tape" inxeba evalwe. Ngokuqhelekileyo zisetyenziswe kwizinto ezincinci ezingakhange zifumane uxinzelelo olukhulu ngexesha lokuphulukiswa kwenxeba. Ezi zixhobo zigqityiwe zide ziwe, ngokuhlala zihlala kwindawo ethile malunga neveki kwaye ziwa phantsi ngexesha okanye emva kokuhlamba rhoqo. Umgca onenkani ongenakufunwa unako ukususwa ngenyameko emva kokuhlamba xa umlenze unothutho.
Abantu abaneemicimbi eyaziwayo kunye nokubambelela kufuneka benze ukuba oogqirha baqaphele ingxaki ngaphambi kokuhlinzwa, njengendlela engafanelekanga ngaphandle kokunamathela.
Umthombo:
IsiXhobo seMithombo yeeNkcazo ezi-3M. Kufumaneka ngo-Apreli 2016. http://solutions.3m.co.uk/wps/portal/3M/en_GB/skin-care/wound-resource-centre/