Amagogotla adla ngaphezu kokutya okubolileyo. Badla izicubu ezifile, nazo.
Uninzi lwabantu lunokucinga nje kuphela kwiidumba. Nangona kunjalo, unyango lwe-maggot lukhuphuka ekuthandweni njengendlela ekhuselekileyo nefanelekileyo yokulahla izicubu ezifileyo kwaye zikhuthaze ukukhula kwe-granulation ephilileyo okanye i-tissue.
I-Maggot I-Debridement Treatment ichazwe
Ukuxhatshazwa kwelinxeba yinkqubo apho ugqirha ususa i-necrotic okanye i-tiscu efile ukusuka kwilonda, kwaye ngaloo ndlela ubonakalisa isiseko sentonda esicocekileyo.
Ukuxhatshazwa kwelinxeba kungenziwa ngeendlela ezine:
- ukukhawuleza kokukhawuleza apho izicubu ezifayo zisuswe ngugqirha kwigumbi lokusebenza
- imida yeekhemikhali esebenzisa iimveliso zamakhemikhali ukucoca izicubu ezifile
- ukuxilongwa kwesikhokelo apho i-gauze esetyenzisiweyo isetyenziselwa ukunqumla izicubu ezinomdla
- ukuxilongwa kwamagog osebenzisa izibungu okanye ukuphanga izibungu ukuze udle izicubu ezifile
Ukugqithiswa kweMaggot kuyindlela ekhethwa yonyango kuba izigulane ezisetyenziselwa iinjongo zekliniki zidla kuphela izicubu ezifileyo kwaye zishiya izicubu eziphilayo. Zonke ezinye iinkqubo zokukhawulelana zichithe kakubi ezinye izicubu eziphilayo ezifunekayo ekuphiliseni. Ngaphezu koko, ezinjalo iinkqubo zingenakulungeleka, kwaye utyando ludinga ngokukhethekileyo i-anesthesia jikelele ephethe iingozi zayo. Ngamanye amagama, ngokugqithiswa kwemagog, isigulane asilahleki sisisindo esinempilo kwaye akudingeki ukuba sibe ne-anesthesia.
Amajuba asetshenziselwa ukuxoxwa kweempahla kufuneka afake kuphela izicubu ezifile.
(Ezinye zeentlobo zogqirha zidla zombini ziphila kunye nezicubu ezifile kwaye ngaloo ndlela azifaneleki ukusetyenziswa njengonyango.) Ngokomzekelo, uLucilia sericata okanye ibhotile eluhlaza isilwanyana esisetyenziswa ngokuqhelekileyo.
Ukongeza kwizinto ezixhamlayo okanye ukucima izicubu ezifayo, uphando lwangoku lubonisa ukuba ukukhutshwa kwamagagotshi kunokunceda ukunciphisa ukutshabalala nokutshatyalaliswa kwezicubu eziphilayo ngokunjalo ukukhusela umbhede onamaqabunga obuthathaka ofunekayo ukukunceda ukuba wenze iisitiki ezibomvu.
Imbali yeMaggots njengonyango lwezoNyango
Akukho nto entsha malunga neyeza lomlingo. Kwiminyaka emininzi, oogqirha ekulweni baqaphele ukuba amajoni awonzakeleyo aphethwe yi-maggots aphulukisiwe. Ngexesha le-1920, uWilliam Baer kwiYunivesithi yaseYohn Hopkins wasebenzisa izigulana eziphakanyiswe ngelabhoratri ukuba baphathe abantwana abane-osteomyelitis (izifo zethambo) kunye nezifo ezincinci. Ngenxa yoko, ukusebenzisa izigulane ukuhlamba amanxeba kwaziwa kakhulu kuma-1930, kunye namawaka enkqubo eyenziwe. Nangona kunjalo, ukuza kwee-antibiotiki kunye nokuqhubela phambili kwezocwangco kwandula ukusetyenziswa kwezigulane eziye zatshatyalaliswa njengomlinganiselo "wokugqibela."
Ngama-1990, inzala ekusebenziseni izigulane njengonyango lwezilonda zamanxeba. Umzimba ophandayo ophando uphakamise iingenelo zonyango lokugqithisa umlenze njengonyango lwangaphambili kwinqununu, kwaye ngowama-2004, i-FDA ivunyiwe imivumba engummiselo ukuze isetyenziswe kwizicwangciso zonyango. Ngo-2008, uqikelelwa ukuba abantu abangama-50 000 kwihlabathi lonke baphathwa ngamagagot ekutshatyalaliswa kwenxeba.
Okucacileyo ngakumbi kwi-Argot Treatment Treatment
Ulwaphulo lwe-Maggot lusetyenziselwa ukuphatha iintlobo ezahlukeneyo zeenxeba kuquka oku kulandelayo:
- izilonda ezingapheliyo
- osteomyelitis engapheliyo
- izilonda ezinobulunga
- uxinzelelo lwezilonda ( izibilini "ezibheke" ezifunyanwa kubantu abaye balala bengahlali iintsuku ezininzi okanye iiveki-bacinga abantu kwiindawo zokunakekelwa kwexesha elide)
- i-neuropathic (isifo sikashukela) unyawo lwesilonda
- amanxeba angaphilanga emva kokugonywa okanye okuphazamisayo
Ukutshatyalaliswa kwamathambo okuxiliswa komlingo kubandakanya oku kulandelayo:
- izilonda ze-ischemic (amanxeba e-ischemic ayenzi kakubi okanye aphethwe yi-oksijini engadliwa ngamaphuphu enjenjalo ukwandisa indawo yesilonda)
- amanxeba avulekileyo emzimbeni okanye kwizitho zangaphakathi
- amanxeba obangelwa usongelo lobomi okanye ezinye izifo ezinzulu
- abantu abanomdla wokungabikho kwemvubelo, iprotheni ye-soy, okanye i-larva ngokwabo (isilonda kunye neproylene ye-soy isetyenziselwa ukukhulisa izibungu)
Ingqalelo, abantu kwi-antiticoagulation yonyango (oko kukuthi, abagcini begazi) kufuneka baqwalaselwe ngenyameko njengabagqatswa bonyango ngamagagot ngenxa yokuba izigulane zingabangela ukuphuma kwamanzi.
Kuxhomekeke kubukhulu besilonda, naphi na phakathi kwama-50 no-1000 ama-maggots-grade aggots usetyenziswe kwindawo yesilonda iintsuku ezimbini okanye ezintathu kwaye zifakwe (ezizimeleyo) ekugqokeni kwilonda. Uninzi lwabantu ludinga kuphela ezimbini okanye ezintathu zonyango, kodwa abantu abanezilonda ezinzima banokufuna iimitha ezintlanu okanye ezintandathu. Indawo yokuphela kwonyango kunye nemigodi ibonisa isilonda esiluhlambulukileyo. Iziphumo eziqhelekileyo ezibangelwa umlingo wokugqithisa umlingo ngokuqhelekileyo zibekezela kwaye zibandakanya intlungu, ukungahambi kakuhle, kunye nokuphuma kwamancinci. Ngokomzekelo, i-analgesics okanye i-relievers idlalwa rhoqo ngenxa yentlungu.
ILizwi
Ukuba wena okanye umntu omthandayo unesifo sesilonda esingapheliyo okanye amanye amanxeba angenakho ukufumana unyango lwe-maggot, ukuba lunikwe ukhetho lweyonyango, ingaba yinto efanelekileyo yokuqwalasela le nyango. Akukho mntu uya kukhanyela ukuba imivumba efunyenwe kwingqamla "yucky" kwaye iyanyanyeka. Kodwa izigubhu ezizalwe kwilebhu zichanekile, zichanekile, zihamba, ziguquguqukayo, zikarhulumente zincinci zincinci ezenza lula ukubuyiswa. Enyanisweni, i-debridement kunye nama-maggots ngamanye amaxesha kuthiwa yi- biosurgery .
Imithombo:
Iserson KV. Isahluko 22. Amanxeba kunye nokutsha. Ku: Iserson KV. eds. Amachiza aphuculwayo: Ukunyamekela kwiindawo ezinzulu . New York, NY: McGraw-Hill; 2012.
van der Plas, MJA et al. Inveli yeSerine Protease Efihliwe ngama-Maggots Aphucula i-Plasminogen Activator-Fucrinolysis eyenze. I-PLOS ONE. 2014. 9 (6): e101646.
Pfenninger, JL, Fowler, GC. "Ukwelashwa kweMaggot yezilonda ezingapheliyo" kwi: Inkqubo yePfenninger kunye neFowler yokuNyango oluPhezulu. 2010.