Izilonda Pho (yokwelapha eyinhloko kuhlinzwa): iqoqo amathuluzi, nemithi

Isilonda - lokhu umonakalo izicubu esebenzisa mechanical khona ubuqotho ukwephulwa isikhumba. Ukuba khona inxeba, hhayi ilimaze noma hematoma bungabonakala izimfanelo ezifana ubuhlungu, dehiscence, ukopha, ukuphazamiseka nobuqotho. Pho isilonda esiqhutshwa amahora okuqala angu-72 ngemva ukulimala, uma kungekho contraindications.

ezihlukahlukene amanxeba

isilonda Inkonde ngayinye ifakwe umshini ingaphakathi, izindonga phansi. Kuye ubunjalo ukulimala konke ukulimala zihlukaniswe oqoshiwe lisikiwe, oqoshiwe, wachotshozwa, yenhlwathi futhi anobuthi. Phakathi amanxeba PECVD kubalulekile acabangele. Phela, ubunjalo ukulimala ziyahlukahluka netimphawu zosizo lokuqala.

• Wokubhoboza izilonda njalo isicelo sharps, ezifana izinaliti. Isici ehlukile iyona umonakalo ukujula ezinkulu, kodwa ukulimala amashidi encane. Ngenxa yalokhu, qiniseka akukho ukulimala igazi izitsha, izitho noma impumuzo. Wokubhoboza amanxeba ayingozi ngenxa yezimpawu ababuthakathaka. Ngakho uma kukhona inxeba esiswini kukhona kungenzeka umonakalo isibindi. Akukhona njalo kulula ukuzibona phakathi PECVD.
• isilonda ezaziqoshwe isicelo ngento ecijile, elincane ngakho izicubu ekubhujisweni. Ngesikhathi esifanayo, enkulu ingaphakathi Kulula ukuzohlola enze PECVD. izilonda okunjalo ziphathwa kahle, nokwelashwa kuyashesha, ngaphandle izinkinga.
• izilonda oqoshiwe kukhona ngenxa umonakalo oyingozi, kodwa into esindayo, ezifana ngembazo. Ngakho kulimaze ekujuleni ezahlukene, elinesimo hiatus ububanzi futhi eduze izicubu ukulimala. Ngenxa yaleli khono enciphile yokuvuselela.
• izilonda Contused zenzeka uma usebenzisa into blunt. Lezi izilonda zinezikhathi kokuba sebuningini izicubu ezonakele, kakhulu ukuba afuthwe ngesibulali igazi. Lapho efeza PECVD amanxeba kufanele uqaphele ukuthi kukhona kungenzeka okuvela suppuration.
• Bites lamanxeba Ukungena esiyingozi ngamathe isilwane ukutheleleka, futhi ngezinye izikhathi abantu. Kukhona ingozi yokutheleleka oyingozi futhi ukubukeka igciwane ngamarabi.
• izilonda Ubuthi ngokuvamile ziphakame khona ngemva kokulunywa inyoka noma besicabucabu.
• Okudutshulwa zihlukaniswa uhlobo izikhali ezisetshenziswa, izici umonakalo futhi Ukungena izindlela. Amathuba ukutheleleka.

Lapho efeza PECVD amanxeba indima ebalulekile eyadlalwa khona iqhubeka. ukulimala enjalo iqhubeka, svezheinfitsirovannymi kanye aseptic.

Inhloso PSD

ukwelashwa Primary kuhlinzwa Kuyadingeka ukuba asuse nezilwanyana ezincane eziyingozi eziye ithole esilondeni. Ukuze wenze lokhu, nginqume iyiphi izicubu necrotic lonakele, amahlule. Ngemva kwalokho zivaliwe ngemithungo kanye amanzi wenziwa, uma kunesidingo.

Inqubo edingekayo khona umonakalo izicubu ne imiphetho jagged. Kudinga amanxeba efanayo ezijulile futhi ezingcolile. Ukulimala imikhumbi emikhulu igazi, futhi ngezinye izikhathi amathambo nezinzwa nayo idinga imisebenzi kuhlinzwa. PSD olwenziwa kanyekanye futhi ngokucophelela. udokotela ohlinzayo udinga usizo ukuze isiguli kufika emahoreni angu-72 ngemuva nilimaza. CVD Early Kwenziwa ngoba ebusuku okokuqala, ethwele ngosuku lwesibili - ukungenela kuhlinzwa imisiwe.

Amathuluzi PECVD

Ukuze afeze eyinhloko inqubo yokwelapha isilonda kudingeka okungenani ube amakhophi amabili isethi. ushintsho yabo ngesikhathi ukusebenza, futhi ngemva esigabeni ezingcolile - bavuselele:

• Isiqeshana "esebenzisa" umugqa, ephatha yokusebenza ensimini;
• nommese ezicijile, bryushisty;
• hoe nelineni esetshenziselwa ebambe kusaladi kanye nezinye izinto;
• ngocingo Kocher, Billroth futhi "omiyane" zisetshenziselwa ukunqanda ukopha phakathi PECVD emanceba abo elisetshenziswa inqwaba;
• sikelo, zingabantu onqenqemeni iqonde futhi lwalugobile ebhanoyini noma amakhophi amaningana;
• Okokuphenya Kocher, evulekile futhi bellied;
• iqoqo izinaliti;
• umbambi inaliti;
• udlawana;
• izingwegwe (ngazimbili eziningi).

A ikhithi kuhlinzwa salokhu inqubo sihlanganisa suture izinaliti ngoba umjovo imijovo, amabhandishi, gauze amabhola, amagilavu iraba, amashubhu nezicubu ahlukahlukene. Zonke izinto ezidingekayo CVD - umphetho kanye kuhlinzwa sigqoka kits, amathuluzi kanye nemithi senzelwe ekwelapheni amanxeba - ezibekwa etafuleni kuhlinzwa.

semithi ebalulekile

debridement Primary kuqedile ngaphandle izidakamizwa ezikhethekile. Ezisetshenziswa kakhulu yilezi:

• 70% utshwala;
• 3% isixazululo of i-hydrogen peroxide,
• Yodopiron 1% isixazululo noma 0.5% chlorhexidine bigluconate;
• 10% ingxube NaCl;
• 0.25% - 0.5% isixazululo novocaine.

izigaba PECVD

ukwelashwa Primary kuhlinzwa wenziwa ngezigaba eziningana:

1. Ukuhlola isilonda nokwelashwa kwalo okwalandela nge isinqandakuvunda.
2. Ukususwa kwezimiso izicubu ezonakele, imizimba angaphandle, izinsalela. Okwenziwe asike izidumbu zabantu balesi silonda njengoba kudingeka.
3. Ukopha.
4. Amanzi.
5. Ukuthunga.

Kangakanani PECVD

Ukuze afeze ukuhlinzwa isiguli ibekwe etafuleni. isikhundla kwakho kuncike dislocation lenxeba. Udokotela ohlinzayo kumele kube ntofontofo. Kwaqhubeka yangasese amanxeba iphathwa ensimini kuhlinzwa, okuyinto ibeka le oyinyumba zangaphansi zalutho. Ngaphezu kwalokho, wonke umuntu akhululeke eyinhloko wenziwa, okuhloswe ngaso ephulukisa amanxeba iyatholakala futhi izinzwa iqondiswa. Ezimweni eziningi, odokotela abahlinzayo ukusebenzisa Wisniewski indlela - iqondiswa 0.5% isixazululo novocaine at ibanga ngamasentimitha amabili ukusuka emaceleni cut. Isixazululo olufanayo injected ngakolunye uhlangothi. Nge impendulo enembile isiguli esikhumbeni azungeze isilonda kukhona "ulamula ikhasi". Okudutshulwa ngokuvamile zidinga ekuphathweni ukubulawa kwezinzwa okuvamile esigulini.

Imiphetho umonakalo ukunamathela a 1 cm Kohhera ngocingo waquma njengoba iyunithi. Lapho inqubo kuquthiwe nezhiznedeyatelnosposobnaya izicubu ebusweni noma iminwe, bese yena wanithwesa umphetho ezihambisanayo. Ukubuyiselwa amagilavu kanye zomculo ezazisetshenziswa.

Isilonda sihlanzwe chlorhexidine futhi kwenziwe ukuhlolwa. Wokubhoboza izilonda, abe cut elincane kodwa esuka ekujuleni, enqamula. Uma imisipha ezilimele, zingabantu imiphetho ekhishiwe. Kungokufanayo kwenziwa izinsalela amathambo. Okulandelayo, hemostasis. Engxenyeni engaphakathi isilonda welashelwa kuqala nge isixazululo kanye amalungiselelo ke isinqandakuvunda.

Waphatha inxeba ngamanzi zimpawu sepsis ithungwe uvalwe eyinhloko suture mathupha futhi embozwe aseptic ibhandishi. Sutures usebenze nombala ekuthumbeni zonke izingqimba ububanzi nokujula. Kuyadingeka ukuthi uthinte nomunye, kodwa hhayi izinkontileka. Lapho efeza umsebenzi odingekayo ukuze bathole umthungo yezimonyo ngemva ukuphulukiswa.

Kwezinye izimo, ezinkulu eyinhloko musa abaphila. isilonda ezaziqoshwe ungase ube ukulimala sokukhaphela sasisibi ngaphezu kubonakala efika kuqala. Uma ungabaza, udokotela ohlinzayo isebenzisa imisiwe suture eyinhloko. Le ndlela isetshenziswa uma isilonda wawusungenwe. Ukuvalwa Kwenziwa ngaphambi izicubu adipose, nezihlanganiso kungukuthi some. Ezinsukwini ezimbalwa ngemva kokubona Isilonda sutured kuze kube sekupheleni.

Amanxeba Ukulunywa

Pho izilonda, yenhlwathi noma ofakwa uphoyizeni, has umehluko yayo. Lapho bite akuyona izilwane eziyingozi kungenzeka ngamarabi. Ngendlela efanele usaqala sifo ukuyiveza amarabi serum. izilonda okunjalo ezimweni eziningi babe ubovu, ngakho zama uyephuza PECVD. Lapho inqubo sisetshenziswa eyinhloko imisiwe suture futhi sisebenzise izidakamizwa isinqandakuvunda.

Isilonda etholakele kokulunywa inyoka, kudinga ukunqunywa tourniquet Friend noma ibhandishi. Ngaphezu kwalokho, isilonda simisiwe usebenzisa novocaine noma isicelo abandayo. Ukuze iwukudambisa ushevu injected protivozmeinaya serum. Spider Ukulunywa ivinjiwe potassium permanganate. Ngaphambi ushevu isibambo, leli nxeba ziphathwe isinqandakuvunda.

yezinkinga

Ukwelashwa abanganaki kuholela isilonda isinqandakuvunda nxeba suppuration. Okungafanele izindlela analgesia, kanye okubangela ukulimala ezengeziwe kubangele ukukhathazeka nesineke ngenxa yokuba khona ubuhlungu.

Isimo Rude ezicutshini, ulwazi abampofu ukwakheka komzimba womuntu kubangela ukulimala imithambo yegazi ezinkulu, izibilini kwalapho kuhlangana khona imizwa. Ezinganele kubangela hemostasis izinqubo ukuvuvukala.

Kubalulekile ukuthi debridement eyinhloko kwenziwa ngokuvumelana nemithetho onguchwepheshe.