Malo osamalira mabala

Zamkati

• Kusokonezeka
• Thandizo la Hyperbaric Oxygen
• Mankhwala Ena

Malo osamalira mabala, kapena chipatala, ndi malo azachipatala ochizira mabala omwe samachira. Mutha kukhala ndi bala losachiritsa ngati:

• Sanayambe kuchira m'masabata awiri
• Sanachiritsidwe kwathunthu m'masabata asanu ndi limodzi

Mitundu yodziwika ya mabala osachiritsa ndi awa:

• Zilonda zamagetsi
• Mabala opangira opaleshoni
• Zilonda za radiation
• Zilonda za kumapazi chifukwa cha matenda ashuga, kusayenda bwino kwa magazi, matenda opatsirana mafupa (osteomyelitis), kapena miyendo yotupa

Mabala ena sangapole bwino chifukwa cha:

• Matenda a shuga
• Kuyenda kosauka
• Kuwonongeka kwa mitsempha
• Matenda a mafupa
• Kukhala osagwira ntchito kapena osayenda
• Chitetezo chofooka
• Chakudya choperewera
• Kumwa mowa kwambiri
• Kusuta

Zilonda zosachiritsika zimatha kutenga miyezi kuti zipole. Mabala ena samachira kwathunthu.

Mukapita kuchipatala cha zilonda, mumakagwira ntchito ndi gulu la othandizira azaumoyo omwe adaphunzitsidwa kusamalira mabala. Gulu lanu lingaphatikizepo:

• Madokotala omwe amayang'anira chisamaliro chanu
• Anamwino omwe amatsuka ndi kuvala bala lanu ndikuphunzitsani momwe mungasamalirere kunyumba
• Othandizira athupi omwe amathandizira kusamalira mabala ndikugwira nanu ntchito kuti akuthandizireni kuyenda

Othandizira anu azithandizanso kuti dokotala wanu wamkulu azikudziwitsani za kupita patsogolo kwanu ndi chithandizo chamankhwala.

Gulu lanu losamalira mabala:

• Unikani ndi kuyeza bala lanu
• Onani momwe magazi amayendera m'deralo mozungulira chilondacho
• Dziwani chifukwa chake sichichiritsa
• Pangani dongosolo lamankhwala

Zolinga zamankhwala ndi monga:

• Kuchiritsa chilonda
• Kuteteza bala kuti lisakule kapena kutenga kachilomboka
• Kupewa kutaya miyendo
• Kuteteza zilonda zatsopano kuti zisachitike kapena mabala akale kuti asabwerere
• Kukuthandizani kuti mukhalebe mafoni

Pofuna kuchiritsa chilonda chanu, omwe amakupatsirani mankhwala amatsuka pamalopo ndikuwapaka mavalidwe. Muthanso kukhala ndi mitundu ina yamankhwala yothandizira kuchira.

Kusokonezeka

Kuchotsa pamachitidwe ndi njira yochotsera khungu ndi minofu yakufa. Minofu imeneyi iyenera kuchotsedwa kuti zithandizire kuti bala lanu lizichira. Pali njira zambiri zochitira izi. Muyenera kukhala ndi anesthesia wamba (ogona komanso opanda ululu) kuti muchotse bala lalikulu.

Kuchotsa opaleshoni kumagwiritsa ntchito scalpel, lumo, kapena zida zina zakuthwa. Pochita izi, dokotala wanu:

• Sambani khungu mozungulira bala
• Fufuzani chilondacho kuti muwone kuzama kwake
• Dulani minofu yakufa
• Sambani chilonda

Chilonda chako chimawoneka ngati chokulirapo komanso chakuya ukachotsedwa. Deralo lidzakhala lofiira kapena pinki muutoto ndipo limawoneka ngati nyama yatsopano.

Njira zina zochotsera minofu yakufa kapena yomwe ili ndi kachilombo ndi:

• Khalani kapena ikani nthambi yanu pamalo osambira.
• Gwiritsani ntchito sirinji kusambitsa minofu yakufa.
• Ikani mavalidwe onyowa-owuma kuderalo. Chovala chonyowa chimagwiritsidwa ntchito pachilondacho ndikuloledwa kuti chiume. Mukamauma, imakoka minofu ina yakufa. Mavalidwe amakhalanso onyowa kenako ndikuwanyamula pang'onopang'ono pamodzi ndi minofu yakufa.
• Ikani mankhwala apadera, otchedwa michere, pachilonda chanu. Izi zimasungunula minofu yakufa pachilondacho.

Chilonda chitha kukhala choyera, dokotala wanu adzalemba chovala kuti chilonda chikhale chinyezi, chomwe chimalimbikitsa kuchira, ndikuthandizira kupewa matenda. Pali mitundu yosiyanasiyana ya mavalidwe, kuphatikizapo:

• Gels
• Chithovu
• Gauze
• Makanema

Wothandizira anu amatha kugwiritsa ntchito mavalidwe amtundu umodzi kapena angapo pomwe bala lanu limachira.

Thandizo la Hyperbaric Oxygen

Kutengera mtundu wa bala, dokotala akhoza kukulangizani za hyperbaric oxygen therapy. Mpweya ndi wofunika kuchiritsa.

Mukamalandira chithandizo, mumakhala m'chipinda chapadera. Kuthamanga kwa mpweya mkati mwchipindacho kumakulirapo kuposa kawiri ndi theka kuposa kupsinjika kwanthawi zonse mumlengalenga. Kupanikizaku kumathandiza magazi anu kunyamula mpweya wambiri kupita ku ziwalo ndi ziwalo mthupi lanu. Thandizo la Hyperbaric oxygen lingathandize mabala ena kuchira mwachangu.

Mankhwala Ena

Omwe amakupatsani mwayi atha kulangiza mitundu ina ya chithandizo, kuphatikiza:

• Kuponderezedwa- masokosi omangika bwino kapena zokutira zomwe zimapangitsa kuti magazi aziyenda bwino ndikuthandizira kuchiritsa.
• Ultrasound - kugwiritsa ntchito mafunde akumva kuti athandize kuchira.
• Khungu lopangira - "khungu labodza" lomwe limaphimba bala pamasiku angapo likupola.
• Matenda osokoneza bongo - kukoka mpweya kuchokera kuvala kotsekedwa, ndikupanga zingalowe. Kupanikizika koyipa kumathandizira kuthamanga kwa magazi ndikutulutsa madzimadzi owonjezera.
• Kukula kwa mankhwala othandizira - zinthu zopangidwa ndi thupi zomwe zimathandiza maselo ochiritsa mabala kukula.

Mukalandira chithandizo pakachilonda sabata iliyonse kapena kangapo, kutengera dongosolo lanu la mankhwala.

Omwe akukuthandizani adzakupatsani malangizo othandizira kusamalira chilonda chanu kunyumba pakati paulendo. Kutengera zosowa zanu, mutha kulandilanso thandizo ndi:

• Kudya moyenera, chifukwa chake mumapeza michere yomwe muyenera kuchiritsa
• Kusamalira matenda ashuga
• Kuleka kusuta
• Kusamalira ululu
• Thandizo lakuthupi

Muyenera kuyimbira dokotala mukawona zizindikiro za matenda, monga:

• Kufiira
• Kutupa
• Mafinya kapena kutuluka magazi pachilondacho
• Ululu womwe umakulirakulirabe
• Malungo
• Kuzizira

Anzanu chilonda - bala chilonda; Zilonda za Decubitus - malo osamalira mabala; Matenda a shuga - malo osamalira mabala; Opaleshoni bala - chilonda pakati; Ischemic chilonda - chilonda pakati

de Leon J, Bohn GA, DiDomenico L, ndi al. Malo osamalira mabala: kulingalira mozama ndi njira zamankhwala mabala. Mabala. 2016; 28 (10): S1-S23. PMID: 28682298 adatulutsidwa.ncbi.nlm.nih.gov/28682298/.

Marston WA. Kusamalira mabala. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 115.

• Zipangizo Zaumoyo
• Mabala ndi Zovulala