Momwe mabala amachiritsira

Bala ndikutuluka kapena kutsegula pakhungu. Khungu lanu limateteza thupi lanu ku majeremusi. Khungu likasweka, ngakhale panthawi ya opaleshoni, majeremusi amatha kulowa ndikupangitsa matenda. Zilonda zimachitika nthawi zambiri chifukwa changozi kapena kuvulala.

Mitundu ya mabala ndi awa:

• Kudula
• Ziphuphu
• Mabala obaya
• Kutentha
• Zilonda zamagetsi

Bala limakhala losalala kapena losongoka. Itha kukhala pafupi ndi khungu kapena kuzama. Zilonda zakuya zimatha kukhudza:

• Zowonjezera
• Minofu
• Ziphuphu
• Mitsempha
• Mitsempha yamagazi
• Mafupa

Zilonda zazing'ono nthawi zambiri zimachira mosavuta, koma mabala onse amafunikira chisamaliro kuti apewe matenda.

Mabala amachiza pang'onopang'ono. Chilonda chaching'ono, chimachira mwachangu. Kukulira kapena kuzama kwa chilondacho, kumatenga nthawi yayitali kuchira. Mukadulidwa, kupukutidwa, kapena kuboola, bala limatuluka.

• Magazi ayamba kuundana pakangopita mphindi zochepa kapena pang'ono ndikusiya magazi.
• Magazi amaundana ndikupanga nkhanambo, yomwe imateteza minofu yomwe ili pansi pake kuchokera ku majeremusi.

Sikuti mabala onse amatuluka magazi. Mwachitsanzo, zopsa, mabala ena obowoka, ndi zilonda zamagazi sizituluka magazi.

Nkhanambo ikayamba, chitetezo cha mthupi lanu chimayamba kuteteza chilondacho ku matenda.

• Chilondacho chimatupa pang'ono, kufiira kapena pinki, ndikufewa.
• Muthanso kuwona zakumwa zooneka bwino zotuluka pachilondacho. Timadziti timathandiza kuyeretsa malowo.
• Mitsempha yamagazi imatsegulidwa mderalo, chifukwa chake magazi amatha kubweretsa oxygen ndi michere pachilondacho. Oxygen ndiyofunikira kuchiritsa.
• Maselo oyera amathandiza kulimbana ndi matenda ochokera ku majeremusi ndikuyamba kukonza bala.
• Gawo ili limatenga masiku awiri kapena asanu.

Kukula kwa minofu ndikumanganso kumachitika motsatira.

• Kwa milungu itatu yotsatira, thupi limakonza mitsempha yosweka ndipo minofu yatsopano imakula.
• Maselo ofiira amathandizira kupanga collagen, yomwe ndi yolimba, ulusi woyera womwe umapanga maziko a minofu yatsopano.
• Chilondacho chimayamba kudzaza ndi minofu yatsopano, yotchedwa granulation minofu.
• Khungu latsopano limayamba kupangika pamwamba pa mfundoyi.
• Bala likamachira, m'mbali mwake mumalowa ndipo bala limachepa.

Chipsera chimayamba ndipo chilonda chimalimba.

• Pamene machiritso akupitilira, mutha kuzindikira kuti malowa ayabwa. Nkhanazo zikagwa, malowa amawoneka otambalala, ofiira komanso owala.
• Chipsera chomwe chimapangika chimakhala chaching'ono kuposa chilonda choyambirira. Idzakhala yocheperako komanso yosasinthasintha kuposa khungu loyandikira.
• Popita nthawi, chilondacho chimazimiririka ndipo chimatha kwathunthu. Izi zitha kutenga zaka ziwiri. Zipsera zina sizimatha kwathunthu.
• Zipsera zimapangidwa chifukwa minyewa yatsopano imabweranso mosiyana ndi minofu yoyambayo. Ngati mutangovulaza khungu pamwamba, mwina simudzakhala ndi bala. Ndi zilonda zakuya, mumakhala ndi chilonda.

Anthu ena amatha kuchita zipsera kuposa ena. Ena atha kukhala ndi zipsera zakuda, zosawoneka bwino zotchedwa keloids. Anthu omwe ali ndi mawonekedwe akuda kwambiri amakhala ndi mawonekedwe a keloids.

Kusamalira bwino bala lanu kumatanthauza kulisungabe loyera ndikuphimba. Izi zitha kuthandiza kupewa matenda ndi zipsera.

• Kwa mabala ang'onoang'ono, tsukani chilonda chanu ndi sopo wofatsa ndi madzi. Phimbani chilondacho ndi bandeji wosabala kapena mavalidwe ena.
• Kwa mabala akulu, tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungasamalire kuvulala kwanu.
• Pewani kutola kapena kukanda nkhanambo. Izi zitha kusokoneza machiritso ndikupangitsa kuwonongeka.
• Chilombocho chikangopangidwa, anthu ena amaganiza kuti chimathandiza kusisita ndi vitamini E kapena mafuta odzola. Komabe, izi sizikutsimikiziridwa kuti zimathandiza kupewa bala kapena kuthandizira kuzimiririka. Osapukuta chilonda chanu kapena kuyikapo chilichonse osalankhula ndi omwe amakupatsani chithandizo choyamba.

Akasamalidwa bwino, mabala ambiri amachira bwino, kusiya chilonda chaching'ono kapena osachipeza konse. Ndi zilonda zazikulu, mumakhala ndi chilonda.

Zinthu zina zimalepheretsa zilonda kuchira kapena kuchedwetsa ntchito, monga:

• Matenda imatha kukulitsa chilonda ndikuchepetsa.
• Matenda a shuga. Anthu omwe ali ndi matenda a shuga amakhala ndi mabala omwe sangachiritsidwe, omwe amatchedwanso mabala a nthawi yayitali (osatha).
• Kutaya magazi koyipa chifukwa cha mitsempha yotseka (arteriosclerosis) kapena zinthu monga mitsempha ya varicose.
• Kunenepa kwambiri kumawonjezera chiopsezo chotenga kachilombo pambuyo pa opaleshoni. Kukhala wonenepa kwambiri kumathandizanso kuti kukoka kuzikhala zolimba, zomwe zimawapangitsa kuti azitseguka.
• Zaka. Mwambiri, achikulire amachiritsa pang'onopang'ono kuposa achinyamata.
• Kumwa mowa kwambiri amatha kuchepetsa kuchira ndikuwonjezera chiopsezo chotenga matenda komanso zovuta pambuyo poti achite opaleshoni.
• Kupsinjika zingakupangitseni kuti musamagone mokwanira, kusadya bwino, ndikusuta kapena kumwa zochulukirapo, zomwe zingasokoneze kuchira.
• Mankhwala monga corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), ndi mankhwala ena a chemotherapy amatha kuchepetsa kuchira.
• Kusuta ikhoza kuchedwa kuchira pambuyo pa opaleshoni. Zimapangitsanso chiopsezo cha zovuta monga matenda ndi zilonda zotseguka.

Mabala omwe akuchedwa kuchira angafunike chisamaliro chowonjezera kuchokera kwa omwe amakupatsani.

Itanani omwe akukuthandizani nthawi yomweyo ngati muli:

• Kufiira, kupweteka kowonjezereka, kapena mafinya achikaso kapena obiriwira, kapena madzi owoneka bwino kwambiri mozungulira chovulalacho. Izi ndi zizindikiro za matenda.
• Mdima wakuda mozungulira kuvulala. Ichi ndi chizindikiro cha minofu yakufa.
• Kuthira magazi pamalo ovulala omwe sangayime pambuyo pakukakamizidwa kwa mphindi 10.
• Kutentha kwa 100 ° F (37.7 ° C) kapena kupitilira maola 4.
• Ululu pachilonda chomwe sichitha, ngakhale mutamwa mankhwala opweteka.
• Bala lomwe latseguka kapena zokomera kapena zotumphukira zatuluka posachedwa.

Momwe kudulira kumachiritsira; Momwe ma scrape amachiritsira; Momwe mabala amachiritsira; Momwe kutentha kumachiritsira; Momwe zilonda zakuthupi zimachiritsira; Momwe ma lacerations amachiritsira

Leong M, Murphy KD, Phillips LG. Kuchiritsa bala. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 6.

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. chisamaliro cha mabala. Mu: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2017: chap 25.

• Mabala ndi Zovulala