Ziphuphu pakhungu ndi kumezanitsa - kudzisamalira

Kukhomerera pakhungu ndi chidutswa cha khungu labwino lomwe limachotsedwa m'dera limodzi kuti likonze khungu lowonongeka kapena losowa kwina kulikonse mthupi lanu. Khungu ili lilibe gwero lake loyendera magazi.

Kuphunzira kusamalira zikopa za khungu ndi kumezerera kumatha kuwathandiza kuchira mwachangu ndikuchepetsa zilonda.

Chingwe chakhungu ndi khungu labwino komanso minofu yomwe imasunthika pang'ono ndikusunthira kuphimba chilonda chapafupi.

• Chikopa cha khungu chimatha kukhala ndi khungu ndi mafuta, kapena khungu, mafuta, ndi minofu.
• Kawirikawiri, chikopa cha khungu chimamangiriridwa kumalo ake oyambirira kumapeto kwake ndipo chimagwirizanitsidwa ndi mitsempha yamagazi.
• Nthawi zina chiphuphu chimasunthidwira kumalo atsopanowo ndipo chotengera chamagazi chimalumikizidwanso opaleshoni. Izi zimatchedwa chiphuphu chaulere.

Ankalumikiza khungu amagwiritsidwa ntchito kuthandizira zilonda zowopsa, zokulirapo komanso zakuya kuchiritsa, kuphatikiza:

• Zilonda zomwe sizingathe kuchiritsidwa paokha
• Kutentha
• Khungu limatayika chifukwa cha matenda akhungu akhungu
• Opaleshoni ya khansa yapakhungu
• Zilonda zam'mimba, zilonda zamankhwala, kapena zilonda za shuga zomwe sizichira
• Pambuyo pa mastectomy kapena kudulidwa

Dera lomwe khungu limatengedwa limatchedwa malo operekera. Pambuyo pakuchitidwa opareshoni, mudzakhala ndi mabala awiri, kulumikiza kapena kudziphatika nokha ndi tsamba laoperekayo. Masamba opereka a zodzikongoletsera ndi ziphuphu amasankhidwa kutengera:

• Khungu limafanana kwambiri ndi bala la bala
• Kuwonekera kudzawonekere kuchokera patsamba laopereka
• Malo oyandikirawo ali pafupi bwanji ndi chilonda

Nthawi zambiri tsamba la omwe amapereka limakhala lowawa pambuyo povulazidwa kuposa chilonda chifukwa chamitsempha yomwe yatulutsidwa kumene.

Muyenera kusamalira chikopa kapena malo olumikiza komanso tsamba la omwe amapereka. Mukabwera kunyumba mukatha kuchitidwa opareshoni, mudzakhala ndi chovala pamabala anu. Kuvala kumachita zinthu zingapo, kuphatikiza:

• Tetezani bala lanu ku majeremusi ndikuchepetsa chiopsezo chotenga matenda
• Tetezani malowo pamene akuchira
• Lembani madzi aliwonse omwe amatuluka pachilonda chanu

Kusamalira zomata kapena malo okumbikirani:

• Mungafunike kupumula masiku angapo mutachitidwa opaleshoni pamene bala lanu limapola.
• Mtundu wovalira womwe muli nawo umadalira mtundu wa bala ndi komwe kuli.
• Sungani zovala ndi malo ozungulira moyera komanso opanda dothi kapena thukuta.
• Musalole kuti mavalidwe anyowe.
• Osakhudza mavalidwe. Siyani m'malo mwake malinga ndi momwe dokotala akuvomerezerani (pafupifupi masiku 4 mpaka 7).
• Tengani mankhwala aliwonse kapena ochepetsa ululu monga mwauzidwa.
• Ngati ndi kotheka, yesani kukweza bala kuti likhale pamwamba pamtima panu. Izi zimathandiza kuchepetsa kutupa. Mungafunike kuchita izi mutakhala pansi kapena mutagona. Mutha kugwiritsa ntchito mapilo kuti muwonjezere malowa.
• Ngati dokotala wanena kuti zili bwino, mutha kugwiritsa ntchito phukusi la ayezi pa bandeji kuti muthe kutupa. Funsani kuti mugwiritse ntchito chidebe kangati. Onetsetsani kuti bandejiyo isamaume.
• Pewani mayendedwe aliwonse omwe angatambasule kapena kuvulaza chiphuphu kapena kumezanitsa. Pewani kugunda kapena kugundana kwanuko.
• Muyenera kupewa masewera olimbitsa thupi masiku angapo. Funsani dokotala kwa nthawi yayitali bwanji.
• Ngati muli ndi chovala chovala, mutha kukhala ndi chubu cholumikizira. Ngati chubu igwa, uzani dokotala wanu.
• Mudzawona dokotala wanu kuti mavalidwe anu asinthidwe masiku 4 mpaka 7. Mungafunike kuvala zovala patsamba lanu kapena malo olumikiza asinthidwa ndi dokotala kangapo pamasabata awiri kapena atatu.
• Pamene tsambali likuchira, mutha kulisamalira kunyumba. Dokotala wanu akuwonetsani momwe mungasamalire chilonda chanu ndikudziveka mavalidwe.
• Tsambalo limatha kuyabwa mukamachira. Osakanda bala kapena kusankhapo.
• Tsambali likachira, perekani zodzitetezera ku SPF 30 kapena kupitilira apo kumalo opangira opaleshoni mukakhala padzuwa.

Kusamalira malo opereka:

• Siyani mavalidwe m'malo mwake. Khalani oyera ndi owuma.
• Dokotala wanu akuchotsani mavalidwe pafupifupi masiku 4 kapena 7, kapena kukupatsirani malangizo amomwe mungachotsere.
• Kuvala kukachotsedwa, mutha kusiya chilondacho chisanatsegulidwe. Komabe, ngati ili m'dera lokutidwa ndi zovala, mudzafunika kuphimba malowa kuti muteteze. Funsani dokotala wanu za mtundu wa zovala kuti mugwiritse ntchito.
• Osagwiritsa ntchito mafuta kapena batala pachilondacho pokhapokha dokotala atakuwuzani. Dera likamachira, limatha kuyabwa komanso nkhanambo. Osatola nkhanambo kapena kukanda bala pamene likupola.

Dokotala wanu adzakudziwitsani ngati zili bwino kusamba mutatha opaleshoni. Kumbukirani:

• Mungafunike kusamba masiponji kwa milungu iwiri kapena itatu pomwe zilonda zanu zili mchimake.
• Mukapeza OK kuti musambe, mvula imakhala bwino kuposa malo osambira chifukwa bala sililowa m'madzi. Kulowetsa bala lanu kumatha kuyipangitsa kutsegulidwanso.
• Onetsetsani kuti mwateteza mavalidwe anu mukamasamba kuti akhale owuma. Dokotala wanu angakuuzeni kutseka bala ndi thumba lapulasitiki kuti lisakhale louma.
• Ngati dokotala akupatsani CHABWINO, tsukutsani chilonda chanu ndi madzi mukamasamba. Osapaka kapena kupukuta bala. Dokotala wanu angakulimbikitseni kuyeretsa kwapadera kuti mugwiritse ntchito pamabala anu.
• Pewani modekha malo ozungulira chilonda chanu ndi chopukutira choyera. Lolani mpweya wa chilondacho uume.
• Musagwiritse ntchito sopo, mafuta odzola, ufa, zodzoladzola, kapena zinthu zina zosamalira khungu pachilonda pokha pokha atakuuzani kuti muchite izi ndi dokotala wanu.

Nthawi ina pamene muchira, simufunikanso kuvala. Dokotala wanu angakuuzeni nthawi yomwe mungasiye chilonda chanu chisanatsegulidwe komanso momwe mungasamalire.

Itanani dokotala wanu ngati:

• Ululu umakulirakulira kapena sungasinthe mukamachepetsa kupweteka
• Mukutaya magazi omwe sangayime pakadutsa mphindi 10 ndikuchepetsa, molunjika
• Mavalidwe anu amakhala omasuka
• Mphepete mwazitsulo kapena chiphuphu zimayamba kutuluka
• Mukumva china chake chikutuluka kuchokera pamalo omenyetserako kapena omwe akupukusani

Itanani dokotala wanu ngati muwona zizindikiro za matenda, monga:

• Kuchuluka kwa ngalande kuchokera pachilondacho
• Ngalande yakuda, yakuda, yobiriwira, kapena yachikaso, kapena kununkhiza (mafinya)
• Kutentha kwanu kuli pamwamba pa 100 ° F (37.8 ° C) kwa maola opitilira 4
• Mizere yofiira imawonekera yomwe imachokera pachilonda

Autograft - kudzisamalira; Kuika khungu - kudzisamalira; Kumwazikana pakhungu - kudzisamalira; Kulumikiza kwathunthu khungu - kudzisamalira; Kuthyola khungu pang'ono - kudzisamalira; FTSG - kudzisamalira; STSG - kudzisamalira; Ziphuphu zapafupi - kudzisamalira; Zikwama zachigawo - kudzisamalira; Ziphuphu zakutali - kudzisamalira; Chingwe chaulere - kudzisamalira; Kudzijambula pakhungu - kudzisamalira; Anzanu chilonda khungu khumudwitsidwa kudziletsa chisamaliro; Amawotcha chisamaliro cha khungu; Zilonda zamakhungu pakhungu zimadzilimbitsa

[Adasankhidwa] McGrath MH, Pomerantz JH. Opaleshoni yapulasitiki. Mu: Townsend CM Jr, 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 68.

Chinyama KM. Chithandizo chazovulala zovulala pamanja. Mu: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, olemba. Kukonzanso Kwa Dzanja ndi Kutali Kwambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 75.

Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L. chisamaliro cha mabala. Mu: Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L, olemba. Maluso Achikulire Achikulire. 9th ed. Hoboken, NJ: Pearson; 2017: chap 25.

Wysong A, Higgins S. Mfundo zazikuluzikulu pakumangidwanso. Mu: Rohrer TE, Cook JL, Kaufman AJ, olemba. Kukula ndi Kumata mu Opaleshoni ya Dermatologic. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 2.

• Zinthu Zakhungu
• Mabala ndi Zovulala