Kusamalira khungu ndi kusadziletsa

Munthu amene ali ndi vuto lodziletsa amalephera kukodza mkodzo ndi chopondapo. Izi zimatha kubweretsa zovuta pakhungu pafupi ndi matako, chiuno, maliseche, komanso pakati pa mafupa a chiuno ndi thumbo (perineum).

Anthu omwe ali ndi vuto lothetsa mkodzo kapena matumbo (otchedwa incontinence) ali pachiwopsezo cha mavuto akhungu. Malo akhungu omwe amakhudzidwa kwambiri ali pafupi ndi matako, chiuno, maliseche, komanso pakati pa mafupa a chiuno ndi thumbo (perineum).

Chinyezi chochulukirapo chimapangitsa mavuto akhungu monga kufiira, khungu, kukwiya, ndi matenda a yisiti.

Bedsores (mavuto zilonda) amathanso kukula ngati munthu:

• Sanadye bwino (alibe zakudya m'thupi)
• Adalandira mankhwala a radiation m'derali
• Amakhala nthawi yayitali kapena tsiku lonse ali pa njinga ya olumala, pampando wokhazikika, kapena pabedi osasintha malo

Kusamalira khungu

Kugwiritsa ntchito matewera ndi zinthu zina kumatha kukulitsa mavuto akhungu. Ngakhale amatha kusunga zofunda ndi zovala zotsuka, izi zimathandiza kuti mkodzo kapena chopondapo zizikumana ndi khungu nthawi zonse. Popita nthawi, khungu limasweka. Chisamaliro chapadera chiyenera kutengedwa kuti khungu likhale loyera komanso louma. Izi zitha kuchitika ndi:

• Kuyeretsa ndi kuyanika malowo nthawi yomweyo mukakodza kapena kukhala ndi matumbo.
• Kuyeretsa khungu ndi sopo wofewetsa, pewani ndi madzi kenako kutsuka bwino ndikudina pang'ono.

Gwiritsani ntchito oyeretsa khungu opanda sopo omwe sayambitsa kuuma kapena kukwiya. Tsatirani malangizo a mankhwala. Zida zina sizifunikira kutsukidwa.

Mafuta odzola amatha kuthandiza khungu kukhala lonyowa. Pewani mankhwala omwe ali ndi mowa, zomwe zingakhumudwitse khungu. Ngati mukulandira radiation, funsani omwe akukuthandizani ngati zili bwino kugwiritsa ntchito mafuta odzola.

Ganizirani kugwiritsa ntchito zotchinga khungu kapena chotchinga chinyezi. Mafuta ndi mafuta omwe ali ndi zinc oxide, lanolin, kapena petrolatum amapanga zotchinga pakhungu. Zinthu zina zosamalira khungu, nthawi zambiri zimapangidwa ngati chopopera kapena chopukutira, zimapanga kanema wowonekera bwino, woteteza pakhungu. Wothandizira angalimbikitse zotchinga zotchinjiriza kuteteza khungu.

Ngakhale mankhwalawa atagwiritsidwa ntchito, khungu liyenera kutsukidwa nthawi iliyonse ukadutsa mkodzo kapena chopondapo. Gwiritsani ntchito zonona kapena mafuta mukatha kutsuka ndi kuyanika khungu.

Mavuto osadziletsa amatha kuyambitsa matenda a yisiti pakhungu. Izi ndi zotupa, zofiira, zotupa ngati ziphuphu. Khungu lingamveke laiwisi. Zamgululi zilipo zochizira matenda yisiti:

• Ngati khungu limakhala lonyowa nthawi zambiri, gwiritsani ntchito ufa wokhala ndi mankhwala oletsa mafungal, monga nystatin kapena miconazole. Musagwiritse ntchito ufa wa mwana.
• Chotchinga chinyezi kapena khungu losindikizira lingagwiritsidwe ntchito pa ufa.
• Ngati mkwiyo ukayamba kukula, onani omwe akukupatsani.
• Ngati matenda a bakiteriya amapezeka, maantibayotiki opakidwa pakhungu kapena kumwa pakamwa atha kuthandiza.

National Association for Continence (NAFC) ili ndi chidziwitso chothandiza pa www.nafc.org.

NGATI MULI OGWIRITSA NTCHITO KAPENA MUKUGWIRITSA NTCHITO YA GALAYENDE

Yang'anani pakhungu pakakhala zilonda tsiku lililonse. Fufuzani madera ofiira omwe samasanduka oyera mukapanikizika. Komanso fufuzani zotupa, zilonda, kapena zilonda zotseguka. Uzani wothandizira ngati pali ngalande iliyonse yonyansa.

Chakudya chopatsa thanzi, chopatsa thanzi chomwe chili ndi zopatsa mphamvu komanso zomanga thupi zokwanira chimakuthandizani kuti mukhale ndi thanzi labwino pakhungu lanu.

Kwa anthu omwe ayenera kugona:

• Sinthani malo anu pafupipafupi, osachepera maola awiri aliwonse
• Sinthani ma sheet ndi zovala nthawi yomweyo zikawonongeka
• Gwiritsani ntchito zinthu zomwe zingathandize kuchepetsa kupanikizika, monga mapilo kapena thovu padding

Kwa anthu omwe ali pa njinga ya olumala:

• Onetsetsani kuti mpando wanu ukukwanira bwino
• Sungani kulemera kwanu mphindi 15 mpaka 20 zilizonse
• Gwiritsani ntchito zinthu zomwe zingathandize kuchepetsa kupanikizika, monga mapilo kapena thovu padding

Kusuta kumakhudza kuchiritsa khungu, motero kusiya kusuta ndikofunikira.

Kusadziletsa - kusamalira khungu; Kusadziletsa - kupanikizika kwambiri; Kusadziletsa - kuthamanga chilonda; Kusadziletsa - kupweteka kwa bedi

• Kupewa zilonda zamagetsi

Bliss DZ, Mathiason MA, Gurvich O, et al, Zomwe zimachitika komanso kuneneratu zakusadziletsa komwe kumakhudzana ndi khungu kwaomwe akukhala kumene akukhala kumene. J Namwino Wound Ostomy Continence. 2017; 44 (2): 165-171. PMID: 28267124 pubed.ncbi.nlm.nih.gov/28267124/.

Boyko TV, Longaker MT, Yang GP. Unikani kasamalidwe kameneka kazilonda zamankhwala. Kupita Patsogolo Pakusamalira Mabala (New Rochelle). 2018; 7 (2): 57-67. PMID: 29392094 pubed.ncbi.nlm.nih.gov/29392094/.

Kwon R, Rendon JL, Janis JE. Zilonda zamagetsi. Mu: Nyimbo DH, Neligan PC, eds. Opaleshoni ya Pulasitiki: Voliyumu 4: Kutsika Kwambiri, Thunthu, ndi Kuwotcha. Wolemba 4.Philadelphia, PA: Elsevier; 2018: mutu 16.

Paige DG, Wakelin SH. Matenda a khungu. Mu: Kumar P, Clark M, eds. Kumar ndi Clark's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2017: mutu 31.