Suture dehiscence: Ndi chiyani, chifukwa chiyani zimachitika ndi momwe angachitire

Zamkati

• Zizindikiro zazikulu za kusakhulupirika
• Zomwe zingayambitse chisokonezo
• Momwe mankhwalawa amachitikira
• Zovuta zotheka
• Momwe mungapewere kuyambika kwachinyengo

Kufooka kwa suture ya opaleshoni ndi vuto lalikulu lomwe m'mphepete mwa bala, lomwe limalumikizidwa ndi suture, limatha kutsegula ndikusunthira kwina, ndikuwonjezera chiopsezo cha matenda ndikulepheretsa kuchira.

Ngakhale ndizosowa, chiopsezo cha dehiscence chimakhala chachikulu pamasabata awiri oyambilira komanso pambuyo pochitidwa opaleshoni m'mimba, popeza njira yochiritsira ikadali yoyamba.

Popeza ndi vuto lalikulu, nthawi zonse kukayikiridwa kuti bala la opereshoni lingakhale lotseguka, ndikofunikira kwambiri kupita kuchipatala kukayesedwa ndi dokotala kapena namwino, kuyamba chithandizo ngati kuli kofunikira.

Zizindikiro zazikulu za kusakhulupirika

Chizindikiro chodziwikiratu cha kusowa kwa thupi ndikutseguka pang'ono kapena kwathunthu kwa bala la opareshoni, komabe, pamene chilondacho chili pamalo ovuta kuwona, zizindikilo zina zomwe ziyenera kuwonedwa, zomwe ziyenera kuwunikiridwa ndi akatswiri azaumoyo, ndi monga:

• Kutupa m'malo;
• Kupweteka kwambiri;
• Kutulutsa kwa mafinya;
• Kumva kutentha kwambiri pachilondacho.

Pomwe chilondacho sichimawoneka, mutha kufunsa wina kuti ayang'ane malowo kapena agwiritse ntchito kalilole, mwachitsanzo.

Onani chisamaliro chachikulu chomwe chiyenera kutengedwa pambuyo pa opaleshoni kuti mupewe zovuta.

Zomwe zingayambitse chisokonezo

Zomwe zimayambitsa kufooka kwa zilonda ndikumangika pamalo opunduka a zilonda, zomwe zimatha kuchitika mukamakokomeza m'masabata oyambilira kapena mukakhosomola pafupipafupi, kapena mukuyetsemula, ndipo tsambalo silotetezedwa mokwanira., Mwachitsanzo.

Kuphatikiza apo, anthu onenepa kwambiri amakhalanso ndi chiopsezo chachikulu chotsitsa thupi, makamaka atachitidwa opaleshoni m'mimba, popeza kunenepa kwambiri ndi mafuta zimapangitsa kuti m'mbali mwa chilondacho musavutike.

Zinthu zina zomwe zingawonjezere chiopsezo chakudziphatika ndi monga kusuta, kukhala ndi matenda a impso, matenda ashuga kapena matenda omwe amadzetsa kuponderezana, chifukwa izi ndi zomwe zimalepheretsa kuchira.

Momwe mankhwalawa amachitikira

Chithandizo cha dehiscence chiyenera kuyambitsidwa nthawi zonse kuchipatala ndi adotolo kapena namwino, omwe amayenera kuyesa bala ndi kusankha njira yabwino kwambiri yothandizira.

Nthawi zambiri, amalandira chithandizo ndi maantibayotiki kuti athetse vuto la chilonda ndikugwiritsa ntchito zowawa zothetsa ululu. Kuphatikiza apo, kuvala mabala kuyenera kuchitidwa ndi namwino, chifukwa ndikofunikira kusintha mtundu wazinthu zomwe agwiritsa ntchito, komanso kusunga njira za aseptic.

Pazifukwa zoopsa kwambiri pokha pokha pakafunika kuti kuchitidwenso opaleshoni kuti ayeretse ndikutsekanso bala.

Zovuta zotheka

Ngati chithandizo cha dehiscence sichinayambike msanga, pamakhala chiopsezo chachikulu chotulutsidwa, ndipamene ziwalo pansi pa khungu zimatuluka pachilondacho. Izi ndizochitika mwadzidzidzi zomwe zimayenera kuthandizidwa nthawi yomweyo kuchipatala, chifukwa pali chiopsezo chowonjezeka cha matenda opatsirana komanso ngakhale kulephera kwa ziwalo.

Kuphatikiza apo, pambuyo poti dehiscence ndi kotheka kuti chilondacho chizikhala choipa kwambiri komanso chowonekera, chifukwa kuchira kumatenga nthawi yayitali ndikukhala malo akulu pakhungu.

Momwe mungapewere kuyambika kwachinyengo

Ngakhale zilonda dehiscence ndizovuta zomwe zimachitika pafupifupi maopaleshoni onse, makamaka omwe amachitidwa pamimba, monga gawo losiya kubereka.

Komabe, pali zina zodzitetezera zomwe zimachepetsa chiopsezo, monga:

• Ikani kupanikizika pachilondacho: makamaka zikafunika kupanga mayendedwe omwe amachititsa kukakamizidwa kwakukulu pamalopo, monga kukhosomola, kuyetsemula, kuseka kapena kusanza, mwachitsanzo;
• Pewani kudzimbidwa: iyi ndi nsonga yofunika kwambiri munthawi yopanga opaleshoni ya m'mimba, popeza kudzikundikira ndowe kumawonjezera kukakamiza m'mimba, komwe kumakhudza bala. Chifukwa chake, muyenera kumwa madzi osachepera 2 malita patsiku ndikudya zakudya zokhala ndi fiber, monga zipatso ndi ndiwo zamasamba;
• Pewani kuchita khama: makamaka mkati mwa milungu iwiri yoyambirira, kapena malinga ndi malangizo a dokotala;
• Pewani kunyowetsa malo abala mkati mwa milungu iwiri yoyambirira: zimawonjezera chiopsezo cha matenda omwe amatha kufooketsa khungu.

Kuphatikiza apo, ndikofunikira kuti mupange chithandizo choyenera cha bala ndi namwino kuchipatala, mwachitsanzo, chifukwa chimalola kuwunika malowa komanso kugwiritsa ntchito zida zoyenera.