Kodi kusokonekera ndi chiyani, ndi chiyani komanso njira zazikulu

Zamkati

• Ndi chiyani
• Mitundu yayikulu yakuchotsa
• Zatheka bwanji
• Zovuta zotheka

Kuperewera, komwe kumadziwikanso kuti kuchotsera, ndi njira yochitidwira kuchotsa zilonda zam'mimba, zakufa, komanso zotenga kachilonda pamabala, kukonza machiritso ndikuletsa kufalikira kwa matendawa kumadera ena amthupi. Zitha kuchitidwanso kuchotsa zinthu zakunja mkati mwa bala, monga zidutswa zagalasi, mwachitsanzo.

Njirayi imachitidwa ndi adotolo, dokotala kapena zamitsempha, m'chipinda chogwirira ntchito kapena namwino wophunzitsidwa bwino, kuchipatala cha odwala kapena kuchipatala ndipo mitundu yosiyanasiyana imatha kuwonetsedwa, kutengera mawonekedwe a chilondacho komanso thanzi la munthu.

Ndi chiyani

Kuperewera kwapadera ndi njira yofunika kwambiri yochiritsira bala lomwe lili ndi necrotic komanso matenda opatsirana, popeza kuchotsedwa kwa mnofu wakufa kumawongolera machiritso, kumachepetsa kutulutsa magazi, monga exudate, kumachepetsa zochita za tizilombo ndikuthandizira kuyamwa kwa mafuta ndi maantibayotiki.

Kuchotsa maopareshoni, mwachitsanzo, kumagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi zilonda zamapazi ashuga, chifukwa njirayi imachepetsa kutupa ndikutulutsa zinthu zomwe zimathandiza kukula kwa minofu yabwinobwino pachilondacho. Phunzirani momwe mungasamalire ndikuchiza mabala amiyendo ashuga.

Mitundu yayikulu yakuchotsa

Pali mitundu yosiyanasiyana yochotsera yomwe idawonetsedwa ndi dokotala kutengera mawonekedwe a bala monga kukula, kuzama, malo, kuchuluka kwa katulutsidwe komanso ngati muli ndi matenda kapena ayi, ndipo atha kukhala:

• Kutsegula: imachitika ndi thupi lokha mwanjira yachilengedwe, kudzera munjira zofananira ndi kuchiritsa, zolimbikitsidwa ndi maselo achitetezo, ma leukocyte. Pofuna kukonza zotsatira zakusokonekera kwa mtunduwu, ndikofunikira kuti bala likhala lonyowa ndi mchere komanso mavalidwe ndi hydrogel, mafuta ofunikira (AGE) ndi calcium alginate;
• Opaleshoni: Amakhala ndi opaleshoni yochotsa minofu yakufa pachilonda ndipo imachitika nthawi yomwe mabala ake amakhala akulu. Njirayi imatha kuchitidwa ndi dokotala, m'malo opangira opaleshoni, pansi pa oesthesia wamba kapena wamba;
• Zida: zitha kuchitidwa ndi namwino wophunzitsidwa bwino, mchipinda chovekera, ndipo kutengera kuchotsedwa kwa minofu yakufa ndi khungu lomwe lili ndi kachilomboka mothandizidwa ndi scalpel ndi tweezers. Nthawi zambiri, magawo angapo amayenera kuchitidwa kuti achotse pang'onopang'ono minofu ya necrotic ndipo sizimapweteka, popeza minofu yakufa iyi ilibe maselo omwe amatsogolera ku kumva kupweteka;
• Enzymatic kapena mankhwala: zimaphatikizapo kugwiritsa ntchito zinthu, monga mafuta onunkhira, molunjika pachilondapo kuti minofu yakufa ichotsedwe. Zina mwa zinthuzi zimakhala ndi michere yomwe imachotsa necrosis, monga collagenase ndi fibrinolysins;
• Makaniko: Zimaphatikizapo kuchotsa minofu yakufa kudzera mukumenyana ndi kuthirira ndi mchere; komabe, sagwiritsidwa ntchito kwambiri chifukwa pamafunika chisamaliro chapadera kuti magazi asamachitike pachilondacho.

Kuphatikiza apo, pali njira yomwe imagwiritsidwa ntchito yotchedwa kusokoneza kwachilengedwe yomwe imagwiritsa ntchito mphutsi zosabala za mitunduyo Lucilia sericata, wa ntchentche yobiriwira wamba, kudya minofu yakufa ndi mabakiteriya ochokera pachilondacho, kuwongolera matenda ndikuthandizira kuchira. Mphutsi zimayikidwa pachilondapo ndi kuvala komwe kumayenera kusinthidwa kawiri pamlungu.

Zatheka bwanji

Asanachite izi, adotolo kapena namwino amayang'ana bala, kuwunika kuchuluka kwa malo a necrosis ndikuwunikanso zaumoyo wawo wonse, popeza anthu omwe ali ndi mavuto oundana, monga idiopathic thrombocytopenic purpura, amatha kuvutika kuchira, kuwonjezera kukhala ndi chiopsezo chachikulu chotaya magazi nthawi yomwe wachotsedwa.

Malo ndi kutalika kwa njirayi kumadalira njira yochotsera yomwe ingagwiritsidwe ntchito, yomwe imatha kuchitika kuchipatala kapena kuchipatala cha odwala omwe ali ndi chipinda chovekera. Chifukwa chake, asanatsate ndondomekoyi, adotolo kapena namwino adzafotokozera momwe akuyenera kuchitira ndikupereka malingaliro ena, omwe ayenera kutsatiridwa monga mwalamulo.

Pambuyo pa ndondomekoyi, m'pofunika kutenga zodzitetezera monga kusunga mavalidwe oyera ndi owuma, kupewa kusambira padziwe kapena m'nyanja komanso osakakamiza pamalopo.

Zovuta zotheka

Zovuta zomwe zimachitika chifukwa chakuchotsa magazi kumatha kukhala kutuluka magazi pachilondacho, kuyabwa pakhungu lozungulira, kupweteka pambuyo pochita izi komanso kusokonezeka kwa zinthu zomwe zagwiritsidwa ntchito, komabe maubwino ake amakhala okulirapo ndipo amayenera kuonedwa ngati ofunika, chifukwa nthawi zina, bala silichira popanda kusokonezeka.

Komabe, ngati zizindikiro monga kutentha thupi, kutupa, kutuluka magazi komanso kupweteka kwambiri zikawonekera munthu akatha kuchotsedwa ntchito, m'pofunika kupeza chithandizo chamankhwala mwachangu kuti chithandizochi chilimbikitsidwe.