Bangaphezu kwezigidi ezimbili abantu emhlabeni wonke abahlushwa yizilonda ezikhuluphelayo ezibonakala ezinyaweni nasemilenzeni. Isilonda se-trophic yisifo lapho kuvela khona ukushiyeka okujulile kolwelwesi lwe-epithelium noma olungaphansi, bese izinqubo zokuvuvukala zibonwa.
Lesi sifo sidala ukulahleka kwezicubu emilenzeni, kuthi ngemuva kokuphola isilonda esikhunjeni, izibazi zihlale zinjalo.
Ukwelashwa kwamanxeba we-trophic emilenzeni, yize iqiniso lokuthi namuhla umuthi uthuthuke kakhulu, kungenye yezinqubo eziyinkimbinkimbi kakhulu. Ngesifo kumaseli, ukwephulwa kwezinqubo zokudla okunomsoco kwenzeka - trophic.
Futhi, imisebenzi yokuvikela umzimba incishiswa kakhulu, ngakho-ke amandla okuthola alahlekile ngokwengxenye. Enye yezinhlobo ezinzima kakhulu zezilonda zodoti yisifo sikashukela.
Isilonda sikashukela
Ngesifo esinjengesifo sikashukela, kuvela izinkinga eziningi ezahlukene, esinye sazo isilonda sesifo sikashukela. Lokhu kugula kuyingozi ngoba kuhlaselwa izifo ezahlukahlukene, okuthi uma zingalashwa kungaholela ekuqhekekeni komlenze nokuqunjelwa okwalandela emlenzeni.
Ekuqaleni kwalesi sifo, izitho ezingezansi ziyaphenduka kancane ngenxa yokufa kwamangqamuzana ezinzwa. Lokhu kungazwakala uma ubamba isandla sakho phezu komlenze, okuzoba ngamakhaza ngokuthinta.
Futhi, isiguli sihlushwa izinhlungu ebusuku. Izimpawu ziyefana nesilonda esivela emilenzeni. Kodwa-ke, umehluko omkhulu:
- asikho isifo sokuhlangana kwesikhashana;
- isilonda sijule;
- isilonda sikhulu.
Isilonda sikashukela sivame ukutholakala ezinzwaneni. Imvamisa into ebangelwa ukwenzeka kwayo ibuhlunguphondo ezinkomeni zodwa. Enye imbangela ejwayelekile yezilonda i-angiopathy yomlenze kushukela.
Ukwelashwa kwesifo sikashukela
Ukususa izilonda ezi-trophic emaphethelweni aphansi ku-mellitus yesifo sikashukela, isiguli sikhetha ukwelashwa komuntu ngamunye kwesiguli ngasinye. Le ndlela iyadingeka ngoba kunezizathu eziningi zokuvela kwama-ulcerative formations.
Ukubona lezi zinto, ngaphambi kokuqala ukwelashwa kokuhlaziywa kwesifo sikashukela, izifo ezibangelwa yi-bacteriological, cytological kanye ne-histological. Izindlela zokuxilonga izinsimbi zivame ukusetshenziswa.
Ngemuva kokwenza izifundo ezahlukahlukene kanye nokuthola isifo esisitholayo, udokotela unquma ukwelashwa okufanele.
- Ukwelapha kungenzeka kuhlinzwe,
- umuthi
- ukwelashwa kwasendaweni kuzohlanganisa nenkinga yezindlela zokwelapha, lapho izilonda zihlanza ubomvu nezicubu ezifile.
Ukuze wenze lokhu, isilonda somlenze kwisifo sikashukela siphathwa ngezixazululo ze-antiseptic namafutha agqugquzela ukuvuselelwa kwesikhumba nokulimala kwamanxeba. Ngaphezu kwalokho, i-physiotherapy kanye nezinye izindlela zokwelapha zinendima ebalulekile enqubweni yokuphulukisa.
Izindlela zokwelapha zokwelapha izilonda zesisu
Ngokungenelela kokuhlinzwa, udokotela ohlinzayo wenza i-excision yezicubu ze-necrotic, futhi futhi ususa ukugxila kokuvuvukala. Izinqubo ezinjalo zokuhlinza zifaka:
- Ukuhlanza;
- I-Curettage;
- I-Vacuum Therapy (i-VAC Therapy)
Ngesikhathi sokwelashwa, indawo ethintekile ivezwa ingcindezi ephansi engemihle (-125 mmHg) isebenzisa ukugqoka kwe-polyurethane.
Le ndlela yenza ukuthi kwenzeke:
- khipha ukwakheka kwe-purulent esilondeni;
- yehlisa ukuvuvukala, usayizi kanye nokujula kwesilonda;
- kwandisa ukuhamba kwegazi ezicutshini zemilenze;
- iqala inqubo yokwakheka kwegranulation entsha;
- ubungozi bezinkinga buncishisiwe;
- kudala indawo enomswakama ngaphakathi kwesilonda esivikela ngokuthembekile ekuthelelekeni kwamagciwane namagciwane.
Ukuhlanganiswa kusetshenziselwa ukwelapha izilonda ezi-hypertensive, venous trophic ulaphi ezingapheli isikhathi eside.
Ukunqunywa kwe-Virtual kuyindlela edingeka kakhulu ekwelapheni izilonda ze-neurotrophic ku-mellitus yesifo sikashukela. Le ndlela isuselwa ekusetshenzisweni kabusha kwe-metatarsophalangeal joint and bone.
Ngesikhathi esifanayo, ubuqotho be-anatomical abuphulwa ezinyaweni, ukugxila kokutheleleka kwamathambo nezinkinga zokucindezela ngokweqile kuyasuswa.
Ukukhazimula okumangazayo kwama-venous aristial fistulas. Le ndlela isetshenziselwa ukwelapha izilonda ezi-hypertensive (Martorell syndrome). Ukuhlinzwa kwenziwa ukuhlakaza izihlakala eceleni kwemiphetho yesilonda.
Izidakamizwa zokwelapha izilonda zesifo sikashukela
Ukwelashwa ngemithi kuhambisana nanoma yikuphi ukungenelela kokuhlinzwa. Ukwelashwa ngezidakamizwa nakho kungaba yindlela yokuzimela yokwelashwa, ezimeni ezithile zezilonda ezinesifo sikashukela, esinobungako nesilinganiselayo.
Ngokuya ngohlobo lwenkambo yesifo, ihlukaniswe izigaba ezahlukahlukene.
Isigaba sokuqala
Esigabeni sokuqala sesilonda esikhala, le mithi elandelayo ifakiwe enkambweni yokwelashwa:
- izidakamizwa ze-antiallergic (suprastin, tavegil, njll);
- imishanguzo ebanzi yokubuka;
- ama-antiplatelet agents ama-entravenous injections (reopoliglyukin, pentoxifylline);
- imithi elwa nokuvuvukala (engeyona i-steroidal) (diclofenac, ketoprofen).
Ukwelashwa kwasendaweni esiteji sokuqala kuhloselwe ukukhipha amaseli afile namagciwane esilonda. Kubhekiswa ku:
- ukugeza isilonda ngezisombululo ze-antiseptic ezisuselwa ku-furatsilina, potanganum permanganate, chamomile, celandine, chlorhexidine noma uchungechunge;
- ukusetshenziswa kwama-compress nge-creams yokuphulukisa (i-streptolaven, levomikol, i-dioxol), kanye nokugqoka okhethekile kwe-sorption (corbonet).
Kwezinye izimo, udokotela angakunquma i-hemosorption, inqubo yokuhlanza igazi.
Isigaba sesibili
Kulesi sigaba sokwelashwa kwezidakamizwa, lapho kuqala isigaba sokuphulukisa nokwakheka kwe-scar, ukugcotshwa kwamafutha okupholisa (ebermin, solcoseryl, actevigin) kanye ne-antioxidants (tocopherone) kusetshenziswa ekwelapheni izilonda ze-trophic.
Uhlobo lwelashwa lwasekhaya luyashintsha. Esigabeni sesibili, kufakwa ukugqokwa kwezilonda:
- u-Esvin;
- I-Sviderm;
- i-algipore;
- i-algimaf;
- heshispon nezinto.
Futhi, indawo engaphezulu yesilonda sikashukela iphathwa nge-curiosin.
Isigaba sesithathu
Emazingeni okugcina ekwelashweni kwezidakamizwa, lesi sifo esingaphansi esidale ukubonakala kwesilonda esiseduze kakhulu siyasuswa.
Ukwelashwa komzimba ekwelapheni izilonda
Ukwandisa ukusebenza kahle kwezinqubo zomzimba, enye yezinyathelo zehadiwe ichazwe esigabeni sokupholisa:
- Ukwelashwa ngengcindezi yendawo engemihle egumbini lokucindezela leKravchenko. Le ndlela isetshenziselwa izilonda ze-atherosclerotic ulcers.
- Ultrasonic low-frequency cavitation. Ukwelapha kukhulisa umphumela wemithi elwa namagciwane nama-antiseptics kumagciwane ngaphakathi kokuqalwa kwesilonda.
- Ukwelashwa ngomlingo. Kukhethwe njenge-vasodilator, sedative, analgesic kanye ne-decongestant effect.
- I-Laser Therapy Isetshenziselwa ukudambisa izinhlungu, isuse ukuvuvukala futhi ilinganise ukulungiswa kwamangqamuzana.
- Ukuvezwa kwe-UV. Inqubo inqunywe ukuze kuthuthukiswe ukumelana nomzimba ezifweni ezahlukahlukene.
- Ukwelapha nge-nitrogen ne-ozone. Kuthuthukisa ukufakwa komoya-mpilo ngamaseli wesikhumba futhi kubangele ukukhula kwezicubu ezithintekayo.
- Ukwelashwa ngodaka kanye ne-balneotherapy. Ukwelashwa okunjalo kunqunyelwe ukululama okuphelele ngemuva kokugula.
Ziphathwa kanjani izinhlobo eziyinkimbinkimbi zezilonda zesifo sikashukela?
Kuyenzeka ukuthi isilonda senziwa endaweni eningi ezindaweni ezinkulu, ngakho-ke ukwelashwa akulethi imiphumela edingekayo. Isilonda asipholi futhi lokhu kuletha isiguli ukuhlukunyezwa okungapheli. Imvamisa le nto ibonakala njengefomu elenyusa ukuntuleka kwe-venous.
Ezilondeni ezinkulu zecophic, ukufakelwa kwesikhumba kwenziwa. Isiqephu esidingekayo sesikhumba sithathwa ethangeni noma emabhulokeni.
Ngemuva kokufakelwa izinhlayiya kwe-epithelium kutholakala izimpande futhi kube ezinye zezikhuzo zokuvuselelwa kwesikhumba ezungeze isilonda.
Amakhambi e-Folk ekwelapheni izilonda zesifo sikashukela
Ukwelapha izilonda zesifo sikashukela kuyinqubo enzima kakhulu. Amanxeba anjalo kunzima ukususa ubomvu, futhi lokhu kuphazamisa ukwelashwa nokululama. Esigabeni sokulapha, ukwelashwa kwabantu kuyathuthukisa kakhulu ukusebenza kwezokwelapha.
Kuqukethe ukugeza isilonda ngama-decoctions kanye ne-infusions kusuka kumakhambi okwelapha, kanye nokwelashwa kwabo okwalandela ngamafutha okuzenzela, okungukuthi, ukwelashwa konyawo lwesifo sikashukela ekhaya kungenzeka.
Izici eziqinile ze-antiseptic zitholakala ngokulandelana, i-celandine, i-calendula ne-chamomile. Lawa makhambi awakususi kalula ukuvuvukala, kodwa futhi akha i-epithelium encane. Ngemuva kwenqubo yokugeza, abelaphi bendabuko batusa ukusebenzisa izindlela ezilandelayo:
- Isilonda esihlanzekile kufanele sishiswe nge-vodka noma i-propolis tincture. Ngemuva kwalokho, ukhilimu we-ichthyol noma i-Vishnevsky ointment, equkethe i-birch tar, isetshenziswa endaweni ebabayo.
- Uma izilonda zingapholi isikhathi eside, khona-ke sebenzisa amabhulukwe kakotini afakwe ngothayela. Izingcindezi ezivelayo zisetshenziselwa isilonda izinsuku ezingama-2-3, emva kwalokho kufanele kufakwe ezinye ezintsha. Inqubo iyaphindwa kuze kube yilapho izilonda sezinyamalala ngokuphelele.
- Ithuluzi elihle kakhulu ekwelapheni izilonda eziyizidudla iyimpuphu eyenziwe emacembe omile we-tick. Ngaphambi kokuqala ukwelashwa, isilonda kufanele sihlanzwe ngesisombululo se-rivanol. Ngemuva kwalokho kufanele kufafazwe nge-powder elungiselelwe yokupholisa ne-bandage. Inqubo kufanele iphindwe ngokuhlelekile, kaninginingi i-powing indawo ethintekile yesikhumba nge-powder, kepha isilonda akufanele sivele sigezwe. Ngenxa yempuphu evela ku-tatarnik, isilonda sikashukela sizophulukiswa kungekudala.
