Uma isifo sikashukela singanxephezelwanga noma singanxephezelwa ngokuphelele, kungekudala lokhu kuholela ezinkingeni ezahlukahlukene. Omunye wemiphumela emibi kakhulu yi-pathology yamaphethelo aphansi, lapho unyawo lwesifo sikashukela luholela ku-necrosis yezicubu.
Ezimweni ezisezingeni eliphakeme, uma kungasakwazi ukusindisa umlenze, umunwe, unyawo noma umlenze kumele kunqunywe. Ukugwema ukukhubazeka, wonke umuntu onesifo sikashukela nemvelo yakhe kufanele acabangele zonke izinkinga ezihambisana nokunqunywa kokufinyelela okufika ngesikhathi ekunakekelweni kwezokwelapha.
Izimbangela zokunqunywa
Ukwephulwa kwezinqubo ze-metabolic kuholela ekuguqukeni kwe-pathological ohlelweni lwe-vascular. Ukuqongelela kwezinto ze-ballast egazini, izinguquko ze-autoimmune zifaka isandla ekubhujisweni kwamaseli ngokuzivikela komzimba wazo. Ngalesi sizathu inani lemikhumbi ejwayelekile liyancishiswa, okunikeza ukuqala kokuvezwa kabi, bese kuba ischemia esobala.
Ukuqunjelwa umlenze kwesifo sikashukela ngeke kugwenywe uma:
- Ukuqina kwegazi emilenzeni kuyaqhubeka;
- Ukushoda kwe-oksijini kwenza isikhumba sihlaselwe izifo;
- Amandla okuvuselelwa kabusha kwe-integument ancishisiwe;
- Ngalesi sithombe somtholampilo, noma imuphi umonakalo owenziwe ngomshini uvusa ukwakheka kwamathumba, i-phlegmon kanye nokunye ukuvuvukala okuhlanzekile okulukhuni ukwelapha;
- Ukulimala okuphelele kwezicubu zamathambo kuvusa ukubukeka kwe-osteomyelitis - ukubhujiswa okuhlanzekile kwezicubu zamathambo.
Ngesifo sikashukela, izinzwa ziyabhujiswa kancane kancane, ukuphuma kwegazi kuphazamisekile, nokuzwela kwezitho kunciphe. Ngenxa yalokhu, umuntu onesifo sikashukela akazizwa ebuhlungu ngezilonda zesikhumba. Ngommbila kanye nemifantu, ukutheleleka kuyangena. Amanxeba anesifo "esimnandi" apholisa isikhathi eside. Uma kungekho ukwelashwa okwanele, izilonda ziyavela, bese kuba yiziwula.
Ngokuya ngokuhlukahluka ngakunye ekuthuthukiseni lesi sifo, izinkomba zokwenza lo msebenzi zichaziwe. Ukugxila okubalulekile kufanele kukhokhwe esikhathini sokuvuselelwa kabusha.
Ukuqunjelwa iminwe kushukela
Ukucaciswa kabusha kweminwe kuyisinqumo esidingekayo. Kuthathwa lapho izicubu zingakwazi ukubuyiselwa, futhi kusongelwa empilweni yeziguli, ngoba ngonyawo lwesifo sikashukela, isifo esibulalayo.
Esigabeni esithuthukile, ukunqunywa komunwe kungaphezu kokucaciswa, akuphazamisi ukusebenza kahle kwemilenze. Uma ungayeki i-gangrene yomunwe, lokhu akuyona ukuphela kwenkinga.
Kukhona imisebenzi yeminwe eyisisekelo, yesibili neye-guillotine:
- Ukuqunjelwa okuyinhloko kwenziwa ngendlela esezingeni eliphakeme lesifo, lapho ezinye izindlela zingasebenzi.
- Ukuhlinzwa okwesibili kuboniswa ngemuva kokubuyiselwa kokugeleza kwegazi noma ukwelashwa okungasebenzi kahle, lapho kusesenesikhathi sokuthola ukuthi iyiphi ingxenye yezicubu efile.
- Ukusetjenziswa kwe-Guillotine kusetshenziswa ezimweni ezinzima kakhulu ngokusongela okusobala empilweni yeziguli. Zonke izindawo ezithintekile nengxenye yezicubu ezinempilo ziyasuswa.
I-Wet gangrene idinga ukuhlinzwa okuphuthumayo, njengoba isilinganiso sokulimala kwezicubu siphezulu. Nge-gangrene eyomile, i-necrosis iboniswa ngamafreyimu acacile endaweni yokugeleza kwegazi okungenampilo. Faka isicelo somsebenzi Ezimweni ezisezingeni eliphakeme, nge-gangrene eyomile, umunwe ungazisika futhi.
Izici zokunqunywa imilenze kwisifo sikashukela
Esigabeni sokulungiselela, kuyahlolwa ukuhlolwa (i-ultrasound, i-x-ray, ukuhlolwa kwegazi kanye nomchamo, ukuxilongwa kwemithambo) ukuthola ubukhulu benkinga.
Ngobusuku bokunqunywa, isiguli siguqula umthamo wemithi enciphisa igazi, udokotela unikeza isiyalo ngokulungiselela izimo zokululama ngokuphelele ngemuva kokuhlinzwa. Ukugwema imiphumela emibi evela kuma-anesthetics, kuyenqatshelwa ukuthatha ukudla namanzi ngaphambi kobusuku bokuhlinzwa.
Ngesikhathi sokuhlinzwa, isikhumba sihlanza ngama-antiseptics esivikela ekuthelelekeni. Ngale njongo, ama-antibiotics nawo ayalawulwa. Ngemuva kwe-anesthesia (i-anesthesia yendawo isetshenziswa emunweni, kwezinye izimo, i-anesthesia ejwayelekile) i-incision yesiyingi yenziwa.
Thambisa ithambo, ususe izicubu ezonakele, uqinise isilonda ngesikhumba esijwayelekile kanye nokuthungwa. Ukususa uketshezi olwedlulele faka amanzi. Isikhathi sokusebenza kuncike ekuthini yinkimbinkimbi: kusuka kumizuzu eyi-15 kuya emahoreni ambalwa.
Isonto lokuqala lesikhathi sokululama
Nge-gangrene, indawo ezonqunywa inqunywa yizinguquko ezenzeka emzimbeni. Ngemuva kokuhlinzwa, amabutho odokotela ahlose ukucindezela ukuvuvukala, okuvusa ubunzima. Isilonda asiboshelwa nsuku zonke nje kuphela, kepha zonke izithiyo zangemuva kokuhlinzwa nazo ziyelashwa.
Isikhathi se-postoperative siyingozi ngoba amathuba okutheleleka ngenxeba aphezulu kakhulu. Ngakho-ke, ngaphezu kokugeza njalo kwama-seams, isiguli sikhonjiswa ukudla kanye nokugcotshwa okukhethekile. Ukubuyisela ukugeleza kwegazi, uxove wonke umlenze.
Emavikini amabili alandelayo
Ngesonto elizayo, isiguli asisenazo izinhlungu ezinjalo emzimbeni Umthungo uyapholisa kancane kancane, kuthatha isikhathi esithe xaxa ukwenza imisebenzi isebenze, yize inengxenye.
Isifo sikashukela kufanele sibheke eminye imiqondo:
- Uma umlenze unqunywe endaweni engenhla kwamadolo, khona-ke isikhathi sokululama kulesi sigaba senza ukuthi kungabikhona ukubekelwa eceleni okuvimbela ukunyakaza okuhlanganayo kwejoyini.
- Ngokuhlinzwa kwe-shin, idolo ngaphandle kwentuthuko ekhethekile lizohlupheka kakhulu.
- Inkambo yokutakula ifaka phakathi: uchungechunge lokunyakaza, isikhundla sokulala - embhedeni onzima kakhulu nangasesiswini somzimba.
- Ngokuphindaphindwe ngosuku oludingayo ukwenza izivivinyo umzimba wonke.
- Zonke lezi zinyathelo zizosiza ukuqinisa izicubu futhi zilungiselele umzimba wokubuyiselwa kwemisebenzi yezimoto.
Ngokusebenza okunjalo, kubalulekile ukulandela zonke izindlela zokuphepha, ikakhulukazi, ukuqala ukuqeqesha izinsiza kusebenza eziseceleni kombhede. Ukuthuthukisa izingalo nasemhlane, udinga ukubambelela embhedeni. Amandla wemisipha adlala indima ekhethekile ekulungiseleleni isiphunzi sokwenza ama-prosthetics kanye nokubuyiselwa kokusebenza kwemilenze.
Ubunzima ngemuva kokuhlinzwa
Ngemuva kokususa ingxenye yomlenze noma yomunwe, kunezinkinga ezahlukahlukene - kusukela ekushoneni okungapholi isikhathi eside ukuvuvukala nokuvuvukala. Ukuvimbela imiphumela engathandeki, kuyadingeka ukugqoka amabhandeshi wokucindezela enza ukuzinza kwegazi nokugeleza kwe-lymph kugeleze. Kufanele ziqine, zilimele ngokuqinile engxenyeni engezansi yesigaxa, kanti ukungezwani kuya buthaka kuya engxenyeni ephezulu.
Ukuzivocavoca njalo kwesigaxa kanye nemisipha yangomakhelwane - ukuguqa, ukusikaza, ukuthepha - kuyadingeka, ngoba kukuvumela ukuthi ubuyisele izicubu ezishayekile.
Kubalulekile ukwazi ukuthi:
- Zonke iziguli zinobuhlungu be-phantom. Kulokhu, udokotela wezifo zengqondo kanye nama-analgesics azosiza ukubuyisana nokulahleka.
- Ukwelapha kusetshenziswa zombili ngokwelashwa (esigabeni esibuhlungu) kanye ne-physiotherapeutic.
- Amandla ashukumisayo abonwa ngokusebenza okuhle komzimba kanye nazo zonke izinhlobo zokugcoba, kufaka phakathi nokuzisiza. Ngemuva kokuphulukiswa, ungenza okugeza okufudumele.
Ngokungasinaki kahle isiqu, ukubuyela emuva kwezicubu ze-necrosis ngokutheleleka kwenxeba kungenzeka. Ukusebenza okuphindaphindiwe, okubaluleke kakhulu kuzodingeka.
Isibikezeli - yini abalindelwe yisifo sikashukela
Uma umlenze unqunywe endaweni ye-hip, yingxenye kuphela yabanesifo sikashukela esinda kungakapheli unyaka emva kokuhlinzwa okunjalo. Izibalo ezifanayo zibonwa ebudaleni, lapho isifo sikashukela sihambisana nezinye izinkinga. Phakathi kwalezo ziguli ezikwazi ukufunda i-prostheses, ukusinda kuphindeke kathathu.
Ngokunqunywa komlenze ophansi, uma kungekho ukuvuselelwa okwanele, ama-20% ezisulu ayafa. Amanye amaphesenti ama-20 abasindile adinga ukunqunywa kabusha kwesitho - manje esisezingeni le-hip. Phakathi kwalezo ziguli ezake zathola i-prosthesis, ukufa kwabantu phakathi konyaka kungaphezu kwama-7% (lapho kunezifo ezikhona).
Ngokungenelela okuncane kokuhlinzwa (ukusetshenzelwa phansi konyawo, ukususwa komunwe), iminyaka yokuphila ihlala isezingeni lesigaba sayo sobudala.
Ukuze ubuyisele futhi ulondoloze umthamo wokusebenza kwengalo elimele ngesikhathi sokuzivumelanisa, kuyadingeka ukuhambisana ngokuqinile nayo yonke imiyalo kadokotela.
Izindlela zamanje zokususa iminwe zesifo sikashukela - kule vidiyo
