I-Trophic ulcer akusona isifo esizimele.
Ukuvela kwezilonda esikhunjeni kukhombisa ama-pathologies amabi okwenzeka emzimbeni - njengemithambo ye-varicose, ukuphazamiseka kwe-endocrine (izilonda ezivame kakhulu kubangelwa ukuqubuka kwesifo sikashukela esithuthukile), izilonda zesifo semithambo ye-atherosclerotic, ukusabela kokuvuvukala kwesikhumba semithi ehlukahlukene phambili).
Imvelo engaphandle yokwephulwa kwe-izicubu trophism nayo kungenzeka - ngokwesibonelo, nge-trauma, burn noma i-frostbite esezingeni eliphakeme.
Amaqembu emithi esetshenziselwa ukwelapha izilonda
Ukwelapha kwezilonda ezidala izilonda kudinga isikhathi esanele. Kulesi simo, isiguli kufanele siqonde ukuthi kulesi simo kuyingozi kakhulu ukuzindla - kungenzeka ukwandisa isimo esikhona bese kufiphaza isithombe sasemtholampilo, okuzobuye kuvimbele uchwepheshe ekutholeni imbangela yangempela yokuvela kwezilonda ezindexayo.
Udokotela onolwazi kuphela ongayixazulula le nkinga - nguyena ozonikeza ukwelashwa okulungile esigulini (ngokwemvelo, ngemuva kokuqoqa i-anamnesis nokwenza ukuhlonza okuphelele komzimba wonke).
Izidakamizwa ezilandelayo zisetshenziselwa ukwelapha izilonda:
- Imithi yokuqinisa izindonga nokwenza ngcono ukusebenza kwemithambo yegazi: i-phlebotonics (Phlebodia, Troxevasinum). Ngenxa yabo, izindonga zemithambo ziba ngaphezulu, ukugeleza kwegazi kuthathwe njengokujwayelekile.
- Ama-Anticoagulants (Heparin) - anikela ekunciphiseni kwegazi nasekuvimbeleni ukuchitheka kwegazi.
- Imithi ye-Fibrinolytic (Streptokinase).
- I-Antispasmodics (No-shpa) - ukudambisa i-cidrome ebuhlungu.
- Izidakamizwa ezi-immunomodulating nezokuqinisa jikelele, ama-enzyme - ukwandisa izinga le-metabolic, ukubuyisela amandla omzimba omzimba.
- Izidakamizwa ezingahambisani nokuvuvukala (i-Ibuprofen, i-Nimesulide) - dambisa izinhlungu, ukusabela kokuvuvukala ezitsheni.
- Ama-antibacterial and antifungal agents (Levomekol, Sintomycin, Metronidazole, Diflucan) asetshenziswa, njengomthetho, ngabazali (ngendlela yokwehla yokuphatha) noma ngendlela yezisebenzi zasendaweni ezigabeni zokuqala zesifo ukucindezela ukukhula kwama-microorganisms we-pathogenic ekugxilweni kwesilonda.
- Ukwehlisa izidakamizwa (Sup Supinin, Tavegil) nezidakamizwa zokwelashwa kwasendaweni (okokugcoba, kwamagiya nokunye).
Amaqembu amathathu okugcina wezidakamizwa anentshisekelo enkulu, ngakho-ke kufanelekile ukuwamisa futhi utadishe imininingwane eminingi.
Ividiyo evela kuchwepheshe ekwelapheni izilonda eziyinqaba yemilenze:
I-antibacterial ne-Antifungal
Ukuthuthukiswa kwesilonda kufaka ukutheleleka kwamanxeba asanda kuvela.
Ukucindezela ukukhula okusheshayo nokwenziwa kabusha kwamagciwane, kuyalulekwa kakhulu ukuqala ukwelashwa ngama-antibiotic, okusho ukusetshenziswa kwama-anti-spectrum okubulala amagciwane. Kungani ngempela? Iqiniso ngukuthi iningi lamagciwane angama-pathogenic, ngeshwa, namuhla ahlukile ekuphikiseni ngokuphelele kwezidakamizwa ngokugxila okuncane.
Ngokuvamile, ama-fluoroquinolones nama-cephalosporins asetshenziselwa ukwelashwa.
Le mishanguzo ilawulwa ngemisipha noma ngomzimba, kanti ezimweni ezingakaze zisetshenziswe kahle - ngendlela yokufafaza.
Ngenxa yemithi elwa namagciwane, ukwakheka kwamaprotheni kuyaphazamiseka ngaphakathi kwengqamuzana elincane, ngenxa yalokho kufa kwalo.
Ama-antibiotic wesizukulwane sakamuva abonakala ngokubekezelela okuhle futhi cishe ukungabi bikho ngokuphelele kwemiphumela emibi engemihle.
Ukutheleleka ngegciwane kuvame ukufaka ukuhlukunyezwa kwesikhunta - ngakho-ke, ukuya kudokotela nakho kungancoma ukuthi iziguli zisebenzise imishanguzo nemithi ye-antifungal ngasikhathi sinye (ngesimo samathebulethi, amaphilisi noma i-infusions infip).
Izidakamizwa ezingezona ezokwehlisa ukuvuvukala ezingezona ezibangelwa ukuvuvukala
Ama-NSAIDs angakwazi ukubhekana nokuqubuka kokuvuvukala, anciphise ukuvuvukala kanye nobuhlungu, futhi anciphise izinga lokushisa - sibonga ngalezi zindawo ukuthi angeke zivikeleke ekwelashweni okuyinkimbinkimbi kwezilonda ezisesicubu sethambo.
Inkambo yokuphatha kufanele ibe mfushane ngangokunokwenzeka (ukugwema ukusabela okungekuhle okuvela eceleni - ngokwesibonelo, ama-NSAID anomthelela omubi kakhulu kulwelwesi lwe-mucous lwezitho zepheshana lesisu).
Futhi, ungahlanganisi ukwamukela kwama-analgesics amaningana ngasikhathi sinye - lokhu ngeke kulethe umphumela osheshayo owufunayo, kepha umthwalo osendleleni yokugaya ukudla uzoba phezulu kakhulu. Esimweni esibi ngokwedlulele, ukwamukelwa kwabavikeli bezilwelwesi zezitho zomzimba zezitho zokugaya kunqunywe ngasikhathi sinye.
Ama-NSAIDs angasetshenziswa womabili ngendlela yamathebulethi, nangezindlela zokufafaza nezokugcoba ukuze kusetshenziswe emilenzeni.
Ukwehlisa izidakamizwa
Ngesikhathi sokuphila kwabo, ama-bacterium agcina amaprotheni amaningi athile angaphandle kwe-macroorganism.
Ngenxa yalokhu, iziguli ezinelonda le-trophic zingahle zihlangabezane nokusabela kwendawo okwandisa isimo senqubo kanye nesimo esivamile sesiguli.
Njengomthetho, ukungezwani komzimba kuhambisana nokulunywa kanye nokubomvu okuningi. Ngaphezu kwalokho, ukungabekezelelani ngakunye kwanoma yiluphi uhlobo lwe-antibiotic kungenzeka.
Kulokhu, ukwamukelwa kwawo kufanele kumiswe ngokushesha bese uthintana nodokotela onguchwepheshe ngokushesha ukukhetha inhlanganisela entsha yezidakamizwa, ezizofaka nama-antihistamines ngezindlela ezahlukahlukene zomthamo (amaconsi, izixazululo, amaphilisi, nokunye).
Izintandokazi kufanele zinikezwe ngemithi yezizukulwane zakamuva - ayinayo imiphumela emibi engathandeki njengokucindezelwa kohlelo lwezinzwa oluphakathi kanye nobuthi.
Izithako zokwelashwa kwendawo
Ungasifaka kanjani isilonda se-peptic? Ngaphambi kokuthi uqale ukufaka amafutha kanye namagiye endaweni ethintekile yesikhumba, kufanele ihlanzwe kahle futhi iphathwe ngezixazululo ze-antiseptic. Ukukhwabanisa kumele kwenziwe kaningana ngosuku, ngokucophelela ngangokunokwenzeka, ukunakekela ukungalimazi imiphetho yamanxeba.
Izisombululo ezilandelayo zemithi ye-antiseptic zinconyelwa kangcono:
- i-hydrogen peroxide;
- I-Chlorhexidine;
- I-Miramistin.
Kwezinye izimo, ukulungiswa okuzimele kwesixazululo kuvunyelwe - kususelwa ku-furatsilina, potanganum permanganate noma ekhemisi chamomile (noma amanye amakhambi okwelapha).
I-oksijini ekhishwa ngesikhathi senqubo ye-oxidation ihlanze kahle amanxeba angaphezulu ezinhlangeni ezivela ku-purulent kanye ne-necrotic, futhi inomphumela we-bactericidal kanye ne-bacteriostatic.
Okulandelayo, ukugqoka kwe-gauze ngamafutha akhethekile kufakwa esilondeni (njengomthetho, kufaka i-antibiotic nezinto zokupholisa izicubu) - i-Levomekol, Sintomycin.
Kungenzeka ukusebenzisa amafutha e-hormonal (corticosteroid) - iHydrocortisone, iLorinden - enza ngokushesha okukhulu kunamafutha ajwayelekile, kepha ungakhohlwa ukuthi isikhathi sokusebenzisa kwawo sinqunyelwe kuphela kuzimele ezithile zesikhathi.
Njengamanje, lawo mafutha okwelapha asatshalaliswa kabanzi njenge-Iruxol (ene-collagenase ne-chloramphinecol ekwakhiweni), Solcoseryl, Argosulfan. Zishukumisa ukuvuselelwa kwezindawo ezilimele, zithuthukise izinqubo ze-trophic ezicutshini futhi zivimbele ukusakazeka kwezimbali zamagciwane.
I-Activtex isula - ukugqoka okugcwele okwenziwe ngendlela ekhethekile (i-sea buckthorn uwoyela, i-aminocaproic acid, amavithamini) nokunikeza ukuqedwa kobuhlungu, ukuhlanza kanye nokwelapha izilonda, kungabhekwa njengento entsha kule ndawo.
Ukulungisa Ukwelapha
Lesi sigaba sikhonjaniswa nokwehla komsebenzi wokuphendula kwe-pathological. Phakathi kwayo, isikhumba sihlanzwa ngezinto ze-necrotic kanye ne-purulent, izinqubo zokubumbana seziqalisiwe, ukukhiqizwa kwe-exudate kuncishisiwe bese ukuvuvukala kunciphe.
Konke ukwelashwa ngalesi sikhathi kususelwa ekusetshenzisweni kwezidakamizwa ezidala ukukhiqizwa kwezakhi zezicubu ezihlangene.
Kulokhu, imishanguzo efana ne-Detralex, antioxidants kanye nama-Vitamin complexes (Aevit, Selzinc njalonjalo), i-Curiosin (izithako ezisebenzayo eziyinhloko yi-hyaluronic acid ne-zinc), iSolcoseryl esele ilungiselelwe (ukulungiswa kwezicubu negazi lezinkomo).
Ngaphezu kwalokho, ukusetshenziswa kwe-elastic compression (egqoke amabhandeji), ama-phlebotonic agents kuyanconywa futhi.
Isigaba se-Epithelialization
Lesi yisigaba sokugcina, isigaba sokuphilisa. Ngesikhathi saso, isicubu sesikhumba esixhunywayo sakha indawo yesilonda.
Udinga ukuvikelwa emathonyeni emishini, ngakho-ke akufanele uyeke ukugqoka amabhandishi abalulekile. Ngaphezu kwalokho, ungasebenzisa ukugqoka ngamalungiselelo ngokusekelwe ku-collagen, i-gelatin (kwesinye isikhathi exutshwa ne-zinc).
Ngaphezu kwezidakamizwa, izindlela ze-physiotherapy (ukwenza ngcono i-microcirculation endaweni yesilonda se-peptic) zisetshenziswa ngempumelelo ekwelapheni izilonda ze-trophic - ukwelashwa kwe-laser, darsonvalization, massage, i-ultrasound, njll, kanye nokungenelela kokuhlinzwa (njengoba kukhonjisiwe).
Ukuvimbela I-Pathology
Njengoba wazi, noma yisiphi isifo kulula ukusivimba kunokwelapha. Umthetho ofanayo uyasebenza kwizilonda ezinamaqhuqhuva.
Ukuvimbela ukwenzeka kwabo, okokuqala kubalulekile ukuphatha lawo ma-pathologies ngenxa yalokho avela ngawo:
- uma izihlobo zinesifo esifana nemithambo ye-varicose, kuyadingeka ukuqapha ngokucophelela isimo semilenze yaso (kuleli cala, izilonda zomlenze zingavela), uma kunesidingo, sebenzisa izingubo zangaphansi ezikhethekile, sebenzisa i-venoprotectors futhi usabalalise ngokulinganayo umthwalo ngesikhathi somsebenzi womzimba, ukushintshanisa ngokuphumula;
- isifo sikashukela siyimbangela ejwayelekile yezilonda - ngakho-ke, ushukela wegazi kufanele uhlolwe njalo;
- iziguli ezinezifo zenhliziyo kudingeka ziqaphele umfutho wegazi ukugwema ukuthuthukiswa komfutho wegazi ophakeme.
Izilonda ze-Trophic ziyi-pathology ebaluleke kakhulu, lapho kutholwa isiguli kufanele ibonane nochwepheshe oqeqeshiwe ngokushesha okukhulu. Izindlela eziyinkimbinkimbi kuphela ezihlose umzimba wonke zizosiza ukuxazulula inkinga.
Izindlela zokupheka zevidiyo zemithi yesintu yezilonda ezikhulu
Musa ukuthembela ekwelashweni ngokunye izindlela zokupheka - zingasetshenziswa kuphela uma ngabe bekuvunyelenwe ngudokotela wakho ngaphambili.
Ukuhambisana nazo zonke izincomo ezibekiwe kuzosiza isimo sesiguli ngohlaka lwesikhashana, futhi ukutholwa kwesifo okuyisisekelo esiseduze kuzovumela esikhathini esizayo ukuvimba ukuvela kwalezo zimo.
