Ukwelashwa kwezilonda eziyinqwaba zamaphethelo aphansi kushukela

Ukuphazamiseka okuyinhloko kwesifo sikashukela ukuthuthukiswa kwezifo ezenzeka ndawonye ngenxa yokulimala kweglucose eyeqile egazini.

Ngefomu lesifo esinzima futhi ukungabikho kokuthola ukwelashwa okudingekayo, izilonda ezinamahlwili zingakheka emilenzeni - amanxeba amsulwa, angapholi.

Siyini isilonda sethrophic?

I-Pathology iyi-lesion ejulile yesendlalelo esingaphezulu sesikhumba (bheka isithombe) nezicubu ezingaphansi kwaso; kunokubonakala kwesilonda esimanzi emlenzeni omkhulu wobubanzi obuzungezwe izicubu ezinesifo.

Lapho kukhona inqubo yokuvuvukala ebangelwa ukutheleleka okuhlanganisiwe, igazi nokukhishwa kwe-purulent ngephunga elingathandeki kuyabonakala.

Lesi sifo sisho izilonda zesikhumba ngenkambo engapheli, sinekhodi ye-ICD-10 ngokusho kwe-International Classization of Diseases.

Izimpawu ezilandelayo ziyimpawu yokulimala onyaweni sikashukela:

• izilonda ezinje aziziphathi ngokwazo ngaphandle kokwelashwa okufanele;
• Ubuhlungu obungapheliyo, ikakhulukazi obukhulu ebusuku;
• imikhawulo ebandayo: izinga lokushisa lesikhumba liyancipha ngesikhathi sokufa kwezinzwa;
• emva kokususwa kwamanxeba, amabala ajulile nezibazi endaweni yawo;
• ukuntuleka kokwelashwa kuholela ekufakeleni ubuthi begazi nokunqunywa kwemilenze.

Izimbangela zokwenzeka

Ukwephulwa kokujikeleza kwegazi nokudla kwezicubu kukashukela kuyimbangela yokwenziwa kwezilonda emaphethelweni aphansi. Ngokuzayo, ukwephulwa kwethoni lemikhumbi nokucekelwa phansi kwezindonga zazo kuholela ku-necrosis yezicubu.

Ukwephulwa kwe-carbohydrate metabolism isikhathi eside kudlula ngaphandle kokukhomba izimpawu, kutholakala ngesikhathi sokuhlolwa uma kusolwa esinye isifo. Imvamisa, izilonda eziyinqaba emilenzeni ivela nesifo sikashukela sohlobo 2.

Izimfuneko zokwenziwa kwezilonda ze-purulent yilezi:

• ukulimala emlenzeni okwenziwe yinkimbinkimbi ngokwakhiwa kwama-hematomas nokulimala kwe-purulent, okuthi kamuva kudlulele ezicutshini zamathambo nezilonda onyaweni;
• isifo sokuqina kwemithambo yegazi: ukutholakala kwegazi okungalungile kanye nokunciphisa imithambo yegazi;
• imithambo ye-varicose, ukwakheka kwama-plaque kuzo;
• ukwehluleka kwezinso okukhulu, okuhambisana nokudakwa okujwayelekile komzimba;
• izicathulo ezingakhululekile;
• ukulimala kwezicubu ezithambile, imithambo yegazi, ukuphela kwezinzwa;
• ukusika, imifantu, ummbila, ukushiswa, ukulimala - izindawo ezibuthaka kakhulu yizinqwaba zezinyawo, isithupha, izithende;
• imibhede yeziguli ezilele embhedeni;
• i-gypsum, lapho indawo ethintekile yakhiwa ngaphansi kwayo;
• ukwephulwa kwezicubu zemilenze i-microcirculation yegazi.

Izigaba zokuthuthuka

Kuqala, amafomu amancane abuhlungu esikhunjeni somlenze, omopha futhi andise ububanzi. Lapho amabhaktheriya e-pathogenic engena enxebeni, inqubo yokutheleleka nokuvuvukala iba kanye nokukhipha ubomvu. Isiguli sizwa ubuhlungu obukhulu ngisho ne-lesion enkulu ngenxa yokulahlekelwa umuzwa emilenzeni.

Kwezinye izimo, ukwakheka kwamanxeba okuhlanza kungenzeka ezindaweni eziningi futhi kugcizelele kakhulu ukwelashwa.

Ithebula lezimpawu zezigaba zokuthuthuka:

Ukuxilongwa okungaziwa kanye nokwelashwa okungafanele, noma ukungabikho kwayo, kuholela ezinkingeni zesifo, kufaka phakathi:

• isikhumba fungal isikhumba;
• ukuthuthukiswa kwe-vesicular eczema;
• ukulimala kwe-cartilage yemikhawulo engezansi;
• ukushayeka kwegazi emithanjeni yemilenze;
• ukuguqulwa kwamalunga emilenzeni;
• ukuguqulwa kokutheleleka okuthelelekayo esigabeni somdlavuza.

Ukwelashwa

Ukwelapha kwezilonda emaphethelweni aphansi kwenziwa ngezigaba eziningana futhi kuya ngosizi lokulimala kwezicubu. Ukwelashwa okulandelanayo kwamafomu we-purulent kubhekwa njengokusebenza kangcono ezigulini ezinesifo sikashukela mellitus.

Isigaba sokuqala

Isigaba sokuqala sokwelashwa siqala ngokutholwa kwamanxeba angalapheki emilenzeni, kuleso sigaba kuze kube yilapho igciwane selizihlanganisile.

Ukuze uzinzise isimo, kufanele wenze izinyathelo ezilandelayo:

• lawula ushukela wegazi, ulandele imihlahlandlela yokudla okunesifo sikashukela;
• ukuhlinzeka isiguli ngokuthula ukuze kungalimali umlenze obuhlungu;
• bona imbangela yezinkinga;
• qala ukwelashwa ukubuyisa ukujikeleza kwegazi emilenzeni.

Uma isilonda esisemlenzeni singapholi, kufanele:

• Hlanza indawo ethintekile egazini, izinhlayiya ezifile nobomvu;
• thambisa isilonda ngama-antiseptics;
• faka indlela yokugqoka ukuvikela izinto zakwamanye amazwe nokungcola ukuthi kungangeni esilondeni.

Ngemuva kwakho konke ukwenziwa, isimo sesiguli siyathuthuka: isilonda asikhuphuki ngosayizi, soma, igazi nokuhlanza akusasizi ukuvela, imiphetho ihlangana futhi iba pink.

Ividiyo yezilonda zesikhumba eziyinqaba:

Isigaba sesibili nesesithathu

Ngemuva kwesigaba sokuqala esiphumelelayo, ukwelashwa kuyaqhubeka nokusetshenziswa kwezidakamizwa okuhloswe ngazo ukuphulukisa izilonda nokulungisa izicubu zesikhumba.

Kunconywa ukuthi uqhubeke nokulandela indlela yokudla, uthathe izidakamizwa ezilwa nokuvuvukala, uphathe isilonda ngezixazululo eziphezulu.

Ukungena kokutheleleka esilondeni kungahlulelwa yizimpawu ezilandelayo:

• imiphetho yesisu iyamangaza;
• umbala wesikhumba ushintsha ube mnyama noma ube mnyama;
• isilonda sikhuphuke ngosayizi;
• umuzwa ovuthayo nokuluma kwavela;
• Ubuhlungu buqina.

Ngalezi zinkinga, kubekwa imishanguzo yegciwane, isenzo sayo okuhloswe ngaso ukuqeda ukutheleleka. Lapho kukhona izicubu ezifile, zisuswa ngokuhlinzwa.

Isigaba sesithathu ukuvuselelwa kabusha. Ngemuva kokuphola inxeba, kubalulekile ukubuyisela noma ukukhulisa izakhiwo zomzimba zokuzivikela ukulwa namagciwane, amagciwane we-pathogenic kanye nezifo.

Ukulungiselela okunempilo okubanzi nokwelashwa kwendawo ethintekile kwesikhumba kunconywa ukuthi kusetshenziswe kuze kube yilapho izimpawu ziphela ngokuphelele. Izinqubo ze-Physiotherapy zizosiza ukubuyisela isikhumba esinempilo nokuqina kokuqina esikhunjeni.

Ukuhlinzwa

Uma ukwelashwa kwezidakamizwa kungalethi umphumela owufunayo, isiguli sinikezwe ukuhlinzwa. Ngesikhathi sokuhlinzwa, ucezu lwezicubu olunamaseli afile lapho inqubo yokuvuvukala isuswa khona.

Kunezindlela ezinjalo zokwelashwa:

1. Ukwelapha ngomjovo Ukwelashwa kuqukethe ukuvezwa esondweni nengcindezelo ephansi. Le ndlela ikuvumela ukuthi ubuyisele ukuhanjiswa kwegazi kumaseli wezicubu, amathuba okuba nezinkinga nawo mancane. Izinzuzo zokwelashwa kwe-vacuum:
   • isusa ukhunta;
   • kwehlisa usayizi nokujula kwenxeba, ukuvuvukala kwalo;
   • kushukumisa ukwakheka kwamangqamuzana amasha;
   • yakha indawo evikela ngaphakathi enxebeni kusuka kumagciwane namagciwane;
   • kwandisa ukuhamba kwegazi emikhawulweni ephansi.
2. Ukunqunywa okubonakalayo. Injongo yokusebenza kungukuthi kususwe inkinga yokucindezela ngokweqile onyaweni. Izisuse ngokuyisisekelo izingxenye ze-metatarsal bone nejoyinti, ngenkathi ukwakheka konyawo kungashintshi.
3. I-Curettage. Ukuhlanza kwenziwa ngamathuluzi okuhlinza.
4. I-Catheterization. Lokhu kudalwa kusetshenziselwa izinkinga ezinzima lapho ezinye izindlela zingasebenzi. Ama-catheters akhethekile afakwa emithanjeni yegazi yokugeleza kwesikhathi eside kwezidakamizwa.

Imithi

Imithi yokwelashwa isetshenziswa womabili njengendlela yokuzimela yokwelapha, futhi kuhlangene nokuhlinzwa ukuhlanza amanxeba. Amafomu omthamo ezigabeni ezahlukahlukene zesifo anokwehluka kwawo.

Isilonda esivulekile yisimo esibi kakhulu futhi sidala iziguli eziningi izinkinga.

Ngalesi sikhathi, izidakamizwa ezinjalo ziyasetshenziswa:

• imithi elwa namagciwane ezibhebheni noma imijovo: "I-Duracef", "Tarivid", "Kefzol";
• anti-inflammatory: I-Nimesulide, i-Ibuprofen, i-Diclofenac;
• ama-antiplatelet agents (hlanganisa igazi, vimbela ukukhula kwezicucu zegazi): "I-Dipyridamole", "Acekardol", "Bilobil", "Aspirin";
• ama-antihistamines: Sup Supinin, Tavegil, Diazolin;
• ama-analgesics: uKetanov, uTrigan-D, uGevadal;
• izixazululo ze-antiseptic: "Furacilin", "Potassium permanganate", "Lysoform";
• okokugcoba: Solokoseril, Argosulfan, Delaxin, Levomekol, Actovegin.

Ngemuva kokulimaza isilonda, ukwelashwa kuyaqhubeka nokugcotshwa ngethonya lokuphulukisa, indawo ethintekile iphathwa ngama-antiseptic agents.

Ngaphezu kwalokho, sebenzisa okulandelayo:

• ama-antioxidants okususa ubuthi obunqwabelene emzimbeni: Okubalulekile, I-Berlition, Glutargin;
• imbobo nokumbathisa kokuvikela inxeba kususelwa: I-Algimaf, i-Streptocid i-ointment, i-Argosulfan.

Ngemuva kokuba indawo yesilonda isiqalile ukuqina, kuyadingeka ukuqhubeka nokususa imbangela eyinhloko yokuthuthukiswa kokulimala kwesikhumba - ushukela wegazi ophakeme.

Umuthi wabantu

Phakathi kwezindlela zokwelapha abantu zokwelapha izilonda onyaweni noma emlenzeni ophansi, okokugcoba, okugeza ngezixazululo zokupholisa, ukugqoka ngezitho zokupholisa amanxeba kuyasetshenziswa.

Kunconywa ukuyisebenzisa njenge-adjuvant ekwelashweni kwezidakamizwa:

1. Amafutha ngesenzo se-antibacterial. Ilungiselelwe ngesisekelo samafutha omnqumo. Bilisa 2 wezipuni kawoyela imizuzu engu-10 ukukhipha isibulala magciwane, bese ufaka inani elilinganayo lamafutha enhlanzi owuketshezi bese ushiya ngomlilo eminye imizuzu eyi-10. Gaya bese uxuba amathebulethi angama-30 e-streptocide ngenhlanganisela yamafutha epholile. Amafutha anjalo asetshenziswa endaweni ehlanziwe yesilonda, embozwe ngebhandeshi ngaphezulu, iboshwe futhi ishiywe ubusuku bonke. Ithuluzi lisiza ukulwa nokutheleleka kwamanxeba kashukela.
2. Mummy. Lo mkhiqizo wezokwelapha usetshenziswa ngendlela yama-lotions noma okokugcoba. Ama-lotion, amaphilisi amabili e-mummy ancibilikiswa ku-100 ml wamanzi ashisayo. Indwangu ye-gauze imanzi kule khambi bese ibekwa endaweni eyonakele. Qhubeka nenqubo yesigamu sehora, shintsha i-napkin kaningi, uqiniseke ukuthi isilonda asisuki. Futhi, i-mummy yokugcoba isetshenziswa ndawonye ne-birch tar. Kulokhu, amaphilisi ama-3 womuthi athululelwa ku-30 ​​ml wamanzi abilisiwe, ngemuva kokuqedwa ngokuphelele, kufakwa ama-30 ml wethala. Uwoyela osulungile ufakwa endaweni edabukisayo ebusuku. Ukusheshisa umphumela wokuphulukisa, i-mummy iphuzwa ngomlomo ithebhulethi kabili ngosuku ngaphambi kokudla kwenyanga eyodwa.
3. Tar. Kusetshenziswe ngesimo se-compress ngokufakwa kwejusi leKalanchoe. Izithako zithathwa ngokulingana okulinganayo, kuxutshwe zibekwe esilondeni. Iziguli eziningi zibika ukululama okusheshayo ngemuva kwalezo zinqubo.
4. Usawoti ne-propolis. Ukwelashwa kwezilonda eziyizimbangela kushukela kwenziwa ngaphandle kokugcotshwa kukasawoti kanye namafutha e-propolis. Isixazululo se-saline silungiswa kanjena: isipuni sikasawoti sithululelwa ngesigayo samanzi abilayo. Amafutha e-Propolis azosiza futhi: ukupheka ingxube yama-50 amagremu we-propolis kanye nama-gramu ayi-100 wamafutha engulube amasha kubhavu wamanzi imizuzu engama-20. Ipholile ekushiseni kwama-degrees angama-40 bese ufaka u-10 ml we-Vitamin A uketshezi kanye nebhodlela elilodwa le-Gentamicin (amaconsi eso). Ukwelashwa kwenziwa ngale ndlela elandelayo: i-compress kasawoti iyasetshenziswa futhi ishiywe ubusuku bonke, ekuseni isilonda siyagezwa sigcotshwe ngamafutha, asikho isidingo sokubopha amabhande. Emini, i-oyela isetshenziswa kaningi kuya kweziyi-5, i-salt salt isetshenziswa ebusuku. Le nqubo iphindwa izinsuku eziningana kuze kube yilapho kwenziwa ngcono ukubonakala.
5. Aloe vera. Ukuze isetshenziswe ekwelapheni amaqabunga, afakwe kwisisombululo esibuthakathaka se-potanganum permanganate isikhathi esingaba ihora, ngaphambili sinqunywe phakathi. Isilonda siphathwa kuqala ngesisombululo se-hydrogen peroxide, khona-ke amaqabunga e-aloe abekwa phansi phezulu epulpiti phansi, embozwe ifilimu yokunamathela, eboshwe, ishiywe amahora amathathu. Kuyadingeka ukuphinda izinsuku ezinhlanu, wenze inqubo eyodwa ngosuku.

Kumele kukhunjulwe ukuthi ukuzelapha ngokwakho we-trophic ulcers kuholela emiphumeleni emibi. Ngaphambi kokusebenzisa izindlela zokupheka zabantu, ukubonisana nodokotela oholayo kuyadingeka, uzokutshela okufanele ukwenze kulesi simo.

Izindlela zokupheka ezimbalwa ezimbalwa zevidiyo:

Ukuvikelwa kwezifo

Ukwelapha i-trophic ulcer inqubo ende, ukukhula kwayo kunzima ukuyiyeka. Ngakho-ke, isiguli esinesifo sikashukela kufanele sithathe zonke izindlela zokukuvikela.

Ukuvimbela ukuthuthukiswa kwezilonda eziyinqaba emikhawulweni ephansi, abanesifo sikashukela kudingeka banamathele kuleyo mithetho:

• qapha ngokucophelela izinga leshukela egazini, uma lidluliwe, thatha izinyathelo zokuphatha isimo ngokujwayelekile;
• landela ukudla nokuncoma kukadokotela oholayo;
• yeka ukubhema uphuze utshwala;
• hlola ngezikhathi ezithile izikejana zamaphethelo aphansi we-pathologies, ikakhulukazi - imithambo ye-varicose;
• thatha izicathulo ezintofontofo;
• ukungavumeli ushintsho olubukhali embusweni wokushisa wamaphethelo aphansi - i-hypothermia enzima noma ukushisa ngokweqile, okuholela ekuqaleni kwenqubo ebhubhisayo emajoyini;
• lawula isisindo somzimba;
• qaphela ukwakheka kwamabele, ama-abrasions, imifantu encane nokulimala okuholela ekuthuthukisweni kwezilonda;
• nciphisa umthwalo osebenzayo emilenzeni - ukuhamba isikhathi eside, ukuhlala isikhathi eside usesimweni sokuma;
• gcina imithetho yokuhlanzeka ezinyaweni: ukugeza nsuku zonke, ukusika ngesikhathi izipikili, ukwelashwa ngokhilimu noma ezinye izindlela, kuya ngesimo sesikhumba;
• hlola njalo isikhumba semilenze ukwakheka kwe-hyperemia noma amanxeba, uma ekhona, thintana nodokotela we-endocrinologist.

Ekuphetheni, kubalulekile ukuqaphela ukuthi indlela ephumelela kakhulu yokuvimbela ukuthuthukiswa kwezinkinga ezigulini ezinesifo sikashukela yindlela yokwelashwa yesifo eyimbangela yesikhathi nesibopho.