Amanxeba pho (unyango lokuqala ngotyando): ngothotho lwezixhobo, amayeza

Inxeba - le umonakalo inyama ngokusebenzisa ngomatshini phambi ukunyhashwa ingqibelelo kwesikhumba. Ubukho enxebeni, kungekhona ukutyumka okanye hematoma bungabonakala neempawu ezifana iintlungu, dehiscence, ukopha, ukuphazamiseka kunye ingqibelelo. Pho inxeba ubanjwa kwiiyure zokuqala 72 emva kokonzakala, ukuba akukho Izimo.

ezahlukeneyo amanxeba

inxeba nganye umngxuma, iindonga kunye ezantsi. Kuxhomekeka kuhlobo ukulimala konke ukulimala bohlulwa babe zinqunqwe, zakhutshwa, zinqunqwe, atyunyuziweyo, ulunywe anetyhefu. Ngexesha amanxeba PECVD kuyimfuneko ukuze bakuthathele ingqalelo. Ngapha koko, uhlobo ukulimala azifani neempawu kuqala zoncedo.

• amanxeba okuhlatywa basoloko isicelo ezihlabayo, ezifana neenaliti. Uphawu lisahlulayo kubunzulu enkulu umonakalo, kodwa umonakalo ukuya sheets amancinci. Ngenxa yoku, qiniseka akukho monakalo ligazi ezityeni, amalungu okanye luvo. amanxeba okuhlatywa ayingozi ngenxa iimpawu ibuthathaka. Ngoko ke, ukuba kukho inxeba esiswini kukho amathuba nomonakalo wesibindi. Akusoloko kulula ukuzibona ngexesha PECVD.
• inxeba zona ayisetyenziswa into elibukhali, ukutshatyalaliswa izicwili encinane kangaka. Kwangaxeshanye, amawa kwisisu kulula ukuba ahlole aze enze PECVD. amanxeba enjalo baphathwa kakuhle, kwaye impiliso fast, ngaphandle iingxaki.
• amanxeba bacanda ngenxa umonakalo etsolo, kodwa into enzima, efana ngezembe. Ngaloo nomonakalo ku kubunzulu ezahlukeneyo, iphawulwa hiatus ebanzi kunye nokwenzakala inyama ezikufutshane. Ngenxa yale ukukwazi kuyehla ukuvuselela.
• amanxeba Contused kwenzeka xa usebenzisa into luhlaza. Ezi izilonda luphawulwa ukuba nobuninzi esiqwini umonakalo, buzane ngamandla ngegazi. Ekwenzeni amanxeba PECVD kufuneka bazi ukuba kukho amathuba ivela suppuration.
• amanxeba udla ke umthondo eziyingozi nosulelo ngamathe zezilwanyana, yaye maxa wambi abantu. Kukho ingozi yosulelo acute kunye ukubonakala intsholongwane ngumgada.
• amanxeba ityhefu zikholisa ukuvela phambi kukulunywa inyoka okanye yesigcawu.
• amanxeba ahluka ngokohlobo kwezixhobo ezisetyenzisiweyo, iimpawu umonakalo sokungena umendo. Amathuba osulelo.

Ekuphumezeni PECVD amanxeba indima ebalulekileyo edlalwa phambi iyabhiqiza. ukulimala enjalo ubukrakra, svezheinfitsirovannymi kunye aseptic.

Injongo yale PSD

unyango Primary kuhlinzwa kuyinto kuyimfuneko ukuze ususe iintsholongwane eziyingozi ukuba baye baba inxeba. Ukuze wenze oku, ndinqumle nayiphi izihlunu necrotic yonakele, kunye egazi. Emva koko avalwa yaseZimbabwe kunye nokutsalwa lwenziwa, xa kukho imfuneko.

Le nkqubo kufuneka ubukho umonakalo inyama elintlangothi ezitsolo. Ifuna amanxeba efanayo enzulu emdaka. Ukonakala imithambo ezinkulu yegazi, kwaye maxa wambi amathambo kunye luvo ikwafuna imisebenzi yotyando. PSD kuqhutywa ngaxeshanye kunye ngokubanzi. ugqirha kufuneka uncedo umguli kangangeeyure ukuya ku-72 emva wayilimaza. Early zemithambo ikhutshwa phandle ukuba ngobusuku bokuqala, ethwele ngosuku lwesibini - ungenelelo ngotyando libaziseko.

Izixhobo ze PECVD

Ukuba iqalise le nkqubo unyango inxeba lokuqala kufuneka ubuncinane iikopi ezimbini iiseti. utshintsho kwabo ngexesha lokusebenza, kwaye emva kokuba nqanaba elimdaka - recycle:

• Hlanganisa "forceps" umgca, elijongana endle yokusebenza;
• kuphungula etsolo, bryushisty;
• hoe ilinen esetyenziselwa ngokubamba ukubotshwa kunye nezinye izinto;
• uqinisa Kocher, Billroth kunye "ingcongconi" zisetyenziselwa ukunqanda ukopha ngexesha PECVD amanxeba abo ezisetyenziswa inqwaba;
• isikere, baba Umda ngqo kwaye ukugoba kwi-moya okanye iikopi ezininzi;
• Ixhokonxa Kocher, iintsika kunye bellied;
• iseti ye naliti;
• umnini inaliti le;
• amashiya;
• amagwegwe (izibini ezininzi).

A kwekhithi for le nkqubo lukwaquka suture iinaliti ukuze iisirinji inaliti, amabhandeji, iibhola igozi, iiglavu zerabha, iityhubhu nezihlunu ezahlukeneyo. Zonke izinto ezidingekayo ukuze zemithambo - ingenamthungo kunye izixhobo yokugquma inxeba, izixhobo kunye namayeza ekujongwe ukuba unyango amanxeba - zibekwe phezu kwetafile yotyando.

kumayeza ayimfuneko

debridement Primary ngokupheleleyo ngaphandle ichiza okhethekileyo. Eyona ezininzi eziqhele ukusetyenziswa zezi:

• 70% utywala;
• 3% isisombululo hydrogen peroxide;
• Yodopiron 1% isisombululo okanye 0.5% chlorhexidine bigluconate;
• 10% nesisombululo NaCl;
• 0.25% - 0.5% solution novocaine.

izigaba PECVD

unyango Primary yotyando oluqhutywa kwizigaba ezininzi:

1. Zoviwo enxebeni ngonyango emva koko kubola.
2. Ukususwa yethishyu umonakalo, namaqumrhu angaphandle, iziqwenga ithambo. Wenza asike lenxeba njengoko kuyimfuneko.
3. Misa ukopha.
4. Esidi.
5. Nemithungo.

Njani PECVD

Ukwenza utyando isigulane kubekwa phezu kwetafile. indawo yayo ixhomekeke dislocation isilonda. Ugqirha kufuneka bonwabe. amanxeba yangasese eyenziwa ngayo intsimi ngotyando, leyo ikhetha lo yangaphantsi wawuqalekisa elahlwayo. Ngaphezu koko, amaphaphu lokuqala luyenziwa, ijolise ephilisa amanxeba ezikhoyo kunye zomzimba ilawulwa. Kwiimeko ezininzi, oogqirha sebenzisa Wisniewski indlela - ezilawulwa 0.5% novocaine isisombululo kumgama ngeesentimitha ezimbini ukusuka kungqameko cut. Isisombululo esifanayo ngokuzitofela kwelinye icala. Ngempendulo echanekileyo yomguli kwi inwebu inxeba kukho "lemon udiliza". amanxeba rhoqo kufuna ulawulo zomzimba jikelele ukuba isigulane.

Kungqameko umonakalo ukubambelela i 1 cm Kohhera uqinisa ndize ndinqumle njengeyunithi. Xa le nkqubo thumbanails nezhiznedeyatelnosposobnaya umcu phezu kobuso okanye iminwe, waza wabeka umthungo tight. Ukuthathwa zeeglavu kunye nezixhobo ezisetyenzisiweyo.

Inxeba zohlanjwa chlorhexidine nako kuthwalelwa phandle ukuzihlola. amanxeba okuhlatywa, abe cut elincinane kodwa nzulu, baziqhaqhe. Ukuba umsipha eyonakeleyo, ukuba ezinemiphetho onomzi. Kukwanjalo kwenziwa iziqwenga ngamathambo. Okulandelayo, wena hemostasis. Inxalenye engaphakathi inxeba waphathwa kuqala kunye nesisombululo kunye amalungiselelo ke kubola.

Ezinyangiweyo inxeba akukho zimpawu nokudumba athungwe ngci suture lokuqala manual kwaye wambu aseptic umhlabelo. Sutures zisebenza ngokufanayo Sazithimba zonke maleko nobubanzi nobunzulu. Kuyimfuneko ukuba bachukumise omnye komnye, kodwa hayi yaphathwa. Ekwenzeni umsebenzi eziyimfuneko ukufumana umthungo izithambiso emva impiliso.

Kwezinye iimeko, le seams zaseprayimari musa ayangenana. inxeba zona usenokuba yokwenzakala ngaphezulu kakhulu kunokuba kubonakala xa efika kuqala. Ukuba uyathandabuza, ugqirha usebenzisa suture zaseprayimari libaziseko. Le ndlela iyasetyenziswa ukuba isilonda eso sifo. Ukuvalwa lwenziwa phambi inwebu adipose, kunye namalungu nje some. Kwiintsuku ezimbalwa emva kokubona inxeba sutured ekupheleni.

Amanxeba buluma

amanxeba Pho, alunywe okanye ngobuthi, uye iiyantlukwano zalo. Xa unomntana ayikho izilwanyana inobuhlu- kusenokwenzeka ukuba ngumgada. Ngelo lukwisigaba sokuqala esi sifo zicinezelwa umgada serum. amanxeba ezinjalo kwiimeko ezininzi babe ubovu, ngoko zama ukulibala PECVD. Xa le nkqubo isicelo suture zaseprayimari kwalibaziseka kwaye nokusebenzisa iziyobisi kubola.

Inxeba efunyenwe kukulunywa yinyoka, ifuna nokubekwa tourniquet tight okanye bandage. Ukongeza, inxeba emkhenkceni ngokusebenzisa novocaine okanye isicelo kubanda. Ukuze yokungenelela yityhefu lesitofu protivozmeinaya serum. ukulunywa Spider ezivaliweyo potassium permanganate. Ngaphambi kule ityhefu angalinandiphi, yaye inxeba ziphathwe magciwane.

ukungaphili

Unyango engacingi kukhokelela inxeba kubola inxeba suppuration. Engafanelekanga iindlela analgesia, kwakunye ibangela nokwenzakala ezongezelelweyo kubangele ixhala nomonde ngenxa yobukho intlungu.

sengqondo krwada ancedisana, ulwazi kakuhle komzimba kubangela umonakalo ezityeni yegazi elikhulu, izibilini kwalapho. Ukunqongophala ebangela hemostasis kweenkqubo arhabaxa.

Kubalulekile ukuba debridement lamabanga aphantsi kwenziwa ngokungqinelana nemithetho specialist.