Mmene Mungapewere kapena Kuchepetsa Opaleshoni Mipukutu

1 -

Mmene Mungachepetsere Kapena Musamapeze Mipira Pambuyo Opaleshoni

Nthawi zonse khungu likapweteka, pali kuthekera kochira. Mwachitsanzo, monga mwana, kupukuta bondo lanu kungapangitse chilonda. N'chimodzimodzinso ndi opaleshoni, ngakhale opaleshoni yokongoletsa, mosasamala kanthu za luso lanu la opaleshoni. Kupanga chikopa pakhungu, chomwe chimadula kudula muzigawo zonse za khungu, chingayambitse kupweteka, mosasamala kanthu komwe pa opaleshoni ya thupi ikuchitidwa kapena chifukwa chake opaleshoni ikuchitidwa.

N'zoona kuti opaleshoni imene inachitidwa ndi dokotala wochita kafukufuku wochepa kwambiri ingayambitse kupweteka kwambiri, koma nthaŵi zambiri luso la opaleshoniyo silingakhudze kuchuluka kwa maselo amene akuchitika.

Chifukwa chiyani luso la dokotalayo sapanga kusiyana nthawi zambiri? Chifukwa dokotala wanu sangathe kulamulira zinthu zonse zomwe zimakuwonetsani zovuta kwambiri. Ngakhale kusamalidwa bwino kokakamizidwa n'kofunika, pali zinthu zina zambiri zomwe mungachite kuti mutetezedwe.

2 -

Zinthu Zowopsa Kwa Kubalalitsa Simungathe Kusintha

Zina mwa zinthu zomwe simungathe kuzilamulira zimakhudza momwe mungathe kuchiritsira popanda kusowa. Zowopsyazi sizingasinthe, koma zithandizani kudziwa ngati simungayambe kuchita zotsatirazi.

Zinthu Zowopsa Zokangula:

• Zaka Zanu : Pamene takalamba, khungu lathu limakhala lochepa kwambiri ndipo limakhala lochepa. Izi zili choncho chifukwa collagen (yomwe imapangitsa khungu kutsika) amasintha tikamakalamba, ndipo kutsika kwa mafuta pansi pa khungu lathu kumakhala kochepa. Chotsatira cha kusintha kumeneku, kuphatikizapo dzuwa, kusuta fodya, kutentha kwa chilengedwe ndi zinthu zina zamoyo, kumatanthauza kuti khungu silichiritsa kapena msanga monga momwe timakalamba. Kupindula kwa zaka ndikuti kupanda ungwiro kumene kumachitika pakapita nthawi, monga kuwonongeka kwa dzuwa, kumathandiza kuti abise zipsera zomwe zingakhale zowonekera pa khungu laling'ono.
• Mpikisano Wanu : Mitundu ina ndi yovuta kwambiri kuposa ena. Anthu a ku Africa-Ammerika amatha kupanga zipsera za hypertrophic ndi keloid , zomwe zimakhala zofiira kwambiri pa malo ovulala. Anthu owonda khungu angapeze kuti zipsera zawo zili zosaoneka bwino kuposa momwe zingakhalire ndi khungu lakuda.
• Chibadwa (Cholowa) Chizoloŵezi Chofuna Kuwombera : Ngati makolo anu kapena abale anu amavutika kwambiri, mungathe kuchita chimodzimodzi. Ngati muli ndi chizoloŵezi chosauka, mungakambirane ndi dokotala wanu opaleshoni.
• Kukula ndi Kuzama kwa Zomwe Mumapanga : Kutengeka kwakukulu kumakhala kovuta kwambiri kusiya chilonda kusiyana ndi kamangidwe kakang'ono. Chozama ndi chotalikira, kutengeka kwachitali kumatenga komanso mwayi wochuluka. Kuonjezerapo, kutengeka kwakukulu kumakhala kovuta kwambiri pamene mukuyenda, zomwe zingayambitse machiritso pang'ono.
• Khungu Lanu Limachiza Mofulumira : Mwinamwake mungakhale mmodzi mwa anthu olemekezeka omwe akuoneka kuti akuchiritsa mwansanga, mofulumira, mosavuta ndi scarce yochepa, kapena mungakhale ndi khungu lomwe limachepetsa pang'onopang'ono-mwina chifukwa chakuti muli ndi matenda odwala matenda a shuga Izi zimakulepheretsani kuti muchepetse machiritso a khungu. Momwe mumachiritsira mofulumira ndi chinthu chenicheni ndipo mungasinthe ndi matenda kapena kuvulala.

3 -

Mmene Mungapewere Mipira Patatha Opaleshoni

Kupewa zilonda kumatanthauza kuganizira zinthu zomwe mungathe kuzilamulira. Njira zina ndi zosavuta, monga kutsatira malangizo anu opaleshoni akukupatsani kalata. Zina sizili zophweka, monga kusiya kusuta.

• Kusuta : Sikuti kusuta fodya kumawonjezera chiopsezo cha zipsera, zingathe kuchepetseni machiritso anu. Kusuta ndizoopsa kwambiri moti opaleshoni ambiri apulasitiki sangagwire ntchito kwa wodwala ngati sakusiya kusuta fodya kwa milungu iwiri isanakwane opaleshoni.
• Kumwa : Mowa wamadzimadzi onse thupi ndi khungu, zomwe zimachepetsa moyo wanu wonse. Pamene chilonda chanu chikuchiritsa, pewani mowa ndipo muyang'ane pa zakumwa zopanda tiyi.
• Chakudya choyenera: Idye chakudya choyenera ndi kutsindika pa kudya kwa mapuloteni. Mapuloteni amapanga khungu la machiritso, kotero ndikofunika kuti thupi lanu likhale ndi mapuloteni okwanira (nkhuku, nkhumba, nsomba, nsomba, ng'ombe, mkaka) kuti khungu lanu lichiritse. Ngati simukukonda kudya nyama, mankhwala a soya amapereka njira zabwino kwambiri monga chitsimikizo cha mapuloteni.
• Kutentha : Kutaya madzi m'thupi kumachitika pamene simutenga madzi okwanira. Milandu yoopsa, izi zingayambitse kusamvana kwa electrolyte ndi mavuto a mtima. Panthawi zovuta kwambiri, mudzamva ludzu ndipo thanzi lanu lonse lidzachepetsedwa. Sungani bwino hydrated-inu mudzadziwa ngati muli bwino-hydrated chifukwa mkodzo wanu udzakhala wopanda mtundu kapena wowala.
• Kunenepa kwanu : Ngati ndinu olemera kwambiri, mukhoza kukhala pachiopsezo chachikulu chowombera. Chifukwa chiyani? Mafuta omwe ali pansi pa khungu lanu amatha kulimbana ndi dokotala wanu opaleshoni kuti atsekeko pang'ono.
• Pewani Kuteteza : Kusamalidwa bwino kwabwino , komwe kumaphatikizapo kuteteza matenda , ndi imodzi mwa njira zabwino zopezera kupweteka pambuyo pa opaleshoni.

4 -

6 Njira Zina Zothandizira ndi Kuchepetsa Nkhanza Pambuyo Opaleshoni

• Mpumulo : Ngati dokotala akusonyeza kuti mupuma kwa milungu iwiri, musabwerere kuntchito pambuyo pa sabata limodzi la machiritso. Kudzitopetsa nokha sikungathandize machiritso anu ndipo akhoza kuchepetsa kupweteka.
• Chisamaliro Choyenera Choyenera : Kuchita masitepe operekedwa ndi dokotala wanu angakhale chinthu chofunikira kwambiri chomwe mungachite kuti muteteze zilonda. Kuchitapo kanthu pofuna kupewa matenda, kupewa kugwiritsa ntchito mafuta odzola ndi mankhwala omwe sanagwiritsidwe, ndi njira zina zothandizira kuti munthu asamangidwe ndizofunikira kuti achire popanda zipsera.
• Dziwani Matenda Mwachangu : Ngati mankhwala anu atenga kachilomboka, nkofunika kuti muzindikire zizindikiro za matenda ndikupempha thandizo kwa dokotala wanu mwamsanga. Matenda amatha kuchepetsa machiritso ndipo amachititsa kuti munthu asachire.
• Matenda Odwala : Matenda a shuga ndi matenda ena ambiri amatha kuchepa. Kuti mupeze zotsatira zabwino, matenda anu ayenera kuyang'aniridwa momwe mungathere pamaso pa opaleshoni komanso pamene mukuchira. Mwachitsanzo, kwa munthu yemwe ali ndi shuga, ndikofunikira kuti m'magazi a m'magazi azikhala malire ngati momwe angathere, monga momwe angapangire machiritso pang'ono.
• Kupsinjika Maganizo pa Zomwe Mumapanga : Kuika maganizo anu pa kutengeka kwanu mwa kukweza, kugwedeza kapena kuchita chilichonse chomwe chimatambasulidwa kapena kukanikiza kugwedeza. Kupanikizika uku kungachititse kuti pang'onopang'ono pakhale machiritso ndi kuchepetsa machiritso, nthawi zambiri kupanga chilonda chachikulu kuposa momwe chiyenera kukhalira, chomwe chimapangitsa kukula kwa chilonda chanu.
• Kuwonetsera ku Sunlight : Pewani kukhala ndi dzuwa pamtambo wanu nthawi iliyonse. Ngati chilonda chanu chili pamalo ovuta kuphimba, monga nkhope yanu, yesetsani muwuni. Dokotala wanu angakuuzeni ngati ndibwino kuti mugwiritse ntchito mafuta odzola, koma nthawi zambiri zimakhala zotetezeka pamene sutures achotsedwa kapena incision yatseka kwathunthu.

5 -

Sungani Mankhwala Ochokera kwa Opaleshoni Yanu

Ngati mukuda nkhaŵa kwambiri za kudulidwa, ganizirani kukambirana njira zotsatirazi zochepetsa kuchepetsa ndi kupewa ndi dokotala wanu. Dokotala wanu angakhoze kupereka mankhwala ena omwe amachepetsa mwayi wanu wovuta.

• Chithandizo cha mavitamini a silicone: Kuvala mabala a silicone amamveka mofanana ndi kukulunga kwa pulasitiki wakuda zomwe mungagwiritse ntchito kukhitchini. Silicone, komabe, sichimamatira chilonda chako, kuti chiziteteze kutengeka kwanu kupsinjika ndi kusokoneza popanda kuwononga khungu likachotsedwa. Kafukufuku wasonyeza kuti silicone ingathandize kuchepetsa kuperewera ndipo imagwiritsidwa ntchito patatha opaleshoni ya pulasitiki. Kambiranani za silicone kuvala ndi dokotala wanu asanatuluke, monga dokotala akuyenera kugwiritsa ntchito mtundu uwu wa bandage.
• Kukhazikitsa Zokakamiza : Mu opaleshoni zina, kusungidwa kwa incision sikunali koyenera. Mungathe kuyankhula ndi dokotala wanu opaleshoni za komwe malowa amaikidwa kuti abisale kapena kuthandiza kuchepetsa zipsera. Mwachitsanzo, gawo la Kaisareya likhoza kuchitidwa ndi chowongolera chowonekera, chomwe chikhoza kukhala chowoneka bwino, kapena chophwanyika chosakanikirana, chomwe chingasokonezeke ndi bikini.
• Ma ARV : Ngati muli ndi chizoloŵezi chosavulaza, dokotala wanu angathe kulamula oyeretsa, mafuta odzola kapena dongosolo la chisamaliro cha chilonda kuti athandizidwe.
• Kuchulukitsa : Madokotala ambiri akuvomereza kuti odwala (kapena othandizira odzoza misala) amisa misala yawo. Izi ziyenera kuchitika pakatha chilonda ndipo zofunikira zilizonse kapena sutures zimachotsedwa. Kuphika minofu ndi minofu yozungulira kumatulutsa mitsempha kapena zitsulo zomwe zimatsalira pambuyo pochiritsa. Onetsetsani kuti muzigwiritsa ntchito lotion wambiri, kuti zala zanu zisamamatire khungu lanu, koma sungani momasuka.
• Zojambulidwa za Steroid : Ngati mwakhala mukupanga kupanga zida zopanda phokoso, lankhulani ndi dokotala wanu kuti mukhale ndi jekeseni ya steroid kuti muteteze mapangidwe ena.

Mawu Ochokera:

Kuchulukitsa opaleshoni pambuyo pochita opaleshoni kumasiyanasiyana kwambiri kuchokera kwa munthu ndi munthu. Munthu mmodzi akhoza kukhala ndi ndondomeko ndipo alibe chosowa, pamene munthu wina akhoza kuchita chimodzimodzi ndipo kukhala ndi chidziwitso chodziwika pambuyo kuchiritsidwa kwatha. Kwa iwo amene akuda nkhaŵa, kapena amene ayenera kukhala tcheru kuti asateteze kovuta, pali thandizo.

Kwa odwala omwe sakhala okhudzidwa chifukwa chowombera palibe chosowa chothandizira kuperekera kwapadera koma chisamaliro chabwino cha kusamalidwa n'chofunika kwambiri kuti tipewe matenda.

> Zotsatira:

> Johnson & Johnson Healthcare Systems. (October 2016). Mayendedwe a Ethicon Kutsegula mwachidule.

> Ledon JA, Savas J, Franca K, et al. Chithandizo cha intralesional kwa keloids ndi hypertrophic zipsera: ndemanga. Chimake Chokonza 2013; 39: 1745.

> Son D, Harijan A. Phunziro lachiopsezo choteteza opaleshoni ndi kasamalidwe. J Korean Med Sci. 2014 Jun; 29 (6): 751-57.

> Wolfram D, Tzankov A, Pülzl P, Piza-Katzer H. Mankhwala a hypertrophic ndi keloids - kuwunika kwa matenda awo, ziopsezo, ndi chithandizo cha mankhwala. Chidule Chakumwamba 2009; 35: 171.