Zovuta, Sutures, ndi Adhesives
Ngati mukuchitidwa opaleshoni, kapena ngati muli ndi bala, khungu lanu likhoza kutsekedwa m'njira zosiyanasiyana. Pali njira zambiri zomwe zimagwiritsidwa ntchito popanga opaleshoni kapena mabala opaleshoni kuti atha kuchiza mwamsanga ndi kuperewera kochepa komanso popanda matenda.
Nthawi zina, mabala ndi zovuta sizimatsekedwa panthawi ya opaleshoni koma amatsekedwa pambuyo pochiritsidwa tayamba, koma ambiri amatsekedwa pamapeto pake.
Kutsekeka kwavulaza n'kofunika, chifukwa bala lotseguka ndi khomo lotseguka la matenda. Khungu lathu ndilolepheretsa pakati pa mabakiteriya ndi matupi athu, ndipo kutsegula khungu kumawonjezera chiopsezo chokhala ndi matenda.
Mosasamala kanthu kuti chilonda chatsekedwa, chisamaliro choyendetsa bwino chingathandize kuchiritsa machiritso mwa kuchepetsa mwayi wa matenda ndi kupereka chilonda ndi malo abwino ochiritsa. Kusintha bandage yanu monga mwadokotala wanu, kutsuka manja anu moyenera , ndi kudya bwino mutatha opaleshoni zonse zidzakuthandizani kuchiritsa machiritso.
Kutseka ndi Cholinga Choyambirira
Mabala ambiri amachiritsa ndi cholinga chachikulu, chomwe chimatanthauza kutseka chilonda nthawi yomweyo. Mabala omwe amayanjanitsidwa bwino amatchulidwa "bwino kwambiri." Apa ndi pamene pamphepete mwa chilonda chimagwirizana bwino, monga kukakamiza opaleshoni, ndipo ikhoza kutseka mosavuta.
Kuphatikiza pamodzi kungakhale kofunika (sutures), kapena njira ina yothetsera balala, kapena balala likhoza kukhala lochepa kuti palibe chithandizo chamunthu chofunika, monga kudula pepala.
Pa zilonda zomwe zimakhala m'mphepete mwachitsulo, khungu limatha "kukonzedwa" kuti chilonda chikhale chokwanira, kuti asatseke mosavuta. Izi ndizowona makamaka poika sutures, ndipo, zikondwerero, zimachitika pambuyo poti malo a chilonda akusowa.
Kwa mabala amtundu uwu, pali kuyembekezera kuti chilondachi chidzachiza mwamsanga ndi mosavuta, chokhalira chochepa.
Kuphulika kwa khungu kumakhala kosavuta kuchiritsa, pamene maselo atsopano a khungu amatha kutseka mphanje mwamsanga, ngati kusiyana komwe kuli kudzaza ndi kochepa. Pamene njirayi ikugwiritsidwa ntchito, kuchiritsidwa kwa machiritso kumatha masiku angapo kuvulala kochepa, ndipo masabata owerengeka kuti agwiritsidwe ntchito opaleshoni.
Kumbukirani kuti opanga opaleshoniyo ali ngati madzi oundana-zambiri zomwe zachitidwa ziri pansipa. Khungu pamwamba limachiza mwamsanga, koma minofu ndi minofu yomwe inadulidwa pansi ingatenge nthawi yayitali kuchiritsa ndi kufikira mphamvu zonse. Kutsekedwa kwa khungu kumakhalabe kofunika chifukwa chiopsezo chotenga matenda chikugwa kwambiri pamene khungu silikutseguka kwa mabakiteriya.
Kutsekedwa ndi Cholinga Chachiwiri
Cholinga chachiwiri chimasonyeza kuti chilonda sichitha kuphatikizidwa bwino. Izi kawirikawiri zimakhala chifukwa cha bala kapena opaleshoni yomwe imachotsa gawo la minofu, kotero silingathenso kubwereranso palimodzi bwino. Njira iyi ingagwiritsidwenso ntchito pamene chilonda chidzafuna kukangana. Kusokonezeka ndi njira yomwe imachotsa minofu yakufa pa bala poyesera kusiya minofu yathanzi komanso machiritso.
Chitsanzo cha kutsekedwa ndi cholinga chachiwiri ndi pamene wodwalayo ali ndi khansa yapakhungu yochotsedwa.
Derali ndi losavomerezeka, ndipo dera likuchotsedwa ndi mainchesi imodzi ndi mainchesi awiri. Sizingatheke kukoka m'mphepete mwa khungu kuti awonane nawo, kotero bala limasiyidwa kuti lizidzitse lokha.
Njira imeneyi yodzazidwa ndi chilonda imatchedwa granulation, ndipo kuchuluka kwa granulation komwe kumachitika m'litali, chilonda chotseguka chimakula kwambiri. Izi zimapangitsa kuti pulogalamuyi idzatenge nthawi yayitali, pamene maselo atsopano a khungu amakhala ndi malo odzaza.
Vutoli lidzachiritsa pang'onopang'ono, pogwiritsa ntchito mphamvu ya wodwalayo kuchiritsa, kukula kwa chilonda, ndi chikhalidwe cha bala. Khungu laling'ono lozungulira phungu, kukula kwa pencil eraser ndi yopanda kanthu, limachiza mwamsanga.
Gulu lalikulu la kachilombo lidzachiritsa pang'onopang'ono. Nthaŵi zambiri, kudzaza khungu kwatsopano pakutha kumawonekeratu sabata sabata sabata, ndipo nthawi zina, zidzasintha bwino tsiku ndi tsiku.
Mabala awa ayenera kusamalidwa bwino , kutsukidwa ndi sopo ndi madzi ndipo osati kutsekedwa, chifukwa iwo ndi osakhwima ndipo amatha kuchepa. Musati muzengereze nkhono zilizonse zomwe zimawonekera, chifukwa ichi ndi chizindikiro cha machiritso komanso mbali yothandizira khungu pa bala.
Kutsekedwa ndi Zolinga Zapamwamba (Kutsekedwa kwa Munda Wachidule)
Kutsekedwa kwa chilonda chochedwa, chomwe chimadziwikanso ndi kutseka ndi cholinga chapamwamba, ndi njira yowononga machiritso kumene bala silinatseke pomwepo. Kotero, izo zatsekedwa pa tsiku lotsatira chifukwa kafukufuku amasonyeza kuti pali zotsatira zabwino ngati bala likutsekedwa mtsogolomu.
Mabala ambiri amatsekedwa mwamsanga, koma mabala ena amapindula ndi kuchedwa. Izi zikhoza kuchitika pambuyo pa opaleshoni, kuchiza bala limene lingathe kutenga kachilomboka, kapena bala limene laipitsidwa ndipo liyenera kuyeretsa mobwerezabwereza. Nthawi zina, ngati khungu lozungulira chilonda silingatheke, pakhoza kukhala kuyembekezera ndikuwona njirayo, osati kutsekemera khungu lomwe silingathe kukhalapo ndikumayambitsa ndondomekoyo mobwerezabwereza.
Chitsanzo chabwino kwambiri cha kutseka kwa chilonda ndi cholinga chapamwamba ndi galu kuluma bala. Tangoganizani wodwala ali ndi mabala angapo omwe amawombera mmanja mwa mano a galu. Mabala awa ali ozama ndi opapatiza, omwe amachititsa chiopsezo cha matenda. Mabala a zilonda amatha kukhala ndi kachilomboka chifukwa cha kuchuluka kwa mabakiteriya omwe amapezeka pakamwa ndi pamatumbo. M'malo mozembera pamwamba pa mabalawo, kusiya phokoso laling'ono pansi limene lingakhale thumba la matenda, mabalawo amakhala otseguka. Angathe kutsukidwa mosavuta, mankhwalawa amatha kutsuka mosavuta, mankhwala akhoza kugwiritsidwa ntchito palimodzi ndipo chilonda sichitha kukhala ndi matenda. Ulonda wa kuluma uwu ukhoza kutsekedwa pambuyo poopsezedwa kuti matendawa adutsa, kapena osatsekedwa konse, amangobatizidwa ndipo amaloledwa kuchiritsa yekha.
Pa opaleshoni, mtundu uwu wa machiritso ungakhale wofunikira ndi njira zazikulu za m'mimba. Tayerekezerani kuti opaleshoni yaikulu ikuchitika pamatumbo. Kutenga kwakukulu kumapangidwa, ntchito ya opaleshoni imachitika, koma matumbo a wodwalayo ali otupa kwambiri ku matenda awo ndipo akupitirizabe kutupa kwambiri pamene opaleshoniyo imakhala yotseguka chifukwa khungu liri lotseguka ndipo pali malo ochulukirapo. Kumapeto kwa opaleshoniyi, matumbowa atha kutupa kwambiri, ndipo tsopano m'matumbo ndi aakulu kwambiri kuti angagwirizane m'mimba popanda kuyika kwambiri ziwalo ndi incision. Ndipotu, sizingatheke kuti mukhale nawo, ngati kutupa kuli kokwanira. Pachifukwa ichi, chilondacho chidzadzala ndi kuvala kosabalala, kawirikawiri kuvala koyera kuti malowa athe kuwonedwa. Pamene kutupa kumatsika kuti chilonda chikhale chitatsekedwa bwino, wodwalayo akubwerera ku opaleshoni kuti atseke.
Njira Zodziwika za Mabala Okutseka
Zofunikira Zopangira Opaleshoni:
Mofanana ndi zomwe zimagwiritsidwa ntchito popanga mapepala pamodzi, zida za opaleshoni zimagwiritsidwa ntchito kuti zibwere pamodzi. Zakudya zosavuta zimakhala zosavuta kuziyika, zamphamvu kwambiri kuti chigundicho chikhale chitatsekedwa m'dera lomwe limayenda mobwerezabwereza monga mimba, ndipo nthawi zambiri silingathe kuchotsa. Zakudya izi, mosiyana ndi zipangizo zaofesi, ndizowonongeka kuti zitha kuteteza matenda pa chilonda.
Zakudya ziyenera kuchotsedwa ndi ogwira ntchito zachipatala ndipo ziyenera kuchotsedwa pa nthawi kuti minofu yathanzi isamere pazinthu zochepa.
Sutures
Amatchedwanso stitches, sutures ndi ulusi wopangidwa womwe amagwiritsidwa ntchito kusoka chilonda chatsekedwa. Amagwiritsidwa ntchito kutseka mazembera akuya, komanso amagwiritsidwa ntchito kutsegula zochitika za opaleshoni. Mankhwalawa ndi otchipa ndipo amatha kuika mwamsanga kamodzi kokha.
Mankhwalawa ayenera kuchotsedwa ndi dokotala, ndipo kutalika kwa nthawi yomwe iwo amakhala m'malo kumatsimikiziridwa ndi mtundu wa bala. Ma sutures ena, otchedwa sutures osakaniza , amapangidwa kuti asungunuke m'kupita kwanthawi ndipo sakuchotsedwa. Ulusi wa mtundu uwu umagwiritsidwa ntchito pamtanda mkatikati mwa bala lalikulu kapena lalikulu ndipo sichiwonekera kamodzi kokha chilonda chitatsekedwa.
Dermabond Glue Opaleshoni
Kutseka kwa chilonda cha mtunduwu kumagwiritsa ntchito zomatira monga SuperGlue kuti chigwedezedwe . Izi zimagwiritsidwa ntchito kawirikawiri pamagulu ang'onoang'ono omwe samafuna mphamvu zochulukirapo kuti azichiritsidwa m'malo. Gulu amatha kutuluka m'masiku ndi masabata atatha kusungidwa, motero akatswiri othandizira zaumoyo safunikira kuchotsa.
Nthaŵi zina, dab yaing'ono yopangira opaleshoni ikhoza kuikidwa pa sutures. Izi zimachitidwa kuti zisamaliro zisasinthe pa ntchito yachizolowezi.
Steristrips
Steristrips ndi mikwingwirima yazing'ono zomatira zomwe zimagwiritsidwa ntchito "tepi" chilonda chatsekedwa. Amagwiritsidwa ntchito pamagulu ang'onoang'ono omwe sakhala ndi nkhawa kwambiri panthawi ya machiritso. Zojambula izi zimadzala mpaka atagwa, nthawi zambiri amakhala pamalo amodzi kwa sabata ndikugwera nthawi kapena kusamba nthawi zonse. Mzere wouma umene suulinso wofunikira ukhoza kuchotsedwa modekha pambuyo pa mvula pamene kumatira kuli kofewa.
Anthu omwe ali ndi zinthu zodziwika ndi zomatira ayenera kuchititsa dokotala wawo kuchipatala asanayambe kuchitidwa opaleshoni, monga njira zina zopanda zomatira zingagwiritsidwe ntchito.
Chitsime:
3M Gulu Lothandizira Zowonongeka. Inapezeka mu April 2016. http://solutions.3m.co.uk/wps/portal/3M/en_GB/skin-care/wound-resource-centre/