Nzvimbo dzekuchengetedza maronda

Zvemukati

• Kuderedzwa
• Hyperbaric Oxygen Kurapa
• Mamwe marapirwo

Nzvimbo yekuchengetedza ronda, kana kiriniki, inzvimbo yekurapa yekurapa maronda asingapore. Unogona kuva neronda risingarapike kana:

• Haisati yatanga kupora mumavhiki maviri
• Haana kupora zvakakwana mumavhiki matanhatu

Mhando dzakajairika dzemaronda asiri ekurapa anosanganisira:

• Pressure maronda
• Kuvhiya maronda
• Maronda emwaranzi
• Maronda etsoka nekuda kwechirwere cheshuga, kushomeka kweropa kuyerera, chirwere chemapfupa chisingaperi (osteomyelitis), kana makumbo akazvimba

Mamwe maronda anogona kusapora mushe nekuda kwe:

• Chirwere cheshuga
• Kutenderera kwakashata
• Tsinga kukuvara
• Utachiona hwepfupa
• Kusaita basa kana kusamira
• Dziviriro yezvirwere zvisina kusimba
• Chikafu chisina kunaka
• Kunwisa doro rekushandisa
• Kusvuta

Maronda asinga pore anogona kutora mwedzi kuti apore. Mamwe maronda haatombopora zvachose.

Kana iwe ukaenda kukiriniki yemaronda, iwe unoshanda pamwe nechikwata chevapi vezvehutano vakadzidziswa mukutarisirwa kwemaronda. Chikwata chako chinogona kusanganisira:

• Vanachiremba vanoona nezve kutarisira kwako
• Vanamukoti vanochenesa nekupfekedza ronda rako uye vanokudzidzisa maitiro ekurichengeta kumba
• Varapi vemuviri vanobatsira nekuchengetwa kwemaronda uye vanoshanda newe kuti vakubatsire kugara uchifambisa

Vako vanokupa vanozo chengetedza chiremba wako wekutanga wekusimudzira kusvika parizvino kufambira mberi kwako uye kurapwa.

Chikwata chako chekuchengetedza ronda chicha:

• Ongorora uye chiyera ronda rako
• Tarisa kuyerera kweropa munzvimbo yakatenderedza ronda
• Sarudza kuti nei isiri kupora
• Gadzira chirongwa chekurapa

Zvirongwa zvekurapa zvinosanganisira:

• Kuporesa ronda
• Kudzivirira ronda kubva pakuwedzera kana kutapukirwa
• Kudzivirira kurasikirwa kwemaoko
• Kudzivirira maronda matsva kubva mukuitika kana maronda ekare kubva mukudzoka
• Kubatsira iwe kugara nhare

Kuti urape ronda rako, mupi wako anonatsa ronda uye nekupfeka. Iwe zvakare unogona kunge uine mamwe marudzi ekurapa kuti ubatsire kupora.

Kuderedzwa

Debridement ndiyo nzira yekubvisa yakafa ganda uye nyama. Chinyama ichi chinofanirwa kubviswa kubatsira ronda rako kupora. Kune nzira dzakawanda dzekuita izvi. Ungangoda kuve neanesthesia yakajairika (yakarara uye isina kurwadziwa) yekudzikisira ronda rakakura.

Kuvhiya kwekuvhiya kunoshandisa scalpel, chigero, kana zvimwe zvishandiso zvakapinza. Munguva yekuita, chiremba wako acha:

• Chenesa ganda rakatenderedza ronda
• Ongorora ronda kuti uone kuti rakadzika zvakadii
• Cheka nyama yakafa
• Chenesa ronda

Ronda rako rinogona kuita serakakura uye rakadzika mushure mekudonha. Nzvimbo yacho ichave yakatsvuka kana pingi neruvara uye ichiita kunge nyama nyowani.

Dzimwe nzira dzekubvisa dzakafa kana hutachiona hutachiona ndezvekuti:

• Gara kana isa gumbo rako mubhawa remhepo.
• Shandisa jekiseni kugeza nyama dzakafa.
• Isa zvinyoro-kune-zvakaoma kupfeka kunzvimbo yacho. Kupfeka kwakanyorova kunoiswa pane ronda uye kunotenderwa kuoma. Sezvo painenge ichioma, inopinza imwe yenyama yakafa. Iyo yekupfeka yakanyorova zvakare uye zvinyoro nyoro yakabviswa pamwe chete neakafa matissue.
• Isa makemikari akakosha, anonzi enzymes, paronda rako. Izvi zvinoputsa nyama dzakafa kubva paronda.

Mushure mekunge ronda racho rachena, chiremba wako anozoshandisa chipfeko kuti ronda rinyorove, izvo zvinokurudzira kupora, uye kubatsira kudzivirira hutachiona. Kune akawanda mhando dzakasiyana dzekupfeka, kusanganisira:

• Gels
• Anopupuma furo
• Gauze
• Mafirimu

Mupiki wako anogona kushandisa imwe kana akawanda marudzi ekupfeka sezvo ronda rako richipora.

Hyperbaric Oxygen Kurapa

Zvichienderana nerudzi rweronda, chiremba wako anogona kukurudzira hyperbaric oxygen therapy. Oxygen yakakosha pakurapa.

Munguva yekurapwa uku, unogara mukati mekamuri chaiyo. Iko kumanikidza kwemhepo mukati mekamuri kwakapetwa kaviri nehafu zvakapetwa pane zvakajairwa kumhepo. Iko kumanikidza kunobatsira ropa rako kutakura yakawanda okisijeni kunhengo uye nyama munyama yako. Hyperbaric oxygen therapy inogona kubatsira mamwe maronda kupora nekukurumidza.

Mamwe marapirwo

Vako vanopa vanogona kukurudzira mamwe marudzi ekurapa, kusanganisira:

• Kumanikidza masokisi- akasunga-kukodzera masokisi kana akamonera anovandudza kuyerera kweropa uye anobatsira nekupora.
• Ultrasound - kushandisa masaisai enzwi kubatsira kuporesa.
• Chakagadzirwa ganda - "ganda rekunyepedzera" rinofukidza ronda kwemazuva mazhinji panguva apo richirapa.
• Negative kumanikidza kurapa - kudhonza mweya kubva mune yakavharwa kupfeka, kugadzira vacuum. Iko kushushikana kwakashata kunovandudza kuyerera kweropa uye kukwevera kunze kwakanyanya kwemvura.
• Kukura chinhu kurapa - zvishandiso zvakagadzirwa nemuviri zvinobatsira maseru-ekurapa maronda kukura.

Iwe unozogamuchira kurapwa panzvimbo yemaronda vhiki rega rega kana kupfuura kazhinji, zvinoenderana nehurongwa hwako hwekurapa.

Vanokupa vanokupa rairo pakuchengeta ronda rako kumba pakati pekushanya. Zvichienderana nezvido zvako, unogona zvakare kugamuchira rubatsiro ne:

• Kudya zvine hutano, saka unowana zvinovaka muviri zvaunoda kuti upore
• Kuchengeta chirwere cheshuga
• Kusvuta kurega
• Kutarisira kurwadziwa
• Kurapa kwepanyama

Iwe unofanirwa kufonera chiremba wako kana iwe ukaona zviratidzo zvehutachiona, senge:

• Kutsvuka
• Kuzvimba
• Pus kana kubuda ropa kubva paronda
• Marwadzo anowedzera
• Kupindwa nechando
• Kutonhora

Kushushikana ulcer - nzvimbo yekuchengetedza ronda; Decubitus ulcer - nzvimbo yekuchengetedza ronda; Chirwere cheshuga - ronda rekuchengetedza ronda; Kuvhiya ronda - ronda nzvimbo; Ischemic urikanwi - ronda centre

de Leon J, Bohn GA, DiDomenico L, et al. Nzvimbo dzekuchengetedza maronda: kufunga kwakadzama uye nzira dzekurapa maronda. Maronda. 2016; 28 (10): S1-S23. PMID: 28682298 pubmed.ncbi.nlm.nih.gov/28682298/.

Marston WA. Kuchengetwa kwekukuvara. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 115.

• Zvivakwa zvehutano
• Maronda uye Kukuvara