Kuchengetwa kweganda uye kusagadzikana

Munhu ane kuzvidzora haagone kudzivirira weti nechituru kuti zvisabude. Izvi zvinogona kutungamira kumatambudziko eganda padhuze nemagaro, chiuno, nhengo dzesikarudzi, uye pakati pechiuno uye rectum (perineum).

Vanhu vane matambudziko ekudzora weti yavo kana ura (hunonzi kusagadzikana) vari panjodzi yezvinetso zveganda. Nzvimbo dzeganda dzakanyanya kubatwa dziri padyo nemagaro, chiuno, sikarudzi, uye pakati pechiuno uye rectum (perineum).

Kuwedzera hunyoro munzvimbo idzi kunoita kuti matambudziko eganda senge kutsvuka, peeling, kutsamwa, uye mbiriso hutachiona hungangoitika.

Bedsores (kumanikidza maronda) anogona zvakare kukura kana munhu:

• Haana kunge achidya zvakanaka (haana kudya zvinovaka muviri)
• Vakagamuchira kurapwa nemwaranzi kunzvimbo iyi
• Anoshandisa zvakanyanya kana zuva rese muwiricheya, chigaro chenguva dzose, kana mubhedha pasina kuchinja chinzvimbo

KUCHENGETA GANDA

Kushandisa manapukeni uye zvimwe zvigadzirwa zvinogona kuita kuti matambudziko eganda awedzere. Kunyangwe ivo vachigona kuchengeta mibhedha uye mbatya zvakachena, izvi zvigadzirwa zvinobvumira weti kana chetsoka kugara zvichisangana neganda. Nekufamba kwenguva, ganda rinodonha. Kuchengetedza kwakakosha kunofanirwa kutorwa kuchengetedza ganda rakachena uye rakaoma. Izvi zvinogona kuitwa ne:

• Kuchenesa nekuomesa nzvimbo ipapo ipapo mushure mekuita weti kana kuita ura.
• Kuchenesa ganda neine hunyoro, sanganisa sipo nemvura wozosuka mushe uye zvinyoro nyoro kuomesa.

Shandisa sipo-isina ganda yekuchenesa iyo isingakonzere kuoma kana kutsamwa. Tevedza rairo yechigadzirwa. Zvimwe zvigadzirwa hazvidi kugezwa.

Mafuta ekunyorovera anogona kubatsira kuti ganda riome. Dzivisa zvigadzirwa zvine doro, izvo zvinogona kutsamwisa ganda. Kana iwe uri kugamuchira kurapwa kwe radiation, bvunza wako wekuchengeta hutano kana zvakanaka kushandisa chero mafuta kana mafuta.

Funga nezve kushandisa chisimbiso cheganda kana hunyoro. Makirimu kana mafuta ekuzora ane zinc oxide, lanolin, kana petrolatum vanoumba chinodzivirira paganda. Mimwe michina yekuchengetedza ganda, kazhinji iri muchimiro chekupfapfaidza kana tauro, inogadzira yakajeka, inodzivirira firimu pamusoro peganda. Mupiki anogona kukurudzira zvipingaidzo zvekubatsira kudzivirira ganda.

Kunyangwe kana zvigadzirwa izvi zvikashandiswa, ganda rinofanirwa kuchacheneswa nguva imwe neimwe mushure mekudarika weti kana chetsoka. Dzorera zvakare kirimu kana chizoro mushure mekuchenesa nekuomesa ganda.

Kusagadzikana matambudziko kunogona kukonzera mbiriso hutachiona paganda. Uku kuchema, kutsvuka, kuita kunge mapundu. Ganda rinogona kunzwa mbishi. Zvigadzirwa zviripo kurapa mbiriso hutachiona:

• Kana ganda rakanyorova kazhinji, shandisa poda nemushonga unodzivirira, senge nystatin kana miconazole. Usashandise poda yemwana.
• Chivharo chemvura kana ganda rinosungwa rinogona kuiswa pamusoro pehupfu.
• Kana kushatirwa kwakanyanya kweganda kuchikura, ona wako mupi.
• Kana hutachiona hutachiona hukaitika, mishonga inorwisa mabhakitiriya inoshandiswa paganda kana kutorwa nemuromo inogona kubatsira.

Sangano reNational Association for Continence (NAFC) rine ruzivo rwakakosha pawww.nafc.org.

KANA WAKABEDHIDZWA KANA KUTI UNOSHANDISA CHIVAI

Tarisa ganda kune maronda ekumanikidza mazuva ese. Tarisa nzvimbo dzakatsvuka dzisingashanduki chena kana dzvanya. Uyezve tsvaga mablisters, maronda, kana maronda akazaruka. Udza mupi kana paine chero chinonhuhwirira drainage.

Kudya kune hutano, kwakaringana zvine macalorie akakwana uye mapuroteni kunobatsira kuti iwe neganda rako muve neutano.

Kune vanhu vanofanirwa kugara pamubhedha:

• Chinja chinzvimbo chako kazhinji, kanokwana maawa maviri
• Chinja machira uye zvipfeko ipapo ipapo mushure mekusviba
• Shandisa zvinhu zvinogona kubatsira kudzikisa kumanikidza, senge mapiro kana furu padding

Kune vanhu vari pawiricheya:

• Ita shuwa kuti chigaro chako chinokwana zvakanaka
• Shandura uremu hwako maminetsi gumi nemashanu kusvika makumi maviri
• Shandisa zvinhu zvinogona kubatsira kudzikisa kumanikidza, senge mapiro kana furu padding

Kuputa kunokanganisa kupora kweganda, saka kumisa kuputa kwakakosha.

Kusagadzikana - kutarisirwa kweganda; Kusagadzikana - kushushikana kwakanyanya; Kusagadzikana - kumanikidzwa ulcer; Kusagadzikana - mubhedha unorwadza

• Kudzivirira kumanikidzwa nemaronda

Bliss DZ, Mathiason MA, Gurvich O, et al, Chiitiko uye fungidziro yekusapindirana kwakabatana nekukuvara kweganda munzvimbo dzevanamukoti vagari vane nyowani yekutanga kusagadzikana. J Ronda Ostomy Continence mukoti. 2017; 44 (2): 165-171. PMID: 28267124 pubmed.ncbi.nlm.nih.gov/28267124/.

Boyko TV, Longaker MT, Yang GP. Kuongororwa kweazvino manejimendi ekumanikidza maronda. Kufambira Mberi Mukukuvara Kwekukuvara (Nyowani Rochelle). 2018; 7 (2): 57-67. PMID: 29392094 pubmed.ncbi.nlm.nih.gov/29392094/.

Kwon R, Rendon JL, Janis JE. Pressure maronda. Mune: Rwiyo DH, Neligan PC, eds. Kuvhiya kwepurasitiki. 4th ed.Philadelphia, PA: Elsevier; 2018: chits.

Paige DG, Wakelin SH. Chirwere cheganda. Mune: Kumar P, Clark M, eds. Kumar uye Clark's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2017: chits. 31.