1. Yasungulwa nini i-NPWT?
Nakuba uhlelo lwe-NPWT lwasungulwa ekuqaleni kwawo-1990, izimpande zalo zingalandelelwa emuva ezimpucukweni zakuqala.Ngezikhathi zamaRoma, kwakunenkolelo yokuthi izilonda zaziyophola kangcono uma zimuncwa ngemilomo yazo.
Ngokusho kwamarekhodi, ngo-1890, u-Gustav Bier usungule uhlelo lwenkomishi oluhlanganisa izibuko namashubhu anobunjwa nobukhulu obuhlukahlukene.Odokotela bangasebenzisa lesi simiso ukuze bakhiphe uketshezi ezilonda ezingxenyeni ezihlukahlukene zomzimba wesiguli.Esikhathini samanje, i-NPWT iyaqhubeka nokuba nezinzuzo ekwelapheni amanxeba ayinkimbinkimbi.
Kusukela lapho, i-NPWT iye yadlala indima ebalulekile ekwelashweni
2. Isebenza kanjani i-NPWT?
Ukwelashwa kwesilonda esibi (i-NPWT) kuyindlela yokukhipha uketshezi kanye nokutheleleka enxebeni ukuze kusizwe siphole.Ibhandeshi elikhethekile livalwa phezu kwesilonda bese kunamathiselwa nephampu yokuhlanza ethambile.
Lokhu kwelashwa kuhilela okokugqoka okukhethekile (i-bandage), ishubhu, idivayisi yokucindezela okungalungile, kanye nebhokisi lokuqoqa uketshezi.
Abahlinzeki bakho bokunakekelwa kwezempilo bazolingana izingqimba zegwebu lokumbathisa ukuma kwesilonda.Ukugqoka kuzobe sekuvalwa ngefilimu.
Ifilimu inembobo lapho kuxhunywe khona ishubhu.Ishubhu liholela empompini ye-vacuum kanye ne-canister lapho uketshezi luqoqwa khona.Iphampu yevacuum ingasethwa ukuze iqhubeke, noma iqale futhi ime njalo.
Iphampu yevacuum idonsa uketshezi kanye negciwane enxebeni.Lokhu kusiza ukudonsa imiphetho yesilonda ndawonye.Kuyasiza futhi ukuphola kwesilonda ngokukhuthaza ukukhula kwezicubu ezintsha.
Uma kudingeka, ama-antibiotics kanye ne-saline kungaphushwa esilondeni.
3. Kungani ngiyidinga?
Du-octor angancoma i-NPWT umaiziguliukuba nokusha, isilonda somfutho wegazi ophakeme, isilonda sesifo sikashukela, inxeba elingapheli (elihlala isikhathi eside), noma ukulimala.Lokhu kwelashwa kungasiza isilonda sakho siphole ngokushesha futhi kube nezifo ezimbalwa.
I-NPWT iyisinqumo esihle kwezinye iziguli, kodwa hhayi zonke.Doctor uzonquma uma iziguli ungumuntu olungele lokhu kwelashwa okusekelwe ohlotsheni lwakho lwesilonda kanye nesimo sakho sezokwelapha.
Kubalulekile ukuqaphela ukuthi ukusebenzisa i-NPWT nakho kukhawulelwe kububanzi.Uhlelo lwe-NPWT akufanele lusetshenziselwe ukwelapha izilonda uma isiguli sinalezi zimpawu ezilandelayo:
1. Iziguli ezine-coagulation disorders noma izifo zegazi
2. Iziguli ezine-hypoalbuminemia enzima.
3. Amanxeba Omdlavuza
4. Amanxeba okopha asebenzayo
5. Ezinye iziguli zasemtholampilo ezingafanelekile
6. Iziguli ezinesifo sikashukela esinzima
4. Kungani i-NPWT ingcono?
Ukuvikelwa
I-NPWT iwuhlelo oluvaliwe olusiza ukuvikela umbhede wamanxeba ekungcoleni kwangaphandle.Ngaphandle kwalokhu, i-NPWT futhi igcina ibhalansi yomswakama ephelele enxebeni ukuze kube nendawo yokuphola engcono.Ukuvikela isilonda ngokunciphisa ingozi yokubuyela esigabeni sokuvuvukala, inani lezinguquko zokugqoka lidinga ukuncishiswa.
Ukuphulukisa
Isikhathi sokuphola kwesilonda ngemva kokusebenzisa i-NPWT sasibonakala, esasipholisa isilonda ngokushesha kunezindlela zendabuko.Ukwelashwa kuthuthukisa ukwakheka kwe-granulation, okunciphisa i-edema futhi kudala imibhede emisha ye-capillary.
Ukuzethemba
I-NPWT ingathwalwa, ivumele isiguli ukuthi sihambe ngokukhululeka, kwandise isikhathi sokusebenza sesiguli, futhi kusivumele ukuthi siphile impilo engcono ngokuzethemba.I-NPWT isusa amagciwane kanye ne-exudate eyeqile, igcina indawo yombhede wamanxeba emanzi futhi ikhuthaza ukuphulukiswa okusheshayo.Nge-NPWT, ukunakekelwa kwesilonda kuyatholakala 24/7, kunciphisa ukukhathazeka kwesiguli kanye nomthwalo.
5. Yiziphi izici ze-NPWT engizisebenzisayo?
I-PVA isipontshi sezokwelapha siyisipontshi esimanzi, impahla iphephile, ithambile ngokulingene futhi iqinile, ayinabuthi futhi ayicasuli ekuhlolweni nasekunikezweni isitifiketi;amunca kakhulu.
I-PU isipontshi isipontshi esomile, futhi impahla ye-polyurethane okwamanje iyimpahla yokushisa engcono kakhulu emhlabeni.Inezinzuzo ekuphathweni kwe-exudate, ekhonjiswe ku: umthamo omkhulu wokudonsa amanzi, ofaneleka kakhulu i-exudate enzima kanye namanxeba anesifo, ikhuthaza ukwakheka kwezicubu ze-granulation, futhi iqinisekisa ukucindezelwa kokudluliselwa okufanayo.
Umshini we-NPWT ungasetshenziswa ephathekayo futhi ungathwalwa nawe ukuze uqinisekise ukuhlanzwa okuqhubekayo kwesilonda.Kunezindlela zokumunca ezihlukene zokushintsha uhlelo lokwelapha amanxeba ahlukene.
6. Ngisafuna amanye Amathiphu
Ishintshwa kanjani ingubo?
Ukushintshwa kokugqoka kwakho njalo kubaluleke kakhulu ekwelapheni kwakho.
Kangakanani?
Ezimweni eziningi, ukugqoka kufanele kushintshwe izikhathi ezingu-2 kuya kwezi-3 ngesonto.Uma isilonda singenwe yilesi sifo, kungase kudingeke ukuthi ibhande lishintshwe kaningi.
Ubani oyishintshayo?
Ezimweni eziningi, ingubo izoshintshwa ngunesi ovela ehhovisi likadokotela wakho noma isevisi yezempilo yasekhaya.Lo muntu uzoqeqeshwa ngokukhethekile ukushintsha lolu hlobo lokugqoka.Kwezinye izimo, umnakekeli, ilungu lomkhaya, noma umngane angase aqeqeshwe ukuze ashintshe ingubo.
Yikuphi ukunakekelwa okudingeka kuthathwe?
Umuntu oshintsha izingubo zakho zokugqoka udinga ukwenza lezi zinto:
Geza izandla ngaphambi nangemva koshintsho ngalunye.
Gqoka amagilavu okuzivikela njalo.
Uma benesilonda esivulekile noma isimo sesikhumba, linda size siphole ngaphambi kokushintsha indlela ogqoka ngayo.Kulokhu, omunye umuntu kufanele ashintshe indlela ogqoka ngayo.
Ingabe kubuhlungu?
Ukushintsha lolu hlobo lokugqoka kufana nokushintsha noma yiluphi olunye uhlobo lokugqoka.Kungase kube buhlungu kancane, kuye ngohlobo lwesilonda.Cela usizo kubahlinzeki bakho bezempilo ukuze unciphise izinhlungu.
Kuzothatha isikhathi esingakanani ukupholisa isilonda sami?Ukuthi isilonda sakho sithatha isikhathi esingakanani ukuphola kuncike ezintweni eziningi.Lokhu kungabandakanya impilo yakho jikelele, ubukhulu nendawo yesilonda, kanye nesimo sakho somsoco.Buza udokotela wakho ukuthi yini okufanele uyilindele.
Ngingakwazi ukugeza?
Cha amanzi okugeza angangena esilondeni.Futhi, ukubopha enxebeni kungaxega uma kubanjwe ngaphansi kwamanzi.
Isikhathi sokuthumela: Oct-25-2022