I-NPWT Case Sharing for Proximal Fracture of Right Tibia and Fibula

Owesilisa oneminyaka engu-57 ubudala waphuka isiphetho esiseduze se-tibia efanele kanye ne-fibula ngenxa yokulimala okuhlobene nomsebenzi, futhi ithambo langaphambili le-tibia elingakwesokudla livele.

Ukwelashwa kwesilonda esibi (i-NPWT) kuyindlela yokukhipha uketshezi kanye nokutheleleka ezilonda ukuze ziphole.Vala isilonda ngokugqoka okukhethekile (i-bandage) bese uxhuma ipompo ye-vacuum emnene.

 

Odokotela bangase batuse i-NPWT ngokusha, izilonda zengcindezi, izilonda zesifo sikashukela, kanye namanxeba angapheli (isikhathi eside) noma ukulimala.Lokhu kwelashwa kungasiza iziguli zelaphe ngokushesha futhi kunciphise ukutheleleka.

 

Iminyango esetshenziswa kulolu chungechunge nezinkomba ezihambisanayo:

I-Trauma Orthopedics:

Ukuchayeka kwamathambo kuhlangene nokutheleleka, ukuvezwa kwepuleti lensimbi kuhlangene nokutheleleka, ukuvezwa kwe-tendon kuhlangene nokutheleleka, ukutheleleka ngemva kokulungiswa kwangaphandle kwesitho, ukukhubazeka kwezicubu ezithambile kanye necrosis;Ukulimala kwe-avulsion nokutheleleka, ukuphuka okuvulekile okunokukhubazeka kwezicubu ezithambile, inxeba elivulekile lesikhathi eside elingapholi, ukuvikelwa kwendawo yokuxhunyelelwa isikhumba ngaphambi nangemva kokuxhunyelelwa kwesikhumba, i-osteomyelitis, sinus kanye ne-osteofascial compartment syndrome.

 

Burn umnyango:

Ukushiswa okujulile kwe-degree yesibili / ukushiswa okujulile kwe-degree yesibili, ukulimala kwesandla esishisayo esingemuva, ukwelashwa kwenxeba elisha lokusha, ukwelashwa kwenxeba elidala lokusha, ithumba ngemuva kokushiswa kwe-perineal, i-TBSA 5%

Ukusha kanzima emhlane, ukulimala kwesibhamu, ukulimala kokuqhuma

 

Isilonda esingamahlalakhona:

Izilonda ezingalapheki ezinyaweni, isilonda sonyawo lwesifo sikashukela,

Izilonda ezingapheli zemilenze, isilonda se-sacrococcygeal, i-bedsore ulcer

 

Umnyango Wezimo Eziphuthumayo:

Ukulimala kwe-avulsion, ukulimala kwe-degloving, ukulimala kokubhujiswa, ukukhubazeka kwezicubu ezithambile kanye nokuchayeka kwezicubu zethambo

Ukukhubazeka kwezicubu ezithambile akukwazi ukuvala esigabeni esisodwa nokulungiswa kwesilonda ngemva kokunqunywa

 

I-microsurgery yezandla nezinyawo:

Kunqunywe izitho, izandla nezingalo ezingezansi

 

Ukuhlinzwa okujwayelekile kanye nokuhlinzwa kwe-cardiothoracic:

Ngemuva kwe-radical mastectomy, ukulungiswa kwesilonda, ukukhishwa kabusha komdlavuza we-rectal, i-refractory incision, i-stoma, i-empyema engapheli, i-esophagus anastomosis, i-pleural fistula, i-stoma fistula, njll.

I-Pu sponge esithombeni

I-Pu sponge isipontshi esomile, futhi impahla ye-polyurethane iyinto ehamba phambili yokuvikela ukushisa emhlabeni.Eyaziwa ngokuthi "ipulasitiki yesihlanu ngobukhulu", ingakwazi izici ezihlukahlukene zomzimba ezifana nokuminyana, ukunwebeka kanye nokuqina ngokushintsha ifomula;Isicelo ekunamathiselwe kwenxeba;Inezinzuzo ekulawuleni i-exudate, ebonakala kumthamo ophezulu wokudonsa amanzi, ofaneleka kakhulu i-exudate enzima kanye namanxeba anegciwane, ukukhuthaza ukwakheka kwezicubu ze-granulation kanye nokuqinisekisa ingcindezi yokudlulisela okufanayo.

Amacebiso: ukunamathela isipontshi sokucindezela okungalungile sizohlangabezana nezinkinga ezihlukahlukene.Ngokwesibonelo, iziguli ezine-albumin ephansi kufanele zimise umfutho ongemuhle, zengeze amaprotheni kuqala, bese zenza umfutho ongemuhle ngemva kokuzinza, ngaphandle kwalokho kuyoba nokulahlekelwa amaprotheni amaningi, okuthambekele engozini yokushaqeka.