1. M'nyengo yachipwirikiti ndi yakuda.khungu la m'deralo limakhala lofiira, kutupa, kutentha, dzanzi kapena kufewa chifukwa cha kupanikizika.Panthawiyi, wodwalayo ayenera kugona pa bedi la mpweya (lomwe limatchedwanso Operating Room Positioner) kuti awonjezere kuchuluka kwa matembenuzidwe ndi kutikita minofu, ndikusankha antchito apadera kuti asamalire ngati kuli kofunikira.45% mowa kapena 50% safflower vinyo akhoza kutsanulidwa m'dzanja la dzanja kutikita minofu m'deralo pansi pa 10 min.Mbali yofiyira komanso yotupa ya chilondacho imapakidwa ndi tincture wa ayodini wa 0,5%.
2. Pa nthawi ya kutupa,redness m`deralo ndi kutupa satha, ndi wothinikizidwa khungu akutembenukira wofiirira wofiira.Subcutaneous induration zimachitika, ndipo epidermal matuza kupanga, amene n'zosavuta kuswa, ndipo wodwalayo kumva ululu.Panthawiyi, gwiritsani ntchito swab ya thonje yoviikidwa mu 4.75g / l-5.25g / l yovuta ya ayodini kuti mupukute pamwamba pa malo okhudzidwawo kuti muwumitse gawolo, ndipo samalani kuti musapewe kupanikizika kosalekeza;Matuza akulu amatha kuchotsedwa ndi syringe pogwiritsa ntchito ukadaulo wa aseptic (popanda kudula epidermis), kenako wokutidwa ndi 0.02% Furacilin Solution ndikukulunga ndi chovala chosabala.Komanso, pamodzi ndi infuraredi kapena ultraviolet poizoniyu mankhwala, akhoza kutenga mbali odana ndi yotupa, kuyanika ndi kulimbikitsa magazi.Ngati chithuza wasweka, mkati nembanemba wa mwatsopano dzira akhoza flattened ndi kumangitsa pa bala, yokutidwa ndi wosabala yopyapyala.Ngati pali thovu pansi pa nembanemba wamkati wa dzira, sungani pang'onopang'ono ndi mpira wosabala wa thonje kuti mukhetse, kenaka muphimbe ndi wosabala yopyapyala, ndikusintha kuvala kwanuko kamodzi kapena kawiri mpaka chilonda chikachira.The nembanemba mkati mwa dzira angalepheretse kutaya madzi ndi kutentha, kupewa matenda bakiteriya, ndipo zimathandiza kuti epithelial kukula;Izi kuvala kusintha njira ali yotsimikizika machiritso zotsatira pa siteji yachiwiri bedsore, yochepa njira ya mankhwala, yabwino opaleshoni ndi zochepa ululu odwala.
3. Gawo la zilonda zam'mwamba.Matuza a epidermal amakula pang'onopang'ono ndikuphulika, ndipo pabala pakhungu pali exudate yachikasu.Pambuyo matenda, mafinya umayenda kunja, ndi kungotengeka minofu necrosis ndi chilonda mapangidwe.Choyamba, nadzatsuka ndi 1:5000 potaziyamu permanganate yankho, ndiyeno ziume bala ndi ozungulira khungu.Kachiwiri, odwala amatha kugwiritsa ntchito nyali ya 60 watt kuti iwunikire mbali yomwe bedsore imachitika.Kuwala kwa infrared komwe kumapangidwa ndi nyali ya incandescent kumakhala ndi chithandizo chabwino pa bedsore.Kutalika kwa dzuŵa ndi pafupifupi 30cm.Pophika, babu sayenera kukhala pafupi kwambiri ndi bala kuti asapse, komanso sayenera kukhala kutali.Chepetsani kuphika.Mtunda uyenera kukhazikitsidwa pakulimbikitsa kuyanika ndi kuchira kwa bala.1 - 2 pa tsiku, 10 - 15min nthawi iliyonse.Kenako anachizidwa molingana ndi aseptic kuvala kusintha njira opaleshoni;Zovala zonyezimira zingagwiritsidwenso ntchito popanga malo abwino ochiritsira zilonda zam'mimba, kotero kuti maselo atsopano a epithelial amatha kuphimba bala ndikuchiritsa pang'onopang'ono zilondazo.Zinthu zakumaloko ziyenera kuwonedwa nthawi iliyonse pakuyatsa kuti musawotche.Kuwala kwa infrared komweko kumatha kukulitsa ma capillaries apakhungu ndikulimbikitsa kufalikira kwa magazi.Kachiwiri, kwa mabala omwe sanachiritsidwe kwa nthawi yayitali, ikani shuga woyera wonyezimira pabalapo, kenaka muphimbe ndi yopyapyala yopyapyala, sindikizani chilondacho ndi tepi yomatira, ndikusintha chovalacho masiku atatu mpaka 7 aliwonse.Mothandizidwa ndi hyperosmotic zotsatira za shuga, imatha kupha mabakiteriya, kuchepetsa kutupa kwa bala, kupititsa patsogolo kufalikira kwa m'deralo, kuwonjezera zakudya zam'deralo, ndikulimbikitsa machiritso a bala.
4. Necrotic zilonda siteji.Mu gawo la necrotic, minofu ya necrotic imalowa m'munsi mwa dermis, kutulutsa kwa purulent kumawonjezeka, minofu ya necrotic imadetsedwa, ndipo fungo la fungo limafikira kumadera ozungulira komanso akuya, omwe amatha kufika ku fupa, komanso kuchititsa sepsis, kuyika moyo wa wodwalayo pangozi. .Pa nthawiyi, choyamba yeretsani chilondacho, chotsani minofu ya necrotic, musatseke ngalande, ndikulimbikitsa kuchira kwa zilondazo.Tsukani zilondazo ndi saline wosabala isotonic kapena 0.02% nitrofuran solution, kenaka kulungani ndi Vaselini wosabala wopyapyala ndi kuvala, ndikusintha kamodzi patsiku kapena kawiri.Angathenso kuthandizidwa ndi metronidazole wonyowa compress kapena isotonic saline mutatsuka zilondazo ndi silver sulfadiazine kapena nitrofuran.Kwa iwo omwe ali ndi zilonda zam'mimba komanso madzi osayenda bwino, 3% ya hydrogen peroxide solution iyenera kugwiritsidwa ntchito kuthamangitsa kuti aletse kukula kwa mabakiteriya a anaerobic.The katulutsidwe wa kachilombo zilonda pamwamba ayenera kusonkhanitsidwa nthawi zonse kwa bakiteriya chikhalidwe ndi mankhwala tilinazo mayeso, kamodzi pa sabata, ndi mankhwala ayenera kusankhidwa malinga kuyendera zotsatira.
(Kwa maumboni okha)