1. Yaqanjwa nini iNPWT?
Nangona inkqubo ye-NPWT yaphuhliswa ekuqaleni koo-1990, iingcambu zayo zinokulandwa emva kwezona mpucuko zakuqala.Ngamaxesha amaRoma, kwakukholelwa ukuba amanxeba ayenokuphola ngakumbi ukuba ayefunxwa ngemilomo yawo.
Ngokweerekhodi, ngo-1890, uGustav Bier uye wavelisa inkqubo yekomityi equka iiglasi kunye neetyhubhu zeemilo ezahlukeneyo kunye nobukhulu.Oogqirha banokusebenzisa le nkqubo ukukhupha iimfihlo kumanxeba kwiindawo ezahlukeneyo zomzimba wesigulane.Kwixesha langoku, i-NPWT iyaqhubeka ukuba neenzuzo ekuphiliseni amanxeba anzima.
Ukususela ngoko, i-NPWT iye yadlala indima ebalulekileyo kunyango lwezamayeza
2. Isebenza njani iNPWT?
Unyango lwenxeba loxinzelelo olubi (NPWT) yindlela yokutsala ulwelo kunye nosulelo kwinxeba ukulinceda liphole.Isinxibo esikhethekileyo (i-bandage) sivalwe phezu kwenxeba kwaye impompo yokucoca ethambileyo iqhotyoshelwe.
Olu nyango lubandakanya ukunxitywa okukhethekileyo (i-bandage), i-tubing, isixhobo soxinzelelo olubi, kunye ne-canister yokuqokelela ulwelo.
Ababoneleli bakho bezempilo baya kufaka iileya zokugquma amagwebu kubume benxeba.Emva koko ukugqoka kuya kutywinwa ngefilimu.
Ifilimu inokuvulwa apho ityhubhu ifakwe khona.Umbhobho ukhokelela kwimpompo yokucoca kunye ne-canister apho ulwelo luqokelelwa khona.Ipompo yokucoca inokuthi ibekwe ukuze iqhubeke, okanye ngoko iqala kwaye iyeke ngokukhawuleza.
Impompo yokufunxa itsala ulwelo kunye nosulelo enxebeni.Oku kunceda ukutsala imiphetho yenxeba kunye.Ikwanceda inxeba ukuba liphole ngokukhuthaza ukukhula kwezicubu ezitsha.
Xa kuyimfuneko, i-antibiotics kunye ne-saline inokutyhalelwa enxebeni.
3. Kutheni ndiyifuna?
Doctor unokucebisa iNPWT ukubaizigulaneukutsha, isilonda soxinzelelo, isilonda seswekile, inxeba elingapheliyo (elihlala ixesha elide), okanye ukwenzakala.Olu nyango lunokunceda isilonda sakho siphole ngokukhawuleza kunye nosulelo olumbalwa.
I-NPWT lukhetho olulungileyo kwezinye izigulana, kodwa hayi zonke.Doctor uya kugqiba ukuba izigulane bangumviwa olungileyo kolu nyango olusekelwe kuhlobo lwakho lwenxeba kunye nemeko yakho yezonyango.
Kubalulekile ukuqaphela ukuba ukusebenzisa i-NPWT kukwasikelwe umda.Inkqubo ye-NPWT akufuneki isetyenziswe ukunyanga amanxeba ukuba isigulana sinezi mpawu zilandelayo:
1. Izigulane ezineengxaki ze-coagulation okanye izifo zegazi
2. Izigulane ezine-hypoalbuminemia ezinzima.
3. Amanxeba esilonda soMhlaza
4. Amanxeba ophayo asebenzayo
5. Ezinye izigulane zeklinikhi ezingafanelekanga
6. Izigulane ezineswekile enzima
4. Kutheni i-NPWT ingcono?
Ukhuseleko
I-NPWT yinkqubo evaliweyo enceda ukukhusela ibhedi yenxeba kwizinto ezingcolisayo zangaphandle.Ngaphandle koku, i-NPWT ikwagcina ibhalansi yokufuma egqibeleleyo kwinxeba ukwenzela indawo ephilileyo yokuphilisa.Ukukhusela isilonda ngokunciphisa umngcipheko wokubuyela kwinqanaba lokuvuvukala, inani leenguqu zokugqoka kufuneka lincitshiswe.
Ukuphilisa
Ixesha lokuphola kwesilonda emva kokusebenzisa i-NPWT laliphawuleka, elapholisa inxeba ngokukhawuleza kuneendlela zesintu.Unyango lukhuthaza ukubunjwa kwe-granulation, okunciphisa i-edema kunye nokudala iibhedi ezintsha ze-capillary.
Ukuzithemba
I-NPWT inokuqhutyelwa ngapha nangapha, ukuvumela isigulana ukuba sihambe ngokukhululekileyo, kwandisa ixesha lokusebenza kwesigulana, kwaye sibavumele ukuba baphile ubomi obungcono ngokuzithemba.I-NPWT isusa iibhaktheriya kunye ne-exudate engaphezulu, igcina indawo yebhedi yenxeba efumileyo kwaye ikhuthaza ukuphiliswa ngokukhawuleza.Nge-NPWT, ukhathalelo lwesilonda lufumaneka nge-24/7, ukunciphisa ukukhathazeka kwesigulane kunye nomthwalo.
5.Ziziphi iimpawu zeNPWT endiyisebenzisayo?
Isiponji sonyango se-PVA sisiponji esimanzi, izinto eziphathekayo zikhuselekile, zithambile ngokulinganayo kwaye zinzima, zingenabuthi kwaye zingacaphuki ekuhloleni nasekuqinisekiseni;ifunxa kakhulu.
Isiponji sePU sisipontshi esomileyo, kwaye imathiriyeli yepolyurethane okwangoku yeyona nto ibalaseleyo yokugquma ubushushu emhlabeni.Ineenzuzo ekulawuleni i-exudate, ebonakaliswe kwi: umthamo ophezulu wokukhupha amanzi, ngokukodwa ufanelekile kwi-exudate enzima kunye namanxeba achaphazelekayo, ikhuthaza ukubunjwa kwezicubu ze-granulation, kunye nokuqinisekisa ukunyanzeliswa kokuhanjiswa okufanayo.
Umatshini we-NPWT unokusetyenziswa ephathekayo kwaye unokuthwalwa kunye nawe ukuqinisekisa ukucocwa okuqhubekayo kwesilonda.Kukho iindlela ezahlukeneyo zokufunxa ukuguqula isicwangciso sonyango lwamanxeba ahlukeneyo.
6. Ndisafuna ezinye iingcebiso
Itshintshwa njani ilokhwe?
Ukutshintsha indlela onxiba ngayo rhoqo kubaluleke kakhulu kwimpilo yakho.
Kaninzi kangaphi?
Kwiimeko ezininzi, ukugqoka kufuneka kutshintshwe 2 ukuya ku-3 amaxesha ngeveki.Ukuba inxeba losulelekileyo, indlela yokunxiba inokufuna ukutshintshwa rhoqo.
Ngubani oyitshintshayo?
Kwiimeko ezininzi, ukunxiba kuya kutshintshwa ngumongikazi osuka kwiofisi kagqirha wakho okanye kwinkonzo yezempilo yasekhaya.Lo mntu uya kuqeqeshwa ngokukhethekileyo ukutshintsha olu hlobo lokunxiba.Kwezinye iimeko, umntu omnyamekelayo, ilungu lentsapho, okanye umhlobo usenokuqeqeshwa ukuze atshintshe indlela anxiba ngayo.
Luluphi ukhathalelo ekufuneka luthathwe?
Umntu otshintsha indlela onxiba ngayo kufuneka enze ezi zinto:
Hlamba izandla phambi nasemva kokutshintsha ukunxiba.
Hlala unxibe iiglavu zokukhusela.
Ukuba banenxeba elivulekileyo okanye imeko yolusu, linda de iphole phambi kokuba utshintshe indlela onxiba ngayo.Kule meko, omnye umntu kufuneka atshintshe indlela onxiba ngayo.
Ingaba ibuhlungu?
Ukutshintsha olu hlobo lokugqoka kufana nokutshintsha naluphi na uhlobo lokugqoka.Isenokuba buhlungu kancinane, kuxhomekeka kuhlobo lwenxeba.Cela uncedo kumboneleli wakho wezempilo ngokuthomalalisa iintlungu.
Kuzakuthatha ixesha elingakanani ukupholisa inxeba lam?Kuthatha ixesha elingakanani ukuphola kwesilonda sakho kuxhomekeke kwizinto ezininzi.Oku kunokubandakanya impilo yakho jikelele, ubukhulu kunye nendawo yenxeba, kunye nesimo sakho sesondlo.Buza ugqirha wakho ukuba ulindele ntoni.
Ndingahlamba?
Hayi. Amanzi okuhlamba anokusulela inxeba.Kwakhona, ukunxitywa kwenxeba kunokukhululeka ukuba kubanjwe phantsi kwamanzi.
Ixesha lokuposa: Oct-25-2022