I-NPWT yoLwabelwano lweCase loLwahlulo oluPhambili lwe-Right Tibia kunye neFibula

Indoda eneminyaka engama-57 ubudala yafumana ukwaphuka kwesiphelo esisondeleyo se-tibia elungileyo kunye ne-fibula ngenxa yokwenzakala okunxulumene nomsebenzi, kwaye ithambo langaphambili le-tibia elungileyo liveziwe.

Unyango lwenxeba loxinzelelo olubi (NPWT) yindlela yokukhupha ulwelo kunye nosulelo kumanxeba ukubanceda baphole.Vala inxeba ngengubo ekhethekileyo (i-bandage) kwaye udibanise ipompo yokucoca epholileyo.

 

Oogqirha banokuncoma i-NPWT yokutshisa, izilonda zoxinzelelo, izilonda zesifo sikashukela, kunye nezifo ezingapheliyo (ixesha elide) okanye ukulimala.Olu nyango lunokunceda izigulane ziphilise ngokukhawuleza kwaye zinciphise usulelo.

 

Amasebe asetyenziswa kolu luhlu kunye nezalathisi ezihambelanayo:

I-Trauma orthopedics:

Ukubonakaliswa kwamathambo okudityaniswa nokusuleleka, ukubonakaliswa kwepleyiti yensimbi kudibaniswa nokusuleleka, ukuvezwa kwe-tendon kunye nokusuleleka, ukusuleleka emva kokulungiswa kwangaphandle kwelungu, ukukhubazeka kwezicubu ezithambileyo kunye ne-necrosis;Ukwenzakala kwe-avulsion ngosulelo, ukwaphuka okuvulekileyo okunesiphako sezicubu ezithambileyo, inxeba elivulekileyo elingapholiyo ixesha elide, ukukhuselwa kwendawo yolusu ngaphambi nangemva kokuxhunywa kwesikhumba, i-osteomyelitis, sinus kunye ne-osteofascial compartment syndrome.

 

Tshisa isebe:

Ukutshiswa kweqondo lesibini elinzulu / ukutshisa kwesidanga sesibini esinzulu, umva wokwenzakala kwesandla esishushu, ukunyangwa kwenxeba elitsha, unyango lwenxeba elidala, ithumba emva kokutsha kweperineal, ukutsha kweTBSA 5%

Ukutshisa okumandundu komqolo, ukwenzakala kompu, ukwenzakala okugqabhukileyo

 

Inxeba elingapheliyo:

Isilonda esinganyangekiyo sonyawo lwesandla, isilonda sonyawo seswekile isilonda esinganyangekiyo,

Isilonda esingapheliyo samalungu, isilonda se-sacrococcygeal, i-bedsore ulcer

 

iSebe likaxakeka:

Ukulimala kwe-avulsion, ukwenzakala kwe-degloving, ukwenzakala kwentshabalalo, isiphene sezicubu ezithambileyo kunye nokuvezwa kwezicubu zethambo

Isiphene seethishu ezithambileyo asikwazi ukuvala kwinqanaba elinye kunye nokulungiswa kwenxeba emva kokunqunyulwa

 

Isandla kunye neenyawo microsurgery:

Ukuqhawulwa kwamalungu angaphantsi, izandla kunye neengalo

 

Utyando ngokubanzi kunye notyando lwe-cardiothoracic:

Emva kwe-mastectomy enzulu, ukulungiswa kwenxeba, ukutshatyalaliswa ngokukrakra komhlaza we-rectal, ukusika i-refractory, i-stoma, i-empyema engapheliyo, i-esophagus anastomosis, i-pleural fistula, i-stoma fistula, njl.

Pu isiponji emfanekisweni

I-Pu sponge sisipontshi esomileyo, kwaye imathiriyeli ye-polyurethane yeyona nto ibalaseleyo yokugquma i-thermal emhlabeni.Eyaziwa ngokuba yi "plastiki yesihlanu enkulu", inokuthi ihluke kwiimpawu ezibonakalayo ezifana nobuninzi, ukuqina kunye nokuqina ngokuguqula ifomula;Isicelo kwi-attachment yenxeba;Ineenzuzo ekulawuleni i-exudate, ebonakaliswa kumthamo ophezulu wokukhupha amanzi, ngokukodwa ifanelekileyo kwi-exudate enzima kunye namanxeba achaphazelekayo, ukukhuthaza ukubunjwa kwezicubu ze-granulation kunye nokuqinisekisa uxinzelelo olufanayo lokuhambisa.

Iingcebiso: ukuncamathela isiponji soxinzelelo olubi siya kudibana neengxaki ezahlukeneyo.Ngokomzekelo, izigulane ezine-albumin ephantsi kufuneka zimise uxinzelelo olubi, zongeze iprotheni kuqala, kwaye emva koko zenze uxinzelelo olubi emva kokuzinza, ngaphandle koko kuya kubakho ilahleko yeprotheni eninzi, esengozini yokuphazamiseka.