1. Ngexesha lokuxinana kunye nexesha elibomvu,ulusu lwendawo luba bomvu, ludumbe, lushushu, lube ndindisholo okanye luthambile ngenxa yoxinzelelo. Ngeli xesha, isigulane kufuneka silale kwibhedi ye-cushion yomoya (ekwabizwa ngokuba yi-Operating Room Positioner) ukwandisa inani lokujika kunye ne-massage, kunye nokwabela abasebenzi abakhethekileyo ukuba banakekele ukuba kuyimfuneko. I-45% yotywala okanye i-50% ye-safflower iwayini inokugalelwa entendeni yesandla kwi-massage yendawo phantsi koxinzelelo lwe-10 min. Indawo ebomvu nedumbileyo yesilonda soxinzelelo iqatywe nge-0.5% ye-iodine tincture.
2. Ngexesha lokungeniswa kokuvuvukala,ububomvu bendawo kunye nokudumba akupheli, kwaye ulusu olucinezelweyo lujika lube mfusa lube bomvu. I-subcutaneous induration iyenzeka, kwaye i-epidermal blisters form, ekulula kakhulu ukuyiphula, kwaye isigulane siva intlungu. Ngeli xesha, sebenzisa i-cotton swab efakwe kwi-4.75g / l-5.25g / l iodine eyinkimbinkimbi yokusula ubuso bommandla ochaphazelekayo ukuze umise inxalenye, kwaye ubeke ingqalelo ukuphepha uxinzelelo oluqhubekayo; I-blister enkulu inokukhutshwa nge-syringe phantsi kokusebenza kwe-teknoloji ye-aseptic (ngaphandle kokunqunyulwa kwe-epidermis), emva koko ifakwe nge-0.02% ye-Furacilin Solution kwaye ihlanganiswe ngesambatho esiyinyumba. Ukongezelela, idibene ne-infrared okanye unyango lwe-ultraviolet, inokudlala indima yokuchasana nokuvuvukala, ukomisa kunye nokukhuthaza ukujikeleza kwegazi. Ukuba i-blister iphukile, i-membrane yangaphakathi yeqanda elitsha inokugqithwa kwaye iqiniswe kwisilonda, kwaye ihlanganiswe ne-gauze eyinyumba. Ukuba kukho amaqamza phantsi kwenwebu yangaphakathi yeqanda, yicinezele ngobumnene ngebhola yomqhaphu oyinyumba ukuze uyikhuphe, uze uyigubungele nge-gauze oyinyumba, kwaye utshintshe ukugqoka kwindawo kanye ngosuku okanye ezimbini de siphiliswe isilonda. I-membrane yangaphakathi yeqanda inokuthintela ukulahlekelwa kwamanzi kunye nokushisa, ukuphepha ukusuleleka kwebhaktheriya, kwaye kukulungele ukukhula kwe-epithelial; Le ndlela yokutshintsha ukunxiba inesiphumo esiqinisekileyo sonyango kwinqanaba lesibini le-bedsore, ikhosi emfutshane yonyango, ukusebenza ngokulula kunye neentlungu ezincinci kwizigulane.
3. Inqanaba lezilonda ezingaphezulu.Amadyunguza eepidermal ngokuthe ngcembe ayanda kwaye agqabhuke, kwaye kukho i-exudate emthubi kwinxeba lesikhumba. Emva kosulelo, ubofu luyaphuma, kwaye i-necrosis yezicubu ezingaphezulu kunye nokwakheka kwesilonda. Okokuqala, hlambulula ngesisombululo se-potassium permanganate ye-1: 5000, uze womise isilonda kunye nesikhumba esijikelezileyo. Okwesibini, izigulane zingasebenzisa isibane se-incandescent ye-60 watt ukuze zikhanyise indawo apho i-bedsore yenzeke khona. I-ray ye-infrared ekhutshwe sisibane se-incandescent inefuthe elihle lonyango kwi-bedsore. Umgama wokukhanya malunga ne-30cm. Xa ubhaka, i-bulb akufanele isondele kakhulu kwisilonda ukuphepha ukutshisa, kwaye akufanele ibe kude kakhulu. Nciphisa umphumo wokubhaka. Umgama kufuneka usekelwe ekukhuthazeni ukomiswa kunye nokuphiliswa kwesilonda. 1 - 2 amaxesha ngosuku, 10 - 15min ngexesha ngalinye. Emva koko yaphathwa ngokwendlela ye-aseptic dressing change yotyando; Izinxibo zokuthambisa zingasetyenziselwa ukudala indawo efanelekileyo yokuphilisa indawo ebuhlungu, ukwenzela ukuba iiseli ezintsha ze-epithelial zikwazi ukugubungela isilonda kwaye ngokuthe ngcembe ziphilise indawo ebuhlungu. Iimeko zendawo kufuneka ziqwalaselwe nanini na ngexesha le-irradiation ukukhusela ukutshisa. I-infrared irradiation yendawo inokwandisa ii-capillaries zesikhumba kwaye ikhuthaze ukujikeleza kwegazi kwezicubu zendawo. Okwesibini, amanxeba angapholiyo ixesha elide, sebenzisa umaleko weswekile emhlophe egayiweyo enxebeni, uze uwugqume ngegauze enyumba, utywine inxeba ngeqhekeza elipheleleyo letape yokuncamathelisa, kwaye indawo yokunxiba rhoqo emva kweentsuku ezi-3 ukuya kwezi-7. Ngoncedo lwempembelelo ye-hyperosmotic yeswekile, inokubulala ibhaktheriya, ukunciphisa ukuvuvukala kwesilonda, ukuphucula ukujikeleza kwendawo, ukwandisa ukondla kwendawo, kunye nokukhuthaza ukuphulukiswa kwesilonda.
4. Isigaba se-Necrotic ulcer.Kwinqanaba le-necrotic, i-tissue ye-necrotic ihlasela i-dermis ephantsi, i-purulent secretion iyanda, i-necrotic tissue iba mnyama, kwaye ukusuleleka kwevumba kudlulela kwizicubu ezijikelezayo kunye nezinzulu, ezinokufikelela kwithambo, kwaye zibangele i-sepsis, ibeka ubomi besigulane emngciphekweni. Ngeli nqanaba, qala ucoce isilonda, susa izicubu ze-necrotic, ugcine umsele ungathintekiyo, kwaye ukhuthaze ukuphulukiswa kwendawo ebuhlungu. Coca indawo ebuhlungu ngesaline ye isotonic okanye i-0.02% yesisombululo se-nitrofuran, uze uyisongele ngegawusi yeVaseline eyinyumba kunye nokuthambisa, kwaye uyibuyisele kanye ngosuku okanye ezimbini. Inokuthi iphathwe nge-metronidazole emanzi okanye i-isotonic saline emva kokucoca indawo ebuhlungu ngesiliva sulfadiazine okanye i-nitrofuran. Kwabo banesilonda esinzulu kunye nokungahambi kakuhle kwamanzi, isisombululo se-3% se-hydrogen peroxide kufuneka sisetyenziswe ukugungxula ukuthintela ukukhula kwebhaktiriya ye-anaerobic. Ukukhuselwa kwendawo ebuhlungu enesifo kufuneka kuqokelelwe rhoqo kwinkcubeko yebhaktheriya kunye novavanyo lobuzaza beziyobisi, kanye ngeveki, kwaye amachiza kufuneka akhethwe ngokweziphumo zokuhlolwa.
(Ngereferensi kuphela)