Isikhokelo Esipheleleyo Sokunyamekela Amanxeba Kwizonyango Zobuhlengikazi
Ukhathalelo lwenxeba lubaluleke kakhulu kunyango, olufuna ulwazi olunzulu, ubuchule, kunye nengqalelo. Ukhathalelo olufanelekileyo alugcini nje ngokuthintela usulelo kodwa lukwakhawulezisa inkqubo yokuphiliswa kwaye lunciphisa umngcipheko weengxaki ezihlala ixesha elide. Eli nqaku liza kuxoxa ngeentlobo ezahlukeneyo zamanxeba, imigaqo yokhathalelo lwenxeba, iindlela ezisisiseko, kunye nezifundo zetyala.
Iintlobo zamanxeba
Amanxeba anokwahlulwa ngokweekhrayitheriya ezahlukeneyo, ezifana nesizathu sawo, ubunzima bawo, kunye nexesha lokuphiliswa kwawo.
1. Amanxeba Abukhali
Amanxeba abukhali ngalawo avele ngequbuliso, afana nokusikeka, ukubhobozwa, kunye nokutsha. La manxeba adla ngokufuna unyango olukhawulezileyo ukuthintela usulelo kunye nokukhuthaza ukuphiliswa ngokukhawuleza.
2. Amanxeba Angapheliyo
Amanxeba angapheliyo ngamanxeba angapholiyo ngexesha elilindelekileyo, njengezilonda zoxinzelelo, izilonda zeswekile, kunye nezilonda zemithambo yegazi. La manxeba adla ngokufuna unyango olude kunye nonyango olukhethekileyo.
3. Amanxeba Avulekileyo
Inxeba elivulekileyo linxeba elidala umngxuma eluswini nakwizicwili ezingaphantsi. Imizekelo ibandakanya ukukrweleka, ukunqunyulwa, kunye nokuqhekeka.
4. Inxeba Elivaliweyo
Amanxeba avalekileyo ayenzeka xa ukwenzakala kubangela umonakalo kwizicubu ngaphandle kokuphula ulusu, njenge-hematoma okanye ukukrweleka.
Imigaqo Yokunyamekela Amanxeba
1. Uvavanyo lweNxeba
Inyathelo lokuqala ekunyamekelweni kwenxeba kukuhlolwa ngokucokisekileyo. Oku kuquka ukujonga ubungakanani, ubunzulu, indawo, kunye nemeko yenxeba, kunye nokuqonda imbali yezonyango zesigulana kunye nezinto ezinokuchaphazela ukuphiliswa.
2. Ukucoca amanxeba
Ukucoca amanxeba kubandakanya ukucoca indawo yenxeba ukususa ukungcola kunye neentsholongwane. Oku kungenziwa kusetyenziswa i-saline ecocekileyo okanye izisombululo ze-antiseptic, kuxhomekeke kuhlobo kunye nendawo yenxeba.
3. Ulawulo losulelo
Ulawulo losulelo linyathelo elibalulekileyo elibandakanya ukusetyenziswa kwendlela yokungasebenzisi iintsholongwane ngexesha lonyango lwenxeba kunye nokunikezelwa kwee-antibiotics ukuba kuyimfuneko.
4. Ukulawula i-Exudate
I-Exudate lulwelo oluphuma kwinxeba. Ukulawula i-exudate ngokufanelekileyo kubalulekile ukuthintela ukubola kolusu olujikelezileyo nokukhuthaza ukuphiliswa. Iibhanti zanamhlanje zihlala ziqulathe izinto ezifunxayo ezenzelwe ngokukodwa ukulawula i-exudate.
5. Khuthaza ukuPhiliswa
Iindlela ezahlukeneyo zingasetyenziswa ukukhuthaza ukuphiliswa kwamanxeba, njengokususa izicubu ezifileyo, ukusebenzisa izinto zokugquma ezikhuthaza ukuphiliswa, kunye nokusetyenziswa konyango oluncedisayo olufana nonyango olunexinzelelo olubi.
Iindlela Ezisisiseko Zokunyamekela Amanxeba
1. Ukucocwa kwamanxeba
Ukucoca amanxeba kufuneka kwenziwe ngeendlela ezithambileyo ukuze kuthintelwe ukonakalisa izicwili ezintsha. Isisombululo se-saline esingenazintsholongwane okanye amanzi acocekileyo empompini asetyenziswa rhoqo ukuhlamba inxeba nokususa nayiphi na inkunkuma eseleyo.
2. Ukususwa kwenkunkuma
Ukususwa kwezicubu ezifileyo, ezinentsholongwane, okanye ezonakeleyo enxebeni ukuze kuthintelwe usulelo nokukhuthaza ukuphiliswa. Kukho iindlela ezahlukeneyo zokususwa kwezicubu, kuquka utyando, umatshini, i-enzymatic, kunye nokususwa kwezicubu ezizimeleyo.
3. Ukusetyenziswa kwePad
Iibhanti zenxeba kufuneka zikhethwe ngokusekwe kwimeko yenxeba kunye neemfuno zesigulana. Ibhanti elungileyo iya kukhusela inxeba kwizifo, ifunxe i-exudate, kwaye igcine umswakama, nto leyo ekhuthaza ukuphiliswa.
a. Ibhandeji eliPhambili
Iibhandishi eziphambili zidibana ngqo nenxeba. Imizekelo ibandakanya i-gauze, i-alginate, kunye ne-hydrogel dressings.
b. Iinapkins zococeko zesibini
Iibhandeji zesibini zibekwa phezu kwebhandeji yokuqala ukuze zinike inkxaso eyongezelelweyo kwaye zikhusele inxeba. Imizekelo ibandakanya iibhandeji ezithambileyo kunye neebhandeji zefoam.
4. Ukutshintsha iinapkin zokuhlamba
Utshintsho lwempahla yokunxiba kufuneka lwenziwe ngokwemigaqo yokuphiliswa kwamanxeba kunye nemeko yesigulane. Ukunamathela kwishedyuli yotshintsho lwempahla kubalulekile ukuthintela usulelo kunye nokugcina imeko yokuphilisa efanelekileyo.
5. Ukubeka esweni kunye nokubhala amaxwebhu
Ukubeka esweni rhoqo kunye nokubhala phantsi imeko yenxeba kubalulekile ukulandelela inkqubela yokuphiliswa kunye nokuchonga iingxaki ezinokubakho kwangoko. Oku kuquka ukuqaphela utshintsho kubungakanani, umbala, ivumba, kunye nobungakanani be-exudate.
Isifundo seTyala lokuNyangwa kwamanxeba
Ityala 1: Inxeba Elibukhali
Isigulana safumana inxeba engalweni yaso ngenxa yengozi. Inxeba lalimalunga ne-5 cm ubude kwaye alizange lichaphazele nayiphi na imithambo yegazi emikhulu.
Amanyathelo Onyango:
1. Uvavanyo lwenxeba: Linganisa ubude, ububanzi, kunye nobunzulu benxeba, kwaye ujonge izinto ezingaqhelekanga.
2. Ukucoca inxeba: Coca inxeba ngesisombululo se-saline esingenazintsholongwane.
3. Ulawulo losulelo: Ukusebenzisa iindlela zokungabulali ntsholongwane kunye nokusebenzisa umaleko omncinci weoyile yokubulala iintsholongwane.
4. Ukusetyenziswa kwebhandishi: Sebenzisa ibhandishi ye-gauze engenazintsholongwane, enganamatheliyo.
5. Ukubeka esweni: Jonga inxeba rhoqo kwaye utshintshe ibhandeji njengoko kufuneka.
Ityala lesi-2: Inxeba Elingapheliyo (Isilonda Seswekile)
Isigulana esineswekile sasinesilonda seenyawo esingazange siphole kangangeenyanga ezintathu.
Amanyathelo Onyango:
1. Uvavanyo lwenxeba: Bhala phantsi ubungakanani, ubunzulu, kunye nemeko yezicubu ezijikeleze isilonda.
2. Ukususwa kwezicubu ezifileyo: Ukusebenzisa ukususwa kwezicubu ezifileyo nge-autolytic.
3. Ulawulo losulelo: Ukusebenzisa iibhanti ezilwa neentsholongwane kunye nokunika amayeza okubulala iintsholongwane asebenza emzimbeni.
4. Ukusetyenziswa kweDressing: Ukusebenzisa i-hydrogel ukugcina ukufuma kwenxeba kunye neDressing yeFoam njengeDressing yesibini.
5. Ukulawula i-Exudate: Khetha i-dressing efunxa kakhulu ukuze ulawule i-exudate.
6. Ukutshintsha ibhandeji: Tshintsha ibhandeji rhoqo emva kweentsuku ezimbini okanye ngokweemeko zonyango.
7. Ukubeka iliso kunye neMfundo: Fundisa izigulana ngokunyamekela ukuzilimaza kunye nokubaluleka kokulawula amanqanaba eswekile egazini.
Ukuqukumbela
Ukhathalelo lwenxeba ngumsebenzi obalulekileyo wokonga ofuna ukuqonda ngokupheleleyo iintlobo zamanxeba, imigaqo esisiseko yokhathalelo, kunye neendlela ezifanelekileyo zokhathalelo. Ulawulo olufanelekileyo aluphuculi nje kuphela umgangatho wobomi besigulana kodwa lukwathintela iingxaki ezinkulu ezinokuchaphazela impilo yexesha elide. Ngovavanyo olucokisekileyo, iindlela ezifanelekileyo zokucoca nokucoca inxeba, ukusetyenziswa kweempahla ezifanelekileyo, kunye nokubeka esweni okuqhubekayo kunye nokubhala amaxwebhu, abahlengikazi banokubonelela ngokhathalelo lwenxeba olusebenzayo nolupheleleyo.
