Umhlahlandlela Ophelele Wokunakekelwa Kwezilonda Ebuhlengikazini
Ukunakekelwa kwenxeba kuyisici esibalulekile sokunakekela, esidinga ulwazi olujulile, ikhono, kanye nokunakwa. Ukunakekelwa okufanele akugcini nje ngokuvimbela ukutheleleka kodwa futhi kusheshisa inqubo yokuphulukiswa futhi kunciphisa ingozi yezinkinga zesikhathi eside. Lesi sihloko sizoxoxa ngezinhlobo ezahlukene zamanxeba, izimiso zokunakekelwa kwenxeba, amasu ayisisekelo, kanye nezifundo zamacala.
Izinhlobo Zamanxeba
Amanxeba angahlukaniswa ngezigaba ngokusekelwe ezicini ezahlukahlukene, njengembangela yawo, ubukhali bawo, kanye nesikhathi sokuphulukiswa.
1. Amanxeba Abukhali
Amanxeba abukhali yilawo avela ngokuzumayo, njengokusikeka, amanxeba okubhoboza, kanye nokusha. Lawa manxeba ngokuvamile adinga ukwelashwa okusheshayo ukuze kuvinjelwe ukutheleleka futhi kukhuthazwe ukuphulukiswa okusheshayo.
2. Amanxeba Angapheli
Amanxeba angapheli uhlobo lwesilonda esingapholi phakathi nesikhathi esilindelekile, njengezilonda ze-decubitus (izilonda zokucindezeleka), izilonda zesifo sikashukela, kanye nezilonda zemithambo yegazi. La manxeba avame ukudinga ukunakekelwa kwesikhathi eside kanye nokwelashwa okukhethekile.
3. Amanxeba Avulekile
Inxeba elivulekile liyinxeba elidala imbobo esikhumbeni nasezicutshini ezingaphansi. Izibonelo zifaka phakathi ukuklwebheka, ukusikwa, kanye nokusikwa.
4. Inxeba Elivaliwe
Amanxeba avaliwe ayenzeka lapho ukulimala kubangela ukulimala kwezicubu ngaphandle kokuphula isikhumba, njenge-hematoma noma ukulimala.
Izimiso Zokunakekelwa Kwenxeba
1. Ukuhlolwa Kwenxeba
Isinyathelo sokuqala sokunakekelwa kwenxeba ukwenza ukuhlolwa okuphelele. Lokhu kuhlanganisa ukuhlola usayizi, ukujula, indawo, kanye nesimo senxeba, kanye nokuqonda umlando wesiguli. impilo yesiguli kanye nezici ezingathonya ukuphulukiswa.
2. Ukuhlanza Amanxeba
Ukuhlanza amanxeba kuhilela ukuhlanza indawo yenxeba ukuze kususwe ukungcola namagciwane. Lokhu kungenziwa kusetshenziswa izixazululo ze-saline ezihlanzekile noma ze-antiseptic, kuye ngohlobo nendawo yenxeba.
3. Ukulawulwa Kokutheleleka
Ukulawula ukutheleleka kuyisinyathelo esibalulekile esihilela ukusetshenziswa kobuchwepheshe obungenamagciwane ngesikhathi sokunakekelwa kwenxeba kanye nokunikezwa kwama-antibiotic uma kudingeka.
4. Ukuphatha i-Exudate
I-Exudate iwuketshezi oluvuza esilondeni. Ukuphatha i-exudate ngempumelelo kubalulekile ukuvimbela ukubola kwesikhumba esizungezile nokukhuthaza ukuphulukiswa. Ama-dressing anamuhla avame ukuqukethe izinto ezimuncayo ezenzelwe ngqo ukuphatha i-exudate.
5. Khuthaza Ukwelapha
Izindlela eziningana zingasetshenziswa ukukhuthaza ukuphulukiswa kwenxeba, njengokususa izicubu ezifile, ukusebenzisa amabhandeshi akhuthaza ukuphulukiswa, kanye nokusebenzisa izindlela zokwelapha ezengeziwe njengokwelashwa ngengcindezi engemihle.
Amasu Okunakekela Amanxeba Ayisisekelo
1. Ukuhlanza Amanxeba
Ukuhlanza amanxeba kufanele kwenziwe ngezindlela ezithambile ukuze kugwenywe ukulimaza izicubu ezintsha. Isixazululo se-saline esihlanzekile noma amanzi ompompi ahlanzekile ngokuvamile asetshenziselwa ukuhlanza inxeba nokususa noma yikuphi ukungcola okusele.
2. Ukususwa kwemininingwane
Ukususa izicubu ezifile, ezinegciwane, noma ezonakele enxebeni kuya vimbela ukutheleleka futhi kusheshiswe ukuphulukiswa. Kunezindlela ezahlukene zokususa ukungcola, okuhlanganisa ukususwa kokuhlinzwa, okwenziwe ngemishini, okwenziwe nge-enzyme, kanye nokususwa kwe-autolytic.
3. Isicelo sephedi
Ama-dressing amanxeba kufanele akhethwe ngokusekelwe esimweni sesilonda kanye nezidingo zesiguli. I-dressing enhle izovikela inxeba ekuthelelekeni, imunce i-exudate, futhi igcine umswakama, okukhuthaza ukuphulukiswa.
a. Ibhandeji Eliyinhloko
Ama-dressing ayinhloko athintana ngqo nenxeba. Izibonelo zifaka phakathi ama-dressing e-gauze, i-alginate, kanye ne-hydrogel.
b. Ama-napkins Esibili Enhlanzeko
Amabhandeshi esibili abekwa phezu kwebhandeshi eliyinhloko ukuze anikeze ukwesekwa okwengeziwe nokuvikela inxeba. Izibonelo zifaka amabhandeshi anwebekayo kanye namabhandeshi e-foam.
4. Ukushintsha ama-napkin ahlanzekile
Ukushintsha izingubo zokugqoka kufanele kwenziwe ngokwemigomo yokuphulukiswa kwamanxeba kanye nesimo sesiguli. Ukunamathela esimisweni sokushintsha izingubo kubalulekile ukuvimbela ukutheleleka nokugcina indawo yokuphulukiswa efanele.
5. Ukuqapha kanye Nokubhala Imibhalo
Ukuqapha njalo kanye nokubhala phansi isimo sesilonda kubalulekile ukuze kulandelwe inqubekela phambili yokuphulukiswa nokuhlonza izinkinga ezingaba khona kusenesikhathi. Lokhu kuhlanganisa ukuqaphela izinguquko ngobukhulu, umbala, iphunga, kanye nenani le-exudate.
Ucwaningo Lwecala Lokunakekelwa Kwenxeba
Icala 1: Inxeba Elibuhlungu
Isiguli sathola ukudabuka engalweni ngenxa yengozi. Inxeba lalicishe libe ngu-5 cm ubude futhi alizange lithinte imithambo yegazi emikhulu.
Izinyathelo Zokwelapha:
1. Ukuhlolwa Kwenxeba: Kala ubude, ububanzi, kanye nokujula kwenxeba, bese uhlola izinto zangaphandle.
2. Ukuhlanza: Hlanza inxeba ngesisombululo se-saline esingenamagciwane.
3. Ukulawula Ukutheleleka: Ukusebenzisa amasu okubulala amagciwane nokusebenzisa ungqimba oluncane lwamafutha okubulala amagciwane.
4. Ukusetshenziswa kwebhandeji: Sebenzisa ibhandishi ye-gauze engenamagciwane, enganamatheli.
5. Ukuqapha: Qapha inxeba njalo bese ushintsha ibhandeji uma kudingeka.
Icala 2: Inxeba Elingapheli (Isilonda Sesifo Sikashukela)
A iziguli ezinesifo sikashukela waba nesilonda emlenzeni wakhe esingazange siphole izinyanga ezintathu.
Izinyathelo Zokwelapha:
1. Ukuhlolwa Kwenxeba: Qopha usayizi, ukujula, kanye nesimo sezicubu ezizungeze isilonda.
2. Ukususwa kwezicubu: Ukusebenzisa ukususwa kwezicubu ezifile ukuze kususwe izicubu ezifile.
3. Ukulawula Ukutheleleka: Ukusebenzisa amabhandishi alwa namagciwane kanye nokunikeza ama-antibiotic asebenza emzimbeni.
4. Ukusetshenziswa Kokugqokisa: Ukusebenzisa i-hydrogel ukugcina umswakama wenxeba kanye nokugqokisa kwe-foam njengengubo yesibili.
5. Ukuphatha i-Exudate: Khetha i-dressing emunca kakhulu ukuze uphathe i-exudate.
6. Ukushintsha ibhandishi: Shintsha ibhandishi njalo ezinsukwini ezimbili noma ngokwezimo zezokwelapha.
7. Ukuqapha kanye Nemfundo: Fundisa iziguli ngokunakekelwa kokuzilimaza kanye nokubaluleka kokulawula amazinga kashukela egazini.
Isiphetho
Ukunakekelwa kwamanxeba kuwumsebenzi obalulekile wokunakekela odinga ukuqonda okuphelele kwezinhlobo zamanxeba, izimiso eziyisisekelo zokunakekelwa, kanye namasu okunakekelwa afanele. Ukuphathwa okufanele akugcini nje ngokuthuthukisa ikhwalithi yokuphila kwesiguli kodwa futhi kuvimbela nezinkinga ezinkulu ezingathinta impilo yesikhathi eside. Ngokuhlolwa okuphelele, amasu okuhlanza nokuhlanza afanele, ukusetshenziswa kokugqoka okufanele, kanye nokuqapha okuqhubekayo kanye nokubhala phansi, abahlengikazi banganikeza ukunakekelwa kwamanxeba okuphumelelayo nokuphelele.
