Unamwino Wachikhalidwe ndi Unamwino Watsopano Wabala la Kaisareya
Kuchira kosauka kwa bala pambuyo pa opaleshoni ndi chimodzi mwazovuta zomwe zimachitika pambuyo pa opaleshoni, zomwe zimachitika pafupifupi 8.4%. Chifukwa cha kuchepa kwa wodwalayo kukonza minofu ndi odana ndi matenda mphamvu pambuyo opaleshoni, zochitika osauka pambuyo opaleshoni bala machiritso ndi apamwamba, ndi postoperative bala mafuta liquefaction, matenda, dehiscence ndi zochitika zina zikhoza kuchitika chifukwa cha zifukwa zosiyanasiyana. Kuphatikiza apo, kumawonjezera ululu ndi mtengo wamankhwala kwa odwala, kumatalikitsa nthawi yogonekedwa m'chipatala, ngakhale kuyika miyoyo ya odwala pachiswe, komanso kumawonjezera kuchuluka kwa ntchito zachipatala.
Chisamaliro Chachikhalidwe:
Njira yomangira mabala nthawi zambiri imagwiritsa ntchito zigawo zingapo za nsalu yopyapyala yachipatala kuphimba bala, ndipo yopyapyala imatenga exudate mpaka malire ena. Exudate kwa nthawi yaitali, ngati si m'malo mu nthawi, izo kuipitsa quilt, tizilombo toyambitsa matenda mosavuta kudutsa, ndi kukulitsa chilonda matenda; Nsalu zovala zimakhala zosavuta kugwa, zomwe zimayambitsa thupi lachilendo komanso zimakhudza machiritso; Minofu ya granulation pamwamba pa bala ndi yosavuta kukula mu mesh ya kuvala, kuchititsa kupweteka chifukwa cha kukoka ndi kung'ambika pakusintha kwa kuvala. Kung'ambika mobwerezabwereza kwa chilondacho mwa kung'amba gauze kumabweretsa kuwonongeka kwa minofu yatsopano ya granulation ndi kuwonongeka kwa minofu yatsopano, ndipo ntchito ya kusintha kwa kuvala ndi yaikulu; Pakusintha kwachizoloŵezi cha kuvala, gauze nthawi zambiri amamatira pamwamba pa bala, kuchititsa kuti balalo liume ndi kumamatira pabalalo, ndipo wodwalayo amamva ululu panthawi ya ntchito ndi kusintha kwa kuvala, kuonjezera ululu. Kafukufuku wambiri watsimikizira kuti hydrogen peroxide ndi iodophor ali ndi zotsatira zolimbikitsa komanso zakupha pa maselo atsopano a granulation, omwe sangathandize kuchiritsa mabala.
Kusamalira Kwatsopano:
Ikani chovala cha thovu posintha mavalidwe. Chovala chopyapyala chopyapyala komanso chofewa kwambiri chomwe chimatenga exudate ndikusunga malo achilonda achinyezi. Zimapangidwa motere: cholumikizira chofewa, chopondera cha polyurethane foam absorbent pad, ndi chitetezo chopumira komanso choteteza madzi. Chovalacho sichimamatira pabalalo, ngakhale exudate yayamba kuuma, imakhala yopanda ululu komanso yopweteka ikachotsedwa, ndipo palibe zotsalira. Ndiwofatsa komanso otetezeka kukonza pakhungu ndikuchotsa popanda kuyambitsa kutulutsa ndi zilonda. Tengani exudate kuti mukhale ndi malo ochizira mabala achinyezi, kuchepetsa chiopsezo cholowera. Chepetsani ululu ndi kuvulala posintha zovala, kudzimatira, osafunikira kukonza kowonjezera; osalowa madzi, osavuta kugwiritsa ntchito kuponderezana ndi mabandeji am'mimba kapena zotanuka; Kupititsa patsogolo chitonthozo cha odwala; Itha kugwiritsidwa ntchito mosalekeza kwa masiku angapo malinga ndi momwe bala ilili; Ikhoza kukokedwa ndi kusinthidwa popanda kukhudza zomatira, kuchepetsa kuyabwa kwa khungu ndi kuyabwa. Chigawo cha alginate chomwe chili mmenemo chimatha kupanga gel osakaniza pabala, kulepheretsa kuukira ndi kukula kwa mabakiteriya ndi mavairasi, ndikulimbikitsa machiritso a bala.
