1. Kodi NPWT inapangidwa liti?
Ngakhale kuti dongosolo la NPWT lidapangidwa koyambirira kwa zaka za m'ma 1990, mizu yake imatha kubwereranso ku zitukuko zakale kwambiri.M’nthawi ya Aroma, anthu ankakhulupirira kuti zilondazo zikanayamwa ndi pakamwa pawo, zikhoza kuchira.
Malinga ndi zolembedwa, mu 1890, Gustav Bier adapanga makina opangira makapu omwe amaphatikiza magalasi ndi machubu amitundu ndi makulidwe osiyanasiyana.Madokotala amatha kugwiritsa ntchito dongosololi kuti atulutse zotuluka m'mabala m'zigawo zosiyanasiyana za thupi la wodwalayo.M'nthawi yamakono, NPWT ikupitiriza kukhala ndi ubwino pochiritsa mabala ovuta.
Kuyambira nthawi imeneyo, NPWT yakhala ikuthandiza kwambiri pa chithandizo chamankhwala
2. Kodi NPWT imagwira ntchito bwanji?
Negative pressure wound therapy (NPWT) ndi njira yotulutsa madzimadzi ndi matenda pabala kuti lichiritse.Chovala chapadera (bandeji) chimasindikizidwa pabalapo ndipo pampu yotsekemera yofewa imamangiriridwa.
Thandizoli limaphatikizapo kuvala kwapadera (bandeji), chubu, chipangizo chopanda mphamvu, ndi chitini chotengera madzi.
Othandizira anu azaumoyo adzakwanira magawo a thovu lovala ngati chilondacho.Chovalacho chidzasindikizidwa ndi filimu.
Kanemayo ali ndi potseguka pomwe chubu amalumikizidwa.Chubuchi chimatsogolera ku pampu yotsekera ndi canister komwe madzi amasonkhanitsidwa.Pampu ya vacuum imatha kukhazikitsidwa kuti ipitirire, kapena imayamba ndikuyima pang'onopang'ono.
Pampu ya vacuum imakoka madzimadzi ndi matenda pabala.Izi zimathandiza kukokera m'mbali mwa bala pamodzi.Zimathandizanso kuti chilonda chichiritse polimbikitsa kukula kwa minofu yatsopano.
Pakafunika, maantibayotiki ndi saline amatha kukankhidwira pabala.
3. Chifukwa chiyani ndikuchifuna?
Doctor angalimbikitse NPWT ngatiodwalakukhala ndi chilonda chamoto, chilonda cham'mimba, chilonda cha shuga, chilonda chokhalitsa (chokhalitsa), kapena kuvulala.Chithandizochi chingathandize chilonda chanu kuchira msanga komanso ndi matenda ochepa.
NPWT ndi chisankho chabwino kwa odwala ena, koma osati onse.Doctor adzasankha ngati odwala ndinu oyenera kulandira chithandizochi potengera mtundu wa bala lanu komanso momwe mukudwala.
Ndizofunikira kudziwa kuti kugwiritsa ntchito NPWT nakonso kumakhala kochepa.Dongosolo la NPWT sayenera kugwiritsidwa ntchito pochiza zilonda ngati wodwalayo ali ndi zizindikiro zotsatirazi:
1. Odwala omwe ali ndi vuto la coagulation kapena matenda a magazi
2. Odwala kwambiri hypoalbuminemia.
3. Zilonda za Khansa
4. Mabala otuluka magazi
5. Odwala ena osayenera azachipatala
6. Odwala kwambiri shuga
4. Chifukwa chiyani NPWT ili bwino?
Chitetezo
NPWT ndi njira yotsekedwa yomwe imathandiza kuteteza bedi labala ku zowonongeka zakunja.Popanda izi, NPWT imasunganso chinyezi chokwanira pabalapo kuti pakhale malo abwino ochiritsa.Kuti ateteze chilondacho pochepetsa chiopsezo chobwereranso kumalo otupa, chiwerengero cha kusintha kwa mavalidwe chiyenera kuchepetsedwa.
Kuchiritsa
Nthawi yochiritsa chilonda mutagwiritsa ntchito NPWT idawoneka, yomwe idachiritsa bala mwachangu kuposa njira zachikhalidwe.Mankhwalawa amalimbikitsa mapangidwe a granulation, omwe amachepetsa edema ndikupanga mabedi atsopano a capillary.
Chidaliro
NPWT ikhoza kuyendetsedwa mozungulira, kulola wodwalayo kuyenda momasuka, kuonjezera nthawi yogwira ntchito ya wodwalayo, ndi kuwalola kukhala ndi moyo wabwino ndi chidaliro.NPWT imachotsa mabakiteriya ndi exudate yowonjezereka, kusunga malo a bedi lonyowa bwino komanso kulimbikitsa machiritso mofulumira.Ndi NPWT, chisamaliro cha bala chimapezeka 24/7, kuchepetsa nkhawa za odwala ndi kulemedwa.
5.Kodi mawonekedwe a NPWT omwe ndimagwiritsa ntchito ndi ati?
Siponji yachipatala ya PVA ndi siponji yonyowa, zinthuzo ndi zotetezeka, zofewa pang'ono komanso zolimba, zopanda poizoni komanso zosakwiyitsa pakuwunika ndi kutsimikizira;kuyamwa kwambiri.
Siponji ya PU ndi siponji yowuma, ndipo zinthu za polyurethane pakadali pano ndiye zida zabwino kwambiri zotchinjiriza padziko lapansi.Zili ndi ubwino pa kayendetsedwe ka exudate, zomwe zimawonetseredwa mu: kuchuluka kwa ngalande, makamaka koyenera kwa exudate kwambiri ndi mabala omwe ali ndi kachilombo, kumalimbikitsa mapangidwe a minofu ya granulation, ndikuonetsetsa kuti yunifolomu yopatsirana ikupanikizika.
Makina a NPWT angagwiritsidwe ntchito kunyamula ndipo akhoza kunyamulidwa nanu kuti mutsimikizire kuyeretsa kosalekeza kwa bala.Pali njira zoyamwa zosiyanasiyana zosinthira dongosolo lamankhwala a zilonda zosiyanasiyana.
6. Ndikufunabe Maupangiri ena
Kodi mavalidwe amasinthidwa bwanji?
Kusintha mavalidwe anu pafupipafupi ndikofunikira kwambiri pakuchira kwanu.
Mochuluka motani?
Nthawi zambiri, chovalacho chiyenera kusinthidwa 2 mpaka 3 pa sabata.Ngati chilondacho chili ndi kachilombo, chovalacho chiyenera kusinthidwa pafupipafupi.
Asintha ndani?
Nthawi zambiri, kuvala kudzasinthidwa ndi namwino kuchokera ku ofesi ya dokotala kapena chithandizo chamankhwala kunyumba.Munthu ameneyu adzaphunzitsidwa mwapadera kuti asinthe kavalidwe kameneka.Nthaŵi zina, wosamalira, wachibale, kapena mnzanu angaphunzitsidwe kusintha kavalidwe.
Ndi chisamaliro chotani chomwe chiyenera kuchitidwa?
Munthu amene akusintha mavalidwe anu ayenera kuchita izi:
Sambani m'manja musanasinthe kapena mutasintha.
Valani magolovesi oteteza nthawi zonse.
Ngati ali ndi khungu lotseguka kapena khungu, dikirani mpaka litachira musanasinthe mavalidwe anu.Pamenepa, munthu wina ayenera kusintha mavalidwe anu.
Kodi zimapweteka?
Kusintha kavalidwe kotereku ndikofanana ndi kusintha mtundu uliwonse wa kavalidwe.Zingapweteke pang'ono, malingana ndi mtundu wa bala.Funsani achipatala anu kuti akuthandizeni kuthetsa ululu.
Zitenga nthawi yayitali bwanji kuti chilonda changa chichiritse?Zimatenga nthawi yayitali bwanji kuti chilonda chanu chichiritse zimadalira zinthu zingapo.Izi zingaphatikizepo thanzi lanu lonse, kukula ndi malo a bala, ndi zakudya zanu.Funsani dokotala zomwe muyenera kuyembekezera.
Kodi ndingathe kusamba?
Ayi. Madzi osamba amatha kupatsira bala.Komanso, kuvala pabala kumatha kumasuka ngati kusungidwa pansi pamadzi.
Nthawi yotumiza: Oct-25-2022