Okuqukethwe
Ngaphansi kwesilonda, odokotela basho noma yimuphi umonakalo esikhumbeni obangelwa izici ezibuhlungu zangaphandle. Lena incazelo eyomile yesayensi. Kumuntu olimele, isilonda siwubuhlungu, ukopha, isikhumba esilimele futhi esivuvukele.
Umuntu uvame ukuzwa umbono ongase ube yingozi wokuthi izilonda ziphola ngokushesha lapho zishiywe zivuliwe. Lokhu kusebenzela kuphela izilonda ezincane zesikhumba. Ukugqoka amanxeba ngendlela efanele kuvikela futhi ekusakazekeni noma ekunamatheleni kokutheleleka.1, kanye nokusetshenziswa kwamafutha akhethekile okuphulukisa isilonda kanye nama-antiseptics kusheshisa ukululama kwesikhumba. Ngaphezu kwalokho, kuma-pharmacy kukhona ukukhethwa okukhulu kwezidakamizwa ezikhuthaza ukuvuselelwa kwezicubu, ukuvimbela ukutheleleka, ukukhulula ubuhlungu nokuvuvukala.
Isilinganiso samafutha aphezulu ayi-10 angabizi futhi asebenzayo okupholisa amanxeba esikhumbeni ngokusho kwe-KP
1. Oflomelid
Amafutha e-Oflomedid aqukethe i-antibiotic ye-ofloxacin, ngakho-ke ivimbela ukuvuvukala futhi inqunyelwe ukwelapha amanxeba angenayo i-purulent kanye nokusha. I-Methyluracil ekubunjweni kwamafutha kusiza ukusheshisa ukuvuselelwa kwezicubu ezonakalisiwe ezingeni lamaselula. I-Lidocaine ibulala izindawo ezilimele. Ngaphezu kwamanxeba, i-Oflomelide ivame ukunqunywa ekwelapheni ama-bedsores kanye nezilonda ze-trophic.
Ukungafani: ukukhulelwa kanye ne-lactation, ubudala kuze kufike eminyakeni engu-18, i-hypersensitivity ezingxenyeni zomuthi.
2. Neotanine induduzo plus
I-Neotanin comfort plus cream idala izimo zokuphola ngokushesha kwezindawo zesikhumba ezilimele, okuhlanganisa amanxeba, imihuzuko kanye nemihuzuko, ukuguguleka. Umuthi uvikela ngokuthembekile ekuthelelekeni futhi ukhulule ukulunywa, unomphumela omnene wokulwa nokuvuvukala. Ngaphansi kwethonya likakhilimu, isikhumba somile futhi silulama ngokushesha.
Ukungafani: ukuzwela komuntu ngamunye ezingxenyeni zomuthi.
3. Ijeli yeProntosan
Ezimweni ezinzima, lapho i-ejenti ethathelwanayo esilondeni imelana nemithi elwa namagciwane e-systemic kanye ne-antiseptics yendawo, udokotela angase anikeze umuthi obhubhisa i-biofilm evikelayo eyakhiwe ngamabhaktheriya, amagciwane kanye nesikhunta. Umuthi onjalo uyijeli yeProntosan. Ihlanza isilonda esivela ku-chor, izicubu ze-necrotic, amafilimu e-fibrinous, futhi ivimbele ukukhula kwamagciwane e-pathogenic. Umuthi uyasebenza kunoma yisiphi isigaba sokuphulukiswa kwesilonda, futhi ufanelekile namanxeba aphulukiswa kancane kancane yisikhumba.
Ukungafani: hhayi.
4. Amafutha e-Methyluracil
Amafutha e-Methyluracil aqukethe into yegama elifanayo i-methyluracil, esheshisa ukuphulukiswa ezingeni lamaselula lamanxeba, ukuguguleka kanye nezilonda esikhumbeni. I-ointment inqunyelwe amanxeba okunzima ukuphulukisa nokushiswa, isusa ukungakhululeki nokuvuvukala uma kwenzeka ku-photodermatitis (i-allergies emisebeni yelanga). Futhi, isidakamizwa sisetshenziswa ezigulini ezinomdlavuza ukuvimbela ukusabela kwesikhumba okungezwani ngesikhathi sokushiswa kwamathumba. Amafutha e-Methyluracil angahlanganiswa nanoma yiluphi uhlobo lwamafutha okuphulukisa isilonda.
Ukungafani: i-hypersensitivity, ukuphindaphinda kwe-granulations enxebeni. Sebenzisa ngokuqapha ngesikhathi sokukhulelwa nokuncelisa, ezinganeni ezingaphansi kweminyaka engu-12 ubudala.
5. Ukhilimu we-Eplan
Ukhilimu we-Eplan une-bactericidal, ukuvuselela kabusha, ukuphulukiswa kwesilonda kanye nomphumela we-analgesic, okwenza ubaluleke kakhulu kukhithi yosizo lokuqala yasekhaya. Umkhiqizo usebenza kuzo zonke izingqimba zesikhumba, uthambisa futhi uthambisa, ubhubhisa amagciwane amaningi namabhaktheriya, ukuvimbela ukungena kwabo nokuthuthukiswa kwezilonda ze-pustular. Futhi i-Eplan, lapho isetshenziswa, inciphisa ngokushesha ubuhlungu nokuluma.
Ukungafani: i-hypersensitivity ezingxenyeni zomuntu ngamunye zomuthi.
6. Amafutha e-Bepanten
Isisekelo samafutha yi-lanolin yemvelo kanye nento esebenzayo - i-panthenol ivuselela inqubo yokuphulukisa esikhumbeni ngamanxeba amancane, ukushisa okukhanyayo, imihuzuko, ukucasuka. Ukuqokwa kwe-Bepanten kusebenza futhi ezimweni ezimbi kakhulu - ngezilonda ezingapheli, izilonda zokulala, ngisho nangemva kokufakelwa kwesikhumba. Futhi, amafutha asetshenziswa ngenkuthalo njengendlela yokwelapha nokuvimbela isikhumba esomile.
UkungafaniI-hypersensitivity ku-dexpanthenol.
7. Amafutha e-Sulfargin
I-Ointment Sufargin inqunyelwe ukwelapha amanxeba angenwe yigciwane angaphandle, imihuzuko nokusikeka, ukusha kanye nezilonda zesikhumba ezingamahlalakhona. Futhi, umuthi ubonise ukusebenza kwawo ekwelapheni ama-bedsores, njengoba uqala inqubo yokuvuselelwa kwezicubu. Ukwakheka kwamafutha kuqukethe ama-ion esiliva, anomphumela we-bactericidal. Lapho uthintana nabo, igobolondo lamabhaktheriya e-pathogenic liyabhujiswa, futhi amagciwane ayafa.
Ukungafani: ukukhulelwa, ukuncelisa, izingane ezingaphansi konyaka owodwa ubudala, i-hypersensitivity ku-sulfonamides. Umuthi akufanele usetshenziselwe ukwelapha amanxeba ajulile e-purulent kanye nokusha ngokuhlukana okunamandla kwe-exudate.
8. I-Cycaderma
I-Cycaderma iyi-ointment yendawo yonke esekelwe kumakhambi amahlanu okwelapha. I-Calendula isiza ukuphulukisa futhi inikeza ukunwebeka ezibazini, i-St. John's wort inemiphumela eqeda ukuvuvukala ne-analgesic, i-rosemary yasendle ikhulula ubuhlungu nokuluma, i-yarrow inciphisa ukopha, futhi iqolo livikela isikhumba. I-ointment inqunyelwe ukwelapha ukusikeka, ukushisa, imihuzuko kanye nemifantu, ikhuthaza ukuphulukiswa kwabo ngokushesha futhi iqede isikhumba esomile.
Ukungafani: i-hypersensitivity ezingxenyeni zomuntu ngamunye zomuthi, ukukhala kwe-dermatitis, izingane ezingaphansi kweminyaka engu-1 ubudala. Ungawasebenzisi amafutha okugcoba kulwelwesi lwamafinyila, amanxeba avulekile nathelelekile.
9. Amafutha eBetadine
I-Betadine ointment iyisibulala-magciwane esisebenzayo nesibulala amagciwane. Lapho uthintana nesikhumba nolwelwesi lwamafinyila, i-iodine ibhubhisa amaprotheni amangqamuzana ebhaktheriya futhi ibangele ukufa kwama-microorganisms. Inomphumela we-bactericidal kuma-bacteria e-gram-positive kanye ne-gram-negative, isikhunta kanye nama-virus. I-ointment ingasetshenziswa ngaphansi kwe-occlusive dressings.
I-Betadine isiza ukuvimbela ukutheleleka, ikhuthaza ukuphulukiswa ngokushesha kwamanxeba, imihuzuko, imihuzuko, ukusikeka okuncane, izilonda zokulala.
Ukungafani: ayikwazi ukusetshenziswa ezinganeni ezizalwa ngaphambi kwesikhathi nezisanda kuzalwa, i-hypersensitivity ku-iodine, ukungasebenzi kahle kwe-thyroid gland (hyperthyroidism), i-adenoma ye-thyroid. Ngokuqaphela: ukwehluleka kwezinso okungapheli, ukukhulelwa, isikhathi sokuncelisa.
10. I-Cicaplast balm
I-Balm Cicaplast iyisidakamizwa esinesenzo esiyinkimbinkimbi esingasetshenziswa kokubili izingane (ngisho nezinsana) kanye nabantu abadala. I-Cicaplast iphulukisa imihuzuko emincane nemihuzuko, ikhulula ukucasuka futhi ikhuthaze ukuphulukiswa ngokushesha kwamanxeba. Ngaphezu kwalokho, i-balm ine-anti-inflammatory and antimicrobial effect. Ingasetshenziselwa i-diathesis, ukukhipha isikhumba.
Ulayini weCicaplast uhlanganisa izidakamizwa ezi-5 ezinemininingwane ehlukene kanye nezitho ezahlukene zomzimba. Udokotela wakho uzokusiza ukuthi ukhethe inketho efanele wena.
Ukungafani: hhayi.
Indlela yokukhetha amafutha okuphulukisa amanxeba esikhumbeni
Uma ukhetha amafutha okuphulukisa amanxeba esikhumbeni, udinga ukunaka ukwakheka. Kufanele ibe nezithako zemvelo, ama-antiseptics. Kubalulekile futhi ukuthi umuthi ube nomphumela oyinkimbinkimbi: ukhuthaza ukuphulukiswa okusheshayo kwezicubu ezonakalisiwe, ukulwa nokutheleleka, ukukhulula ubuhlungu nokuvuvukala. Kungcono ukubonisana nodokotela ngaphambi kokuthenga, ozohlola uhlobo lwesilonda futhi aluleke ikhambi eliphumelelayo.
Uma isilonda siphezulu, khona-ke kuyadingeka ukuqapha ukuhlanzeka kwaso, siphathe nge-antiseptics. Kungenzeka ukusebenzisa kanye ngosuku amafutha okuphulukisa aqukethe i-panthenol, i-methyluracil.
Uma isilonda sijulile ngokwanele, khona-ke ngemva kokwelashwa ngama-antiseptic agents, amafutha ane-antibacterial and regenerating effect asetshenziswa. Amalungiselelo anjalo aqukethe i-antibiotic kanye nento ephulukisayo. Ungase udinge ukungenelela kokuhlinzwa.
Uma isilonda sibhobokile noma sidabukile, kubalulekile ukumisa ukopha futhi uhambise isisulu ngokushesha egumbini lezimo eziphuthumayo. Amafutha e-antibacterial kanye / kanye ne-antiseptic anqunywe kusukela ngosuku lokuqala lokwelashwa ngaphansi kwe-bandage.
Amanxeba ama-purulent ayingozi ngoba angaholela ekudakeni okujwayelekile komzimba.3. Kulokhu, amafutha ajwayelekile okuphulukisa amanxeba asetshenziswa kuphela ekupheleni kokwelashwa.
Ukubuyekezwa kodokotela mayelana namafutha okugcoba amanxeba okuphulukisa esikhumbeni
Odokotela abaningi abahlinzayo baqinisekisa ukuthi ijeli ye-Prontosan ingasetshenziswa ekwelapheni kwendawo yamanxeba ahlanzekile. Kuyasiza ukunciphisa isikhathi sokuphulukisa nokunciphisa ubuhlungu obukhulu. Futhi, amafutha okugcoba i-Betadine ne-Stellanin abonisa imiphumela emihle ekwelapheni amanxeba. Bavimbela ukutheleleka futhi basize ukusheshisa inqubo yokuvuselelwa kwezicubu.
Imibuzo nezimpendulo ezidumile
Ngemibuzo ethandwa kakhulu mayelana nokunakekelwa nokwelashwa kwesilonda, U-PhD, udokotela oneminyaka engaphezu kwengu-20 yesipiliyoni u-Olga Matveeva uyaphendula.
Indlela yokuphatha kahle amanxeba avulekile esikhumbeni?
• Geza izandla zakho ngamanzi anensipho afudumele futhi usebenzise isihlikihla sesandla esinotshwala.
• Geza isilonda ngaphansi kwamanzi agobhozayo (isilonda akufanele sihlikihlwe, siklwejwe noma siklwelwe) uma lokhu kuyiyona ndlela yokwelapha.
• Yelapha isilonda nge-Betadine solution (ayisishisi isikhumba futhi ilungele noma yimaphi amanxeba), noma isixazululo se-Prontosan, noma isixazululo se-hydrogen peroxide engu-3% ukumisa ukopha nokuhlanza isilonda. • I-Peroxide ikuvumela ukuthi uthambise uqweqwe, ususe ukunwebeka futhi wenze kube lula ukuhlanzwa kwesilonda kusuka ezicutshini ezifile kanye nokungcola.
• Faka ibhandishi/ibhandishi enxebeni.
Phatha isilonda ngokuvamile izikhathi ezingu-2-3 ngosuku. Isilonda esipholayo sihlala sibuhlungu futhi sizwela amasonto ambalwa. Vikela indawo yenxeba ekulimaleni kwangaphandle, gwema ukungqubuzana nezingubo. Ngalesi sikhathi, ungagcina isilonda simbozwe ngebhandeshi noma ukhonkolo oyinyumba.
Yini engakwazi ukuphatha isilonda esikhumbeni?
• Ungasebenzisi amanzi aphuma emanzini ukugeza isilonda.
• Ungatheli iodine noma i-alcohol enxebeni – lokhu kungabangela ukusha. Isikhumba kuphela esizungeze isilonda singaphathwa nge-iodine, futhi i-suture yokuhlinzwa iphathwa ngezixazululo zotshwala.
• Ungagcobi amaqabunga enxebeni. iqhwa, njll.
Indlela yokunakekela isilonda se-postoperative?
Lapho inqubo yokwakhiwa kwezicubu ezincane iqala, izicelo zokugcoba kanye ne-physiotherapy yengezwa ekwelapheni ngezixazululo ze-antiseptic.
Kubalulekile ukuhlola i-suture nokulawula inqubo yokuphulukisa. Uma kukhona ukwenqatshwa kwezintambo zokuhlinzwa, ukuvuvukala nokuvuvukala komthungo, ubomvu buqala ukubonakala futhi izinga lokushisa likhuphuka, khona-ke kufanele ufune iseluleko sezokwelapha.
Imithombo:
- Imibono yesimanje mayelana ne-pathogenesis kanye nokwelashwa kwamanxeba ama-purulent. Ukuhlinzwa. Ijenali. NI Pirogova, 2011. https://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-ni-pirogova/2011/5/030023-12072011515
- Izakhiwo ze-Pharmacological ze-methyluracil. TA Belousov. M., 2020. https://retinoids.ru/pub/articles/farmakologicheskie-svoistva-metiluratsila?print
- Ama-phlegmons namathumba - amathuba esimanje okwelashwa. Ingosi yesayensi yezokwelapha nesebenzayo Lvrach/ru, 2001. https://www.lvrach.ru/2002/01-02/4529181