Ngaba nawe ufake umbhobho wotyando emva kotyando? Makhe sithethe ngale nto!

Usenokuba ukhe wabona umsele omncinci ufakwa emzimbeni wakho emva kotyando, okanye usenokuba ukhe wawufumana. Usenokuziva ungakhululekanga, akunjalo? Kodwa ungakhathazeki, le yinto ebaluleke kakhulu eya kunceda inxeba lakho liphole ngokukhawuleza kwaye linciphise iingxaki. Ngoko ke namhlanje, masithethe kancinci ngale msele yotyando.

Yintoni idreyini yotyando?

Ngamafutshane, idreyini yotyando sisixhobo esincinci esisetyenziselwa ukukhupha ulwelo kwindawo otyando kuyo, oko kukuthi, inxeba lakho. Emva kotyando, njengoko inxeba liphola, ulwelo olufana neengcola zeeseli, igazi elithile, kunye namanzi luya kuphuma. Ukuba ezi zinto ziqokelelana ngaphakathi kwenxeba, zinokulibazisa ukuphola kwaye ngamanye amaxesha zikhokelele kwiintsholongwane. Ngoko ke le dreyini ibekwa ukuze ikhuphe ulwelo kwaye incede inxeba ukuba liphilise ngokukhawuleza. Ukuba inyanyekelwa ngokufanelekileyo, inokunciphisa kakhulu umngcipheko wosulelo.

Ngelixa unalo mbhobho, kuya kufuneka ugcine irekhodi lokuba lungakanani ulwelo oluphumayo yonke imihla kunye nombala walo. Olu lwazi luya kunceda ugqirha wakho aqonde indlela inxeba eliphola ngayo kunye nexesha lokususa umbhobho. Lunokunceda ekufumaneni naziphi na iingxaki, ezinje ngosulelo, kwangethuba.

Ewe, ukuba nalo mbhobho emlonyeni wakho kuya kuvakala kungaqhelekanga kwaye kungakhululeki. Kuya kuthatha ixesha ukuqhela. Kodwa khumbula, le yinxalenye ebaluleke kakhulu yenkqubo yakho yokuphiliswa, kwaye yeyexeshana. Nokuba akubonakali kunjalo ngoku, lo mbhobho wotyando uya kukhawulezisa ukuphiliswa kwakho.

Ifuneka nini idreyini yotyando?

Oogqirha bafaka ezi tyhubhu emva kweentlobo ezahlukeneyo zotyando. Ngokuxhomekeke kutyando olwenzileyo, ityhubhu ingafakwa ngenxa yezi zizathu:

• Nqanda ulwelo ukuba lungaqokeleleki ngaphakathi kwenxeba.
• Khupha ubovu okanye ulwelo olusulelekileyo.
• Vimbela ukuba igazi lingaqokeleli ngaphakathi kwenxeba (i-hematoma).
• Thintela ukuqokelelana kolwelo olucacileyo (i-seroma).

Ugqirha ufaka le tube ngelixa ungekho zingqondweni, oko kukuthi, phantsi kwe-anesthesia. Ngoko awuyiva xa ifakwa.

Zisebenza njani ezi misele zotyando?

Zonke iityhubhu zikhupha ulwelo oluvela enxebeni, njengegazi kunye ne-lymph, emzimbeni. Nangona kunjalo, indlela okwenziwa ngayo oku iyahluka ngokuxhomekeke kuhlobo lwetyhubhu.

• Iinkqubo zokukhupha amanzi ezivulekileyo: Ezi zinetyhubhu evulekileyo kwelinye icala. Elinye icala letyhubhu lifakwa ngaphakathi kwenxeba, kwaye ulwelo oluphuma kwelinye icala luqokelelwa kwisiqwenga segauze esisetyenziswa eluswini lwakho. Umxhuzulane utsala ulwelo oluphuma enxebeni luze lungene kwigauze. I-'Penrose drain' yenye yeenkqubo ezivulekileyo ezinjalo.

• Iinkqubo zokukhupha amanzi/zokufunxa ezivaliweyo:Isiphelo esinye sezi zinto singaphakathi kwenxeba, kwaye esinye isiphelo siqhagamshelwe kwisikhongozeli esincinci esenzelwe ukuqokelela ulwelo. Uxinzelelo lomoya oludalwa kukucinezela esi sikhongozeli lutsala ulwelo kancinci kancinci enxebeni luze luqokelele kwisikhongozeli. Iidrain ze-`Jackson-Pratt (JP)` kunye ne-`Hemovac drains` zezona nkqubo zivaliweyo.

Ziziphi iintlobo eziphambili zemibhobho yotyando?

Izixhobo zotyando ziza kwiintlobo ngeentlobo ezahlukeneyo kunye neemodeli, kodwa uninzi loogqirha basebenzisa iintlobo ezintathu eziphambili:

1. Ityhubhu kaJackson-Pratt (JP): Le yityhubhu ende neguquguqukayo. Kwelinye icala kukho isikhongozeli esincinci esimile okwebhalbhu. Elinye icala letyhubhu lifakwa enxebeni. Icala lebhalbhu lijonge kude nomzimba. Xa le bhalbhu icinezelwe, itsala ulwelo enxebeni. Le `JP drain` yeyona tyhubhu isetyenziswa kakhulu.

2. Ityhubhu yePenrose: Ityhubhu yePenrose yityhubhu ethambileyo neguquguqukayo eneziphelo ezimbini. Xa elinye icala lifakwa enxebeni, ulwelo luphuma kulo. Ekubeni elinye icala liphuma enxebeni, ulwelo luyaphuma. Olu lwelo luqokelelana kwisiqwenga segauze esibekwe eluswini.

3. Ityhubhu yeHemovac: I-`Hemovac drain` isebenza ngendlela efanayo ne-`JP drain`. Nangona kunjalo, endaweni yebhalbhu kwisikhongozeli apho ulwelo luqokelelana khona, yityhubhu eguquguqukayo ye-cylindrical. Itsala ulwelo xa icinezelwe. Ingaqokelela ulwelo olungaphezulu kune-`JP drain`.

Ziziphi iingxaki ezinokuvela kwiipayipi zotyando?

Iingenelo zokufakwa kwe-catheter ngotyando zingaphezulu kakhulu kuneengxaki ezinokubakho. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzazi:

• Kukho umngcipheko wokosuleleka.
• Indawo apho umbhobho ungena khona eluswini isenokuba iyarhawuzelela kwaye ibomvu .
• Umbhobho ungaphuma ngempazamo , uvuza ulwelo, okanye uvaleke .

Kodwa ungakhathazeki! Uninzi lwezi ngxaki zinokuthintelwa ngokugcina inxeba licocekile kwaye ulandele imiyalelo kagqirha wakho ngononophelo. Ukuba unemibuzo malunga nendlela yokunyamekela ityhubhu yakho, qiniseka ukuba ubuza ugqirha wakho okanye umongikazi.

Ndingayinyamekela njani idreyini yam?

Iqela lakho lezonyango liza kukunika imiyalelo yendlela yokunyamekela inxeba lakho kunye neetyhubhu ozifakileyo. Le miyalelo inokwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo kunye nohlobo lweetyhubhu ozifakileyo. Ufanele ulandele le miyalelo ngononophelo.

Ngokubanzi, ukunyamekela inxeba kuthetha ukuligcina licocekile kwaye lingenazo iintsholongwane. Kuya kufuneka utshintshe ibhandeji rhoqo, ususe naluphi na ulwelo oluqokelelana kwiimpompo zamanzi ezivaliweyo, kwaye urekhode naluphi na ulwelo oluphumayo.

Indlela yokutshintsha ibhandeji kwinkqubo yokukhupha amanzi evulekileyo

Ugqirha wakho uza kukuxelela ukuba kufuneka utshintshe ibhandeji kangaphi (ngesiqhelo isiqwenga segauze) kunye nokuba ucoce inxeba na. Kungcono ukunyamekela inxeba kufutshane nesinki apho unokuhlamba khona izandla zakho. Hlamba izandla zakho kakuhle kwaye uzicoce ngaphambi kokuba uphathe ibhandeji nangaphambi kokuba uchukumise inxeba.

1. Hlamba izandla zakho kakuhle ngesepha namanzi (okanye sebenzisa isicoci esisekelwe kutywala). Sebenzisa itawuli ukucima impompo.

2. Susa ibhandishi endala uze uyilahle.

3. Hlamba izandla zakho kwakhona uze unxibe iiglavu ezicocekileyo (ezingenazintsholongwane).

4. Hlamba inxeba rhoqo ngesepha namanzi okanye ngesixhobo sokucoca amanxeba.

5. Phatha ulusu ngetawuli ecocekileyo.

6. Beka ibhandishi entsha phezu kwenxeba. Indlela oyenza ngayo le nto ingahluka kancinci ngokuxhomekeke kuhlobo lwetyhubhu onayo.

Indlela yokususa ulwelo kwimisele yamanzi evaliweyo

Kwiinkqubo ezivaliweyo, njengoko isikhongozeli esibamba ulwelo sizaliseka, ubungakanani bolwelo esinokulutsala kulo buyancipha. Yiyo loo nto kufuneka ulususe rhoqo ulwelo. Khupha isikhongozeli xa sele sigcwele isiqingatha.

1. Hlamba izandla zakho kakuhle.

2. Ngesandla sakho esingenamandla, bamba ityhubhu malunga nobude bomnwe ukusuka apho ingena khona enxebeni. Yibambe ngokuqinileyo. Oku kuya kuthintela ityhubhu ekutsaleni inxeba ngexesha lenyathelo elilandelayo kwaye kubangele intlungu.

3. Ngesandla sakho esinamandla, bamba ityhubhu engaphantsi kwendawo oyibambe kuyo, uze utyhale ulwelo olungaphakathi kwityhubhu ungene kwisikhongozeli.

4. Susa isivalo kwisitya sokuqokelela uze uthulule ulwelo kwikomityi yokulinganisa.

5. Nje ukuba ingabi nanto, cinezela isitya ngelixa ubeka isiciko kwakhona. Eli nyathelo lokugqibela lelo lidala uxinzelelo lomoya ngaphakathi kwityhubhu kwaye likhuphe ulwelo ngaphandle.

Ukugcina amanqaku malunga nolwelo (umbala kunye nobungakanani)

Kufuneka ugcine umkhondo wolwelo oluphumayo, oko kukuthi, ukuba lubonakala njani. Njengoko inxeba liphola, ulwelo lutshintsha umbala. Lunokuba nombala wegazi (ongenagazi), ulwelo olucacileyo (olungenagazi), kwaye ekugqibeleni lube mhlophe (olungenagazi - ngokuqhelekileyo lube tyheli). Olu tshintsho lombala luphawu lokuba uyaphola:

• Ubomvu obumnyama (igazi elininzi)
• Ubomvu obukhanyayo okanye opinki (oxutywe negazi kunye nolwelo olucacileyo)
• Umthubi okhanyayo (onombala wengca) okanye ocacileyo (ulwelo olucacileyo kakhulu)

Kufuneka uqaphele nokuba ulahlekelwa lulwelo olungakanani. Ukuncipha kokulahleka kolwelo imihla ngemihla kukwabonisa ukuba uya uphucuka.

• Ukuba yi-Penrose drain, bhala phantsi ukuba i-bandage itshintshiwe nini kwaye i-gauze imanzi kangakanani.
• Ukuba yi-'JP drain' okanye i-'Hemovac', bhala phantsi ixesha ityhubhu ekhutshwe ngalo kunye nokuba ingakanani incindi eyayikwisikhongozeli sokuqokelela. Jonga ubungakanani obukwikomityi yokulinganisa uze ubhale phantsi ubungakanani.

Iimpompo zotyando kufuneka zigcinwe ixesha elingakanani endaweni yazo?

Kuxhomekeke kuhlobo lotyando olwenzileyo, ubungakanani bolwelo oluphumayo, kunye nezinye izinto ezimbalwa. Abanye abantu banokufuna ukuhlala kwityhubhu iiyure ezingama-24 okanye ngaphantsi, ngelixa abanye banokufuna ukuhlala kwityhubhu ukuya kuthi ga kwiiveki ezintlanu.

Njengoko inxeba liphola, ubungakanani bolwelo oluphumayo kufuneka bunciphe kancinci kancinci. Ukugcina umkhondo wobungakanani bolwelo olulahlekayo kuya kunceda ugqirha wakho azi ukuba lixesha elifanelekileyo lokususa ityhubhu.

Ngaphambi kokuba uphume esibhedlele, buza ugqirha wakho ukuba uza kuhlala ixesha elingakanani kwityhubhu.

Indlela yokususa umsele wotyando

Ungaziva ungakhululekanga okanye uzive ngathi uyatsalwa xa ugqirha esusa ityhubhu yotyando. Idla ngokususwa ngolu hlobo lulandelayo:

1. Ugqirha ucoca indawo nge-antiseptic.

2. Sika umthungo onamathele enxebeni.

3. Umbingeleli uza kuyikhupha ityhubhu. Kule ndawo, ungaziva ngathi utsala okanye ucinezela.

4. Okokugqibela, ukuba kukho ukopha, yigqume ngebhandeji ukuze uyithintele.

Kuza kubakho umngxuma omncinci eluswini lwakho apho kwakukho khona ityhubhu. Kungathatha iiveki ezininzi ukuba iphole ngokupheleleyo, kwaye usenokuba nesilonda esincinci apho kwakukho khona ityhubhu.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ubona ezi mpawu zosulelo, bona ugqirha wakho ngoko nangoko:

• Ukuba umkhuhlane uphezulu ngama-100.4 degrees Fahrenheit (38 Celsius) okanye ngaphezulu.
• Ukuba indawo yenxeba ibomvu, idumbile, ishushu, okanye ibuhlungu .
• Ukuba ubona imicu ebomvu kwindawo yenxeba.
• Ukuba ulwelo oluvela enxebeni lunuka kakubi, luluhlaza, okanye lutyebile .

Kwakhona, ukuba ityhubhu ayisebenzi, okanye ukuba ubona naziphi na iimpawu zezinye iingxaki, fowunela ngoko nangoko:

• Ukuba izititshi zakho zikhululekile.
• Ukuba ityhubhu iphuma enxebeni.
• Ukuba ubungakanani bolwelo oluphumayo buqhubeka nokwanda kangangeentsuku ezimbini (kufuneka bunciphe).
• Ukuba ulwelo luye lwaba pinki, lumthubi okhanyayo, okanye lucacile, luze luphinde lube bomvu kwakhona (olu luphawu lokopha).
• Ukuba kukho umsele ovaliweyo wenkqubo, ulwelo luqalile ukuphuma kwindawo etyumkileyo yenxeba.
• Kwinkqubo evaliweyo, ukuba ulwelo luyeka ngequbuliso ukutsalwa kumbhobho.

Ukuba unamathandabuzo malunga nokuba unyamekela inxeba okanye ityhubhu yakho ngokufanelekileyo na, qiniseka ukuba ubuza ugqirha wakho. Kungcono ukuhlala ukhuselekile kunokuzisola kwaye uphephe ukufumana usulelo.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Nangona ngamanye amaxesha kunokuvakala kungakhululekanga kwaye kungakhululeki, i-drain yotyando linyathelo nje elinye ekubuyiseleni ngokupheleleyo. Ngaphambi kokuba uphume esibhedlele, iqela lakho lezonyango liza kukuchazela indlela yokunyamekela i-drain. Xa bephuma, ungathandabuzi ukubuza imibuzo. Wakufika ekhaya, yenza ukunyamekela i-drain kunye ne-wound yinxalenye yemisebenzi yakho yemihla ngemihla. Yinike ugqirha wakho, kwaye ugcine irekhodi yolwelo oluphumayo. Ndikunqwenelela ukuchacha ngokukhawuleza!

` umngxuma wotyando, umngxuma wotyando, ukuphiliswa kwamanxeba, ukhathalelo emva kotyando, umngxuma weJP, umngxuma wePenrose, umngxuma weHemovac