Hawu! Umunwe wakho ubhajwe emnyango! Noma into esindayo iwele ozwaneni lwakho olukhulu! Sonke sike saba nalokhu okungenani kanye empilweni yethu, akunjalo? Kanye nobuhlungu obuhambisana nakho, ngemva kwesikhashana uzobona igazi eliluhlaza okwesibhakabhaka lihlangana ngaphansi kozipho lwakho. Uzoqala ukuzwa ubuhlungu obukhulu obuhlabayo. Lokhu yilokho esikubiza ngokuthi `(Subungual Hematoma)` kwezokwelapha. Ngakho-ke wenzani esimweni esinjengalesi? Ake sixoxe ngakho.
Kuyini Ukwelashwa Kwezinzipho?
Kalula nje, i-Nail Trephination inqubo yezokwelapha elula kakhulu nephephile yokususa igazi elivaleleke ngaphansi kozipho lwakho. Kuhilela ukubhoboza imbobo encane ngaphezu kozipho, lapho igazi liqoqene khona. Lokhu kuvame ukwenziwa udokotela e-Emergency Treatment Unit (ETU) yesibhedlela noma emnyangweni weziguli ezingalaliswa esibhedlela.
Into ebaluleke kakhulu ukuthi, ungazami ukwenza lokhu ekhaya nganoma yisiphi isizathu . Ukusebenzisa izinto ezifana nezikhonkwane nezinaliti kungaholela ezifweni ezinkulu futhi kwenze inxeba libe libi kakhulu.
Cabanga ukuthi uthinteke kakhulu emunweni wakho. Into engcono kakhulu ongayenza ekuqaleni ukufaka ama-ice cubes asongwe ngethawula endaweni. Ngezinye izikhathi lokhu kuzosiza ukunciphisa ubuhlungu. Kodwa-ke, uma ibala legazi ngaphansi kozipho likhula kakhulu, futhi ubuhlungu obuhlabayo bungabekezeleleki, kufanele nakanjani ubone udokotela. Udokotela uzobe esenquma ukuthi uyaludinga yini lolu hlobo lokwelashwa kwe-Nail Trephination noma cha. Bazohlola nokuthi kukhona yini omunye umonakalo emunweni, njengokuphuka kwethambo.
Yiziphi izimo ezifanelekela lokhu kwelashwa?
Lokhu kwelashwa kuvame ukwenziwa kuphela kuma-hematomas alula e-subungual. Okusho ukuthi, lapho uzipho luphukile, kodwa ingxenye enzima kakhulu yozipho (ipuleti lezipikili) isanamathele ngokuqinile ezicutshini ezithambile ezingaphansi (umbhede wezipikili). Kodwa-ke, kwezinye izimo, lokhu kwelashwa kukodwa kungase kunganeli.
| Isimo | Ukwelashwa |
|---|---|
| Ukulimala okulula (Uzipho aluphumanga, ubuhlungu kanye nokugeleza kwegazi kuphela) | Ukwelashwa nge-nail trephination kuvame ukwanele. |
| Ukuhlukaniswa kwezinzipho (Ukuhlukaniswa kwepuleti lezipikili) | Kungase kudingeke ukwelashwa okuyinkimbinkimbi kakhulu, mhlawumbe ngisho nokususwa kozipho. |
| Ukusikwa okujulile noma okuhlukene esikhondweni (Ukuhlukanisa noma ukusika okujulile) | Udokotela uzohlola inxeba bese enquma ukwelashwa okufanele kakhulu. |
Kungcono ukufuna iseluleko sezokwelapha ngokushesha nje lapho kwenzeka ukulimala. Lokhu kwelashwa kusebenza kahle kakhulu uma kwenziwa zingakapheli amahora angu-24 kuya kwangu-48 okuqala ngemuva kokulimala .
Kwenziwa kanjani lokhu kwelashwa? Ingabe kuyinto okufanele uyesabe?
Lutho neze. Lokhu kulula kakhulu futhi kuyashesha kunalokho ongase ukucabange. Awudingi noma yikuphi ukulungiselela okukhethekile. Udokotela uzochaza ukuthi angakwenza kanjani lokhu kuwe.
1. Ukuhlanza: Okokuqala, udokotela uzohlanza kahle izinzipho zakho nendawo ezungezile ngensipho namanzi. Ngemuva kwalokho, inxeba lizohlanzwa ngesisombululo sokubulala amagciwane (isb., i-Chlorhexidine).
2. Ukwenza imbobo encane: Okulandelayo, udokotela usebenzisa inaliti encane kakhulu, ithuluzi elikhethekile elinesihloko esishisayo (idivayisi ye-electrocautery), noma ithuluzi eliklanyelwe ngokukhethekile ukwenza imbobo encane ophikweni ngaphezu kwendawo lapho igazi liqoqene khona. Lokhu kubhoboza kuphela ingxenye eqinile yophiko, kushiye isikhumba esingaphansi singalimele.
3. Ukopha: Lapho nje ukubhoboza sekuqalile, igazi elalibambeke ngaphansi lizoqala ukuphuma. Ngesikhathi esifanayo, uzozwa ukucindezeleka nobuhlungu obuhlabayo emunweni wakho kuncipha ngokushesha .
4. Ukubopha: Ekugcineni, udokotela uzofaka ibhandishi elihlanzekile endaweni bese ekuyala ukuthi ungayinakekela kanjani ekhaya.
Yonke inqubo ithatha imizuzwana embalwa kuphela. Nakuba ingase izwakale ingakhululekile, uzozizwa ukhululekile kakhulu uma isiphelile.
Kwenzekani ngemva kokwelashwa?
Ungaya ekhaya ngokushesha ngemva kokwelashwa. Emahoreni angu-24-36 alandelayo, ungase ubone igazi elincane noma uketshezi luphuma emgodini wozipho lwakho. Lokhu kuvamile, ungakhathazeki. Into ebaluleke kakhulu ukugcina indawo ihlanzekile futhi yomile , ushintshe ibhandishi njengoba udokotela wakho ekutshela.
Kwenzekani uma igazi lingasuswa?
Akuzona zonke izibazi ezidinga ukwelashwa okunjalo. Kodwa-ke, uma unezinhlungu ezingabekezeleleki, kusho ukuthi umfutho wegazi ngaphakathi uphezulu kakhulu. Uma lelo gazi lingakhishwa, okulandelayo kungenzeka:
- Ubuhlungu obuhlala bushaya.
- Ukuzwela ngokweqile lapho uthinta umunwe.
- Ukulimala unomphela kwezinzipho (imibimbi, imifantu, izinguquko esimweni sezinzipho).
- Mhlawumbe uzipho luzophuma ngokuphelele.
Uzipho luzobonakala lumnyama amasonto ambalwa ngemva kokwelashwa. Lokhu kuyinto evamile. Indawo eshintsha umbala ivame ukuwa njengoba uzipho olusha lukhula. Ngokuvamile, uma kuwukulimala okulula, uzipho luzokhula kahle.
Izimpawu eziyisixwayiso zokuthi kufanele uphinde ubonane nodokotela
Uma kuvela noma yiziphi izimpawu zokutheleleka ezilandelayo ngemva kokwelashwa, bona udokotela wakho ngokushesha.
| Izimpawu Zokutheleleka | |
|---|---|
| 🔴 | Ukubomvu okusha noma okwandisiwe kwesikhumba esizungeze uzipho. |
| isandla_esivuvukile | Ukuvuvukala okwandisiwe. |
| ubomvu | Ubomvu obukhulu, obufana nobisi obuphuma esilondeni. |
| 🌡️ | Imfiva. |
Kujwayelekile ukuzizwa wesaba kancane uma uzwa ngokubhobozwa kwembobo esikhondweni sakho. Kodwa khumbula, i-Nail Trephination iyindlela ephephile kakhulu futhi ephumelelayo odokotela abavame ukuyisebenzisa ukuze banciphise ubuhlungu. Ngakho-ke, uma unezinzipho eziphukile, ungesabi ukubona udokotela ngaphandle kokubekezelela ubuhlungu. Lokhu kwelashwa okuncane kuzokunikeza impumuzo enkulu.
Umlayezo Wokuya Nawe Ekhaya
- Uzipho oluphukile oluqoqa igazi ngaphansi kwalo (i-subungual hematoma) lungaba buhlungu kakhulu.
- Uma ubuhlungu bukhulu futhi ibala legazi likhulu, kungcono ukubona udokotela zingakapheli amahora angu-48.
- Ukwelashwa kwezipikili kuyindlela elula kakhulu nephephile eyenziwa udokotela enikeza impumuzo ngokushesha ebuhlungwini nasekucindezelekeni.
- Ungalokothi uzame ukubhoboza izinzipho zakho ekhaya usebenzisa izikhonkwane, izinaliti, njll. Kungaholela ezifweni ezinkulu.
- Uma uhlangabezana nezimpawu ezifana nokubomvu, ukuvuvukala, ubomvu, noma umkhuhlane ngemva kokwelashwa, funa iseluleko sikadokotela ngokushesha.
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