Uma uthola inxeba ndawana thize, ngezinye izikhathi likhipha uketshezi olucacile olufana namanzi, akunjalo? Empeleni kuyinto evamile. Kuyindlela yomzimba wethu yokuzama ukwelapha inxeba. Kodwa wake waphawula ukuthi ngezinye izikhathi uketshezi olujiyile, olufana nobisi, ngezinye izikhathi oluphuzi, oluluhlaza, olunephunga elibi luphuma enxebeni? Yilokho esikubiza ngokuthi 'i-pus'. Kwezokwelapha, lesi simo sibizwa ngokuthi i-Purulent Drainage . Akuvamile ukuba nobomvu obuphuma kanje. Kubonisa ngokusobala ukuthi inxeba lakho lithelelekile. Ngakho ake sixoxe ngalokhu namuhla.
Iyini ngempela le 'nto engcolile'?
Kalula nje, ubomvu buwumphumela wempi eyenzeka ngaphakathi kwesilonda sakho. Cabanga ngakho, lapho isikhumba sakho siphukile, amagciwane (ngokuvamile amagciwane) angangena emzimbeni wakho ngawo. Uma lokho kwenzeka, amangqamuzana amhlophe egazi, asebenza 'njengamasosha' emizimbeni yethu, eza lapho ukuzolwa nala magciwane ahlaselayo.
Le ngxube ejiyile yamagciwane afile, amangqamuzana amhlophe egazi, kanye namangqamuzana esikhumba alimele akhiwa phakathi nalokhu kulwa ibizwa ngokuthi i-pus. Yingakho umbala wayo, ukuthungwa kwayo, kanye nephunga layo kuhlukile koketshezi oluvela esilondeni esivamile.
Into ebalulekile ukuthi uma ubona ubomvu, kusho ukuthi amasosha omzimba wakho alwa namagciwane, kodwa futhi adinga usizo ukuze anqobe leyo mpi.
Ingabe konke uketshezi oluvela ebhodleleni luwubomvu? Ake sifunde umehluko.
Cha. Kunomehluko omkhulu phakathi koketshezi olujwayelekile oluphuma esilondeni lapho luphola (ukuphuma kwamanzi angcolile) kanye nobomvu obuphuma esifweni (ukuphuma kwamanzi angcolile). Kubaluleke kakhulu ukuqaphela lo mehluko.
| Isici | Ukugeleza kwamanzi aphuma esilondeni esivame ukuphola | Ukugeleza kwamanzi okuphuma enxebeni elithelelekile |
|---|---|---|
| Umlingiswa | Uketshezi, njengamanzi. | Ijiyile, njengobisi noma ukhilimu. |
| Umbala | Kucacile, mhlawumbe kupinki/kuphuzi kancane. | Kungaba mhlophe, ophuzi, oluhlaza okotshani, onsundu noma opinki. |
| Iphunga | Cishe akukho phunga. | Kukhona iphunga elibi nelingathandeki. |
| Usayizi | Ngokuvamile inani elincane liza. | Kungase kufike okunye, mhlawumbe kuzoqhubeka nokugeleza. |
Uma inxeba lakho livuza uketshezi olufana nencazelo ekholomu ngakwesokudla, kungenzeka ukuthi kuyisibonakaliso sokutheleleka.
Ubani osengozini enkulu yokuthola ubomvu?
Noma ubani angathola isilonda esithelelekile futhi athole ubomvu. Akusikho nje ngenxa yephutha lakho. Kodwa-ke, abanye abantu basengozini enkulu kancane.
- Abantu abanezimilo zomzimba ezibuthakathaka: Abantu abanezifo ezifana nesifo sikashukela, umdlavuza, noma labo abaphuza imithi ecindezela izimilo zabo zomzimba bakuthola kunzima ukulwa namagciwane.
- Ababhemayo: Ukubhema kuphazamisa ukujikeleza kwegazi, okunciphisa ukulethwa komoya-mpilo nezakhamzimba enxebeni, okudingekayo ukuze inxeba liphole.
- Abantu abanokukhuluphala ngokweqile: Ukuphulukiswa kwenxeba kungase kubambezeleke ngenxa yokungatholakali kahle kwegazi ezicutshini ezinamafutha amaningi.
- Amanxeba amakhulu, ajulile, noma aqinile: Uma inxeba likhulu, amathuba okungena kwamagciwane maningi.
- Ukulimala ngento engcolile: Uma ulimala yinto efana nesipikili esigqwalile noma into engcolile, ingozi yokungena kwamagciwane iphezulu kakhulu.
- Ukulunywa yisilwane noma umuntu: Lolu hlobo lwamanxeba lungatheleleka ngokushesha ngenxa yamagciwane emlonyeni.
Hlobo luni lokwelashwa olunikezwa udokotela ngalokhu?
Uma ubona udokotela onenxeba eligcwele ubomvu, uzoqala ahlole inxeba ngokucophelela. Ngemuva kwalokho, uhlobo lwenxeba, indawo elikuyo, kanye nempilo yakho iyonke kuzocatshangelwa ukuze kunqunywe ukwelashwa okungcono kakhulu.
Kunezinhloso ezimbili eziyinhloko:
1. Susa imbangela yokutheleleka futhi uvimbele ukwakheka kobomvu obengeziwe.
2. Ukulawula umswakama ozungeze isilonda nokusiza isikhumba esisha sikhule.
Nazi ezinye zezindlela zokwelapha ezivamile zalokhu:
- Ama-antibiotic: Uma ukutheleleka kubangelwa amagciwane, ama-antibiotic anganikezwa ukulwa nawo. Ngezinye izikhathi, isampula yobomvu iyahlolwa ukuze kutholakale umuthi ofanele amagciwane athile akhona.
- Ukuhlanza nokubopha inxeba: Udokotela uzohlanza inxeba kahle bese esebenzisa 'ibhandeji' elikhethekile elingamunca ubomvu. Lokhu kuzosiza ekugcineni indawo emanzi ukuze inxeba liphole.
- Ukusikwa Nokukhipha Amanzi (I&D): Uma ubomvu obuningi buqoqene ngaphakathi kwesilonda futhi kwakha ithumba, udokotela uzonikeza umuthi omncane wokubulala izinzwa, enze ukusika okuncane endaweni, bese ekhipha amanzi futhi ahlanze wonke ubomvu obungaphakathi.
- Ukwelashwa Ngezilonda Ezingacindezeleki: Lena indlela esetshenziswa ezilonda eziyinkimbinkimbi kakhulu. Lapha, kufakwa 'ibhandeji' elikhethekile phezu kwenxeba, bese kufakwa umshini omncane ('ipompo') kulo ukuze kususwe uketshezi nobomvu njalo enxebeni. Lokhu kusiza inxeba ukuthi liphilise ngokushesha.
Kwenzekani uma isilonda esigcwele ubomvu sishiywa singelashwa?
Lena yingxenye ebaluleke kakhulu. Kuyingozi kakhulu ukuhlala nje ucabange ukuthi, "Kulungile" uma unenxeba eligcwele ubomvu. Kunezinto eziningana ezingase zenzeke uma zingelashwa:
- Inxeba Elingapheli: Inxeba lingase lingapholi amasonto noma izinyanga.
- Ukusabalala kokutheleleka:
- I-cellulitis: Ukutheleleka kusakazekela esikhumbeni esizungeze isilonda, okwenza indawo ibe bomvu, ivuvuke, ishise futhi ibe buhlungu.
- I-Osteomyelitis: Ukutheleleka kungasakazeka kujule emathanjeni (emathanjeni). Lesi yisimo esibi kakhulu okunzima kakhulu ukuselapha.
- I-Septicemia: Amagciwane angangena egazini, okubangela ubuthi egazini.
- I-Sepsis: Lesi yisimo esiyingozi kakhulu. Ngenxa yokutheleleka, umzimba uba matasa kakhulu bese uqala ukulimaza izitho zawo. Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo .
Ngakho-ke, uma ubona ubomvu buvela esilondeni, ungamane nje ungabunaki njengenkinga encane. Kuyisixwayiso esingathi sína esivela emzimbeni wakho!
Kufanele uye nini kudokotela?
Uma unokungabaza ngokulimala, kungcono ukubona udokotela. Funa iseluleko sezokwelapha ngokushesha , ikakhulukazi uma unezinye zezimpawu ezingezansi.
| Uma unalezi zimpawu... | Okufanele ngikwenze |
|---|---|
| Uma inxeba liphuma ubomvu obukhulu, obufana nobisi, obunombala. | Bonana nodokotela ngokushesha. |
| Uma kukhona iphunga elibi elivela esilondeni. | Bonana nodokotela ngokushesha. |
| Uma isikhumba esizungeze inxeba siba bomvu, sivuvukele, sishise, noma sibe buhlungu. | Bonana nodokotela ngokushesha. |
| Uma unomkhuhlane noma uzizwa ungaphilile. | Bona udokotela ngokushesha. (Ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) kungafaneleka.) |
| Uma inxeba selipholile izinsuku eziningana futhi lingabonakali izimpawu zokuphola. | Bona udokotela. |
Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungalinakekela kanjani inxeba lakho. Ukulandela leyo miyalelo kubalulekile ukuze ululame ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuma kobomvu esilondeni kuyisibonakaliso esicacile sokutheleleka futhi akuyona ingxenye yenqubo evamile yokuphulukiswa.
- Ukushintsha kombala, ukuqina, noma iphunga lobomvu kubonisa ukuthi ukutheleleka kuya ngokuya kuba kubi kakhulu .
- Uma ubona isimo esinjengalesi, shaya indiva isimo sengqondo sokuthi "kuzolunga ngokwako" bese ubona udokotela ngokushesha . Gwema ukuzelapha.
- Uma ukutheleleka kungelashwa, kungasakazekela esikhumbeni, emathanjeni, ngisho nasegazini, okubangela izimo ezisongela ukuphila njenge- sepsis .
- Ukugcina inxeba lihlanzekile kahle kuyindlela engcono kakhulu yokuvimbela ukwakheka kobomvu.
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