Zilonda za trophic sindiye matenda odziyimira pawokha.
Kuwoneka kwa zilonda pakhungu kumawonetsa ma pathologies owopsa omwe amapezeka mthupi - monga mitsempha ya varicose, vuto la endocrine (zilonda zambiri zomwe zimachitika chifukwa cha matenda apamwamba a shuga mellitus), zotupa zam'mimba zam'mimba, zotupa zamkati mwa khungu la etiologies ambiri (erysipelas ndi zina zotero. kupitilira).
Mkhalidwe wakunja wa kuphwanya minofu trophism ndi kothekanso - mwachitsanzo, ndi zowawa, kutentha kapena kozizira kwambiri.
Magulu a mankhwala omwe amagwiritsidwa ntchito pochiza zilonda zam'mimba
Chithandizo cha zilonda zam'mimba zimafuna nthawi yayitali. Pankhaniyi, wodwalayo ayenera kumvetsetsa kuti ngati izi zili zowopsa kudzilingalira - ndizotheka kukulitsa zomwe zilipo ndikuwonetsa chithunzi cha chipatala, chomwe chingalepheretse katswiriyo kudziwa chifukwa chenicheni cha zilonda zam'mimba.
Dokotala wodziwa bwino yekha ndi amene angathetse vutoli - ndiamene angapereke chithandizo choyenera kwa wodwalayo (mwachilengedwe, atatola anamnesis ndikupanga matenda athunthu).
Mankhwala otsatirawa amagwiritsidwa ntchito pochiza zilonda:
- Mankhwala olimbitsa makhoma ndikuwongolera magwiridwe antchito amitsempha yamagazi: phlebotonics (Phlebodia, Troxevasinum). Chifukwa cha iwo, makoma olimbitsa mtima amakhala otanuka kwambiri, kutuluka kwa magazi kumakhala koyenera.
- Maanticoagulants (Heparin) - amathandizira kuti magazi azichepetsedwa komanso kuti magazi asamasokonekera.
- Mankhwala a Fibrinolytic (Streptokinase).
- Antispasmodics (No-shpa) - kuti muchepetse ma cidrome owawa.
- Immunomodulating ndi mankhwala ambiri olimbitsa, ma enzyme - kuwonjezera kagayidwe kazinthu, kubwezeretsa chitetezo chathupi m'thupi.
- Mankhwala osapatsirana omwe amaletsa kutupa (Ibuprofen, Nimesulide) - amathandizanso kupweteka, kutulutsa kovuta m'matumbo.
- Ma antibacterial and antifungal agents (Levomekol, Sintomycin, Metronidazole, Diflucan) amagwiritsidwa ntchito, monga lamulo, mwaubwino (mwa njira yotsatsira) kapena mwa njira ya othandizira akumaloko magawo oyamba a matenda kuti apondereze kukula kwa tizilombo tating'onoting'ono tomwe timayang'ana pachilonda.
- Desensitizing mankhwala (Suprastin, Tavegil) ndi mankhwala azithandizo zam'deralo (mafuta odzola, ma gels ndi zina zotero).
Magulu atatu omaliza a mankhwalawa ndiwosangalatsa kwambiri, chifukwa chake muyenera kuyimilira ndikuwerenga mwatsatanetsatane.
Kanema kuchokera kwa katswiri pa mankhwalawa a zotupa zamiyendo:
Antibacterial ndi Antifungal
Kukula kwa chilonda mosalephera kumaphatikizapo matenda opezeka mabala otseguka.
Pofuna kuthana ndi kukula komanso kubereka kwa tizilombo tating'onoting'ono, ndikofunika kwambiri kuti tiyambe kugwiritsa ntchito mankhwala opha maantibayotiki, omwe amatanthauza kugwiritsa ntchito mankhwala oopsa. Chifukwa chiyani kwenikweni? Chowonadi ndi chakuti mabakiteriya ambiri okhala ndi vuto, mwatsoka, masiku ano amasiyana pafupifupi pakana mankhwala osagwirizana kwambiri.
Nthawi zambiri, fluoroquinolones ndi cephalosporins amagwiritsidwa ntchito pochiza.
Mankhwalawa amaperekedwa kudzera m'mitsempha kapena m'mitsempha, ndipo nthawi zina sagwiritsidwa ntchito kwambiri - mwa kupsinjika.
Chifukwa cha maantibayotiki, kaphatikizidwe kamapuloteni amasokonezeka mkati mwa cell yaying'ono, chifukwa chake imafa.
Maantibiotic amibadwo yaposachedwa amadziwika ndi kulolerana kwabwino komanso kusakhalapo kwathunthu pazotsatira zoyipa.
Kulimbana ndi bakiteriya nthawi zambiri kumayambitsa matenda oyamba ndi mafangasi - chifukwa chake, kupita kwa asing'anga kungathenso kuvomereza kuti odwala azitenga mankhwala opha maantibayotiki nthawi yomweyo (monga mapiritsi, makapisozi kapena kulowetserera).
Mankhwala osokoneza bongo oletsa kuponderezana
NSAIDs amatha kuthana ndi zotupa, kuchepetsa kutupa ndi kupweteka, ndikuchepetsa kutentha - chifukwa cha izi, sangathe kugawidwa ndi chithandizo chovuta cha zilonda zam'mimba.
Njira yoyendetsera iyenera kukhala yifupi posachedwa (kupewa zotsatira zoyipa - mwachitsanzo, ma NSAID ali ndi vuto lalikulu pa ziwalo za m'mimba).
Komanso, musasakanize kulandila kwa ma analgesics angapo nthawi imodzi - izi sizibweretsa zotsatira zomwe zikufunidwa mwachangu, koma katundu pazogaya chakudya azikhala kwambiri. Mwambiri, oyang'anira a chitetezo cha mucous nembanemba amatayika munthawi yomweyo.
NSAIDs itha kugwiritsidwa ntchito ngati mitundu ya mapiritsi, ndi mitundu yopopera ndi mafuta ogwiritsira ntchito kumapeto.
Kukakamiza mankhwala
M'moyo wawo wonse, mabakiteriya amapanga mitundu yambiri ya mapuloteni omwe siachilendo ku microorganism.
Zotsatira zake, odwala omwe ali ndi zotupa za trophic amatha kukumana ndi zomwe zimachitika mderalo zomwe zimachulukitsa njira yotsatirawo komanso momwe wodwalayo alili.
Monga lamulo, thupi lawo siligwirizana limayendera limodzi ndi kuyabwa komanso redness yambiri. Kuphatikiza apo, kusalolera kwa mtundu wina uliwonse wa antibacteria kungachitike.
Pankhaniyi, kulandiridwa kwake kuyenera kuyimitsidwa pomwepo ndikufunsira katswiri posachedwa kuti asankhe mitundu yatsopano ya mankhwalawa, omwe akuphatikizanso ma antihistamines amitundu yosiyanasiyana ya mitundu (madontho, zothetsera, mapiritsi, ndi zina zambiri).
Makonda ayenera kuperekedwa kwa mankhwala amibadwo yaposachedwa - alibe zotsatira zoyipa monga kukhumudwa kwa chapakati mantha dongosolo ndi kawopsedwe.
Zakudya zochizira zam'deralo
Momwe mungamwere chilonda cham'mimba? Musanayambe kugwiritsa ntchito mafuta onunkhira ndi mafuta okhudzana ndi khungu lomwe lakhudzidwalo, liyenera kutsukidwa bwino ndikuthira mankhwala osokoneza bongo. Kudzimbidwa kumayenera kuchitika kangapo patsiku, mosamala momwe mungathere, kusamalira kuti musawononge m'mbali mwa mabala.
Malangizo otsatirawa a antiseptic mankhwala amalimbikitsidwa bwino:
- hydrogen peroxide;
- Chlorhexidine;
- Miramistin.
Nthawi zina, kukonzekera kwayekha kovomerezeka kumaloledwa - kutengera furatsilina, potaziyamu permanganate kapena mankhwala a chamomile (kapena zitsamba zina zamankhwala).
Mpweya womwe umatulutsidwa munthawi ya makutidwe a oxidation umatsuka bwino mabala kuchokera kwa mabakiteriya a purulent ndi necrotic, komanso umakhala ndi bactericidal ndi bacteriostatic.
Kenako, kuvala kwa gauze wokhala ndi mafuta apadera kumayikidwa pachilonda (monga lamulo, kumakhala ndi maantibayotiki ndi zinthu zochiritsa minofu) - Levomekol, Sintomycin.
Ndizotheka kugwiritsa ntchito mafuta ochulukitsa a mahormoni (corticosteroid) - Hydrocortisone, Lorinden - amagwira ntchito mwachangu kwambiri kuposa mafuta wamba, koma musaiwale kuti nthawi yomwe amagwiritsa ntchito imakhala yochepa kwambiri paz mafuremu ena ake.
Pakadali pano, mafuta onunkhira ngati Iruxol (okhala ndi collagenase ndi chloramphinecol pakuphatikizika), Solcoseryl, Argosulfan amafalitsidwa kwambiri. Zimathandizanso kukonzanso kwa malo owonongeka, kusintha njira zama trophic mu minofu ndikuletsa kufalikira kwa maluwa ofunda.
Kupukuta kwa activtex - kuvala kokhazikika mkati mwa mawonekedwe apadera (mafuta a sea buckthorn, aminocaproic acid, mavitamini) ndikupereka kuthetseratu kwa kupweteka, kuyeretsa komanso kuchiritsa zilonda, kungatengedwe kuti ndi chatsopano m'derali.
Kukonza Therapy
Gawo ili lodziwika ndi kuchepa kwa zochitika zamomwe zimachitikira. Mkati mwake, khungu limatsukidwa ndi zinthu za necrotic komanso purulent, njira za granulation zimayambika, kupanga kwa exudate kumachepetsedwa ndipo kutupa kumatha.
Mankhwala onse panthawiyi amachokera pa kugwiritsa ntchito mankhwala omwe amachititsa kuti pakhale ziwalo zina zolumikizana.
Pankhaniyi, mankhwala monga Detralex, antioxidants ndi mavitamini (Aevit, Selzinc ndi zina), Curiosin (zosakaniza zazikulu ndi hyaluronic acid ndi zinc), Solcoseryl (kapangidwe ka minofu ndi magazi a ng'ombe), nthawi zambiri amalembedwa.
Kuphatikiza apo, kugwiritsa ntchito ma elastic compression (kuvala bandeji), othandizira a phlebotonic amalimbikitsidwanso.
Gawo la epithelialization
Ili ndiye gawo lomaliza, gawo lamachiritso. Nthawi imeneyi, pakhungu pamalumikizidwa mafupa.
Amafunika kutetezedwa ku zisonyezo zamakina, chifukwa chake simuyenera kusiya kuvala mabandeji apadera. Kuphatikiza apo, mutha kugwiritsa ntchito mavalidwe anu pokonzekera malinga ndi collagen, gelatin (nthawi zina yosakanikirana ndi zinc).
Kuphatikiza pa mankhwala, njira za physiotherapy (kukonza ma microcirculation m'dera la zilonda zam'mimba) zimagwiritsidwa ntchito bwino pochiza zilonda zam'mimba - mankhwala a laser, darsonvalization, massage, ultrasound, etc., komanso kulowererapo kwa opaleshoni (monga akunenera).
Kuteteza Matenda
Monga mukudziwa, matenda aliwonse ndiosavuta kupewa kuposa kuchiritsa. Lamuloli limagwiranso ntchito zilonda zam'mimba.
Popewa kupezeka kwawo, ndikofunikira zonse kuti mupewe zomwe zimachitika chifukwa cha zomwe zimapezeka:
- ngati achibale ali ndi matenda monga mitsempha ya varicose, ndikofunikira kuyang'anitsitsa momwe miyendo yawo iliri (panthawiyi, zilonda zam'mimbayo zitha kuchitika), ngati kuli kotheka, gwiritsani ntchito zovala zapadera zamkati, gwiritsani ntchito venoprotectors ndikugawa katunduyo panthawi yolimbitsa thupi, kusinthanitsa ndi kupuma;
- matenda ashuga komanso chifukwa chachikulu cha zilonda zam'mimba - chifukwa chake, shuga yamagazi amayenera kufufuzidwa pafupipafupi;
- odwala matenda a mtima ayenera kuwunika kuthamanga kwa magazi kuti apewe kukula kwa matenda oopsa.
Zilonda zam'mimba za m'mimba ndi njira yayikulu kwambiri yopezera zovuta, pomwe wodwalayo ayenera kufunsa katswiri woyenera posachedwa. Njira zochepa zokhazikitsidwa ndi chiwalo chonse ndizomwe zingathandize kuthana ndi vutoli.
Makanema ogwiritsa ntchito azithandizo zamankhwala a zilonda zam'mimba:
Osadalira chithandizo ndi maphikidwe ena - atha kugwiritsidwa ntchito pokhapokha ngati kale adagwirizana ndi adokotala.
Kutsatira malingaliro onse ofotokozedwa kumathandizira wodwalayo kwakanthawi kochepa, ndipo kuzindikira kwa nthawi yayitali matenda omwe ali pachiwopsezo kumathandizira kupewa mtsogolo.
