1. NPWT yavumbuwe ryari?
Nubwo gahunda ya NPWT yatunganijwe mu ntangiriro ya za 90, imizi yacyo ishobora kuva mu mico ya mbere.Mu bihe by'Abaroma, byizerwaga ko ibikomere byakira neza iyo byonsa umunwa.
Dukurikije inyandiko, mu 1890, Gustav Bier yashyizeho uburyo bwo gukinisha burimo ibirahuri hamwe nigituba cyuburyo butandukanye.Abaganga barashobora gukoresha ubu buryo kugirango bakuremo ibikomere mu bice bitandukanye byumubiri wumurwayi.Muri iki gihe, NPWT ikomeje kugira ibyiza mu gukiza ibikomere bigoye.
Kuva icyo gihe, NPWT yagize uruhare runini mu kuvura
2. Uburyo NPWT ikora？
Ubuvuzi bubi bwo kuvura (NPWT) nuburyo bwo gukuramo amazi no kwandura ibikomere kugirango bifashe gukira.Imyambarire idasanzwe (bande) ifunzwe hejuru y igikomere hanyuma pompe yoroheje ikomekwa.
Ubu buvuzi bukubiyemo imyambarire idasanzwe (bande), igituba, igikoresho kibi, hamwe na kanseri yo gukusanya amazi.
Abatanga ubuvuzi bazahuza ibice byo kwambara ifuro kumiterere y igikomere.Imyambarire izahita ifungwa na firime.
Filime ifite aho ifungura umuyoboro.Umuyoboro uganisha kuri pompe ya vacuum na kanseri aho amazi yakusanyirijwe.Pompo vacuum irashobora gushirwaho kugirango ikomeze, cyangwa rero itangira igahagarara rimwe na rimwe.
Pompe vacuum ikuramo amazi no kwandura igikomere.Ibi bifasha gukurura impande z igikomere hamwe.Ifasha kandi igikomere gukira mugutezimbere imikurire mishya.
Iyo bikenewe, antibiyotike na saline birashobora gusunikwa mu gikomere.
3. Kuki nkeneye?
Doctor irashobora gusaba NPWT nibaabarwayikugira umuriro, ibisebe byumuvuduko, ibisebe bya diyabete, igikomere kidakira (kirekire), cyangwa igikomere.Ubu buvuzi burashobora gufasha igikomere cyawe gukira vuba hamwe nindwara nke.
NPWT ni amahitamo meza kubarwayi bamwe, ariko siko bose.Doctor azahitamo niba abarwayi ni umukandida mwiza kuri ubu buvuzi ukurikije ubwoko bwimvune nubuzima bwawe.
Birakwiye ko tumenya ko gukoresha NPWT nabyo bigarukira murwego.Sisitemu ya NPWT ntigomba gukoreshwa mu kuvura ibikomere niba umurwayi afite ibimenyetso bikurikira:
1. Abarwayi bafite uburwayi bwa coagulation cyangwa indwara zamaraso
2. Abarwayi bafite hypoalbuminemia ikabije.
3. Ibikomere bya Kanseri
4. Ibikomere biva amaraso
5. Abandi barwayi b’amavuriro badakwiye
6. Abarwayi bafite diyabete ikabije
4. Kuki NPWT ari nziza？
Kurinda
NPWT ni sisitemu ifunze ifasha kurinda uburiri bw igikomere kwanduza hanze.Bitabaye ibyo, NPWT nayo igumana uburinganire bwuzuye mubikomere kugirango ibidukikije bikire neza.Kurinda igikomere kugabanya ibyago byo gusubira murwego rwo gutwika, umubare wimpinduka zo kwambara ugomba kugabanuka.
Gukiza
Igihe cyo gukira igikomere nyuma yo gukoresha NPWT cyaragaragaye, gikiza igikomere vuba kuruta uburyo gakondo.Ubuvuzi buteza imbere granulation, bigabanya kuribwa no gukora ibitanda bishya bya capillary.
Icyizere
NPWT irashobora gutwarwa hirya no hino, bigatuma umurwayi agenda yisanzuye, akongerera igihe umurwayi akora, kandi akabemerera kubaho neza bafite ikizere.NPWT ikuraho bagiteri na exudate ikabije, ikomeza kubungabunga uburiri bwuzuye igikomere kandi igatera gukira vuba.Hamwe na NPWT, kuvura ibikomere birahari 24/7, bigabanya impungenge z'umurwayi n'umutwaro.
5.Ni ibihe bintu biranga NPWT nkoresha？
PVA sponge yubuvuzi ni sponge itose, ibikoresho bifite umutekano, byoroshye biringaniye kandi birakomeye, bidafite uburozi kandi ntibitera uburakari no kugenzura;birenze urugero.
PU sponge ni sponge yumye, kandi ibikoresho bya polyurethane nicyo kintu cyiza cyane cyo kubika ubushyuhe ku isi.Ifite ibyiza mu micungire ya exudate, igaragara muri: ubushobozi bwamazi menshi, cyane cyane bubereye ibikomere bikabije kandi byanduye, bitera ingirabuzimafatizo, kandi bigatanga igitutu kimwe.
Imashini ya NPWT irashobora gukoreshwa kandi irashobora gutwarwa nawe kugirango ukomeze guhanagura igikomere.Hariho uburyo butandukanye bwo guswera kugirango uhindure gahunda yo kuvura ibikomere bitandukanye.
6. Ndacyashaka izindi nama
Nigute imyambarire ihinduka?
Guhindura imyambarire yawe buri gihe ni ngombwa cyane kugirango ukire.
Ni kangahe?
Mu bihe byinshi, imyambarire igomba guhinduka inshuro 2 kugeza kuri 3 mu cyumweru.Niba igikomere cyanduye, imyambarire irashobora gukenera guhinduka kenshi.
Ninde ubihindura?
Kenshi na kenshi, imyambarire izahindurwa numuforomo wo kwa muganga cyangwa serivisi yubuzima bwo murugo.Uyu muntu azahugurwa byumwihariko guhindura ubu bwoko bwo kwambara.Rimwe na rimwe, umurezi, umwe mu bagize umuryango, cyangwa inshuti ashobora gutozwa guhindura imyambarire.
Ni ubuhe buryo bukwiye kwitabwaho?
Umuntu uhindura imyambarire akeneye gukora ibi bintu:
Gukaraba intoki mbere na nyuma ya buri myambarire ihinduka.
Buri gihe ujye wambara uturindantoki.
Niba bafite imiterere ifunguye cyangwa uruhu, tegereza kugeza ikize mbere yo guhindura imyambarire yawe.Muri iki gihe, undi muntu agomba guhindura imyambarire yawe.
Birababaza?
Guhindura ubu bwoko bwo kwambara bisa no guhindura ubundi bwoko bwo kwambara.Irashobora kubabaza gato, bitewe n'ubwoko bw'igikomere.Baza abashinzwe ubuzima kugirango bagufashe kugabanya ububabare.
Bizatwara igihe kingana iki kugirango nkize igikomere cyanjye?Igihe bifata igikomere cyawe kugirango gikire biterwa nibintu byinshi.Ibi birashobora kubamo ubuzima bwawe muri rusange, ingano n’aho igikomere, hamwe nimirire yawe.Baza umuganga wawe icyo ugomba kwitega.
Nshobora kwiyuhagira?
Oya. Amazi yo kwiyuhagira arashobora kwanduza igikomere.Nanone, kwambara ku gikomere birashobora guhinduka iyo bifashwe munsi y'amazi.
Igihe cyo kohereza: Ukwakira-25-2022