Kugabana Urubanza rwa NPWT Kubuvunika Bwuzuye bwa Tibia Iburyo na Fibula

Umugabo w'imyaka 57 yavunitse ku mpera ya tibia iburyo na fibula iburyo kubera imvune zatewe nakazi, kandi igufwa ryimbere rya tibia iburyo ryashyizwe ahagaragara

Ubuvuzi bubi bwo kuvura ibikomere (NPWT) nuburyo bwo gukuramo amazi no kwandura ibikomere kugirango bibafashe gukira.Funga igikomere ukoresheje imyenda idasanzwe (bande) hanyuma uhuze pompe yoroheje.

 

Abaganga barashobora gusaba NPWT gutwikwa, ibisebe byumuvuduko, ibisebe bya diyabete, nibikomere bidakira (igihe kirekire) cyangwa ibikomere.Ubu buvuzi burashobora gufasha abarwayi gukira vuba no kugabanya kwandura.

 

Amashami akoreshwa muri uru ruhererekane n'ibimenyetso bijyanye:

Ihahamuka ry'amagufwa:

Guhura n'amagufwa hamwe no kwandura, ibyapa byerekana ibyuma bifitanye isano no kwandura, kwandura kwa tendon hamwe no kwandura, kwandura nyuma yo gukosorwa kw'ibihimba byo hanze, ingingo zoroshye zo mu ngingo hamwe na necrosis;Gukomeretsa kwa Avulsion hamwe no kwandura, kuvunika gukinguye hamwe nubusembwa bworoshye, gufungura igikomere cyigihe kirekire kidakira, kurinda agace katewe uruhu mbere na nyuma yo gutera uruhu, osteomyelitis, sinus na syndrome ya osteofascial.

 

Ishami ryo gutwika:

Kureka icyiciro cya kabiri gutwika / byimbitse ya kabiri yaka, inyuma yimvune yubushyuhe bwumuriro, kuvura ibikomere bishya, kuvura ibikomere bishaje, ibisebe nyuma yo gutwikwa kwa perineal, TBSA 5% gutwika

Gutwika umugongo bikabije, gukomeretsa imbunda, gukomeretsa

 

Igikomere kidakira:

Ibiganza byintoki zidakira, diyabete yamaguru ibirenge nonunion igikomere,

Ibisebe bidakira by'ingingo, ibisebe bya sacrococcygeal, ibisebe byo kuryama

 

Ishami ryihutirwa:

Gukomeretsa kwa Avulsion, gukomeretsa kwangirika, gukomeretsa kurimbuka, inenge yumubiri woroshye no guhura namagufwa

Inenge yoroheje ntishobora gufunga murwego rumwe no gusana ibikomere nyuma yo gutemwa

 

Kubaga amaboko n'amaguru:

Gukata ingingo zo hasi, amaboko n'amaboko

 

Kubaga rusange no kubaga umutima:

Nyuma yo kwikinisha bikabije, gusana ibikomere, kuvura kanseri y'inkondo y'umura, gukomeretsa, stoma, empyema idakira, esofagus anastomose, fistula pleural, fistula stoma, nibindi.

Pu sponge ku ishusho

Pu sponge ni sponge yumye, kandi ibikoresho bya polyurethane nibikoresho byiza byokoresha ubushyuhe bwumuriro kwisi.Azwi nka "plastike ya gatanu nini", irashobora gutandukanya ibintu bifatika nkubucucike, ubworoherane no gukomera muguhindura formula;Gusaba mugukomeretsa;Ifite ibyiza byo gucunga exudate, igaragara mubushobozi bwamazi menshi, cyane cyane ibereye ibikomere bikabije kandi byanduye, bigatera imitsi ya granulation no kwemeza igitutu kimwe.

Inama: kwifata nabi sponge izahura nibibazo bitandukanye.Kurugero, abarwayi bafite alubumu nkeya bagomba guhagarika umuvuduko mubi, bakongeramo proteine ​​mbere, hanyuma bagakora igitutu kibi nyuma yo guhagarara, bitabaye ibyo hakabaho gutakaza proteine ​​nyinshi, bikunda guhura nibibazo.