Granulating mabala - ndichiyani? Namkulunga granulation Khwerero

Granulating mabala - ndichiyani? ndondomeko imakhala magawo angapo ayambe m'madera kuonongeka minofu. Malinga ndi kusalekerera kuvulazidwa kusiyanitsa kuwala ndi mabala ovuta. Ndi khalidwe lawo limakupatsani kulenga maulosi a mankhwala mlingo wabwino ndi minofu watsopano.

minofu kukonza gawo pambuyo kuvulala

magawo angapo osiyana ya machiritso chilonda :

• kutupa;
• gawo chilonda granulation;
• mapangidwe epithelium lapansi.

Komanso, nkhani tione zinthu masitepe minofu kusinthika mwatsatanetsatane. Tiyeni tione zimene kugwiritsa ntchito njira achire amathandiza kuti yambitsa njira ya granulation minofu kubwezeretsa oyambirira a m'madera kuonongeka ndi kasinthidwe ndi epithelium wathanzi.

yotupa gawo

Anapereka chilonda granulation ndondomeko chikuchitika mlungu cha kuwonongeka mapangidwe. Zimene chachikulu apa ndi kupanga zinthu mwa thupi zimene zimachititsa kumatheka magazi coagulation. Kugwiritsa granulation mabala kuyambitsa occlusion mtima. Choncho, mu malo ya magazi minofu kuwonongeka mabasi kwathunthu.

Patapita masiku angapo pa malo a chilonda amakhala chofuna minofu, omwe chifukwa cha kugawikana kwambiri selo. Kudzera mwa kumachitika pang'onopang'ono kukula kwa minofu latsopano.

Yotupa siteji ya bala granulation kumafunika suturing kwa kuwonongeka alipo. Chifukwa onse nsalu mokwanira amphamvu nkhawa, m'mbali mwa amene angathe mobwerezabwereza mogwirizana ndi ndondomeko machiritso chifukwa kukhala mokwanira osalimba granulation zakuthupi.

gawo granulation

Granulating mabala - ndichiyani? gawo ili adamulowetsa pafupifupi 7 Patapita masiku maonekedwe a zotupa. Pa nthawi imeneyi, chilonda anapitiriza kudzazidwa granulating wothandizira. Pa mwezi, mu dongosolo ake, mapangidwe maselo atsopano wathanzi, zinamera Mitsempha connective minofu amphamvu.

The anamaliza pa izi granulation siteji ya bala? Photos operekedwa ndi zinthu, tiyeni mukuona onse pa zilonda za utangoyamba minofu waikamo maselo wathanzi khungu. Poyamba, kuonongeka minofu ndi cholukanalukana zipsera achinyamata omwe mthunzi ofiira owala.

Gawo epithelialization wa zimakhala

Anapereka sitepe nthawi minofu machiritso imatchedwanso chilonda mapangidwe chilonda kapena nyumba ziŵalo. Pa gawo ikusonyezera palibe kanthu lotayirira kuti akhoza kumasulidwa ku bala. Pamwamba m'madera pa malo kuvulazidwa amakhala youma.

Ambiri anasonyeza epithelialization kumaonekera pafupi m'mphepete mwa chilondacho. Pali anapanga otchedwa Zilumba za mapangidwe minofu wathanzi, amene osiyana textured pamwamba. Pankhaniyi chigawo chapakati cha bala akhoza kukhala nthawi pa sitepe kutupa. Choncho, pa nthawi imeneyi, nthawi zambiri amachita masiyanidwe chithandizo. Imalimbikitsa yogwira kusinthika kwa maselo pafupi ndi m'mbali mwa chilonda ndi kuteteza suppuration mu gawo wofunika.

Malinga zovuta za komaliza bala epithelialization ukhoza chaka chimodzi. Panthawi imeneyi, kuwononga kwathunthu wodzazidwa ndi minofu latsopano ndi ataphimbidwa ndi khungu. Amachepetsa ndi kuchuluka koyamba ziwiya m'nkhaniyo cicatricial. Choncho, kusintha chilonda ofiira owala pa bwino khungu kamvekedwe.

Maselo amene mukugwira nawo njira chilonda granulation

Chifukwa muli machiritso ndi mathamangitsidwe ake? Namkulunga granulation ikuchitika mwa kutsegula kwa leukocytes, maselo maselo Posakhalitsa, fibroblasts ndi histiocytes.

Monga yotupa gawo otaya amapezeka kuyeretsa zimakhala. Kuletsa mwayi tizilombo toyambitsa matenda mu zigawo zozama za kuwonongeka chifukwa fibroblasts awo kusamala ndi fibrocytes. Ndiye, tingati othandiza magazi kuundana kuti kumumanga wothandizila udakali kumapangitsanso anachita catabolism.

Kenako thupi kupanga kwambiri T-lymphocytes, amene kudutsa mu chilonda ndi kumumanga mabakiteriya zikanavulaza. Kukula kwa ndondomeko izi kwenikweni limodzi ndi mafinya mvula. Ngati chilonda festers kwambiri, akusonyeza pamaso pa zimakhala za ndalama mvula tizilombo, amene "kuzidya" mwa T-lymphocytes.

Pa siteji ya granulation chimakhala chogwidwa ndi fibroblasts. Maselo umaimiridwa ndi mtundu kolajeni anachita mwa kulowetsa m'mbali mwa chilonda. Ndi kubweza ndondomeko pa chitukuko cha zotupa, kutupa, mapangidwe ndalama mvula minofu akufa. Choncho, osakwanira mayendedwe kolajeni minofu kuwonongeka zimathandiza kuchira yaitali.

Tanthauzo la machiritso chilonda ali ndi linanena bungwe yogwira maselo ziwalo, komanso kuonetsetsa mwayi chokwanira mpweya kwa zinkakhala m'dera. Kumathandiza kubwezeretsa oyambirira dongosolo minofu ndi machulukitsidwe wa thupi ndi vitamini C, nthaka, chitsulo.

Kusamalira poyamba chilonda machiritso

Yothetsera mulingo woyenera ayambe othamanga wa minofu anavulala amaoneka ngati ntchito zonse Mavalidwe. Disinfection ikuchitika ndi njira ya permanganate potaziyamu ndi hydrogen peroxide. zinthu izi chagwiritsidwa mu mawonekedwe a kutentha pa gauze ndi. Kenaka zolondola impregnation mabala ngati osaphatikiza zowawa kuonongeka manja - lingachititse matenda.

Mu masiteji koyamba bala machiritso ndi kutiletsa mokakamiza nadzawasankhula minofu akufa. Woyera flake mungathe zinthu zokhazo zimene mosavuta anakana ndi amadza pang'ono ndi forceps wosabala. Mapangidwe oyambirira nkhanambo necrotic m'madera ena ayamba mankhwala kwa 5 peresenti njira ayodini.

njira physiotherapy chithandizo

Mwa njira physiotherapeutic akhoza ziletso pa ultraviolet walitsa sitepe pamene ikuchitika mwachangu chilonda granulation. Ndi chiyani icho? Choyamba, ndi UFO lingaliro zolimbitsa matenthedwe mphamvu pa malo owonongeka. zothandiza makamaka mankhwala amenewa, ngati wovulalayo zimawonedwa stagnation wa granulation, lomwe ndi dongosolo limp. Ndi odekha pa bala ndi kunyezimira ultraviolet tikulimbikitsidwa pa nthawi imene nthawi yaitali palibe kumaliseche zachilengedwe a purulent zolengeza.

Granulating mabala - mankhwala ndi njira za makolo

Mu pamaso pa kuwonongeka zosavuta anakhudzidwa yekha yakumapeto kwenikweni, polumikizirana wosanjikiza pamwamba epithelium apeze akhoza agwiritsa ntchito njira wotchuka mankhwala. A njira yabwino apa zikuwoneka yokongola gauze Mavalidwe impregnated ndi mafuta a hypericum. The njira anapereka amalimbikitsa oyambirira akamaliza granulation gawo ndi minofu watsopano yogwira.

Kuti akonze njira pamwamba, ndi wokwanira pafupi 300 ml ya mafuta woyengedwa masamba ndi za 30-40 magalamu a zouma liziwawa St. Yohane. Sakanizani zosakaniza, zikuchokera ayenera yophika pa kutentha pang'ono kwa pafupifupi ola limodzi. Ostuzhennoy kulemera ayenera umasefedweramo cheesecloth. Ndiponso, angagwiritsidwe ntchito kutsatira Mavalidwe.

Kupoletsa mabala mu granulation sitepe komanso pogwiritsa ntchito paini utomoni. Yotsirizira atengedwa mu mawonekedwe woyera, chizitsukidwa ndi optionally chofooka anasintha chifukwa magetsi. Pambuyo kukonzekera mankhwala umagwiritsidwa ntchito minofu malo zowonongeka ndi kuliika ndi bandeji.

mankhwala Chithandizo

Nthawi zambiri chilonda granulation ndi mokwanira yaitali ndondomeko. kuchiritsa mlingo zimadalira boma la chamoyo ndi, dera kuwonongeka, chikhalidwe. Choncho, posankha mankhwala zochizira mabala kuti bwinobwino pa zomwe GAWO ndi chilonda pa kanthawi panopa.

Mwa mankhwala zothandiza kwambiri ayenera zotsatirazi:

• Mafuta "Atserbin" - chida mosalekeza kuti ingagwiritsidwe ntchito pa siteji iliyonse ya machiritso chilonda;
• Mafuta "Solcoseril" - granulation kumathandiza kuti kuwonongeka oyambirira kupewa kusokonezeka kwa minofu, maonekedwe a zotupa anam'peza;
• Gemoderivat ng'ombe za mkaka magazi - amapangidwa mu mawonekedwe a gel osakaniza ndi mafuta, kwambiri zosunthika mankhwala machiritso chilonda.

Nthawi zina mu njira ya machiritso chilonda ntchito mafuta regressing. Zikatero m'pofunika kuti nthawi zina kusiya kugwiritsa ntchito mankhwala kapena kuti awafike pamtima njira aluso Mwachitsanzo, mankhwala mu mawonekedwe a angakhale angelo. The chifukwa cha njira imeneyi mankhwala akhale wotchera kuyeretsa mabala, komanso zikamera wa granulation latsopano.

alowererepo opaleshoni

Pa akuchedwa njira granulation, mapangidwe bala zozama za chimachititsanso limene pali kudzikundikira burrowing mafinya. Zikatero n'zovuta kuyeretsa bala kutsatira mafuta ndi angakhale angelo. Kucotsa mavuto opweteka zambiri kumachitika mwa opaleshoni. Pankhaniyi, katswiri amachita ang'ambe thupilo, amachotsa mafinya kudzikundikira, ukuchiza bala, ndiyeno akusokoneza counteropening.

pomaliza

Choncho tinaganiza, granulating mabala - ndichiyani? Monga mmene kumapeto, mmodzi wa zinthu kudziwa imathandizira lipole ndi masiyanidwe chithandizo. Ubwino alinso kusankha olondola a mankhwala. Zonsezi zimathandiza kuti granulation othamanga m'dera kuonongeka ndi mapangidwe latsopano, wathanzi minofu.