1. N'oge mkpọchị na oge na-acha uhie uhie.akpụkpọ ahụ dị n'ógbè ahụ na-acha uhie uhie, fụrụ akpụ, na-ekpo ọkụ, ọgbụgbọ ma ọ bụ dị nro n'ihi nrụgide.N'oge a, onye ọrịa kwesịrị dinara n'elu akwa mkpuchi ikuku (nke a na-akpọkwa Operating Room Positioner) iji mụbaa ọnụ ọgụgụ ntụgharị na ịhịa aka n'ahụ, ma kenye ndị ọrụ pụrụ iche na-elekọta ma ọ bụrụ na ọ dị mkpa.Enwere ike ịwụsa mmanya mmanya 45% ma ọ bụ mmanya 50% safflower n'ọbụ aka maka ịhịa aka n'ahụ mpaghara n'okpuru nrụgide maka 10 min.A na-eji tincture 0,5% mee ihe na-acha uhie uhie na fụrụ akpụ nke ọnya nrụgide.
2. N'oge mkpali infiltration oge.acha ọbara ọbara na ọzịza nke mpaghara anaghị ebelata, akpụkpọ ahụ abịakọrọ na-atụgharị na-acha odo odo.Induration nke subcutaneous na-apụta, na ọnya epidermal na-etolite, nke dị mfe ịgbaji, onye ọrịa ahụ na-enwekwa mgbu.N'oge a, na-eji owu swab tinye na 4.75g / l-5.25g / l mgbagwoju iodine iji kpochapụ elu nke ebe ahụ emetụtara iji kpoo akụkụ ahụ, ma ṅaa ntị iji zere nrụgide na-aga n'ihu;Enwere ike iji sirinji wepụta nnukwu ọnya n'okpuru ọrụ teknụzụ aseptic (na-ebipụghị epidermis), wee kpuchie ya na 0.02% Furacilin Solution ma kechie ya na uwe na-adịghị mma.Na mgbakwunye, jikọtara ya na ọgwụgwọ infrared ma ọ bụ ultraviolet radieshon, ọ nwere ike ịrụ ọrụ nke mgbochi mkpali, ihicha na ịkwalite mgbasa ọbara.Ọ bụrụ na ọnya agbajiri agbaji, akpụkpọ ahụ dị n'ime nke akwa ọhụrụ nwere ike gbasaa ma sie ike na ọnya ahụ, ma kpuchie ya na gauze na-adịghị mma.Ọ bụrụ na afụ dị n'okpuru akpụkpọ ahụ dị n'ime akwa ahụ, jiri nwayọọ fesaa ya na bọọlụ na-adịghị mma iji kpoo ya, wee kpuchie ya na gauze na-adịghị mma, ma gbanwee uwe ya na mpaghara otu ugboro n'ụbọchị ma ọ bụ abụọ ruo mgbe ọnya ahụ ga-agwọta.Akpụkpọ anụ dị n'ime akwa nwere ike igbochi mmiri na ikpo ọkụ, zere ọrịa nje, ma na-eme ka epithelial na-eto eto;Usoro mgbanwe mgbakwasa a nwere mmetụta ọgwụgwọ doro anya n'ọkwa nke abụọ bedsore, usoro ọgwụgwọ dị mkpirikpi, ọrụ dị mma na obere mgbu maka ndị ọrịa.
3. Elu ọnya ogbo.Epidermal blisters ji nwayọọ nwayọọ na-agbasa ma gbawaa, ma exudate na-acha odo odo na-adị na ọnya akpụkpọ ahụ.Mgbe ọrịa ahụ gasịrị, pus na-apụta, na necrosis anụ ahụ dị elu na ọnya na-etolite.Nke mbụ, kpochaa ya na 1: 5000 potassium permanganate ngwọta, wee kpoo ọnya na akpụkpọ ahụ gbara ya gburugburu.Nke abuo, ndị ọrịa nwere ike iji oriọna ọkụ 60 watt iji mee ka akụkụ ebe ọnya na-apụta.Ụzarị infrared nke oriọna na-enwupụta na-enwe mmetụta ọgwụgwọ dị mma na bedsore.Ogologo irradiation dị ihe dịka 30 cm.Mgbe ị na-esi nri, bọlbụ ahụ ekwesịghị ịdị nso na ọnya ahụ ka ọ ghara ikpo ọkụ, ma ghara ịdị anya.Belata mmetụta achịcha.Ebe dị anya kwesịrị ịdabere n'ịkwalite ihicha na ọgwụgwọ nke ọnya ahụ.1-2 ugboro n'ụbọchị, 10-15 nkeji oge ọ bụla.Mgbe ahụ, a na-emeso ya dịka usoro mgbanwe mgbakwasa aseptic si dị;A pụkwara iji ejiji na-edozi ahụ mee ka ọnọdụ dị mma maka ọgwụgwọ nke elu ọnyá, nke mere na mkpụrụ ndụ epithelial ọhụrụ ahụ nwere ike kpuchie ọnya ahụ ma jiri nwayọọ nwayọọ gwọọ elu ahụ.Ekwesịrị ịhụ ọnọdụ mpaghara n'oge ọ bụla n'oge irradiation iji gbochie ọkụ.Mgbasa ọkụ mpaghara infrared nwere ike ịgbasa capillaries akpụkpọ anụ ma kwalite mgbasa ọbara anụ ahụ mpaghara.Nke abuo, maka ọnya na-adịghị agwọ ọrịa ogologo oge, tinye akwa shuga granulated na-acha ọcha na ọnya ahụ, wee kpuchie ya na gauze na-adịghị mma, mechie ọnya ahụ na teepu nrapado dum, ma dochie mgbakwasa ahụ kwa ụbọchị 3 ruo 7.Site n'enyemaka nke mmetụta hyperosmotic nke shuga, ọ nwere ike igbu nje bacteria, belata ọzịza nke ọnya ahụ, meziwanye mgbasa ozi mpaghara, mee ka nri dị n'ógbè ahụ dịkwuo elu, ma kwalite ọgwụgwọ ọnya.
4. Necrotic ọnyá afọ.Na necrotic ogbo, necrotic anụ ahụ na-awakpo dermis dị ala, purulent secretion na-abawanye, necrotic anụ ahụ na-agba ojii, na isi ísì na-agbasa ruo n'akụkụ na nke miri emi anụ ahụ, nke nwere ike iru ọkpụkpụ, na ọbụna na-akpata sepsis, na-etinye ndụ onye ọrịa n'ihe ize ndụ. .N'oge a, buru ụzọ hichaa ọnya ahụ, wepụ anụ ahụ necrotic, mee ka mmiri ahụ ghara igbochi ya, ma kwalite ọgwụgwọ nke elu ọnyá ahụ.Jiri saline isotonic na-adịghị ọcha ma ọ bụ 0.02% nitrofuran hichaa elu ahụ ọnya, wee kechie ya na gauze na mgbakwasa Vaseline na-adịghị mma, ma dochie ya otu ugboro n'ụbọchị ma ọ bụ abụọ.Enwere ike ịgwọ ya na metronidazole mmiri mkpakọ ma ọ bụ saline isotonic mgbe ihicha elu ọnya ahụ na ọlaọcha sulfadiazine ma ọ bụ nitrofuran.Maka ndị nwere ọnya miri emi na mmiri na-adịghị mma, a ga-eji ngwọta 3% hydrogen peroxide mee ihe iji gbochie uto nke nje anaerobic.Ekwesịrị ịnakọta ihe nzuzo nke elu ọnya ọnya mgbe niile maka ọdịnala nje na nyocha mmetụta ọgwụ, otu ugboro n'izu, a ga-ahọrọ ọgwụ dịka nsonaazụ nyocha siri dị.
(Maka naanị ntụaka)