Zamkatimu
Pansi pa bala, madokotala amatanthawuza kuwonongeka kulikonse kwa khungu komwe kumachitika chifukwa cha zoopsa zakunja. Ichi ndi tanthauzo louma la sayansi. Kwa munthu wovulalayo, chilondacho ndi ululu, kutuluka magazi, kuwonongeka ndi khungu lotupa.
Nthawi zambiri munthu amamva malingaliro owopsa akuti mabala amachira msanga akasiyidwa. Izi zimangogwira zilonda zazing'ono zapakhungu. Kuvala koyenera kwa chilonda kumatetezanso kufalikira kapena kulumikizidwa kwa matenda.1, ndi kugwiritsa ntchito mafuta apadera ochiritsa mabala ndi antiseptics kufulumizitsa khungu kuchira. Komanso, m'ma pharmacies pali kusankha kwakukulu kwa mankhwala omwe amalimbikitsa kusinthika kwa minofu, kuteteza matenda, kuthetsa ululu ndi kutupa.
Mulingo wamafuta 10 apamwamba otsika mtengo komanso othandiza pochiritsa mabala pakhungu malinga ndi KP
1. Oflomelid
Mafuta a Oflomedid ali ndi antibayotiki ofloxacin, chifukwa chake amachepetsa kutupa ndipo amaperekedwa kuti azichiza mabala a purulent ndi mayaka. Methyluracil mu kapangidwe ka mafuta amathandizira kufulumizitsa kusinthika kwa minyewa yowonongeka pama cell. Lidocaine amaletsa madera owonongeka. Kuphatikiza pa mabala, Oflomelide nthawi zambiri amaperekedwa pochiza zilonda zam'mimba ndi zilonda zam'mimba.
Contraindications: mimba ndi mkaka wa m`mawere, zaka mpaka zaka 18, hypersensitivity kwa zigawo zikuluzikulu za mankhwala.
2. Neotanine chitonthozo kuphatikiza
Kutonthoza kwa Neotanin kuphatikiza zonona kumapangitsa kuti pakhale machiritso ofulumira a madera owonongeka a khungu, kuphatikiza mabala, zotupa ndi zokhwasula, kukokoloka. Mankhwalawa amateteza bwino ku matenda komanso amachepetsa kuyabwa, amakhala ndi anti-inflammatory effect. Mothandizidwa ndi zonona, khungu limauma ndikuchira msanga.
Contraindications: munthu hypersensitivity kwa zigawo zikuluzikulu za mankhwala.
3. Gelisi ya Prontosan
Zikavuta, pamene matenda wothandizila pabala ndi kugonjetsedwa ndi zokhudza zonse maantibayotiki ndi antiseptics m`deralo, dokotala akhoza kupereka mankhwala kuti amawononga zoteteza biofilm opangidwa ndi mabakiteriya, mavairasi ndi bowa. Mankhwala otere ndi Prontosan gel. Iwo amatsuka bala kuchokera ichor, necrotic, zimakhala, fibrinous mafilimu, ndipo linalake ndipo tikulephera kukula kwa tizilombo ting'onoting'ono. Mankhwalawa ndi othandiza pa nthawi iliyonse ya machiritso a bala, komanso ndi oyenera mabala omwe amachiritsidwa pang'onopang'ono ndi khungu.
Contraindications: ayi.
4. Mafuta a Methyluracil
Mafuta a Methyluracil ali ndi dzina lomweli la methyluracil, lomwe limathandizira machiritso pama cell a mabala, kukokoloka ndi zilonda pakhungu. Mafutawa amaperekedwa kwa mabala ovuta kuchiritsa ndi kutentha, amachotsa kusapeza bwino ndi kutupa ngati photodermatitis (matenda adzuwa). Komanso, mankhwala ntchito odwala khansa kupewa Matupi khungu zimachitikira pa kuwala kwa zotupa. Mafuta a Methyluracil amatha kuphatikizidwa ndi mtundu uliwonse wamafuta ochiritsa bala.
Contraindications: hypersensitivity, redundancy of granulations pabala. Ntchito mosamala pa mimba ndi yoyamwitsa, ana osapitirira zaka 12 zakubadwa.
5. Eplan zonona
Zonona za Eplan zimakhala ndi bactericidal, regenerating, machiritso a bala ndi analgesic effect, zomwe zimapangitsa kuti zikhale zofunikira kwambiri panyumba yothandizira yoyamba. The mankhwala amachita pa zigawo zonse za khungu, moisturizes ndi kufewetsa, kuwononga ambiri tizilombo ndi mabakiteriya, kuteteza malowedwe awo ndi chitukuko cha zotupa pustular. Ndipo Eplan, ikagwiritsidwa ntchito, imachepetsa msanga ululu ndi kuyabwa.
Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala.
6. Bepanten mafuta
Maziko a mafutawo ndi lanolin yachilengedwe ndi chinthu chogwira ntchito - panthenol imayambitsa machiritso a khungu ndi mabala ang'onoang'ono, kuyaka, kuyabwa, kuyabwa, kuyabwa. Kusankhidwa kwa Bepanten kumathandizanso pazovuta kwambiri - ndi zilonda zam'mimba, zilonda zam'mimba, komanso pambuyo poika khungu. Komanso, mafutawa amagwiritsidwa ntchito mwakhama monga chithandizo ndi kupewa khungu louma.
Contraindications: hypersensitivity kwa dexpanthenol.
7. Mafuta a Sulfargin
Mafuta a Sufargin amaperekedwa pochiza zilonda zam'mimba, zotupa ndi mabala, zilonda zam'mimba komanso zilonda zam'mimba. Komanso, mankhwalawa asonyeza mphamvu zake pochiza bedsores, pamene akuyamba kusinthika kwa minofu. Mafutawa ali ndi ayoni asiliva, omwe ali ndi bactericidal effect. Mukakumana nawo, chipolopolo cha mabakiteriya a pathogenic chimawonongedwa, ndipo tizilombo timafa.
Contraindications: mimba, mkaka wa m`mawere, ana osapitirira chaka chimodzi, hypersensitivity kuti sulfonamides. Mankhwala sayenera kugwiritsidwa ntchito pochiza purulent mabala akuya ndi moto ndi amphamvu kulekana kwa exudate.
8. Cycaderma
Cycaderma ndi mafuta achilengedwe onse ozikidwa pazitsamba zisanu zamankhwala. Calendula imathandiza machiritso ndi kupereka elasticity kwa zipsera, St. John wa liziwawa ali odana ndi yotupa ndi analgesic zotsatira, zakutchire rosemary relieves ululu ndi kuyabwa, yarrow amachepetsa magazi, ndi msana amateteza khungu. The mafuta analamula zochizira mabala, amayaka, abrasions ndi ming'alu, amalimbikitsa machiritso awo mofulumira ndi kumatha youma khungu.
Contraindications: hypersensitivity kuti munthu zigawo zikuluzikulu za mankhwala, kulira dermatitis, ana osakwana 1 chaka. Osagwiritsa ntchito mafuta pa mucous nembanemba, mabala otseguka ndi okhudzidwa.
9. Betadine mafuta
Mafuta a Betadine ndi antiseptic komanso mankhwala opha tizilombo. Mukakhudzana ndi khungu ndi mucous nembanemba, ayodini amawononga mapuloteni a maselo a bakiteriya ndikupangitsa kufa kwa tizilombo. Ili ndi bactericidal pa mabakiteriya a gram-positive ndi gram-negative, bowa ndi mavairasi. Mafutawa angagwiritsidwe ntchito pansi pa mavalidwe oclusive.
Betadine imathandizira kupewa matenda, imathandizira kuchira msanga kwa mabala, zokopa, zotupa, mabala ang'onoang'ono, zotupa.
Contraindications: sangagwiritsidwe ntchito mwa ana obadwa msanga komanso obadwa kumene, hypersensitivity kwa ayodini, kukanika kwa chithokomiro cha chithokomiro (hyperthyroidism), chithokomiro adenoma. Chenjezo: matenda aimpso kulephera, mimba, yoyamwitsa nthawi.
10. Mafuta a cicaplast
Mafuta a Cicaplast ndi mankhwala omwe ali ndi zovuta zomwe zingagwiritsidwe ntchito mwa ana (komanso makanda) ndi akuluakulu. Cicaplast imachiritsa zotupa zazing'ono ndi zokanda, zimachepetsa kuyabwa komanso zimathandizira kuchira msanga kwa mabala. Kuphatikiza apo, mankhwalawa ali ndi anti-yotupa komanso antimicrobial kwenikweni. Angagwiritsidwe ntchito diathesis, peeling wa khungu.
Mzere wa Cicaplast umaphatikizapo mankhwala 5 okhala ndi mawonekedwe osiyanasiyana komanso magawo osiyanasiyana a thupi. Dokotala wanu adzakuthandizani kusankha njira yoyenera kwa inu.
Contraindications: ayi.
Momwe mungasankhire mafuta odzola ochiritsa mabala pakhungu
Posankha mafuta ochiritsa mabala pakhungu, muyenera kulabadira kapangidwe kake. Iyenera kukhala ndi zosakaniza zachilengedwe, antiseptics. Ndikofunikiranso kuti mankhwalawa akhale ndi zotsatira zovuta: zimalimbikitsa machiritso ofulumira a minofu yowonongeka, kulimbana ndi matenda, kuchepetsa ululu ndi kutupa. Ndi bwino kukaonana ndi dokotala musanagule, yemwe adzayang'ana chikhalidwe cha bala ndikulangiza mankhwala othandiza.
Ngati chilondacho ndi chapamwamba, ndiye kuti m'pofunika kuyang'anitsitsa ukhondo wake, kuchichitira ndi antiseptics. Ndizotheka kugwiritsa ntchito mafuta odzola kamodzi patsiku omwe ali ndi panthenol, methyluracil.
Ngati chilondacho chili chozama, ndiye kuti mutatha chithandizo ndi antiseptic agents, mafuta odzola omwe ali ndi antibacterial ndi regenerating effect amagwiritsidwa ntchito. Kukonzekera kotereku kumakhala ndi maantibayotiki ndi mankhwala ochiritsa. Mungafunikire kuchitidwa opaleshoni.
Ngati chilondacho chang'ambika kapena kung'ambika, ndiye kuti ndikofunikira kusiya kutuluka kwa magazi ndikutumiza wovulalayo mwachangu kuchipinda chodzidzimutsa. Mafuta a antibacterial ndi / ndi antiseptic amaperekedwa kuyambira tsiku loyamba la chithandizo pansi pa bandeji.
Mabala a purulent ndi owopsa chifukwa angayambitse kuledzera kwa thupi.3. Pankhaniyi, ochiritsira machiritso mafuta mabala ntchito kokha kumapeto kwa mankhwala.
Ndemanga za madokotala za mafuta ochiritsa mabala pakhungu
Madokotala ambiri ochita opaleshoni amatsimikizira kuti gel osakaniza a Prontosan angagwiritsidwe ntchito pochiza mabala a purulent. Zimathandiza kuchepetsa nthawi ya machiritso komanso kuchepetsa ululu waukulu. Komanso, mafuta odzola a Betadine ndi Stellanin amasonyeza zotsatira zabwino pochiza zilonda. Amaletsa matenda ndikuthandizira kufulumizitsa kusinthika kwa minofu.
Mafunso ndi mayankho otchuka
Pamafunso otchuka okhudza chisamaliro ndi chithandizo cha zilonda, PhD, dokotala yemwe ali ndi zaka zopitilira 20 Olga Matveeva amayankha.
Momwe mungachitire bwino mabala otseguka pakhungu?
• Sambani m'manja ndi madzi ofunda a sopo ndikugwiritsa ntchito kupaka m'manja kokhala ndi mowa.
• Tsukani chilondacho pansi pa madzi oyenda (chilondacho chisasindidwe, kukanda kapena kukanda) ngati ichi ndi chithandizo choyambirira.
• Tetezani chilonda ndi mankhwala a Betadine (sawotcha khungu ndipo ndi oyenera zilonda zilizonse), kapena mankhwala a Prontosan, kapena 3% ya hydrogen peroxide solution kuti asiye kutuluka kwa magazi ndi kutsuka bala. • Peroxide imakulolani kuti mufewetse kutumphuka, kuchotsa kutsekemera komanso kumachepetsa kwambiri kuyeretsa kwa bala kuchokera ku minofu yakufa ndi dothi.
• Pakani bandeji/bandeji pabala.
Kuchiza chilonda zambiri 2-3 pa tsiku. Chilonda chochiritsa chimakhalabe chowawa komanso chovuta kwa milungu ingapo. Tetezani malo a bala kuti asawonongeke kunja, pewani kukangana ndi zovala. Panthawi imeneyi, mukhoza kusunga bala yokutidwa ndi bandeji kapena wosabala pulasitala.
Kodi kuchitira chilonda pa khungu?
Musagwiritse ntchito madzi a m'madzi potsuka bala.
• Osathira ayodini kapena mowa pabalapo - izi zitha kuyambitsa kutentha. Khungu lozungulira pabalalo limatha kuthandizidwa ndi ayodini, ndipo suture ya opaleshoni imathandizidwa ndi mowa.
• Osapaka masamba pabala. chipale chofewa, etc.
Momwe mungasamalire bala la postoperative?
Pamene njira yopangira minofu yaing'ono ikuyamba, kugwiritsa ntchito mafuta odzola ndi physiotherapy kumawonjezeredwa ndi mankhwala ophera tizilombo toyambitsa matenda.
Ndikofunikira kuyang'ana mtseno ndikuwongolera machiritso. Ngati pali kukana kwa ulusi wa opaleshoni, kutupa ndi kutupa kwa msoko, mafinya amayamba kuonekera ndipo kutentha kumakwera, ndiye kuti muyenera kufunsa dokotala.
Sources:
- Malingaliro amakono pa pathogenesis ndi chithandizo cha mabala a purulent. Opaleshoni. Lembani iwo. NI Pirogova, 2011. https://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-ni-pirogova/2011/5/030023-12072011515
- Pharmacological katundu wa methyluracil. TA Belousov. M., 2020. https://retinoids.ru/pub/articles/farmakologicheskie-svoistva-metiluratsila?print
- Phlegmons ndi abscesses - njira zamakono zothandizira. Medical sayansi ndi zothandiza portal Lvrach/ru, 2001. https://www.lvrach.ru/2002/01-02/4529181