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A yau bari mu koyi game da faruwar maƙarƙashiya da kuma yadda za a kare su

Idan wanda suke ƙauna ya ji rauni sosai ko kuma yana rashin lafiya sosai, za su iya ɗaukar lokaci mai yawa a gado.Dogon lokaci na rashin aiki, yayin da yake da amfani ga farfadowa, zai iya zama matsala idan sun sanya kullun kullun akan fata mai laushi.

Ciwon matsi, wanda kuma aka sani da gadoji ko ciwon gado, na iya tasowa idan ba a dauki matakan kariya ba.Ciwon gado yana faruwa ne sakamakon tsawaita matsi akan fata.Matsin yana rage kwararar jini zuwa yankin fata, yana haifar da mutuwar tantanin halitta (atrophy) da lalata nama.Ciwon matsi ya fi faruwa akan fatar da ke rufe kasusuwa na jiki, kamar idon sawu, diddigi, gindi, da kashin wutsiya.

Wadanda suka fi shan wahala su ne wadanda yanayin jikinsu ya hana su canza matsayi.Wannan ya haɗa da tsofaffi, mutanen da suka yi fama da bugun jini, mutanen da ke fama da raunin kashin baya, da mutanen da suka shanye ko naƙasassu.Ga waɗannan da sauran mutane, ciwon gadaje na iya faruwa duka a cikin keken hannu da kuma a kan gado.A1-3 Ƙarƙashin Ƙarƙashin Ƙaƙwalwar Hankali & Tsarin Horarwa (1)

Za a iya raba ciwon gyambon matsi zuwa ɗaya daga cikin matakai guda huɗu bisa la'akari da zurfinsa, tsanani, da halayen jiki.Ci gaban ulcers na iya gabatar da lalacewar nama mai zurfi wanda ya haɗa da tsoka da ƙashi da aka fallasa. Da zarar ciwon matsa lamba ya tasowa, yana iya zama da wuya a bi da shi.Fahimtar matakai daban-daban na iya taimakawa wajen tantance mafi kyawun tsarin aiki.

Kungiyar Bayar da Shawarwari ta Matsalolin Ulcer ta Amurka tana rarraba gyambon matsi zuwa matakai hudu, dangane da girman lalacewar nama ko zurfin gyambon.Ana iya raba matakan ƙungiya zuwa:

I.

Maƙarƙashiya na Stage I suna da ja a saman fata marar kyau wadda ba ta zama fari idan an danna.Fatar na iya zama mai dumi don taɓawa kuma ta bayyana ta fi ƙarfi ko laushi fiye da fatar da ke kewaye.Mutanen da ke da launin fata masu duhu suna iya fuskantar bayyanar launin fata.
Edema (kumburin nama) da induration ( hardening nama) na iya zama alamun ciwon matsa lamba na mataki 1.Matsi na matakin farko na iya ci gaba zuwa mataki na biyu idan ba a sauƙaƙa matsa lamba ba.
Tare da gaggawar ganewar asali da magani, ciwon matakin farko yakan warware cikin kwanaki uku zuwa hudu.

II.

Ana gano ciwon ciki na mataki na 2 lokacin da fata marar kyau ta tsage ba zato ba tsammani, yana fallasa epidermis kuma wani lokacin dermis.Launukan na sama ne kuma galibi suna kama da abrasions, fashewar blisters, ko ramuka mara zurfi a cikin fata.Mataki na 2 na gadoji yawanci ja ne kuma yana da dumi don taɓawa.Hakanan ana iya samun ruwa mai tsabta a cikin fatar da ta lalace.
Don hana ci gaba zuwa mataki na uku, dole ne a yi kowane ƙoƙari don rufe ulcers da canza matsayi akai-akai.
Tare da ingantaccen magani, matakan gado na II na iya warkewa daga kwanaki huɗu zuwa makonni uku.

III.

Ciwon ciki na Stage III yana da alamun raunuka waɗanda suka shimfiɗa a cikin dermis kuma suna fara shigar da nama na subcutaneous (wanda aka sani da hypodermis).A wannan lokacin, ƙaramin rami ya samo asali a cikin raunin.Kitse na iya fara nunawa a cikin buɗaɗɗen raunuka, amma ba a cikin tsokoki, tendons, ko ƙasusuwa ba.A wasu lokuta, maƙarƙashiya da wani wari mara daɗi na iya gani.
Wannan nau'in miki yana barin jiki mai saurin kamuwa da kamuwa da cuta, gami da alamun wari, majijiya, jajaye, da kuma fitar da launi.Wannan na iya haifar da rikitarwa mai tsanani, ciki har da osteomyelitis (cututtukan kashi) da sepsis (wanda ya haifar da kamuwa da cuta a cikin jini).
Tare da m da kuma m jiyya, mataki na III matsa lamba ciwon zai iya warware a cikin wata daya zuwa hudu, dangane da girmansa da zurfinsa.

IV.

Mataki na IV matsa lamba ulcers faruwa a lokacin da subcutaneous nama da kuma m fascia sun lalace, fallasa tsokoki da kasusuwa.Wannan shine nau'in ciwon matsa lamba mafi tsanani kuma mafi wuyar magani, tare da haɗarin kamuwa da cuta.Lalacewa ga mafi zurfi kyallen takarda, tendons, jijiyoyi, da haɗin gwiwa na iya faruwa, sau da yawa tare da ɗimbin ƙuri'a da fitarwa.
Matsalolin matsa lamba na mataki na IV na buƙatar magani mai tsanani don guje wa kamuwa da cuta da sauran matsalolin haɗari masu haɗari.A cewar wani binciken 2014 da aka buga a cikin mujallar Ci gaba a cikin Nursing, tsofaffi masu fama da ciwon huhu na 4 na iya samun adadin mace-mace har zuwa kashi 60 cikin shekara guda.
Ko da tare da ingantaccen magani a wurin jinya, mataki na 4 ciwon gyambo zai iya ɗaukar watanni biyu zuwa shida (ko ya fi tsayi) don warkewa.

A1-3 Ƙarƙashin Ƙarƙashin Ƙaƙwalwar Hankali & Tsarin Horarwa (4)Idan ciwon gadon yana da zurfi kuma ya kwanta a cikin kyallen takarda masu rufewa, mai ba da lafiyar ku bazai iya tantance matakinsa daidai ba.Ana ɗaukar irin wannan nau'in miki ba mai tasowa ba kuma yana iya buƙatar ɓarna mai yawa don cire ƙwayar necrotic kafin a iya kafa mataki.
Wasu ciwon gadaje na iya zama mataki na 1 ko 2 a kallon farko, amma naman da ke ciki na iya zama lalacewa sosai.A wannan yanayin, za'a iya rarraba miki a matsayin wanda ake zargi da rauni mai zurfi (SDTI) mataki na 1. A kan ƙarin bincike, SDTI wani lokaci ana samun shi azaman mataki.III ko IV matsa lamba ulcers.

Idan wanda kake ƙauna yana kwance a asibiti kuma ba ya motsi, kana buƙatar ka kasance a faɗake don gane kuma zai fi dacewa hana ciwon matsa lamba.Kwararren likita ko likitan motsa jiki na iya yin aiki tare da ku da ƙungiyar kulawa don tabbatar da bin matakan tsaro masu zuwa:
Kira likitan ku idan kun lura da zafi, ja, zazzabi, ko wani canjin fata wanda ya wuce ƴan kwanaki.Da zarar an yi maganin gyambon matsi, zai fi kyau.A1-3 Ƙarƙashin Ƙarƙashin Ƙaƙwalwar Hankali & Tsarin Horarwa (6)

 

Ƙirar ergonomic don rage matsa lamba da guje wa gadaje

 

 

  1. Bhattacharya S., Mishra RK Ciwon matsi: fahimtar yanzu da sabunta jiyya Indiya J Plast Surg.2015; 48 (1): 4-16.Ofishin Gida: 10-4103/0970-0358-155260
  2. Agrawal K, Chauhan N. Cututtukan matsa lamba: baya ga asali.Indiya J Plast Surg.2012;45 (2):244-254.Ofishin Gida: 10-4103/0970-0358-101287
  3. Tashi BT.Cututtukan matsa lamba: abin da likitocin ke buƙatar sani.Jaridar Perm 2010; 14 (2): 56-60.doi: 10.7812/tpp/09-117
  4. Kruger EA, Pires M., Ngann Y., Sterling M., Rubayi S. Cikakken magani na matsa lamba a cikin rauni na kashin baya: ra'ayoyi na yanzu da abubuwan da ke gaba.J. Maganin kashin baya.2013;36 (6): 572-585.doi: 10.1179/2045772313Y.0000000093
  5. Edsberg LE, Black JM, Goldberg M. et al.Revised National Matsi na Ulcer Bayar da Shawara tsarin matsa lamba na rarrabuwa tsarin.J Raunin Zuciya Zuciya Bayan Rauni.2016;43 (6):585-597.doi: 10.1097/KRW.0000000000000281
  6. Boyko TV, Longaker MT, Yan GP Sharhin maganin ciwon gado na zamani.Adv Wound Care (New Rochelle).2018; 7 (2): 57-67.doi: 10.1089/rauni.2016.0697
  7. Palese A, Louise S, Ilenia P, et al.Menene lokacin warkarwa don ciwon matsi na mataki na II?Sakamakon bincike na biyu.Babban kulawar rauni.2015;28 (2):69-75.doi: 10.1097/01.ASW.0000459964.49436.ce
  8. Porreka EG, Giordano-Jablon GM Jiyya mai tsanani (mataki III da IV) na kullum matsa lamba ulcers a cikin paraplegics ta amfani da pulsed makamashi mitar rediyo.filastik tiyata.2008; 8: e49.
  9. Andrianasolo J, Ferry T, Boucher F, et al.Matsa lamba mai alaƙa da pelvic osteomyelitis: kimantawa na dabarun aikin tiyata na mataki biyu (debridement, matsa lamba mara kyau, da rufewa) don maganin rigakafi na dogon lokaci.Cututtuka na Navy.2018; 18 (1): 166.doi:10.1186/s12879-018-3076-y
  10. Brem H, Maggie J, Nirman D, et al.Babban farashin mataki IV matsa lamba ulcers.Ni Jay Surg.2010; 200 (4): 473-477.doi: 10.1016/j.amjsurg.2009.12.021
  11. Gedamu H, Hailu M, Amano A. Yawaitu da kamuwa da ciwon gyambo a tsakanin marasa lafiya a asibitin kwararru na Felegehivot da ke Bahir Dar, kasar Habasha.Ci gaba a aikin jinya.2014;2014. doi: 10.1155/2014/767358
  12. Sunarti S. Nasarar maganin cututtukan da ba a daidaita su ba tare da ci gaba da suturar rauni.Jaridar likitancin Indonesiya.2015; 47 (3): 251-252.

Lokacin aikawa: Afrilu-28-2023
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