1. Mugihe cy'umubyigano no mugihe cya ruddy,uruhu rwaho ruhinduka umutuku, kubyimba, gushyuha, gucika intege cyangwa ubwuzu kubera igitutu.Muri iki gihe, umurwayi agomba kuryama ku buriri bwo ku kirere (nanone bita Operating Room Positioner) kugira ngo yongere umubare wa massage na massage, kandi agenera abakozi badasanzwe kwitaho nibiba ngombwa.45% inzoga cyangwa 50% vino ya safflower irashobora gusukwa mumikindo kugirango ukore massage yaho mukoresheje igitutu kuminota 10.Igice gitukura kandi cyabyimbye cy'igisebe cy'umuvuduko cyasizwe hamwe na 0.5% ya iyode.
2. Mugihe cyo gucana umuriro,umutuku waho no kubyimba ntibigabanuka, kandi uruhu rwacometse ruhinduka umutuku.Indurwe yo munsi ibaho, kandi ibibyimba bya epidermal birashiraho, byoroshye kumeneka, kandi umurwayi yumva ububabare.Muri iki gihe, koresha ipamba yinjijwe muri 4.75g / l-5.25g / l iyode igoye guhanagura hejuru y’ahantu hafashwe kugirango wumishe igice, kandi witondere kwirinda igitutu gihoraho;Ibibyimba binini birashobora gukururwa hamwe na siringi hifashishijwe ikoranabuhanga rya aseptic (utabanje guca epidermis), hanyuma ugashyirwaho 0,02% Furacilin Solution hanyuma ugapfundikirwa no kwambara neza.Byongeye kandi, hamwe no kuvura imirasire ya infragre cyangwa ultraviolet, irashobora kugira uruhare mukurwanya inflammatory, gukama no guteza imbere amaraso.Iyo ibisebe bimenetse, ururenda rwimbere rw amagi mashya rushobora gutunganywa no gukomera ku gikomere, hanyuma rugatwikirwa na sterile sterile.Niba hari ibibyimba munsi yimbere yimbere yamagi, uyisunike witonze numupira wipamba sterile kugirango uyikuremo, hanyuma uyipfundikire na gaze ya sterile, hanyuma uhindure imyambarire yaho rimwe kumunsi cyangwa ibiri kugeza igikomere gikize.Igice cy'imbere cy'amagi kirashobora gukumira gutakaza amazi n'ubushyuhe, kwirinda kwandura bagiteri, kandi bifasha gukura kwa epiteliyale;Ubu buryo bwo guhindura imyambarire bugira ingaruka zifatika zo kuvura kurwego rwa kabiri ibitanda, inzira ngufi yo kuvura, kuborohereza kubabara no kubabara gake kubarwayi.
3. Icyiciro cy'ibisebe bitagaragara.Indwara ya Epidermal igenda yaguka buhoro buhoro, kandi hari igikomere cy'umuhondo mu gikomere cya dermal.Nyuma yo kwandura, ibibyimba birasohoka, hamwe na tissue nérosose na nerose.Banza, kwoza hamwe na 1: 5000 potassium permanganate, hanyuma wumishe igikomere nuruhu ruzengurutse.Icya kabiri, abarwayi barashobora gukoresha itara rya watt 60 ryaka kugirango bamurikire igice kibamo.Imirasire yimirasire itangwa n itara ryaka rifite ingaruka nziza zo kuvura kuburiri.Intera ya irrasiyo igera kuri 30cm.Iyo utetse, itara ntirigomba kuba hafi y igikomere kugirango wirinde gutwikwa, kandi ntirigomba kuba kure cyane.Mugabanye ingaruka zo guteka.Intera igomba gushingira ku gukama no gukira igikomere.Inshuro 1 - 2 kumunsi, 10 - 15min buri mwanya.Noneho byavuwe hakurikijwe uburyo bwo guhindura imyenda ya aseptic;Imyambarire itose irashobora kandi gukoreshwa mugukora ibidukikije bikwiye kugirango bikire hejuru yububabare, kugirango selile nshya ya epiteliyale ishobore gupfuka igikomere kandi ikize buhoro buhoro hejuru yububabare.Imiterere yaho igomba kubahirizwa igihe icyo aricyo cyose mugihe cyo kurasa kugirango wirinde gucana.Imirasire yumudugudu irashobora kwagura capillaries yuruhu rwaho kandi igatera umuvuduko wamaraso.Icya kabiri, kubikomere byigihe kirekire bidakira, shyira urwego rwisukari yera yera kuri igikomere, hanyuma ubitwikirize hamwe na gaze ya sterile, funga igikomere hamwe na kaseti yose yometseho, hanyuma usimbuze imyambarire buri minsi 3 kugeza 7.Hifashishijwe ingaruka ya hyperosmotic yisukari, irashobora kwica bagiteri, kugabanya kubyimba kw igikomere, kunoza umuvuduko waho, kongera imirire yaho, no guteza imbere gukira ibikomere.
4. Indwara ya nerotic.Mu cyiciro cya nérotic, tissue ya nérotic yibasira dermis yo hepfo, ururenda rwinshi rwiyongera, ingirabuzimafatizo ya nerotic yirabura, kandi kwandura impumuro bigera no mubice bikikije kandi byimbitse, bishobora kugera kumagufwa, ndetse bigatera sepsis, bikabangamira ubuzima bwumurwayi. .Kuri iki cyiciro, banza usukure igikomere, ukureho ingirabuzima fatizo, ukomeze imiyoboro idakumirwa, kandi uteze imbere gukira hejuru yububabare.Sukura hejuru yububabare hamwe na saline isotonic saline cyangwa 0,02% yumuti wa nitrofuran, hanyuma ubizenguruke na sterile Vaseline gauze no kwambara, hanyuma ubisimbuze rimwe kumunsi cyangwa ibiri.Irashobora kandi kuvurwa na metronidazole itose cyangwa saline ya isotonic nyuma yo koza hejuru yububabare hamwe na silver sulfadiazine cyangwa nitrofuran.Kubafite ibisebe byimbitse kandi bidafite amazi mabi, 3% hydrogène peroxide yumuti igomba gukoreshwa kugirango isukure kugirango ibuze gukura kwa bagiteri ya anaerobic.Ururenda rw’ibisebe byanduye rugomba gukusanywa buri gihe kugirango umuco wa bagiteri no kwipimisha imiti, rimwe mu cyumweru, kandi hagomba gutoranywa imiti ukurikije ibyavuye mu igenzura.
(Kubisobanura gusa)