ʻO ka maʻi hōʻeha ʻeha - lapaʻau

ʻO ke kaha e pili ana i kahi ʻoki (incision) i loko o ka ʻili hiki ke alakaʻi i kahi maʻi ʻeha ma hope o ke kahakaha ʻana. ʻO ka hapa nui o nā maʻi ʻeha ʻeha e hōʻike ʻia ma loko o nā lā he 30 ma hope o ke ʻoki ʻana.

Hiki i nā maʻi ʻeha ʻeha ke pana i ka ninini mai iā lākou a hiki i ka ʻulaʻula, ʻeha a wela hoʻi ke hoʻopā. Loaʻa paha ʻoe i ke kuni a maʻi paha.

Hiki i nā ʻehaʻeha ke lilo i maʻi na:

• ʻO nā ʻōpala i kau i kou ʻili i hohola i ka ʻeha ʻoki
• Nā ʻōpala i loko o kou kino a i ʻole mai ka ʻōpala kahi i hana ʻia ai ke ʻoki
• ʻO nā ʻōpala i loko o ke kaiapuni e like me nā mea ʻoki a maʻi a i ʻole nā ​​lima o ka mea mālama ola.

ʻOi aku ka makaʻu i kahi maʻi ʻeha ʻoki inā ʻoe:

• Loaʻa maikaʻi ʻole i ka maʻi diabetes
• Loaʻa nā pilikia me kāu ʻōnaehana pale
• ʻOhana a momona paha
• He puhipaka
• Lawe i nā corticosteroids (ʻo kahi laʻana, prednisone)
• E loaʻa i kahi ʻoki ʻoi aku ka lōʻihi ma mua o 2 mau hola

Aia nā pae like ʻole o nā maʻi ʻeha.

• Superficial - aia ka maʻi i ka ʻili wale nō
• Deep - hele ka maʻi i loko o ka ʻili i ka mākala a me nā mea kiko
• ʻOihana / hakahaka - hohonu ka maʻi a pili i ka ʻokena a me ka hakahaka kahi āu i hana ai i kahi ʻoki
  

Hoʻohana ʻia nā antibiotic e mālama i ka nui o nā maʻi ʻeha. I kekahi manawa, pono ʻoe i kahi ʻoki e mālama i ka maʻi.

ANTIBIOTICS

Hoʻomaka ʻia paha ʻoe ma nā lāʻau antibiotic e mālama i ka maʻi ʻeha ʻoki. Pono ka lōʻihi o ka manawa e lawe i nā lāʻau ʻaloʻalo, akā no ka liʻiliʻi ma kahi o 1 pule. Hoʻomaka ʻia ʻoe ma nā lāʻau antibiotic IV a laila hoʻololi ʻia i nā pila ma hope. Lawe i kāu lāʻau āpau āpau, inā ʻoe e ʻoi aku ka maikaʻi.

Inā loaʻa kahi kahe o kou ʻeha, e hoʻāʻo ʻia paha e ʻike i ka lāʻau antibiotic maikaʻi loa. Hoʻopili ʻia kekahi mau ʻeha me ka Sthylococcus aureus methicillin-resistant resist (MRSA) kūpaʻa i nā antibiotic i hoʻohana mau ʻia. Pono kahi maʻi MRSA i kahi antibiotic kikoʻī e mālama iā ia.

LAAU HANA INVASIFA

I kekahi manawa, pono i kāu kauka lāʻau e hana i kahi hana e hoʻomaʻemaʻe i ka ʻeha. Hiki iā lākou ke mālama i kēia ma ke keena hana, i kou keʻena haukapila a i ʻole ke keʻena maʻi. E:

• E wehe i ka ʻeha ma ka wehe ʻana i nā staples a i ʻole nā ​​sutures
• Hana i nā hoʻokolohua o ka pā a i ʻole nā ​​mea i loko o ka ʻeha e ʻike inā aia ka maʻi a me ke ʻano o ka lāʻau antibiotic e holo pono ai
• Hoʻopili i ka ʻeha ma ka lawe ʻana i nā mea make a maʻi paha i ka ʻeha
• E holoi i ka ʻeha me ka wai paʻakai (saline solution)
• E hoʻokuʻu i ka ʻeke o ka pus (abscess), inā loaʻa
• Hoʻopili i ka ʻeha me nā lole i hoʻohuʻu ʻia i ka paʻakai a me ka bandage

MALAMA LOA

Pono e hoʻomaʻemaʻe i kou ʻehaʻeha a hoʻololi ʻia ka lole i kēlā me kēia manawa. E aʻo paha ʻoe e hana i kēia iā ʻoe iho, a i ʻole e hana paha nā kahu maʻi iā ʻoe. Inā hana ʻoe i kēia iho, e:

• Wehe i ka wahī kahiko a me ka ʻūlū ʻana. Hiki iā ʻoe ke ʻauʻau e hoʻopulu i ka ʻeha, i hiki ai i ka bandage ke hele maʻalahi aku me ka maʻalahi.
• E hoʻomaʻemaʻe i ka ʻeha.
• E hoʻokomo i nā mea ukana hou a maʻemaʻe a hoʻokomo i kahi kaula hou.

I mea e kōkua ai i kahi ʻeha ʻeha e hoʻōla, loaʻa paha iā ʻoe kahi ʻeha VAC (pani ʻia ʻana i kōkua ʻia e ka hakahaka). Hoʻonui ia i ke kahe o ke koko i ka ʻeha a kōkua i ka hoʻōla.

• ʻO kēia kaomi maikaʻi ʻole (hawewe).
• Aia kahi pauma hakahaka, ʻokiʻoki i kahi ʻāpana huʻupuʻu e kūpono i ka ʻeha, a me kahi paipu holoi.
• Kāʻei ʻia kahi kapa maʻemaʻe ma luna.
• Hoʻololi ʻia ka lole a me ka ʻāpana hua i kēlā me kēia 2 a 3 mau lā.

Lawe ʻia paha he mau lā, mau pule, a i ʻole mau mahina no ka hoʻomaʻemaʻe o ka ʻeha, maʻemaʻe o ka maʻi, a me ka hoʻōla hope loa.

Inā ʻaʻole kokoke ka ʻeha iā ia iho, pono ʻoe i kahi ʻili a i ʻole ke kāpili ʻana i nā ʻili e hoʻopili ai i ka ʻeha. Inā pono kahi pale o ka puʻupuʻu, hiki i ke kauka ke lawe i kahi ʻāpana o kou mākala, ka poʻohiwi, a i ʻole ka umauma luna e kau i kou ʻeha. Inā pono ʻoe i kēia, ʻaʻole e hana kēia i ka mea kōkō a hiki i ka hala ʻana o ka maʻi.

Inā ʻaʻole hohonu ka maʻi ʻeha a liʻiliʻi ka wehe ʻana o ka ʻeha, hiki iā ʻoe ke mālama iā ʻoe iho ma ka home.

Inā hohonu ka maʻi ʻeha a nui paha ka wehe o ka ʻeha, pono paha ʻoe e hoʻolimalima ma kahi o kekahi mau lā i ka haukapila. Ma hope o kēlā, ʻo ʻoe kekahi:

• E hoʻi i ka home a me ka ukali me kāu kauka. Hele mai paha nā kahu maʻi i kou home e kōkua me ka mālama.
• E hele i kahi kahu hānai.

Kāhea i kāu mea hāʻawi inā loaʻa i kāu ʻokiʻoki kahi hōʻailona o ka maʻi.

• Pākuʻi a hoʻokahe paha
• ʻAla maikaʻi ʻole e hele mai ana mai ka ʻeha
• Fiva, haʻalulu
• Wela e hoʻopā
• ʻUlaʻula
• ʻEha a ʻeha paha e hoʻopā

Maʻi ʻaʻai - ʻoki ʻoki kino; ʻO ka maʻi maʻi ʻaoʻao - SSI

Espinosa JA, Sawyer R. Nā maʻi maʻi maʻi. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 1337-1344.

Kulaylat MN, Dayton MT. Nā pilikia ʻoki kino. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 12.

ʻO Weiser MC, Moucha CS. Kāohi maʻi maʻi maʻi maʻi maʻi. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 23.