Hariho ibintu byinshi bigira ingaruka cyangwa bidindiza gukira ibikomere. Mugihe cyo kuvura, ibyo bintu bibi bigomba kuboneka no gukurwaho igihe icyo aricyo cyose. Ibi bisaba ko abavuzi bashobora kumva neza no gusobanukirwa anatomiya yuruhu na physiologiya, uburyo bwo gukiza ibikomere, ubwoko bw ibikomere, nuburyo bwo kuvura. Iyi ngingo ivuga muri make ibintu byaho na sisitemu bibuza gukira ibikomere.
Ibintu byaho bigira ingaruka ku gukira: gushushanya, kwandura cyangwa umutwaro wa mikorobe, maceration, tissue necrosis, igitutu, kwangirika, kuribwa, nibindi.
-Stidimer: Gukiza ibikomere ahantu hatose birihuta, abarwayi bafite ububabare baragabanuka; ingirabuzimafatizo zidafite umwuma kandi zipfira ahantu humye, akenshi habaho ibisebe bikomeye, kandi gukira ibikomere biratinda. Kugirango ubungabunge ubushuhe bukwiye hamwe n’ibishanga, kuzamuka kwa selile epithelale biba byoroshye, kandi umuvuduko wa epiteliyale urihuta.
-Festomy: gusohora kwinshi cyangwa gusohora amazi, ingorane, erythma, na feri byerekana kwandura. Muri iki gihe, umuco wa bagiteri ugomba gukorwa kugirango umenye virusi kandi uyobore guhitamo antibiyotike. Mugihe ibice byose by ibikomere byuruhu byumuvuduko ukabije cyangwa bigira ingaruka kumagufa bidakize, hagomba kwitabwaho marrowitis. Ibimenyetso bidasanzwe cyangwa ibisubizo byiza byamahugurwa bigomba kumenyesha umuyobozi mugihe kandi bigafata ingamba zikwiye zo kuvura indwara zanduza.
-Gukosora: Kutabishaka bibiri bizangiza ubusugire bwuruhu. Gucunga ibikomere bidakwiye birashobora kandi gutera uruhu ruzengurutse kwibira. Gufata neza uruhu ni igice cyingenzi cyuruhu no gucunga ibikomere.
-Mu gihe: Ibikomere ku buriri bwakomeretse hamwe nuduce twa nerotic bizabuza gukira. Slough na Eschar ni ubwoko bubiri bwubwoko bwimitsi. Carrion iroroshye, ifatanye, n'umuhondo; uruhu rwumye, rwijimye, rwuzuye uruhu, cyane cyane umukara. Tissue ya nekrotique igomba gukurwaho rwose na debridement mbere yo gukira.
-Stochrome: Umuvuduko ukabije uzabangamira gutembera kwamaraso, kandi amaraso yigitanda cya capillary yigitanda cyakomeretse azangirika, kandi ibikomere bidashobora gushyigikirwa nintungamubiri na ogisijeni ntibishobora gukira.
-Ubuvuzi no kuribwa: Gukomeretsa inshuro nyinshi cyangwa kuribwa byaho bibuza gutanga amaraso, bizadindiza cyangwa bihagarike gukira ibikomere.
Impamvu zifatika zigira ingaruka zo gukira ibikomere: Byinshi bisa nkaho bidafitanye isano n’ibikomere, harimo ubukonje, imiterere yumubiri, indwara zidakira, immunosuppressing, imiterere yimirire, kuvura imirasire, indwara yumutima nimiyoboro, nibindi.
-Pestaltic: Akenshi hariho indwara nyinshi ziherekeza hamwe nabarwayi bageze mu zabukuru, kandi umuvuduko wo gukira ibikomere utinda kurenza abarwayi bato. Abageze mu zabukuru bafite imirire mibi cyane, gufata bidahagije, indwara ya endocrine, uruhu rwumye, ubudahangarwa bworoshye kandi buke, kandi sisitemu y'umutima n'imitsi n'indwara z'ubuhumekero bikunze kugaragara. Ibi bizongera ibyago byo gukomeretsa uruhu no gutinda gukira ibikomere.
-Din ubwoko: Imiterere yumubiri nayo igira ingaruka zo gukira ibikomere. Kurugero, ibikomere byabarwayi bafite umubyibuho ukabije bizaba bikennye kubera amaraso make atangwa kumubiri. Byongeye kandi, abarwayi bamwe bafite umubyibuho ukabije bafite imirire mibi ya poroteyine kandi bagatinda gukira. Ahubwo, abarwayi bananutse cyane nabo bazagira ingaruka ku gukira kubera kubura ogisijeni hamwe nintungamubiri.
-Indwara zidakira: Indwara zidakira zirashobora kugira ingaruka ku gukira ibikomere. Indwara zidakira zirimo indwara z'umutima, indwara zifata imitsi ya peripheri, kanseri, diyabete, n'ibindi. Ku ndwara zidakira z'abarwayi bakomeretse, hakenewe gahunda zikomeye zo kuvura kugira ngo ibimenyetso bishoboke, nko kugenzura isukari yo mu maraso kugira ngo habeho ahantu heza ho gukira ibikomere.
-Caporose na radiotherapi: Sisitemu yumubiri izadindiza gukira ibikomere kubera indwara, ibiyobyabwenge, cyangwa imyaka. Imishwarara ivura izangiza imiterere yuruhu cyangwa itera ibisebe. Irashobora kubaho ako kanya nyuma ya radiotherapi cyangwa nyuma yubuvuzi bwose burangiye mugihe runaka.
-Ikizamini cya laboratoire: Iyo usuzumye abarwayi bafite ibikomere, ibimenyetso byimirire ntabwo aribyo byonyine bya laboratoire igomba kwitabwaho. Urwego rwa Hemoglobine rushobora kumenya ogisijeni itwara amaraso; irashobora kandi gusuzuma umwijima wumurwayi, impyiko na tiroyide, bityo bikadufasha guhanura ubushobozi bwo gukira ibikomere.
-Imirire yimirire: Akenshi ntibishoboka kumenya neza imirire yumurwayi ukoresheje isura cyangwa igikomere cyumurwayi, bityo rero birakenewe ko hasuzumwa imirire idasanzwe. Urwego rwa Albumin na pre -albumin, ibara rya lymphocyte zose, na rotor birashobora gukoreshwa nkikimenyetso cyimirire mibi. Bagomba gupimwa buri gihe kugirango birinde ibikomere bidindiza gukira kubera kubura poroteyine.
-Gufata: Ibisebe byo mu gihimba cyo hasi akenshi biterwa no gutanga amaraso adahagije, nk'ibisebe bya arterial, ibisebe bya diyabete, ibisebe byo mu mitsi, n'ibindi. Aba barwayi bakunze kugira indwara z'umutima n'imitsi z'umubiri wose. Kuvura neza biterwa nubwoko nimpamvu yo kumenya neza ibisebe.
Hariho ibindi bintu byinshi bizagira ingaruka ku gukira igikomere. Ntushobora kuvuga hano, nko kunywa itabi, kunywa, ingeso mbi zo kubaho, inkweto zidakwiye, nibindi. Ibikomere akenshi bigaragara gusa hanze yibibazo byinshi, kandi kuvura ibikomere nabyo. Icyerekezo rusange kirakenewe, ntabwo witondera gusa "umwobo", ahubwo ni ugusuzuma byimazeyo abarwayi.
. Icyitonderwa: Iyi ngingo yongeye gusubirwamo. Intego yingingo ni ugutanga amakuru yubumenyi ajyanye cyane. Isosiyete ntabwo ishinzwe inshingano zukuri, ukuri, ibyemewe, kandi urakoze kubyumva.）
Igihe cyo kohereza: Gicurasi-11-2023