Ukulala
Iilonda ezidandathekileyo, izilonda, okanye iintsholongwane zenzeke ngokunyanzela ngokukhawuleza kwezicubu ezithambileyo kwi-protuberance bony; Iibhuloho eziqhelekileyo zendlela yokubhebha ezincinane ziyi-sacrum, izibambo kunye nezithende. Ukunyanzeliswa kuvimbela ukujikeleza kwe-capillary kwesikhumba kunye nezicubu ezisezantsi, ekugqibeleni ekukhokelela ekufeni kokufa kweeseli kunye nokutshabalalisa izicubu. Inkqubo yokutshatyalaliswa kwezicubu iqala ngokungaqondakaliyo kwaye ihamba kancane. Kungathatha iintsuku eziliqela ngaphambi kokuba umonakalo wesikhokelo somzimba ubonakale. Ubunzulu be-decubitus buyahlukahluka ukusuka kumamitha ukuya kumitha amitha ukuya kutshatyalaliswa iinthambo namathambo. Iimpazamo ezinobungozi zenziwe, njengommiselo, kwizigulane ezisebekhulile nezibuthathaka ezingakwazi ukuhamba emva kokuhlinzwa, kunye nezigulane ezilala phantsi kwazo zonke iintlobo zesifo se-muscular okanye se-neurological disease. Iindleko zokuhlala zingakwazi ukuphendula kakuhle unyango, ngoko ke umsebenzi oyintloko ukukhusela. Izigulane ezisemngciphekweni wokwakheka kwamabhedi kufuneka zilele kumathenda okhethekileyo onika ingcinezelo encinci kwiindawo ezinengxaki; zonke iintlobo zeemithwalo zinceda ukutshintsha isikhundla sesigulane ebhedini. Lo mfanekiso ubonisa i-decubitus kwisiguli esezantsi kwesigulane, sigcwele izihlwele ezifihlakeleyo (ezifile). Ukulwa nenkqubo yokutshatyalaliswa kunye nokuvuselela ukuphilisa, i-antibiotics kwaye, mhlawumbi, kufuneka kusetshenziswe izibungu ezizodwa zokuhlinzwa. Iilonda zamagqabi aphantsi, nangona zifana neendlela zokulala, zineendlela ezahlukileyo zokuphuhliswa. Phantse i-80% yazo ivela kumonakalo kwi-valvelar apparatus ye-systemous venous system ye-leg leg, eyanzima kakhulu ukuphuma kwe-fluid kwiifom kunye kwaye ekugqibeleni iholele kwisilonda (i-trophic ulcers).
Unyango
Indlela ephambili yokonyango kwe-trophic yindlela yokuxinwa kwangaphandle kweziphelo ezingezantsi ngoncedo lwama-bandages elastic or linen pressage. Le nyathelo ibangela ukubuyiswa kwegazi kwintliziyo, ukukhusela ukuqokelela kwamanzi emagqabini nakwi-shin.
Ischemic
Kwipesenti ezincinane zezigulane, i-ischemia yezicubu ezisezantsi ziphelisa isilonda, esiphumela ngokubakho (ukukhutshwa) kwemibhobho ehambisa. Ukuba ukujikeleza kwegazi kule mikhumbi kunciphisa kwinqanaba elithile elibalulekileyo, izicubu azifumani oksijini kunye nezondlo kwaye zifa. Kwiimeko ezinzima, ukuba ukubuyiswa kwegazi ngeendlela zokuhlinzwa kungenakwenzeka, isigulane sisongelwa kukulahlekelwa yinxalenye okanye inxalenye yonke. Amanxeba azo zonke iintlobo anezinto ezithile eziqhelekileyo: entliziyweni yokuphulukiswa kwabo zikho iindlela ezifanayo zeselula; nayiphi na inxeba isengozini yokusuleleka. Amanxeba aphandwayo kunye nezinye iintlobo zamanxeba aqhelekileyo zivaliwe ngokucutshungulwa - inqubo iquka ukuzisa imiphetho yesilonda kunye kunye nokuxhuma kunye nezinto eziphathekayo. Nangona ukuba amanxeba amaninzi afuthayo kunye nezilonda zingavalwa ngokugqithiseleyo kunye nokusetyenziswa kweebrafti zesikhumba, kwiimeko ezininzi, ukuphulukiswa kweziphene zesilonda ezincinci kunye nezilonda zogonyamelo ziqhutyelwa "ukuxhaswa kwesibini". Inxeba inqatshelwe nge-bandage ekhethekileyo, ehluma kancane kancane nge-granulation (ukuphilisa) izicubu. Ekupheleni kwalo mgaqo, i-epithelium esanda kwakha (isikhumba) iqala ukukhula ukusuka emacaleni kwilonda ukuya kwindawo yayo kuze ivalwe yonke indawo yesikhumba se-granulation kwaye ibuyiselwe ubugcini besikhumba. Amanxeba angaphezulu angavalwa kunye ne-graft yolusu, oko kukuthi, ngokutshintshwa kwecandelo lekhumba eliphilileyo kwi-lesion. Ukuzihlukanisa kwamagciwane ezinqwelweni akukuko oko kubonisa ukuba kukho ukusuleleka, kuba amanxeba alo naluphi na uhlobo ahlwayelwa ngokutsha ngamabhaktheriya avela kwinani elikhulu lemithombo ekhoyo. Imiphumo yokuhlambuluka kwebhaktile kwilonda kuxhomekeke kwizinto ezininzi, kuquka:
• inani lamancinci;
• ubuchule bezinto ezincinane ezibangelwa izifo;
• amandla okhuseleko lomzimba ukunqoba intsholongwane.
Ukuqhuba amanxeba
Ukuqhuba isilonda esiphelele kubandakanya imisebenzi yomsebenzi kunye neyendawo, kubandakanywa nokucwangcisa i-antibiotics (xa ibonisiwe) kunye nokugqoka usebenzisa izinto ezifanelekileyo (ezinokuthi zinezinto ezithile zokulwa ne-antibacterial properties). Ulungelelaniso lwesicelo se-antibiotics asinakwenzeka, ngenxa yokuba kunokukhupha ukuphuhliswa kweempembelelo ze-hypersensitivity okanye kubangele ukuvela kwemimandla ye-bacteria engaxhatshaliyo (engaxhatshayo). Izinto zokugqoka ziyenziwa ngendlela enjengokugcina izimo ezinobunzima kwilonda; oku kukuthintela umonakalo omkhulu kwaye kukhuthaza ukukhula kweethambo ezintsha. Ukungabikho kwamanyathelo okwaneleyo okulwa nokusuleleka, ukuphuhliswa kwe-cellulite (ukusuleleka kwintsholongwane yamathambo angaphantsi), okwenza ubungozi bokungena kwi-microbes kwigazi (ibacteremia kunye ne-septicemia).