Maciji na cin abinci fiye da abinci maras kyau. Suna ci nama marar rai, ma.
Yawancin mutane suna tunanin kawai a cikin dumpsters. Kodayake, farfadowa da ƙwayar magunguna yana tashi a cikin shahararren matsayin hanyar lafiya da kuma hanyar da za a iya kawar da kayan da ke mutuwa da kuma inganta ci gaban kwayar cutar lafiya ko tsoka.
An fassara Maggot Debridement Far Far
Hanyar dabarar ita ce hanya wadda likita ta kawar da ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta ko na gawawwaki daga rauni, kuma ta haka ne ke bayyana wani tushe mai rauni.
Za a iya yin amfani da ladabi a cikin hanyoyi guda hudu:
- samfurin ƙwararraji inda likita a cikin dakin aiki ya cire
- hadewar sinadaran da ke amfani da kayayyakin sunadarai zuwa nama marar rai
- gyare-gyare na manhaja inda aka yi amfani da gauze bushe don cire kayan nama necrotic
- Ma'anar dabarar da take amfani da tsutsa ko ƙuƙwalwa don fara cin nama
Ma'anin dabarar wani abu ne mai mahimmanci saboda ƙwayoyin da aka yi amfani da su don dalilai na asibiti suna cin nama ne kawai kuma sun bar nama mai rai. Duk sauran hanyoyin dabarar da za su iya halakar da wani abu mai rai da ake buƙatar da zai warke. Bugu da ƙari, irin waɗannan hanyoyin zai iya zama marar kyau, kuma tiyata yana buƙatar buƙatar ƙwayar cuta wanda take ɗaukar kansa. A wasu kalmomi, tare da yin amfani da maggot, mai haƙuri ba zai rasa nama mai kyau ba kuma bai buƙatar shan magani ba.
Maciji da aka yi amfani da su don yin amfani da digiri dole ne kawai su gano nama marar rai.
(Wasu nau'i na tsutsa suna cin nama da gawacciyar jiki kuma basu dace da amfani dashi a matsayin magani). Alal misali, Lucilia sericata ko launin kwalban kwalba mai amfani ne da aka saba amfani dashi.
Bugu da ƙari, don ba da shawara ko kawar da kayan da ke mutuwa, binciken binciken na baya-bayan nan ya nuna cewa ɓoyewar maciji na iya taimakawa wajen kawar da lalata da kuma lalacewar nama mai rai don haka ya kare gado mai rauni wanda aka buƙaci don taimakawa wajen samar da ƙwayar jikin.
Tarihin Maggots a matsayin Jiyya
Babu wani sabon abu game da farfadowa. Shekaru da dama, likitoci a fagen fama sun lura cewa sojojin da aka ji rauni sun kamu da ƙwayoyin lafiya. A cikin shekarun 1920, William Baer a Jami'ar Johns Hopkins ya yi amfani da magungunan ƙananan masana'antu don magance yara da osteomyelitis (cututtuka na nama) da cututtuka masu taushi. Saboda haka, yin amfani da maciji don zubar da raunuka ya zama sananne a cikin shekarun 1930, tare da dubban hanyoyin da aka kafa. Duk da haka, zuwan maganin maganin rigakafi da ci gaba da ƙwayar cuta ya maye gurbin yin amfani da tsutsa wanda ya ɓoye a matsayin ma'auni na "makomar karshe."
A shekarun 1990s, sha'awar amfani da maciji a matsayin magani don raunuka ya sake tashi. Cibiyar bincike mai zurfi ta nuna shawarar amfani da magungunan ƙwayoyin maggot a matsayin magani na farko a cikin kulawa da cutar, kuma ta shekara ta 2004, FDA ta amince da maciji maras lafiya don amfani da saitunan kiwon lafiya. A shekara ta 2008, an kiyasta kimanin mutane 50,000 a fadin duniya tare da kututture don cin hanci da raunuka.
Ƙarin Bayani akan Maggot jiyya Far
Ana amfani da magungunan ƙwayar maggot don magance iri-iri iri iri ciki har da wadannan:
- ciwon daji
- na kullum osteomyelitis
- venous ulcers
- ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta (gadon "gado" da aka samu a cikin mutanen da suka kwanta har tsawon kwanaki ko makonni - suna tunanin mutane a wuraren kulawa na dindindin)
- neuropathic (diabetic) kafa ulcers
- marasa warkar da raunin cutar ko kuma traumatic raunuka
Contraindications ga maggot debridement farfesa sun hada da wadannan:
- raunuka mai ƙishirwa (cututtuka na ƙishirwa da raɗaɗɗa ko ɓoye oxygenated wanda za'a iya cinye shi daga larvae don haka kara fadada shafin yanar gizo)
- raunuka da suka shiga cikin jikin jikin ko gabobin ciki
- raunuka ta hanyar haddasa rai ko wasu cututtuka masu tsanani
- mutanen da ke dauke da yisti ga yisti mai laushi, furotin soya, ko tsutsa kansu (yisti da soya sunada amfani da su don bunkasa larvae)
Daga bayanin kula, dole ne a yi la'akari da hankali game da farfadowar maganin rigakafi (watau jini) a matsayin masu takara don farfadowa da tsutsa saboda tsutsotsi na iya haifar da zub da jini.
Dangane da girman mai rauni, a ko'ina tsakanin 50 da 1000 likitoci na likita-likita suna amfani da su a cikin rauni don kwana biyu ko uku kuma an rufe su (raunana) a cikin rufi mai rauni. Yawancin mutane suna buƙatar guda biyu kawai ko uku kawai, amma mutanen da suka sami raunuka mai tsanani na iya buƙatar biyar ko shida. Hanyar da ta dace don magani tare da kututturewa shine ganin ido mai tsabta mai tsabta. Abubuwa masu rikitarwa na magungunan ƙwayar maggot suna da jituwa sosai kuma sun hada da ciwo, rashin tausayi, da ƙananan jini. Alal misali, ana iya bayar da damuwa da cututtuka da zafi don jin zafi.
Kalma Daga
Idan kai ko wani da kake ƙauna yana fama da ciwo na kullum ko wasu raunuka da suka dace da farfadowa na gyaran kafa, idan an gabatar da shi azaman magani, zai iya zama kyakkyawan ra'ayin yin la'akari da wannan magani. Ba wanda zai yi musun cewa yatsun da aka samu a cikin sharar suna "yucky" da kuma abin banƙyama. Amma ƙwayar maciji a cikin labaran suna da tsauri, ƙayyadaddun, wayar hannu, masu sauƙi, ƙananan kayan inji wanda ke taimakawa maidawa. A hakikanin gaskiya, ana amfani dashi tare da kututturewa a matsayin magunguna .
Sources:
Iserson KV. Babi na 22. Wuta da konewa. A: Iserson KV. eds. Magungunan da aka gina: Samar da Kulawa a Yanayin Girma . New York, NY: McGraw-Hill; 2012.
van der Plas, MJA et al. Maganin Tsaro na Maganar da Maggots Magunguna suka ɓoyewa suna inganta Flasminogen Activator-Induced Fibrinolysis. KUMA KUMA. 2014. 9 (6): e101646.
Pfenninger, JL, Fowler, GC. "Maggot Treatment for Chronic Ulcers" a cikin: Dokokin Pfenninger da Fowler don Kulawa na Farko. 2010.