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Sɛ nneɛma nkete(tissue) a ɛkeka bom ma yɛn honam no tumi yɛ honam no bi sɛe a na ɛtumi yɛ ekuro.[1][2] Nipaduano fa baabi anaa honam no bɛtumi ate kyema mpofirimu ma ɛde ekuro aba. Nhwɛsoɔ ne sɛ adeɛ bɛtwa obi. Ɛbi wɔ hɔ nso a, ɛmma mpofirimu. Ɛno deɛ, ɛyɛ a nyarewa bi na ɛde ba. Nkakrankakra, nyarewa bi te sɛ asikyireyareɛ, tumi de biribi a ɛte saa ba. Ekuro tumi yɛ honam honamani. Saa ara nso na ɛna yadeɛ anaa akwanhyia bi so, yɛtumi nya no nipadua no mu. Sɛ ebia, yɛn tiri mu[3]. Ekuro gu ahodoɔ bebree. Ebara ne sɛdeɛ ɛte. Sɛdeɛ ɛsi teɛ no taa gyina deɛ ɛde baeɛ ne baabi a ɛwɔ so.[1][2] Ɛwɔ obi ho hyɛ na sɛ wɔanyɛ ho hwee a, Ɛtu. Tu a Ɛtu no nyinaa ne sɛ, ɛyɛ kɛseɛ sene sɛdeɛ na ɛte dada no. Ɛba obi ho nso a ɛtumi hyɛ anaa ɛtumi nso kɔ ntɛm. Akwan a wɔfa so sa kuro no yɛ bebree, na ɛgyina kuro korɔ anaa baabi a ɛwɔ so .[4]
Ekuro wɔ nkyekyɛmu atitriw mmienu. Ɛbinom ne; deɛ ɛnkyɛ, ne deɛ ɛkyɛ. Deɛ ɛdi kan no ne sa nyɛ ya koraa. . Na deɛ ɛdi hɔ no deɛ, ɛyɛ a ɛyɛ den sɛ wɔbɛsa. Yɛbɛtumi akyekyɛ ne mmienu no nyinaa nso mu. Deɛ yɛgyina so ne kyekyɛ mu mo ne kwan a ekuro no faa so baeɛ, sɛdeɛ kuro si fa teɛ( sɛ ɛso anaa ɛsua) ne baabi ɛwɔ. Yɛgyina yei so a yɛtumi nya ekuro ahodoɔ bebree. Ɛhia sɛ yɛhunu ahodoɔ yi nyinaa esiane sɛ ɛno na ɛbɛma yɛn akwankyerɛ a ɛfa ne sa ho.[2][5] Nkyekyɛmu no bi na ɛdidi soɔ yi.
Wɔfrɛ yei acute wound. Ɛyɛ ɛkuro a akyɛ pa ara. Na ne sa ayɛ den. Ekuro sa no yɛ nnidisoɔnnidisoɔ. Yɛwɔ ekuro a ne sa no wɔ gyinapɛn baako, mmienu, mmeɛnsa, ne deɛ ɛkeka ho. Gyinapɛn biara ne aduro a yɛtumi de sa. Sɛ ekuro no sa pa gyunapɛn baako no ho a, gye sɛ aduro foforɔ. Deɛ wɔfrɛ no acute woun yi. deɛ, ne sa no aduru gyinapɛn nnan. Ekuro a ne sa nyɛ den koraa( deɛ ɛwɔ) gyinapɛn baako no, wɔfrɛ no hemostasis.[6] Sɛ wɔresa a, ɛdi dɔnhwere kakra bi na ani ahyɛ aseɛ sɛ ɛrekyene. Deɛ ɛdi hɔ no, ɛdi bɛyɛ nna mmeɛnsa ansa na awu. Deɛ ɛwɔ gyinapɛn mmeɛnsa a ɛwɔ inflammatory phase no nnawɔtwe kakra de rekɔ bosome ansa na akɔ. Deɛ ɛtɔ so nnan no ɛtumi di afe baako ansa na akɔ. Ɛno mpo deɛ, ɛyɛ a ɛtumi boro afe baako no.[7][8] Ekuro a akyɛ no gu ahodoɔ mmienu. Yɛwɔ deɛ wɔfrɛ no closed ɛna deɛ yɛfrɛ no open.[9] Open wounds yɛ ekuro a ɛwɔ honam no ani, ɛma closed wound nso yɛ deɛ ɛwɔ nipadua no mu.[6]
Deɛ ɛde open wound ba no bi na ɛdidi soɔ yi.
Sɛ obi dompe mu bɛka
Sɛ obi dompe baabi ho ka a, ekuro a ɛde ba no bɛtumibayɛ deɛ ɛwɔ honam no ani anaa deɛ ɛwɔ honam no mu. Mpɛn pii no, te sɛ deɛ adeɛ awɔ obi no, ɛwɔ honam no ani ne emu nyinaa.[14]
Wɔwɔ akwan ahodoɔ bebree a wɔfa so di kuro ho dwuma wɔ ayaresabea ne fie nyinaa. Nhwehwɛmu kyerɛ sɛ ayaresabea deɛ no na wɔagye ato mu pa ara .[1] Sɛ wɔfii kuro wie a, wɔto wɔn bovase hohoro so yie pa ara. Ɛho hia sɛ wɔbɛhohoro so ama abɔ nipa a ɔwɔ kuro no ho ban afiri nyarewa bi ho. Afei, ɛboa ma kuro no tumi wu ntɛm.[15]
Botaeɛ titiriw a wɔgyina so hohoro ekuro anim no yɛ mmienu. Deɛ ɛdi kan ne sɛ wɔbɛhwɛ ama ekuro no awu. Deɛ ɛtɔ so mmienu nso ne ne nkorabata na sɛ;
Sɛ ekuro tu obi a, ɛyɛ a ne ntini nketenkete anaa ne nneɛma nketenkete a ɛkeka bobom yɛ honam no mu tumi tete ɛba saa a, mogya ne nsuo ntumi nni mu aforosiane. Sɛ wɔhohoro kuro no anim a, ɛtumi ma mogya ne nsuo tumi di mu aforosiane. Ɛmma anim nkyenkyene. Sɛ daa ekuro anim kyenkyene a, ɛntumi nwu ntɛm. .[16] Irrigation can also be achieved with a diluted 1% povidone iodine solution, but studies have again shown no difference in infection rates when compared to normal saline.[15][17]
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