Maggots anodya zvinopfuura zvokudya zvakaora. Vanodya mhuka dzakafa, zvakare.
Vanhu vazhinji vanogona kufungidzira chete mumarara. Zvisinei, chirwere chinokonzera mhirizhonga chiri kukura mukuzivikanwa senzira yakachengeteka uye inobatsira yekubvisa zvisikwa zvakafa uye kukurudzira kukura kwehutano hwakanaka kana ruvara rwehutu.
Maggot Dhiyabhorosi Therapy Inotsanangurwa
Kukuvara kwechirema inzira inoshandiswa nachiremba kubvisa necrotic kana kuti akafa mavara kubva pakuvadzwa, uye nokudaro anotsanangura tsvina yakachena.
Kukuvadzwa kwechirema kunogona kuitwa nenzira ina:
- kubvunzurudza dhigiriyamu apo mafi akafa anenge abviswa nechiremba muvhiyi
- chemikidhi yakagadziridzwa iyo inoshandisa makemikari zvinogadzirisa kubudisa mhuka dzakafa
- Bhuku rinoshandiswa pakagadziriswa apo girafu rakaoma rinoshandiswa kubvarura mishonga inoputika
- maggotti anoshandisa maggots kana kuruka mapuropa kuti adye zvitunha zvakafa
Maggot kukanganisa inzira inonakidza yekurapa nokuti majeka anoshandiswa kumakiriniki anodya kudya nyama chete uye osiya mararamiro ari mupenyu. Zvose zvinokonzerwa nekugadzirisa zvinongoparadza zvachose zvimwe zvipenyu zvinodiwa mukurapa. Uyezve, maitiro akadaro anogona kunge asina kunaka, uye kuvhiyiwa kunonyanya kuda kuti anesthesia yakawanda ine zvinetso zvayo. Mune mamwe mazwi, uye maggotti akasiyana-siyana, murwere haarasikirwi mhando dzakanaka uye haafaniri kutora anesthesia.
Maggots anoshandiswa kugadzirisa mhepo inofanira kungochera zvisikwa zvakafa.
(Mimwe mhando yemagetsi inodya zvose zviri mhenyu uye dzakafa uye naizvozvo hazvina kukodzera kushandiswa sechirapa.) Somuenzaniso, Lucilia sericata kana bhodhoro yebhokisi bhenu ndiyo inowanzoshandiswa inoshandiswa yemagokota-grade maggot.
Mukuwedzera kune kukanganisa kana kubvisa zvitunha zvakafa, zvidzidzo zvenguva pfupi zvinoratidza kuti kuvharwa kwemashoko kunogona kubatsira kuderedza kuputika nekuparadzwa kwezvinhu zvinorarama zvino kuchengetedza bhedha risina kusimba rinodiwa kuti ribatsire mavara ekurasikirwa.
The History of Maggots as Medical Treatment
Hapana chinhu chitsva pamusoro pemishonga inonzi maggot. Kwemazana emakore, vanachiremba vari munhandare yehondo vakacherechedza kuti masoja akakuvadzwa avo vakaparadzirwa nemaggots vakaporesa zviri nani. Mumakore ekuma1920, William Baer paJohn Hopkins University yakashandisa laboratory-yakasimudza magogotro ekurapa vana vane osteomyelitis (zvirwere zvepfupa) uye zvirwere zvishoma. Nekudaro, kushandisa maggots kuderera maronda kwakave yakakurumbira muma1930, pamwe nezviuru zvemaitiro akaumbwa. Zvisinei, kuuya kwemishonga inorwisa mabhakitiriya uye kufambira mberi kwekuvhiya kwakaderedza kushandiswa kwemaggots izvo zvino zvakaneta sechiyero che "kushandiswa kwekupedzisira."
Pakazosvika makore makumi mapfumbamwe nemashanu, kufarira kushandiswa kwemaggots sekurapa kwemavanga zvakare. Sangano rinokura rekutsvakurudza rakaratidza kubatsirwa kwemajeri ekugadzirisa mhirizhonga sepakutanga-mishonga yokurapa mukurapa kwekuvadzwa, uye muna 2004, FDA yakagamuchira maggots asina kushandiswa kuti ashandiswe muzvirongwa zvehutano hwehutano. Muna 2008, inofungidzirwa kuti vanhu 50 000 munyika yose vakarapwa nemashizha ekukuvadzwa kwechirema.
Zvimwe Zvinyorwa paMaggot Treatment Therapy
Maggot therapist remridement inoshandiswa kurapa marudzi akasiyana-siyana emaronda anosanganisira zvinotevera:
- chronic ulcers
- chronic osteomyelitis
- venous ulcers
- kusuruvara kwechirwere ("bhedha" zvipembenene zvinowanika kune vanhu vave vachirara vasina simba kwemazuva akawanda kana vhiki-funga vanhu vari munzvimbo dzekuchengetedza kwenguva refu)
- neuropathic (chirwere cheshuga) netsoka dzemakumbo
- kusina kuporesa mushure -kuvhiya kana kuora mwoyo maronda
Contraindications ye maggot remridement therapy inosanganisira zvinotevera:
- mavhinga e-ischemic (maronda e-ischemic haana kunyanya kupiswa kana kuti mhepo yakasvibiswa iyo inogona kudyiwa nemaruva ezvo kuwedzera nzvimbo yepaonda)
- maronda anozarurirwa mumitumbi yemuviri kana nhengo dzomukati
- maronda anokonzerwa nehupenyu-kutyisidzira kana zvimwe zvirwere zvakakomba
- vanhu vane chirwere chechirwere cheavener, chey soy protein, kana chiroro pachavo (mbiriso uye soy protein inoshandiswa kukura masvora)
Izvozvi, vanhu vane anticoagulation therapy (kureva, ropa rakapfava) vanofanira kunyatsotaridzirwa sevanosarudza kurapwa nemaggots nokuti mhonje inogona kukonzera kubuda ropa.
Zvichienderana nehukuru hwevanga, kupi zvako pakati pemakore makumi mashanu nemakumi mashanu emagetsi ekurapa kunoshandiswa kune vanga nzvimbo kwemazuva maviri kana matatu uye yakavharwa (yakasarudzwa) muchikuvadza. Vanhu vakawanda vanongoda kurapwa kwemaviri kana matatu chete, asi vanhu vane maronda akaremara vangada zvishanu kana matanhatu. Chimiro chemagumo ekurapa nemaggots chiri kutarisa tsvina yakachena. Migumisiro yakaipa inowanzobatwa nemakumbo emakemikirwo anokonzera kukanganisa inowanzochengetedzwa uye inosanganisira kurwadziwa, kusagadzikana, uye kubuda ropa zvishoma. Somuenzaniso, analgesics kana kurwadziwa kunorwadza kunowanzopiwa nekuda kwekutambudzika.
Shoko Rinobva
Kana iwe kana mumwe munhu waunoda ane chirwere chisingagumi kana mamwe mavanga anokwanisa kugadziriswa kwemaggot, kana zvichiratidzwa sekurapa kusarudza, zvingava pfungwa yakanaka yekufunga nezvekurapa uku. Hapana munhu acharamba kuti maggots akawanikwa mumarara aya "yucky" uye anosemesa. Asi maggots akabatwa mubasa iri yakaoma, yakanyatsogadzirwa, inofamba, inoshanduka, inoshandiswa, michina shomanana yekuvhiya inobatsira kugona. Kutaura zvazviri, kukwikwidzana nemaggots dzimwe nguva kunonzi sebiosurgery .
Sources:
Iserson KV. Chitsauko 22. Mavanga uye Burns. Mu: Iserson KV. eds. Improvised Medicine: Kuchengetedza Munzvimbo Dzakanyanya . New York, NY: McGraw-Hill; 2012.
van der Plas, MJA et al. A Novel Serine Protease Yakanyorwa neMishonga Maggots Inobudirira Plasminogen Activator-Inoita Fibrinolysis. PLOS ONE. 2014. 9 (6): e101646.
Pfenninger, JL, Fowler, GC. "Maggot Treatment for Ulcers Inopera" mu: Pfenninger uye Fowler Nzira dzekutarisira. 2010.