Mabheji
Mavanga akaora mwoyo, zvipembenene, kana vechidiki zvinoitika nekudzvinyirira kwenguva refu kwezvinyama zvinyoro zvishoma kune zvinonzi bony protuberances; Mabhiriji echimiro emabhesore maitiro ndiwo sacrum, mahudyu uye zvitsitsinho. Izvo zvinoshandiswa zvinoshandisa kupararira kwe capillary muganda uye maitiro akadzika, izvo zvingaguma zvichitungamirira kumasero masero ekufa uye kuurayiwa kwezvinhu. Nzira yekuparadzaniswa kwemashutu inotanga kusinganzwisisiki uye zvishoma nezvishoma inoenderera mberi. Zvinogona kutora mazuva mashomanana kusati kwehuwandu hwehutachiona hunooneka. Izvo zvakadzika zvekubhabitus zvinogona kuenzana kubva mamita mamita kusvika masendimita masere kusvika pakuparadzwa kwemasimba nemapfupa. Zvisizvo zvinokonzerwa nehutachiona zvinoumbwa, sekutonga, kune vakwegura uye vasina simba vanorwara vasingakwanisi kufamba mushure mekuvhiyiwa, pamwe chete nevarwere vari pamubhedha vane chirwere chipi nechipi chezvirwere zvepfungwa kana zvehutano. Mabhedhares haagoni kupindura zvakanaka kurapwa, saka basa guru nderokudzivirira. Varwere vari panjodzi yekugadzirisa mabhedha vanofanira kunge vari pamastaiti chaiwo anopa huwandu hwemhepo pamatambudziko; marudzi ose emiseve anobatsira kuchinja mamiriro emurwere ari panhovo. Ichi chifananidzo chinoratidzira decubitus pamuviri wechidiki pasi, akazara necrotic (vakafa) masasa. Kurwisa nzira yekuparadzanisa uye kukurudzira kwekuporesa, antibiotics uye, zvichida, kushandiswa kwemapuranga anoshandura anodiwa kuchadiwa. Zvironda zvemaodzanyemba, kunyange zvazvo zvakafanana nekurara, zvinoparadzaniswa zvakasiyana-siyana. Vanenge makumi mapfumbamwe nezana makumi matatu kubva kwavari vanomuka kubva pakakanganisa kumagadzirirwo emagavhular emagetsi emumucheto wepasi, iyo inonyanya kunetseka kubuda kwemvura kubva mumasumbu uye zvinogona kutungamirira kuonda (trophic ulcers).
Kurapa
Nzira huru yekurapa ye trophic ndeye kushandiswa kwekunze kwekunze kwemaodzanyemba nemubatsiro wezvisungo zvepurasitiki kana yekunamatira micheka. Aya matanho anoita kuti kudzoka kweropa kunetseke kumwoyo, kudzivirira kuunganidzwa kwemvura mumakumbo uye nzvimbo.
Ischemic disease
Muchikamu chiduku chevarwere, ischemia yemumucheto kumucheto matukisi inoguma kuonda, zvichibva kune occlusion (blockade) yematric inopa. Kana kupararira kweropa mumidziyo iyi kuderera kune imwe nzvimbo yakakosha, mishonga haigamuchiri okisijeni yakakwana uye mishonga uye inofa. Mumatambudziko akaoma, kana kudzorerwa kweropa kuparadzirwa nekuvhiyiwa hakubviri, murwere anotyisidzirwa nekurasikirwa kwechikamu kana chikamu chose. Mavanga emarudzi ose ane zvimwe zvinowanzoonekwa: pamwoyo wekuporesa kwavo kune nzira imwechete yemagetsi; chero maronda ari pangozi yehutachiona. Mavanga okuvhiya uye mamwe mavara emavanga akaipa anowanzovharwa nekusunura - iyo nzira inosanganisira kuunza miganhu yevanga pamwe chete nekubatanidza navo nemashoko ekugadzirisa. Pasinei nokuti yakawanda mavanga anouraya uye zvipembenene zvinogona kuvhurwa nekushandiswa kweganda graft, muzviitiko zvakawanda, kuporesa kwezvakakomba zvechirwere chemuviri pasi uye zvinorwadza zvinoshandiswa ne "secondary tension". Ronda racho rinokudzwa nebhanhire rakakosha, iro rinowedzera zvishoma nezvishoma ne-granulation (kuporesa) mhuka. Pakuguma kwemamiriro aya, epithelium yakangobva kuumbwa (ganda) inotanga kukura kubva pamiganhu yevanga kusvika kune imwe nzvimbo kusvikira ichivhara uso wose wezvinyorwa zvegranulation uye inodzorera kuperera kweganda. Mavanga akawandisa anogona kuvharwa neganda rakagadzirwa, kureva, nekuendesa chikamu cheganda rakagwinya kusvika pachirwere. Kuzviparadzanisa kwezvipembenene kubva pakuvamba hazvisi pachake chiratidzo chekuvapo kwehutachiona, sezvo maronda epiro ipi zvayo anokurumidza kukura nemaabhakitiriya kubva kuwandu hwakawanda hwezvinogona kuwanikwa. Migumisiro yekusvibiswa kwebhakitiriya kwevanga inobva pane zvinhu zvakawanda, kusanganisira:
• nhamba yezvipembenene;
• kukwanisa kwehutachiona hunokonzera zvirwere;
• kukwanisa kwezvidziviriro zvemuviri kukurira utachiona hunogona.
Kuita maronda
Kuita ronda rakatapukirwa kunosanganisira zvose zvinoshandiswa mumasangano uye emunharaunda, kusanganisira kuronga mishonga inorwisa mabhakitiriya (apo inoratidzwa) uye kupfeka kushandiswa uchishandiswa zvakakodzera (izvo zvingave zvine mamwe antibacterial properties). Izvo zvakakosha zvemashoko ekushandisa ma antibiotics hazvina chokwadi, nokuti zvinogona kukanganisa kukura kwemashoko ehutachiona kana kutungamirira kubuda kwezvirwere zvinoramba (zvinopesana) zvebhakitiriya. Zvinhu zvokupfekedza zvinowanzoitwa nenzira yakadai yekuchengetedza mamiriro ezvinhu egorova muchironda; izvi zvinodzivisa kuwedzera kukanganisa uye kunokurudzira kuwedzera kwezvitsva zvitsva. Mukusavapo kwezvikwani zvakakwana zvekurwisa utachiona, kukurudzirwa kwe cellulite (kubatwa kwebhakitiriya kwemuviri mutsvuku), izvo zvinoita kuti pangozi yekupindira kwemakirukitiri muropa (bacteremia ne septicemia).