Izinzuzo kanye Nobubi Zokugqokisa Okuhlukene Kwezokwelapha

Izinzuzo kanye nokubi ezahlukeneizingubo zezokwelapha
1. Indwangu
Izingubo zokugqoka ze-Gauze zenziwe ngezinto ezilukiwe noma ezingalukiwe, ikakhulukazi izinto zikakotini, ezinokwakheka nosayizi ohlukahlukene. Ingasetshenziselwa izilonda ezithelelekile, ukugqoka nokuvikela amanxeba, ukuphathwa kwe-exudate yamanxeba, namanxeba adinga ukushintshwa njalo.
Izinzuzo: ezishibhile futhi kulula ukuzithola. Ingasetshenziswa kunoma yiluphi uhlobo lwezilonda.
Ukungalungi: idinga ukushintshwa njalo, okwandisa izindleko eziphelele; ingase inamathele embhedeni wamanxeba; idinga ukusetshenziswa ngokuhlanganiswa nezinye izinhlobo zokugqoka; ayikwazi ukuhlangabezana nezidingo zokuphulukiswa kwesilonda esimanzi.
2. Ukugqoka okusobala
Ukugqoka kwefilimu okusobala kungeneka kancane, kuvumela umoya-mpilo kanye nomhwamuko wamanzi ukuba udlule, kuyilapho kuvimbela ukudlula kwamanzi namagciwane. Ngokuvamile zenziwe ngezinto ze-polymeric ezifana ne-polyurethane. Ingasetshenziselwa ukulungisa izinto zokusebenza ezifana nokukhubazeka kwesikhumba ingxenye, izindawo zokunikela ngesikhumba, ukusha okuncane, izilonda zokucindezela zesigaba I kanye nesigaba II, kanye namashubhu okufakwa emthanjeni.
Izinzuzo: intengo ephansi; ukulingana okuhle, kungasetshenziswa ngokuqhubekayo esilondeni kuze kube isonto eli-1; ukusiza ukukhishwa kwe-autolytic; vimbela ukungqubuzana kombhede wesilonda; bheka isilonda ngaphandle kokukhipha; gcina umswakama omaphakathi wombhede wamanxeba ukuze uvimbele ukungcoliswa kwamagciwane.
Ukungalungi: Ingase inamathele kwamanye amanxeba; ayikwazi ukusetshenziselwa izilonda eziphuma kakhulu; isilonda sivalekile, okungase kubangele ukuba isikhumba esizungezile sibe macerate.
3. Ibhamuza
Ukugqokwa kwegwebu kuvame ukuba nesakhiwo esinezingqimba eziningi, ngokuvamile esakhiwe ngongqimba oluthinta inxeba lokunamathela, ungqimba olumunca i-exudate, kanye nokusekelwa okungangeni kwamanzi nokulwa namagciwane. Akulula ukunamathela embhedeni wamanxeba, akwenzi indawo evalekile, futhi kunokusebenza okuhle kokumuncwa. Ingasetshenziselwa: ukwelashwa nokuvimbela izilonda zengcindezi, ukusha okuncane, ukufakelwa isikhumba, izilonda ezinyaweni zesifo sikashukela, amasayithi anikela ngesikhumba, izilonda ze-venous, njll.
Izinzuzo: ukhululekile, amanxeba anganamatheli; ukusebenza okuphezulu kokumuncwa; imvamisa ephansi yezinguquko zokugqoka ezidingekayo; ubujamo nobukhulu obuhlukene, obulungele izingxenye ezahlukene ze-anatomical.
Ukungalungi: kungase kudingeke ukuthi kusetshenziswe ukugqoka kwezendlalelo ezimbili noma i-tape ukulungisa; uma kune-exudation eyengeziwe, uma ingashintshwa ngesikhathi, ingabangela isikhumba esizungeze isilonda ukuba siphuze; ayikwazi ukusetshenziselwa i-eschar noma izilonda ezomile; ezinye izigqoko zegwebu azikwazi ukusetshenziselwa izinhlobo ezithile Amanxeba, njengamanxeba angenwe yileli gciwane noma amanxeba e-sinus. Izintengo eziphakeme zemikhiqizo engenisiwe nazo zikhawulela ukukhushulwa kwayo.
4. Ukugqoka i-Hydrocolloid
I-hydrocolloid dressing inekhono elithile lokumunca uketshezi, futhi iqukethe izinhlayiya ze-colloidal, njenge-methyl cellulose, i-gelatin noma i-pectin, engaguqulwa ibe into efana ne-jelly lapho ihlangene noketshezi. Izingubo ze-Hydrocolloid ngokuvamile zine-viscosity eqinile, futhi zidinga amakhono athile futhi zilandele imiyalelo yomkhiqizi lapho uzisebenzisa, njengezinkomba nesikhathi sokusebenzisa. Ingasetshenziselwa: ukusha, izilonda zokucindezela, izilonda ze-venous, i-phlebitis, njll.
Izinzuzo: Ingakhuthaza ukuchithwa kwe-autolytic; vala umbhede wamanxeba ukuze uvikele isilonda; amagciwane angangeni manzi futhi avimbe, avimbele ukungcoliswa komchamo nendle; inamandla okumunca i-exudate emaphakathi.
Ukungalungi: izinsalela zingase zishiywe embhedeni wamanxeba, okungase kwenziwe iphutha ngezifo; emaphethelweni okugqoka ezindaweni ezivame ukungqubuzana kulula ukugoqa; ayikwazi ukusetshenziswa uma ukutheleleka kukhona. Ngemva kokumunca i-exudate, ukugqoka ngokwengxenye kuphenduka kube mhlophe, okungase kubangele ukungezwani. Uma ukugqoka kunamathele kakhulu, kungase kubangele ukulimala kwesikhumba uma ingubo isanamathele kakhulu uma isuswa ngemva kwesikhashana.
5. Ukugqoka kwe-alginate
I-alginate dressing iqukethe izingcaphuno ze-brown seaweed. Ingalukwa noma ingalukiwe isakhiwo. Inamandla aqinile okumunca i-exudate, futhi izophenduka i-gelatinous uma ihlangana ne-exudate. Ingasetshenziselwa: izilonda ze-venous, izilonda ze-sinus, izilonda eziphuma kakhulu.
Izinzuzo: amandla okumunca aqinile; ingasetshenziselwa izilonda ezinegciwane; izilonda ezinganamatheli; khuthaza ukukhishwa kwe-autolytic.
Ukungalungi: kufanele kusetshenziswe ingubo enezingqimba ezimbili; kungase kubangele ukuphelelwa amanzi emzimbeni nokomisa kombhede wesilonda; ukusetshenziswa kabi kwezintambo eziveziwe, ama-capsules abalulekile noma amathambo kuzobangela ukuthi lezi zicubu zome kanye ne-necrosis. Uma isetshenziswa ku-sinus noma ngaphansi, uma ihlala embhedeni wamanxeba isikhathi eside, i-alginate dressing isiphenduke ijeli ngokuphelele. Eminye imikhiqizo inobunzima ekuyikhipheni futhi idinga ukuhashwa ngosawoti ojwayelekile.
6. Ukugqoka kwezokwelapha nge-Hydrogel
Ihlukaniswe ngezingubo zokugqoka ze-hydrogel zeshidi kanye nezingubo ze-amorphous hydrogel, okuqukethwe kwamanzi kukhulu kakhulu, kuvame ukudlula ama-70%, ngakho-ke umthamo wokumunca i-exudate awulungile, kodwa unganikeza umswakama ngenkuthalo ezilonda ezomile. Ama-hydrogel amathebulethi asetshenziswa kakhulu esigabeni sekwephuzile sokuphola kwesilonda, njengokuvimbela nokwelashwa kwe-epithelial noma i-phlebitis, kanye nokwelashwa kwe-extravasation yezidakamizwa ze-chemotherapeutic. Umphumela muhle kakhulu; ama-amorphous hydrogel abizwa nangokuthi ama-debridement gels. Isetshenziselwa ikakhulukazi ukusiza ukuchithwa kwe-autolytic kanye nokuthambisa i-eschar. Abakhiqizi abakhulu bezingubo zokugqoka banemikhiqizo efanayo. Nakuba izithako zingase zehluke kancane, umphumela uyafana. Kuyinto yokugqoka evame ukusetshenziswa emisebenzini yomtholampilo.
Izinzuzo: Ingakwazi ukugcwalisa ngenkuthalo amanzi ukuze ome amanxeba futhi igcine izimo zokuphulukisa ezimanzi; ayinamatheli esilondeni; futhi ikhuthaza ukuchithwa kwe-autolytic.
Ukungalungi: intengo iphakeme.
7. Izingubo zezokwelapha eziyinhlanganisela
Ukugqoka okuhlanganisiwe kwezokwelapha kungahlanganiswa nanoma yiluphi uhlobo lokugqoka, njengenhlanganisela ye-gauze yamafutha kanye ne-foam, noma inhlanganisela ye-alginate ne-silver ion dressing, futhi ingasetshenziswa njengengubo eyodwa-ungqimba noma ukugqoka okubili. Kuye ngohlobo lokugqoka, ingasetshenziselwa izinhlobo ezihlukahlukene zamanxeba.
Inzuzo: kulula ukuyisebenzisa;
Ukungalungi: amanani aphezulu, ukusebenza kwezindleko eziphansi; ukuguquguquka kwenkomba ephansi.
Njengoba isipiliyoni sakho sokuphatha isilonda sikhula, uzothola ukuthi ikhono lakho lokulawula izinhlobo ezahlukene zokugqoka liyathuthuka. Ngemuva kokuqonda izici nezinkomba zezinhlobo ezahlukene zokugqoka, ukusebenza kahle nokusebenza kahle kokwelashwa kwesilonda kungathuthukiswa. Ukuqapha eduze kungandisa futhi izinkomba zezingubo zokugqoka. Ngokwesibonelo, abanye odokotela basebenzisa izindwangu ze-hydrocolloid ukuze bavale izilonda ze-venous nge-fibrin deposits eyengeziwe, futhi basebenzise ama-hydrogel ukuthambisa izicubu ze-necrotic kanye nokufakwa kwe-cellulose embhedeni wamanxeba ukuze kube lula ukuwasebenzisa. Ukuchithwa. Uchwepheshe ngamunye wamanxeba kufanele azi kahle futhi ajwayelane nezinhlobo ezahlukene zokugqoka ukuze akhe izikhali zakhe zokugqoka.