Ubwino ndi Kuipa Kwa Mavalidwe Osiyanasiyana Achipatala

Ubwino ndi kuipa kwa zosiyanasiyanazovala zachipatala
1. Gauze
Zovala za gauze zimapangidwa ndi zida zoluka kapena zosalukidwa, makamaka zida za thonje, zokhala ndi mawonekedwe osiyanasiyana komanso makulidwe osiyanasiyana. Itha kugwiritsidwa ntchito ngati mabala omwe ali ndi kachilombo, kuvala ndi kuteteza mabala, kuwongolera ma exudate, komanso mabala omwe amafunikira kusintha kavalidwe pafupipafupi.
Ubwino: wotsika mtengo komanso wosavuta kupeza. Ikhoza kugwiritsidwa ntchito pamtundu uliwonse wa mabala.
Zoyipa: ziyenera kusinthidwa pafupipafupi, zomwe zimawonjezera mtengo wathunthu; ikhoza kumamatira ku bedi la bala; iyenera kugwiritsidwa ntchito pamodzi ndi mitundu ina ya zovala; sichingakwaniritse zofunikira za machiritso a chilonda chonyowa.
2. Kuvala moonekera
Chovala chowoneka bwino cha filimu chimakhala chotheka, chomwe chimalola mpweya ndi nthunzi wamadzi kudutsa, ndikuletsa madzi ndi mabakiteriya. Nthawi zambiri amapangidwa ndi zinthu za polymeric monga polyurethane. Itha kugwiritsidwa ntchito pokonza zida monga kupunduka pang'ono kwapakhungu, malo operekera khungu, kuyaka pang'ono, zilonda zam'magawo 1 ndi siteji II, ndi machubu olowetsedwa m'mitsempha.
Ubwino: mtengo wotsika; kukwanira bwino, kungagwiritsidwe ntchito mosalekeza pabalalo kwa sabata imodzi; chithandizo cha autolytic debridement; kupewa kukangana kwa bedi la bala; kuyang'ana chilonda popanda kuchotsa; sungani chinyezi chapakati pa bedi la bala kuti mupewe kuipitsidwa ndi mabakiteriya.
Zoipa: Ikhoza kumamatira ku zilonda zina; sizingagwiritsidwe ntchito popanga mabala otuluka kwambiri; chilondacho chimatsekedwa, zomwe zingayambitse khungu lozungulira.
3. Mvula
Zovala za thovu nthawi zambiri zimakhala ndi mitundu ingapo, yomwe nthawi zambiri imakhala ndi anti-adhesion bala yolumikizana ndi mabala, mayamwidwe a exudate, komanso chithandizo chopanda madzi komanso antibacterial. Sikophweka kumamatira ku bedi la bala, sikupanga malo otsekedwa, ndipo imakhala ndi ntchito yabwino yoyamwitsa. Itha kugwiritsidwa ntchito ngati: chithandizo cha zilonda zam'magazi ndi kupewa, kuyaka pang'ono, kuyika khungu, zilonda zam'mimba zamapazi, malo opereka khungu, zilonda zam'mimba, ndi zina zambiri.
Ubwino: mabala omasuka, osamata; mkulu mayamwidwe ntchito; otsika pafupipafupi kusintha kavalidwe chofunika; mawonekedwe ndi makulidwe osiyanasiyana, oyenera magawo osiyanasiyana a anatomical.
Zoipa: angafunike kugwiritsa ntchito zovala zosanjikiza ziwiri kapena tepi kukonza; pakakhala kutulutsa kochulukirapo, ngati sikunasinthidwe munthawi yake, kungayambitse khungu kuzungulira bala; sangagwiritsidwe ntchito pa eschar kapena mabala owuma; Zovala zina za thovu sizingagwiritsidwe ntchito pamitundu ina Zilonda, monga mabala omwe ali ndi kachilombo kapena zilonda zam'mphuno. Mitengo yokwera ya zinthu zotumizidwa kunja imachepetsanso kukwezedwa kwawo.
4. Kuvala kwa Hydrocolloid
Zovala za hydrocolloid zimatha kuyamwa madzi, ndipo zimakhala ndi tinthu tating'onoting'ono, monga methyl cellulose, gelatin kapena pectin, zomwe zimatha kusinthidwa kukhala zinthu ngati odzola mukakumana ndi madzi. Zovala za Hydrocolloid nthawi zambiri zimakhala ndi mamasukidwe amphamvu, ndipo zimafuna maluso ena ndikutsata malangizo a wopanga pozigwiritsa ntchito, monga zisonyezo ndi nthawi yogwiritsira ntchito. Itha kugwiritsidwa ntchito: zilonda zam'mimba, zilonda zam'mimba, zilonda zam'mimba, phlebitis, ndi zina.
Ubwino: Iwo akhoza kulimbikitsa autolytic debridement; sungani bedi la bala kuti muteteze bala; mabakiteriya osalowa madzi ndi otsekereza, kuteteza kuipitsidwa kwa mkodzo ndi ndowe; ali ndi mphamvu yoyamwitsa ya exudate.
Zoyipa: zotsalira zitha kusiyidwa pabedi la bala, zomwe zitha kuganiziridwa kuti ndi matenda; m'mphepete mwa mavalidwe m'madera omwe amakonda kukangana ndizosavuta kupindika; sichingagwiritsidwe ntchito ngati matenda alipo. Pambuyo poyamwa exudate, chovalacho chimasanduka choyera, chomwe chingayambitse kusamvana. Ngati chovalacho chiri chomata kwambiri, chikhoza kuwononga khungu ngati chovalacho chikadali chomata kwambiri ngati chichotsedwa pakapita nthawi yochepa.
5. Kuvala kwa alginate
Zovala za alginate zimakhala ndi zotulutsa zamasamba amtundu wa brown. Itha kukhala yowombedwa kapena yopanda nsalu. Ili ndi mphamvu yamphamvu yoyamwa exudate, ndipo imasanduka gelatinous ikakumana ndi exudate. Angagwiritsidwe ntchito: zilonda zam'mimba, zilonda zam'mimba, mabala otuluka kwambiri.
Ubwino: amphamvu mayamwidwe mphamvu; angagwiritsidwe ntchito zilonda matenda; zilonda zopanda zomatira; kulimbikitsa kuwonongeka kwa autolytic.
Zoipa: chovala chamagulu awiri chiyenera kugwiritsidwa ntchito; zingayambitse kutaya madzi m'thupi ndi kuuma kwa bedi la bala; kugwiritsa ntchito molakwika minyewa yowonekera, makapisozi ofunikira kapena mafupa kumapangitsa kuti minyewa iyi iume komanso necrosis. Akagwiritsidwa ntchito mu sinus kapena pansi, ngati atakhala pabedi lachilonda kwa nthawi yayitali, kuvala kwa alginate kwasanduka gel. Zogulitsa zina zimakhala zovuta kuzichotsa ndipo zimafunika kutsukidwa ndi saline wamba.
6. Kuvala kwachipatala kwa Hydrogel
Agawanika mu pepala hydrogel mavalidwe ndi amorphous hydrogel mavalidwe, okhutira madzi ndi lalikulu kwambiri, nthawi zambiri kuposa 70%, kotero exudate mayamwidwe mphamvu ndi osauka, koma akhoza mwachangu kupereka chinyezi kuti ziume zilonda. Piritsi hydrogels zimagwiritsa ntchito mochedwa siteji machiritso bala, monga kupewa ndi kuchiza epithelial kapena phlebitis, ndi mankhwala a extravasation mankhwala chemotherapeutic. Zotsatira zake ndi zabwino kwambiri; Amorphous hydrogels amatchedwanso debridement gels. Amagwiritsidwa ntchito makamaka kuthandizira kudzipatula kwa autolytic ndi kufewetsa kwa eschar. Opanga mavalidwe akuluakulu ali ndi zinthu zofanana. Ngakhale zosakanizazo zingakhale zosiyana pang'ono, zotsatira zake zimakhala zofanana. Ndiko kuvala komwe kumagwiritsidwa ntchito kwambiri pochita zachipatala.
Ubwino wake: Imatha kubwezeretsanso madzi ku zilonda zouma ndikusunga machiritso achinyezi; sichimamatira pabala; ndipo imalimbikitsa kuwonongeka kwa autolytic.
Zoipa: mtengo ndi wapamwamba.
7. Zovala zachipatala zophatikiza
Chovala chachipatala chophatikizika chikhoza kuphatikizidwa ndi mtundu uliwonse wa kuvala, monga kuphatikiza mafuta opyapyala ndi thovu, kapena kuphatikiza kwa alginate ndi siliva ion kuvala, ndipo angagwiritsidwe ntchito ngati chovala chimodzi kapena chovala chamagulu awiri. Malingana ndi mtundu wa kuvala, ukhoza kugwiritsidwa ntchito pamitundu yosiyanasiyana ya mabala.
Ubwino: yosavuta kugwiritsa ntchito;
Zoipa: mtengo wapamwamba, ntchito yotsika mtengo; kusinthasintha kosonyeza kutsika.
Pamene luso lanu losamalira mabala likuwonjezeka, mudzapeza kuti luso lanu lolamulira mitundu yosiyanasiyana ya mavalidwe limakhalanso bwino. Pambuyo pomvetsetsa mawonekedwe ndi zisonyezo zamitundu yosiyanasiyana ya mavalidwe, magwiridwe antchito komanso mphamvu ya chithandizo cha zilonda zitha kusintha. Kuyang'anitsitsa mosamala kungathenso kukulitsa zizindikiro za mavalidwe. Mwachitsanzo, madotolo ena amagwiritsa ntchito mavalidwe a hydrocolloid kuti atseke mabala a zilonda zam'mimba ndi ma depositi ambiri a fibrin, ndikugwiritsa ntchito ma hydrogel kuti afewetse minofu ya necrotic ndi cellulose madipoziti pabalapo kuti ikhale yosavuta kugwiritsa ntchito. Kuwononga. Katswiri aliyense wa zilonda ayenera kudziwa bwino mitundu yosiyanasiyana ya mavalidwe kuti apange zida zake zopangira mavalidwe.