Izinto eziluncedo kunye nezingeloncedo zokunxitywa kwezonyango ezahlukeneyo

Izinto eziluncedo kunye nezingeloncedo ezahlukeneyoiingubo zonyango
1. I-Gauze
Izinxibo zeGauze zenziwe ngezinto ezilukiweyo okanye ezingalukwanga, uninzi lwezixhobo zomqhaphu, ezinemilo eyahlukeneyo kunye nobukhulu. Ingasetyenziselwa amanxeba abosulelekileyo, ukunxitywa kwenxeba kunye nokukhusela, ukulawulwa kwe-exudate yenxeba, kunye namanxeba afuna utshintsho rhoqo lokunxiba.
Izinto eziluncedo: zitshiphu kwaye kulula ukuzifumana. Ingasetyenziselwa naluphi na uhlobo lwamanxeba.
Ukungalungi: kufuneka kutshintshwe rhoqo, oko kwandisa ixabiso elipheleleyo; inokubambelela kumandlalo wenxeba; kufuneka isetyenziswe ngokudibanisa nezinye iintlobo zokugqoka; ayinako ukuhlangabezana neemfuno zokuphiliswa kwenxeba elimanzi.
2. Ukunxiba okucacileyo
Ifilimu ecacileyo yokugqoka i-semi-permeable, ivumela i-oksijini kunye nomphunga wamanzi ukuba udlule, ngelixa ukhusela ukuhamba kwamanzi kunye neebhaktheriya. Ngokuqhelekileyo zenziwe ngezinto zepolymeric ezifana ne-polyurethane. Ingasetyenziselwa ukulungiswa kwezixhobo ezifana neziphene zesikhumba, iindawo zokunikela ngesikhumba, ukutshisa okuncinci, isigaba I kunye nesigaba se-II soxinzelelo lwezilonda, kunye ne-intravenous infusion tubes.
Izinto eziluncedo: ixabiso eliphantsi; ukulungeleka kakuhle, kunokusetyenziswa ngokuqhubekayo kwinxeba ukuya kwi-1 iveki; nceda i-autolytic debridement; ukuthintela ukukhuhlana kwebhedi yenxeba; jonga inxeba ngaphandle kokulisusa; gcina ukufuma okuphakathi kwebhedi yenxeba ukuthintela ukungcoliseka kweBhaktheriya.
Iingxaki: Isenokunamathela kwamanye amanxeba; ayinakusetyenziselwa ukukhupha amanxeba kakhulu; inxeba livalekile, nto leyo enokubangela ukuba ulusu olujikelezileyo lube macere.
3. Ibhalumula
Ukunxitywa kwegwebu ngokuqhelekileyo kunesakhiwo esine-multi-layer, ngokubanzi siqulunqwe ngumaleko wokudibanisa inxeba lokuchasana, i-exudate absorption layer, kunye nokuxhaswa kwamanzi kunye ne-antibacterial. Akulula ukunamathela kwibhedi yenxeba, ayenzi indawo evaliweyo, kwaye inokusebenza kakuhle kokufunxa. Ingasetyenziselwa: unyango lwezilonda zoxinzelelo kunye nokuthintela, ukutshisa okuncinci, ukutshintshwa kwesikhumba, izilonda zeenyawo zesifo seswekile, indawo ezinikezela ngesikhumba, izilonda ze-venous, njl.
Izinto eziluncedo: ukhululekile, amanxeba angabambekiyo; ukusebenza okuphezulu kokufunxa; ukuphindaphinda okuphantsi kweenguqu zokunxiba ezifunekayo; iimilo ezahlukeneyo kunye nobukhulu, ezifanelekileyo kwiindawo ezahlukeneyo ze-anatomical.
Ukungalungi: kunokufuneka ukuba kusetyenziswe iingubo ezimbini zokugqoka okanye i-tape ukulungisa; xa kukho i-exudation engaphezulu, ukuba ayitshintshwanga ngexesha, inokubangela ukuba ulusu olujikeleze isilonda ludibanise; ayinakusetyenziselwa i-eschar okanye izilonda ezomileyo; ezinye izinxibo zogwebu azinakusetyenziswa kwiintlobo ezithile Amanxeba, njengamanxeba abosulelekileyo okanye amanxeba e-sinus. Amaxabiso aphezulu eemveliso ezisuka kumazwe angaphandle akwanciphisa ukunyuswa kwazo.
4. Ukunxitywa kweHydrocolloid
I-hydrocolloid yokugqoka inamandla athile okufunxa ulwelo, kwaye iqulethe iincinci ze-colloidal, ezifana ne-methyl cellulose, i-gelatin okanye i-pectin, enokuthi iguqulwe ibe yinto efana nejeli xa idibene nolwelo. Izinxibo zeHydrocolloid ngokubanzi zine-viscosity eyomeleleyo, kwaye zifuna izakhono ezithile kwaye zilandele imiyalelo yomenzi xa uzisebenzisa, njengezibonakaliso kunye nexesha lokusebenzisa. Ingasetyenziselwa: ukutshisa, izilonda zoxinzelelo, izilonda ze-venous, i-phlebitis, njl.
Izinto eziluncedo: Inokukhuthaza ukuchithwa kwe-autolytic; tywina ibhedi yenxeba ukukhusela inxeba; iibhaktheriya ezingenamanzi kunye ne-block block, zithintela ukungcola komchamo kunye nendle; inomthamo ophakathi we-exudate wokufunxa.
Izinto ezingeloncedo: iintsalela zingashiywa kumandlalo wenxeba, ezinokuthi ziphazanyiswe kusulelo; imiphetho yokugqoka kwiindawo ezithintekayo kwi-friction kulula ukugoba; ayinakusetyenziswa xa usulelo lukhona. Emva kokufunxa i-exudate, inxalenye yokugqoka ijika ibe mhlophe, enokubangela ukungaqondi kakuhle. Ukuba ilokhwe incangathi kakhulu, inokubangela umonakalo wolusu ukuba ilokhwe isancangathi kakhulu ukuba isusiwe emva kwexesha elifutshane.
5. Ukunxiba kwe-alginate
Isinxibo se-alginate siquka izicatshulwa zolwandle olumdaka lwaselwandle. Ingalukwa okanye ingalukwanga. Inesakhono esinamandla sokufunxa i-exudate, kwaye iya kuba yigelatinous xa idibana ne-exudate. Ingasetyenziselwa: izilonda ze-venous, amanxeba e-sinus, amanxeba aphuma kakhulu.
Izinto eziluncedo: amandla okufunxa awomeleleyo; ingasetyenziselwa amanxeba abosulelekileyo; amanxeba angabambekiyo; khuthaza ukuchithwa kwe-autolytic.
Ukungalungi: kufuneka kusetyenziswe isambatho esinemigangatho emibini; kunokubangela ukungabikho kwamanzi kunye nokoma kwebhedi yesilonda; ukusetyenziswa kakubi kwee-tendon eziveziweyo, ii-capsules eziphambili okanye amathambo aya kubangela ukuba ezi zicubu zome kunye necrosis. Xa isetyenziswe kwi-sinus okanye ngaphantsi, ukuba ihlala kwibhedi yenxeba ixesha elide, i-alginate dressing iguqule ngokupheleleyo ibe yi-gel. Ezinye iimveliso zinobunzima bokukhupha kwaye zifuna ukuhlanjululwa nge-saline eqhelekileyo.
6. I-Hydrogel yokugqoka yonyango
Ukwahlulwe kwi-sheet hydrogel dressings kunye ne-amorphous hydrogel dressings, umthamo wamanzi mkhulu kakhulu, uhlala udlula i-70%, ngoko ke amandla okufunxa i-exudate akulunganga, kodwa anokubonelela ngokufumama kumanxeba omileyo. Iihydrogel zecwecwe zisetyenziswa kakhulu kwinqanaba lokugqibela lokuphiliswa kwesilonda, njengothintelo kunye nonyango lwe-epithelial okanye i-phlebitis, kunye nonyango lwe-extravasation yamachiza e-chemotherapeutic. Isiphumo sihle kakhulu; ii-amorphous hydrogels zikwabizwa ngokuba zii-gel debridement. Isetyenziswa ikakhulu ukunceda ukuchithwa kwe-autolytic kunye nokuthambisa kwe-eschar. Abavelisi abakhulu bokugqoka banemveliso efanayo. Nangona izithako zinokwahluka kancinci, umphumo uyafana. Yinto esetyenziswa ngokuqhelekileyo ukunxiba kwiklinikhi.
Iingenelo: Inokugcwalisa ngokusebenzayo amanzi kumanxeba omileyo kwaye igcine iimeko zokuphilisa ezifumileyo; ayibambeleli enxebeni; kwaye ikhuthaza ukuchithwa kwe-autolytic.
Ukungalungi: ixabiso liphezulu.
7. Isinxibo sezonyango esihlanganisiweyo
Ukugqoka kwezonyango ezidibeneyo kunokudibaniswa naluphi na uhlobo lokugqoka, olufana nokudibanisa i-oyile ye-gauze kunye ne-foam, okanye ukudibanisa i-alginate kunye ne-silver ion dressing, kwaye ingasetyenziselwa njengento yokugqoka enye okanye i-layer-layer dressing. Ngokuxhomekeke kuhlobo lokugqoka, lunokusetyenziswa kwiindidi zezilonda.
I-advanteji: kulula ukuyisebenzisa;
Ukungalungi: ixabiso eliphezulu, ukusebenza kweendleko eziphantsi; ukuguquguquka okusezantsi kwesalathiso.
Njengoko amava akho okulawula amanxeba enyuka, uya kufumanisa ukuba ukukwazi kwakho ukulawula iintlobo ezahlukeneyo zokunxiba kuyaphucuka. Emva kokuqonda iimpawu kunye nezibonakaliso zeentlobo ezahlukeneyo zokugqoka, ukusebenza kakuhle kunye nokusebenza konyango lwenxeba kunokuphuculwa. Ukubekw' esweni ngokusondeleyo kunokwandisa imiqondiso yokunxiba. Ngokomzekelo, abanye oogqirha basebenzisa iingubo ze-hydrocolloid ukuvala amanxeba ezilonda ze-venous kunye ne-fibrin deposits eninzi, kwaye basebenzise i-hydrogels ukuthambisa izicubu ze-necrotic kunye ne-cellulose kwibhedi yenxeba ukuze kube lula ukuyisebenzisa. Ukuqhawula umtshato. Ingcali nganye yamanxeba kufuneka ikwazi kakuhle kwaye iqhelane neentlobo ezahlukeneyo zokunxiba ukuze zenze owayo izixhobo zokunxiba.