Zvakanakira uye Zvakaipa Different Medical Dressings

Zvakanakira nekuipira zvakasiyanazvipfeko zvekurapa
1. Gauze
Mapfekero egauze anogadzirwa nezvinhu zvakarukwa kana zvisiri-kurukwa, kunyanya zvinhu zvedonje, zvine maumbirwo akasiyana uye saizi. Inogona kushandiswa kune maronda ane hutachiona, kupfekedzwa kwemaronda nekudzivirira, kutonga kweronda exudate, uye maronda anoda kugara achichinja kupfeka.
Zvakanakira: zvakachipa uye zviri nyore kuwana. Inogona kushandiswa kune chero rudzi rwemaronda.
Kukanganisa: inoda kuchinjwa kakawanda, iyo inowedzera mari yose; inogona kunamatira pamubhedha weronda; inoda kushandiswa pamwe chete nemamwe marudzi ekupfeka; haigoni kusangana nezvinodiwa zvekupora maronda akanyorova.
2. Kupfeka kwakajeka
Iyo yakajeka firimu yekupfeka ndeye semi-permeable, inobvumira okisijeni nemhute yemvura kupfuura, ichidzivirira kupfuura kwemvura uye mabhakitiriya. Kazhinji inogadzirwa ne polymeric zvinhu zvakaita se polyurethane. Inogona kushandiswa kugadzirisa michina yakadai seyakaremara ganda, nzvimbo dzekupa ganda, kutsva kudiki, nhanho I uye nhanho II maronda ekumanikidza, uye intravenous infusion machubhu.
Zvakanakira: mutengo wakaderera; yakanaka kukwana, inogona kushandiswa nguva dzose paronda kwevhiki imwe; kubatsira autolytic debridement; kudzivirira kukakavara kwemubhedha weronda; cherechedza vanga pasina kubvisa; chengetedza hunyoro hwepakati pemubhedha weronda kudzivirira kusvibiswa kweBacterial.
Zvakaipa: Inogona kunamatira kune mamwe maronda; haigone kushandiswa kune zvakanyanya exuding maronda; ronda racho rakavharwa, izvo zvingaita kuti ganda rakakomberedza riite macerate.
3. Mboro
Mapfekero efuro anowanzo kuve neakawanda-layer chimiro, kazhinji anoumbwa neanopesana-kunamira maronda ekusangana, exudate absorption layer, uye isina mvura uye inorwisa mabhakitiriya. Hazvisi nyore kuomerera pamubhedha wemaronda, haigadziri nzvimbo yakavharwa, uye ine maitiro akanaka ekutora. Inogona kushandisirwa: kurapa maronda uye kudzivirira, kutsva zvinyoro, kuisirwa ganda, chirwere cheshuga chetsoka maronda, ganda vanopa nzvimbo, venous maronda, nezvimwe.
Zvakanakira: maronda akasununguka, asina-adhesive; kuita kwepamusoro kunyura; yakaderera frequency yekupfeka kuchinja kunodiwa; maumbirwo akasiyana uye saizi, yakanakira akasiyana anatomical zvikamu.
Zvakaipa: zvingada kushandisa maviri-layer dressing kana tepi kugadzirisa; kana paine kuwedzera kuburitsa, kana ikasatsiviwa nenguva, inogona kuita kuti ganda rakapoteredza ronda rinyorove; haigoni kushandiswa eschar kana maronda akaoma; mamwe mapfekero efuro haagone kushandiswa kune mamwe marudzi Maronda, senge maronda ane hutachiona kana maronda e sinus. Mitengo yakakwira yezvigadzirwa kubva kunze kwenyika inodzikisirawo kusimudzirwa kwavo.
4. Hydrocolloid dressing
Iyo hydrocolloid dressing ine kumwe kugona kunwisa mvura, uye ine colloidal particles, senge methyl cellulose, gelatin kana pectin, inogona kushandurwa kuita jelly-sechinhu kana yasangana nemvura. Hydrocolloid dressings kazhinji ine viscosity yakasimba, uye inoda humwe hunyanzvi uye kutevedzera mirairo yemugadziri paunenge uchiishandisa, senge zviratidzo uye nguva yekushandisa. Inogona kushandiswa kune: kupisa, kudzvinyirira maronda, venous maronda, phlebitis, nezvimwewo.
Zvakanakira: Inogona kukurudzira autolytic debridement; sunga mubhedha weronda kudzivirira ronda; kusapinda mvura uye kuvharira mabhakitiriya, kudzivirira weti netsvina kusvibiswa; ine mwero exudate absorption capacity.
Kukanganisa: zvisaririra zvinogona kusara pamubhedha wemaronda, izvo zvinogona kukanganisa nehutachiona; mipendero yezvipfeko munzvimbo dzinowanzoita friction zviri nyore kupeta; haigoni kushandiswa kana utachiona huripo. Mushure mekutora exudate, kupfeka kunoshanduka kuchena, izvo zvinogona kukonzera kusanzwisisana. Kana kupfeka kwacho kwakanyatsonamira, kunogona kukonzera kukuvara kweganda kana kupfeka kuchiri kunamatira zvakanyanya kana kukazobviswa mushure menguva pfupi.
5. Alginate dressing
Iyo alginate dressing ine zvinyorwa zvebrown seaweed. Inogona kuve yakarukwa kana isiri-yakarukwa chimiro. Iyo ine simba rakasimba rekutora exudate, uye inova gelatinous kana yasangana ne exudate. Inogona kushandiswa kune: venous maronda, sinus maronda, zvakanyanya exuding maronda.
Zvakanakira: simba rekutora simba; inogona kushandiswa kune maronda ane utachiona; maronda asina-adhesive; kukurudzira autolytic debridement.
Kukanganisa: jira remaviri rinofanira kushandiswa; zvinogona kukonzera kupera uye kuoma kwemubhedha weronda; kushandiswa zvisina kunaka kwematendon akazaruka, makiyi capsules kana mapfupa achaita kuti matukisi aya aome uye necrosis. Kana yakashandiswa mu sinus kana pasi, kana ikagara mumubhedha wemaronda kwenguva yakareba, iyo alginate dressing yakashanduka zvachose kuita gel. Zvimwe zvinogadzirwa zvinonetsa kuburitsa uye zvinoda kugezwa nesaline yakajairika.
6. Hydrogel mishonga yekurapa
Yakakamurwa kuita sheet hydrogel dressings uye amorphous hydrogel dressings, mvura yemukati yakakura kwazvo, kazhinji inodarika 70%, saka iyo exudate absorption kugona haina kunaka, asi inogona kushingaira kupa hunyoro kumaronda akaoma. Mahwendefa e-hydrogel anonyanya kushandiswa muchikamu chekupedzisira chekuporesa kweronda, sekudzivirira uye kurapwa kwe epithelial kana phlebitis, uye kurapwa kwekuwedzera kwemishonga ye chemotherapeutic. Mhedzisiro yacho yakanaka kwazvo; amorphous hydrogels anonziwo debridement gels. Inonyanya kushandiswa kubatsira autolytic debridement uye kupfava kweeschar. Vagadziri vakuru vekupfeka vane zvigadzirwa zvakafanana. Kunyangwe izvo zvinongedzo zvingave zvakasiyana zvishoma, mhedzisiro yacho yakafanana. Iyo inowanzoshandiswa kupfeka muhutano hwekliniki.
Zvakanakira: Inogona kushingaira kuzadza mvura kune yakaoma maronda uye kuchengetedza hunyoro hwekuporesa mamiriro; haibati pavanga; uye inosimudzira autolytic debridement.
Kukanganisa: mutengo wakakwirira.
7. Kupfeka kwezvokurapa kwakasanganiswa
Iyo inosanganiswa yekupfeka yekurapa inogona kusanganiswa nemhando ipi neipi yekupfeka, senge musanganiswa wemafuta gauze uye furo, kana musanganiswa we alginate uye sirivheri ion dressing, uye inogona kushandiswa seimwe-layer dressing kana maviri-layer dressing. Zvichienderana nemhando yekupfeka, inogona kushandiswa kune akasiyana maronda emhando.
Advantage: nyore kushandisa;
Zvakaipa: mutengo wepamusoro, mutengo wakaderera wekuita; kuderera kwechiratidzo kushanduka.
Sezvo ruzivo rwako rwekugadzirisa maronda runowedzera, uchaona kuti kukwanisa kwako kudzora marudzi akasiyana-siyana ekupfeka kunovandudzawo. Mushure mekunzwisisa maitiro uye zviratidzo zvemarudzi akasiyana-siyana ekupfekedza, kushanda uye kushanda kwehutano hwemaronda kunogona kuvandudzwa. Kunyatsotarisisa kunogonawo kuwedzera zviratidzo zvekupfeka. Semuyenzaniso, mukuita, vamwe vanachiremba vanoshandisa hydrocolloid dressings kunama venous maronda maronda neakawanda fibrin deposits, uye kushandisa hydrogels kupfavisa necrotic tishu uye cellulose deposits paronda mubhedha kuti zvive nyore kushandisa. Debridement. Imwe neimwe nyanzvi yemaronda inofanirwa kugona uye kujairana nemhando dzakasiyana dzemapfekero kuti aumbe yake yekupfeka arsenal.