Qhov zoo thiab qhov tsis zoo ntawm kev hnav khaub ncaws kho mob sib txawv

Qhov zoo thiab qhov tsis zoo ntawm qhov sib txawvhnav khaub ncaws kho mob
1. Gauze
Gauze hnav khaub ncaws yog ua los ntawm cov ntaub qhwv los yog cov ntaub ntawv tsis-woven, feem ntau yog cov ntaub ntawv paj rwb, muaj ntau yam sib txawv thiab ntau thiab tsawg. Nws tuaj yeem siv rau cov kab mob kis kab mob, kev hnav khaub ncaws thiab kev tiv thaiv, kev tswj lub qhov txhab exudate, thiab qhov txhab uas yuav tsum tau hnav khaub ncaws tsis tu ncua.
Qhov zoo: pheej yig thiab yooj yim kom tau txais. Nws tuaj yeem siv rau txhua qhov txhab.
Qhov tsis zoo: nws yuav tsum tau hloov ntau zaus, uas ua rau tag nrho cov nqi; nws tuaj yeem ua raws li lub txaj mob; nws yuav tsum tau siv ua ke nrog lwm hom kev hnav khaub ncaws; nws tsis tuaj yeem ua tau raws li qhov xav tau ntawm kev kho qhov txhab ntub dej.
2. Kev hnav khaub ncaws pob tshab
Lub pob tshab zaj duab xis hnav khaub ncaws yog semi-permeable, tso cai rau cov pa oxygen thiab dej vapor dhau mus, thaum tiv thaiv cov dej thiab cov kab mob. Feem ntau yog ua los ntawm cov ntaub ntawv polymeric xws li polyurethane. Nws tuaj yeem siv los kho cov khoom siv xws li cov tawv nqaij tsis xws luag, thaj chaw pub dawb ntawm daim tawv nqaij, kub hnyiab me, theem I thiab theem II siab mob, thiab cov hlab ntsha hauv cov hlab ntsha.
Qhov zoo: tus nqi qis; zoo haum, tuaj yeem siv tsis tu ncua ntawm qhov txhab mus txog 1 lub lis piam; pab autolytic debridement; tiv thaiv kev sib txhuam ntawm lub txaj qhov txhab; saib xyuas qhov txhab yam tsis tau tshem tawm; tswj cov av nruab nrab ntawm lub txaj qhov txhab kom tsis txhob muaj kab mob sib kis.
Qhov tsis zoo: Nws tuaj yeem ua rau qee qhov txhab; tsis tuaj yeem siv rau qhov mob hnyav heev; lub qhov txhab raug kaw, uas yuav ua rau cov tawv nqaij ib puag ncig macerate.
3. Npuas
Kev hnav khaub ncaws ua npuas ncauj feem ntau muaj ntau txheej txheej, feem ntau tsim los ntawm cov txheej txheem tiv thaiv qhov txhab tiv thaiv kab mob, txheej txheej exudate nqus, thiab cov dej tsis zoo thiab cov kab mob rov qab. Nws tsis yooj yim rau kev ua raws li lub txaj qhov txhab, tsis tsim qhov chaw kaw, thiab muaj kev ua haujlwm zoo. Nws tuaj yeem siv rau: kev kho mob siab thiab kev tiv thaiv, kub hnyiab me me, hloov pauv ntawm daim tawv nqaij, mob ntshav qab zib taw rwj, daim tawv nqaij pub chaw, venous ulcers, thiab lwm yam.
Qhov zoo: xis, tsis nplaum qhov txhab; kev ua haujlwm siab nqus; tsawg zaus ntawm kev hnav khaub ncaws yuav tsum tau hloov; sib txawv cov duab thiab ntau thiab tsawg, yooj yim rau txawv anatomical qhov chaw.
Qhov tsis zoo: tej zaum yuav tau siv ob txheej hnav khaub ncaws los yog daim kab xev los kho; thaum muaj exudation ntau dua, yog tias nws tsis hloov lub sijhawm, nws yuav ua rau daim tawv nqaij nyob ib ncig ntawm lub qhov txhab kom ntub; tsis tuaj yeem siv rau eschar lossis qhov txhab qhuav; ib co ua npuas ncauj hnav tsis tuaj yeem siv rau qee yam mob, xws li qhov txhab mob lossis qhov txhab qhov txhab. Tus nqi siab dua ntawm cov khoom tuaj txawv teb chaws kuj txwv lawv kev nce qib.
4. Hydrocolloid hnav khaub ncaws
Kev hnav khaub ncaws hydrocolloid muaj qee yam muaj peev xwm nqus tau cov kua, thiab muaj cov khoom siv colloidal, xws li methyl cellulose, gelatin lossis pectin, uas tuaj yeem hloov mus rau hauv cov khoom zoo li jelly thaum sib cuag nrog cov kua. Hydrocolloid hnav khaub ncaws feem ntau muaj cov viscosity muaj zog, thiab yuav tsum muaj qee yam kev txawj ntse thiab ua raws li cov chaw tsim khoom cov lus qhia thaum siv lawv, xws li cov lus qhia thiab siv sijhawm. Yuav siv tau rau: kub hnyiab, mob siab, venous ulcers, phlebitis, thiab lwm yam.
Qhov zoo: Nws tuaj yeem txhawb nqa autolytic debridement; kaw lub txaj qhov txhab los tiv thaiv qhov txhab; waterproof thiab thaiv cov kab mob, tiv thaiv cov zis thiab quav muaj kuab paug; muaj ib tug nruab nrab exudate absorption muaj peev xwm.
Qhov tsis zoo: cov khoom seem tuaj yeem muab tso rau ntawm lub txaj qhov txhab, uas tuaj yeem ua yuam kev rau kev kis kab mob; cov npoo ntawm hnav khaub ncaws nyob rau hauv cov cheeb tsam uas muaj kev sib txhuam yog yooj yim rau curl; nws siv tsis tau thaum muaj kab mob. Tom qab nqus cov exudate, hnav khaub ncaws ib nrab tig dawb, uas yuav ua rau tsis nkag siab. Yog tias hnav khaub ncaws nplaum heev, nws yuav ua rau tawv nqaij puas yog tias cov hnav khaub ncaws tseem nplaum heev yog tias nws raug tshem tawm tom qab lub sijhawm luv luv.
5. Alginate hnav khaub ncaws
Kev hnav khaub ncaws alginate muaj cov extracts ntawm cov xim av seaweed. Yuav ua tau woven los yog non-woven qauv. Nws muaj peev xwm nqus tau exudate, thiab nws yuav dhau los ua gelatinous thaum nws los rau hauv kev sib cuag nrog exudate. Yuav siv tau rau: venous ulcers, sinus txhab, hnyav exuding qhov txhab.
Qhov zoo: muaj peev xwm nqus tau zoo; tuaj yeem siv rau qhov txhab mob; tsis nplaum qhov txhab; txhawb nqa autolytic debridement.
Qhov tsis zoo: kev hnav khaub ncaws ob txheej yuav tsum tau siv; nws tuaj yeem ua rau lub cev qhuav dej thiab qhuav ntawm lub txaj qhov txhab; Kev siv tsis raug ntawm cov leeg nqaij, cov tshuaj ntsiav lossis cov pob txha yuav ua rau cov ntaub so ntswg qhuav thiab necrosis. Thaum siv hauv qhov txhab lossis hauv qab, yog tias nyob hauv lub txaj qhov txhab ntev dhau lawm, kev hnav khaub ncaws alginate tau hloov mus ua gel. Qee cov khoom muaj teeb meem hauv kev tshem tawm thiab yuav tsum tau yaug nrog cov ntsev ib txwm.
6. Hydrogel hnav khaub ncaws kho mob
Muab faib rau hauv daim ntawv hydrogel hnav khaub ncaws thiab amorphous hydrogel hnav khaub ncaws, cov ntsiab lus ntawm cov dej yog loj heev, feem ntau tshaj 70%, yog li lub peev xwm nqus tau exudate tsis zoo, tab sis nws tuaj yeem ua kom muaj dej noo kom qhuav qhov txhab. Ntsiav tshuaj hydrogels yog siv nyob rau hauv lub lig theem ntawm lub qhov txhab kho, xws li kev tiv thaiv thiab kev kho mob ntawm epithelial los yog phlebitis, thiab kev kho mob ntawm extravasation ntawm chemotherapeutic tshuaj. Cov nyhuv zoo heev; amorphous hydrogels kuj hu ua debridement gels. Nws yog tsuas yog siv los pab autolytic debridement thiab softening ntawm eschar. Cov tuam txhab hnav khaub ncaws loj muaj cov khoom zoo sib xws. Txawm hais tias cov khoom xyaw yuav txawv me ntsis, cov nyhuv yog tib yam. Nws yog ib qho kev hnav khaub ncaws uas nquag siv hauv kev kho mob.
Qhov zoo: Nws tuaj yeem ua kom dej ntxiv rau cov qhov txhab qhuav thiab tswj cov dej noo zoo; nws tsis ua raws li qhov txhab; thiab txhawb nqa autolytic debridement.
Disadvantages: tus nqi siab dua.
7. Composite kho mob hnav khaub ncaws
Kev hnav khaub ncaws kho mob sib xyaw tuaj yeem ua ke los ntawm txhua yam kev hnav khaub ncaws, xws li kev sib xyaw ntawm cov roj nplaum thiab ua npuas ncauj, los yog kev sib xyaw ntawm alginate thiab silver ion hnav khaub ncaws, thiab tuaj yeem siv los ua ib txheej hnav khaub ncaws lossis ob txheej hnav khaub ncaws. Nyob ntawm seb hom kev hnav khaub ncaws, nws tuaj yeem siv rau ntau hom kab mob.
Advantage: yooj yim siv;
Qhov tsis zoo: tus nqi siab dua, kev ua haujlwm qis dua; qis qhia tau yooj yim.
Raws li koj qhov kev tswj xyuas qhov txhab nce ntxiv, koj yuav pom tias koj lub peev xwm los tswj ntau hom kev hnav khaub ncaws kuj tseem txhim kho. Tom qab nkag siab txog cov yam ntxwv thiab kev qhia ntawm ntau hom kev hnav khaub ncaws, kev ua tau zoo thiab kev ua tau zoo ntawm kev kho qhov txhab tuaj yeem txhim kho. Kev saib xyuas ze tuaj yeem nthuav dav qhov qhia txog kev hnav khaub ncaws. Piv txwv li, hauv kev xyaum, qee tus kws kho mob siv hydrocolloid hnav khaub ncaws los kaw cov qhov txhab ntawm lub qhov txhab nrog ntau cov fibrin deposits, thiab siv hydrogels kom soften necrotic cov ntaub so ntswg thiab cellulose deposits nyob rau hauv lub qhov txhab txaj kom nws yooj yim mus use. Debridement. Txhua tus kws kho mob tshwj xeeb yuav tsum paub thiab paub txog ntau hom kev hnav khaub ncaws los tsim nws tus kheej hnav khaub ncaws arsenal.