Pho raunuka (primary m magani): wani sa na kayan aikin da magunguna

Rauni - wannan nama lalacewa ta hanyar inji nufin a gaban kirki take hakki na fata. A gaban wani mĩki, ba kurma ko hematoma za a iya gano da irin wannan halaye kamar yadda zafi, dehiscence, zubar da jini, rushewa da kuma mutunci. Pho rauni ne da aka gudanar a farkon 72 hours bayan rauni, idan babu contraindications.

iri-iri raunuka

Kowane ciwo yana da wani rami, ganuwar da kuma kasa. Dangane da yanayin raunin da duk raunuka, an rarraba su zuwa yankakken, sliced, yankakken, bruised, cije ni da guba. A lokacin PECVD raunuka shi wajibi ne don la'akari da. Bayan duk, yanayin raunin da ya bambanta da kuma siffofi da farko-agaji.

• Huda raunuka suna da yaushe amfani sharps, kamar needles. A rarrabe ne manyan zurfin lalacewa, amma lalacewar da kananan zanen gado. A ra'ayi na wannan, tabbatar babu lalacewar jini, gabobin ko jijiyoyi. Huda raunuka ne m saboda rauni cututtuka. Saboda haka idan akwai wani mĩki a ciki akwai yiwuwar na hanta lalacewa. Shi ne ba ko da yaushe sauki suma a lokacin PECVD.
• Incised rauni amfani da kaifi abu, haka kananan nama, halakarwa. A lokaci guda, gaping rami ne sauki duba kuma yi PECVD. Irin wannan raunuka suna bi da kyau, da kuma waraka ne azumi, ba tare da rikitarwa.
• Yankakken raunuka ne saboda m cuta, amma tare da wani nauyi abu, kamar wani gatari. Kamar wancan lalata wa daban-daban zurfin, halin da fadi da hiatus da m nama rauni. Saboda wannan da rage yawan ikon regenerate.
• Contused raunuka faruwa lokacin da yin amfani da wani m abu. Wadannan raunuka ne halin da ciwon jam'i na lalace nama, karfi da impregnated da jini. A dauke da fitar PECVD raunuka kamata ka sani cewa akwai yiwuwar ya faru na suppuration.
• Cizo raunuka ne m shigar azzakari cikin farji da dabba yau kamuwa da cuta, da kuma wani lokacin mutane. Akwai wani hadarin m kamuwa da cuta da kuma bayyanar da ciwon hauka cutar.
• Guba raunuka yawanci bayyana a gaban wata cizon maciji ko wani gizo-gizo.
• Harbin bindiga raunuka suna bambanta da irin makamai amfani, fasali na lalacewa da kuma shigar azzakari cikin farji hanyoyi. Chances na kamuwa da cuta.

A dauke da fitar PECVD raunuka muhimmanci irin rawa da gaban festering. Irin wannan raunin da ake festering, svezheinfitsirovannymi da aseptic.

Manufar na PSD

Primary m magani wajibi ne a cire cutarwa microorganisms cewa sun samu shiga cikin rauni. Don yin wannan, yanke wani lalace necrotic nama, da kuma jini clots. Bayan da aka rufe da stitches da magudanun ruwa da aka yi, idan ya cancanta.

A hanya na bukatar kasancewar nama lalacewar da jagged gefuna. Yana bukatar wannan da zurfi da kuma datti raunuka. Lalacewar manyan jini, da kuma wani lokacin da ƙasũsuwan da kuma jijiyoyi ma na bukatar m ayyukan. PSD gudanar lokaci guda kuma fahimce. likita bukatar taimako zuwa wani haƙuri har zuwa 72 hours bayan ji masa rauni. Farkon CVD ne da za'ayi domin farko dare, dauke a kan rana ta biyu - a jinkirta m baki.

Kallo don PECVD

Don gudanar da wani da primary rauni jiyya hanya bukatar wani m biyu kofe na sa. Su canji a lokacin aiki, da kuma bayan da datti mataki - maimaita:

• Clip "forceps" line, wanda iyawa da aiki filin.
• nuna wukar yin aikin tiyata, bryushisty.
• lilin fartanya amfani ga rike dressings da sauran kayan.
• Kocher matsa, Billroth da kuma "sauro" ana amfani da su daina zub da jini a lokacin PECVD su raunuka a yi amfani da wani babban yawa.
• almakashi, su ne a mike kuma mai lankwasa baki a kan wani jirgin saman ko a dama da kofe.
• Bincikar Kocher, fluted da bellied.
• sa na needles.
• da allura mariƙin.
• hanzaki.
• hooks (mahara da nau'i-nau'i).

A m kit ga wannan hanya ma ya hada da dinki needles for allura syringes, bandeji, gauze bukukuwa, roba safar hannu, shambura da kuma daban-daban kyallen takarda. Duk abubuwa da ake bukata domin CVD - kabu da kuma m miya kaya, kayan aikin da kuma magunguna nufi domin lura da raunuka - suna sanya a kan wani m tebur.

muhimmanci magunguna

Primary debridement ne cikakken ba tare da wani musamman miyagun ƙwayoyi. Da aka fi amfani ne:

• 70% barasa.
• 3% bayani daga hydrogen peroxide.
• Yodopiron 1% bayani ko 0.5% chlorhexidine bigluconate.
• 10% bayani daga NaCl.
• 0.25% - 0.5% novocaine bayani.

saukarwa PECVD

Primary m magani ne da za'ayi a dama, saukarwa:

1. Jarrabawa na rauni da kuma ta m magani da antiseptic.
2. Kau da lalace nama, kasashen waje jikinsu, kashi, niƙaƙƙun gaɓãɓuwa. Yi dissection na ciwo kamar yadda ake bukata.
3. Dakatar da zub da jini.
4. Magudanun ruwa.
5. Stitching.

Ta yaya ne PECVD

Don gudanar da wani aikin tiyata da haƙuri da aka sanya a kan tebur. Its matsayin dogara a kan sāke wuri na ciwo. Likita dole dadi. Za'ayi bayan gida raunuka bi da m filin, wanda delimits da bakararre iya yarwa tufafi. Bugu da ari, primary tashin hankali da aka yi, da nufin a warkar da raunuka samuwa da kuma maganin sa barci da aka gudanar. A mafi yawan lokuta, likitoci amfani da hanyar Wisniewski - gudanar 0.5% novocaine bayani a nesa na biyu santimita daga yanke gefuna. A wannan bayani da aka allura a daya gefen. Tare da daidai martani daga mãsu haƙuri a kan fata a kusa da ciwo akwai wani "lemun tsami kwasfa". Harbin bindiga raunuka sau da yawa bukatar gwamnatin janar maganin sa barci zuwa haƙuri.

A gefuna da lalacewar bi wani 1 cm Kohhera matsa da kuma yanke matsayin naúrar. Lokacin da hanya da aka truncated nezhiznedeyatelnosposobnaya nama a kan fuska ko yatsunsu, sa'an nan Ya hõre wani m kabu. Sauyawa daga safar hannu da kayan amfani.

The rauni an wanke da chlorhexidine da za'ayi ta dubawa. Huda raunuka, da kananan amma zurfin yanke, dissect. Idan lalace tsoka, su ne cire gefuna. A wannan da aka yi tare da, niƙaƙƙun gaɓãɓuwa na ƙasũsuwa. Next, ku hemostasis. A ciki na rauni da aka bi farko da wani bayani sa'an nan antiseptic shirye-shirye.

Bi da ciwo ba tare da wani alamun sepsis sewn tam farko manual dinki da kuma rufe tare da bandeji aseptic. Sutures aiki gaba ɗaya kamawa duk yadudduka a fadi da zurfin. Wajibi ne cewa su shãfi jũna, amma ba da kwangilar. A dauke da fitar da aikin dole a samu wani kwaskwarima kabu bayan waraka.

A wasu lokuta, da farko seams ba zoba. Incised rauni iya samun mafi tsanani rauni fiye da alama da farko kallo. Idan a cikin shakka, Likita yana amfani da wani jinkiri farko dinki. Wannan hanya da ake amfani da idan rauni aka kamuwa. Ƙulli ne da za'ayi kafin adipose nama, da kuma gidajen abinci ba tsaurara. A 'yan kwanaki bayan ganin rauni ne sutured zuwa karshen.

Raunuka daga cizon

Pho raunuka, cije ni, ko guba, yana da bambance-bambance. Lokacin da cizo ba venomous dabbobi ne wata ila don ciwon hauka. A wani wuri mataki na cutar da ake suppressed ciwon hauka magani. Irin wannan raunuka a mafi yawan lokuta zama surkin jini, don haka kokarin jinkirta PECVD. Lokacin da hanya aka yi amfani da farko jinkirta dinki da kuma amfani da maganin antiseptik kwayoyi.

The rauni samu daga cizon maciji, na bukatar da danniyan daga m tourniquet ko bandeji. Bugu da kari, da rauni daskarewa ta amfani da novocaine ko tambaya sanyi. To neutralize guba allura protivozmeinaya magani. Spider cizon katange potassium permanganate. Kafin wannan guba da aka matse, da kuma rauni bi da tare da wani maganin antiseptik.

rikitarwa

Na m magani kaiwa zuwa wani mĩki antiseptic rauni suppuration. M nufin analgesia, kazalika da haddasa ƙarin raunin sa da haƙuri tashin hankali saboda kasancewar zafi.

M hali zuwa kyallen takarda, matalauta ilimi na Anatomy sa lalacewar da manyan jini, kayan ciki da jijiya endings. Ƙarancin sa hemostasis na kumburi tafiyar matakai.

Yana da muhimmanci cewa primary debridement aka za'ayi bisa ga dokoki gwani.