Dab Tsi Ntsej Muag Deb Thiab Thaum Twg Nws Yooj Yim?

Zoo Siab

• Kev txhais cov ntsiab lus
• Thaum twg yog debridement tsim nyog?
• Hom kev sib cais
• Kev tu ncua roj ntsha
• Enzymatic debridement
• Autolytic debridement
• Kev kho khoom siv kho tshuab
• Txuag tshwj xeeb ntse thiab phais ntse ntse txiav ceg tawv
• Kev kho hniav kho hniav
• Dab tsi xav kom los ntawm cov txheej txheem
• Kev mob nkees nyuaj puas yog?
• Kev kho kab mob kev deb
• Rov qab los ntawm kev rho tawm txoj kev phais
• Lwm yam kev cuam tshuam ntawm kev txiav tawm
• Thaum mus ntsib kws kho mob
• Cov nqa mus

Kev txhais cov ntsiab lus

Kev rho tawm yog tshem tawm cov neeg tuag (necrotic) los yog mob ntawm daim tawv nqaij ua kom qhov mob zoo. Nws tseem ua kom tshem tawm cov khoom siv txawv teb chaws ntawm daim ntaub.

Cov txheej txheem yog qhov tseem ceeb rau cov qhov txhab uas tsis tau zoo dua. Feem ntau, cov qhov txhab no raug khuam rau hauv thawj theem ntawm kev kho kom zoo. Thaum cov ntaub so ntswg tsis zoo raug tshem tawm, mob yuav rov qab kho kom rov qab los.

Cov qhov txhab uas mob tau:

• pab cov nqaij noj qab nyob zoo
• txo cov kev caws pliav
• txo cov teeb meem cuam tshuam ntawm kev kis mob

Thaum twg yog debridement tsim nyog?

Kev nqes tes tsis yog txhua tus neeg yuav raug mob.

Feem ntau, nws tau siv rau cov qhov txhab qub uas tsis tau kho kom zoo. Nws kuj tseem siv rau qhov mob viav vias uas kis tau yooj yim thiab mob heev dua.

Kev ncua deb yog tseem ceeb yog tias koj muaj kev pheej hmoo los tsim teeb meem los ntawm kev mob viav vias.

Muaj qee kis, cov qhov txhab tshiab thiab mob hnyav ntxiv yuav xav tau debridement.

Hom kev sib cais

Hom kev txiav txim siab zoo tshaj plaws nyob ntawm koj:

• mob
• muaj hnub nyoog
• noj qab haus huv tag nrho
• kev pheej hmoo rau cov nyom

Feem ntau, koj lub qhov txhab yuav xav tau ua ke nrog cov hauv kev hauv qab no.

Kev tu ncua roj ntsha

Kev siv roj ntsha mus rau kev siv roj ntsha ua lub zog ntawm cov hom Lucilia sericata, qhov dav ntsuab cov tsiaj ya. Cov txheej txheem kuj tseem hu ua kev kho larval, kev kho kho qhov muag, thiab kev kho mob biosurgery.

Tus maggots pab kom qhov nqaij mob zoo dua los ntawm kev noj nqaij qub. Lawv kuj tswj tau kab mob los ntawm kev tso cov tshuaj tua kab mob thiab noj cov kab mob uas muaj teeb meem.

Cov maggots tso rau ntawm lub qhov txhab lossis hauv ib lub hnab mesh, uas tau muab khaws cia nrog kev hnav khaub ncaws. Lawv tau tawm ntawm 24 mus rau 72 teev thiab hloov ob zaug hauv ib lub lim tiam.

Kev tu ncua roj ntsha yog qhov zoo tshaj rau cov qhov txhab uas loj lossis kis tus kab mob los ntawm cov tshuaj tua kab mob, zoo li MRSA. Nws tseem siv tau yog tias koj tsis tuaj yeem muaj phais vim muaj mob.

Enzymatic debridement

Enzymatic debridement, los yog tshuaj lom neeg mob, siv cov tshuaj pleev pleev los yog pleev uas muaj cov enzymes uas ua rau cov nqaij mos tsis huv. Cov enzymes tuaj yeem los ntawm tsiaj, nroj tsuag, lossis kab mob.

Qhov muab tshuaj yog thov ib zaug lossis ob zaug ib hnub. Lub qhov txhab npog nrog cov ris tsho, uas hloov pauv tsis tu ncua. Kev hnav khaub ncaws yuav tshem cov ntaub so ntswg thaum nws tshem tawm.

Enzymatic debridement yog qhov zoo tshaj yog tias koj muaj teeb meem los ntshav lossis muaj kev pheej hmoo siab rau kev phais mob.

Nws tsis raug pom zoo rau cov qhov mob loj thiab mob hnyav.

Autolytic debridement

Autolytic debridement siv koj lub cev cov enzymes thiab kua dej los ua kom cov nqaij mos tsis zoo. Qhov no ua tiav nrog txoj kev hnav khaub ncaws noo uas qhov hloov pauv ib hnub ib zaug.

Thaum ya raws txuam nrog, cov ntaub so ntswg qub swells thiab cais tawm ntawm lub qhov txhab.

Autolytic debridement yog qhov zoo tshaj plaws rau qhov tsis muaj qhov kis mob thiab cov qhov ncauj tawm.

Yog tias koj muaj qhov txhab mob uas tau txais kev kho mob, koj tuaj yeem tau txais kev tiv thaiv kabmob ua ke nrog lwm qhov ntawm kev rho tawm.

Kev kho khoom siv kho tshuab

Kev kho neeg kho tshuab yog qhov feem ntau hom mob txhab. Nws tshem tawm cov nqaij tsis zoo nrog lub zog txav.

Hom kev siv tshuab debridement muaj xws li:

• Kev kho dej hiav txwv. Txoj kev no siv dej ntws los ntxuav cov ntaub so ntswg qub. Tej zaum yuav siv dej da dej, da dej kho, lossis tso dej nqus dej thiab raj raj.
• Ntub dej rau hnav khaub ncaws. Kev ntub dej ntub yog siv rau cov qhov txhab zoo. Tom qab nws dries thiab lo rau lub qhov txhab, nws muab lub cev tshem tawm, uas tshem cov ntaub so ntswg uas tuag lawm.
• Monofilament debridement los ntxiv. Cov ntaub mos polyester ntaub tau maj mam txhuam ntawm qhov mob. Qhov no tshem tawm cov ntaub so ntswg tsis zoo thiab lub qhov txhab khib nyiab.

Kev kho tshuab los tu yog qhov tsim nyog rau qhov tsis raug thiab kis mob.

Txuag tshwj xeeb ntse thiab phais ntse ntse txiav ceg tawv

Ntse debridement tshem tawm cov ntaub so tsis zoo los ntawm kev txiav tawm.

Txuag tshwj xeeb ntse siv lub hau, kho kom zoo, lossis txiab. Qhov kev txiav tsis txuas ntxiv mus rau cov nqaij mos noj qab haus huv ib puag ncig. Raws li kev phais me me ntawm lub txaj me me, nws tuaj yeem ua los ntawm tsev neeg tus kws kho mob, tus nais maum, kws kho tsiaj, lossis kws kho pob txha.

Kev phais ntse ntse cais siv qhov ntsuas phais. Cov txiav ntxiv yuav muaj cov nqaij zoo nyob ncig ntawm lub qhov txhab. Nws ua tiav los ntawm tus kws phais neeg thiab xav kom ua kom loog.

Feem ntau, ntse debridement tsis yog thawj txoj kev xaiv. Nws ib txwm ua yog tias lwm txoj kev rho tawm tsis ua haujlwm lossis yog tias koj xav tau kev kho mob sai.

Kev phais mob ntse ntse tseem siv rau qhov mob loj, sib sib zog nqus, lossis mob hnyav.

Kev kho hniav kho hniav

Kev kho hniav ntawm hniav yog txheej txheem uas tshem tawm cov hniav tartar thiab cov quav hniav tawm ntawm koj cov hniav. Nws tseem yuav raug hu ua tag nrho lub qhov ncauj debridement.

Cov txheej txheem no pab tau yog tias koj tsis tau tu hniav los tau ntau xyoo.

Tsis zoo li cov qhov txhab ntawm txhab, kev kho hniav kho tsis tau tshem tawm cov ntaub so ntswg.

Dab tsi xav kom los ntawm cov txheej txheem

Ua ntej tau txais qhov txhab kho mob, kev npaj nyob ntawm koj:

• mob
• kev mob nkeeg
• hom kev txiav tawm

Kev npaj muaj xws li:

• soj ntsuam lub cev
• ntsuas ntawm qhov txhab
• mob tshuaj kho mob (kho tshuab kho)
• tshuaj loog hauv zos lossis dav dav (ntse muag ntuag)

Yog tias koj tau txais tshuaj loog dav dav, koj yuav tsum tau caij tsheb thauj mus tsev. Koj kuj yuav tsum tau yoo mov rau qee lub sijhawm ua ntej koj txoj kev ua.

Kev txiav txim siab tsis tsim lwm qhov yog ua nyob hauv tus kws kho mob lub chaw haujlwm lossis chav neeg mob. Tus kws kho mob yuav siv rau kev kho mob, uas rov ua dua li ob rau rau lub lis piam lossis ntev dua.

Ntse debridement yog qhov nrawm. Thaum nyob hauv tus txheej txheem, tus kws phais yuav siv cov khoom siv hlau los kuaj xyuas lub qhov txhab. Tus kws phais mob txiav tawm daim ntaub qub thiab ntxuav lub qhov txhab. Yog tias koj tau ua daim tawv nqaij txuas, cov kws phais yuav muab nws tso.

Feem ntau, kev txiav tawm rov qab ua dua kom txog thaum lub qhov txhab kho zoo. Nyob ntawm koj lub qhov txhab, koj cov txheej txheem txuas ntxiv tuaj yeem yog lwm txoj kev sib txawv.

Kev mob nkees nyuaj puas yog?

Txheeb raws roj ntsha, enzymatic, thiab autolytic debridement feem ntau ua rau mob me ntsis, yog tias muaj.

Neeg kho tshuab thiab ntse txiav teeb meem yuav mob.

Yog tias koj tau txiav cov tshuab, koj yuav tau txais tshuaj kho mob.

Yog tias koj tau ua kom tiav ntse, koj yuav tau txais tshuaj loog hauv zos lossis dav dav. Tshuaj loog hauv zos yuav loog. Cov tshuaj loog ib txwm yuav ua rau koj tsaug zog, yog li koj yuav tsis xav dab tsi.

Qee zaum nws tuaj yeem raug mob thaum hnav khaub ncaws raug hloov. Nug koj tus kws kho mob txog tshuaj kho mob thiab lwm txoj kev tswj kev mob.

Kev kho kab mob kev deb

Nws tseem ceeb heev uas yuav tau saib xyuas koj lub qhov txhab kom zoo. Qhov no yuav pab nws kho kom tsawg thiab kom tsis txhob muaj teeb meem.

Nov yog qhov koj tuaj yeem ua los tiv thaiv koj lub qhov txhab thaum kho kom zoo:

• Nquag hloov hnav khaub ncaws. Hloov nws txhua hnub lossis raws li koj tus kws kho mob cov lus qhia.
• Khaws khaub ncaws kom qhuav. Txav deb ntawm pas dej da dej, da dej thiab lub dab dej kub. Nug koj tus kws kho mob thaum koj tuaj yeem da dej.
• Txuag lub qhov txhab kom huv. Nco ntsoov ntxuav koj txhais tes ua ntej thiab tom qab koj kov koj lub qhov txhab.
• Tsis txhob siv lub siab. Siv tshwj xeeb hauv ncoo kom tsis txhob tso qhov hnyav ntawm koj lub qhov txhab.Yog tias koj lub qhov txhab nyob ntawm koj txhais ceg lossis txhais ko taw, koj yuav tsum ua kom nkag siab.

Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau kev tu koj lub qhov txhab.

Rov qab los ntawm kev rho tawm txoj kev phais

Feem ntau, kev rov zoo yuav siv 6 mus rau 12 lub lis piam.

Kev ua tiav tag nrho yog nyob ntawm qhov mob hnyav, qhov loj me, thiab thaj chaw ntawm qhov txhab. Nws tseem nyob ntawm txoj kev debridement.

Koj tus kws kho mob yuav txiav txim siab thaum koj rov qab mus ua haujlwm. Yog tias koj txoj haujlwm xav tau los ntawm lub cev lossis cuam tshuam nrog thaj chaw cuam tshuam, nco ntsoov qhia koj tus kws kho mob.

Kev tu qhov txhab kom zoo yog qhov tseem ceeb rau kev rov qab zoo. Koj kuj yuav tsum:

• Noj zaub mov zoo. Koj lub cev xav tau cov as-ham txaus los kho.
• Zam kev haus luam yeeb. Kev haus luam yeeb ua rau nws tsis yooj yim rau cov as-ham thiab oxygengens mus cuag koj lub qhov txhab. Qhov no qeeb qeeb kho. Kev haus luam yeeb tuaj yeem nyuaj, tab sis kws kho mob tuaj yeem pab koj tsim txoj kev txiav luam yeeb kom haum rau koj.
• Mus ntsib cov sij hawm rov qab mus xyuas. Koj tus kws kho mob yuav tsum kuaj koj lub qhov txhab kom zoo thiab kho nws kom zoo.

Lwm yam kev cuam tshuam ntawm kev txiav tawm

Zoo li txhua yam txheej txheem kho mob, kev rho tawm pov tseg yog qhov txaus ntshai ua rau muaj teeb meem.

Cov no suav nrog:

• voos
• los ntshav
• kev puas tsuaj rau ntaub so ntswg noj qab haus huv
• kev fab tshuaj tiv thaiv
• kev mob
• cov kab mob sib kis

Txawm hais tias yuav muaj cov kev mob tshwm sim no los, cov txiaj ntsig feem ntau tshaj qhov txaus ntshai. Ntau qhov mob mob yuav tsis zoo yam uas tsis muaj hau ntsaws.

Thaum mus ntsib kws kho mob

Ua zoo rau koj lub qhov txhab. Yog koj xav tias muaj tus kab mob, hu rau koj tus kws kho mob.

Cov tsos mob ntawm kev kis tus kab mob suav nrog:

• nce zuj zus mob
• liab
• o tuaj
• ntev li ntawm los ntshav
• tawm tshiab
• ntxhiab tsw phem
• ua npaws
• ua daus no
• xeev siab
• ntuav

Yog koj tau txais tshuaj loog, nrhiav kev pab kho mob yog tias koj muaj:

• kev hnoos
• ua pa nyuaj
• mob hauv siab
• xeev siab
• ntuav

Cov nqa mus

Yog tias koj lub qhov txhab tsis zoo zuj zus, tej zaum koj yuav xav laij tawm. Cov txheej txheem pab cov qhov txhab ua kom zoo kom zoo los ntawm kev tshem tawm cov neeg tuag lossis mob.

Kev nrawm tuaj yeem ua nrog cov maggots, hnav ris tsho tshwj xeeb, lossis tshuaj pleev uas ua kom cov nqaij mos. Cov ntaub so ntswg qub kuj tseem tuaj yeem txiav tawm los yog tshem tawm nrog lub zog qog, xws li ntws dej.

Hom kev txiav txim siab zoo tshaj plaws nyob ntawm koj qhov txhab. Feem ntau ntau txoj hau kev raug siv ua ke.

Rov qab siv sijhawm 6 mus rau 12 lub lis piam. Xyaum tu mob zoo yuav pab koj lub qhov txhab zoo. Hu rau koj tus kws kho mob yog tias koj muaj mob ntau ntxiv, o, lossis lwm cov tsos mob tshiab thaum lub sijhawm rov zoo tuaj.