Dab tsi yog kev txiav tawm, nws yog dab tsi rau thiab cov txuj ci tseem ceeb

Zoo Siab

• Dab tsi yog nws rau
• Lub ntsiab ntawm debridement
• Ua li cas tiav lawm
• Muaj teeb meem tshwm sim

Kev tshem tawm, uas tseem tuaj yeem paub tias yog debridement, yog tus txheej txheem ua los tshem tawm necrotic, tuag, thiab cov nqaij mob los ntawm qhov txhab, txhim kho kom zoo thiab tiv thaiv tus kab mob sib kis mus rau lwm qhov ntawm lub cev. Nws tseem tuaj yeem ua tiav kom tshem cov ntaub ntawv txawv teb chaws los ntawm sab hauv qhov txhab, piv txwv li daim iav, piv txwv.

Cov txheej txheem yog ua los ntawm tus kws kho mob, kws kho mob feem ntau lossis vascular, hauv chav ua haujlwm lossis los ntawm tus kws tu neeg mob, hauv chav kho mob sab nraud lossis chaw kuaj mob thiab ntau hom tuaj yeem qhia, nyob ntawm tus yam ntxwv ntawm lub qhov txhab thiab tus neeg muaj mob.

Dab tsi yog nws rau

Kev rho tawm yog qhov txheej txheem tseem ceeb heev rau kev kho qhov mob nrog necrotic thiab mob nqaij, vim tias qhov kev tshem tawm ntawm cov ntaub so ntswg no txhim kho kom zoo, txo qis kev zais, xws li exudate, txo qhov kev ua ntawm cov kab mob me me thiab txhim kho qhov nqus ntawm tshuaj pleev nrog tshuaj tua kab mob.

Kev phais neeg mob, piv txwv, yog dav siv rau ntawm cov neeg muaj mob ntshav qab zib, vim qhov txheej txheem no txo ​​txoj kev o thiab tso cov tshuaj uas pab txoj kev loj hlob ntawm cov nqaij mos zoo li ntawm qhov txhab. Kawm yuav tu thiab kho cov plaub hau mob ko taw li cas.

Lub ntsiab ntawm debridement

Nws muaj ntau yam kev sib cais uas yog qhia los ntawm tus kws kho mob raws li cov yam ntxwv ntawm lub qhov txhab xws li qhov loj me, qhov tob, thaj chaw, qhov ntau ntawm kev zais thiab seb koj puas muaj mob lossis tsis kis, thiab lawv tuaj yeem yog:

• Autolytic: nws yog nqa tawm los ntawm lub cev nws tus kheej hauv kev coj ua, los ntawm cov txheej txheem zoo sib xws rau kev kho kom zoo, nce los ntawm kev tiv thaiv hlwb, leukocytes. Txhawm rau txhim kho cov teebmeem ntawm hom kev txiav tawm no, nws yog qhov yuav tsum tau ua kom lub qhov txhab nrog dej qab ntsev thiab hnav ris tsho nrog hydrogel, cov roj ntsha tseem ceeb (AGE) thiab calcium alginate;
• Phais Mob: nws muaj kev phais kom tshem tawm cov ntaub so ntswg uas tuag los ntawm lub qhov txhab thiab yog ua tiav thaum muaj qhov loj me. Txoj kev ua no tsuas yog ua los ntawm tus kws kho mob, hauv qhov chaw phais mob, hauv qab cov tshuaj loog hauv zos lossis dav dav;
• Instrumental: nws tuaj yeem ua kom tiav los ntawm tus kws tu neeg mob, hauv chav hloov khaub ncaws, thiab yog ua raws li kev tshem tawm cov ntaub so ntswg tuag thiab daim tawv nqaij muaj kab mob nrog kev pab ntawm pob tw thiab tawv nqaij. Feem ntau, ntau ntu yuav tsum tau ua rau maj mam tshem tawm cov nqaij necrotic thiab nws tsis ua rau mob, vim tias cov ntaub so ntswg no tuag lawm tsis muaj hlwb uas ua rau qhov hnov ​​ntawm qhov mob;
• Enzymatic lossis tshuaj lom neeg: nws muaj daim ntawv thov tshuaj, zoo li tshuaj pleev, ncaj qha rau ntawm lub qhov txhab kom lub qhov txhab tuag tawm. Qee qhov ntawm cov tshuaj no muaj cov enzymes uas tshem tawm necrosis, xws li collagenase thiab fibrinolysins;
• Kws Kho Tsheb: nws suav nrog kev tshem tawm cov ntaub so ntswg tuag los ntawm kev txhuam thiab kev kho dej nrog dej qab ntsev; txawm li cas los xij, nws tsis yog siv dav vim nws xav tau kev saib xyuas tshwj xeeb kom thiaj li tsis los ntshav hauv lub qhov txhab.

Ib qho ntxiv, tseem muaj cov txheej txheem siv hu ua biological debridement uas siv cov kab menyuam tsis taus ntawm hom Lucilia sericata, ntawm kev sib tw ntsuab ntsuab, kom noj cov nqaij tuag thiab kab mob los ntawm lub qhov txhab, tswj kev kis mob thiab txhim kho kom zoo. Cov kab menyuam yaus tau muab tso rau ntawm lub qhov txhab nrog kev hnav khaub ncaws uas yuav tsum tau hloov ob zaug hauv ib lim tiam.

Ua li cas tiav lawm

Ua ntej ua cov txheej txheem, tus kws kho mob lossis tus nais maum yuav kuaj xyuas qhov txhab, xyuas seb thaj tsam ntawm necrosis zoo li cas thiab tseem yuav txheeb xyuas cov kev mob hauv kev noj qab haus huv feem ntau, xws li cov neeg muaj teeb meem txhaws, xws li idiopathic thrombocytopenic purpura, tej zaum yuav muaj qhov nyuaj kho, ntxiv rau kom muaj kev pheej hmoo siab los ntshav thaum lub sij hawm debridement.

Qhov chaw thiab sijhawm ntawm cov txheej txheem nyob ntawm cov txheej txheem debridement yuav siv, uas tuaj yeem ua rau hauv chav phais mob ntawm tsev kho mob lossis chaw kho mob sab nraud nrog chav hnav khaub ncaws. Yog li, ua ntej txheej txheem, kws kho mob lossis kws saib xyuas neeg mob yuav piav qhia cov txheej txheem yuav tsum tau ua thiab cov lus qhia tshwj xeeb, uas yuav tsum tau ua raws li cov lus qhia.

Tom qab cov txheej txheem, nws yuav tsum ua qee qhov kev tiv thaiv xws li ua kom hnav khaub ncaws kom huv thiab qhuav, tsis txhob ua luam dej hauv pas dej lossis hiav txwv thiab tsis thov siv lub siab rau lub qhov txhab.

Muaj teeb meem tshwm sim

Cov teeb meem feem ntau ntawm kev debridement tuaj yeem los ntshav los ntawm lub qhov txhab, voos ntawm daim tawv nqaij ib puag ncig, mob tom qab cov txheej txheem thiab kev fab tshuaj rau cov khoom siv, txawm li cas los xij, cov txiaj ntsig tau ntau dua thiab yuav tsum raug txiav txim siab ua ntej, vim qee kis, a qhov txhab nws zoo tsis zoo yam tsis muaj debridement.

Tseem, yog tias cov tsos mob xws li kub taub hau, o, los ntshav thiab mob hnyav tshwm sim tom qab debridement, nws yog qhov yuav tsum tau nrhiav kev kho mob sai sai thiaj li tsim nyog kho kom zoo dua.