He aha ka ʻeha a me ka wā hea ia e pono ai?

Anter

• Wehewehe wehewehe
• Āhea pono ka ʻōpala?
• ʻAno Debridement
• Debridement lilolo
• ʻŌpala Enzymatic
• Debridement Autolytic
• Debridement mīkini
• ʻOi aku ka hoʻowahāwahā ʻo Conservative
• Kahua niho Debridement
• He aha ka mea e manaʻo ai mai ke kaʻina hana
• He ʻeha ka debridement?
• Mālama ʻeha debridement
• Loaʻa mai ke ʻoki debridement
• Nā pilikia o ka ʻōpala
• Ka wā e ʻike ai i ke kauka
• ʻO ka lawe lawe ʻana

Wehewehe wehewehe

ʻO Debridement ka lawe ʻia ʻana o ka mea make (necrotic) a i ʻole nā ​​ʻili maʻi maʻi e kōkua i kahi ʻeha e hoʻōla. Hana ʻia kekahi e hemo i nā mea haole mai ka kele.

Pono ke kaʻina hana no nā hōʻeha e maikaʻi ʻole ana. ʻO ka maʻamau, paʻa kēia mau ʻeha i ka pae mua o ka hoʻōla. Ke hoʻoneʻe ʻia nāʻiʻo maikaʻi ʻole, hiki i ka ʻeha ke hoʻomaka hou i ke kaʻina hana hoʻōla.

Hiki i ka debridement ʻeha ke:

• kōkua i ke kino e ulu
• hoʻēmi i ka scarring
• hoʻemi i nā pilikia o nā maʻi

Āhea pono ka ʻōpala?

ʻAʻole koi ʻia ka Debridement no nā ʻeha āpau.

ʻO ka maʻamau, hoʻohana ʻia ia no nā ʻeha kahiko ʻaʻole hoʻōla pono. Hoʻohana ʻia nō ia no nā ʻeha mau i loaʻa i nā maʻi a lilo i ʻino.

Pono pū ka debridement inā makaʻu ʻoe no ka hoʻomohala ʻana i nā pilikia mai nā maʻi ʻeha.

I kekahi mau hihia, pono i nā ʻeha hou a ʻeha hoʻi i ka ʻōpala.

ʻAno Debridement

Aia ke ʻano o ka ʻōpala maikaʻi i kāu:

• ʻeha
• makahiki
• olakino holoʻokoʻa
• pilikia no nā pilikia

ʻO ka maʻamau, koi kou ʻeha i ka hui pū ʻana o kēia mau hana.

Debridement lilolo

Hoʻohana ka debridement biological i nā maggots sterile mai ka laha ʻO Lucilia sericata, lele ka ʻōmole ʻōmaʻomaʻo maʻamau. Kapa ʻia ke kaʻina hana ʻo larval therapy, maggot debridement therapy, a me biosurgery.

Kōkua nā pākeke i ka hoʻōla hōʻeha ma ka ʻai ʻana i nā ʻaʻa kahiko. Hoʻopili pū lākou i ka maʻi maʻi ma ka hoʻokuʻu ʻana i nā mea antibacterial a me ka ʻai ʻana i nā bacteria maikaʻi.

Hoʻokomo ʻia nā pulu ma luna o ka ʻeha a i ʻole i loko o ka ʻeke hei, e mālama mau ʻia me ka lole. Waiho lākou no 24 a 72 mau hola a hoʻololi ʻelua manawa i ka pule.

ʻOi aku ka maikaʻi o ka debridement biological no nā ʻeha i nui a maʻi ʻia paha e nā ʻano antibiotic-resistant resistence of bacteria, e like me MRSA. Hoʻohana pū ʻia inā ʻaʻole hiki iā ʻoe ke ʻoki ma muli o nā kūlana olakino.

ʻŌpala Enzymatic

Hoʻohana ʻia ka Enzymatic debridement, a i ʻole debridement kemikala, i kahi hamo a i ʻole nā ​​gelona me nā enzyme e palupalu i kaʻiʻo pono ʻole. Hiki mai nā enzyme i kahi holoholona, ​​mea kanu, a i ʻole bacteria.

Hoʻohana ʻia ka lāʻau i hoʻokahi a i ʻole ʻelua mau manawa i ka lā. Uhi ʻia ka ʻeha me kahi kapa komo, hoʻololi pinepine ʻia. E lawe aku ke kapa komo i nā mea make ke wehe ʻia.

Kūpono ka enzymatic debridement inā loaʻa iā ʻoe nā pilikia kahe o ke kahe a i ʻole kahi makaʻala nui no nā pilikia o ke kīkoki.

ʻAʻole ia e koi ʻia no nā ʻeha nui a ʻino hoʻi.

Debridement Autolytic

Hoʻohana ka debridement Autolytic i kou mau enzyme o kou kino a me nā wai kūlohelohe e palupalu i nāʻiʻo maikaʻi ʻole. Hana ʻia kēia me kahi kāhiko paʻa paʻa i hoʻololi mau ʻia i hoʻokahi manawa i ka lā.

Ke hōʻiliʻili ka makū, pehu ka mea kahiko a hoʻokaʻawale mai ka ʻeha.

ʻOi aku ka maikaʻi o ka debridement Autolytic no nā ʻeha noninfected a me nā ʻeha puʻe.

Inā loaʻa iā ʻoe kahi ʻeha maʻi e mālama ʻia ana, hiki iā ʻoe ke loaʻa i ka debridement autolytic me kekahi ʻano debridement.

Debridement mīkini

ʻO ka ʻōpala mīkini ka ʻano maʻamau o ka ʻehaʻeha. Lawe ia i nā mea ola maikaʻi ʻole me ka ikaika neʻe.

Nā ʻano o ka ʻōpala mechanical e:

• Hydrotherapy. Hoʻohana kēia hana i ka wai holo e holoi i nā mea kahiko. Pili paha ia i ka ʻauʻau ʻauʻau, ʻauʻau ʻauʻau, a i ʻole syringe a me ka paipu catheter.
• Lole ʻaʻano Pulu-maloʻo. Hoʻopili ʻia ka gauze pulu i ka ʻeha. Ma hope o kona hoʻomaloʻo ʻana a pili i ka ʻeha, hemo kino ʻia ia, kahi e lawe aku ai i nā mea make.
• Nā pale debridement monofilament. Hoʻopili mālie ʻia kahi pad polyester ma kahi o ka ʻeha. Lawe kēia i nā kino maikaʻi a me nā ʻōpala ʻeha.

Kūpono ka mīkini debridement no nā ʻeha noninfected a maʻi.

ʻOi aku ka hoʻowahāwahā ʻo Conservative

Lawe ka debridement ʻoi loa i nā kino maikaʻi ʻole ma ke ʻoki ʻana.

Hoʻohana ka debridement ʻoi loa Conservative i nā scalpels, curettes, a me nā ʻāpana. ʻAʻole hoʻonui ka ʻoki i ka meaola e puni ana. Ma ke ʻano he ʻoki liʻiliʻi o ka moena, hiki ke hana ʻia e ke kauka ʻohana, kahu hānai, dermatologist, a i ʻole podiatrist.

Hoʻohana ka debridement ʻoi loa i nā mea hana ʻoki. Pākuʻi ʻia paha ka ʻoki i nā mea olakino a puni ka ʻeha. Hana ʻia e kahi kauka lapaʻau a koi i ka anesthesia.

ʻO ka maʻamau, ʻaʻole ka ʻōpala ʻoi ke koho mua. Hana pinepine ʻia inā ʻaʻole hana kekahi hana o debridement a i ʻole inā pono ʻoe i kahi lāʻau wikiwiki.

Hoʻohana pū ʻia kahi ʻōpala ʻoi loa no nā ʻeha nui, hohonu, a ʻeha hoʻi.

Kahua niho Debridement

ʻO kahi ʻōpala niho kahi hana e lawe i ka tartar a me ka plake buildup mai kāu mau niho. ʻIke ʻia hoʻi me kahi debridement waha piha.

He kūpono ke kaʻina hana inā ʻaʻole ʻoe i ka hoʻomaʻemaʻe niho no nā makahiki he nui.

ʻAʻole like me ka ʻeha debridement, ʻaʻole hoʻoneʻe ka niho niho i nā mea āpau.

He aha ka mea e manaʻo ai mai ke kaʻina hana

Ma mua o ka loaʻa ʻana o kahi ʻeha ʻeha, pili ka hoʻomākaukau i kāu:

• ʻeha
• nā kūlana olakino
• ʻano o ka ʻōpala

Hoʻokomo pū paha ka hoʻomākaukau:

• hoʻāʻo kino
• ana o ka ʻeha
• ʻeha lāʻau (mechanical debridement)
• anesthesia kūloko a laulā paha (debridement ʻoi loa)

Inā loaʻa iā ʻoe ka anesthesia laulā, pono ʻoe e hoʻonohonoho i kahi holo home. Pono ʻoe e hoʻokēʻai no kekahi manawa ma mua o kāu kaʻina hana.

Hana ʻia ka nebrurgement nonsurgical i ke keʻena o ke kauka a i ʻole ke keʻena o ka mea maʻi. E noi i kahi kauka lapaʻau i ka lāʻau, a hana hou ʻia no ʻelua a ʻeono pule a ʻoi paha.

Wikiwiki ka ʻōpala koi. I ka wā o ke kaʻina hana, hoʻohana ka mea lapaʻau i nā mea hao e nānā i ka ʻeha. ʻOki ka ʻokiʻoki i nā mea kahiko a holoi i ka ʻeha. Inā ʻoe e kiʻi i kahi paʻa o ka ʻili, e hoʻokau ka kauka iā ia.

ʻO ka pinepine, hana hou ʻia ka ʻōpala a hiki i ka hōʻeha ʻana o ka ʻeha. Kaukaʻi ʻia i kou ʻeha, ʻokoʻa paha kāu ʻano hana aʻe.

He ʻeha ka debridement?

ʻO ke kumu biological, enzymatic, a me autolytic debridement e hana pinepine ai i ka ʻeha, inā paha.

Hiki i ka mīkini a me ka ʻōpalaʻoi ke ʻeha.

Inā loaʻa iā ʻoe ka ʻōpala mīkini, loaʻa paha iā ʻoe ka lāʻau ʻeha.

Inā loaʻa iā ʻoe ka ʻōpala ʻoi loa, loaʻa iā ʻoe kahi anesthesia kūloko a i ʻole ia. Hoʻomaʻamaʻa ka anesthesia kūloko i ka ʻeha. ʻO ka anesthesia laulā e hiamoe ai ʻoe, no laila ʻaʻole ʻoe e ʻike i kekahi mea.

I kekahi manawa hiki ke ʻeha ke hoʻololi ʻia ka lole. E noi i kāu kauka e pili ana i ka lāʻau ʻeha a me nā ʻano ʻē aʻe e mālama i ka ʻeha.

Mālama ʻeha debridement

He mea nui ka mālama ʻana i kou ʻeha. E kōkua kēia iā ia e hoʻōla a hoʻoliʻiliʻi i ka makaʻi no nā pilikia.

Eia ka mea hiki iā ʻoe ke pale aku i kou ʻeha i ka wā o ka hoʻōla.

• Hoʻololi pinepine i ka lole. Hoʻololi ia i kēlā me kēia lā a i ʻole e like me nā kuhikuhi a kāu kauka.
• E mālama i ka maloʻo o ke kapa. Hōʻalo i nā ʻauʻau ʻauʻau, ʻauʻau, a me nāʻauwai wela. E noi i kāu kauka ke hiki iā ʻoe ke ʻauʻau.
• E hoʻomaʻemaʻe i ka ʻeha. Holoi mau i kou mau lima ma mua a ma hope o kou hoʻopā ʻana i kou ʻeha.
• Mai hoʻopili i ke kaomi. E hoʻohana i nā pale kau kūikawā e hōʻalo ai i ke kau ʻana i ke kaumaha i kou ʻeha.Inā kou ʻeha ma kou wāwae a wāwae paha, pono paha ʻoe i nā koʻokoʻo.

E hāʻawi aku kāu kauka i mau kuhikuhi kikoʻī e pili ana i ka mālama ʻana i kou ʻeha.

Loaʻa mai ke ʻoki debridement

ʻO ka maʻamau, lawe ka hoʻōla i 6 a 12 mau pule.

Hoʻopili ʻia ka hoʻihoʻi piha i ka nui, ka nui, a me kahi o ka ʻeha. Aia nō ia i ka hana debridement.

E hoʻoholo kāu kauka ke hiki iā ʻoe ke hoʻi i ka hana. Inā koi koi kāu hana a pili paha i ka wahi i hoʻopilikia ʻia, e haʻi pono i kāu kauka.

Pono ka mālama ʻana i ka ʻeha kūpono no ka hoʻōla hou. Pono ʻoe:

• ʻAi olakino. Pono i kou kino ka nui o nā meaola e hoʻōla ai.
• Pale i ka puhipaka. He mea paʻakikī ka puhipaka no nā meaola a me nā oxygens e hōʻea i kou ʻeha. Hoʻohiohi kēia i ka hoʻōla. Hiki ke paʻakikī ka puhipaka, akā hiki i ke kauka ke kōkua iā ʻoe e hana i kahi hoʻolālā puhi paka pono nāu.
• E hele i nā wā koho. Pono kāu kauka e nānā i kou ʻeha a hōʻoia e ola pono ana.

Nā pilikia o ka ʻōpala

E like me nā kaʻina hana olakino āpau, hoʻoweliweli ka ʻōpala i nā pilikia.

Pākuʻi ʻia kēia mau mea:

• hoʻonāukiuki
• kahe ana ke koko
• poino i kaʻaʻaola olakino
• hopena maʻi ʻaʻano
• ʻeha
• maʻi kīnā

ʻOiai nā hopena ʻē aʻe hiki, ʻoi aku ka nui o nā pōmaikaʻi ma mua o nā pōpilikia. ʻAʻole hiki i nā ʻeha he nui ke hoʻōla me ka ʻōpala ʻole.

Ka wā e ʻike ai i ke kauka

E nānā i kou ʻeha. Inā manaʻo ʻoe he maʻi, hoʻopili aku i kāu kauka.

ʻO nā hōʻailona o ka maʻi pū kekahi:

• hoʻonui ʻeha
• ʻulaʻula
• pehu
• kahe nui ke koko
• hoʻokuʻu hou
• ʻaʻala maikaʻi ʻole
• fiva
• haʻalulu
• nausea
• ka luaʻi

Inā loaʻa iā ʻoe ka anesthesia laulā, e ʻimi i kōkua kōkua inā loaʻa iā ʻoe:

• ʻūhā
• paʻakikī i ka hanu ʻana
• ʻeha ka umauma
• nausea nui
• ka luaʻi

ʻO ka lawe lawe ʻana

Inā ʻaʻole maikaʻi iki kou ʻeha, pono paha ʻoe i ka ʻōpala. Kōkua ke kaʻina hana i nā hōʻeha e hoʻōla ai i ka lawe ʻana i nā mea make a maʻi paha.

Hiki ke hana ʻia ka Debridement me nā pulu ola, nā lole hoʻoleʻaleʻa kūikawā, a i ʻole nā ​​mea hamo e palupalu i kaʻiʻo. Hiki keʻoki a wehe ʻia paha ka mea kahiko me kahi ikaika mechanical, e like me ka wai holo.

ʻO ka ʻano maikaʻi o ka ʻōpala e kau i kou ʻeha. Hoʻohana pinepine ʻia nā hana he nui.

Lawe ʻia ke ola he 6 a 12 mau pule. ʻO ka hoʻomaʻamaʻa maikaʻi ʻana i ka ʻeha e kōkua maikaʻi i kou ʻeha. Kāhea i kāu kauka inā loaʻa iā ʻoe ka hoʻonui ʻana i ka ʻeha, ka pehu ʻana, a i ʻole nā ​​hōʻailona hou aʻe i ka wā o ke ola.