He aha ka debridement, he aha ia a me nā ʻano hana nui

Anter

• No ke aha ia
• Nā ʻano nui o ka ʻōpala
• Pehea e hana ai
• Nā pilikia i hiki

ʻO Debridement, kahi mea hiki ke ʻike ʻia he debridement, kahi hana e hana ai e lawe i nā ʻohana nehrotic, i make, a me nā maʻi mai nā ʻeha, hoʻomaikaʻi i ka hoʻōla a me ka pale ʻana i ka maʻi mai ka hoʻolaha ʻana i nā ʻāpana ʻē aʻe o ke kino. Hiki ke hana ʻia e hemo i nā mea haole mai loko o ka ʻeha, e like me nā ʻāpana aniani, no ka laʻana.

Hana ʻia ke kaʻina hana e ke kauka, ka loio a i ʻole ka vascular, i loko o ka lumi lumi a i ʻole kahi kahu hānai i hoʻomaʻamaʻa ʻia, i kahi haukapila maʻi a i ʻole ke keʻena maʻi a hiki ke hōʻike ʻia nā ʻano like ʻole, kaukaʻi ʻia i nā ʻano o ka ʻeha a me nā kūlana olakino o kēlā kanaka.

No ke aha ia

ʻO Debridement kahi hana nui loa no ka mālama ʻana i kahi ʻeha me kaʻiʻo necrotic a me ka maʻi i hoʻopili ʻia, ʻoiai ka hoʻomaʻemaʻe ʻana o kēia kino make i hoʻomaikaʻi i ka hoʻōla, hoʻemi i nā huna, e like me exudate, hoʻemi i ka hana o nā microorganism a hoʻomaikaʻi i ka lawe ʻana o nā hamo me nā lāʻau ʻaloʻalo.

Hoʻohana nui ʻia ka ʻōpala ʻoki lāʻau, i laʻana, i nā hihia o ka poʻe me ka ʻeha o ka wāwae diabetic, no ka mea, ʻo kēia kaʻina hana e hoʻemi ana i ka mumū a hoʻokuʻu i nā mea i kōkua i ka ulu ʻana o nā mea olakino olakino i loko o ka ʻeha. E aʻo pehea e mālama ai a mālama ai i nā hōʻeha wawae diabetic.

Nā ʻano nui o ka ʻōpala

Aia kekahi mau ʻano debridement i hōʻike ʻia e ke kauka e like me nā ʻano o ka ʻeha e like me ka nui, ka hohonu, kahi, ka nui o ka huna a inā he maʻi paha kāu a ʻaʻole paha, a hiki iā lākou ke:

• Autolytic: hoʻokō ʻia e ke kino ponoʻī i kahi ala kūlohelohe, ma o nā hana e like me ka hoʻōla ʻana, paipai ʻia e nā pale pale, nā leukocytes. No ka hoʻomaikaʻi ʻana i nā hopena o kēia ʻano ʻōpala, pono pono e mālama i ka ʻeha me ka paʻakai a me nā lole me ka hydrogel, nā mea momona momona (AGE) a me ka alginate calcium;
• ʻOki kino: he ʻoki kino ia e hemo ai i nā mea make mai kahi ʻeha a hana ʻia i nā hihia kahi nui nā ʻeha. Hiki ke hana i kēia kaʻina hana e ke kauka, i loko o kahi kikowaena, ma lalo o ka anesthesia kūloko a i ʻole ka lehulehu;
• Mea hana: hiki ke hana ʻia e kahi kahu hānai hoʻomaʻamaʻa, i loko o kahi lumi lole, a hoʻokumu ʻia i ka lawe ʻia ʻana o nā kino make a me ka ʻili i loaʻa i ke ʻino me ke kōkua o kahi scalpel a me nā tweezers. ʻO ka mea maʻamau, pono e mālama ʻia i kekahi mau kau no ka hemo lohi ʻana o ka ʻili nekrotic a ʻaʻole ia he kumu no ka ʻeha, ʻoiai ʻaʻohe o nā pūnana i make i ke ʻano o ka ʻeha.
• Enzymatic a i ʻole kemika: aia i loko o ka noi o nā mea, e like me ka hamo, pololei ma ka ʻeha a hemo ka mea make. ʻO kekahi o kēia mau mea i loaʻa nā enzyme e hoʻopau i nā nekrosis, e like me collagenase a me fibrinolysins;
• Mekanika: pili ia i ka lawe ʻia ʻana o nā mea make ma o ka wī a me ka ʻauwai me ka paʻakai; akā naʻe, ʻaʻole hoʻohana ākea ia no ka mea pono ia i kahi mālama kikoʻī i ʻole e kahe ʻia ke kahe ʻana i ka ʻeha.

Hoʻohui ʻia, aia kahi hana i hoʻohana ʻia i kapa ʻia he debridement biology e hoʻohana ana i nā larva sterile o ka laha ʻO Lucilia sericata, o ka lele ʻōmaʻomaʻo maʻamau, e ʻai i nā mea make a me nā bacteria mai ka ʻeha, ka mālama ʻana i ka maʻi a me ka hoʻomaikaʻi ʻana i ka hoʻōla. Hoʻokomo ʻia nā ʻūlū ma luna o ka ʻeha me ka ʻaʻahu e pono ke hoʻololi hou ʻia i ʻelua mau pule.

Pehea e hana ai

Ma mua o ka hana ʻana i ke kaʻina hana, e nānā ana ke kauka a kahu hānai paha i ka ʻeha, e nānā ana i ka nui o nā wahi nekrosis a e nānā pū hoʻi i nā kūlana olakino ma ka laulā, ʻoiai ʻo ka poʻe me nā pilikia o ke kāpili ʻana, e like me ka idiopathic thrombositopenic purpura, e paʻakikī paha ka hoʻōla, i ke kiʻekiʻe o ka makaʻu o ke kahe i ka wā o debridement.

Aia ka wahi a me ka lōʻihi o ke kaʻina hana i ka debridement ʻenehana e hoʻohana ai, i hiki ke hana ʻia ma kahi kikowaena o kahi haukapila a i ʻole kahi keʻena maʻi waho me kahi lumi lole. No laila, ma mua o ke kaʻina hana, e wehewehe ke kauka a kahu hānai paha i ke kaʻina hana e hana ai a hana i nā ʻōlelo kikoʻī, kahi e pono ai e like me ke kuhikuhi.

Ma hope o ke kaʻina hana, pono pono e hana i kekahi mau akahele e like me ka mālama ʻana i ka lole a maʻemaʻe a me ka maloʻo, ka hōʻalo ʻana i ka ʻauʻau ʻana i ka loko wai a i ʻole ke kai a me ke kau ʻole ʻana i ke kaomi i ka kahua ʻeha.

Nā pilikia i hiki

ʻO nā pilikia pinepine o ka debridement hiki ke kahe ʻia mai ka ʻeha, ka huhū o ka ʻili e pili ana, ka ʻeha ma hope o ke kaʻina hana a me ka hopena maʻi maʻi i nā huahana i hoʻohana ʻia, akā, ʻoi aku ka nui o nā pōmaikaʻi a pono e noʻonoʻo ʻia he mea nui, no ka mea i kekahi mau hihia, a ʻeha ʻaʻole ia e hoʻōla me ka ʻōpala ʻole.

Eia nō naʻe, inā ʻike ʻia nā ʻōuli e like me ke kuni, ka pehu ʻana, ka hoʻokahe ʻana a me ka ʻeha nui ma hope o ka ʻōpala, pono e ʻimi koke i ka lāʻau no laila e paipai ʻia ka lapaʻau kūpono loa.