Advanced Wound Dressing
Q: Kev kho mob siab heev txhais li cas?
A: Kev kho mob siab heev yog ib hom kev kho tshwj xeeb uas yuav tsum tau muab rau cov qhov txhab uas tsuas yog tsis xav kho. Lawv mob ntau dua, kis mob, lossis cia li qhib. Qee zaum cov ntaub qhwv yooj yim thiab cov tshuaj pleev ib ce tsis txaus.
Cov kws kho mob thiab cov kws saib xyuas neeg mob yuav siv qee cov tswv yim tshiab thiab cov hau kev txhawm rau txhawm rau ntxuav, tiv thaiv, thiab kho cov kab mob no, nrog rau kev saib xyuas kom lub qhov txhab kaw sai dua, tiv thaiv kev kis kab mob, thiab kom tsis txhob muaj teeb meem loj xws li cov ntaub so ntswg poob lossis txawm tias txiav.
Q: Thaum twg kuv yuav tsum tau siv lub qhov txhab kho mob siab heev?
A: Xaiv qhov hnav khaub ncaws kom zoo yog qhov tseem ceeb rau kev kho kom zoo, txo cov nqi kho mob, thiab txhim kho tus neeg mob qhov zoo tag nrho- ua
Q: Dab tsi yog cov txiaj ntsig ntawm kev hnav khaub ncaws siab tshaj plaws?
A: Xaiv qhov hnav khaub ncaws kom zoo yog qhov tseem ceeb rau kev kho kom zoo, txo cov nqi kho mob, thiab txhim kho tus neeg mob qhov zoo tag nrho- ua
Q: Puas yog kev hnav khaub ncaws hnav zoo tshaj plaws rau txhua hom qhov txhab?
A: Tsis yog, kev hnav khaub ncaws siab heev tsis haum rau txhua qhov txhab. Txhua hom yog tsim los rau lub hom phiaj tshwj xeeb, yog li kev hnav khaub ncaws kom raug yuav tsum tau xaiv raws li lub qhov txhab tus yam ntxwv, xws li cov kua dej uas nws tsim thiab seb nws puas muaj kab mob. Kev siv kev hnav khaub ncaws tsis raug tuaj yeem ncua kev kho mob lossis ua rau muaj teeb meem
Q: Kuv puas tuaj yeem siv cov khaub ncaws hnav hauv tsev?
A: Yog lawm, koj tuaj yeem siv qee yam kev hnav khaub ncaws siab hauv tsev, tab sis lawv feem ntau yog npaj rau cov teeb meem me xws li hlwv lossis me me. Rau qhov mob hnyav dua lossis mob ntev, koj tsuas yog siv cov hnav khaub ncaws siab heev hauv tsev raws li kev qhia ntawm tus kws kho mob.
Q: Dab tsi yog silicone ua npuas ncauj hnav khaub ncaws rau?
A: Kev hnav khaub ncaws silicone ua npuas ncauj yog ntau- txheej, hnav khaub ncaws zoo heev siv rau nruab nrab mus rau hnyav - exuding qhov txhab. Cov mos silicone tiv tauj txheej muab cov nplaum nplaum, uas txo qhov mob thiab tawv nqaij raug mob thaum hnav khaub ncaws hloov, ua rau nws zoo tagnrho rau cov tawv nqaij tawv.
Q: Ntev npaum li cas koj tuaj yeem tso silicone ua npuas ncauj hnav khaub ncaws?
A: Rau ntau qhov txhab, koj tuaj yeem tso lub silicone ua npuas ncauj hnav khaub ncaws ntev txog 7 hnub, tab sis nws yuav tsum tau hloov sai dua yog tias nws tau saturated, xoob, lossis yog tias muaj kab mob. Lub sijhawm tshwj xeeb yog nyob ntawm qhov mob qhov mob thiab txiav txim siab zoo tshaj plaws nrog tus kws kho mob cov lus qhia.
Q: Cov qhov txhab dab tsi tuaj yeem siv cov khoom siv silicone ua npuas ncauj?
A: Silicone ua npuas ncauj hnav khaub ncaws tuaj yeem siv rau ntau yam mob thiab mob ntev nrog qis mus rau qhov hnyav ntawm exudate (kua kua). Cov nplaum nplaum yog qhov tshwj xeeb tshaj yog tsim rau cov tawv nqaij tawv, zoo li cov menyuam yaus thiab cov neeg laus, lossis hauv cov xwm txheej uas txo qhov mob thiab raug mob thaum hloov khaub ncaws yog qhov tseem ceeb.
Mob mob
- Cov kab mob siab (bedsores): Siv los tswj cov kab mob siab, lossis ua kev tiv thaiv rau cov neeg mob uas muaj kev pheej hmoo ntawm kev tsim lawv.
- Venous thiab arterial ceg ulcers: Siv tau zoo rau kev tswj qhov txhab ntawm ob txhais ceg los ntawm cov teeb meem ncig.
- Mob ntshav qab zib ko taw : Cov hnav khaub ncaws tiv thaiv qhov txhab ntawm ko taw uas feem ntau cuam tshuam los ntawm kev ncig tsis zoo thiab cov paj hlwb puas.
- Fungating qhov txhab: Cov no yog qhov txhab cuam tshuam nrog qee hom mob qog noj ntshav.
Mob qhov txhab
- Cov qhov txhab phais: Siv los npog thiab tiv thaiv qhov txhab tom qab kev phais.
- Cov qhov txhab raug mob: Qhov no suav nrog abrasions, txiav, lacerations, thiab daim tawv nqaij kua muag.
- Ib nrab - tuab kub hnyiab: Tsim nyog rau qhov thib ob -℃kub qhov chaw ntawm daim tawv nqaij blistered.
- Daim tawv nqaij graft qhov chaw pub dawb: Tiv thaiv thaj chaw uas daim tawv nqaij raug tshem tawm rau graft
Q: Yuav ua li cas siv mos silicone qhov txhab tiv tauj txheej?
A: Kev npaj
- Ntxuav lub qhov txhab: Siv cov kua ntsev los yog ua raws li koj tus kws kho mob cov lus qhia kom huv huv qhov txhab thiab cov tawv nqaij ib puag ncig.
- Qhuav thaj chaw: Maj mam txhuam daim tawv nqaij ib ncig ntawm qhov txhab kom qhuav. Tsis txhob ncab los yog qhuav lub txaj uas muag heev.
- Xaiv qhov loj me: Xaiv cov hnav khaub ncaws uas loj txaus los npog qhov txhab thiab sib tshooj rau ntawm daim tawv nqaij ib puag ncig yam tsawg kawg 1-2 cm. Rau qhov txhab loj dua, koj yuav xav tau qhov sib tshooj loj dua.
- Txiav kom haum (yog tias xav tau): Yog tias tsim nyog, koj tuaj yeem txiav cov khaub ncaws kom haum rau lub qhov txhab qhov loj thiab cov duab. Siv cov txiab kom huv si rau cov kauj ruam no.
Daim ntawv thov
Tshem tawm cov thaub qab: Tshem tawm cov yeeb yaj kiab tiv thaiv.
- Thov: Ua tib zoo tso cov khaub ncaws rau ntawm qhov txhab.
- Smooth: Maj mam du cov khaub ncaws rau ntawm daim tawv nqaij ib puag ncig kom kaw cov npoo.
- Npog: Siv ib qho kev hnav khaub ncaws sab nraud ntxiv rau txheej silicone los tswj cov kua dej thiab ruaj ntseg nrog daim kab xev los yog ntaub qhwv yog tias xav tau.
Q: Puas yog cov khaubncaws sab nraud povtseg puas raug tshem tawm?
A: Cov nplaum nplaum ntawm kev sib cuag yog tsim los ntawm silicone, uas yog widly suav tias yog ib qho ntawm cov nplaum nplaum zoo tshaj plaws
Q: Puas yog silicone tiag tiag pab nti?
A: Yog, silicone nplaum nyob rau hauv daim ntawv ntawm gels, nplooj ntawv, thiab daim kab xev yog ib tug kho mob pab txhawb thiab kev kho mob zoo los txo cov tsos ntawm nti. Nws feem ntau suav hais tias yog thawj - kab, tsis yog - kev kho mob rau cov caws pliav tshiab thiab laus dua, tshwj xeeb tshaj yog hypertrophic thiab keloid nti
Q: Ntev npaum li cas koj yuav tsum tso cov ntaub nplaum silicone?
A: Txhawm rau kom tau txais txiaj ntsig zoo tshaj plaws, koj yuav tsum hnav cov ntawv caws pliav silicone rau tsawg kawg 12 teev hauv ib hnub, thiab nyiam dua li ntawm 12 txog 24 teev. Kev sib raug zoo yog qhov tseem ceeb rau kev txhim kho qhov caws pliav zoo li lub sijhawm.
Q: Puas yog silicone gel muaj kev nyab xeeb rau menyuam yaus?
A: Yog, silicone gel yog dav pom tias muaj kev nyab xeeb thiab zoo rau kev kho cov caws pliav hauv cov menyuam yaus, thiab ntau yam khoom tsim tshwj xeeb rau kev siv menyuam yaus. Nws yog cov pov thawj tshaj plaws - rov qab kho cov caws pliav rau cov menyuam yaus thiab tau pom zoo los ntawm kws kho mob dermatologist
Q: Dab tsi yog hydrocolloid hnav khaub ncaws siv rau?
A: Ib qho hnav khaub ncaws hydrocolloid yog ib hom ntaub qhwv siv los kho cov qhov txhab huv, tsis muaj kab mob nrog lub teeb rau nruab nrab. Thaum nws los nyob rau hauv kev sib cuag nrog lub qhov txhab ntawm lub qhov txhab, lub puab txheej tsim ib tug gel uas tsim ib tug moist, tiv thaiv kho ib puag ncig.
Q: Thaum twg koj yuav tsum tsis txhob siv hydrocolloid hnav khaub ncaws?
A: Koj yuav tsum tsis txhob siv hydrocolloid hnav khaub ncaws rau ntawm qhov txhab mob, qhov txhab nrog cov kua dej hnyav, lossis qhov txhab tob. Lawv kuj tsis haum rau cov qhov txhab qhuav lossis rau cov neeg uas muaj tawv nqaij tawv uas yuav ua rau cov tawv nqaij ua kua muag thaum hnav khaub ncaws raug tshem tawm.
Q: Koj puas yuav tsum muab hydrocolloid tso rau ntawm qhov txhab qhib?
A: Koj yuav tsum tsis txhob muab cov khaub ncaws hydrocolloid tso rau ntawm qhov tob tob lossis hnyav heev qhib qhov txhab, tshwj xeeb tshaj yog tias nws kis tau. Cov hnav khaub ncaws no yog tsim los ua haujlwm zoo tshaj plaws ntawm qhov chaw ntiav, qis - mus rau - cov qhov txhab me me
Q: Hom kab mob dab tsi yuav tsum tau hnav khaub ncaws hydrogel?
A: Hydrogel hnav khaub ncaws yog tsim nyog rau qhuav los yog tsawg-exudate qhov txhab uas yuav tsum tau ib tug moist kho qhov chaw. Lawv pab hydrate lub txaj qhov txhab, txhawb kev kho thiab pab hauv autolytic debridement
Basic Wound Dressing
Q: Dab tsi yog qhov yooj yim hnav khaub ncaws hnav?
A: Kev hnav khaub ncaws hauv qhov txhab yog ib qho tsis muaj menyuam, kev kho mob npog siv los tiv thaiv lub qhov txhab los ntawm kev kis kab mob thiab nqus cov kua dej. Nws muab kev tiv thaiv ib ntus kom lub qhov txhab huv si thaum nws kho
Q: Thaum twg kuv yuav tsum tau siv cov ntaub qhwv lub qhov txhab?
A: Rau qhov yooj yim, me me raug mob xws li kev txiav me me, khawb, thiab abrasions, ib qho kev hnav khaub ncaws yooj yim yog tsim nyog. Nws lub hom phiaj yog los tiv thaiv lub qhov txhab los ntawm cov av thiab cov kab mob, nqus cov kua dej me me, thiab pab txoj kev kho kom zoo. Rau txhua yam uas hnyav dua, kev hnav khaub ncaws siab lossis kev kho mob yuav xav tau
Q: Kuv yuav ua li cas ntxuav thiab siv cov ntaub qhwv lub qhov txhab?
A: Txhawm rau ntxuav thiab siv cov ntaub qhwv lub qhov txhab, koj yuav tsum xub ntxuav koj txhais tes thiab ntxuav lub qhov txhab nrog xab npum me me thiab dej. Ib qho kev hnav khaub ncaws yooj yim, feem ntau tsis yog -paj ntaub nplaum nplaum, yog tom qab ntawd siv rau ntawm qhov txhab huv si thiab khi nrog daim kab xev lossis ntaub qhwv cov menyuam.
Ua ntej koj pib:
Sau koj cov khoom siv: xab npum me me, dej ntws, tsis muaj menyuam tsis muaj-paj ntaub qhwv ntsej muag, daim kab xev kho mob lossis ntaub qhwv cov menyuam, thiab hnab looj tes pov tseg (yog tias muaj).
Ntxuav koj ob txhais tes nrog xab npum thiab dej li 20 vib nas this. Muab cov hnab looj tes pov tseg ua ntej kov lub qhov txhab lossis cov khoom tsis muaj menyuam.
Kev siv lub qhov txhab hnav khaub ncaws yooj yim muaj ob peb kauj ruam:
- Tsis txhob los ntshav: Siv cov ntaub huv huv los yog cov ntaub qhwv lub zog; eleving tus ceg tawv kuj yuav pab tau.
- Ntxuav qhov txhab: Yaug nrog dej, ntxuav qhov chaw ib puag ncig nrog xab npum me me (tsis txhob siv lub qhov txhab), thiab tshem tawm cov khib nyiab. Zam cov tshuaj hnyav. Pas qhuav maj mam.
- Siv Hnav Hnav: Muab cov ntaub qhwv tsis muaj menyuam tso rau ntawm lub qhov txhab thiab tuav nws nrog daim kab xev los yog ib daim ntaub qhwv uas yog snug tab sis tsis nruj heev.
- Saib xyuas: Hloov hnav khaub ncaws txhua hnub lossis yog tias nws ntub. Saib xyuas cov tsos mob ntawm tus kab mob xws li mob ntxiv, o, lossis liab, thiab nrhiav kev pab kho mob yog tias cov occu no "
Q: Kuv yuav tsum tau hloov lub hnav khaub ncaws li cas?
A: Rau kev hnav khaub ncaws yooj yim, koj yuav tsum tau hloov lawv ib zaug ib hnub. Txawm li cas los xij, koj yuav tsum hloov qhov hnav khaub ncaws sai dua yog tias nws ntub dej, qias neeg, lossis saturated nrog qhov txhab tawm.
Q: Puas yog kev hnav khaub ncaws yooj yim txaus rau txhua qhov txhab?
A: Tsis yog, kev hnav khaub ncaws yooj yim xws li ntaub qhwv thiab ntaub qhwv tsis txaus rau txhua qhov txhab. Txawm hais tias tsim nyog rau me me scrapes thiab yooj yim, huv si txiav, lawv tsis muaj cov yam ntxwv xav tau rau cov qhov txhab ntau dua los kho kom zoo.
Lub qhov txhab kaw Device
Q: Yuav siv lub qhov txhab kaw li cas?
A: Cov cuab yeej kaw qhov txhab yuav tsum tsuas yog siv tom qab lub qhov txhab raug ntxuav kom zoo thiab ntsuas qhov tsim nyog. Cov cuab yeej kaw qhov txhab tshwj xeeb, xws li cov nplaum nplaum (xws li Steri-Strips) lossis cov zipper siv tshuab, yog siv thoob plaws lub qhov txhab kom maj mam rub cov npoo ntawm daim tawv nqaij ua ke. Nws yog ib qho tseem ceeb kom ua raws li cov chaw tsim khoom cov lus qhia rau cov khoom tshwj xeeb uas koj muaj
Q: Thaum twg kuv yuav tsum siv lub tshuab kaw qhov txhab?
A: Cov cuab yeej kaw qhov txhab yuav tsum tau siv rau qhov me me, qhov ntiav txiav nrog cov npoo ncaj, los yog muab kev txhawb nqa ntxiv rau cov qhov txhab uas twb tau xaws los yog stapled. Txawm li cas los xij, lawv tsis tsim nyog rau txhua qhov txhab thiab yuav tsum tsuas yog siv los ntawm tus kws kho mob tshwj xeeb thaum muaj qhov tob tob, jagged, lossis los ntshav hnyav heev.
Q: Lub cuab yeej yuav tsum nyob ntev npaum li cas ntawm qhov txhab?
A: Lub sijhawm ntev ntawm lub tshuab kaw qhov txhab yuav tsum nyob ntawm qhov tshwj xeeb siv thiab qhov chaw ntawm lub qhov txhab, tab sis nws feem ntau yog nyob nruab nrab ntawm 5 thiab 14 hnub. Nco ntsoov ua raws li cov lus qhia tshwj xeeb los ntawm koj tus kws kho mob.
Nov yog qee cov lus qhia dav dav rau ntau hom kev kaw qhov txhab:
Adhesive strips (piv txwv li, Steri-Strips)
Lub sij hawm zoo: 5 mus rau 14 hnub, feem ntau poob ntawm lawv tus kheej hauv lub sijhawm no.
Cov lus qhia tshem tawm:
Cia lawv nyob ib leeg: Feem ntau, nws yog qhov zoo tshaj kom tso lawv mus txog thaum lawv pib curl thiab poob lawm.
Kev tshem tawm maj mam: Tom qab li ob lub lis piam, lossis yog tias koj tus kws kho mob qhia, koj tuaj yeem tshem tawm maj mam. Mos lawv hauv da dej los yog da dej ua ntej.
Trim xoob xaus: Yog tias qhov kawg ntawm cov strips curl thiab pib ntes ntawm cov khoom, koj tuaj yeem txiav lawv nrog txiab me me, huv si.
Q: Zip- hom kaw cov cuab yeej (xws li Zip Surgical Skin Kaw)
A: Feem ntau lub sij hawm: 7 mus rau 14 hnub.
Cov lus qhia tshem tawm:
- Tus kws kho mob txiav txim siab: Lub sijhawm rau kev tshem tawm yog nyob ntawm kev txiav txim siab ntawm koj tus kws kho mob.
- Lub thawv ruaj ntseg: Cov khoom siv Zip siv tau tuaj yeem kis tau thiab yuav tsum muab pov tseg rau hauv lub thawv ruaj ntseg.
Cov kev xav tseem ceeb
- Qhov chaw qhov txhab: Cov qhov txhab ntawm qhov siab - cov chaw txav xws li cov pob qij txha yuav tsum tau tiv thaiv los ntawm lub cuab yeej ntev dua.
- Kev kho tau zoo: Lub sijhawm yuav raug hloov kho raws li qhov kho ntawm koj lub qhov txhab. Yog tias qhov txhab tsis zoo raws li qhov xav tau, sab laj nrog tus kws kho mob.
- Kev kis kab mob: Tsis txhob tshem lub qhov txhab kaw yog tias muaj cov tsos mob ntawm tus kab mob, xws li liab liab, o, kua paug, lossis mob. Nrhiav kev kho mob tam sim ntawd. "
Q: Kuv yuav tsum ceev faj dab tsi thaum siv lub tshuab kaw qhov txhab?
A: Thaum siv cov cuab yeej kaw qhov txhab, nws yog ib qho tseem ceeb kom ua raws li OTC cov lus qhia thiab koj tus kws kho mob cov lus pom zoo kom tiv thaiv kev kis kab mob thiab txhawb kev kho kom zoo.
Q: Dab tsi yog cov khoom sib txawv rau kev kaw qhov txhab?
A: Ntau yam khoom siv kaw lub qhov txhab yog siv los kho qhov mob thiab phais mob, suav nrog cov sutures, staples, nplaum nplaum, thiab cov nplaum nplaum. Qhov kev xaiv yog nyob ntawm qhov mob hom, qhov chaw, thiab cov txiaj ntsig zoo nkauj xav tau
Catheter Stabilization Device
Q: Yuav ua li cas siv lub catheter stabilization ntaus ntawv?
A: Siv lub catheter stabilization ntaus ntawv koom nrog kev npaj cov tawv nqaij, tuav lub catheter nyob rau hauv lub cuab yeej clamp, thiab adhering lub cuab yeej rau ntawm daim tawv nqaij nrog slack tsim nyog los tiv thaiv kev nro. Cov qauv tsim tshwj xeeb yuav nyob ntawm qhov kev ua haujlwm tshwj xeeb.
Q: Kuv yuav tsum hloov kuv lub tshuab catheter stabilization li cas?
A: Lub tshuab catheter stabilization yuav tsum tau hloov tsawg kawg txhua txhua xya hnub, los yog sai dua yog tias cov ntaub nplaum nplaum ua av, ntub dej, xoob, lossis yog tias muaj cov tsos mob ntawm daim tawv nqaij khaus lossis kab mob ntawm qhov chaw ntxig.
Cov lus qhia tseem ceeb rau kev hloov lub cuab yeej:
- Cov kev hloov niaj hnub: Hloov cov cuab yeej txhua lub lim tiam kom muaj kev nyiam huv thiab ua kom zoo.
- Kev hloov tam sim: Yog tias lub ncoo ntub dej, ntub dej, lossis nqa, hloov tam sim ntawd.
- Kev ntsuam xyuas ntawm daim tawv nqaij: Txhua hnub xyuas cov tawv nqaij hauv qab lub cuab yeej. Tshem tawm cov cuab yeej thiab nrhiav kev kho mob yog tias koj pom qhov liab, mob, lossis tawv nqaij tawg.
- Hloov chaw: Txhawm rau tiv thaiv kev khaus khaus, tsis tu ncua hloov lub cuab yeej qhov chaw ntawm lub cev.
- Kev sib koom tes: Xav txog kev hloov lub cuab yeej thaum koj hloov koj lub hnab ceg lossis lub valve txhua lub lim tiam.
- Cov lus qhia chaw tsim khoom: Ua raws li cov lus qhia tshwj xeeb rau koj lub cuab yeej thiab los ntawm koj tus kws kho mob.
Tham nrog tus kws kho mob yog tias koj muaj kev txhawj xeeb txog koj lub cuab yeej lossis kev tswj kav catheter.
Q: Ntev npaum li cas yuav tsum tau kuaj xyuas lossis hloov lub cuab yeej?
A: Catheter stabilization cov cuab yeej raug kuaj xyuas txhua hnub thiab hloov txhua 7 hnub lossis sai dua yog tias xav tau:
- Tshawb xyuas txhua hnub: Tshawb xyuas qhov chaw liab, o, lossis mob (cov tsos mob ntawm tus kab mob). Xyuas kom lub catheter ruaj ntseg thiab lub cuab yeej tsis zoo.
- Hloov zaus: Cov nplaum nplaum yuav tsum tau hloov tsawg kawg txhua 7 hnub.
- "Raws li xav tau" Hloov: Yog tias lub cuab yeej ntub dej, ntub, xoob, lossis ua rau tawv nqaij khaus, nws yuav tsum tau hloov tam sim ntawd kom muaj kev nyab xeeb thiab huv si.
Nco ntsoov ua raws li cov lus qhia tshwj xeeb los ntawm cov chaw tsim khoom thiab koj tus kws kho mob rau kev saib xyuas thiab hloov lub cuab yeej.
Qhov zaus ntawm kev kuaj xyuas thiab hloov cov cuab yeej kho mob nyob ntawm hom tshwj xeeb ntawm cov cuab yeej: lub tshuab catheter stabilization lossis lub qhov txhab kaw
Q: Kuv yuav xaiv qhov catheter stabilization ntaus ntawv zoo li cas?
A: Xaiv lub catheter stabilization ntaus ntawv yog nyob ntawm hom catheter, tus neeg mob tus mob ntawm daim tawv nqaij, theem kev ua si, thiab lub sij hawm npaj siv.
Nov yog cov ntsiab lus tseem ceeb uas yuav tsum xav txog:
1. Hom Catheter
Cov catheters sib txawv (piv txwv li, Foley, PICC, peripheral IV, suprapubic) yuav tsum muaj kev ruaj ntseg tshwj xeeb vim lawv qhov loj me thiab qhov chaw nkag:
Foley catheters: Cov khoom siv uas ruaj ntseg cov tubing rau tus ncej puab lossis lub plab yog muaj ntau.
PICC kab: Cov no feem ntau siv cov nplaum -raws li kev ruaj ntseg cov cuab yeej nyob ze rau ntawm qhov chaw tso, qee zaum nrog ib caj npab ntxiv.
Peripheral IVs: Cov kab xev yooj yim lossis kev hnav khaub ncaws sib xyaw ua ke feem ntau txaus rau kev siv luv luv -.
2. Cov tawv nqaij mob thiab rhiab heev
Cov cuab yeej yuav tsum maj mam rau ntawm daim tawv nqaij, tshwj xeeb tshaj yog rau cov neeg mob uas muaj cov tawv nqaij rhiab lossis tsis yooj yim:
Adhesives: Xaiv cov khoom siv nrog cov nplaum silicone, uas yog softer ntawm daim tawv nqaij thiab ua rau muaj kev raug mob tsawg dua thaum tshem tawm dua li cov nplaum nplaum.
Straps: Npuag lossis silicone pluaj yog lwm txoj hauv kev rau cov nplaum yog tias tawv nqaij yooj yim khaus. Xyuas kom cov hlua yog mos thiab tsis khawb rau hauv daim tawv nqaij.
Kev soj ntsuam txhua hnub: Tsis tu ncua xyuas daim tawv nqaij hauv qab lub cuab yeej rau qhov liab, khaus, lossis tawg.
3. Tus Neeg Mob Qib Kev Ua Haujlwm
Cov cuab yeej yuav tsum muaj kev ruaj ntseg txaus los tiv thaiv ib txwm txav tsis tau rub ntawm lub catheter:
Cov neeg mob nquag: Xav tau kev ruaj ntseg ntau dua, xws li lub hauv paus nplaum ua ke nrog lub tshuab xauv lossis lub pluaj muaj zog, txhawm rau tiv thaiv kev sib tsoo.
Cov neeg mob Bedridden: Tej zaum yuav tsis xav tau ntau npaum li qhov kev ua siab ntev, tab sis cov cuab yeej tseem xav tau los tiv thaiv qhov siab ntawm daim tawv nqaij thiab kev sib tsoo thaum lub sij hawm rov ua haujlwm.
4. Lub sijhawm siv
Luv-lub sij hawm (piv txwv li, ob peb hnub): Cov nplaum nplaum yooj yim lossis daim kab xev tuaj yeem txaus.
Ntev-lub sij hawm (piv txwv li, lub lis piam los yog hli): Ntau lub sij hawm ntev thiab tawv nqaij- cov kev xaiv zoo, xws li npuag ceg pluaj lossis cov khoom siv nplaum nplaum ruaj khov uas tsim los rau kev hnav ntev, yog qhov tsim nyog los tiv thaiv cov tawv nqaij puas.
5. Kev nplij siab thiab yooj yim ntawm kev siv
Cov cuab yeej yuav tsum yooj yim rau tus neeg mob thiab yooj yim rau cov neeg saib xyuas lossis cov neeg mob tswj hwm:
Adjustability: Cov khoom siv nrog cov hlua kho tau los yog kev ruaj ntseg tab yog qhov zoo.
Kev Kho: Xav txog seb nws yooj yim npaum li cas los hloov lub cuab yeej txhua lub lim tiam thiab nws haum rau tus neeg mob lub neej txhua hnub (xws li da dej, khaub ncaws) "
Q: Yuav ua li cas tshem tawm catheter stabilization ntaus ntawv?
A: Tshem tawm cov khoom siv catheter stabilization yuav tsum tau ua kom maj mam ua kom tsis txhob mob lossis raug mob ntawm daim tawv nqaij. Txoj kev tshwj xeeb nyob ntawm seb lub cuab yeej siv cov nplaum los yog pluaj.
Kev ceev faj dav dav
Ntxuav Tes: Ib txwm ntxuav koj txhais tes kom huv si nrog xab npum thiab dej ua ntej pib txheej txheem tshem tawm.
Ua Yooj Yim: Tsis txhob rub lossis rub ntawm lub cuab yeej, vim qhov no tuaj yeem ua rau daim tawv nqaij raug mob lossis cuam tshuam lub catheter nws tus kheej.
IV hnav khaub ncaws
Q: Kev hnav khaub ncaws IV yog dab tsi?
A: Kev hnav khaub ncaws IV (txhaj tshuaj) yog ib qho tshwj xeeb npog siv rau ntawm daim tawv nqaij tshaj qhov chaw uas IV catheter tau muab tso rau hauv cov hlab ntsha. Its primary purpose is to secure the catheter in place and to protect the puncture site from bacteria and contamination, which helps prevent infection.
Q: Thaum twg kuv yuav tsum siv IV hnav khaub ncaws?
A: Kev hnav khaub ncaws IV yuav tsum tau siv tam sim ntawd tom qab cov khoom siv vascular nkag mus (xws li peripheral IV lossis kab hauv nruab nrab) muab tso rau hauv tus neeg mob cov leeg. Lub hom phiaj tseem ceeb yog los npog thiab tiv thaiv qhov chaw tso catheter kom txo tau qhov kev pheej hmoo ntawm kev kis kab mob thiab khaws lub catheter kom ruaj ntseg.
Koj yuav tsum siv IV hnav khaub ncaws nyob rau hauv cov xwm txheej hauv qab no:
- Tam sim ntawd tom qab tso: Kev hnav khaub ncaws tsis muaj menyuam yog qhov tseem ceeb tam sim ntawd tom qab tso cov catheter tso rau hauv cov hlab ntsha los tsim kev tiv thaiv kab mob.
- Raws li Kev Saib Xyuas Txhua Hnub: Hnav khaub ncaws yuav tsum tau saib xyuas thiab hloov tsis tu ncua kom ntseeg tau tias lub xaib tseem huv thiab pom.
- Yog tias Hnav khaub ncaws puas: Cov hnav khaub ncaws yuav tsum tau hloov tam sim yog tias nws ntub, ntub, xoob, lossis pom kev puas tsuaj.
- Yog tias muaj cov tsos mob ntawm tus kab mob: Yog tias thaj tsam ib ncig ntawm IV qhov chaw qhia pom tias liab, o, sov, mob, los yog tawm, hnav khaub ncaws yuav tsum raug tshem tawm, qhov chaw soj ntsuam los ntawm kws kho mob, thiab hnav khaub ncaws tshiab tom qab kev kho mob tsim nyog.
Raws li Schedule:
- Kev hnav khaub ncaws pob tshab (feem ntau): Feem ntau hloov txhua 5 mus rau 7 hnub, lossis tam sim ntawd yog tias kev ncaj ncees raug cuam tshuam.
- Gauze hnav khaub ncaws: Hloov yam tsawg kawg txhua 2 hnub (48 teev), vim lawv tsis muaj qhov pom kev zoo tib yam lossis kab mob kab mob raws li cov khaub ncaws pob tshab.
- Kev siv IV hnav khaub ncaws yog ib qho kev tiv thaiv kab mob hauv cov chaw kho mob. Nws yog ib kauj ruam tseem ceeb hauv kev tiv thaiv kab mob catheter- cuam tshuam txog cov hlab ntshav.
Ib qho hnav khaub ncaws IV yuav tsum tau siv tam sim ntawd tom qab muab tso rau hauv cov hlab ntsha (IV) catheter lossis cannula kom ruaj ntseg rau hauv qhov chaw thiab tiv thaiv qhov chaw ntxig los ntawm kev sib kis.
Q: Muaj pes tsawg hnub hloov IV hnav khaub ncaws?
A: Ib daim ntaub qhwv IV (hnav khaub ncaws) feem ntau yuav tsum tau muab tso rau kom txog thaum nws xoob, av, ntub, lossis thaum lub IV catheter raug tshem tawm. Cov lus qhia los ntawm cov koom haum saib xyuas kev noj qab haus huv feem ntau pom zoo kom hloov pauv ntau zaus raws li hom kev hnav khaub ncaws:
Kev hnav khaub ncaws pob tshab semipermeable (feem ntau): Cov no feem ntau tuaj yeem tso rau ntev txog 7 hnub yog tias lawv nyob twj ywm thiab qhov chaw zoo li zoo.
Q: Kuv puas tuaj yeem da dej lossis da dej nrog IV hnav khaub ncaws hauv qhov chaw?
A: Ib qho hnav khaub ncaws IV yuav tsum tau qhuav kom tsis txhob kis kab mob. Feem ntau koj tuaj yeem da dej yog tias koj ceev faj tiv thaiv qhov chaw, tab sis da dej (submerging qhov chaw hauv dej) yuav tsum zam.
Da dej nrog IV Hnav khaub ncaws
Khaws kom qhuav: Feem ntau cov khaub ncaws IV tsis yog dej tsis huv. Kev hnav khaub ncaws ntub tuaj yeem ua rau cov kab mob nkag mus rau hauv qhov chaw, ua rau muaj kab mob hnyav.
Siv lub hau npog tsis zoo: Txoj kev nyab xeeb tshaj plaws yog siv lub hau npog tshwj xeeb uas tsim los rau IV qhov chaw lossis lub hnab yas ruaj khov (xws li Ziploc lossis lub hnab khib nyiab loj) ruaj ruaj rau saum lub hnav khaub ncaws nrog daim kab xev lossis ib lub hnab roj hmab.
da dej sai: Khaws cov da dej luv luv thiab tsis txhob tso dej ncaj qha mus rau qhov chaw IV.
da dej
Tsis txhob da dej: Tsis txhob tso koj qhov chaw IV los yog hnav khaub ncaws hauv dej da dej. Soaking hauv dej yog qhov txaus ntshai rau kev kis kab mob ntau dua li da dej sai.
Yog hnav khaub ncaws ntub
Hloov nws tam sim ntawd: Yog tias hnav khaub ncaws tsis zoo ntub, nws yuav tsum tau muab tshem tawm thiab hnav khaub ncaws tsis muaj menyuam tam sim ntawd txhawm rau tiv thaiv kev kis kab mob.
Hu rau tus kws kho mob: Yog tias koj tsis tuaj yeem hloov khaub ncaws koj tus kheej, hu rau koj tus kws kho mob lossis tus kws saib xyuas mob hauv tsev tam sim ntawd.
Nco ntsoov ua raws li cov lus qhia tshwj xeeb uas tau muab los ntawm koj tus kws kho mob txog kev saib xyuas koj kab IV.
Koj yuav tsum tsis txhob cia siab rau tus qauv IV hnav khaub ncaws ib leeg kom qhov chaw qhuav thaum da dej lossis da dej. Kev hnav khaub ncaws yuav tsum tau khaws cia kom qhuav kom tsis txhob kis kab mob. Koj yuav tsum tau ceev faj ntxiv los npog lub xaib thiab yuav tsum tsis txhob tso lub xaib hauv qab dej, txawm tias npog.
Q: Hom kev hnav khaub ncaws twg yog siv rau IV?
A: Hom kev hnav khaub ncaws ntau tshaj plaws thiab pom zoo siv rau qhov chaw tso dej (IV) yog pob tshab semipermeable membrane (TSM) hnav khaub ncaws, tseem hu ua pob tshab zaj duab xis hnav khaub ncaws.
Kev Kho Tus Kheej
Q: Kuv yuav tsum hnav lub pob txuv ntev npaum li cas?
A: General Guidelines:
- Kev siv hmo ntuj yog qhov zoo tshaj plaws: Ntau tus neeg siv thaj ua ntej pw thiab tso nws rau 6-12 teev lawv tsaug zog, tso cai rau nws ua haujlwm tsis muaj kev cuam tshuam.
- Hloov thaum nws hloov xim dawb: Cov cim tseem ceeb uas lub thaj tau ua tiav nws txoj haujlwm yog thaum nws hloov xim thiab pom tau dawb lossis daj.
- Tsis pub dhau 24 teev: Tso lub thaj rau ntev dhau tuaj yeem tsim qhov chaw ntub dej ntau dhau, uas ua rau muaj kab mob loj hlob lossis maceration (softening thiab tawg) ntawm daim tawv nqaij ib puag ncig.
- Hloov raws li xav tau: Koj tuaj yeem thov ib thaj tshiab tom qab tshem tawm qhov qub yog tias cov pob ntxau tseem ua haujlwm thiab tsis tau flattened lossis pib kho. "
Q: Hydrocolloid plaster ua li cas?
A: Hydrocolloid plaster yog ib hom kev hnav khaub ncaws uas muab cov dej noo, rwb thaiv tsev zoo rau qhov txhab. Nws yog tsim los nqus lub teeb- rau- cov kua dej nruab nrab (exudate) thaum ua kom lub qhov txhab lub qhov txhab hydrated kom ceev cov txheej txheem kho kom zoo.
Q: Kev kho mob silicone daim kab xev siv rau dab tsi?
A: Kev kho mob silicone daim kab xev feem ntau yog siv nyob rau hauv kev kho mob chaw rau nws maj mam adhesion thiab tsawg heev raug mob thaum tshem tawm. Nws cov ntawv thov tseem ceeb suav nrog:
- Kev Ruaj Ntseg Hnav: Nws yog siv los tuav cov ntaub qhwv lub qhov txhab, cov ntaub qhwv ntsej, lossis cov ntaub qhwv hauv qhov chaw ntawm qhov chaw mob [1, 2].
- Kho cov cuab yeej kho mob: Nws ruaj cov hlab ntsha, catheters, IV kab, cov hnab ntim dej, thiab lwm yam khoom siv kho mob hnyav rau tus neeg mob daim tawv nqaij [1, 2].
- Cov tawv nqaij rhiab heev thiab tsis yooj yim: Vim nws maj mam, repositionable nplaum nplaum, nws yog ib qho kev xaiv zoo tshaj plaws rau cov neeg mob uas muaj cov tawv nqaij rhiab, muag heev, lossis cov neeg laus uas tej zaum yuav raug puas los ntawm ib txwm muaj zog- nplaum nplaum [1, 2].
- Daim ntawv thov rov ua dua: Nws yog qhov tseem ceeb nyob rau hauv cov xwm txheej uas yuav tsum tau hnav khaub ncaws ntau zaus, vim tias nws tuaj yeem raug tshem tawm thiab rov ua dua yam tsis muaj qhov cuam tshuam loj lossis ua rau tawv nqaij stripping [1, 2].
- Scar Management (Less Common Application): Txawm hais tias tsis yog nws txoj kev siv thawj zaug, qee cov ntaub nplaum silicone tuaj yeem pab tswj kev caws pliav los ntawm kev muab qhov chaw mos, noo noo uas tuaj yeem pab txhim kho cov tsos ntawm caws pliav dhau sijhawm, zoo ib yam li lwm yam khoom siv caws pliav silicone [2].
- Kev Tiv Thaiv Kab Mob: Nws tsim lub ntsej muag maj mam nyob ib puag ncig lub qhov txhab txhawm rau pab tiv thaiv cov kab mob sab nraud los ntawm kev nkag mus, txhawb nqa qhov chaw huv huv [1].
Hauv qhov tseem ceeb, kev kho mob silicone daim kab xev muaj qhov sib npaug ntawm kev ruaj ntseg ruaj ntseg thiab maj mam tshem tawm, ua rau nws muaj ntau yam cuab yeej hauv kev kho mob thiab hauv tsev kho mob "
Q: Puas yog silicone caws pliav daim kab xev tiag tiag ua haujlwm?
A: Yog, silicone nplaum nyob rau hauv daim ntawv ntawm gels, nplooj ntawv, thiab daim kab xev yog ib tug kho mob pab txhawb thiab kev kho mob zoo los txo cov tsos ntawm nti. Nws feem ntau suav hais tias yog thawj - kab, tsis yog - kev kho mob rau cov caws pliav tshiab thiab laus dua, tshwj xeeb tshaj yog hypertrophic thiab keloid nti
Q: Kuv tuaj yeem tso silicone daim kab xev ntev npaum li cas?
A: Kev kho mob silicone daim kab xev feem ntau tuaj yeem tso rau ntawm daim tawv nqaij rau ob peb hnub ntawm ib lub sijhawm, feem ntau ntawm 3 mus rau 7 hnub, ua ntej yuav tsum tau hloov.
Nov yog cov lus qhia tshwj xeeb nyob ntawm cov ntaub ntawv siv:
Rau Cov Hnav Hnav Hnav lossis Kev Nyab Xeeb General
- Duration: Feem ntau nws tuaj yeem nyob hauv qhov chaw ntev txog 7 hnub, nyob ntawm cov lus qhia thiab qhov xwm txheej ntawm hnav khaub ncaws / qhov txhab.
- Hloov zaus: Hloov sai dua yog tias nws ntub, ntub, lossis xoob, lossis yog tias koj xav tau tshuaj xyuas qhov txhab / qhov chaw hauv qab.
- Advantage: Silicone daim kab xev yog tsim los ua repositionable thiab ua rau muaj kev raug mob tsawg heev thaum tshem tawm, ua rau nws haum rau maj mam, tsis tshua muaj kev hloov.
Rau Scar Management
- Duration: Thaum siv los txo qhov caws pliav, feem ntau pom zoo kom hnav daim kab xev rau 12 mus rau 24 teev nyob rau ib hnub rau ntau lub hlis.
- Hloov zaus: Daim kab xev nws tus kheej tuaj yeem raug tshem tawm txhua hnub rau kev tu thaj chaw thiab feem ntau tuaj yeem rov qab siv tau ob peb hnub mus rau ib lub lis piam ua ntej nws cov khoom nplaum poob qis.
Kev txiav txim siab tseem ceeb
- Cov Lus Qhia: Nco ntsoov ua raws li cov lus qhia tshwj xeeb uas tau muab nrog rau cov khoom koj siv, vim lub sijhawm hnav tuaj yeem sib txawv.
- Daim tawv nqaij mob: Tshem daim kab xev tam sim yog tias koj muaj khaus, liab, lossis khaus tawv nqaij, thiab sab laj nrog kws kho mob.
- Adhesion: Daim kab xev yuav tsum tau hloov ntau zaus yog tias nws plam nws cov nplaum vim ya raws los yog roj los ntawm daim tawv nqaij.
