Maronda: kuifukidza unyanzvi. Soft chigamba bhandiji

Mumwe munhu anofanira kuziva kuti bandaging. Chidobi kumanikidzira vamwe kupfeka zviri nyore uye kunoda hapana unyanzvi. Zvakanyatsorurama kushandisa kunogona chete kuva nyanzvi. Kunyange zvakadaro, mukuru nemitemo nzira zvinowanikwa mumwe nomumwe wedu. Ngatitaurei hanya navo.

General mitemo kumanikidzira mabhandeji

Mupumburu bhandeji kuramba iri rworudyi. Mugumo bhandeji rakaitirwa ruoko rworuboshwe. Saka zvinokosha kuti tive nechokwadi chokuti hapana matambudziko aigona kufamba unroll pamusoro pemvura.

Nokuisa mucheka, zvakakodzera kushandisa maoko maviri. Mumwe ruoko rwakapetwa harikunguruswi pasina anotorera muviri pamusoro, uye mumwe akaruramisa pachake bhandiji.

In muitiro ndokusanganisa dressings zvipenyu izvo kuvimba zvakananga mamiriro ezvinhu, tinofanira kutarisana chepaseka. Izvi zvinobvumira kuti kudzora mamiriro ake.

Mabhandeji downwards kubva pana iyo dhayamita muviri pamusoro zvishoma.

The coils chokutanga kunodiwa kuti kugadzira, zvichiita zvishomanana vanobwembura zviri bhandeji panzvimbo akatanga. Pamusoro penzvimbo ino kuti mumwe ichitenderera - kutara. Mumwe tevera ichitenderera bhandiji kuitirei yapfuura hafu.

Kana taping pamusoro, kuguma bhandeji vanoda zvishoma incision lengthwise, zvichiumba migove miviri. Zvadaro isa incision bhandeji neatly misodzi, nokusika mbiri duku kureba. Nezvavo kusungira fundo.

Bhandeji rinoshandiswa zvakasiyana-siyana, izvo zvinoita kuti tisadzongonyedza riparadzirwe. Simba kumanikidza yavo zvakare zvisingabviri, sezvo vanogona taitofanira nyore kubva ronda.

General kupatsanura zvokurapa dressings

Vanhu vazhinji vanofunga kuti kupfeka anogona kurega ropa kana kurambidza kupinda munzvimbo ronda utachiona. Kutaura zvazviri, chinangwa chikuru kupfeka - kugadzira zvinhu nokuda dressings. Pashure Pakusarudza hworudzii ronda, muchidimbu chii yemuviri riri, shandisa mimwe mitemo uye nzira maronda. Zvinangwa izvi, mumwe kupatsanura pakati vaiona mano. Saka, kupfeka anokudzwa:

• ari kuenda (mashandiro ayo anoshanda mabhandeji);
• kutaipa (zvemaziso ehupfumi);
• nokuda mhando zvinhu zvaishandiswa;
• nokuda nzira Kuda kutamba ari kupfeka.

Pakutanga vanofanira vazive pachavo pamwe yaida kupatsanura uye ipapo kwazvo kudzidza mitemo kupfeka bindepinde. Mhando mabhandeji zvinosiyana. Kana iwe uchidzifukidza munhu anokwanisa kubata kunyange vadzidzi, nokuti kushandiswa nevamwe zvaida unyanzvi ane vaikodzera nyanzvi. Mumwe havafaniri kukanganwa kuti nzira kwokushandisa mabhandeji kuvimba dzakananga zvinokuvadza kuti chikamu chimwe dzemuviri.

Kupatsanura ne chinangwa

Zvichienderana chii chinosara rinoitwa nevanhu yezvokurapa bhandeji, pane zvinotevera mhando nayo:

• Protective (aseptic) - nokuti kudzivirira reinfection paronda;
• mushonga - kuitira risina kumiswa kuwana mishonga kuti ronda;
• hemostatic (kudzvanya) - chinomisa ropa;
• Immobilizer - kuvakanganise chikamu muviri (Chokwadi);
• pamwe traction - inopa traction mapfupa zvimedu;
• pakururamisa - inotsidza mumwoyo deformation;
• occlusive - anodzivira ronda.

Nokukurumidza kubatsira mumwe pakaita dambudziko, unofanira kuziva kuti bandaging. Chidobi nokuiswa mudziyo uyu ichakurukurwa pazasi.

Kupatsanura mhando (zvemaziso ehupfumi)

Modern zvokurapa dressings ndiwo:

• munyoro - anoshandiswa chaizvo pakurapa vakasiyana-siyana maronda;
• vanachandagwinyira - zvinoshandiswa panyaya apo mishonga nezvinokuvadza kana chirwere vanofanira kusika nezvaizoitwa kutadza kufamba;
• kwakavharwa nenyama - chinokosha chokushandisa mukurwisa pakuwedzera saphenous mutsinga uye venous stasis;
• radioactive - chinokosha gauze, ine chinoshingaira unhani dzinongoitika radioactive isotopes.

Rakajairika zvakaoma uye akapfava mabhandeji.

Kupatsanura kubudikidza mhando zvinhu zvakashandiswa,

Zvichienderana zvinhu iyo akaita zvokurapa dressings, vari akakamurwa:

• Gauze (pane bintovye uye bezbintovye);
• jira (inoshandiswa zvipfeko, sikavha);
• donje-gauze (donje shinda bhandiji anoitwa kubva nhindi gauze uye shoma donje shinda);
• gypsum;
• kwadzakabva kurapwa kana zvifambiso mabhazi.

In mushonga uye mabhandeji anowanzoshandiswa unokudzwa. Muenzaniso unoshamisa inogona kutaurwa zinc-gelatin Unna bhandiji iyo inoshandiswa kurapa maronda mambure. It kunoratidzwa ehupfumi ayo (compression uye antibacterial), anokwanisa kuderedza venous stasis chinowedzera tivandudze ropa kuyerera venous, uye ane osmotic zvainoita hygroscopic urikanwi.

Kupatsanura nzira Kuda kutamba kupfeka

Kupiwa mapiro zvokurapa bhandeji inogona akatasva dambudziko, marudzi anotevera mano:

1. Bezbintovye:

• namira - kushandiswa maronda diki, rinoshandisirwa zvichiguma muchikuvadza nzvimbo, akanyorwa pamusoro kupfeka zvinhu pachishandiswa anokosha adhesives (collodion, kleola, plastikatnyh zvinhu guruu BF-6) ;
• The tepi - kushandiswa kana zvakakodzera kuti vasunge maronda diki kana purulent dzidzo chakasimba;
• kosynochnye - kushandiswa kana zvakakodzera rwekutanga, zvinokwanisika kushandiswa dzinonetsa ezvinhu, bhandiji akadaro kazhinji kuita kuti kusika kwekanguva immobilization seari pamusoro unodzivirira bhandeji;
• chifuramabwe - vanomiririra kanyika jira, dissected longitudinally mativi, nzvimbo iyo haina sectioned zvinhu (inogona kushandiswa navanopinda bhandeji) rinoshandiswa yakabudikira nhengo dzomuviri (musoro, chirebvu, mutsipa, mhino), iro zvatinosiita kutara bhandeji kuti kwete kuramba uye izvo ondomoka bhandeji;
• T-zvakaumbwa - zvinoshandiswa nedanho muchikuvadza dressings kana nzvimbo dziri crotch nzvimbo, apo pane kushoma;
• munhu tubular kwakavharwa nenyama bhandeji - kushandiswa kana zvakakodzera kugadzirisa ronda chero chikamu muviri kupfeka.

2. Bintovye - nyoro bhandeji kubva bhandiji. Find kushandiswa muna orthopedics, kana wakaremara mapfupa uye akapfava munyama, kutsva, frostbite, mu traumatology.

Soft bhandiji

Zvinodiwa zvinyoronyoro bhandeji:

• nokuvhara muviri mugove murwere;
• kurerukirwa;
• hakufaniri kunokanganisa kweropa;
• neatness;
• hakufaniri kutyora node.

Pari, vanachiremba vari kutevera mhando nyoro bintovyh dressings:

• tenderera (tenderera) - navo sezvo kutanga uye pakupedzisira bhandiji akakodzera kuti maronda vaduku iri phalanges iri frontal nharaunda, panzvimbo dzapasi chetatu gumbo, pamusoro pamaoko, pakati papfudzi;
• zononoka - hworudzi urwu bhandiji kunoitwa ruoko, dumbu, chipfuva;
• zvinokambaira (unomonereka) - kushandiswa apo pane kudiwa kupa yakachengeteka donje-gauze Mapedhi, uyewo gypsum;
• cruciform (vosmiobraznye) - anoshandiswa paakapa ari mubhokisi, musana, mutsipa;
• hamba (convergent, yakashatiswa mumufambiro) - bhandeji pamusoro majoini (ibvi, kugokora), izvo nokuti cruciform ichi (vosmiobraznyh) mabhandeji;
• Spike - rinoshandisirwa pafudzi mapfundo ari kuziviswa kwayo zvokurwara;
• Returns - wakashandiswa bandaging musoro, pamusoro chinouraya phalanges.
• desault mabhandeji - anoshandiswa kana paine chiedza mitswe pamusoro clavicle uye humerus anoshandiswa vpravki dislocated mafudzi, pasina dressings izvi hazvigoni kuita kana uchifanira kugadzirisa ruoko uye pashure pokuvhiyiwa mapfupa;
• rutsigiro (nokuti zamu) - rinoshandiswa kana nzvimbo zamu hwakafumurwa kuti kutsva, maronda, anogumbura urongwa, operative chipingaidzo.

Soft bhandeji nokuti nhengo dzomuviri

bhandeji kutevera mhando musoro wake

• Pakudzoka (Hippocratic chivharo, izvozvo rinoshandisirwa pachishandiswa maviri bhandiji miviri musoro kana bhandeji);
• chifuramabwe (kana paine zviduku kuvadza chirebvu, pahuma, mhuno, parietal, zvenyama occipital nharaunda);
• Matomu (inotsigira rezasi rushaya);
• "Cap" (kupfuura akasununguka nokuda musoro bhandeji).

The kupfeka pamitsipa kunogona mhando zvinotevera:

• namira (chinobatsira zvakasimba anchor the dressings);
• Phillips (nokuti localization kuti maronda achiumbwa munyika yokumusoro chikamu muviri);
• tenderera (nokuti maronda pasi rushaya - bhandeji kwakadaro zvinoenda shure ari cruciform mhando).

Mucheka mutsipa unofanira kuramba kuvimbika yakasungirirwa pamwe nomuviri mugove. Zvinofanira kubatisisa ari kupfeka. kupfeka akadaro haafaniri Vaiisa pamutsipa, kudzvinya naye.

On bhokisi bhandeji anotevera mhando:

• zononoka (kushandiswa apo thorax akuvara rumbabvu akaputsika, anogumbura pezvakaitwa);
• Phillips (nokuti nokuiswa chipfuva kumberi uye shure);
• zvitsigiso (mumwe kana vaviri mazamu);
• spikelike (seari pasi bheseni kana kukuvaradzwa nechepazasi dumbu kana ari sacrum vakaumba maronda, akakanganisa groin kana crotch);
• T-mhando (kushandiswa perineal bandaging).

Upper muzvidimbu zvinosanganisira zvinotevera marudzi dressings:

• Pakudzoka (kushandiswa apo avhareji dzaparadzwa kana distal phalanx);
• spicate (nokuti maronda napagumwe roruoko, bandauko vadyi nzvimbo);
• "Glove" (bhandeji rwake, pamusoro pokushandisa nheyo maronda mumwe munwe);
• "Mitten";
• zononoka (rinoshandiswa honokono);
• Hamba (nokuti maronda kugokora);
• desault bhandiji (kushandiswa kana paine pakakuvara ari bondo).

Nokuti rezasi muzvidimbu chinosanganisira zvinotevera marudzi dressings:

• kudzokera (nokuti maronda pechigunwe);
• zononoka (nokuti pindana wokutanga chigunwe);
• spikelike (bhandiji anobvumira rutsoka, sezvamakaropafadzwa zvigunwe kuramba yakazaruka);
• Hamba (kushandiswa chitsitsinho uye ibvi vadyi);
• zononoka (rinoshandiswa tibia zvinogona vanobwembura kuti chidya).

Kana pane kudiwa kupa rubatsiro rwekutanga, vanoshandisa mativi bhandeji. Ndivo nyore kumanikidza uye regai zvinoda unyanzvi. Chinyorwa nezvinyorwa ndiwo hengechepfu, scraps pamusoro akamendwa machira.

kuzvipira bhandeji

Kana pane kudiwa kumanikidza kumanikidza bhandeji kana zvimwe mudziyo inoshandiswa sprains uye pakurapa edema kana unstretched, kubatsira anozvipira nokukiya bhandiji. It inogonawo kushandiswa kugadzirisa kwete kupfeka, asi mishonga ipi namano. bhandiji ichi - wakakwana mhinduro kana uchida maawa mashomanana nechokwadi yakavimbika compression pasina kwaakarerekera.

A kuzvicheka-bhandiji kushandiswa phlebology, orthopedics, traumatology.

Chokwadi, kuzvipira bhandeji - chiri consumable zvokurapa zvinhu. Kunyange zvakadaro, zvinobatsira chaizvo kuti vanhu vari kuita zvemitambo. Nokuda akadaro Kuda kutamba bhandeji zvatichakurukura pamusoro muviri, zvinokwanisika kudzivirira mutambi kubva sprains uye dislocations.

munyu mabhandeji

Pasinei chokwadi kuti mabhandeji izvi vari kero nechido uye nyaya dzinovaka, kwete diagnoses zvose zvinogona kushandiswa.

Nhasi, dressings kwakadaro kunogona zvinobudirira kubata somatic zvirwere, anopisa yakaderera-sosaiti, chisingaperi appendicitis, ropa pamwe mavanga, maronda akaora. Apo chisarudzo kushandisa sesaline dressings, vanofanira kuziva kuti:

• munyu, iyo yakaomerera mukuru 10% ndiyo vaisafanira kushandisa dressings;
• Bhandeji nokuti nemhepo zvinhu zvinofanira kushandiswa;
• dressings akadaro contraindicated vanhu vane zvirwere kumwoyo;
• sesaline dressings havagoni kushanda kune vanhu vane matambudziko itsvo.

Vakazvimiririra ngaagadze pachake kushandiswa dressings dzakadaro havasi zviripo. nzira iyi inofanira kupiwa chete nachiremba.

How kushandisa dressings siyana?

Zvino teerera muitiro uyu sezvo bandaging. Technology ndokusanganisa mano aya mhando dzakasiyana uye kwemarudzi zvakafanana chaizvo. Asi kunewo dzakasiyana vakadaro vari zvikuru yakasiyana vamwe vose.

Nyatsoteerera zvinokosha kusarudza paakapa bintovyh dressings.

Mirayiro kumanikidzira tenderera mabhandeji:

• kumativi ronda rokutanga necheparutivi pamusoro ° 30 kusvika muviri mugove dzakasvikwa bhandeji;
• vanofanira kutevera kusvika kumagumo zvinhu zvaishandiswa bandaging, vachisiya vanenge 5-10 masendimita mhiri mugove muviri dzakasvikwa kupfeka rinoshandisirwa;
• kana ronda yokutanga kumativi, dressings vairamba akapeta magumo, zvino ari yakatarwa Zvakazoitwa nzendo zvinhu zvaishandiswa bandaging;
• kudzivisa kutsvetera dressings, mumwe revashanyi itsva overlaps zvakawanda zvakasimba kupfuura yapfuura vaduku;
• mumwe bhandeji itsva inofanira kufukidza yapfuura kumativi.

Mirayiro kumanikidzira zononoka bhandiji:

• kumanikidzira kutanga dzeraundi kupfeka (zvishoma kubva nzvimbo zvinokuvadza);
• kana seari helical bhandeji pasina kinks (mafudzi, chidya, chipfuva) rinoshandisa imwe kwakavharwa nenyama bhandiji;
• kana seari zononoka bhandeji pamwe kwakanyanyisa (rokumusoro ruoko, chidya), vanoita mutsetse mumwe chete, achiedza kuti nemisoro bhandeji parutivi hunenge nzvimbo;
• kana nokuiswa kwechinhu zononoka bhandeji, usina hwakakungwa, zvisingaiti kuti vawane zvizere zvaidiwa ndege nomuviri pemvura bhandeji, zvinokosha kuti mashomanana kinks mimwe achichinja kuti zononoka bhandeji pasina kinks.

Mirayiro pamusoro zvinokambaira kupfeka:

• nemisoro bhandiji rinotanga dzeraundi, ipapo mumwe nomumwe unozotevera kumativi payakakurudzirwa vakatamira munyika proximal divi;
• Tinofanira kusiya vakasununguka zvikamu akaenzana upamhi bhandeji pakati nomumwe itsva denderedzwa.

Mirayiro pamusoro cruciate kupfeka:

• kutanga raundi bhandeji bandaging;
• mumwe kumativi itsva crisscross uye vari alternated ane raundi maonero kupfeka, sezvamakaropafadzwa bhandeji iri uye kumativi itsva Takatamira kuno proximal mirayiridzo kubva pakutanga dzeraundi kupfeka.

Appliances kuifukidza spica:

• vanotanga bindepinde pamwe dzeraundi mabhandeji vari fudzi bhanhire (ichi achasimbisa dzinenge mucheka rokutanga);
• bhandeji mberi, kutamira kubva zvakakanganisa mutezo munzvimbo bandauko muhudyu, kwaari - pamapfudzi bhanhire, ipapo chipfuva pemvura iri axillary munharaunda rumwe rutivi uye kudzokera hosha papfudzi uye papfudzi nebhanhire;
• mumwe unozotevera kumativi amutambanudzira pamusoro chipfuva fudzi, kunze chete nemichina kusvika ½ ari tai.

Mirayiro pamusoro pandakadzosera kupfeka:

• kutange nokuiswa rimwe gumbo tenderera mabhandeji;
• pamberi pechiso chenyika chigutsa kuita vanobwembura;
• kuburikidza kuguma mugove chaJese vari wehunyambiri bhandeji vakakomba shure pamusoro kwayo;
• mumwe revashanyi kuti adzoka ari yakatarwa dzeraundi kufamba;
• mumwe mutsva mira rwakapoteredza zvava kuruvanze uye ipapo yomukati pamucheto wakuvara;
• Tours zvose anowedzera akanyorwa nokuda helical bhandeji.

Anowisira: mhando ndokusanganisa midziyo

Kana munhu nokusingaperi pamberi uchidzifukidza dressings, ndokusanganisa izvi mano midziyo haringavi utsva. Asi, Ungangove, aifanira kubata nyoro bhandeji. Chokwadi kuti zvakanga kwavari simba kugadzirisa kunyange mwana wechikoro. Asi pane zvakawanda chakakomba muchimiro dressings, kuti nokuiswa izvo zvinofanira kuvimbwa chete unyanzvi.

Usati wadzidza dzinokosha nemitemo kukandira chikumbiro, zvinokurudzirwa tinyatsoziva huripo mhando mano izvi.

To nesuko akakanda zvinosanganisira:

• tenderera chepuraimari dissected (pashure yava akarapa, yakanga pakarepo dissected longitudinally);
• girajuweta (ari raundi bhandeji kuti buri pamusoro mugove riri pasi kurapwa);
• mabhiriji (pachinzvimbo fenestrated rakaiswa panyaya iri apo chikamu dzaparadzwa kutoda zvimwe zvakawanda kuwana);
• Articulated gypsum (akaita maviri dzeraundi mapfundo, waakaita kupinda vagari munharaunda tapureta ndedzechokwadi);
• nhangaruvazhe (kushandiswa kana zvakakodzera kurapa kuramba arthrogenic contracture).

The inokosha mitemo kukandira kushanda:

• kuva nechokwadi kuti aone kuti kuvapo zvose zvokushandisa uye zvinhu kuti kungadiwa;
• tarisa kunaka mabhandeji nokuti nokuiswa chakakandirwa;
• Unhu kugadzira kukuvara muzvidimbu zvinogoneka chete kana kuita chinhu majoini zviviri yakabatana zvinokuvadza;
• panguva kugadzirira muzvidimbu ndaisa yakanaka nzvimbo (maererano functionality);
• bhandiji vanofanira wakasununguka uye kwete kuvhiringidza kuchimbuzi;
• kuongorora mamiriro ropa rive, iro chinouraya phalanges ari minwe nezvigunwe vari akavhurika;
• kana mucheka parinoshandiswa, muviri kubvisa zvisaririra zvose nesuko kupa kudzora mamiriro ganda;
• pakati mucheka uye ganda (mu yokunyanyisa nhengo dzayo) akaisa nyoro lining chinodzivirira nyoro tishu zvinokuvadza;
• panguva micheto romunda kupfeka hakufaniri inopinza;
• chitsamhura kuti nesuko anofanira kumeso pasina hadzina kufambiswa zvakanaka (wrinkles vanobviswa asati application);
• ichitenderera munhu varinamire bhandeji yakabereka pasina makakatanwa, kudzivisa paumbwe kinks uye matanga seari nzendo pindana (pamusoro zononoka mhando mabhandeji);
• kana rikashandiswa gumbo kwete vanochengetedza minwe yako, uye yose mumakwenzi, kudzivisa pakatsikwa netsoka indentation;
• kuumba varinamire bhandeji kuchinja ari kupurasita pamberi ichioma.

All Kudzingwa kwakaitwa compulsorily akanzi. Anoratidza kukuvara mapfupa diagram, zuva apo zvinokuvadza akagamuchirwa, pazuva akaiswa nesuko, uye zuva kana kutarisirwa kubvisa mucheka.