1. Ngesikhathi sokuminyana nesikhathi esibomvu,isikhumba sendawo siba bomvu, sivuvuke, sishise, sibe ndikindiki noma sithambe ngenxa yengcindezi.Ngalesi sikhathi, isiguli kufanele silale phezu kombhede womcamelo womoya (obuye ubizwe ngokuthi i-Operating Room Positioner) ukuze kwandiswe inani lokujika nokubhucungwa, futhi kwabele izisebenzi ezikhethekile ukuba zinakekele uma kunesidingo.I-45% yotshwala noma i-50% yewayini le-safflower ingathululelwa entendeni yesandla ukuze i-massage yendawo ngaphansi kwengcindezi ye-10 min.Ingxenye ebomvu nevuvukele yesilonda sokucindezela igcotshwa nge-tincture ye-iodine engu-0.5%.
2. Ngesikhathi sokungenwa kokuvuvukala,ububomvu bendawo nokuvuvukala akuqedi, futhi isikhumba esicindezelwe siphenduka sibebomvu.I-subcutaneous induration iyenzeka, futhi ifomu le-epidermal blisters, okulula kakhulu ukuphuka, futhi isiguli sizwa ubuhlungu.Ngalesi sikhathi, sebenzisa i-cotton swab efakwe ku-4.75g/l-5.25g/l iodine eyinkimbinkimbi ukuze usule ubuso bendawo ethintekile ukuze usule ingxenye, futhi unake ukugwema ukucindezela okuqhubekayo;Amabhamuza amakhulu angakhishwa ngesirinji ngaphansi kokusebenza kobuchwepheshe be-aseptic (ngaphandle kokusika i-epidermis), bese embozwa nge-0.02% Furacilin Solution futhi esongwe ngokugqoka okuyinyumba.Ngaphezu kwalokho, kuhlanganiswe nokwelashwa kwemisebe ye-infrared noma i-ultraviolet, ingadlala indima yokulwa nokuvuvukala, ukomisa nokukhuthaza ukujikeleza kwegazi.Uma i-blister iphukile, i-membrane yangaphakathi yeqanda elisha ingafakwa futhi iqiniswe esilondeni, futhi ihlanganiswe ne-gauze oyinyumba.Uma kukhona ama-bubbles ngaphansi kwe-membrane yangaphakathi yeqanda, yicindezele ngobumnene ngebhola lekotini eliyinyumba ukuze ulikhiphe, bese umboza nge-gauze oyinyumba, bese ushintsha ukugqoka endaweni kanye ngosuku noma ezimbili kuze kube yilapho isilonda siphulukiswa.I-membrane yangaphakathi yeqanda ingavimbela ukulahlekelwa kwamanzi nokushisa, igweme ukutheleleka kwamagciwane, futhi ikhuthaza ukukhula kwe-epithelial;Le ndlela yokuguqula ukugqoka inomphumela oqondile wokwelapha esigabeni sesibili se-bedsore, ukwelashwa okufushane, ukuhlinzwa okulula kanye nobuhlungu obuncane ezigulini.
3. Isiteji sezilonda ezingaphezulu.Amabhamuza e-epidermal kancane kancane ayanda futhi aqhume, futhi kune-exudate ephuzi esilondeni sesikhumba.Ngemuva kokutheleleka, ubomvu buphuma, futhi i-necrosis yezicubu ezingaphezulu kanye nokwakheka kwezilonda.Okokuqala, hlambulula ngesisombululo se-potassium permanganate esingu-1:5000, bese usula isilonda nesikhumba esizungezile.Okwesibili, iziguli zingasebenzisa isibani se-incandescent esingama-watt angu-60 ukukhanyisela ingxenye lapho kwenzeka khona i-bedsore.Umsebe we-infrared okhishwa isibani se-incandescent unomphumela omuhle wokwelapha ku-bedsore.Ibanga le-irradiation lingaba ngu-30cm.Lapho ubhaka, isibani akufanele sisondele kakhulu esilondeni ukuze sigweme ukushiswa, futhi akufanele sibe kude kakhulu.Yehlisa umphumela wokubhaka.Ibanga kufanele lisekelwe ekukhuthazeni ukomiswa nokuphulukiswa kwesilonda.1-2 izikhathi ngosuku, 10 - 15min isikhathi ngasinye.Khona-ke yelashwa ngokuvumelana ne-aseptic dressing change indlela yokuhlinzwa;Izingubo zokugqoka ezimanzi zingasetshenziswa futhi ukudala indawo efanelekile yokuphulukiswa kwendawo ebuhlungu, ukuze amangqamuzana amasha e-epithelial akwazi ukuvala isilonda futhi kancane kancane aphulukise indawo ebuhlungu.Izimo zendawo kufanele zibhekwe nganoma yisiphi isikhathi ngesikhathi sokushiswa kwemisebe ukuvimbela ukushisa.I-infrared local irradiation inganweba ama-capillaries esikhumba sendawo futhi ikhuthaze ukujikeleza kwegazi kwezicubu zendawo.Okwesibili, ngezilonda ezingapholi zesikhathi eside, gcoba ungqimba lukashukela omhlophe ohlutshiwe esilondeni, bese umboza nge-gauze oyinyumba, uvale inxeba nge-adhesive tape, bese ubuyisela ingubo njalo ezinsukwini ezi-3 kuya kweziyi-7.Ngosizo lomphumela we-hyperosmotic kashukela, ungabulala amagciwane, unciphise ukuvuvukala kwesilonda, uthuthukise ukujikeleza kwendawo, ukhulise umsoco wendawo, futhi ukhuthaze ukuphulukiswa kwesilonda.
4. Isigaba sesilonda se-Necrotic.Esigabeni se-necrotic, izicubu ze-necrotic zihlasela i-dermis engezansi, ukukhishwa kwe-purulent kuyanda, izicubu ze-necrotic ziba mnyama, futhi ukutheleleka kwephunga kudlulela ezicubu ezizungezile nezijulile, ezingafinyelela ethanjeni, futhi zibangele ngisho ne-sepsis, ebeka impilo yesiguli engozini. .Kulesi sigaba, qala ngokuhlanza isilonda, khipha izicubu ze-necrotic, gcina amanzi engenalutho, futhi ukhuthaze ukuphulukiswa kwendawo ebuhlungu.Hlanza indawo ebuhlungu nge-isotonic saline oyinyumba noma isixazululo se-nitrofuran esingu-0.02%, bese uyisonga nge-gauze yoVaseline oyinyumba kanye nokugqoka, bese uyibuyisela kanye ngosuku noma ezimbili.Ingase futhi yelashwe nge-metronidazole emanzi yokucindezela noma i-isotonic saline ngemva kokuhlanza indawo ebuhlungu ngesiliva sulfadiazine noma i-nitrofuran.Kulabo abanezilonda ezijulile kanye nokungaphumi kahle kwamanzi, isixazululo se-hydrogen peroxide engu-3% kufanele sisetshenziswe ukuze kuvinjwe ukukhula kwamagciwane anaerobic.Ukukhishwa kwendawo ebuhlungu ethelelekile kufanele kuqoqwe njalo ukuze kuhlolwe isiko lebhaktheriya kanye nokuhlolwa kokuzwela kwezidakamizwa, kanye ngesonto, futhi izidakamizwa kufanele zikhethwe ngokwemiphumela yokuhlolwa.
(Okwereferensi kuphela)