1. NPWT yakagadzirwa rini?
Kunyangwe hurongwa hweNPWT hwakatanga kugadzirwa mukutanga 1990s, midzi yayo inogona kurondwa kumashure kwekutanga budiriro.Munguva dzevaRoma, zvaidavirwa kuti maronda aizopora zviri nani kana akayamwa nemiromo yawo.
Maererano nezvinyorwa, muna 1890, Gustav Bier yakagadzira cupping system inosanganisira magirazi nemachubhu emhando dzakasiyana uye saizi.Vanachiremba vanogona kushandisa hurongwa uhwu kuti vabudise zvakavanzika kubva pamaronda munzvimbo dzakasiyana dzemuviri wemurwere.Munguva yazvino, NPWT inoramba iine zvakanakira mukurapa maronda akaomarara.
Kubva ipapo, NPWT yakaita basa rinokosha mukurapa
2. NPWT inoshanda sei?
Negative pressure wound therapy (NPWT) inzira yekuburitsa mvura neutachiona kubva paronda kuti ripore.Kupfeka kwakakosha (bandage) kunovharirwa pamusoro peronda uye pombi yevacuum yakapfava inonamirwa.
Kurapa uku kunosanganisira kupfeka kwakakosha (bandage), tubing, mudziyo wekumanikidza usina kunaka, uye chigaba chekuunganidza mvura.
Vatariri vako vehutano vanozokodzera zvidimbu zvefuro rinopfekedza chimiro cheronda.Iyo yekupfeka ichabva yakavharwa nefirimu.
Firimu rine buri rinosungirirwa chubhu.Iyo chubhu inotungamira kune pombi yevacuum uye canister uko kunounganidzwa zvinwiwa.Iyo pombi yevacuum inogona kuiswa kuitira kuti ienderere mberi, kana saka inotanga uye inomira zvishoma nezvishoma.
Pombi yevacuum inodhonza mvura neutachiona kubva paronda.Izvi zvinobatsira kudhonza mativi eronda pamwechete.Inobatsirawo ronda kupora nekusimudzira kukura kwenyama itsva.
Kana zvichidiwa, mishonga inorwisa mabhakitiriya nesaline inogona kusundirwa muchironda.
3. Nei ndichichida?
Doctor anogona kukurudzira NPWT kanavarwerekuva nechironda chekutsva, chironda chekumanikidza, chironda cheshuga, chironda chisingaperi (chinogara kwenguva refu), kana kukuvara.Kurapa uku kunogona kubatsira ronda rako kupora nekukurumidza uye nehutachiona hushoma.
NPWT isarudzo yakanaka kune vamwe varwere, asi kwete vese.Doctor achasarudza kana varwere mumiriri akanaka wekurapa uku zvichienderana nerudzi rweronda uye mamiriro ako ekurapa.
Izvo zvakakosha kucherechedza kuti kushandisa NPWT zvakare kwakaganhurirwa muhukuru.Iyo NPWT system haifanirwe kushandiswa kurapa maronda kana murwere aine zvinotevera zviratidzo:
1. Varwere vane coagulation disorders kana zvirwere zveropa
2. Varwere vane hypoalbuminemia yakaoma.
3. Gomarara Ulcer Maronda
4. Active kubuda ropa maronda
5. Vamwe vasina kukodzera varwere vekiriniki
6. Varwere vane chirwere cheshuga chakanyanya
4. Sei NPWT iri nani?
Dziviriro
NPWT igadziriro yakavharwa inobatsira kuchengetedza mubhedha wemaronda kubva kune zvinosvibisa kunze.Pasina izvi, NPWT inochengetedzawo hunyoro hwakakwana muronda kuitira nzvimbo iri nani yekupora.Kuti udzivirire ronda nekuderedza dambudziko rekudzoka kune chirwere chinoputika, nhamba yekuchinja kwekupfeka inoda kuderedzwa.
Kuporesa
Nguva yekuporesa ronda mushure mekushandisa NPWT yakaonekwa, iyo yakaporesa ronda nekukurumidza kupfuura nzira dzechinyakare.Kurapa kunokurudzira kuumbwa kwegranulation, iyo inoderedza edema uye inogadzira mibhedha mitsva yecapillary.
Ruvimbo
NPWT inogona kutakurwa, ichibvumira murwere kufamba akasununguka, kuwedzera nguva yekushanda kwemurwere, uye kuvabvumira kurarama hupenyu huri nani nechivimbo.NPWT inobvisa mabhakitiriya uye yakawandisa exudate, kuchengetedza yakanyatsonyorovesa maronda emubhedha nharaunda uye kukurudzira kukurumidza kupora.NeNPWT, kuchengetedza maronda kunowanikwa 24/7, kuderedza kushushikana kwemurwere uye mutoro.
5.Ndeapi maitiro eNPWT yandinoshandisa?
PVA chipanji chekurapa chipanje chakanyorova, zvinhu zvacho zvakachengeteka, zvine mwero zvakapfava uye zvakaoma, zvisina muchetura uye zvisingatsamwise pakuongorora uye chitupa;inonyudza zvakanyanya.
PU sponge chipanje chakaoma, uye polyurethane zvinhu parizvino ndiyo yakanakisa yekupisa yekudzimisa zvinhu munyika.Iyo ine mabhenefiti mukutarisira exudate, inoratidzwa mu: yakakwira yemvura simba, kunyanya yakakodzera kune yakanyanya exudate uye maronda ane hutachiona, inosimudzira granulation tishu kuumbwa, uye inovimbisa yunifomu yekufambisa kumanikidza.
Muchina weNPWT unogona kushandiswa unotakurika uye unogona kutakurwa newe kuti uve nechokwadi chekucheneswa kweronda.Kune nzira dzakasiyana dzekusveta dzekugadzirisa chirongwa chekurapa maronda akasiyana.
6. Ndichiri kuda mamwe MaTips
Kupfeka kunoshandurwa sei?
Kuita kuti kupfeka kwako kuchinje nguva dzose kwakakosha pakurapa kwako.
Kakawanda sei?
Muzviitiko zvakawanda, kupfeka kunofanira kuchinjwa 2 kusvika katatu pavhiki.Kana ronda riine utachiona, mapfekero angada kuchinjwa kakawanda.
Ndiani anochichinja?
Muzviitiko zvakawanda, kupfeka kunoshandurwa nanesi kubva kuhofisi yachiremba wako kana basa rehutano hwepamba.Munhu uyu anenge akanyatsodzidziswa kushandura rudzi urwu rwekupfeka.Mune zvimwe zviitiko, mutarisiri, nhengo yemhuri, kana kuti shamwari inogona kudzidziswa kuchinja mapfekero.
Ingwariroi inoda kutorwa?
Munhu anochinja mapfekero ako anofanira kuita zvinhu izvi:
Geza maoko pamberi uye mushure mekuchinja kwegadziro.
Gara wakapfeka magirovhosi ekudzivirira.
Kana vane ganda rakavhurika kana ganda, mirira kusvika rapora usati wachinja kupfeka kwako.Muchiitiko ichi, mumwe munhu anofanira kuchinja kupfeka kwako.
Zvinorwadza here?
Kuchinja rudzi urwu rwekupfeka kwakafanana nekushandura chero imwe mhando yekupfeka.Inogona kukuvadza zvishoma, zvichienderana nerudzi rweronda.Bvunza vatarisiri vako vehutano kuti vakubatsire kubvisa marwadzo.
Zvichatora nguva yakadii kuti ronda rangu ripore?Zvinotora nguva yakareba sei ronda rako kupora zvinoenderana nehuwandu hwezvinhu.Izvi zvinogona kusanganisira hutano hwako, ukuru nenzvimbo yeronda, uye hutano hwako.Bvunza chiremba wako zvaunofanira kutarisira.
Ndinogona kugeza here?
Kwete. Mvura yekugeza inogona kukanganisa chironda.Zvakare, kupfekedzwa paronda kunogona kusununguka kana kwakabatwa pasi pemvura.
Nguva yekutumira: Oct-25-2022