NPWT Nyaya yekugovera yeProximal Kutsemuka kweKurudyi Tibia uye Fibula

Murume ane makore 57 akatambura kuputsika kwekupedzisira kwekurudyi tibia uye fibula nekuda kwekukuvara kwakabatana nebasa, uye pfupa repamberi rekurudyi tibia rakafumurwa.

Negative pressure ronda therapy (NPWT) inzira yekubudisa mvura neutachiona kubva pamaronda kuti zvivabatsire kupora.Nama ronda nejira rakakosha (bandage) uye batanidza pombi yevacuum yakapfava.

 

Vanachiremba vanogona kukurudzira NPWT yekutsva, maronda ekumanikidza, maronda eshuga, uye maronda asingaperi (nguva refu) kana kukuvara.Kurapa uku kunogona kubatsira varwere kupora nekukurumidza uye kuderedza hutachiona.

 

Madhipatimendi anoshandiswa mune ino nhevedzano uye anoenderana zviratidzo:

Trauma orthopedics:

Kuonekwa kwemapfupa pamwe chete nehutachiona, simbi yeplate yesimbi yakasanganiswa nehutachiona, tendon inosanganiswa nehutachiona, hutachiona mushure mekugadzirisa kunze kwegumbo, nhengo yakapfava yetishu uye necrosis;Avulsion kukuvara nehutachiona, kuvhurika kutyoka neyakapfava yenyama chirema, yakavhurika kwenguva refu isingapore ronda, kuchengetedzwa kweganda regraft nzvimbo isati yatanga uye mushure mekubatanidza ganda, osteomyelitis, sinus uye osteofascial compartment syndrome.

 

Dhipatimendi rekupisa:

Yakadzika yechipiri dhigirii kupisa / yakadzika yechipiri dhigirii kupisa, kumashure kweruoko kupisa kwekupwanya kukuvara, kutsva kurapwa kweronda rekutsva, kurapwa kwekare ronda rekutsva, abscess mushure mekupisa perineal, TBSA 5% kupisa.

Kupisa musana kwakanyanya, kukuvara kwepfuti, kukuvara kwekuputika

 

Chironda chisingaperi:

Ruoko rwerutsoka rusingaperi ronda, chirwere cheshuga chetsoka chironda chisingarevi ronda,

Chironda chisingaperi chemakumbo, sacrococcygeal ulcer, bedsore ulcer

 

Emergency Department:

Avulsion kukuvara, degloving kukuvara, kukuvara kwekuparadzwa, soft tissue defect uye bone tissue exposure

Soft tissue defect haigoni kuvhara muchikamu chimwe chete uye kugadzirisa maronda mushure mekudimburwa

 

Microsurgery yemaoko netsoka:

Kuchekwa makumbo nemaoko, maoko nemaoko

 

General kuvhiyiwa uye cardiothoracic kuvhiyiwa:

Mushure meiyo radical mastectomy, kugadzirisa maronda, radical resection ye rectal cancer, refractory incision, stoma, chronic empyema, esophagus anastomosis, pleural fistula, stoma fistula, nezvimwe.

Pu sponge mumufananidzo

Pu sponge chipanje chakaoma, uye polyurethane zvinhu ndiyo yakanakisa yekupisa yekudzimisa zvinhu munyika.Inozivikanwa se "yechishanu yakakura mapurasitiki", inogona kupatsanura zvinhu zvakasiyana-siyana senge density, elasticity uye rigidity nekugadzirisa formula;Kushandiswa mukubatanidzwa kweronda;Iyo ine mabhenefiti mukugadzirisa exudate, iyo inoratidzwa mukukwira kwemvura, kunyanya yakakodzera kune yakanyanya exudate uye maronda ane hutachiona, inosimudzira granulation tishu kuumbwa uye nekuona yunifomu kutapurirana kumanikidza.

Mazano: kunamatira negative pressure sponge ichasangana nematambudziko akasiyana.Semuenzaniso, varwere vane albumin yakaderera vanofanira kumisa kudzvinyirira kusina kunaka, kuwedzera mapuroteni kutanga, uye vozoita kudzvinyirira kwakashata mushure mekugadzikana, kana zvisina kudaro pachava nekurasikirwa kweprotein yakawandisa, iyo inotarisana nenjodzi yekuvhunduka.