Zempilo, Amayeza
Bandaging: indlela okubekwe ngaphezulu. patch Soft of bandage
Umntu ngamnye udinga ukwazi ukuba bandaging. Technique tell ezithile yokugquma ilula kwaye ifuna izakhono ezizodwa. sisebenzise ngendlela eyiyo kuba specialist kuphela. Noko ke, imigaqo ngokubanzi yenkqubo ziyafumaneka ngamnye kuthi. Makhe sinikele ingqalelo kubo.
imithetho jikelele tell amabhandeji
Roll nge umhlabelo, ukuba ahlale ngasekunene. Isiphelo iqhiya kwelo ngesandla sasekhohlo. Ngoko kuyimfuneko ukuqinisekisa ukuba akukho iingxaki kusiqengqela unroll phezu komhlaba.
Ngokubanik umhlabelo, kuyimfuneko ukusebenzisa izandla ezimbini. Enye incwadi esongwayo ngesandla liqengqiwe ngaphandle kokuthatha kude komphezulu emzimbeni, kunye nezinye waxolisa bandage.
Xa inkqubo alpha iintlobo zokubopha leyo ixhomekeke kwi imeko ethile, kufuneka sijongane ixhoba. Oku kukuvumela ukulawula imeko yakhe.
Amabhandeji ezantsi ukusuka kwindawo apho sangqa kumphezulu yomzimba ngaphantsi.
Ikhoyili lokuqala kufuneka ukuba ukulungisa, ukwenza begoba kancinane le iqhiya kuloo ndawo oko yaqala khona. On top of kule ndawo kwenza kwenye emajikojiko - entengo. Ngasinye siya iqhiya elandelayo wayesenza kwisiqingatha elidlulileyo.
Xa taping phezu, ekupheleni iqhiya kufuneka liqatywe encinane lengthwise, ukwakha izahlulo ezibini. Koko makayifake i-iqhiya liqatywe ngokucocekileyo iinyembezi, ukudala ubude ezimbini ezincinane. Kubo tie ngeqhina lomtshato.
Ngebhandishi lisetyenziswa lathamba, nto leyo evumela ukuba ziphazamise kwegazi. Ababuthathaka ukuba ukunyanzelisa zabo nzima kakhulu, njengoko unako ehamba ngokulula kude inxeba.
kudidi ngokubanzi zokubopha zonyango
Abantu abaninzi bacinga ukuba ngokunxiba Ungayeka ukopha okanye ukuthintela ukungena kulo usulelo enxebeni. Enyanisweni, eyona njongo iphambili lokunxibela - ukulungisa izinto for zokubopha. Emva ukumisela ukuba uhlobo ngenxeba, ziziphi yinxalenye yomzimba emi kuyo, asebenzise imithetho ethile yaye iindlela bandaging. Ukuze ezi njongo, kucalulo yamacebo ingqalelo. Ngoko ke, ukunxiba ihloniphekile:
- kule ndawo (imisebenzi leyo asebenza amabhandeji);
- uhlobo (iipropati mechanical);
- ngokohlobo kwezinto ezisetyenzisiweyo;
- yi indlela nitrogen le lokunxibela.
Ekuqaleni kufuneka baziqhelanise nalo ulwahlulohlulo olucetywayo uze ufunde imithetho yokunxiba ukudlulela kakuhle. Iintlobo amabhandeji ziyahluka. Ukuba uyaleke namnye unako ukuphatha nkqu nabafundi, ukuba ukusetyenziswa kwezinye ezifunekayo izakhono ze oyingcali ofanelekileyo. Umntu akufuneki silibale ukuba indlela yokusebenzisa amabhandeji zixhomekeke yokwenzakala ethile ukuya kwicandelo elithile komzimba womntu.
Ukwahlukanisa ngu injongo
Kuxhomekeka yintoni umsebenzi wenziwa ibotshwe zonyango, kukho ezi ntlobo zilandelayo kuwo:
- Zothintelo (aseptic) - kuthintelo bathelelane inxeba;
- chiza - ukuqinisekisa amayeza ukufikelela liqhawuke enxebeni;
- hemostatic (ngokucindezela) - ime ukopha;
- Immobilizer - ukuba icele yinxalenye yomzimba (kakade);
- ne ibambelele - libonelela iziqwenga bone ibambelele;
- yokulungisa - asombulula deformation;
- occlusive - azivingce, inxeba.
Ukuze ngokukhawuleza ukunceda umntu kwimeko yongxamiseko, kufuneka ukwazi ukuba bandaging. Technique nokubekwa esi sixhobo iza kuxoxwa ngezantsi.
uhlobo Classification (iipropati mechanical)
zokubopha zonyango Modern zezi:
- soft - asetyenziswa ngokubanzi yonyango ezahlukahlukeneyo amanxeba;
- ngqongqo - asetyenziswa kwimeko apho unyango ngenxa yokwenzakala okanye isifo kufuneka ukwenza isiphumo nokungakwazi;
- elastic - isixhobo sele ekulweni ukwandiswa yegazi saphenous kunye stasis lwemithambo;
- radioactive - yinto igozi ezizodwa, apho kukho ukutyabeka esebenzayo izinto ezineeathom ezilinganayo zendalo radioactive.
Nezibopho zixhaphakileyo nzima yaye ethambileyo.
Ucalulo ngohlobo izinto ezisetyenziswayo,
Kuxhomekeka izinto wenza izinto zokubopha zonyango kuzo, ukuba yahlulwe:
- Igozi (apho bintovye kunye bezbintovye);
- ilaphu (impahla esetyenziswayo, isikhafu);
- umqhaphu-igozi (cotton wool iqhiya lwenziwe isiziba igozi kunye encinci cotton wool);
- gypsum;
- lithathelwe unyango okanye zothutho iibhasi.
Xa amayeza kunye amabhandeji badla zisetyenziselwa iinjongo ezizodwa. Umzekelo abagwayimbileyo banokuthi kuchazwe zinc-gelatin Unna iqhiya leyo esetyenziswa ukunyanga izilonda umnatha. Lubonakala ngeempawu zalo (ucinezelo kunye antibacterial), unako zokunciphisa stasis lwemithambo negalelo ekuphuculeni igazi lwemithambo, kwaye isiphumo osmotic kwi kwethumba hygroscopic.
Classification indlela nitrogen yokuxhela
Ngenxa indlela apho iqhiya yonyango nga zixhonywe ngxaki, ezi ndidi zilandelayo izixhobo:
1. Bezbintovye:
- ngcina - esetyenziselwa izilonda ezincinane, lusetyenziswa ndawo okubangelwa inxeba, nâzo kwi impahla yokunxiba ngokusebenzisa yokuncamathelisa ezizodwa (collodion, kleola, plastikatnyh izinto iglu BF-6) ;
- I tape - isetyenziswe xa kuyimfuneko ukuba zibaqamangele amanxeba amancinci okanye imfundo ubovu oyingozi;
- kosynochnye - kusetyenziswa xa uncedo kuyimfuneko lokuqala, oko ukusetyenziswa kunokwenzeka kwiimeko ezinzima, ezifana umhlabelo badla yenza ukuze kudaleke immobilization yethutyana enyanzeliswa phezu walisusa protective;
- okusawula - yinto ngumcu kwilaphu, dissected longitudinally ethe shinyi, embindini nto leyo izinto sectioned (zingasetyenziswa ngokubopha ngokubanzi) lisetyenziswa kwezona lithe tso omzimba (intloko, isilevu, intamo, impumlo), nto leyo umhlabelo idla fixed uhlale apho kuya kubakho ngayo walisusa slide;
- T-emise - zisetyenziswa kwinkqubo zokubopha enxebeni okanye iindawo kwindawo uhanjiso, apho kukho inkqubo arhabaxa;
- ngebhandishi tubular elastic - isetyenziswe xa kuyimfuneko ukulungisa inxeba kuyo nayiphi na inxalenye lokunxibela yomzimba.
2. Bintovye - iqhiya eyayive- bandage. Fumana ukusetyenziswa amathambo, amathambo xa ezonakeleyo nezihlunu ethambileyo, ukutsha, frostbite, xa traumatology.
ngebhandishi soft
iimfuno ezisisiseko ukuba ibotshwe ngezithandelo soft:
- yokuvala inxalenye umzimba yesigulana;
- lula;
- kufuneka ukuba bamphazamise kwegazi negazi;
- inono;
- kufuneka akayi kungqubana nkovu.
Okwangoku, oogqirha alandelayo iintlobo zokubopha bintovyh soft:
- setyhula (setyhula) - nabo ekuqaleni nokugqiba umhlabelo efanelekileyo amanxeba ezincinane ibekwe kwi phalanges kummandla ngokungqalileyo, nangowesithathu esezantsi umlenze, phezu ezihlahleni, nomlenze eliphakathi;
- Ukonakala - olu hlobo iqhiya owenzekayo ingalo, isisu, esifubeni;
- izilwanyana (yeNyoka) - xa kukho imfuneko yokuba ukunikezela izikhuseli umqhaphu-igozi olukhuselekileyo, ngokunjalo gypsum;
- limise (vosmiobraznye) - okusetyenziselwa Ndibeka esifubeni, emva, emqaleni;
- ufudo (convergent, eziphambukileyo) - nokubopha omzimba (edolweni, ingqiniba), nto leyo le limise (vosmiobraznyh) amabhandeji;
- kwanda - lisetyenziswa kwegxalaba ekuchongeni leengxaki yayo;
- Iimbuyekezo - asetyenziswe bandaging kwentloko, phezu phalanges terminal.
- amabhandeji desault - asetyenziswa xa kukho Ukophuka nilukhanyiselo clavicle kunye ihumerus zisetyenziselwa vpravki egxalabeni ingaphambuki endleleni, ngaphandle kwezi zokubopha akakwazi ukwenza xa ufuna ukulungisa ingalo kunye namathambo emva kotyando;
- inkxaso (webele) - lisetyenziswa xa amabele ndazi ukutsha, izilonda, iinkqubo ukudumba, ukuphazamiseka komsebenzi.
ngebhandishi Soft ukuba amalungu omzimba
kuyibopha phezu kwentloko yakhe ezilandelayo iintlobo:
- bebuyela (cap Hippocratic, lisetyenziswa ngendlela umhlabelo ezimbini kabini-headed okanye ibotshwe);
- intambo (ukuba kukho umonakalo ezingephi kusesilevini, ebunzi, impumlo, Parietal, zexeshana kunye nemimandla Occipital);
- Umkhala (ixhasa umhlathi ongezantsi);
- "Cap" (kakhulu ukhululekile ukuba iqhiya entloko).
Le lokunxibela entanyeni kunokuba ezi ndidi zilandelayo:
- ngcina (kunceda ngokuqinileyo zibambelela zokubopha);
- Phillips (eyendawo of izitshanguba senziwa inxalenye ephezulu lomzimba);
- setyhula (ngokuba bandaging emazantsi kwemihlathi - ezifana umhlabelo singena emva uhlobo limise).
Iqhiya entanyeni kufuneka agcine ingqibelelo ebotshelelwe nenxalenye yomzimba. Kufuneka ngokuqinileyo ubambe lokunxibela. Loo lokunxibela akufuneki Slide entanyeni, abenze naye.
Esifubeni ngebhandishi kwezi ndidi zilandelayo:
- Ukonakala (zisetyenziswa xa Isifuba elimele ubambo iinkqubo ezaphukileyo, arhabaxa);
- Phillips (sokunikela ngaphambili esifubeni kunye umva);
- lisekela (enye okanye amabele zombini);
- spikelike (xa kuthelekiswa isitya xa yonakele esezantsi isisu okanye sacrum kwakhiwa izilonda, nasemiphakathweni okanye uhanjiso yonakele);
- T-uhlobo (asetyenziselwa bandaging isizalo).
nomlenze Upper ibandakanya ezi ntlobo zilandelayo zokubopha:
- bebuyela (zisetyenziswa xa avareji yonakele okanye yokuhlasela distal);
- spicate (ngokuba bandaging ubhontsi, ummandla kwegxalaba);
- "Isikhuseli" (iqhiya isandla sakhe, xa isicelo se-siseko bandaging umnwe omnye);
- "Mitten";
- Ukonakala (asetyenziswe kwi yengalo);
- Ufudo (ngokuba bandaging uyibhekise);
- ngebhandishi desault (zisetyenziswa xa kukho ukwaphuka le collarbone).
Kuba kwesebe esezantsi iquka ntlobo zilandelayo zokubopha:
- ukubuyela (ngokuba bandaging toe);
- Ukonakala (ngokuba idlulela toe lokuqala);
- spikelike (ngebhandishi ivumela unyawo, apho iminwe ihlale ivuliwe);
- Ufudo (asetyenziswe kwi isithende nedolo joint);
- Ukonakala (asetyenziswe kwi lesiquluba kunokuba sigobe ithanga).
Xa kukho imfuneko yokuba ukunika uncedo lokuqala, sebenzisa nokubopha ngunxantathu. Zezi elula ukuba ukunyanzelisa kwaye zifuna izakhono ezizodwa. izinto ezilahliweyo ezi tshefu, bechola-amalaphu, sheets.
a self-bandage
Xa kukho imfuneko yokuba ukunyanzelisa umhlabelo, xi okanye ezinye isixhobo esisetyenziselwa komsipha kunye nonyango lwe nokudumba okanye unstretched, ukuba uncedo iqhiya self-uvala. Kwakhona ingasetyenziswa ukulungisa kuphela yokuxhela, kodwa naziphi na izixhobo zonyango. Le ngebhandishi - isisombululo ogqibeleleyo xa ufuna iiyure ezimbalwa ukuqinisekisa ucinezelo ethembekileyo ngaphandle kokukhetha.
A self-umhlabelo asetyenziswe phlebology, amathambo, traumatology.
Kakade ke, noziqulathe-umhlabelo - yinto welaphu nje eziphelayo zonyango. Kunjalo, kubalulekile kakhulu kubantu ababandakanyekayo kwezemidlalo. Ngenxa kwimimandla nitrogen iqhiya ezithile ezifana emzimbeni, kunokwenzeka ukuba ukukhusela womdlali ukususela komsipha kunye dislocations.
amabhandeji ityuwa
Nangona ezi amabhandeji aba kwidilesi ingxelo ngehlombe ezintle, kungekhona zonke iSifo ezinokusetyenziswa.
Namhlanje, izinto zokubopha ezinjalo ngempumelelo ukunyanga izifo somatic, utshisa esezantsi-grade, appendicitis esinganyangekiyo, ukopha kunye nemivumbo, namanxeba yimbi. Xa isigqibo ukusebenzisa zokubopha saline, kufuneka bazi ukuba:
- netyuwa, nto leyo buzinze lingaphezulu kwe-10% alwamkelekanga ukuba isicelo ukubotshwa;
- Ngebhandishi yeziveliso nomoya kufuneka zisetyenziswe;
- zokubopha ezinjalo contraindicated kubantu abanezifo inkqubo sentliziyo;
- zokubopha saline ayikwazi ukufaka kubantu abanengxaki zezintso.
Ngokuzimela onyule ngokwakhe ukusetyenziswa zokubopha ezinjalo kuba zililize ekungekho nzuzo ngayo. Le nkqubo kufuneka imiselwe kuphela ngugqirha.
Indlela yokwenza isicelo zokubopha ezahlukahlukeneyo?
Ngoku ziwuthathele ingqalelo lo nkqubo bandaging. Technology alpha ezi zixhobo lweendidi ezahlukeneyo kunye neentlobo iyafana kakhulu. Kodwa kukho kwakhona abanjalo Ukrainian lunee ntlobo ukuba zahluke kakhulu kuzo zonke kwabanye.
Nikelani ingqalelo iindlela ezisisiseko ngokubekwa bintovyh zokubopha.
Imimiselo yokubeka amabhandeji setyhula:
- lokuqala inxeba ngeenxa kwi-engile ° 30 ukuya isabelo umzimba apho iqhiya;
- kufuneka balandele ekupheleni izixhobo ezisetyenziswa bandaging, eshiya malunga 5-10 cm ngaphaya isabelo umzimba apho kungabotshwa lisetyenziswa;
- xa inxeba lokuqala ngeenxa zonke, izinto zokubopha waqhubeka Eyisongile ekupheleni, ngoko kubhaliwe elibekwa zigaba ezilandelayo izinto ezisetyenziswa kwi bandaging;
- ukuphepha zokubopha ecalanye, ukhenketho ngamnye omtsha esilala ngakumbi ngokuqinileyo ngaphezu engaphambili;
- ngebhandishi nganye entsha kufanele ukuba lubandakanye umjikelo wangaphambili.
Imimiselo yokubeka ngebhandishi spiral:
- tell ukuqala lokubopha setyhula (kancinci kude kwisiza yokulimala);
- ukuba ngaphezulu ngebhandishi helical ngaphandle kinks (igxalaba, umlenze, esifubeni) usebenzisa i bandage elastic;
- ukuba ngaphezulu ngebhandishi Ukonakala kunye olahlwa (ingalo eliphezulu, ethangeni), benza umgca omnye kuphela, ukuzama ukwenza nokuveza iqhiya ecaleni kwindawo eyonakeleyo;
- Ukuba ukunyanzelwa ukuba ibotshwe ngezithandelo, ukuza nto leyo angazange aguqe, akunakwenzeka ukuba ukufikelela ukuthobela ngokupheleleyo ne-moya kunye kumphezulu umzimba umhlabelo, kuyimfuneko ukwenza kinks ezimbalwa kunye yenguqu ngakumbi ukuba ibotshwe ngezithandelo ezijikeleze ngaphandle kinks.
Imimiselo emalunga bambatha nezinambuzane:
- nokuveza ngebhandishi luqala setyhula, ngoko ngeenxa ngamnye olandelayo yasuka bafudukela kwicala proximal;
- Kufuneka ukuba ushiye ngamathuba ezamahala lilingane ububanzi iqhiya phakathi ngeenxa ngamnye omtsha.
IMimiselo ngokuphathelele cruciate yokuxhela:
- siqale ngebhandishi bandaging setyhula;
- Umjikelo ngamnye omtsha ezabekwa kwaye mzuzu kunye nembono elijekelezayo lwe yokuxhela, apho iqhiya sikwindawo kunye umjikelo omtsha ehamba kwicala proximal ukusuka lokunxibela yokuqala setyhula.
Imishini ukusibeka spica:
- baqale ziyadibana amabhandeji setyhula kwi umbhinqo igxalaba (oku kuya ukulungisa lwemijikelo yokuqala walisusa);
- kuyibopha phambili, ukusuka kwesebe achaphazelekayo kummandla kwegxalaba, kuye - ukuya umbhinqo umkhono, ngoko phezu esifubeni kummandla axillary ye icala aze abuyele egxalabeni isibetho negxalaba nombhinqo;
- ngeenxa zonke ngalinye kamva, lithatha phezu kwesifuba negxalaba, salwenza kunye an lisisiqalo ukuya ku ½ isondo.
Imimiselo ephathelele ngokubuyisela i bambatha:
- qala kunye nokubekwa lomzimba a amabhandeji setyhula;
- phezu phambi isiphunzi wenze begoba;
- ngokusebenzisa ekupheleni isabelo isiphunzi zezi iqhiya nkqo ngeenxa kumphezulu singasemva kwayo;
- ukhenketho ngamnye ibuyiswa omiswe zehambo setyhula;
- Umjikelo ngamnye omtsha nkqo lwaye esinga olungaphandle kwandule ke ekupheleni engaphakathi mlenze owenzakeleyo;
- zonke ukhenketho ibhalwe Ukongezelela ngenxa iqhiya helical.
Ekhupha: iintlobo kunye nezixhobo lwe alpha
Ukuba umntu ukhe ngaphambili wowaleka zokubopha, akayi kuba ezintsha alpha ezi izixhobo izixhobo. Kodwa ke, mhlawumbi, ukuba uzakusebenza ibotshwe ethambileyo. Isibakala sokuba oko kubo amandla ngisho yesikolo. Kodwa kukho uhlobo ngakumbi ngokunzulu zokubopha, ukubekwa ekufuneka unokuthenjwa kuphela kwiingcali.
Phambi kokuba ufunde imigaqo esisiseko isicelo bumba, uyacebiswa ukuba aqhelane iintlobo ezikhoyo ezi zixhobo.
Ukuze ukutyabeka uphose ziquka:
- setyhula zaseprayimari dissected (emva kokuba kuye kophilisiweyo, oko nangoko dissected longitudinally);
- isidanga (ngebhandishi setyhula wenze umgqobho kwi isabelo kuxhomekeke kunyango);
- iibhulorho (fenestrated endaweni isicelo kwimeko apho isahlulo umonakalo iyafuneka ufikelelo olubanzi ngaphezulu);
- gypsum ezikhankanyiweyo (eyenziwe amalungu amabini setyhula, nemali, waya kummandla odibeneyo ngoomatshini iihenjisi);
- nal (kusetyenziswa xa kuyimfuneko ukunyangeka gqolo arthrogenic contracture).
Imithetho esisiseko isicelo cast:
- Qiniseka ukukhangela ubukho zonke izixhobo kunye nezinto ezinokuba kufuneka;
- hlola umgangatho amabhandeji ukuba ahlawuliswe maka;
- kwizinga ukulungisa umonakalo omzimba kungenzeka kuphela ukuba ingabi namalungu ubuncinane ezimbini ezikufutshane okubi;
- ngexesha ukulungisa omzimba incamathele kuyo indawo entle (ngokwemiqathango functionality);
- ngebhandishi kufuneka ekhululekile kwaye iphazamise kokusebenzisa indlu yangasese;
- ukujonga ubume igazi, le phalanges ukuphela kwe iminwe neenzwane ukuba abaseleyo elivulekileyo;
- xa iqhiya elihambelanayo, umzimba ukuya ukususa yonke imizila udaka ukunika ulawulo phezu ngemeko yesikhumba;
- phakathi iqhiya kunye ulusu (kwimimandla kakhulu apho) wabeka lunenwebu ethambileyo ekhusela inwebu kukwenzakala soft;
- emiphethweni wentsimi lokunxibela kufuneka ibe zitsolile;
- imbande of ukutyabeka kufuneka zibe mpuluswa ngaphandle zezitenxo (imibimbi ziyasuswa phambi kokuba isicelo);
- oyinkampani ngebhandishi udaka eveliswa ngaphandle kwempixano, uphambuke ezintethweni ukuyilwa kinks, libe zizibaya zempahla izigaba enyanzeliswa phezu idlulela (kwi uhlobo ezijikeleze amabhandeji);
- ukuba lomzimba sasingabhekiseli bebeka iminwe yakho, kwaye yonke brush, uphambuke ezintethweni kuhambe isibotho;
- ukwenza utshintsho udaka iqhiya phambi udaka lukhuni.
Yonke Ukugxothwa compulsorily enombhalo. Bonisa umonakalo emathanjeni umzobo, imini xa ukwenzakala safunyanwa, imini leyo wafakwa udaka, kwaye imini xa kulindeleke ukuba ukususa iqhiya.
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