1. Munguva yekusangana uye nguva yakatsvuka,ganda repanzvimbo rinova dzvuku, kuzvimba, kupisa, chiveve kana kupfava nekuda kwekumanikidza.Panguva ino, murwere anofanirwa kurara pamubhedha wecushion wemhepo (unonziwo Operating Room Positioner) kuti uwedzere huwandu hwekutendeuka uye masaja, uye kupa vashandi vakasarudzika kuti vatarisire kana zvichidikanwa.45% doro kana 50% safflower waini inogona kudururwa muchanza cheruoko kuitira masaja emunharaunda pasi pekumanikidzwa kwemaminetsi gumi.Iyo yakatsvuka uye yakazvimba chikamu chedzvinyiriro chironda chinozorwa ne 0.5% iodine tincture.
2. Munguva yekuzvimba kupinda mukati,kutsvuka kwenzvimbo uye kuzvimba hazviperi, uye ganda rakamanikidzwa rinoshanduka repepuru tsvuku.Subcutaneous induration inoitika, uye epidermal blisters inoumba, iyo iri nyore kuputsa, uye murwere anonzwa kurwadziwa.Panguva ino, shandisa swab yekotoni yakanyikwa mu 4.75g / l-5.25g / l yakaoma iodine kupukuta pamusoro penzvimbo yakakanganiswa kuti iome chikamu, uye teerera kuti urege kuramba uchimanikidza;Mabhuru makuru anogona kubviswa nesirinji pasi pekushanda kweaseptic tekinoroji (pasina kucheka epidermis), yobva yaputirwa ne 0.02% Furacilin Solution uye yakaputirwa neyakaomeswa yekupfeka.Mukuwedzera, yakasanganiswa ne infrared kana ultraviolet radiation kurapwa, inogona kuita basa rekurwisa-kuzvimba, kuomesa uye kukurudzira kutenderera kweropa.Kana blister yakaputsika, iyo yemukati membrane yezai nyowani inogona kupepetwa uye yakasimbiswa pachironda, uye yakafukidzwa neyakaomeswa gauze.Kana pane mabhubhu pasi pemukati me membrane yezai, zvinyoronyoro svina nekotoni isina bhora kuti uidonhe, wozoifukidza negauze isina mbereko, uye shandura kupfeka munzvimbo kamwe pazuva kana maviri kusvika ronda rapora.Iyo yemukati membrane yezai inogona kudzivirira kurasikirwa kwemvura nekupisa, kudzivirira hutachiona hwehutachiona, uye inobatsira kukura kwe epithelial;Iyi nzira yekuchinja yekupfeka ine mhedzisiro yekurapa padanho rechipiri bedsore, kosi pfupi yekurapa, kushanda kuri nyore uye kurwadziwa kushoma kune varwere.
3. Superficial ulcer stage.Epidermal blisters zvishoma nezvishoma anowedzera uye anoputika, uye pane yero exudate mudermal ronda.Mushure mehutachiwana, urwa hunoyerera kunze, uye necrosis yemaronda uye kuumbwa kwemaronda.Kutanga, simbura ne 1:5000 potassium permanganate solution, wozoomesa ronda neganda rakapoteredza.Chechipiri, varwere vanogona kushandisa 60 watt incandescent rambi kuvhenekera nzvimbo iyo bedsore inoitika.Iyo infrared ray inoburitswa nemwenje incandescent ine yakanaka yekurapa maitiro pabedsore.Iradiation kureba ndeye 30cm.Paunenge uchibika, girobhu harifanire kunge riri padhuze neronda kuti usapisa, uye harifanirwe kunge riri kure.Deredza kubika maitiro.Kureba kunofanirwa kuve kwakavakirwa pakusimudzira kuomeswa nekuporeswa kweronda.1 - 2 nguva pazuva, 10 - 15min nguva imwe neimwe.Zvadaro zvakarapwa maererano neaseptic dressing kuchinja nzira yekuvhiya;Zvipfeko zvinonyorovesa zvinogonawo kushandiswa kugadzira nzvimbo yakakodzera yekuporesa kwechiso chinorwadza, kuitira kuti masero matsva epithelial anogona kuvhara ronda uye zvishoma nezvishoma kuporesa ronda.Mamiriro emunharaunda anofanirwa kucherechedzwa chero nguva panguva yekuvhenekesa kudzivirira kupisa.Infrared local irradiation inogona kudzikisa macapillaries eganda emunharaunda uye kukurudzira kutenderera kweropa remuno.Chechipiri, kune maronda akareba asingapore, shandisa jira reshuga chena paronda, wozorivhara negauze risingabereki, sunga ronda racho nechidimbu chetepi yekunamira, uye wotsiva kupfeka kwemazuva matatu kusvika ku7.Nerubatsiro rwe hyperosmotic mhedzisiro yeshuga, inogona kuuraya mabhakitiriya, kuderedza kuzvimba kweronda, kunatsiridza kutenderera kwenzvimbo, kuwedzera chikafu chemuno, uye kukurudzira kuporesa maronda.
4. Necrotic ulcer danho.Muchikamu chenecrotic, iyo necrotic tishu inopinda mudermis yepasi, purulent secretion inowedzera, necrotic tissue inosviba, uye utachiona hwehutachiwana hunoenda kune dzakakomberedza uye dzakadzika tishu, dzinogona kusvika pabhonzo, uye kunyange kukonzera sepsis, kuisa upenyu hwomurwere pangozi. .Panguva ino, tanga wachenesa ronda, bvisa necrotic tissue, chengetedza mvura isina kuvharwa, uye kukurudzira kupora kwepamusoro peronda.Geza paronda nesaline ine sterile isotonic saline kana 0.02% nitrofuran solution, woiputira nevhasiline gauze isina utachiona uye dressing, woitsiva kamwe chete pazuva kana maviri.Inogonawo kurapwa nemetronidazole wet compress kana isotonic saline mushure mekuchenesa paronda nesirivha sulfadiazine kana nitrofuran.Kune avo vane maronda akadzika uye kusanaya zvakanaka kwemvura, 3% yehydrogen peroxide mhinduro inofanirwa kushandiswa kutsvaira kudzivirira kukura kweanaerobic bacteria.The secretion of ane utachiona sore surface inofanira kuunganidzwa nguva dzose nokuda kwebhakitiriya tsika uye zvinodhaka sensitivity test, kamwe pavhiki, uye mishonga inofanira kusarudzwa maererano nemigumisiro yekuongorora.
(Zvekureva chete)