Bandaging: tikanga paparua. Soft papaki o takai

Me ki mohio pehea te bandaging ia tangata. Technique marutuna etahi tauiraa he kuware, me te titau kahore pūkenga motuhake. More tika te tono e taea anake e te mātanga. Otiia, e wātea ana ki ia o tatou nga ture whānui o te tukanga. Kia utu te whakarongo ki a ratou.

ture General marutuna tapo'io

Hurihia ki te takai ki te pupuri i roto i te ringa matau. Ko te mutunga o te takai tū i roto i te ringa maui. Ko te kupu he mea e tika ana ki te kia e taea kore raruraru hurihia unroll i runga i te mata.

Marutuna te takai, he mea e tika ana ki te whakamahi i rua ringa. whakataka atu kotahi pukapuka ringa, kahore tango atu i te mata tinana, me te tahi atu papaki ia tipare.

I roto i te tukanga o te whakakotahi ranu momo e whakawhirinaki i runga i te āhuatanga motuhake, kuo pau ke tau fehangahangai te patunga. Tenei taea ki a koe te whakahaere i tona huru.

Takai whakararo i te wāhi i ai te diameter o te mata tinana iti.

hiahiatia te pōkai tuatahi te ki te whakatika, te hanga i te piko iti o te takai i te wahi i reira timata ai. I te tihi o tenei wahi kia tetahi awhiowhio te - whakatika. Ia tipare muri awhiowhio te mahi i runga i te hawhe o mua.

A, no te taping runga, Me te mutunga o te takai i te kokoti iti taroa, hanga rua nga wahi. Na ka tuu i te tipare kokoti neatly roimata, te hanga rua roa iti. O ratou here i te kono.

tono takai te ūpoko, e taea kore ki te whakakorikoria te tohanga. Ngoikore ki te tangohia ratou taea rawa, rite taea ngāwari ratou paheke atu i te motu.

whakarōpū General o dressings rata

whakaaro tokomaha iwi e na roto i te teunga taea mutu toto ranei te ārai kătahi ki te mate marutanga. I roto i te meka, te whakaaro matua o te tauiraa - whakatika rauemi mō dressings. I muri whakatau he aha te momo o te patunga, i roto i te mea wahi o te tinana e tū ai, te tono etahi ture me ngā tikanga o bandaging. Hoki enei take, he whakarōpū o nga whakaaro whakaaro. Na, whakakakahuria he nunui:

• i roto i te ūnga (te mahi e mahi tapo'io);
• pato (āhuatanga hangarau);
• i te momo o te rauemi e whakamahia ana;
• i te tikanga o te warea o te tauiraa.

I te tīmatanga e waia ratou ki te whakarōpū marohitia, me te ka ata ako nga ture o te tauiraa inaki. rerekē momo o tapo'io. Ki te whakakikorua koe taea ki te hapai i ara nga ākonga, mo te whakamahi o ētahi atu e hiahiatia ana tetahi ko ngā pūkenga o te tohunga tohu. e kore e wareware tetahi e te tikanga o te tono tapo'io whakawhirinaki i runga i te whara motuhake ki te wāhanga ngā o te tinana tangata.

Whakarōpū i te whakaaro

I runga anō i te aha mahi whakamana e te takai hauora, i reira ko nga momo e whai ake nei o reira:

• Paruru (iroiti) - mo te ārai o te reinfection marutanga;
• tarukino - ki te whakarite rongoa uru ore ki te motu;
• hemostatic (te pēhi) - mutu te toto;
• Immobilizer - ki te immobilize wahi o te tinana (o te akoranga);
• ki te pamu - whakarato te pamu wheua whatiwhatinga;
• whakatikatika - whakaaroaronga deformation;
• occlusive - hiri ai te marutanga.

No te tauturu hohoro te tangata i roto i te āhuatanga ohotata, e hiahia ana koe ki te mohio pehea te bandaging. Ka Technique whakapanga o tenei pūrere e kōrero i raro nei.

momo Classification (āhuatanga hangarau)

ranu Modern hauora he:

• ngohengohe - Kei te whakamahia whānuitia mo te maimoatanga o te whānui o patunga momo;
• mārō - Kei te whakamahia i roto i te take i reira e hiahia ana te maimoatanga mō te whara mate ranei ki te hanga i te pānga o te immobility;
• rapa - he taputapu mahuinga ia i roto i te whawhai ki te roha o te uaua saphenous me stasis venous;
• iraruke - Ko te whāriki motuhake, i runga i nei i reira ko te paninga kaha o kanoirite iratuki tūturu.

Ko te takai tino noa pakeke, me te ngohengohe.

Whakarōpū i te momo o te rauemi e whakamahia ana,

Tei runga i te rauemi i ai hanga nga ranu hauora, kua wehea ratou ki:

• Whāriki (reira bintovye me bezbintovye);
• kakahu (kakahu whakamahia, kameta);
• (Kei te hanga miro huruhuru tipare i te wahi o te whāriki me te nui iti o te wūru miro) miro-whāriki;
• gypsum;
• urutaunga o maimoatanga waka ranei pahi.

I roto i te rongoa me takai maha e whakamahia mō ngā take motuhake. He tauira a Tūrongo kia whakahuatia Unna takai konutea-gelatin whakamahia nei te ki te hamani mariao kupenga. Kei te āhuatanga i te reira e ona āhuatanga (kōpeketanga me antibacterial), Ko te ahei o te whakaiti stasis venous whai wāhi ki te whakapai ake rere toto venous, a kua he pānga osmotic i runga i te whewhe hygroscopic.

Classification tauiraa tikanga warea

Hoatu te tikanga i roto i nei e taea te eke te tipare hauora i runga i te raruraru, i te momo e whai ake nei o ngā pūrere:

1. Bezbintovye:

• piripiri - whakamahia mō te pāpaka iti, kua tono ki te rohe i tukitukia e hua, kua oti te tuhituhi i runga i te rauemi tauiraa i te tikanga o adhesives motuhake (te pouaka, kleola, plastikatnyh rauemi kāpia BF-6) ;
• Ko te rīpene - whakamahia i te mea e tika ana ki te here ake patunga iti ranei mātauranga purulent whakapeka;
• kosynochnye - whakamahia ki te āwhina tuatahi e tika ana, he mea whakamahi taea i roto i ngā āhuatanga tino, maha kia taua takai i roto i te tikanga ki te hanga i tētahi immobilization rangitahi superimposed runga te tipare paruru;
• kotaha - tohu i te Unuhia o kakahu, dissected ōna i te pito, te pokapū o e kore e sectioned rauemi (taea te whakamahi ki te takai whānui) te tono ki te wahi kohuki o te tinana (upoko, pahau, kaki, ihu), i runga i nei te takai whakatika mua ki e kore e piri me ki ai te takai kiriata;
• T-āhua - e whakamahia i roto i te tukanga o dressings maru ia wāhanga ranei i roto i te rohe crotch, te wahi i reira he he tukanga inflammatory;
• he takai rapa tubular - whakamahia i te mea e tika ana ki te whakatika i te patunga i roto i tetahi wahi o te tauiraa tinana.

2. Bintovye - tipare ngohengohe i te takai. Kimihia whakamahi i roto i te orthopedics, ka pakaru wheua, me te kopa ngohengohe, weranga, hukapuri, i roto i te traumatology.

takai Soft

whakaritenga Basic mo te takai ngohengohe:

• kati te wahi o te manawanui tinana;
• haratau;
• e kore e whakakorikoria reira te tohanga toto;
• e haavâhia;
• e kore e ofati i te reira i te waitinana.

I tēnei wā, kei te whai ake tākuta momo o dressings bintovyh ngohengohe:

• porohita (porohita) - ki a ratou ka rite ki te tīmatanga me te mutu tipare e tika ana mō patunga iti kei i runga i te phalanges i roto i te rohe frontal, i roto i te toru o raro o te waewae, i runga i nga ringa, te pokohiwi waenganui;
• tōrino - mo tenei momo o te takai mahi i runga i te ringa, puku, uma;
• ngokingoki (tangiwai) - whakamahia ina reira ko te hiahia ki te whakarato Pads miro-whāriki haumaru, me te gypsum;
• cruciform (vosmiobraznye) - e whakamahia mō te whakapanga i te pouaka, hoki, kaki;
• honu (convergent, kë) - te takai i runga i hononga (turi, tuke), e hoki tenei cruciform (vosmiobraznyh) tapo'io;
• titi - kua tono ki te tahi pokohiwi i roto i te tāutu o tona māuiuitanga;
• Hoki - whakamahia i roto i te bandaging o te matenga, i runga i nga phalanges kāpeka.
• takai desault - e whakamahia ina i reira he piere marama o te āhei me te peke e whakamahia ki te vpravki pokohiwi takoki, kahore enei ranu kore e taea te mahi ina hiahia koe ki te whakatika i te ringa, me nga wheua i muri i te pokanga;
• tono te, no ka maka te rohe uma ki weranga, patunga, ngā tukanga inflammatory, pokanoa whakahaere - tautoko (mō te uma).

tipare ngohengohe hoki wāhanga o te tinana

takai ki runga ki tona matenga e whai ake momo:

• hoki mai (pōtae Hippocratic, kua tono reira e te tikanga o rua takai rua-ahu ranei he takai);
• kotaha (ki te reira e kino iti ki te kauae, te rae, ihu, kōpako, pae tino, me rohe kōpako);
• Paraire (tautoko te kauae raro);
• "Cap" (te whakamarie tino mo te matenga takai).

Ko te takai i runga i te kaki e taea e te momo e whai ake nei:

• piripiri (tauturu mau tutau ranu);
• Phillips (hoki localization o pāpaka i hanga i roto i te wahi o runga o te tinana);
• porohita (hoki bandaging te raro o te kauae - haere taua takai ki te hoki i roto i te momo cruciform).

Me mau tonu tipare kaki te tapatahi e here ana ki te wahi tinana. kia mau te reira i te tauiraa. e kore e he kakahu taua paheke i runga i te kaki, pēpēhinga ia.

I te pouaka takai o nga momo e whai ake nei:

• tōrino (whakamahia ka whara te ãpoko rara pakaru, ngā tukanga inflammatory);
• Phillips (hoki whakapanga i runga i te mua pouaka me hoki);
• tautoko (kotahi ranei u e rua);
• spikelike (superimposed i runga i te takotoranga wai, ka pakaru puku o raro ranei i te sacrum i hanga tuwhenua, pakaru tapatapa crotch ranei);
• T-momo (whakamahia hoki bandaging perineal).

alangá runga ngā te momo e whai ake nei o dressings:

• hoki mai (whakamahia ina pakaru te toharite phalanx distal ranei);
• spicate (hoki bandaging te koromatua, te wāhi tahi pokohiwi);
• "Karapu" (tipare i runga i tona ringa, i runga i te tono o te parau tumu o bandaging kotahi maihao);
• "Pūāhuru ringa";
• tōrino (whakamahia i roto i te kikowhiti);
• Honu (hoki bandaging tuke);
• tipare desault (whakamahia ina reira ko te whatinga o te paewai).

Hoki te e alangá raro ngā te momo e whai ake nei o dressings:

• hoki (mō te bandaging koromatua);
• tōrino (hoki īnaki te koromatua tuatahi);
• spikelike (takai taea te waewae, ai noho tuwhera nga maihao);
• Honu (whakamahia i roto i te rekereke me turi tahi);
• tōrino (whakamahia i roto i te tibia taea e piko ki te huha).

A, no te reira Ko te hiahia ki te whakarato āwhina tuatahi, te whakamahi i te takai tapatoru. E ohie ki te tangohia ratou, a kahore e rapu utu pūkenga motuhake. rauemi e mau ko nga aikiha, kongakonga o papanga, pepa.

he takai-whaiaro

A, no te reira Ko te hiahia ki te tangohia i te takai pēhanga atu pūrere ranei whakamahia mō te takoki, me i te maimoatanga o te edema unstretched ranei, ki te āwhina o te takai whaiaro-maukati. Reira hoki e taea te whakamahi ki te whakatika i te tauiraa e kore anake, engari ano hoki i tetahi whakaaro hauora. Tenei takai - te otinga tino ina e hiahia ana koe i te torutoru haora ki te whakarite kōpeketanga pono kahore rītaha.

He takai whaiaro-whakamahia i roto i te phlebology, orthopedics, traumatology.

O te akoranga, he takai-whaiaro - te reira noa te rauemi hauora whakapau. Otiia, he tino whai hua mō te iwi e whai wāhi i roto i te hākinakina. Nā ki taua he warea takai wāhi motuhake i runga i te tinana, he mea ka taea ki te tiaki i te maona i te takoki me dislocations.

tapo'io tote

Ahakoa te meka e enei tapo'io kei roto i wāhitau te urupare tākare me te pai, ka taea e kore hoki tātaritanga katoa e whakamahia.

I teie mahana, tōtika e taea taua ranu hamani mate somatic, kaitahu iti-māka, whēkau ma'i, toto ki te karawarawa, kua pirau patunga. A, no te ki te whakamahi i te whakatau ranu saline, Me ki mohio e:

• otinga tote, hāngai nei te he nui atu i te 10% he Kāore mō te tono ranu;
• kia whakamahia tipare mo rauemi breathable;
• E contraindicated taua ranu mo te iwi ki mate o te pūnaha Cardiovascular;
• e kore e taea e ranu saline te tono ki te iwi e whai raruraru tākihi.

Takitahi whakarite ia te whakamahi o taua ranu kore e utu i te reira. kia tenei tukanga kia whakaritea anake i te tākuta.

Me pēhea te ki te tono ngā dressings?

Na e whakarongo ki tenei tukanga rite bandaging. Hangarau whakakotahi enei whakaaro o ngā momo rerekē me ngā momo, ko te tino rite. Ko reira e ano taua rerekē e te hunga radically rerekē i te ētahi atu katoa.

Kia whai whakaaro ki te kōwhiringa taketake mō te whakapanga bintovyh ranu.

Rekureihana marutuna tapo'io porohita:

• patunga a tawhio tuatahi i te koki o te 30 ° ki te wahi tinana ki ai te tipare;
• Me whai ki te mutunga o te rauemi e whakamahia ana i roto i te bandaging, mahue āhua 5-10 cm tua atu i te wahi tinana ki i tono te tauiraa te;
• ka te patunga a tawhio tuatahi, takai ranu tonu mutunga, ka e whakaritea ai e te wāhanga o muri o te rauemi e whakamahia ana i roto i te bandaging;
• ki te karo i ranu rītaha, īnaki ia tour hou atu piri atu i te mea o mua;
• kia hipokina ia takai hou te a tawhio mua.

Rekureihana marutuna takai tōrino:

• marutuna timata ki tauiraa porowhita (paku atu i te pae o te whara);
• ki te superimposed tipare helical kahore koromeke (pokohiwi, huha, uma) whakamahi i te takai tāwariwari;
• ki te superimposed tipare tōrino ki kakai (ringa runga, huha), meinga ratou tetahi anake raina, e ngana ana ki te hanga kopaki takai i te taha o te rohe tūkinotia;
• ki te ki te uta o te takai tōrino, e kore e nei i piko, e kore e taea te whakatutuki i ngā hanganga ture katoa ki te waka rererangi ki te mata o te takai tinana, he mea e tika ana ki te hanga i te torutoru koromeke ki te whakawhitinga atu ki te takai tōrino kahore koromeke.

Ture mo te tauiraa ngokingoki:

• kopaki mo takai haamata ki porohita, ka oho koimutu i te aronga proximal ia a tawhio muri;
• E ti'a ia tatou ki te waiho wā noa rite ki te whanui o te takai i waenganui ia a tawhio hou.

Rekureihana mo cruciate tauiraa:

• timata ki te bandaging takai porowhita;
• ia a tawhio noa hou crisscross me e kīnakinaki ki te tirohanga porohita o te kakahu, kei ai te te tipare me oho te a tawhio hou i roto i te aronga proximal i te tauiraa porowhita tuatahi.

Appliances whakakikorua Spica:

• timata ki te īnaki ki takai porohita i roto i te whitiki pokohiwi (ka whakatika tenei nga rauna tuatahi o te takai);
• takai atu, neke i te e alangá i pangia i roto i te rohe o te tahi pokohiwi, i ia - ki te whitiki pokohiwi, ka i runga i te mata pouaka i roto i te rohe axillary o te taha ritenga, me te hoki mai ki te nui pokohiwi me te whitiki pokohiwi;
• ia a tawhio o muri, whakawhānui i runga i te pouaka me te peke, kawea atu ki te wāhikē ake ki ½ o te mauiui.

Ture mo hoki mai te tauiraa:

• tīmata ki te whakapanga o te alangá tapo'io porohita;
• i runga i te mata mua o te tumu hanga he piko;
• i roto i te wahi mutunga o te tumu e takai poutū tawhio te mata hoki o reira;
• ia haere hoki e te e whakaritea e te haere porowhita;
• neke ia a tawhio poutū hou ki te waho, me te ka te mata i roto o te e alangá whara;
• ato'a tuhia haere katoa e tika ana ki te tipare helical.

Peinga: te momo, me te taputapu papanga

Ki te ake i mua whakakikorua tangata ranu, whakakotahi enei taputapu whakaaro kore e waiho te taone. Ko, te nuinga pea, i ki te mahi ki te takai ngohengohe. Ko te take i ko reira i a ratou i te kaha ki te hapai i ara he kura. Ko reira te mea he ahua atu nui o ranu, te whakapanga o e kia whakawhirinaki anake ki tohunga.

I mua i ako koe i te ture taketake o te maka tono, he mea tika ki te kia maheni ki ngā momo ngā o enei whakaaro.

Ki te raima maka ngā:

• dissected porohita tuatahi (i muri i kua ora i te reira, i dissected tonu reira ōna);
• paetahi (i roto i te takai porohita hanga he poka ki runga ki te wahi i te mea i raro ki te maimoatanga);
• piriti (hei utu fenestrated tono i roto i te take i reira e hiahiatia ana i te wahi pakaru te atu whānui uru);
• gypsum tuhia (hanga o rua hononga porohita, herea ia ki te rohe tahi o te momo turanga inihi);
• rohe (whakamahia i te mea e tika ana ki te ora contracture arthrogenic tamau).

Ko te ture taketake o te maka tono:

• kia mohio ki te tirohia hoki te aroaro o nga taputapu katoa me ngā rauemi e kia hiahiatia ai;
• tirohia te kounga o tapo'io mo te whakapanga o te maka;
• kounga whakatika kino e alangá mo he taea anake, ki te te ta'e ngāue i te iti rawa e rua hononga pātata ki te wharanga;
• i roto i whakatika e alangá mo te tūranga pai piri ki reira (i roto i ngā o te taumahinga);
• kia takai whakamarie, me te kore e pokanoa ki te whakamahi i te wharepaku;
• ki te aroturuki i te mana o te supply toto, kua mahue tuwhera nga phalanges kāpeka o te maihao, me waewae;
• ka tono te takai te, ki te tinana tango tohu katoa o te raima ki te whakarato i te mana i runga i te huru o te kiri;
• i waenganui i te takai me te kiri (i roto i te wahi tino ona) whakanohoia he ararewa ngohengohe e tiaki te whara kiko ngohengohe;
• i nga taha o te mara o te tauiraa e kore e waiho koi;
• Me kia kiri o te raima maeneene kahore kōtītiti (e nekehia atu kita mua ki te tono);
• awhiowhio te he takai te raima whakaputaina kahore mānukanuka, te aperaa i te hanganga o koromeke me nga taiepa wāhanga superimposed inaki (i runga i te momo tōrino tapo'io);
• ki te kore e alangá mo tono tutu koutou maihao, me te paraihe katoa, te aperaa i te nukunga tapuwae;
• te hanga i te huringa te raima takai i mua i te raima whakapakeke.

makanga katoa o tuutika tapanga. Tohua kino ki wheua hoahoa, te ra, i te riro i te whara, i te ra i i hoatu i roto i te raima, me te ra, ka te tūmanakohia reira ki te tango i te tipare.