Hei kingi marutuna he takai me te pāpuni. Rekureihana mo dressings bintovyh. Rekureihana marutuna he takai pēhanga

āwhina Tuatahi ki ngā pārurenga ki injuries, piere, te takoki, whara nape, karawarawa, weranga me ētahi atu riro tata taea kahore wā, me te tika te tono i te papaki. Ko e mo'oni, te whakawhetai ki te ligation ārai mate atu o te patunga me te mutu puta toto, te warea o piere me tae noa tīmata te pānga haumanu i runga i te motu.

Whakakakahu me momo

He peka o te rongoā e tuatapapa i te ture o te bandaging me harnesses, ratou momo me tono, ka karanga desmurgy (desmos Kariki - pukupuku, whakakakahuria me ergon - take mahi).

Na roto i te tatararaa, te tauiraa - ki te tikanga o te maimoatanga o whara me patunga, i te mea te whakamahi i:

• whakakakahuria rauemi tono nei te tika ki te motu;
• Takai wahi waho, e ata te tauiraa.

I roto i te tūranga o te kakahu, mo te ngā take, kia:

• pākete tauiraa motuhake;
• kope;
• swabs miro;
• pōro whāriki.

Ngā momo o te tikanga dressings paparua

Tiro	whakaahuatanga	momo
Paruru ngohengohe ranei	Kei reira o te rauemi tono nei ki te motu, me te whiwhi i te tipare Whakamahia i roto i te nuinga o te wā: hoki weranga, karawarawa, patunga tuwhera	bintovye; rapa; colloid; kosynochnye; reticulate -tubular
Immobilization mārō ranei	Kei a ia ko te tauiraa me te mauiui Whakamahia ki te kawe i te pārurenga, i roto i te maimoatanga o te whara wheua, me o ratou hononga rapa	pahi (hāparapara, waea, titi); gypsum; kāpia; waka

tiaki hauora Paraimere mō whara

Ko te tukanga o te tono i te papaki i huaina ligation. Ko tōna whāinga ko te hiahia ki te kati i te motu:

• hoki te ārai o te mate atu;
• ki te mutu i te toto;
• ki te faaitoito i te pānga haumanu.

ture General marutuna tapo'io i runga i te patunga me wharanga:

1. Horoia ringa tino ki te hopi me te wai, ki te kahore e taea tenei, kia i te iti rawa hamani i te reira ratou ki rongoā horoi motuhake.
2. Ki te te whara - he patunga tuwhera, te kiri a tawhio noa ia ata hapai i otinga waipiro o te hauwai konutawa ranei.
3. A tuu i te pārurenga (manawanui) i roto i te tūranga whakamarie (e noho ana, e takoto ana ki raro), ko te kupu whakarato ngāwari te āhei ki te pae pakaru.
4. Hoko te tangata i roto i mua o te manawanui ki te mataara tana tauhohenga.
5. Tīmata ki te taka "tuwhera" tipare i mahue ki te matau, i te taha o te e alangá ki te tinana, e ko i te raro ake, te whakamahi i rua ringa.
6. kia piko ringa takai i te whatīanga, kāwanatanga, me te huha - tu.
7. kia te rua ranei e toru hohoko tuatahi (a tawhio noa) e pehi mo tenei tipare piri takaia huri noa te wahi Whāiti tonu.
8. whai swathe atu te mānukanuka kākahu kahore wrinkling.
9. hipokina ia rerekē o mua pukupuku e pā ana ki te kotahi toru o whanui.
10. A, no te te rohe whara nui, e kore e taea e te takai e rawaka, te mea i raro i te mutunga tuatahi whakakopakina timatanga o te tuarua, whakaū tenei wāhi pōkai porohita.
11. Whakaoti kakahu, hanga e rua ranei e toru rerekē haere whakatika takai.
12. Ka rite ki taea hatepea he atu takai warea ki nga wahi mutunga e rua whiti i waenganui ratou, ki porohita a tawhio noa te tauiraa, me te here kono kaha.

momo Basic o tapo'io bintovyh

I mua i ako koe i te ture marutuna bintovyh kia kia waia ki nga momo o harnesses me ngā kōwhiringa mō rātou whakamahi ranu.

momo o tapo'io	whakamahi take
tapo'io angiangi, whanui 3 cm, 5 cm, 7 cm me te roa o te 5 m	perebintovyvayut ratou maihao i whati
whanui tipare Toharite o te 10 ki te 12 cm, me te roa o te 5 m	E tika ana mō te ligation ki whara upoko, horoia, i runga, me te pito o raro (ringa, waewae)
tipare nui he whanui nui ake i te 14 cm, me te roa o te 7 m	Whakamahia mō te tono tapo'io i runga i te pouaka, huha

ranu bintovyh Classification:

1. Na roto i te momo:

• Iroiti maroke;
• maroke rongoā;
• takawhita maroke mākū;
• taumaha;
• occlusive.

2. I roto i marutuna te tikanga:

• porohita tōrino ranei;
• vosmiobraznaya cruciform ranei;
• tangiwai ngokingoki ranei;
• spicate;
• honu takai: weherua tonu me te convergent.

3. localization:

• ki runga ki tona matenga;
• te e alangá runga;
• i runga i te pito o raro;
• i runga i te puku me te papatoiake;
• i runga i te pouaka;
• kaki.

Rekureihana mo tapo'io ngohengohe

He hāngai i roto i te nuinga o te wā whara Bintovye ranu. ārai ratou mate marutanga tuarua, me te whakaiti i te pānga kino o te taiao.

Rekureihana mo takai ngohengohe e whai ake nei:

whakanohoia 1. Ko te manawanui i roto i te tūranga whakamarie:

• i roto i patunga o te matenga, kaki, uma, wahi o runga - noho;
• whētuki o te puku, papatoiake, wahi o runga o te huha - pängia ana.

2. Tīpakohia te takai rite ki te momo o te kino.

3. Te whakapau perebintovki tukanga whakamahi i te ture taketake o te tauiraa inaki.

Ki te mea kua hanga e koe he takai, te mātakitaki i te ture o te whakakikorua o tapo'io horomata, kokopi ka whakatau i te reira i te paearu e whai ake nei:

• hipokina rawa te rohe pakaru;
• e kore e pokanoa ki te toto noa, me te te tīpona tohanga;
• kia whakamarie mo te manawanui.

Rekureihana mo takai bintovyh i runga i ngā momo paparua.

momo	Ko te tikanga whakakakahuria
abnet	Superimposed i runga i te rohe ringa, te raro te raro waewae, rae, me te pera i runga i. superimposed Bint tōrino rite ki kakai, a kahore a ratou. Tipare ki kakai te pai mahi i runga i ngā wāhanga o te tinana e whai i te puka kēnana
takai ngokingoki	īnaki reira ki te whakaaro o te warea tuatahi o te tauiraa ki te rohe kafó
takai ripeka	Superimposed e te whirihoranga mara matatini I roto i te akoranga o te tauiraa takai kia whakaahua waru. Hei tauira, papaki cruciform i runga i te pouaka i mahi e whai ake nei: 1 te akoranga - kia rave rahi takaí porohita puta noa te pouaka; 2 patunga - he tipare puta noa mahi tona uma naperekos o te rohe axillary tika ki te kikowhiti maui; Huringa 3 - kia tahuri i runga i te hoki i runga i te kikowhiti matau puta noa i te wahi kawea ano te tipare i runga i te pouaka ki te kēkē maui, me crisscross te paparanga o mua; patunga 4 me 5 - te tipare kawea ano puta noa i te hoki i roto i te ahunga o te kēkē matau, hanga taahiraa vosmiobrazny; whakatika i te akoranga - te takai takaia huri noa te pouaka, me te pūmau
Spica	Ko te ahua o te vosmiobraznoy. whakamana Ko tōna whakakikorua, pērā i te tahi pokohiwi te rite e whai ake nei: kawea tipare i roto i roto i te pouaka i te axilla hauora ki te peke ritenga - akoranga 1; patunga 2 - Front remu takai pokohiwi, i te taha ki waho, muri, axilla, a roto i tona pokohiwi obliquely whakaarahia, kia rite ki te whiti te paparanga o mua; 3 akoranga - noho takai puta noa te kēkē hoki hoki ki te hauora; patunga 4 me 5 - te tāruarua o whiu o te tuatahi ki te tuatoru, te mātakitaki i superimposed ia paparanga hou te takai paku ki runga ake i te kotahi o mua, hanga he tauira i te pūtahitanga o "matau"
takai honu	Whakamahia mō te akamanea i te hononga takai honu kë: i runga i te pokapū o te tahi hanga tetahi tahuri o te takai; āta, korerotia runga porohita me tahuri raro o te paparanga o mua e rave rahi taime te kati i te pae whara katoa; īnaki ia paparanga hou ki te mua i roto i te ateatenga o te turi; whakatika rerekē haere ko huri te hope Ūngutu honu takai: hanga haerenga piringa i runga, me te raro te tahi whara i te crisscrossing te tipare i roto i te kōhao henemita; katoa o nga hohoko e whai ake o te takai i hanga atoa, neke ki te pokapū o te hononga; whakatika i te rerekē haere whakamana te i te taumata o te tahi waenganui

ligation o te matenga

He maha ngā momo o tapo'io runga tona matenga:

1. "pōtae";

2. Easy;

3. "paraire";

4. "pōtae Hippocratic";

5 kotahi kanohi i roto i;

6. kanohi e rua;

7 Neapolitan (taringa).

Bandaging āhuatanga rite ki to ratou momo

ingoa	ka tono
"Chepets"	I roto i patunga o te frontal me hoki o te matenga
ohie	A, no te pāpaka pūkahukahu o te kōpako, kōpako, wahi frontal o te matenga
"Parairi"	I roto i patunga o te wahi frontal o te angaanga, mata me te kauae raro
"Cap o Hipokeletisí"	He he he wahi o te kino kōpako
kotahi kanohi i roto i	I roto i te take o te whara tetahi kanohi o
kanohi rua	A, no te whara ahau kanohi e rua
Neapolitan	A, no te taringa whara

Ko te pūtake o te ture marutuna takai ki runga ki tona matenga, ko te meka e ahakoa o te momo o dressings hanga tapo'io whanui toharite - 10 cm.

Ka rite ki ki tetahi wharanga, he mea nui ki te whakarato i te wā tiaki hauora, ka tūtohutia te katoa kino o te matenga e ki te tono i te putanga māmā o te tauiraa - "pōtae".

Ture tono te papaki "pōtae":

1. Mai i te takai ki te tapahi i te wahi o e pā ana ki te kotahi mita i roto i te roa, ka e kia whakamahia rite aho.

2. Kei te tono ona wahi waenganui ki te tihi o te matenga.

3. Kei te pupuri te pito o te pokohiwi e rua ringa, e taea tenei te mahi rānei kaiāwhina te manawanui ia ranei, ki te he mohio ia.

4. Ka hoatu te kahu whakatika o te takai huri noa te matenga, i mua i te taenga o nga aho.

5. A haamata tākai i te tipare a tawhio noa te here, me te ka, ki runga ki te matenga.

6. I te taenga ki te mutunga ritenga o te drawstring, takaia te tipare te runga me huri noa te angaanga whakamana te paku ki runga ake i te paparanga tuatahi.

takai tino hipokina te tumuaki 7. mahi tukurua.

8. Te hanga i te a tawhio whakamutunga, e here ana te mutunga o te takai e ki tetahi o nga pokohiwi e.

9. Kua titia te pokohiwi i raro i te kauwae.

Tauira o marutuna etahi atu ranu

momo	Ko te tikanga whakakakahuria
ohie	A rave i te tipare rua a tawhio noa te matenga. Te taahiraa i muri i mua ki te mahi i te piko, ka timata ki te tono i te tipare obliquely (i te rae ki te Porokaki o te kaki), paku teitei i te paparanga porohita. I runga i te hoki o te matenga ko tetahi wāhi kōpapa me e takai kua i te tahi atu taha o te matenga. Nekeneke whakatika, a ka faahiti te tukanga ki te huri i te aronga o te takai. toutou Technique te tae noa te tino hipoki te tihi, i kore wareware ki te tuhi i nga rua takai patunga matahao
"Parairi"	Hanga e rua hohoko huri noa te matenga. toua takai i muri i raro i te kauae raro, he i raro i tona taringa matau. Whakaara reira hoki ki te temechko roto i te taringa maui, aua. Hanga taua toru pōkai poutū, tokomanawa kawea te tipare i te taringa matau kei i runga i te mua o te kaki, upoko obliquely roto me huri noa te matenga, te kupu whakatika i te papa o mua. heke ano te taahiraa i muri mai i runga i te taha ki matau i raro i te kauae raro, e ngana ana ki te taupoki ana i te reira tino whakapae. Katahi ka kawea te tipare i roto ki te hoki, tukurua tenei taahiraa. faahiti kotahi ahau neke ano i roto i te kaki, a ka te mutunga whiwhi i te tipare a tawhio noa te matenga
kotahi kanohi i roto i	tīmata whakakakahuria reira ki e rua ngā papa whakaū o takai, kawea nei i roto i roto i te take o te whara matau kanohi i mahue ki matau, i mahue - matau. Katahi ka tukua iho te takai e te whara ki runga ki te matenga, hoatu ana i raro i te taringa, obliquely roto hipokina te paparinga te kanohi, me te whakaritea akoranga porohita. Hipanga tukurua rave rahi taime, ia paparanga hou uhi i te tipare o mua e pā ana ki te hawhe

Ligation mō te toto

Toto - he mate o te toto i roto i te ofatiraa o te tapatahi o nga oko toto.

Ture mo, kauaka mō te toto o momo rerekē

ahua o te toto	whakaahuatanga	Ko te tikanga whakakakahuria
matua	He kanapa whero te toto i roto i te tae, me te kua he jet kaha pumanawa	tūnga Pānga runga ake te patunga i te ringa, te waea, ranei he tea o kakahu. Momo takai - kuru
venous	Toto pania i roto i te tae here pouri, me te rere kaupae	Ko te wahi pakaru o te tinana ki te ara teitei, ki te tangohia i runga i te motu whāriki horomata me te takai piri, e ko te ki te hanga i te takai pēhanga tono pāpuni te i te raro o te motu!
capillary	tu toto i roto i te taurite te i patunga katoa	Hoatu he takai horomata, i muri nei kia mutu hohoro toto
whakaranu	fakatahai te reira i te āhuatanga o ngā momo o mua	Tangohia te takai pēhanga
Parenchymal (ā-)	Capillary toto i whekau	Hanga he takai te whakamahi i te putea kirihou ki te tio

ture General mō te bandaging ki te toto i te alangá:

1. whakanohoia takai i raro i te e alangá paku i runga i te pae marutanga.
2. He pōkai tio (tano).
3. Pāpuni nui totoro.
4. Tie mutu.

Ko te tikanga matua o te tono i te papaki - he pāpuni whakanohoia ki runga kakahu kakahu rawa whakatokia (whāriki, tauera, kameta me te pera i runga i) ranei.

Ki te mahi tika, me kia mutu te toto, me te wahi i roto i te pukupuku - Blanch. Kia tino ki te meatia iho te takai i raro i te tuhipoka ki te rā, me te wā (hāora me meneti) dressings. I muri i kore e āwhina tuatahi nui tetahi 1.5-2 haora ki te whakaora i te kafó ki hōhipera, te kore e kore e taea ki te whakaora i te alangá kafó.

Rekureihana marutuna he takai pēhanga

kia tono Pressure takai ki te whakaiti i nga mea katoa o te toto waho i te pae o te whara, me te ki te whakaiti i te rahi o te puku.

Rekureihana marutuna he takai pēhanga:

1. Pātata ki te motu kiri (e pā ana ki e rua ki te wha cm) tukinotia ki rongoā horoi.
2. Ki te mea he ahanoa ke te motu, ratou kia tonu āta nekehia.
3. Ka rite ki te takai whakamahi i te mōkihi rite-hanga o te tauiraa te pukapuka miro-whāriki horomata ranei, ki te mea kahore he pera, ka whakatata ai takai, he tauera ma, tauera.
4. whakaritea takai ki te motu mā te whakamahi i te takai, kameta, pohewa.
5. Whakamātauria ki te hanga i te takai raru, engari e kore e overtighten te rohe pakaru.

Qualitatively kia mutu superimposed takai shock te toto. Otiia, ki te tonu i taea e haurangi ia i roto i te toto, ehara i te mea e tika ana ki te tango i reira i mua i haere mai ki te hōhipera. E tika ana kia podbintovat runga raru noa whitikiria mua i raro i te takai hou tetahi pōkai whāriki.

Āhuatanga occlusive ranu

tono tauiraa Occlusive te ki te whakarite i te hermetic mātao wahi pakaru ki te ārai whakapā ki te wai, me te rangi. Kei te whakamahia te reira mo ongó patunga.

Rekureihana mo ranu occlusive:

1. Whakarite i te pārurenga i roto i te tūranga e noho ana.
2. Tukanga pātata ki te kiri i tukitukia e kaihoko rongoā horoi (te hauwai waikuratei, chlorhexidine, waipiro).
3. Ko te patunga me te rohe e karapoti ana o te tinana te pūtoro o e rima ki te tekau cm tono horoi rongoā.
4. tono te paparanga i muri kei te he te kaiutuutu me rauemi rangi-impermeable (taha tika horomata), hei tauira, he pēke kirihou, te takai kirihou, papanga rubberized, pepa rapa.
5. Kei te toru o paparanga o te Pads miro-whāriki, e whai te tūranga o te kōroke.
6. Kei te piri whakaritea paparanga katoa ki te takai whānui.

A, no te kia mahara kopaki tipare e kia kia nui atu te mua 5-10 cm ia paparanga hou o te tauiraa.

O te akoranga, ki te reira ko te pea taua, he reira pai ki te whakamahi i te IPP - mōkihi tauiraa takitahi, i te mea he tipare piri ki e rua Pads miro-whāriki. Ko tētahi o ratou ko pūmau me te tahi atu nekehanga noa i roto i te reira.

Whakapanga o dressings iroiti

tono tipare iroiti te i roto i te wā i reira i reira he he patunga tuwhera, me te hiahia koe ki te karo i whiwhi ki tona paru me matūriki ke. titau tenei te tika e kore anake ki tangohia te kakahu, e me e pakoko te, engari humarie maukati reira.

Rekureihana mo ranu iroiti:

1. Hamani i te patunga ki motuhake rongoā horoi, engari i roto i tetahi take e kore e ki te whakamahi i te wai mo tenei whakaaro.
2. Āpiti tika ki te whāriki whara, i tukitukia e nui atu i te 5 cm, whakataka atu ana e-mua i roto i te maha o ngā paparanga.
3. kahu whakakikorua Top o te miro absorbent (ngāwari peelable) i te mea nui ake i whāriki mō te rua ki te toru henimita.
4. Piri whakatika te whakakakahuria te whakamahi i te takai hauora te raima piripiri ranei.

Tümanako, he reira pai ki te whakamahi i tipare iroiti maroke motuhake. ngā ratou o te apa o te rauemi absorbent, i te mea absorbs toto me te osushivaet marutanga rawa pai.

Ki te pai te tiaki i te motu i te paru, me te mate, i roto i te tua kāpia miro-whāriki tipare i runga i taha katoa ki te kiri mā te whakamahi i te rīpene piripiri. Na ka whakatika te takai katoa.

A, no te tino moe i te tipare ki toto, me āta whakakapi reira ki te hou: tino anake te kahu o runga ranei. Ki te kore te mea taea tenei, mo te tauira, e tika ana ki te kore o tetahi kete tauiraa horomata, e taea te takaia ana ki podbintovat, lubricated-mua tipare haurangi iodine tincture.

Whakapanga o dressings mauiui

A, no te i piere tuatahi āwhina nui - ki immobilize te pae whara, hua i roto i te mamae iti, me te ārai i displacement o wheua whatiwhatinga i te heke mai.

Ko te tohu matua o te whati:

• mamae kino i te pae o te whara, e kore nei e mutu mō ētahi hāora.
• ru mamae.
• A, no te katia whati - huamo, edema, kiko deformation i te pae o te whara.
• Ki te whatinga tuwhera - he motu i ai he wheua whatiwhatinga.
• kaupapa Limited ranei te kore oti o reira.

ture taketake marutuna tapo'io mō piere o te topito:

1. kia te takai momo immobilization.
2. I roto i te ngaro o potae ispetsialnyh taea te whakamahi mea improvised: he rakau, he kakaho, he papatuhi iti, rangatira, me te pera i runga i.
3. Hei immobilize te patunga.
4. Hei whakamahi i rua tupare ki whati warea takai ki te kakahu maeneene miro ranei.
5. Hoatu te tupare ki runga ki tetahi taha, o te whatinga, me hopu e ratou nga hononga i runga me raro i te kino.
6. Ki te haere tahi te whatinga e te patunga tuwhera, me te toto auau, ka:

• runga ake i te whatinga me te patunga superimposed pukupuku;
• te takai marutanga;
• i runga i nga taha o te e alangá papaka e superimposed rua potae.

Ki te tangohia tatou tetahi momo o takai he, hei utu o āwhina tuatahi, ka taea e meinga kino tūnguru ki te hauora o te pärurenga, e taea arahi ki te mate.