Qhov txhab zoo kho yog qhov txheej txheem thiab cov txheej txheem nyuaj. Raws li cov txhab mob saib xyuas thiab cov kev mob thoob ntiaj teb, cov kab mob tuaj yeem ua rau cov nqaij xim: Dub theem, theem xim av, thiab Pw Liab. Cov hom phiaj saib xyuas neeg mob thiab kev xaiv hnav khaub ncaws ntawm cov theem sib txawv txawv txawv.
Kev tswj hwm kev tshawb fawb, kho kom nrawm
01 Ntsej Muag Staging thiab Cov Hom Phiaj
Dub theem (necrotic daim ntaub so ntswg)
Cov yam ntxwv: Lub qhov txhab nto yog them nrog xim av lossis dub qhuav nyuaj scab \/ rechar, nrog cov ntaub so ntswg necrotic, thiab tsis muaj cov nqaij mos loj hlob.
Lub hom phiaj saib xyuas neeg laus: Tshem cov nqaij mos necrotic nqaij (dearridement) thiab tiv thaiv kev kis tus kab mob.
Lub hauv paus: Mob saib xyuas cov ntsiab lus tawm cov ntsiab lus tias nyob rau theem dub, auzymatic debridement yuav tsum tau siv los tshem tawm cov nqaij mos mos kom tsis txhob kis tus kab mob.
Pom zoo hnav khaub ncaws: Hydrodoidoid txhab hnav khaub ncaws, hydrogel txhab hnav khaub ncaws, chitosan txhab hnav tiab.
Cov theem daj (mob exudation theem)
Cov yam ntxwv: Feem ntau swb, daj-dawb necrotic nqaij, nce exudate, thiab tej zaum yuav nrog tau tus mob.
Lub hom phiaj ua neeg laus: Tswj tus kab mob, nqus exudate, thiab txhawb kev loj hlob granishing.
Cov Ntawv Txhawb Nqa Ntawv: Cov kev tshawb fawb tau qhia tias noo noo tuaj yeem ua kom lub qhov txhab ntub dej thiab nrawm nrawm ntawm cov neeg laus ntawm cov neeg laus, 2020).
Pom zoo hnav ris tsho: Silicone ua npuas ncauj ua npuas ncauj hnav khaub ncaws, hydraulic txhab hnav khaub ncaws hnav, alginate Ntswg Hnav Khaub Ncaws, Chitosan txhab Hnav Khaub Ncaws
Cov theem liab (granation kev loj hlob theem)
Nta: Lub hauv paus yog ci liab liab granulation nqaij, nplua nuj nyob rau hauv cov hlab ntshav, thiab txo kev extrate.
Lub hom phiaj ua neeg laus: Tiv thaiv cov ntaub so ntswg granation granation, txhawb kev mob epithelial crawling, thiab tiv thaiv kev raug mob ob.
Lub hauv paus: Cov mob kho kom tau txais kev xav tau xaiv cov hnav ris tsho tsawg ntawm qib no kom tsis txhob muaj cov ntaub so ntswg tshiab thaum muab tshem tawm.
Pom zoo hnav khaub ncaws: Silicone ua npuas ncauj ua npuas ncauj hnav khaub ncaws, hydrocelo tho kev hnav khaub ncaws, alginate hnav khaub ncaws hnav, chitosan txhab hnav tiab.
PANKS PARS (epithelialization theem)
Nta: Cov kab mob epithelial npog npog lub qhov txhab, liab dawb, thiab ze rau kev kho kom zoo.
Lub hom phiaj tu neeg laus: Tiv thaiv cov epithelium, tswj hwm kev nyob ib puag ncig noo, thiab txhawb nqa kev kho kom tiav.
Kev Pab Sau Ntawv: kev tshawb fawb tau lees paub tias kev hnav khaub ncaws caws pliav tuaj yeem txo tau kev phais mob (Suav cov ntaub ntawv kev phais mob thiab kev rov kho dua tshiab, 2019).
Pom zoo hnav khaub ncaws: Hydrodoidoid txhab hnav khaub ncaws, hydrogel txhab hnav khaub ncaws, chitosan txhab hnav tiab.
02 Qhia Kev Xaiv Kev Nyab Xeeb Kev Ua Khaub Ncaws
Raws li lub qhov txhab nyiav staging, ua ke nrog kev tshawb nrhiav qhov txhab thiab cov kev tshawb nrhiav chaw soj ntsuam, cov hom kev hnav khaub ncaws hauv qab no yog pom zoo:
03 kev ceev faj
Qhov kev hloov pauv ntawm kev hnav khaub ncaws uas yuav tsum tau hloov kho raws li cov nyiaj ntawm exudate kom tsis txhob ziab ntau dhau los lossis so.
Kev xaiv kev tshawb fawb ntawm cov ris tsho ntub yog tus yuam sij rau kev mob. Nws raug nquahu kom kho tau cov phiaj xwm kev kho mob hauv kev sib xyaw ua ke nrog lub qhov txhab ntsia hauv qab cov neeg ua haujlwm kev paub txog cov kws kho mob.
04 Ntawv Sau Tau Hauv Paus:
Cov txiaj ntsig kev saib xyuas (tib neeg lub tsev luam tawm kev kho mob): Cov lus piav qhia zoo ntawm lub sijhawm thiab cov qauv kev saib xyuas.
Zhang li li al. Daim ntawv thov ntawm cov dej noo kho kev xav hauv lub qhov txhab mob siab [J]. Cov phau ceev xwm txheej Suav ntawm cov neeg laus, 2020;
Wang Qiang. Mechanism ntawm kev ua ntawm cov kev hnav ris tsho tshiab hauv kev kho mob [J]. Cov ntaub ntawv xov xwm Suav ntawm kev phais thiab rov tsim dua tshiab, 2019.
