Kamuwa raunuka: description, fasali da kuma debridement magani

Kamuwa da raunuka - shi ne ko da yaushe wani m mamaki. A kanta a take hakkin da mutunci fata ne ba kawo hadari ga mutane, amma idan aka shiga ta kwayan Flora, da kumburi tsari fara, tare da wani karuwa a gida da zazzabi, redness, zafi da sosai gabar jiki da kuma / ko aiki na jiki, a kan abin da rauni.

definition

Rana - wani take hakkin da mutunci da fata, ko mucous membranes da inji wajen. Zai yiwu lalacewar tamkar nama da kuma worsening da traumatic jihar. Wannan shi ne daya irin rauni, wanda shi ne ko da yaushe wata barazana ga rayuwar mutum da kuma kiwon lafiya. Shi ne mafi muhimmanci al'amari na binciken a tiyata.

Rauni - mai zafi halin da ake ciki, wadda take kaiwa zuwa bayyanar da rauni.

asibitin

Alamun cewa bi kamuwa da raunuka, da dogara a kan adadin da tsanani daga cikin yanayin. Akwai da dama na gida siffofin muhimmi a cikin wani rauni da wannan irin.

1. Pain. A daidai lokacin da mutuncin fata ne karya, lalace jijiya endings, kuma ma wani gagarumin adadin saki cytokines da prostaglandins wanda ta da daɗi. Ji na ƙwarai daga nama a sassa daban-daban na jiki ne ba iri daya ba. Ta aka fi furta kusa da jijiya kututturan, a cikin periosteum, a cikin hakori angaren litattafan almara, a cikin peritoneum da pleura. Parenchymal gabobin, kamar kwakwalwa, ba shi da zafi rabe.
2. Gaping raunuka dogara a kan ta fadi da zurfi da yawan karya zaruruwa. The most lura a tsoka da lalacewar da wani gagarumin Layer na mai.
3. Zub da jini. Wannan yanayin ne a hankali alaka rauni shafukan. Idan lalace manyan tasoshin, musamman da jijiyoyi, da jini da asarar da muhimmanci, amma da katsewa na capillaries ba zai haifar da gagarumin cutar da kiwon lafiya.

Idan amfani da wani rauni surface, da sauran dauki na jiki za su kasance negligible. Amma tare da mahara zurfin incised raunuka bayyanar cututtuka suna lalacewa ta hanyar wuri na rauni, da mataki na jini da asarar da kuma Bugu da kari na da sakandare kamuwa da cuta. Wannan hadarin tasowa hemorrhagic ko hypovolemic buga, kwakwalwa hypoxia, sepsis da kuma sauran rikitarwa.

rarrabuwa da raunuka

Domin likitoci akwai guda cuta reference, wanda ya shiga da kuma kamuwa da ciwo. ICD 10 code sanya shi? 88-T80. Wannan shafi ne da alhakin mutum rauni, kuma su rikitarwa. Amma akwai wani rarrabuwa.

Alal misali, halin da makamai da emit a raunin harbin bindigar da wuka.

By yankan gefen traumatic wakili zai iya bambanta da irin wannan nau'in kamar: yankakken, sliced, yankakken, yagaggu, cije ni, contused, crushing, da sauransu.

A siffar sakamakon mikakke aibi mark, patchwork, perforated lalacewa.

By shigar azzakari cikin farji zurfin traumatic wakili rarrabe na waje, iya shiga, kuma ta hanyar tangential raunuka.

Akwai ma wani rarrabuwa nuna har zuwa abin da hannun jari kamu rauni (ICD-10 cewa ba emit):

• Aseptic (bayan farko m magani).
• samu (da ake dasu jiki ne a can, amma alamu na kumburi don haka yanzu).
• kamu (akwai redness, kumburi, kara gida zazzabi, zafi da canza aiki).

Rauni warkar da dogara a kan abin da daidai haifar da shi. Akwai uku tatsuniyoyinsu:

• na farko tashin hankali (Net rauni, m, kaifi abu amfani).
• secondary tashin hankali (mai girma da adadin granulations, kamu raunuka).
• waraka a karkashin wani scab (coagulation necrosis da sinadaran kuna).

mĩki tsari

Rauni tsari - a jere da canje-canje da faruwa a cikin rauni a lokacin da shirye-shiryen da kuma waraka, kazalika da lalacewa ta hanyar aiwatar da halayen da kwayoyin. Suna tsara don delimit da nidus kamuwa da cuta daga vasculature kuma cire shi daga duk pathological jamiái. Universal hanya, wadda ta zo up da yanayi, domin kare mutane daga sakamakon raunin - shi ne wani mai kumburi dauki.

A rukunin farko na rauni warkar dogara ne a kan zahirin dauki ga nama rauni. Nan da nan bayan rauni ya auku halakar da kyallen takarda da rauni da kuma cavitation, kazalika da bruising. A farko 'yan seconds vasospasm ya auku, wanda ya bada hanya zuwa vasodilatation da kuma kaifi zub da jini. Bayan wani gajeren lokaci da jini ya kwarara da aka ragae saukar da kafa thrombus. Layi daya ga wannan, a cikin rauni tara kumburi shiga tsakani da cewa jawo hankalin fari da maikacin jini, da kuma phagocytes mast Kwayoyin. Kwayoyin cutar, bazata rubuta a kan rauni surface an shafe ta da kuma tunawa da gida salula rigakafi.

Wani lokaci daga baya, a kusa da ciwo akwai wani mai kumburi shaft na matattu Kwayoyin da edema. Vasculature matsa, secondary necrosis aka kafa. Sai a wannan lokacin akwai zafi da illa aiki na shafa yankin.

Na biyu lokaci na rauni warkar da ya auku a cikin kwana uku, amma akwai wani sarari iyaka. A kumburi tsari ya ci gaba, da kuma taushi nama rauni jũya kamuwa da ciwo. ICD code canjãwa a kan 'yan maki. Inji rauni tsarkakewa stimulates girma na granulation nama da kuma kau da matattu kwayoyin da phagocytes rage kumburi. Ya fara farfadowa tsari, da samuwar sabuwar jini girma m collagen nama, da kuma rauni site bayyana sabo ne m tabo.

Bayan goma zuwa goma sha hudu da kwana na uku lokaci - scarring da epithelization. Collagen strands zama ƙara m, da tasoshin zai daina germinate. Lokaci guda, da epidermis Layer aka kafa. A sabon tabo ne kodadde ruwan hoda launi, amma a kan lokaci da capillaries bace, kuma shi fades, zama kusan ganuwa.

A karkashin wannan makirci, warkar da kowa da kowa, ba kawai da kamuwa da ciwo. Hakika, ko da yaushe akwai mutum bambancin da wadannan uku bulan.

Reaction to kamuwa da raunuka

A general dauki za a iya raba da catabolic da anabolic bulan. A lokacin farko (har 4th rana), duk da matakai na rayuwa suna inganta: da yawan zafin jiki ta fito, da metabolism da aka kara, wani mutum hasarar nauyi, damuarn gina jiki kira da kuma rage-rage permeability na cell membranes. A jikin an saita ga farfadowa.

Na biyu lokaci fara a rana ta huɗu bayan rauni, da kuma abubuwan da hankali fada cikin wurin. The jiki nauyi gano a baya matakin, al'ada metabolism, kuma tare da shi, da kuma zafin jiki da dama. Dan kadan ya karu aiki na adrenal ji ba gani.

rauni waraka

Kowane nama yana da wani tabbataccen propensity zuwa regenerate. Ba duk Kwayoyin daidai da samar da nasu irin, musamman idan ta ke kamuwa da ciwo (IBC ba ya bayar da wani shawarwari a wannan batun). A kudi da kuma ingancin rauni warkar da dogara a kan yanayi a fallasa yankin. Idan shi ne bushe, tsabta da kuma wani waje jikinsu ko kwayoyin cuta, da tsari zai ci gaba da sauri sauri. Kuma, daidai da, a kan m. A general yanayin jiki kuma rinjayar da kudi na farfadowa. A matasa da kuma lafiya mutane, da waraka ne da sauki, amma gaban kullum cututtuka, a manyan jini asara ko bitamin rashi iya tsananta cikin shakka daga cikin cutar da kuma jinkirta da dawo da tsarin for 'yan makonni, ko ma watanni.

m debridement

Dalilin da farko m magani - inji tsarkakewa da raunuka daga necrotic nama, kasashen waje jikinsu da kuma kwayoyin. Jiyya na kamuwa da raunuka fara da cewa fata a kusa da lalace yankin da aka shafe da wani auduga swab ko wani gauze soaked a barasa / Saline sa'an nan bi da tare da wani kashi daya bayani na aidin. Aiki filin labulen da bakararre tawul din, kuma bayan maganin sa barci rauni gefuna motsa baya da kuma shuka a hannunka. Wannan shi ne zama dole domin yin shi sauki cire waje jikinsu da kuma datti. Alal misali, idan haƙuri yana da wani kamuwa da kafar rauni, mafi m, yana da guda na ƙasar.

Necrotic nama excised. By larura da ciwo za a iya ƙara ga mafi alhẽri samun duk wuraren da yiwu makafi Aljihuna. Idan kun lalace manyan jini, suka ƙulla sama, amma jijiyoyi suna sewn. Da zarar Likita ya gama cire duk ba dole ba, ciwo tam sewn da kuma gabatar aseptic bandeji. Wasu ware suna da aka ambata a cikin ICD. An kamuwa da kafar rauni, misali, dole ne zama bude, kamar yadda a cikin ƙasa, inda an gurbata, live anaerobic kwayoyin da sa lalace. Gaping rauni samar da wani m oxygen samar da kyallen takarda, ya kuma inganta, ba ci gaba kwayoyin.

Jiyya na festering raunuka

Clinical ãyõyi wanda za mu iya sanin cewa wani mutum yana, misali, kamu rauni maraƙi bayyana a karo na biyu, ko na uku ranar da rauni. Wannan yana yuwuwa ta gaban ãyõyin kumburi da kuma wani pathogenic ko opportunistic Flora. A lura da irin raunin da ya kamata mayar da hankali a kan irin kwayoyin cuta, kuma zuwa zaži da ya dace da kwayoyin ji na ƙwarai. A general m ne kamar haka:

• cikakken tsarkakewa na rauni;
• magunguna iri iri aiki.
• magudanun sanarwa ga mafi alhẽri magudanun ruwa na kamuwa da ruwa.
• ruri daga cikin gida rigakafi da tsarin.

general magani

Maganin rigakafi zama mafificin dutsen gini da magani daga kamuwa da raunuka. Halitta, hanya na gwamnati, kashi kuma dosing mita dogara kai tsaye a kan kananan kwayoyin haddasa suppuration. Idan anaerobic Flora, mafi abu shi rinjayar metronidazole da klandomitsin a hade tare da sulfonamides.

Illa rigakafi aiki, gida da general, aka nuna a cikin waraka tsari, don haka kana bukatar ka ajiye shi a daidai matakin. Janyo ra'ayoyin jama'a da m dalilai da kwayoyin taimaka wajen kauce wa rikitarwa kamar sepsis, zazzabi, da sauransu.