1.Lokacin cunkoso da jajayen yanayi.fatar gida ta zama ja, kumbura, zafi, kunci ko taushi saboda matsi.A wannan lokacin, majiyyaci ya kamata ya kwanta a kan gadon kushin iska (wanda ake kira Operating Room Positioner) don ƙara yawan juyawa da tausa, kuma a ba da ma'aikata na musamman don kulawa idan ya cancanta.45% barasa ko 50% ruwan inabi safflower za a iya zuba a cikin tafin hannun don tausa na gida a karkashin matsin lamba na 10 min.Jajaye da kumbura na matsi na matsi ana shafa shi da 0.5% tincture na iodine.
2. Lokacin shigar kumburin ciki.jajayen gida da kumburi ba sa raguwa, kuma fatar da aka matse ta zama ja-ja-jaja.Induration na subcutaneous yana faruwa, kuma blisters na epidermal suna samuwa, wanda ke da sauƙin karya, kuma mai haƙuri yana jin zafi.A wannan lokacin, yi amfani da swab ɗin auduga da aka tsoma a cikin 4.75g/l-5.25g/l hadaddun iodine don goge saman yankin da abin ya shafa don bushe sashin, kuma kula da guje wa ci gaba da matsa lamba;Za a iya fitar da manyan blisters tare da sirinji a ƙarƙashin aikin fasahar aseptic (ba tare da yanke epidermis ba), sannan a rufe shi da 0.02% Furacilin Magani kuma an nannade shi da suturar bakararre.Bugu da ƙari, tare da infrared ko ultraviolet radiation magani, zai iya taka rawar anti-mai kumburi, bushewa da kuma inganta jini wurare dabam dabam.Idan blister ya karye, membrane na ciki na sabon kwai za a iya ba da shi kuma a ɗora shi akan rauni, kuma an rufe shi da gauze mara kyau.Idan akwai kumfa a karkashin jikin kwai, sai a matse shi a hankali da auduga maras kyau don zubar da shi, sannan a rufe shi da gauze mara kyau, sannan a canza suturar gida sau ɗaya ko biyu a rana har sai raunin ya warke.Kwai na ciki na kwai zai iya hana asarar ruwa da zafi, guje wa kamuwa da kwayoyin cuta, kuma yana da kyau ga ci gaban epithelial;Wannan hanyar canza suturar tana da tabbataccen sakamako na warkewa a kan gado na mataki na biyu, gajeriyar hanyar jiyya, aiki mai dacewa da ƙarancin jin zafi ga marasa lafiya.
3. Matsayin ciwon kai.Epidermal blisters a hankali suna faɗaɗa kuma suna fashe, kuma akwai rawaya exudate a cikin rauni na dermal.Bayan kamuwa da cuta, mugunya yana gudana daga waje, da kuma nama na waje necrosis da ulcer samu.Da farko, kurkura tare da 1: 5000 potassium permanganate bayani, sa'an nan kuma bushe rauni da kewayen fata.Abu na biyu, marasa lafiya na iya amfani da fitilar wuta mai ƙarfin watt 60 don ba da haske a ɓangaren da ke faruwa.Hasken infrared wanda fitilar incandescent ke fitarwa yana da tasiri mai kyau na warkewa a kan gado.Nisa daga iska mai iska shine kusan 30cm.Lokacin yin burodi, kada kwan fitila ya kasance kusa da raunin don guje wa ƙonewa, kuma kada ya yi nisa.Rage tasirin yin burodi.Ya kamata nisa ya dogara ne akan inganta bushewa da warkar da rauni.1-2 sau a rana, 10-15 min kowane lokaci.Sa'an nan kuma an bi da shi bisa ga tsarin canjin suturar aseptic na tiyata;Hakanan za'a iya amfani da riguna masu ɗanɗano don ƙirƙirar yanayi mai dacewa don warkar da saman ciwon, ta yadda sabbin ƙwayoyin epithelial za su iya rufe raunin kuma a hankali suna warkar da ciwon.Ya kamata a lura da yanayin gida a kowane lokaci yayin da iska mai iska don hana ƙonewa.Rashin iska mai infrared na gida zai iya fadada capillaries na fata na gida kuma yana inganta yaduwar jini na nama na gida.Abu na biyu, idan raunukan da ba su warkewa na dogon lokaci ba, sai a shafa ruwan sukari mai launin fari a kan raunin, sannan a rufe shi da gauze mara kyau, a rufe raunin da cikakken tef ɗin manne, sannan a canza suturar kowane kwana 3 zuwa 7.Tare da taimakon hyperosmotic sakamako na sukari, zai iya kashe kwayoyin cuta, rage kumburi na rauni, inganta wurare dabam dabam na gida, ƙara yawan abinci mai gina jiki, da inganta warkar da raunuka.
4. Necrotic ulcer mataki.A cikin matakin necrotic, nama na necrotic yana mamaye ƙananan dermis, ƙwayar purulent yana ƙaruwa, ƙwayar necrotic nama ya yi baƙi, kuma ciwon wari ya kara zuwa sassan da ke kewaye da kuma zurfin kyallen takarda, wanda zai iya kaiwa kashi, har ma ya haifar da sepsis, yana jefa rayuwar mai haƙuri cikin haɗari. .A wannan mataki, da farko tsaftace raunin, cire ƙwayar necrotic, kiyaye magudanar ruwa ba tare da rufewa ba, da kuma inganta warkar da ciwon.Tsaftace saman ciwon tare da salin isotonic bakararre ko maganin nitrofuran 0.02%, sannan a nannade shi da gauze da bakararre na Vaseline, sannan a maye gurbinsa sau ɗaya a rana ko biyu.Hakanan za'a iya bi da shi tare da damfara damfara na metronidazole ko salin isotonic bayan tsaftace saman ciwon tare da azurfa sulfadiazine ko nitrofuran.Ga wadanda ke da ciwon ciki mai zurfi da rashin magudanar ruwa, 3% hydrogen peroxide bayani ya kamata a yi amfani da shi don yin ruwa don hana ci gaban kwayoyin anaerobic.Yakamata a rika tattara bayanan da ke dauke da cutar a kai a kai don yin gwajin al’adar kwayoyin cuta da gwajin sanin maganin, sau daya a mako, sannan a zabi magunguna bisa ga sakamakon binciken.
(Don tunani kawai)