Txoj cai imposing ib tug ntaub qhwv thiab tourniquet. Regulations txog bintovyh cov ntaub qhwv. Regulations imposing ib siab ntaub qhwv

Thawj pab rau cov neeg raug nrog kev raug mob, cov pob txha lov, sprains, ligament raug mob, doog, kub nyhiab thiab lwm yam yuav yuav luag tsis yooj yim sua yam uas tsis tau raws sij hawm thiab kom thov lub thaj. Tseeb, ua tsaug rau lub nyuam tiv thaiv ntxiv kab mob ntawm lub qhov txhab thiab tsis txhob los ntshav tshwm sim, lub fixation ntawm cov pob txha lov thiab txawm pib ib tug kho nyhuv on qhov txhab.

Hnav khaub ncaws thiab hom

Ib tug ceg ntawm cov tshuaj uas kawm cov kev cai ntawm bandaging thiab harnesses, lawv hom thiab daim ntaub ntawv, hu ua desmurgy (Greek desmos - sam xauv nees, hnav khaub ncaws thiab ergon - tiav cov ntaub ntawv).

Los ntawm txhais, cov hnav khaub ncaws - ib tug qauv ntawm cov kev kho mob ntawm kev raug mob thiab wounds, uas yog siv:

• hnav khaub ncaws ntaub ntawv uas yog thov ncaj qha mus rau lub qhov txhab;
• Ntaub qhwv txheej feem, uas fixes cov hnav khaub ncaws.

Nyob rau hauv lub luag hauj lwm ntawm ib tug hnav khaub ncaws, rau ntau yam yog vim li cas, tej zaum yuav:

• tshwj xeeb hnav khaub ncaws packets;
• napkins;
• paj rwb swabs;
• gauze khoom.

Hom ntawm cov ntaub qhwv overlay txoj kev

saib	piav qhia	hom
Tiv los yog mos	Nws muaj ib cov khoom uas yog siv rau cov qhov txhab, thiab cov phiaj lub ntaub qhwv Siv nyob rau hauv feem ntau tus neeg mob: rau kub yus, doog, qhib txhab	bintovye; elastic; colloid; kosynochnye; -tubular reticulate
Immobilization los yog khoom	Nws muaj lub hnav khaub ncaws thiab lub log Siv thauj tus neeg, nyob rau hauv cov kev kho mob ntawm pob txha raug mob thiab lawv cov kev sib txuas elastic	chaw tos tsheb loj (phais, hlau, pins); gypsum; cov kua nplaum; thauj

Tus kws kho mob rau kev raug mob

Cov txheej txheem uas tso npe thov lub thaj hu ua nyuam. Nws lub hom phiaj yog qhov yuav tsum tau kaw lub qhov txhab:

• rau kev tiv thaiv ntawm ntxiv kab mob;
• kom txhob muaj cov ntshav;
• pheev ib tug kho nyhuv.

General kev cai imposing ntaub nplaum rau cov qhov txhab thiab kev raug mob:

1. Ntxuav ob txhais tes kom huv si uas siv xub npum thiab dej, yog tias qhov no yog tsis tau, nws yuav tsum tau tsawg kho lawv nrog tshwj xeeb antiseptic.
2. Yog hais tias qhov kev raug mob - ib tug qhib lub qhov txhab, ntawm daim tawv nqaij nyob ib ncig ntawm nws maj mam muab lis dej tov ntawm hydrogen peroxide los yog iodine.
3. Muab tus neeg (tus neeg mob) nyob rau hauv lub siab txoj hauj lwm (zaum, pw), yog li muab ib qho yooj yim nkag tau mus rau lub puas site.
4. Ua tus neeg nyob rau hauv pem hauv ntej ntawm tus neeg mob mus saib nws cov tshuaj tiv thaiv.
5. Pib "hnav qhib" ntaub qhwv ntawm sab laug mus rau sab xis, los ntawm lub periphery ntawm lub povtseg ntawm lub cev, uas yog los ntawm lub hauv qab li, siv ob txhais tes.
6. Caj Npab ntaub qhwv yuav tsum tau bent ntawm lub luj tshib, lub xeev, thiab ceg - tebchaws.
7. Thawj ob los yog peb lem (round) yuav tsum tau khi rau qhov no ntaub qhwv nruj nreem qhwv nyob ib ncig ntawm lub narrowest qhov chaw lawm.
8. Ntxiv swathe li nram no ib yam nro tsis muaj wrinkling.
9. Txhua sam xauv nees yav dhau los turnover npog txog ib feem peb dav.
10. Thaum cov raug mob cheeb tsam loj, ib tug ntaub qhwv yuav tsis muaj txaus, whereas nyob rau hauv thawj kawg vij thaum pib ntawm lub thib ob, reinforcing no yeej kauj.
11. Tag hnav khaub ncaws, ua ob los yog peb turnover kho ntaub qhwv.
12. Raws li ib tug ntxiv fixation ntaub qhwv yuav txiav mus rau hauv ob kawg qhov chaw hla ntawm lawv, mus voj voog ib ncig lub hnav khaub ncaws thiab khi pob caus muaj zog.

Basic hom ntaub nplaum bintovyh

Ua ntej koj yuav kawm tau cov kev cai imposing bintovyh cov ntaub qhwv yuav tsum paub txog tej yam kev harnesses thiab kev xaiv rau lawv siv.

hom ntaub nplaum	siv tus neeg mob
Nyias ntaub nplaum, dav 3 cm, 5 cm, 7 cm thiab ntev ntawm 5 m	Lawv perebintovyvayut raug mob ntiv tes
Nruab nrab ntaub qhwv dav ntawm 10 mus rau 12 cm thiab ib tug ntev ntawm 5 m	Haum rau nyuam nrog lub taub hau raug mob, caj npab, Upper thiab qis extremities (ob txhais tes, ob txhais taw)
Loj ntaub qhwv muaj ib tug dav ntau dua tshaj li 14 cm, thiab ib tug ntev ntawm 7 m	Siv rau kev thov ntaub nplaum rau lub hauv siab, ncej puab

Classification bintovyh cov ntaub qhwv:

1. Los ntawm hom:

• Aseptic qhuav;
• antiseptic qhuav;
• tawg ntub dries;
• pressing;
• occlusive.

2. Nyob rau hauv imposing txoj kev:

• yeej los yog muab kauv;
• vosmiobraznaya los yog cruciform;
• serpentine los yog creeping;
• spicate;
• vaub kib ntaub qhwv: divergent thiab convergent.

3. chaw:

• nyob rau hauv nws lub taub hau;
• lub sab sauv povtseg;
• nyob rau hauv qis extremity;
• rau lub plab mog thiab lub plab mog;
• rau lub hauv siab;
• caj dab.

Regulations txog mos ntaub nplaum

Bintovye cov ntaub qhwv yog yam nyob rau hauv feem ntau raug mob. Lawv tiv thaiv theem nrab mob kab mob thiab txo cov kev phiv los ntawm cov ib puag ncig.

Regulations txog mos ntaub qhwv yog raws li nram no:

1. Tus neeg mob yog muab tso rau hauv ib tug xis txoj hauj lwm:

• nyob rau hauv qhov txhab ntawm lub taub hau, caj dab, hauv siab, Upper nqua - zaum;
• raug mob ntawm lub plab mog, plab mog, Upper qhov chaw ntawm lub ncej puab - nws.

2. Xaiv ib tug ntaub qhwv raws li lub hom ntawm kev puas tsuaj.

3. Siv perebintovki kev siv cov kev cai ntawm kev hnav khaub ncaws sib tshooj.

Yog hais tias koj tau ua ib tug ntaub qhwv, tsom kwm cov kev cai ntawm lub overlay ntawm muaj menyuam tsis taus ntaub nplaum, compresses nws yuav tau raws li lub nram qab no:

• kiag li them rau cov puas cheeb tsam;
• tsis cuam tshuam nrog rau tej ntshav thiab lymph kev;
• yuav xis rau tus neeg mob.

Regulations txog bintovyh ntaub nplaum rau overlay hom.

hom	feem ntau hnav khaub ncaws
abnet	Superimposed on lub dab teg, qhov qis rau sab ceg, lub hauv pliaj thiab thiaj li nyob. Bint superimposed kauv raws li nrog excesses, thiab yog tsis muaj lawv. Ntaub qhwv nrog excesses yog zoo tshaj plaws ua nyob rau hauv qhov chaw ntawm lub cev uas muaj lub canonical daim ntawv
creeping ntaub qhwv	Nws overlaps muaj lub hom phiaj ntawm yam ua ntej fixation ntawm lub hnav khaub ncaws rau qhov raug mob
tus ntoo khaub lig ntaub qhwv	Superimposed los ntawm ib tug complex teb configuration Nyob rau hauv lub chav kawm ntawm hnav khaub ncaws ntaub qhwv yuav tsum piav qhia txog yim. Piv txwv li, cruciform thaj nyob rau hauv siab ua raws li nram no: 1 chav kawm - ua ob peb ncig revolutions thoob plaws lub hauv siab; 2 stroke - ib tug ntaub qhwv nyob nws lub hauv siab naperekos coj ntawm txoj cai axillary cheeb tsam mus rau sab laug forearm; Voj voog 3 - ua tig tshaj lub rov qab rau hauv txoj cai forearm nyob ntawm qhov chaw uas cov ntaub qhwv dua nqa rau lub hauv siab mus rau sab laug tsos, nrog crisscross lub yav dhau los txheej; stroke 4 thiab 5 - lub ntaub qhwv dua nqa thoob plaws lub rov qab rau hauv cov kev taw qhia txog txoj cai tsos, ua vosmiobrazny kauj ruam; kho cov chav kawm - ib tug ntaub qhwv qhwv nyob ib ncig ntawm lub hauv siab thiab taag
spica	Nws yog ib yam ntawm cov vosmiobraznoy. Nws overlay, xws li lub xub pwg ob leeg yog ua raws li nram no: cov hoob kawm 1 - ntaub qhwv yog nqa tawm los ntawm lub hauv siab los ntawm ib tug noj qab nyob zoo axilla rau qhov opposite lub xub pwg; stroke 2 - Pem hauv ntej lub xub pwg ntaub qhwv daim tiab, nyob rau hauv txheej sab, rear, axilla, thiab los ntawm nws cov obliquely tsa lub xub pwg, thiaj li mus hla lub yav dhau los txheej; 3 chav kawm - siv ntaub qhwv nyob rau sab nraum qab qhov tsos rov qab mus rau noj qab haus huv; stroke 4 thiab 5 - lub repetition ntawm tus cwj nrag ntawm cov thawj rau peb, tsom kwm kom txhua tus txheej tshiab yog superimposed ntaub qhwv me ntsis saum toj no lub yav dhau los ib tug, txoj kev ua ib tug qauv ntawm cov kev tshuam ntawm "ntsia hlau loj"
Turtle ntaub qhwv	Siv rau kev hnav khaub ncaws cov pob qij txha Divergent vaub kib ntaub qhwv: rau ntawm qhov chaw ntawm tus txha ua ib tug lem ntawm lub ntaub qhwv; rov ncig sab saum toj thiab hauv qab koj lem ntawm yav tas los txheej ob peb lub sij hawm, maj mam kaw tag nrho cov raug mob rau ntawm qhov chaw; txhua txheej tshiab overlaps muaj lub yav dhau los nyob rau hauv lub hollow ntawm lub hauv caug; kho turnover yog ib ncig ntawm lub duav Converging vaub kib ntaub qhwv: ua peripheral tours saum toj no thiab hauv qab no cov raug mob ob leeg thaum crisscrossing lub ntaub qhwv nyob rau hauv lub popliteal kab noj hniav; tag nrho cov nram qab no lem ntawm lub ntaub qhwv ua piv, tau tsiv ntawm lub chaw ntawm cov pob qij; kho cov turnover yog ua nyob rau theem ntawm nruab nrab ob leeg

nyuam ntawm lub taub hau

Muaj ob peb hom ntaub nplaum rau nws lub taub hau:

1. "cap";

2. Ib qho yooj yim;

3. "tswj";

4. "Hippocratic cap";

5 nyob rau hauv ib lub qhov muag;

6. ob lub qhov muag;

7 Neapolitan (pob ntseg).

Bandaging teeb meem no raws li lawv hom

lub npe	thaum ua ntawv thov
"Chepets"	Nyob rau hauv cov qhov txhab ntawm lub frontal thiab rov qab ntawm lub taub hau
yooj yim	Thaum mob ntsws txhab ntawm lub occipital, parietal, frontal ib feem ntawm lub taub hau
"Tswj"	Nyob rau hauv cov qhov txhab ntawm lub frontal ib feem ntawm lub pob txha taub hau, lub ntsej muag thiab sab puab tsaig
"Cap ntawm Hippocrates"	Muaj yog ib feem ntawm lub parietal kev puas tsuaj
Nyob rau hauv ib lub qhov muag	Nyob rau hauv cov ntaub ntawv ntawm kev raug mob ntawm ib lub qhov muag
Ob leeg ob lub qhov muag	Thaum kuv raug mob ob lub qhov muag
neapolitan	Thaum raug mob pob ntseg

Lub hauv paus ntawm cov kev cai imposing ntaub nplaum rau nws lub taub hau yog qhov tseeb hais tias hais txog ntawm lub hom ntaub qhwv ua ntaub nplaum nruab nrab dav - 10 cm.

Raws li cov kev raug mob, nws yog ib qho tseem ceeb los mus muab raws sij hawm kev kho mob, ces tag nrho cov kev puas tsuaj ntawm lub taub hau yog pom zoo kom siv cov nyuaj version ntawm lub hnav khaub ncaws - "cap".

Cov kev cai thov lub thaj "cap":

1. Los ntawm cov ntaub qhwv mus txiav ib daim ntawm txog ib Meter nyob rau ntev, uas yuav tsum tau siv raws li cov hlua.

2. Nws nruab nrab feem yog thov mus rau lub sab saum toj ntawm lub taub hau.

3. Lub xaus ntawm lub straps yuav tuav ob txhais tes, qhov no yuav ua tau yog pab los yog tus neeg mob nws tus kheej, yog hais tias nws yog meej pem.

4. Siv ib tug kho txheej ntawm cov ntaub qhwv nyob ib ncig ntawm lub taub hau, ua ntej ncav lub hlua.

5. Pib wrapping cov ntaub qhwv nyob ib ncig ntawm tus khi thiab ces, nyob rau hauv lub taub hau.

6. Nyob rau xeeb cov lus rov rau thaum xaus ntawm lub drawstring, lub ntaub qhwv qhwv tshaj thiab nyob ib ncig ntawm lub pob txha taub hau yog ua me ntsis saum toj no lub thawj txheej.

7. Ua cov kev ua ntaub qhwv kiag npog saum tawv taub hau.

8. Ua zaum kawg puag ncig, qhov kawg ntawm lub ntaub qhwv yog khi rau ib qho ntawm cov straps.

9. Cov straps yog fastened nyob rau hauv lub puab tsaig.

Piv txwv ntawm imposing lwm yam ntaub qhwv

hom	feem ntau hnav khaub ncaws
yooj yim	Siv lub ntaub qhwv ob zaug ib ncig ntawm lub taub hau. Cov kauj ruam tom ntej rau pem hauv ntej mus ua ib tug khoov thiab pib ua ntaub ntawv thov cov ntaub qhwv obliquely (los ntawm lub hauv pliaj mus rau lub nape ntawm lub caj dab), me ntsis dua los ntawm ncig txheej. Nyob rau nraum qab ntawm lub taub hau yog lwm inflection taw tes thiab twb ntaub qhwv los ntawm lwm yam sab ntawm lub taub hau. Tsiv kho, thiab ces rov hais dua cov txheej txheem hloov cov kev coj ntawm cov ntaub qhwv. Txheej txheem yog pheej rov qab ua kom txog thaum lub sab saum toj yog kiag li them, thaum tsis nco qab mus sau txhua txhua ob oblique stroke ntaub qhwv
"Tswj"	Ua ob lem nyob ib ncig ntawm lub taub hau. Tom ntej no ntaub qhwv dipped nyob rau hauv lub qis lub puab tsaig, muaj nyob rau hauv nws sab pob ntseg. Tsa nws rov qab mus rau temechko los ntawm sab laug pob ntseg, ntsig txog. Ua xws peb ntsug kauj, whereupon lub ntaub qhwv los ntawm txoj cai lub pob ntseg yog nqa nyob rau hauv pem hauv ntej ntawm lub caj dab, lub taub hau obliquely mus thiab nyob ib ncig ntawm lub taub hau, yog li kho rau yav tas los khaubncaws sab nraud povtseg. Cov kauj ruam tom ntej dua nqis nyob rau sab xis nyob rau hauv lub qis lub puab tsaig, sim mus npog nws kiag li kab rov tav. Ces tus ntaub qhwv yog nqa tawm mus rau sab nraum qab, rov qab ua dua cov kauj ruam no. Kuv qog ib zaug dua txav los ntawm lub caj dab, thiab ces thaum kawg phiaj lub ntaub qhwv nyob ib ncig ntawm lub taub hau
Nyob rau hauv ib lub qhov muag	Nws pib hnav khaub ncaws nrog ob tug reinforcing khaubncaws sab nraud povtseg ntawm ntaub qhwv, uas yog nqa tawm nyob rau hauv cov ntaub ntawv ntawm txoj cai qhov muag raug mob los ntawm sab laug mus rau sab xis, sab laug - txoj cai. Ces tus ntaub qhwv uas nws txo qis los ntawm qhov kev raug mob rau lub taub hau, yog muab nyob rau hauv lub pob ntseg, obliquely los ntawm sab plhu npog lub qhov muag thiab tsau ncig kawg. Kauj ruam rov qab ob peb lub sij hawm, txhua txheej tshiab yuav tsum vov lub yav dhau los ntaub qhwv txog ib nrab

Nyuam rau los ntshav

Los ntshav - ib tug tsis ntawm cov ntshav nyob rau hauv yuam cai ntawm lub sam xeeb ntawm cov hlab ntsha.

Regulations txog hnav khaub ncaws rau los ntshav ntawm ntau hom

zoo los ntshav	piav qhia	feem ntau hnav khaub ncaws
arterial	Cov ntshav yog liab nyob rau hauv cov xim thiab cov muaj ib tug muaj zog pulsating dav hlau	Impact txoj hauj lwm saum toj no lub qhov txhab los ntawm txhais tes, cov xov, los yog ib tug twist ntawm daim ntaub. Hom ntaub qhwv - crushing
venous	Ntshav pleev xim rau hauv qhov tsaus ntuj nti lws suav xim thiab ntws uniformly	Lub puas ib feem ntawm lub cev mus tsa siab dua, mus kom nyob rau hauv cov qhov txhab muaj menyuam tsis taus gauze thiab ntaub qhwv nruj nreem, uas yog yuav tau ua lub siab ntaub qhwv Tourniquet yog thov los ntawm cov hauv qab ntawm lub qhov txhab!
capillary	Ntshav stands tusyees los ntawm tag nrho cov qhov txhab	Thov ib menyaum ntaub qhwv, tom qab uas los ntshav yuav tsum tsis txhob ceev ceev
zoo	Nws combines cov yam ntxwv ntawm yav dhau los hom	Kom ib tug siab ntaub qhwv
Parenchymal (internal)	Capillary los ntshav los ntawm hauv nruab nrog cev	Ua ib tug hnav khaub ncaws siv ib lub hnab yas nrog rau cov nab kuab

General kev cai rau bandaging nrog los ntshav los ntawm ib tug povtseg:

1. Ntaub qhwv tso nyob rau hauv lub povtseg me ntsis saum toj no lub qhov txhab qhov chaw.
2. Ib tug ice pob (tob).
3. Tourniquet ntau stretch.
4. Khi xaus.

Lub ntsiab cai uas tso npe thov lub thaj - ib tug tourniquet muab tso rau khaub ncaws los yog qhia tshwj xeeb uas cog daim ntaub (gauze, phuam, phuam thiab thiaj li nyob).

Nrog rau txoj cai ua, lub los ntshav yuav tsum tau nres, thiab ib qho chaw nyob rau hauv lub sam xauv nees - blanch. Nco ntsoov muab ib tug ntaub qhwv nyob rau hauv qhov kev ceeb toom uas lub hnub thiab lub sij hawm (lub sij hawm thiab feeb) cov ntaub qhwv. Tom qab xub pab neeg yuav tsum tsis txhob ntau tshaj ib 1.5-2 teev kom xa cov raug mob rau lub tsev kho mob, txwv tsis pub tus raug mob povtseg yuav tsis muaj peev xwm cawm.

Regulations imposing ib siab ntaub qhwv

Siab ntaub qhwv yuav tsum tau mus thov kom txo txhua yam ntawm sab nraud los ntshav nyob rau hauv cov qhov chaw ntawm kev raug mob, raws li tau zoo raws li rau txo qhov loj ntawm lub o.

Regulations imposing ib siab ntaub qhwv:

1. Uas nyob ib sab rau ntawm daim tawv nqaij to (txog li ob mus rau plaub cm) kho nrog antiseptic.
2. Yog hais tias lub qhov txhab muaj ib tug txawv teb chaws kwv, lawv yuav tsum tau sai li sai tau ua tib zoo muab tshem tawm.
3. Raws li ib tug hnav khaub ncaws siv ib tug npaj txhij-ua pob ntawm hnav khaub ncaws los yog ib tug menyuam tsis taus lub paj rwb-gauze yob, yog hais tias muaj yog tsis muaj xws li, nws yuav txoj kev ntaub qhwv, ib tug huv khaub hlab, ntswg.
4. Ntaub qhwv tsau mus rau lub qhov txhab siv ib tug ntaub qhwv, scarf, kauv caj dab.
5. Sim ua ib ntaub qhwv kaw ntom nti, tab sis tsis overtighten lub puas cheeb tsam.

Qualitatively superimposed compressive ntaub qhwv yuav tsum nres lub los ntshav. Tab sis yog hais tias nws yuav tseem soaked nyob rau hauv cov ntshav, nws yog tsis tsim nyog los tshem tawm cov nws ua ntej tuaj mus rau lub tsev kho mob. Nws yuav tsum tau cia li kaw ntom nti ua sab saum toj podbintovat yav tas los ntsaws nyob rau hauv ib tug tshiab ntaub qhwv lwm gauze pob.

Nta occlusive cov ntaub qhwv

Occlusive hnav khaub ncaws yog thov kom cov hermetic rwb thaiv tsev puas qhov chaw tiv thaiv kom txhob sib cuag nrog dej thiab huab cua. Nws yog siv rau tob tob heev.

Regulations txog occlusive cov ntaub qhwv:

1. Teem caij rau raug tsim txom nyob rau hauv ib tug hauj lwm zaum.
2. Txheej txheem uas nyob ib sab mus rau lub qhov txhab daim tawv nqaij antiseptic neeg sawv cev (hydrogen peroxide, chlorhexidine, haus dej cawv).
3. Lub qhov txhab thiab cov cheeb tsam surrounding ntawm lub cev ib lub vojvoog ntawm tsib mus rau kaum cm thov antiseptic so.
4. Cov tom ntej no txheej yog thov ib tug water- thiab cua-impermeable khoom (tas muaj menyuam tsis taus sab), piv txwv li, ib lub hnab yas, yas qhwv, rubberized ntaub, roj hmab daim ntawv.
5. Qhov thib peb txheej muaj ib tug paj rwb-gauze los, uas plays lub luag hauj lwm ntawm cem quav.
6. Tag nrho cov khaubncaws sab nraud povtseg yog nruj nreem tas nrog ib tug dav ntaub qhwv.

Thaum overlaying ntaub qhwv yuav tsum nco ntsoov hais tias hais tias txhua tus txheej tshiab ntawm lub hnav khaub ncaws yuav tsum tau ntau dua tshaj yav dhau los 5-10 cm.

Ntawm cov hoob kawm, yog hais tias muaj yog xws li ib tug tau, nws yog ib qhov zoo tshaj plaws los mus siv rau hauv lub IPP - Cov hnav khaub ncaws pob, uas yog ib tug ntaub qhwv daim ntawv nrog ob tug paj rwb-gauze los. Ib tug ntawm lawv yog taag thiab lwm yam kev xyaum dawb do los ntawm nws.

Imposition ntawm aseptic cov ntaub qhwv

Aseptic ntaub qhwv yog thov nyob rau hauv tus neeg mob qhov twg muaj yog ib qho qhib lub qhov txhab thiab koj xav kom tsis txhob mus rau hauv nws cov av thiab txawv teb chaws hais. Qhov no yuav tsum tau tsis tsuas rau txoj kev mus kom cov hnav khaub ncaws, uas yuav tsum muaj menyuam tsis taus, tab sis securely xauv nws.

Regulations txog aseptic cov ntaub qhwv:

1. Kho lub qhov nqaij to nrog tshwj xeeb antiseptic, tab sis nyob rau hauv txhua rooj plaub tsis siv cov dej rau lub hom phiaj no.
2. Muab ncaj qha mus rau qhov kev raug mob gauze, qhov txhab loj tshaj 5 cm, pre-dov nyob rau hauv ob peb khaubncaws sab nraud povtseg.
3. Sab saum toj overlay txheej ntawm ntxeem tau dej paj rwb (yooj yim peelable) uas yog ntau tshaj gauze rau ob mus rau peb centimeters.
4. Nruj nreem txhim kho qhov hnav khaub ncaws siv ib tug kws kho ntaub qhwv los yog nplaum plaster.

Qhov tseeb tiag mas, nws yog zoo dua rau siv tshwj xeeb qhuav aseptic ntaub qhwv. Lawv muaj xws li ib tug txheej ntawm ntxeem tau dej khoom, uas yog heev zoo absorbs ntshav thiab osushivaet mob.

Yuav kom zoo dua tiv thaiv lub qhov txhab los ntawm cov av thiab kab mob, nyob rau hauv tas li ntawd lo paj rwb-gauze ntaub qhwv rau tag nrho cov sab rau ntawm daim tawv nqaij siv nplaum kab xev. Thiab ces kho tag nrho cov ntaub qhwv.

Thaum lub ntaub qhwv kiag impregnated nrog cov ntshav, nws yuav tsum tau ua tib zoo hloov nrog ib tug tshiab: siab los yog tsuas yog lub sab saum toj txheej. Yog hais tias qhov no yog tsis tau, piv txwv li, vim muaj cov tsis muaj lwm muaj menyuam tsis taus hnav khaub ncaws cov khoom siv, nws yuav tau muab lub qhov txhab podbintovat, pre-lubricated soaked ntaub qhwv iodine tincture.

Imposition ntawm cov log tsheb cov ntaub qhwv

Thaum nyob rau hauv cov pob txha lov ua ntej pab tseem ceeb - rau immobilize qhov kev raug mob rau ntawm qhov chaw, uas ua nyob rau hauv txo qhov mob thiab tiv thaiv kom txhob xaav ntawm cov pob txha tawg tsam nyob rau hauv lub neej yav tom ntej.

Lub ntsiab yam tshwm sim ntawm puas:

• Mob heev ntawm qhov chaw ntawm kev raug mob, uas tsis tau kev tso rau ob peb teev.
• Mob poob siab.
• Thaum kaw puas - o, edema, ntaub so ntswg deformation ntawm qhov chaw ntawm kev raug mob.
• Nrog rau kev qhib puas - ib tug mob los ntawm uas ib tug pob txha tawg tsam.
• Limited zog los sis tag tsis muaj thereof.

Basic cai imposing ntaub nplaum rau cov pob txha lov ntawm lub extremities:

1. Cov ntaub qhwv yuav tsum immobilization hom.
2. Nyob rau hauv lub qhaj ntawv ntawm ispetsialnyh log tsheb yuav siv improvised yam: ib tug stick, tus pas nrig, ib tug me me blackboard, kav thiab thiaj li nyob.
3. Yuav kom immobilize tus neeg.
4. Yuav kom siv ob puas fixation log qhwv nrog ib tug mos mos daim ntaub los yog paj rwb.
5. Thov lub log rau tog twg los sab ntawm lub pob txha lov ua, lawv yuav tsum ntes cov pob qij txha saum toj no thiab hauv qab no qhov kev puas tsuaj.
6. Yog hais tias qhov lov yog nrog los ntawm ib tug qhib lub qhov txhab, thiab profuse los ntshav, ces:

• saum toj no qhov lov thiab mob superimposed sam xauv nees;
• lub qhov txhab ntaub qhwv;
• nyob rau sab ntawm lub puas povtseg yog superimposed ob log tsheb.

Yog hais tias peb kom txhua yam ntawm ntaub qhwv tsis ncaj ncees lawm, es tsis txhob ntawm thawj pab, muaj peev xwm ua rau muaj teeb meem rau mus rau lub noj qab haus huv ntawm tus neeg, uas muaj peev xwm ua rau tuag.