E kamaʻilio e pili ana i nā kāhiko hydrocolloid. ʻO ka mea maʻamau e omo i ka wai ka carboxymethyl cellulose (CMC no ka pōkole). ʻO ka hydrocolloid i kēia manawa he membrane semi-permeable ma waho, kahi hiki ke hana i ka ʻeha airtight, wai ʻole a me nā bacteria-proof, akā hiki iā ia ke ʻae i ka ea a me ka wai wai e komo i loko. ʻAʻohe wai o kāna ʻano. Ma hope o ka hoʻoulu ʻana i ka ʻeha exudate, e hana ia i kahi mea gel-like e uhi ai i ka ʻeha e hoʻomaʻū i ka ʻeha o ka ʻeha, a me ka wai i lawe ʻia i loko o ka momona, Loaʻa i kahi nui o nā enzyme, nā mea ulu a me nā collagen, i ulu ai nā mea granulation mai ka maʻemaʻe hiki i nā ʻeha, a me nā ʻeha me nā mea ʻokiʻoki ke hana i ka debridement autologous. ʻO kēia mea like me ka gel e ʻae pū i ka pale ʻana me ka ʻeha ʻole. ʻO ka hemahema ke komo ka hydrocolloid i ka exudate, e hoʻoheheʻe ʻia ia i loko o kahi jelly turbid jelly, a he ʻaʻala maikaʻi ʻole, kuhihewa pinepine ʻia no kahi abscess a makaʻu e hoʻohana iā ia (kiʻi1). A ʻaʻole ikaika ka hiki ʻana o ka wai i ka wai, e pili wale ana i ka lawe ʻana o ka ʻāpana o ka gauze, no laila hoʻohana pinepine ʻia i nā manawa he nui i ka lā ke hoʻohana ʻia no kahi ʻōpala a i kahi ʻeha hohonu. Hoʻonohonoho ʻia kekahi mau hydrocolloids e like me nā pā huehue a i ʻole nā pākuʻi Bondi e kōkua i nā hanana like ʻole. Ma waena o lākou, ua kapa ʻia ʻo hydrogel hydrogel a me J & J ʻo hydrogel, akā ma ka ʻōlelo Pelekania ʻo ia ʻo Band-Aid Hydro Seal hydrocolloid gel, no laila ua hoʻohālikelike ʻia ia ma ke ʻano me ka lole hydrocolloid. (kiʻi1). Ma hope o ke komo ʻana o ka hydrocolloid i ka exudate, pehu i loko o kahi gel e loaʻa ai ka hopena moisturizing.
E kamaʻilio e pili ana i ka hydrogel, ʻo ia kekahi ʻano polymer hydrophilic compound (i loaʻa ka glycerin a i ʻole ka wai). Hiki i ka pākeneka wai ke kiʻekiʻena 80% -90%. E like me ke ʻano maoli, ua hoʻolālā ʻia e hoʻomūlū i ka ʻeha a palupalu i ka eschar. , A hiki ke hāʻawi i ka momona i nāʻeha maloʻo e kōkua i ka palapū e hana i ka hoʻomaʻemaʻe iā ia iho. Hiki i ke ʻano gel ke lilo i gel mau ʻole (ʻaʻohe kiʻi), ka pepa (ʻaʻohe kiʻi), a i ʻole ka gauze impregnated (e like me ka lole komo IntraSite Conformable), a i ʻole ka gauze impregnated (e like me ka lole IntraSite Conformable). Hiki i ke gel hiki ʻole ke hoʻololi maʻalahi i ka pale gauze pulu, a pono wale nō e hoʻololi i hoʻokahi manawa i ka lā. Loaʻa iā ia ka hopena o ka hāʻawi ʻana i kahi "moisturor donor" moisturizing i kaʻiʻo necrotic. Hiki i ka palupalu a hoʻomaʻemaʻe o ka pahu ke hoʻonui i ka hana o collanginase e hāpai i ka hopena autodebridement. Eia nō naʻe, ma muli o ke kiʻekiʻe o ka wai, pono e mālama ʻia ʻaʻole e hoʻopā i ka ʻili e pale i ke komo ʻana. Pākuʻi ʻia nā hydrogels pepa e hoʻohuli i nā hydrogel hydrophilic polymers i mokuʻāina paʻa. ʻO ka lole lole hydrogel pepa mua i loaʻa i kālepa ʻia no nā ʻeha i ka mōʻaukala i hana ʻia e Geistlich Pharma AG, kahi hui i kapa ʻia ʻo Geistlich Pharma AG. Ua hoʻokumu ʻia ʻo "Geely Bao Geliperm" ma 1977. Loaʻa iā ia he 96% wai, 1% agar, a me 3% polyacrylamide. Hoʻohui ka lua o ka hanauna o Geely Bao Geliperm i ka 35% glycerol, i mea e hoʻonui ai i ka hiki i ka wai i ka wai. No laila, ʻo nā gel a me nā hydrogel dressings (sheet hydrogels) he ʻano hakuʻi like, koe wale nō nā pale hydrogel pepa i loaʻa ka liʻiliʻi o ka wai e kōkua i ka omo ʻana o kahi exudate liʻiliʻi. E like me ka ʻili hana, hiki ke hoʻohana ʻia ia mau mea no ka exudation, a hāʻawi i kahi wahi momona no nā ʻeha. Akā ke omo ia i ka wai, ʻaʻole e hemo ma muli o ka ʻūlū ʻana, a ʻo ka hydrogel e like me ka pepa paʻa i loaʻa kahi "hoʻomaha" a me ka hopena hōʻoluʻolu i ka ʻili, no laila hiki ke hoʻohana ʻia no nā ʻāʻā a me nā ʻeha ʻeha (Inā pono, ma lalo o kekahi mau kūlana, hiki ke hoʻopili ʻia i ke kapa hydrogel flaky i loko o ka pahu hau ma mua, a laila lawe ʻia i waho ke hoʻohana ʻia e hoʻokani i kahi hopena anuanu). Hoʻohui ʻia, hiki ke hoʻohana ʻia e mālama i ka moaʻi a me nā shingles. , A no ka mea aniani moakaka, maʻalahi ke nānā i ka ʻeha. Hoʻohui pinepine kēia ʻano lole pepa i kahi papa o ke kiʻi ʻoniʻoni ʻole i waho e pale i ka nalowale o ka wai, pale i ka gel mai kaomi ʻia ʻana a hoʻonui i kona ikaika liki e pale ai i ka hāʻule ʻana. ʻAʻole hiki i kēia ʻano lole ke komo maikaʻi i ka wai a ʻaʻole hiki ke hoʻohana ʻia no nā ʻeha me ka nui o ka wai a me ka maʻi, inā ʻaʻole maʻalahi e hana i ka hoʻopili ʻana o ka ʻili a puni ka ʻeha, kahi e ʻono ai nā palapū mānoanoa, a i ʻole e hāpai ia i ka ulu ʻana. o nā koʻohune i loko o ka ʻeha i loaʻa. . Wahi a ka puke aʻo, pono kūpono kēia kapa komo hydrogel no nā hōʻeha kūpono ʻole, e like me ke kuni ʻelua kekelē, nā wāwae wāwae diabetic, nā ʻeha ʻeha, a nā ʻeha hoʻi. Inā he wai ka mea hana nui o ka hydrogel e like me ka pale, ke hoʻohana ʻia ia i kahi ʻeha hāmama, pono e ʻokiʻoki e kūpono i ke ʻano o ka ʻeha. Mai hoʻopā i ka ʻili aʻe ma kahi o ka ʻeha e hōʻalo ai i ka infiltration. Eia nō naʻe, inā he glycerin ka mea nui, hiki ke hoʻopili ʻia ka hydrogel e like me ka pale i ka ʻili e pili ana i ka ʻeha. ʻAʻole loaʻa iki ka manawa o ke komo ʻana, akā ʻano laha ʻole kēia ʻano o nā ʻaukā e pili ana i ka glycerin.
No ka mea he nui nā mea maikaʻi o nā pale hydrogel sheet, no ke aha lākou e hoʻohana pinepine ʻole ʻia ai i ka ʻoihana ʻeha a hiki i kēia manawa? Manaʻo wau ʻo ka mea nui ka uku, a nui a hewahewa nā huahana ʻē aʻe (e like me ka pulupulu limu, ka lole hydrocolloid, ka huʻa PU, a pēlā aku.).
Ka manawa Post: Jul-14-2021