如何在負壓傷口療法中 保護極度敏感的皮膚?
對於皮膚癌手術後的傷口, 我很少開立藥膏給病人,大部分是開敷料。
傳統藥膏換藥方式是要把舊的藥膏清潔掉,再塗上新的藥膏,用紗布覆蓋,再用紙膠固定。
小傷口這樣用是無妨,但常見狀況是:病人剛開完刀頭昏腦脹,聽完護士解釋複雜的換藥方式,拿到制式醫院印製換藥單一張,還是不太清楚到底怎麼換藥。
回來門診的時候層層疊疊藥膏混在一起,貼紙膠處發紅敏感,都是常碰到的情況。
對大且深,分泌物很多的傷口,我們常運用負壓輔助傷口療法,因為會持續對傷口產生負壓,所以可以減少滲液,減少局部水腫並刺激肉芽組織生長。
問題是,傷口周圍正常的皮膚,也同時一直被負壓吸著,該怎麼保護這圈皮膚?
我們比較常用的是用人工皮(hydrocolloid dressing)貼起來,讓皮膚不會直接被吸住,但還是有些少數皮膚很敏感的人,即使貼人工皮的地方都還是紅腫,人工皮也被吸的軟爛而黏在皮膚上。
現在對這樣的超敏感皮膚 我會用水凝膠敷料(hydrogel dressing)取代人工皮,先保護周圍皮膚,再裝負壓機器。我用的是德國Hartmann的水凝膠,跟人工皮一樣很服貼皮膚不會讓負壓洩露,但同時還會給皮膚水分,讓正常皮膚不會被吸到太乾。
同樣10x10大小,人工皮70元,水凝膠320元,但我覺得 如果病人皮膚連人工皮都不耐受,改善病人術後傷口舒適度,無價!
#皮膚專科
#負壓傷口療法
#hydrogel
#傷口
同時也有1部Youtube影片,追蹤數超過3萬的網紅Grannyshidae - Bà Ngoại Ăn Chơi,也在其Youtube影片中提到,Các sản phẩm trong video: - Make Up For Ever Step 1 Hydrating primer & Smoothing primer - Etude House Play 101 Stick contour duo: http://www.stylekore...
hydrogel dressing 在 Grannyshidae - Bà Ngoại Ăn Chơi Youtube 的精選貼文
Các sản phẩm trong video:
- Make Up For Ever Step 1 Hydrating primer & Smoothing primer
- Etude House Play 101 Stick contour duo:
http://www.stylekorean.com/shop/etude-house-play-101-stick-contour-duo/1454575958/
- Innisfree Water fit cushion & Cover stamping puff
- 3 Concept Eyes Full cover concealer:
http://www.stylekorean.com/shop/3-concept-eyes-full-cover-concealer-002-for-face-5ml/143096299290/
- Bisous Bisous The White Queen Glutathione pact
- Daiso eyebrow pencil
- L' Oréal brow artist
- Etude House browcara
- Beauty People Miss 100 Super waterproof gel eyeliner màu Glimmer Burgundy:
http://www.stylekorean.com/shop/beauty-people-miss-100-super-waterproof-gel-eyeliner-glimmer-burgundy/1454390543/
- Urban Decay Naked 3 eyeshadow palette
- Maybelline Master glaze blush stick màu Make a mauve
- Tony Moly Backstage gel eyeliner màu Black:
http://www.stylekorean.com/shop/tonymoly-backstage-gel-eyeliner-black/1855/
- Innisfree Skinny waterproof microcara:
http://www.stylekorean.com/shop/innisfree-skinny-waterproof-microcara/1470212548/
- Bobbi Brown brow powder
- MUA blusher màu Cupcake
- Missha M matte lipstick
- Papa Recipe Bombee honey mask:
http://www.stylekorean.com/shop/bombee-honey-mask-1-sheet-mask/1457334463/
- Claire's Guerrison 9 complex horse oil hydrogel gold mask
http://www.stylekorean.com/shop/claire-s-guerisson-9-complex-horse-oil-hydrogel-gold-mask-6x25g-0.881oz/1443076827/
- Medihel Line Friends P.D.F AC dressing mask:
http://www.stylekorean.com/shop/mediheal-line-frennds-p.d.f-ac-dressing-mask-25ml-x-10ea/1459905409/
- Heimish All clean balm:
http://www.stylekorean.com/shop/heimish-all-clean-balm-120ml/1457679526/
Nếu các cậu thấy video này hữu ích, hoặc đơn giản là thấy thích thì hãy bấm nút like/thích, nếu cảm thấy kênh này có "triển vọng" thì hãy nhấn subscribe/đăng kí, nếu muốn chia sẻ/thắc mắc/đóng góp ý kiến hay gợi ý cho các video sắp tới hãy comment bên dưới video này. Sự ủng hộ của các cậu dù nhỏ nhất cũng sẽ giúp tớ có động lực để phát triển kênh.
-----------------------------------------------------
Blog:
http://karedlipstick.blogspot.com/
Facebook page:
https://www.facebook.com/karedlipstick
Instagram: http://instagram.com/karedlipstick
Snapchat: karedlipstick
![post-title](https://i.ytimg.com/vi/SOn52NoTLPs/hqdefault.jpg)