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
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