Anti-gangrenous equine polyvalent purified kua concentrated serum yog siv los kho thiab tiv thaiv roj gangrene. Tom ntej no, xav txog cov lus qhia rau nws siv.
Daim ntawv tshuaj thiab muaj pes tsawg leeg ntawm cov tshuaj kho ntshav
Tshuaj antigangrenous serum yog tsim nyob rau hauv daim ntawv ntawm cov tshuaj rau kev txhaj tshuaj. Cov tshuaj nquag yog antigangrenous antitoxins. Lub excipient yog sodium chloride.
Tshuaj piav qhia thiab qhia
Anti-gangrenous serum yog pob tshab lossis me ntsis opalescent, thiab ntxiv rau, tsis muaj xim lossis nrog cov xim daj me ntsis. Cov kua no tsis muaj sediment.
Dab tsi yog qhov qhia tau rau kev tswj hwm cov tshuaj tiv thaiv kab mob ntshav qab zib? Raws li txoj cai, nws yog siv rau qhov txhab nrog cov ntaub so ntswg. Piv txwv li, kev kho mob yog siv los kho thiab tiv thaiv roj gangrene.
Yuav siv li cas
Nrog rau lub hom phiaj prophylactic, gangrenous antitoxin yog muab intramuscularly sai li sai tau tom qab raug mob. Rau cov hom phiaj tshuaj, cov tshuaj yog siv intravenously, maj mam maj mam, los ntawm drip, feem ntau yog tov nrog sodium chloride tov rau txhaj tshuaj rhuab mus rau peb caug-rau degrees. Serum yog txhaj thawj zaug ntawm tus nqi ntawm 1 milliliter txhua tsib feeb. Thiab ces ncuav 1 milliliter ib feeb.
Cov tshuaj tiv thaiv kab mob qog noj ntshav yuav tsum tau muab los ntawm kws kho mob, lossis cov txheej txheem yuav tsum tau ua raws li nws kev saib xyuas. Tus nqi ntawm cov tshuaj ncaj qha nyob ntawm qhov chaw kho mob ntawm tus neeg mob. Feem ntau, qhov kev kho mob ntau npaum li cas ntawm cov tshuaj antigangrenous therapeutic serum yog 150 txhiab units.
Raws li cov lus qhia rau kev siv tshuaj tiv thaiv kab mob ntshav qab zib, ua ntej nws tau muab tshuaj, tus neeg mob yuav tsum tau mus kuaj intradermal los kuaj tus neeg mob qhov kev nkag siab dav dav rau cov protein. Serum yog txhaj rau hauv ib lub ntim ntawm 0.1 milliliter los ntawm intradermal txoj kev mus rau hauv lub flexor nto ntawm lub forearm. Rau qhov no, ib tug syringe nrog ib tug faib nqi ntawm 0.1 milliliters thiab ib tug nyias koob yog siv. Accounting rau cov tshuaj tiv thaiv yog nqa tawm tom qab nees nkaum feeb. Qhov kev ntsuam xyuas tau pom tias tsis zoo yog tias txoj kab uas hla ntawm qhov liab liab uas tshwm ntawm qhov chaw txhaj tshuaj tsawg dua ib centimeter. Qhov kev ntsuam xyuas pom tau tias qhov zoo yog tias qhov edema nrog liab liab nce mus txog ib centimeter lossis ntau dua hauv txoj kab uas hla.
Yog muajTsis zoo intradermal kuaj, anti-gangrenous ntshav yog txhaj subcutaneously rau hauv cheeb tsam ntawm lub xub pwg nyom sab nrauv los yog mus rau hauv lub subscapular sector nyob rau hauv tus nqi ntawm 0.1 milliliter. Yog tias tsis muaj cov tshuaj tiv thaiv tom qab ib nrab teev, tag nrho cov tshuaj txhaj tshuaj yog txhaj tshuaj intramuscularly rau hauv thaj tsam ntawm lub pob tw sab saud lossis hauv thaj tsam sab hauv ntawm tus ncej puab (yog tias cov tshuaj siv rau prophylactic lub hom phiaj) los yog intravenously (thaum nws los txog rau kev kho mob).
YContraindications
Nws tsim nyog sau cia tias tsis muaj contraindications rau kev siv cov tshuaj no, tab sis txawm li cas los xij, nws yuav tsum tau pom zoo nrog tus kws kho mob. Kev txhaj tshuaj ncaj qha kuj tseem ua tau nrog kev pab los ntawm tus kws tshaj lij.
Gas gangrene
Gas gangrene yog cov txheej txheem sib kis hnyav heev uas tshwm sim los ntawm qhov txhab kis kab mob nrog cov kab mob anaerobic uas nyob hauv av, thiab tseem muaj nyob hauv cov plua plav hauv txoj kev. Cov neeg mob uas muaj qhov txhab loj heev, nrog rau kev sib tsoo loj ntawm cov leeg nqaij thiab cov tsos ntawm cov cheeb tsam uas muaj cov ntshav tsis zoo, tshwj xeeb tshaj yog ua rau cov tsos mob zoo li no.
Gangrene yog ib yam kab mob uas tuaj yeem tshwm sim los ntawm cov kab mob los ntawm pawg Clostridia, uas ib txwm nyob hauv cov hnyuv ntawm herbivores, los ntawm qhov chaw lawv nkag mus rau hauv av, mus rau khaub ncaws, thiab lwm yam. Hauv qee qhov xwm txheej, lawv tuaj yeem pom hauv cov quav, thiab ntxiv rau, ntawm daim tawv nqaij ntawm cov neeg noj qab haus huv. Parasites reproduce nkaus xwb nyob rau hauv ib qho chaw tsis muaj oxygen. Tab sis nyob rau hauv lub xub ntiag ntawm oxygen, lawv muaj peev xwm nyob twj ywm li spores rau lub sij hawm ntev heev. Tom ntej no, cia peb tham txog kev kho mob thiab tiv thaiv cov roj gangrene.
Kev kho mob
Gangrene yog cov necrosis ntawm lub cev nqaij daim tawv, uas yog nrog los ntawm lawv cov lwj. Kev kho tus kab mob no suav nrog kev kho mob xwm txheej ceev nrog rau kev pab kho mob dav dav. Lub qhov txhab yog dav qhib los ntawm txoj kev stripe incisions (dav longitudinal incisions yog ua nyob rau hauv tag nrho cov ntu, ib tug dissection ntawm daim tawv nqaij, nws tus kheej fascia thiab subcutaneous ntaub so ntswg). Tag nrho cov ntaub so ntswg uas tsis siv tau yog excised, lub qhov txhab yog ntxuav nrog ib tug daws ntawm hydrogen peroxide. Yog tias muaj qhov tsis txaus ntseeg ntawm ntu uas nyob ib sab, ib qho kev txiav sawb kuj tau ua.
Cov kab mob yuav tsum tau qhib thiab xoob xoob nrog cov ntaub qhwv ntsej muag hauv cov tshuaj hydrogen peroxide lossis potassium permanganate. Thawj peb hnub, hnav khaub ncaws peb zaug, ces txhua hnub, ib zaug.
Kev txiav txim siab
Nyob rau hauv lub xub ntiag ntawm kev loj hlob sai, kev koom tes ntawm tag nrho cov ntaub so ntswg nyob rau hauv cov txheej txheem thiab cov necrosis ntawm lub limb, amputation los yog disarticulation yog ua. Amputation yog nqa tawm los ntawm txoj kev guillotine, txiav tawm txhua txheej ntawm tib theem. Lub qhov txhab yog sab laug qhib, kab txaij incisions yog ua rau ntawm lub stump. Lub qhov txhab yog tom qab ntawd ntws los siv cov ntaub qhwv ntsej muag hauv cov tshuaj hydrogen peroxide.
Tam sim tom qab kuaj mob, loj heevKev kho infusion siv albumin, plasma, protein thiab electrolyte kua. Nrog kev txhim kho ntawm anemia, kev hloov ntshav yog ua. Cov tshuaj tua kab mob yog siv rau hauv cov koob tshuaj ntau hauv cov hlab ntsha lossis intraarterially. Hauv lub sijhawm postoperative, cov neeg mob tau muab tshuaj kho hyperbaric oxygen. Kev txhaj tshuaj ntawm cov tshuaj antigangrenous yog ua. Thaum cov kab mob raug teeb tsa, raws li txoj cai, cov tshuaj monovalent yog siv. Thiab nrog cov kab mob tsis paub tseeb - polyvalent.
Kev kho thiab tiv thaiv cov roj gangrene yuav tsum tau raws sijhawm thiab ua tiav.
Tiv thaiv kab mob
Lub ntsiab lus tseem ceeb rau kev tiv thaiv cov roj gangrene yog kev siv cov kev kho mob txaus thiab raws sij hawm ntawm qhov txhab ntawm qhov txhab nrog rau kev teem caij tshuaj tua kab mob dav dav. Nyob rau hauv tus txheej txheem ntawm kev ua, tag nrho cov ntaub so ntswg uas tsis siv tau yuav tsum tau excised, thiab nyob rau hauv tas li ntawd, lub hauv qab thiab cov npoo ntawm lub qhov txhab. Nws yuav tsum nco ntsoov tias kev kho tshuaj tua kab mob yog qhov yuav tsum tau ua rau txhua qhov mob hnyav, tshwj xeeb tshaj yog rau cov kab mob hnyav hnyav thiab cov uas nrog rau cov ntaub so ntswg. Kev siv tshuaj tiv thaiv kab mob antigangrenous sera tsis zoo txaus thiab yuav ua rau tus neeg mob tsim kev poob siab anaphylactic.
Cov neeg mob gas gangrene raug cais tawm, lawv tau muab cov chaw saib xyuas neeg mob cais. Raws li rau cov khoom siv hnav khaub ncaws, nws yog tam sim ntawd hlawv, thiab cov twj paj nruag nroglinen raug kho tshwj xeeb. Clostridia spores tuaj yeem ua rau muaj kev kub ntxhov siab heev, nrog rau qhov no, cov cuab yeej yuav tsum tau ua tiav nyob rau hauv cov xwm txheej ntawm kev nce siab hauv chav sterilizer lossis hauv qhov cub qhuav. Txhua txoj kev kho mob yuav tsum tau ua tsuas yog hauv hnab looj tes roj hmab, uas, thaum ua tiav, raug hlawv lossis muab tso rau hauv cov tshuaj tua kab mob (piv txwv li, hauv Lysol, chloramine lossis carbolic acid).
