Kev hnav khaub ncaws kho mob yog cov ntaub npog qhov txhab, cov khoom siv kho mob siv los npog qhov mob, qhov txhab, lossis lwm yam kev raug mob.Muaj ntau hom kev hnav khaub ncaws kho mob, suav nrog cov ntaub qhwv ntuj, cov khoom siv hluavtaws hluavtaws, cov khaub ncaws polymeric membrane, foaming polymeric hnav khaub ncaws, hydrocolloid hnav khaub ncaws, hnav khaub ncaws alginate, thiab lwm yam. Nws tuaj yeem muab faib ua cov tsoos tsho hnav khaub ncaws, kaw lossis ib nrab-kaw hnav khaub ncaws thiab bioactive dressings.Kev hnav khaub ncaws ib txwm muaj xws li cov ntaub qhwv ntsej muag, cov ntaub hluavtaws hluavtaws, vaseline gauze thiab roj av ciab gauze, thiab lwm yam. Cov khaub ncaws kaw los yog ib nrab kaw feem ntau suav nrog cov ntaub ntawv pob tshab, cov hnav khaub ncaws hydrocolloid, hnav khaub ncaws alginate, hnav khaub ncaws hydrogel thiab ua npuas ncauj.Bioactive dressings muaj xws li nyiaj ion hnav khaub ncaws, hnav khaub ncaws chitosan thiab iodine hnav khaub ncaws.
Kev ua haujlwm ntawm kev kho mob yog los tiv thaiv lossis hloov cov tawv nqaij puas kom txog thaum lub qhov txhab zoo thiab cov tawv nqaij zoo.Nws tuaj yeem:
Tiv thaiv cov khoom siv kho tshuab (xws li av, kev sib tsoo, o, thiab lwm yam), muaj kuab paug thiab tshuaj lom neeg stimulation
Txhawm rau tiv thaiv tus kab mob thib ob
Tiv thaiv kom qhuav thiab tsis muaj dej (electrolyte poob)
Tiv thaiv kom tsis txhob kub
Ntxiv nrog rau kev tiv thaiv kev tiv thaiv ntawm lub qhov txhab, nws tuaj yeem ua rau lub qhov txhab kho qhov txhab los ntawm kev debridement thiab tsim kom muaj microenvironment los txhawb kev kho qhov txhab.
Natural gauze:
(Cov paj rwb ntaub) Qhov no yog qhov ntxov tshaj plaws thiab feem ntau siv hom hnav khaub ncaws.
Qhov zoo:
1) Muaj zog thiab nrawm nqus ntawm qhov txhab exudate
2) Cov txheej txheem ntau lawm thiab kev ua haujlwm yog qhov yooj yim
Qhov tsis zoo:
1) siab permeability, yooj yim rau dehydrate lub qhov txhab
2) Cov nplaum nplaum yuav ua rau muaj kev puas tsuaj thaum nws hloov
3) Nws yog ib qho yooj yim rau cov kab mob nyob rau hauv ib puag ncig sab nraud kom dhau mus thiab muaj feem cuam tshuam txog kev kis kab mob siab
4) Kev siv ntau ntau, hloov pauv ntau zaus, siv sijhawm ntev, thiab cov neeg mob mob
Vim qhov txo qis ntawm cov peev txheej ntuj, tus nqi ntawm cov ntaub qhwv ntsej yog maj mam nce.Yog li ntawd, txhawm rau kom tsis txhob siv ntau dhau ntawm cov peev txheej ntuj, cov ntaub ntawv polymer (synthetic fibers) yog siv los ua cov khaub ncaws kho mob, uas yog hluavtaws fiber ntau.
2. Synthetic fiber ntau hnav khaub ncaws:
Xws li kev hnav khaub ncaws muaj qhov zoo ib yam li cov ntaub qhwv ntsej, xws li kev lag luam thiab kev nqus tau zoo, thiab lwm yam. Ntxiv mus, qee cov khoom siv nws tus kheej nplaum, ua rau lawv yooj yim heev rau kev siv.Txawm li cas los xij, cov khoom lag luam no kuj muaj qhov tsis zoo ib yam li gauze, xws li siab permeability, tsis muaj kev cuam tshuam rau cov pa phem hauv qhov chaw sab nraud, thiab lwm yam.
3. Polymeric membrane hnav khaub ncaws:
Qhov no yog ib hom kev hnav khaub ncaws zoo tshaj plaws, nrog rau cov pa oxygen, dej vapor thiab lwm cov pa roj tuaj yeem tuaj yeem nkag mus tau yooj yim, thaum cov khoom txawv teb chaws nyob hauv ib puag ncig, xws li plua plav thiab kab mob, tsis tuaj yeem hla.
Qhov zoo:
1) Thaiv qhov ntxeem tau ntawm ib puag ncig cov kab mob kom tsis txhob kis kab mob
2) Nws yog moisturizing, thiaj li hais tias lub qhov txhab ntawm lub qhov txhab yog moist thiab yuav tsis lo rau lub qhov txhab ntawm lub qhov txhab, thiaj li tsis txhob rov tshwm sim ntawm mechanical puas thaum lub sij hawm hloov.
3) Self-adhesive, yooj yim rau siv, thiab pob tshab, yooj yim los soj ntsuam qhov txhab
Qhov tsis zoo:
1) Tsis muaj peev xwm nqus ooze
2) Tus nqi qis heev
3) Muaj feem ntau ntawm cov tawv nqaij nyob ib ncig ntawm lub qhov txhab, yog li qhov hnav khaub ncaws zoo li no feem ntau yog siv rau lub qhov txhab nrog me ntsis exudation tom qab kev phais, lossis raws li kev hnav khaub ncaws ntawm lwm yam hnav khaub ncaws.
4. Ua npuas ncauj polymer hnav khaub ncaws
Qhov no yog ib hom kev hnav khaub ncaws ua los ntawm cov khoom siv foaming polymer (PU), feem ntau npog nrog ib txheej ntawm poly semipermeable zaj duab xis, qee qhov kuj muaj nws tus kheej nplaum.Lub ntsiab
Qhov zoo:
1) ceev thiab muaj zog nqus peev xwm ntawm exudate
2) Tsawg permeability kom lub qhov txhab ntawm lub qhov txhab moist thiab tsis txhob rov ua dua txhua yam kev puas tsuaj thaum hnav khaub ncaws hloov
3) Qhov kev ua tau zoo ntawm cov yeeb yaj kiab saum npoo av semi-permeable tuaj yeem tiv thaiv kev cuam tshuam ntawm ib puag ncig granular txawv teb chaws xws li plua plav thiab kab mob, thiab tiv thaiv kev kis kab mob.
4) Yooj yim rau siv, ua raws li qhov zoo, tuaj yeem tsim nyog rau txhua qhov ntawm lub cev
5) Thaum tshav kub kub rwb thaiv tsev kub preservation, tsis sab nraud impulse
Qhov tsis zoo:
1) Vim nws muaj zog nqus tau zoo, cov txheej txheem debridement ntawm qis-degree exudation qhov txhab yuav raug cuam tshuam
2) Tus nqi qis heev
3) Vim yog opacity, nws tsis yooj yim los soj ntsuam lub qhov txhab nto
5. Hydrocolloid hnav khaub ncaws:
Nws cov khoom tseem ceeb yog hydrocolloid uas muaj peev xwm hydrophilic muaj zog heev - sodium carboxymethyl cellulose hais (CMC), hypoallergenic adhesives kho mob, elastomers, plasticizers thiab lwm yam khoom ua ke ua lub ntsiab lub cev ntawm hnav khaub ncaws, nws nto yog ib txheej ntawm semi-permeable poly membrane qauv. .Kev hnav khaub ncaws tuaj yeem nqus tau cov exudate tom qab hu rau lub qhov txhab thiab tsim cov gel kom tsis txhob hnav khaub ncaws ua rau lub qhov txhab.Nyob rau tib lub sijhawm, cov txheej txheem semi-permeable membrane ntawm qhov chaw tso cai rau kev sib pauv ntawm cov pa oxygen thiab dej vapor, tab sis kuj muaj kev cuam tshuam rau cov khoom sab nraud xws li plua plav thiab cov kab mob.
Qhov zoo:
1) Nws tuaj yeem nqus tau exudate los ntawm qhov txhab thiab qee yam tshuaj lom
2) Ua kom lub qhov txhab ntub dej thiab khaws cov tshuaj bioactive tso tawm los ntawm lub qhov txhab nws tus kheej, uas tuaj yeem tsis tsuas yog muab qhov zoo tshaj plaws microenvironment rau kev kho qhov txhab, tab sis tseem ua kom cov txheej txheem ntawm qhov txhab zoo.
3) Cov nyhuv debridement
4) Gels yog tsim los tiv thaiv cov hlab ntsha tawg thiab txo qhov mob thaum hloov khaub ncaws yam tsis ua rau muaj kev puas tsuaj rau txhua yam.
5) Self-adhesive, yooj yim siv
6) Kev ua tau zoo, cov neeg siv xav tau kev nplij siab, thiab qhov muag tsis pom
7) Tiv thaiv kom tsis txhob muaj kev cuam tshuam ntawm sab nraud granular txawv teb chaws lub cev xws li plua plav thiab kab mob, hloov hnav khaub ncaws tsawg dua lub sijhawm, txhawm rau txo qis kev siv zog ntawm cov neeg ua haujlwm laus.
8) Cov nqi tuaj yeem txuag tau los ntawm kev ua kom lub qhov txhab zoo
Qhov tsis zoo:
1) Lub peev xwm nqus tau tsis muaj zog heev, yog li rau cov qhov txhab exudative heev, lwm yam kev pabcuam kev hnav khaub ncaws feem ntau xav tau los txhim kho lub peev xwm nqus.
2) Cov khoom lag luam siab
3) Cov neeg mob ib leeg tuaj yeem ua xua rau cov khoom xyaw
Nws tuaj yeem hais tias qhov no yog ib hom kev hnav khaub ncaws zoo tshaj plaws, thiab ntau xyoo ntawm kev kho mob hauv cov teb chaws txawv teb chaws qhia tau hais tias kev hnav khaub ncaws hydrocolloid muaj txiaj ntsig tshwj xeeb rau cov qhov txhab mob ntev.
6. Alginate hnav khaub ncaws:
Alginate hnav khaub ncaws yog ib qho kev hnav khaub ncaws kho mob tshaj plaws.Lub ntsiab tivthaiv ntawm alginate hnav khaub ncaws yog alginate, uas yog ib tug natural polysaccharide carbohydrate muab rho tawm los ntawm seaweed thiab ib tug natural cellulose.
Alginate kev kho mob hnav khaub ncaws yog ib qho kev hnav khaub ncaws ua haujlwm nrog kev ua haujlwm siab ntawm alginate.Thaum cov yeeb yaj kiab kho mob tuaj rau hauv kev sib cuag nrog lub qhov txhab exudate, nws tsim cov gel mos uas muab qhov chaw zoo tagnrho rau kev kho qhov txhab, txhawb lub qhov txhab kho thiab txo qhov mob.
Qhov zoo:
1) Muaj zog thiab ceev muaj peev xwm nqus tau exudate
2) Gel tuaj yeem tsim los ua kom lub qhov txhab ntub thiab tsis lo rau ntawm qhov txhab, tiv thaiv cov hlab ntsha tawg thiab txo qhov mob.
3) Txhawb kev kho qhov txhab;
4) tuaj yeem ua biodegradable, ua haujlwm zoo ib puag ncig;
5) Txo cov caws pliav;
Qhov tsis zoo:
1) Feem ntau cov khoom tsis yog nws tus kheej-nplaum thiab yuav tsum tau kho nrog kev hnav khaub ncaws
2) Tus nqi qis heev
• Txhua qhov kev hnav khaub ncaws no muaj nws qhov zoo thiab qhov tsis zoo, thiab txhua tus ntawm lawv muaj nws tus kheej cov qauv rau kev siv thaum lub sij hawm tsim khoom kom ntseeg tau tias muaj kev nyab xeeb ntawm kev hnav khaub ncaws.Cov hauv qab no yog cov qauv kev lag luam rau ntau yam kev hnav khaub ncaws kho mob hauv Suav teb:
YYT 0148-2006 Cov kev cai dav dav rau cov ntaub nplaum kho mob
YYT 0331-2006 Kev ua tau zoo thiab kev sim cov txheej txheem ntawm nqus cov paj rwb thiab nqus cov paj rwb viscose blended gauze
YYT 0594-2006 Cov kev cai dav dav rau kev phais gauze dressings
YYT 1467-2016 Kev kho mob hnav khaub ncaws pab ntaub qhwv
TS EN 0472.1-2004 Cov kev sim rau kev kho mob nonwovens - Ntu 1: Nonwovens rau kev tsim cov compresses
TS EN 0472.2-2004 Kev sim cov txheej txheem rau kev hnav khaub ncaws tsis-woven - Ntu 2: Kev hnav khaub ncaws tiav
TS EN 0854.1-2011 100% paj rwb nonwovens - Kev ua tau zoo rau kev hnav khaub ncaws phais - Ntu 1: nonwovens rau hnav khaub ncaws ntau lawm
TS EN 0854.2-2011 Txhua cov paj rwb nonwovens phais kev hnav khaub ncaws - Kev xav tau - Ntu 2: Kev hnav khaub ncaws tiav
YYT 1293.1-2016 Tiv tauj cov khoom siv ntsej muag - Ntu 1: Vaseline gauze
YYT 1293.2-2016 Tiv tauj cov ntaub qhwv qhov txhab - Ntu 2: Polyurethane ua npuas ncauj hnav khaub ncaws
YYT 1293.4-2016 Tiv tauj cov ntaub qhwv qhov txhab - Ntu 4: Hydrocolloid hnav khaub ncaws
YYT 1293.5-2017 Tiv tauj cov ntaub qhwv qhov txhab - Ntu 5: Alginate hnav khaub ncaws
YY/T 1293.6-2020 Tiv tauj cov ntaub qhwv qhov txhab - Ntu 6: Mussel mucin hnav khaub ncaws
TS EN 0471.1-2004 Kev sim cov txheej txheem rau kev sib cuag lub qhov txhab - Ntu 1: kua absorbability
TS EN 0471.2-2004 Kev sim cov txheej txheem rau kev sib cuag lub qhov txhab - Ntu 2: Dej vapor permeability ntawm permeable membrane hnav khaub ncaws
TS EN 0471.3-2004 Cov kev sim rau kev sib cuag lub qhov txhab - Ntu 3: Dej tsis kam
YYT 0471.4-2004 Cov kev sim rau kev sib cuag lub qhov txhab - Ntu 4: kev nplij siab
YYT 0471.5-2004 Kev sim cov txheej txheem rau kev sib cuag lub qhov txhab - Ntu 5: Bacteriostasis
YYT 0471.6-2004 Kev sim cov txheej txheem rau kev sib cuag lub qhov txhab - Ntu 6: Kev tswj tsis hnov tsw
TS EN 14771-2016 Tus qauv ntsuas tus qauv rau kev ntsuas kev ua haujlwm ntawm kev sib cuag lub qhov txhab - Ntu 1: Cov qauv hauv vitro lub qhov txhab rau kev ntsuas kev ua haujlwm tiv thaiv kab mob
TS EN 1477.2-2016 Tus qauv ntsuas tus qauv rau kev ntsuas kev ua tau zoo ntawm kev sib cuag lub qhov txhab - Ntu 2: Kev ntsuam xyuas ntawm qhov txhab kho qhov ua tau zoo
TS EN 1477.3-2016 Tus qauv ntsuas tus qauv rau kev soj ntsuam kev ua haujlwm ntawm kev sib cuag lub qhov txhab - Ntu 3: Cov qauv hauv vitro qhov txhab rau kev ntsuas kev ua haujlwm ntawm cov kua dej
TS EN 1477.4-2017 Cov qauv ntsuas tus qauv rau kev soj ntsuam kev ua haujlwm ntawm kev sib cuag lub qhov txhab - Ntu 4: Cov qauv hauv vitro rau kev ntsuas qhov muaj peev xwm adhesion ntawm cov ntaub qhwv lub qhov txhab
TS EN 1477.5-2017 Tus qauv ntsuas tus qauv rau kev ntsuas kev ua haujlwm ntawm kev sib cuag lub qhov txhab - Ntu 5: Cov qauv hauv vitro rau kev ntsuas kev ua haujlwm hemostatic
Standard test qauv rau kev soj ntsuam ntawm kev ua tau zoo ntawm kev sib cuag lub qhov txhab - Ntu 6: Tsiaj qauv ntawm refractory qhov txhab nrog hom 2 mob ntshav qab zib rau kev ntsuam xyuas ntawm lub qhov txhab kho mob txhawb kev ua tau zoo
Lub sij hawm xa tuaj: Plaub Hlis-04-2022