সংজ্ঞা
Debridement is the removal of unhealthy tissue from a wound to promote healing. It can be done by surgical, chemical, mechanical, or autolytic (using your body’s own processes) removal of the tissue.
পদ্ধতির কারণ
Debridement is used to clean dead and contaminated material from your wound to aid in healing. The procedure is most often done for the following reasons:
- To remove tissue contaminated by bacteria, foreign tissue, dead cells, or crusting
- To create a neat wound edge to decrease scarring
- To aid in the healing of very severe burns or pressure sores (decubitus ulcers)
- To get a sample of tissue for testing and diagnosis
সম্ভাব্য জটিলতা
Complications are rare, but no procedure is completely free of risk. If you are having a debridement, your doctor will review a list of possible complications, which may include:
- ব্যাথা
- রক্তপাত
- সংক্রমণ
- Delayed healing
- Removal of healthy tissue with mechanical debridement
জটিলতার ঝুঁকি বাড়াতে পারে এমন কারণগুলির মধ্যে রয়েছে:
- সংক্রমণ
- Pre-existing medical conditions
- ধূমপান
- ডায়াবেটিস
- Use of steroid or other immunosuppressive medicines
- কম পুষ্টি উপাদান
- দরিদ্র সঞ্চালন
- ইমিউন ব্যাধি
কি আশা করছ
পদ্ধতির আগে
আপনার ডাক্তার সম্ভবত নিম্নলিখিতগুলি করবেন:
- শারীরিক পরীক্ষা
- Take a measurement of the wound
- Provide pain medicine before changing debridement dressings (for nonsurgical procedures)
Arrange for a ride to and from the procedure
If you will be getting general anesthesia, do not eat or drink anything after midnight the night before the procedure
এনেস্থেশিয়া
Anesthesia may be used for deep pressure ulcers or other wounds. Local anesthesia will numb the area. General anesthesia will allow you to sleep through the procedure.
পদ্ধতির বর্ণনা
The following four methods are often used in combination:
Surgical Debridement
Surgical debridement is done using scalpels, forceps, scissors, and other instruments. It is used if your wound is large, has deep tissue damage, or if your wound is especially painful. It may also be done if debriding your wound is urgent. The skin surrounding the wound will be cleaned and disinfected. The wound will be probed with a metal instrument to determine its depth and locate any foreign matter. The doctor will cut away dead tissue. The wound will be washed out to remove any free tissue. In some cases, transplanted skin may be grafted into place. Sometimes, cutting away the entire contaminated wound may be the most effective treatment.
Chemical Debridement
A debriding medicine will be applied to your wound. The wound will be covered with a dressing. The enzymes in the medicine will dissolve the dead tissue in the wound.
Mechanical Debridement
Mechanical debridement can involve a variety of methods to remove dead or infected tissue. It may include using a whirlpool bath, a syringe and catheter, or wet to dry dressings. Wet to dry dressing starts by applying a wet dressing to your wound. As this dressing dries, it absorbs wound material. The dressing is then remoistened and removed. Some of the tissue comes with it.
Autolytic Debridement
This form of debridement uses dressings that retain wound fluids that assist your body’s natural abilities to clean the wound. This type of dressing is often used to treat pressure sores. This process takes more time than other methods. It will not be used for wounds that are infected or if quick treatment is needed. It is a good treatment if your body cannot tolerate more forceful treatments.
অবিলম্বে প্রক্রিয়া পরে
Samples of the removed tissue may be sent to a lab for examination.
এতে কতক্ষণ সময় লাগবে?
The length of treatment depends on the type of debridement. Surgical debridement is the quickest method. Nonsurgical debridement may take 2-6 weeks or longer.
এটা কতটা আঘাত করবে?
During a surgical debridement, general anesthesia prevents pain during the procedure. When local anesthetic or sedative is given, some patients report discomfort. Often, patients will be sore while recovering from the procedure. Pain medicines may be given to help relieve pain.
Mechanical debridement and chemical debridement often cause pain. Pain medicine can be given before changing the dressing to help manage pain.
গড় হাসপাতালে থাকার
Depending on the reason for the debridement, you may be able to go home on the same day. If you are already in the hospital, this procedure should not extend your stay.
পোস্ট-প্রক্রিয়া যত্ন
ঘরে
It may take the wound many weeks to heal. A specific wound-care program will be suggested to speed your recovery.
- Follow your doctor’s directions for wound care. If you are unsure about any aspect or unable to manage your care, discuss your concerns with your doctor.
- Keep the wound and dressings clean and dry.
- কখন গোসল করা, গোসল করা বা জলে ভিজানো নিরাপদ সে সম্পর্কে আপনার ডাক্তারকে জিজ্ঞাসা করুন।
- Take medicines as ordered. Do not stop medicines early, even if the wound starts to look better.
আপনার ডাক্তারকে কল করুন
আপনি হাসপাতাল ছেড়ে যাওয়ার পরে, নিম্নলিখিতগুলির মধ্যে যেকোনটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the wound site
- Chalky white, blue, or black appearance to tissue around wound
- If general anesthesia was used—cough, shortness of breath, chest pain, or severe nausea and/or vomiting
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।