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Pierwsza pomoc przy ranach szarpanych

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Ten tekst przeczytasz w 2 min.

Rany szarpane stanowią charakterystyczny typ urazu, który często obarczony jest ryzykiem zakażenia. Z tego względu dobrze jest wiedzieć, jak rozpoznać ranę szarpaną, a także zaopatrzyć ją, zanim poszkodowany otrzyma profesjonalną pomoc medyczną.

Rana jest to uraz, w którym doszło do przerwania ciągłości skóry lub skóry oraz tkanek położonych głębiej. Najczęstszą przyczyną powstawania ran są urazy mechaniczne, które w przypadku ran szarpanych wywoływane są przez zakrzywione lub kanciaste przedmioty o tępej krawędzi. Ich działanie sprawia, że tkanki zostają nadmiernie rozciągnięte, przez co pękają.

Jak wygląda rana szarpana?

Rana szarpana ma nieregularny kształt oraz poszarpane brzegi, które mogą być lekko podwinięte, a także rozciągnięte. Dodatkowo rany szarpane nierzadko obficie krwawią, co stanowić może problem przy udzielaniu pierwszej pomocy.

Rany szarpane – jak udzielić pierwszej pomocy?

Pierwszym krokiem w czasie udzielania pierwszej pomocy przy zabezpieczaniu ran szarpanych powinno być ich odsłonięcie. Można to zrobić poprzez zdjęcie lub rozerwanie odzieży przylegającej uszkodzonego miejsca. Dzięki temu zapobiegniemy łatwiejszemu rozprzestrzenianiu się drobnoustrojów i ułatwimy dostęp do rany.

Rany szarpane często wywoływane są przez przedmioty zanieczyszczone np. smarami lub rdzą (gwoździe, haki), co ułatwia powstawanie zakażenia. Do ich oczyszczenia wystarczy bieżąca woda, jednak dezynfekcja wymaga już użycia odpowiednich środków. Najlepiej wykorzystać produkty o działaniu antyseptycznym o szerokim spektrum działania przeciwdrobnoustrojowego, które jednocześnie nie uszkadzają zdrowych tkanek. Warto wspomnieć, że nie zaleca się do korzystania w tym celu z wody utlenionej, która uszkadza komórki w procesie utleniania.

Po przemyciu i zdezynfekowaniu rany należy zabezpieczyć ją przy pomocy jałowej gazy, którą przymocować można np. bandażem elastycznym. W razie wystąpienia obfitego krwawienia, które ciężko powstrzymać, lepiej jest dokładać kolejne warstwy opatrunku, niż je wymieniać. Zwiększa to ucisk rany, co powinno zatamować krwotok.

Nieregularny kształt urazu sprawia też trudności w czasie jego zabezpieczenia medycznego. Poprzez ubytki w tkankach ciężko jest je ze sobą połączyć przy pomocy szwów, co utrudnia proces gojenia i zwiększa ryzyko pojawienia się blizny.

Niezwykle ważne jest, aby nie usuwać ciała obcego, jeżeli tkwi wciąż w ranie, ponieważ może to wywołać większy krwotok. Przedmiot wystający z rany powinno się umocować np. pomiędzy dwoma zwiniętymi bandażami, tak aby się nie przemieszczał i nie doprowadzał do pogłębienia urazu.

 

Przeczytaj także: Antyseptyki w leczeniu ran. Najważniejsze informacje

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Pielęgniarstwo w Anestezjologii i Intensywnej Opiece”:

Znajomość zasad udzielania pierwszej pomocy przez osoby niesłyszące. Problem komunikacji pomiędzy osobą niesłyszącą a personelem medycznym

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