๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
SCALP WOUND CARE
SCALP WOUND CARE
Second intention wound management is a common and important option for scalp wounds. Overzealous wound care may lead to interference with the natural healing process or may be overly burdensome to the patient or their family. Occlusive wound care promotes rapid wound healing, especially when initiated immediately and continued for the first 24 to 48 hours, and augments the inflammatory phase of wound healing while speeding the transition to the proliferative phase of healing.10 Moist occlusion with an ointment base, covered by nonstick gauze dressing is preferred, and facilitates marginal reepithelialization. Consider the use of an antibiotic ointment if the wound is expected to take longer than 1 month to heal, though yeast colonization may occur which can be easily treated with twice-weekly anticandidal topicals. After 2 or more weeks, hydrocolloid dressings such as DuoDerm may help to optimize hygiene
while diminishing the frequency of dressing changes and the trauma associated with dressing removal on the newly reepithelializing wound. Hydrocolloid dressings can remain in place for up to 1 week. Permitting warm tap water to flow over the wound is a gentle way to clean and dรฉbride the wound bed.