‫ﺍﻟﻣﺳﺗﺷﻔﻰ‪:‬‬ ‫ﻧﺷﺭﺓ ﻣﻌﻠﻭﻣﺎﺕ ﻟﻠﻣﺭﻳﺽ‬

‫‪Wound Care‬‬

‫ﺍﻻﻋﺗﻧﺎء ﺑﺎﻟﺟﺭﻭﺡ‬
‫ﺳﺣﺏ ﺍﻟﻐُﺭﺯ‬ ‫ﺍﻻﻋﺗﻧﺎء ﺑﺎﻟﺟﺭﻭﺡ‬
‫ﻻ ﻳﻛﻭﻥ ﺳﺣﺏ ﺍﻟﻐُﺭﺯ ﻋﺎﺩﺓ ﻣﺅﻟﻣﺎً‪ ،‬ﻭﻳﺗﻭﻗﻑ ﻁﻭﻝ ﻣﺩﺓ ﺇﺑﻘﺎء ﺍﻟﻐُﺭﺯ‬ ‫ﻟﻘﺩ ﺗﻡ ﺗﻧﻅﻳﻑ ﺟﺭﺣﻙ ﺍﻵﻥ‪ ،‬ﻭﻓﻲ ﺍﻟﻐﺎﻟﺏ ﺳﺗﻛﻭﻥ ﻫﻧﺎﻙ ﺿﻣﺎﺩﺓ‬
‫ﻋﻠﻰ ﻁﺑﻳﻌﺔ ﺍﻟﺟﺭﺡ ﻭﻣﻛﺎﻧﻪ‪ .‬ﻋﻧﺩﻣﺎ ﻳﻛﻭﻥ ﻫﻧﺎﻙ ﺻﻣﻎ ﻭ‪/‬ﺃﻭ ﻗﻁﻊ‬ ‫ﻋﻠﻳﻪ‪ .‬ﻓﻲ ﺑﻌﺽ ﺍﻟﺟﺭﻭﺡ‪ ،‬ﻳﺗﻡ ﺍﺳﺗﺧﺩﺍﻡ ﻗﻁﺏ )ﻏُﺭﺯ( ﻭﻗﻁﻊ ﺭﻗﻳﻘﺔ‬
‫ﻣﻁﻬﺭﺓ ﻭﻟﻳﺱ ﻏُﺭﺯ‪ ،‬ﻳﻣﻛﻧﻙ "ﺗﺷﺫﻳﺏ" ﻫﺫﻩ ﺍﻟﻘﻁﻊ‪ ،‬ﻟﻛﻥ ﻻ‬ ‫ﻣﻥ ﺷﺭﻳﻁ ﻻﺻﻕ )ﻗﻁﻊ ﻣﻌﻘّﻣﺔ( ﻭﺻﻣﻎ ﺇ ّﻣﺎ ﻭﺍﺣ ٍﺩ ﻣﻧﻬﺎ ﺃﻭ‬
‫ﺗﻧﺯﻋﻬﺎ‪.‬‬ ‫ﻛﻣﺟﻣﻭﻋﺔ‪ .‬ﻭﻗﺩ ﻳﻠﺯﻡ ﺇﻋﻁﺎء ﺣﻘﻧﺔ ﻣﻘﻭﻳّﺔ ﺿﺩ ﺍﻟﻛﺯﺍﺯ ﺇﺫﺍ ﻟﻡ ﻳﻛﻥ‬
‫ﻟﻙ ﺣﻣﺎﻳﺔ ﻛﺎﻓﻳﺔ‪ .‬ﻭﺇﺫﺍ ﻛﺎﻥ ﺗﻡ ﺍﺳﺗﺧﺩﺍﻡ ﻣﺧﺩ ّﺭ ﻣﻭﺿﻌﻲ ﻓﺈﻥ ﺗﺄﺛﻳﺭﻩ‬
‫ﺳﻳﺗﻼﺷﻰ ﺑﻌﺩ ‪ 60 – 30‬ﺩﻗﻳﻘﺔ ﻭﻗﺩ ﺗﺣﺗﺎﺝ ﻻﺳﺗﺧﺩﺍﻡ ﻣﺳ ّﻛﻧﺎﺕ‬
‫ﺃﻣﻭﺭ ﻳﺟﺏ ﺃﻥ ﺗﻔﻌﻠﻬﺎ‬ ‫ﺍﻷﻟﻡ‪.‬‬
‫ﺣﺎﻓﻅ ﻋﻠﻰ ﻧﻅﺎﻓﺔ ﻭﺟﻔﺎﻑ ﺍﻟﺟﺭﺡ‪.‬‬
‫ﺍﺳﺗﺧﺩﻡ ﻣﺳ ّﻛﻧﺎﺕ ﺃﻟﻡ ﺑﺳﻳﻁﺔ‪ ،‬ﻣﺛﻝ ﺍﻟﺑﻧﺎﺩﻭﻝ ﻭﺍﻟﻧﻳﺭﻭﻓﻳﻥ‬ ‫ﺍﻟﺷﻔﺎء‬
‫ﺃﺑﻕ ﺍﻟﺟﺯء ﺍﻟﻣﺗﺄﺛﺭ ﻣﺭﻓﻭﻋﺎ ً‪.‬‬ ‫ﺳﺗﺗﻛﻭﻥ ﺧﺛﺭﺓ ﺩﻣﻭﻳﺔ ﻭﻗﺷﺭﺓ ﻓﻲ ﺍﻟﺳﺎﻋﺎﺕ ﺍﻟـ‪ 24‬ﺍﻷﻭﻟﻰ ﺑﻌﺩ‬‫ّ‬
‫ِ‬ ‫ﺇﺻﻼﺡ ﺟﺭﺣﻙ‪ .‬ﻳﺟﺏ ﻋﺩﻡ ﺗﻧﻅﻳﻔﻬﻣﺎ ﺃﻭ ﻧﻘﺭﻫﻣﺎ ﻷﻧﻬﻣﺎ ﺟﺯء ﻣﻥ‬
‫ﻣﻣﺭﺿﻙ ﺍﻟﻣﻣﺎﺭﺱ‪ ،‬ﺣﺳﺑﻣﺎ ﺃﺷﻳﺭ ﻋﻠﻳﻙ‪،‬‬
‫ّ‬ ‫ﺭﺍﺟﻊ ﻁﺑﻳﺑﻙ ﺍﻟﻌﺎﻡ ﺃﻭ‬ ‫ﻋﻣﻠﻳﺔ ﺍﻟﺷﻔﺎء‪.‬‬
‫ﻹﺯﺍﻟﺔ ﺍﻟﻐُﺭﺯ‪ .‬ﺧﺫ ﻫﺫﻩ ﺍﻟﺑﻁﺎﻗﺔ ﻣﻌﻙ‪.‬‬
‫ﻣﻥ ﻏﻳﺭ ﺍﻟﻁﺑﻳﻌﻲ ﺃﻥ ﻳﺯﺩﺍﺩ ﺍﻷﻟﻡ ﺑﻌﺩ ‪ 24‬ﺳﺎﻋﺔ ﺃﻭ ﺍﻻﺣﻣﺭﺍﺭ ﺃﻭ‬
‫ﺃﻋﻁ ﺍﻟﺟﺭﺡ ﺭﺍﺣﺔ ﻟﻌﺩﺓ ﺃﻳﺎﻡ ﺑﻌﺩ ﺇﺯﺍﻟﺔ ﺍﻟﻐُﺭﺯ‪ .‬ﻭﺑﻌﺩ ﺫﻟﻙ ﻳﻣﻛﻥ‬
‫ِ‬ ‫ﺍﻟﻭﺭﻡ ﺃﻭ ﺍﻟﻘﻲء‪ .‬ﺭﺍﺟﻊ ﻁﺑﻳﺑﻙ ﺍﻟﻣﺣﻠﻲ‪.‬‬
‫ﻟﺗﺩﻟﻳﻙ ﺍﻟﻣﻛﺎﻥ ﺑﻛﺭﻳﻣﺎﺕ )ﺍﺳﺄﻝ ﺍﻟﺻﻳﺩﻟﻲ( ﺃﻥ ﻳﺳﺎﻋﺩ ﻓﻲ ﺗﻁﺭﻳﺔ‬ ‫ﺑﺎﻟﻧﺳﺑﺔ ﻟﺑﻌﺽ ﺍﻟﺟﺭﻭﺡ‪ ،‬ﺧﺻﻭﺻﺎ ً ﺍﻟﺗﻲ ﻋﻠﻰ ﺍﻟﻭﺟﻪ‪ ،‬ﻗﺩ ﻳﻭﺻﻑ‬
‫ﻧﺳﻳﺞ ﻗﺷﺭﺓ ﺍﻟﺟﺭﺡ‪.‬‬ ‫ﻣﺭﻫﻡ ﻛﺟﺯء ﻣﻥ ﺧﻁﺔ ﺇﺩﺍﺭﺓ ﺟﺭﺣﻙ‪.‬‬

‫ﺃﻣﻭﺭ ﻳﺟﺏ ﺍﻻﻣﺗﻧﺎﻉ ﻋﻧﻬﺎ‬ ‫ﺍﻟﺿﻣﺎﺩﺍﺕ‬

‫ﻻ ﺗﺳﺗﺧﺩﻡ ﻣﺣﺎﻟﻳﻝ ﺃﻭ ﻛﺭﻳﻣﺎﺕ ﻣﻁ ّﻬﺭﺓ ﻹﺯﺍﻟﺔ ﺧﺛﺭﺓ ﺍﻟﺩﻡ‪.‬‬
‫ﻻ ﺗﻧﻘﺭ ﻗﺷﺭﺓ ﺍﻟﺟﺭﺡ ﻹﺯﺍﻟﺗﻬﺎ‪.‬‬
‫ﻻ ﺗﻠﻌﺏ ﺑﺎﻟﻐُﺭﺯ‪.‬‬
‫ﻳﺟﻭﺯ ﺍﺳﺗﺧﺩﺍﻡ ﺿﻣﺎﺩﺓ ﻟﺣﻣﺎﻳﺔ ﺍﻟﺟﺭﺡ‪ ،‬ﺗﺑﻌﺎ ً ﻟﻣﻭﻗﻌﻪ‪ .‬ﺳﻳﺧﺑﺭﻙ‬
‫ﺍﻟﻣﻣﺭﺽ ﻋﻥ ﻣﻭﻋﺩ ﺗﻐﻳﻳﺭ ﺍﻟﺿﻣﺎﺩﺓ ﺃﻭ ﻧﺯﻋﻬﺎ‪.‬‬
‫ّ‬ ‫ﻁﺑﻳﺑﻙ ﺃﻭ‬

‫ﻣﺗﻰ ﺗﻁﻠﺏ ﺍﻟﻣﺷﻭﺭﺓ‬

‫ﺇﺫﺍ ﺯﺍﺩ ﺍﻷﻟﻡ ﻓﻲ ﺟﺭﺣﻙ ﺃﻭ ﺇﺫﺍ ﻻﺣﻅﺕ ﺯﻳﺎﺩﺓ ﻓﻲ ﺍﻻﺣﻣﺭﺍﺭ ﺃﻭ ﺍﻟﻭﺭﻡ‪ ،‬ﻋﻠﻳﻙ ﺍﻻﺗﺻﺎﻝ ﺑﻁﺑﻳﺑﻙ ﺍﻟﻌﺎﻡ‬

‫ﺃﻋﺩّﺕ ﻫﺫﻩ ﺍﻟﻧﺷﺭﺓ ‪ ECI‬ﻓﻲ ﺷﺑﺎﻁ‪/‬ﻓﺑﺭﺍﻳﺭ ‪ 2012‬ﻋﻠﻰ ﺃﺳﺎﺱ ﻣﻌﻠﻭﻣﺎﺕ ﻣﺟﻣﻭﻋﺔ ﺷﺑﻛﺔ ﺍﻟﻌﻼﺝ ﺍﻟﻔﻳﺯﻳﺎﺋﻲ ﺍﻟﻣﻧﺑﺛﻘﺔ ﻣﻥ ﺃﻗﺳﺎﻡ ﺍﻟﻁﻭﺍﺭﺉ ﻓﻲ ﻧﻳﻭ ﺳﺎﻭﺙ ﻭﻳﻠﺯ‪.‬‬
‫‪Arabic‬‬ ‫ﻭﻫﻲ ﻣﺗﻭﺍﻓﺭﺓ ﺃﻳﺿﺎ ً ﻓﻲ ﺍﻟﻣﻭﻗﻊ ‪.www.ecinsw.com.au‬‬
 ‫ﻧﺷﺭﺓ ﻣﻌﻠﻭﻣﺎﺕ ﻟﻠﻣﺭﻳﺽ‬

‫ﺍﻻﻋﺗﻧﺎء ﺑﺎﻟﺟﺭﻭﺡ‬
‫ﻣﺎ ﺍﻟﺫﻱ ﺗﻔﻌﻠﻪ – ﻳُﺭﺟﻰ ﺃﻥ ﺗﻁﻠﺏ ﻣﻥ ﻁﺑﻳﺑﻙ ﺃﻭ ﻣﻣ ّﺭﺿﻙ ﺃﻥ ﻳﻣﻸ ﻫﺫﺍ ﺍﻟﺟﺯء‬

‫ﺍﻟﻘﻁﻊ ﺍﻟﻣﻌﻘّﻣﺔ‬ ‫ﺍﻟﺿﻣﺎﺩﺍﺕ‬

‫ﻳﻣﻛﻥ ﺇﺯﺍﻟﺔ ﺍﻟﻘﻁﻊ ﺍﻟﻣﻌﻘّﻣﺔ ﺑﻌﺩ‬ ‫ﻳﺟﺏ ﺇﺯﺍﻟﺔ ﺍﻟﺿﻣﺎﺩﺓ ﺑﻌﺩ‬
‫‪…………………..‬ﺃﻳﺎﻡ‬ ‫‪…………………..‬ﺃﻳﺎﻡ ﺑﻭﺍﺳﻁﺔ‬

‫ﻹﺯﺍﻟﺔ ﺍﻟﻘﻁﻊ ﺍﻟﻣﻌﻘّﻣﺔ ﻳﺟﺏ ﻧﻘﻊ ﺍﻟﺟﺭﺡ ﻓﻲ ﻣﺎء ﺑﺎﺭﺩ ﻣﻊ ﺗﺭﻙ‬ ‫□‬ ‫ﺑﻭﺍﺳﻁﺗﻙ ﺃﻧﺕ‬
‫ﺍﻟﻘﻁﻊ ﺍﻟﻣﻌﻘّﻣﺔ ﻓﻲ ﻣﻛﺎﻧﻬﺎ ﺛﻡ ﺳﻠﺧﻬﺎ ﻋﻥ ﺍﻟﺟﻠﺩ ﺑﺎﻧﺗﺑﺎﻩ‪.‬‬
‫□‬ ‫ﻁﺑﻳﺑﻙ‪/‬ﻣﻣﺭﺿﻙ‬
‫ّ‬ ‫ﺑﻭﺍﺳﻁﺔ‬
‫ﺍﻟﺻﻣﻎ‬
‫ﻻ ﻳﺣﺗﺎﺝ ﺍﻷﻣﺭ ﻹﺯﺍﻟﺔ ﺍﻟﺻﻣﻎ‪ .‬ﺇﺫ ﺃﻧﻪ ﺳﻳﺳﻘﻁ ﻋﻧﺩﻣﺎ ﻳﻠﺗﺋﻡ ﺍﻟﺟﺭﺡ‪.‬‬
‫ﺍﻟﻘﻁﺏ )ﺍﻟﻐُﺭﺯ(‬
‫ﻻ ﺗﻧﻘﺭ ﺍﻟﺻﻣﻎ ﻹﺯﺍﻟﺗﻪ‪.‬‬ ‫ﻟﺩﻳﻙ‪:‬‬
‫ﻋﻧﺩ ﺍﺳﺗﺧﺩﺍﻡ ﺍﻟﻘﻁﻊ ﺍﻟﻣﻌﻘّﻣﺔ ﻭﺍﻟﺻﻣﻎ ﻣﻌﺎ ً ﻳﻣﻛﻧﻙ "ﺗﺷﺫﻳﺑﻬﺎ" ﻟﻛﻥ‬ ‫□‬ ‫ﻏُﺭﺯ ﻳﻣﻛﻥ ﺳﺣﺑﻬﺎ‬
‫ﺃﺗﺢ ﻟﻬﺎ ﺍﻟﻣﺟﺎﻝ ﻟﻠﺗﺳﺎﻗﻁ ﻋﻥ ﺍﻟﺟﺭﺡ ﺑﺫﺍﺗﻬﺎ‪ .‬ﻻ ﺗﻧﻘﻌﻬﺎ ﻭﻻ ﺗﺭﻓﻌﻬﺎ‪.‬‬
‫□‬ ‫ﻏُﺭﺯ ﺗﺫﻭﺏ‬
‫ﻋﻼﺝ ﺁﺧﺭ‬ ‫ﻟﺩﻳﻙ ‪ ………………………....‬ﻏُﺭﺯ‪.‬‬
‫ﻳﺟﺏ ﺇﺯﺍﻟﺔ ﺍﻟﻐُﺭﺯ ﺍﻟﺗﻲ ﻳﻣﻛﻥ ﺳﺣﺑﻬﺎ ﺑﻌﺩ‬
‫ﻣﺿﺎﺩﺍﺕ ﺣﻳﻭﻳﺔ‪……………………………………..‬‬
‫ﻁﺑﻳﺑﻙ‪/‬ﻣﻣﺭﺿﻙ‪.‬‬
‫ّ‬ ‫‪ .................‬ﺃﻳﺎﻡ ﺑﻭﺍﺳﻁﺔ‬
‫ﺗﺳﻛﻳﻥ ﺍﻷﻟﻡ‪……………………………………..‬‬ ‫ﻣﻣﺭﺿﻙ ﺍﻟﻣﻣﺎﺭﺱ ﻹﺯﺍﻟﺔ‬ ‫ﺃﻧﺕ ﻣﺳﺅﻭﻝ ﻋﻥ ﺗﺭﺗﻳﺏ ﻣﻭﻋﺩ ﻣﻊ‬
‫ّ‬
‫ﺍﻟﻐُﺭﺯ‪.‬‬
‫ﻣﺭﻫﻡ………………………………………‬

‫ﺩﻭﺍء ﺁﺧﺭ‪……………………………………...…..‬‬
‫ﺗﻌﻠﻳﻣﺎﺕ‪:‬‬

‫ﻁﻠﺐ ﺍﻟﻤﺴﺎﻋﺪﺓ‪:‬‬
‫ﻓﻲ ﺣﺎﻝ ﻭﺟﻭﺩ ﻁﺎﺭﺉ ﻁﺑﻲ ﺗﻭ ّﺟﻪ ﺇﻟﻰ ﺃﻗﺭﺏ ﻗﺳﻡ‬
‫ﻟﻠﻁﻭﺍﺭﻯء ﺃﻭ ﺍﺗﺻﻝ ﻋﻠﻰ ﺍﻟﺭﻗﻡ ‪.000‬‬

‫)‪Published Oct 2017. Next Review 2025. © State of NSW (Agency for Clinical Innovation‬‬

‫ﺇﺑﺭﺍء ﻣﻥ ﺍﻟﻣﺳﺅﻭﻟﻳﺔ‪ :‬ﻫﺫﻩ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﺍﻟﺻﺣﻳّﺔ ﻫﻲ ﻷﻏﺭﺍﺽ ﺍﻟﺗﻭﻋﻳﺔ ﺍﻟﻌﺎﻣﺔ ﻓﻘﻁ‪ .‬ﺍﺳﺗﺷﺭ ﻁﺑﻳﺑﻙ ﺃﻭ ﺍﻟﻣﺣﺗﺭﻑ ﺍﻟﺻﺣﻲ ﺍﻵﺧﺭ ﺍﻟﺫﻱ ﻳﻘﻭﻡ ﺑﺭﻋﺎﻳﺗﻙ ﻟﻠﺗﺄﻛّﺩ ﻣﻥ ﺃﻥ ﻫﺫﻩ‬
‫ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﻣﻧﺎﺳﺑﺔ ﻟﻙ‪.‬‬