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足部問題處理方法

發佈日期:2013-11-11
發佈單位:德仁醫院-行政部
平日要平著橫剪趾甲,不要修圓,以免造成傷口引起發炎。
趾甲角太過尖利,可用趾甲銼把腳甲銼滑。
如果視力欠佳,可請家人幫助。

1.陷甲:陷甲不可自行修剪,應由足病診療師代為處理。
2.雞眼與厚皮:不可讓別人或自行切割雞眼及厚皮,應由整形外科醫師處理。不要塗雞眼藥水或貼雞眼膠布,因含有強烈的腐蝕性藥物,除了腐蝕雞眼或硬皮外,還會侵蝕周圍的皮膚而造成潰爛。
3.真菌感染:腳汗多的人,特別容易受真菌感染,所以要常保持腳部乾爽。如患有香港腳,應使用醫生之藥粉撲於鞋內,防止真菌繁殖。腳部如受到菌類感染,須由醫師診治,避免惡化而造成潰爛。
4.腳部損傷:燙傷、割損或擦傷等,必須立即處理。切記不可自己弄破腳部或下肢之水泡,應使用消毒紗布包好。萬一水泡穿破,應小心「處理傷口」如果您有小傷口應如何處理?
 4.1.保持傷口清淨。
 4.2.注意傷口是否有發紅、化膿、潰爛、腫脹等感染現象。
 4.3.如果傷口癒合很慢時,趕緊去找您的醫師治療。
5.何時該去找您的醫師檢查治療?
 5.1.傷口癒合太慢。
 5.2.傷口腫痛。
 5.3.傷口發紅、變黑。
 5.4.長膿。
 5.5.長出雞眼、硬繭。
 5.6.指甲向內長。

6.家中應設有齊備的急救箱並標示處理傷口的步驟:
 6.1.用消毒藥水洗淨傷口及抹乾,然後塗上消毒藥膏,例如:Betadine (優碘)
 6.2.不要用膠布或繃帶緊纏傷口,以免影響血液循環。
 6.3.採用較柔軟紗布遮蓋傷口和貼上紙膠布。
 6.4.必須每天清洗傷口一至二次,更換紗布和小心觀察傷口的進展,如感到痛楚增加或發現傷口紅腫,流膿或顏色轉變(例如瘀黑,就表示傷口惡化),應就醫。
 6.5.遇上嚴重或簡單之損傷,自行處理無效時,應立即聯絡醫生或足病診療師處理。
 6.6.不可自行採用任何藥膏、成藥、山草藥於腳部之任何傷口、雞眼等,以免造成皮膚敏感或潰爛。
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