Для достижения необходимого функционального результата, которого хотят добиться от применения эластического компрессионного бандажа, важно соблюдать следующие требования эластического бинтования нижних конечностей:
Эластическое бинтование необходимо выполнять утром, до подъема с кровати, лучше лежа в постели.
Повязку необходимо накладывать при тыльном сгибании стопы, равномерными витками без складок, чтобы исключить травму кожи при движении.
Повязку всегда необходимо начинать от проксимальных суставов пальцев стопы с обязательным бинтованием пятки и формированием витком бинта т.н. замка, что исключит соскальзывание бинта при ходьбе.
Рулон бинта необходимо раскручивать наружу в непосредственной близости от кожных покровов, что позволит исключить перерастягивание бинта и создание слишком высокой компрессии.
Каждый тур бинта должен перекрывать предыдущий на 30 - 50%.
Для лучшей фиксации эластического бинта на конечности, особенно на бедре, необходимо пользоваться наложением туров бинта попеременно в восходящем и нисходящем направлениях с формированием т.н. елочки.
Проксимальный край компрессии должен на 10-15 см быть выше зоны клапанной недостаточности сегмента конечности.
При наложении эластического бандажа в местах естественной деформации (область лодыжек) формы конечности, необходимо моделировать цилиндрический профиль конечности, используя латексные и поролоновые валики.
При правильно наложенной компрессионной повязке в покое кончики пальцев слегка синеют, а при начале движения восстанавливают свой обычный цвет. После наложения эластической повязки больного просят походить в течение 20—30 минут. Появление онемения пальцев стопы, ощущение пульсации под бинтами, появление болей означают неправильный выбор степени компрессии эластического бандажа и необходимость ее коррекции.
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