Еще с давних времен люди привыкли все перевязывать для более быстрого заживления ран. Эластичный бинт на колено — один из этих средств. Ниже мы разберем, чем же он отличается от других бинтов и для чего он нужен.
Что же такое эластичные бинты и для чего они нужны? Как только изобрели бинты, их стали разделять на антисептические и доантисептические. Предшественником эластичного бинта была вязаная повязка, которая выполняла те же функции, что и современный «резиновый» бинт. Такие бинты созданы для многократного использования, потому как не предназначены для открытых ран.
Порядок наложения эластичного бинта на колено
В большинстве случаев повязка накладывается на колено в связи с повреждением или чрезмерной нагрузкой на сустав или после перенесенной операции. Иногда спортсмены, в частности атлеты перед тренировкой или соревнованием, обматывают колено для предупреждения травм. Потому как во время атлетической нагрузки основной «удар» приходится на коленный сустав. И для его сохранности можно заранее забинтовать и зафиксировать колено.
Итак, инструкция гласит, что наносить повязку нужно, следуя четким предписаниям. Процесс наложения повязки на колено:
- Прежде всего нужно купить бинт в аптеке или в спортивном магазине. Продавцы могут предложить бинты с разными застежками, следует выбирать по собственному вкусу.
- Следует сесть так, чтобы нога была в расслабленном положении.
- Рулон нужно держать в одной руке, а свободный его конец — в другой. Далее следует приложить свободный конец позади колена, чуть ниже чашечки. Край бинта должен следовать линии складки под коленом.
- Далее нужно перебинтовывать ногу, перекрывая свободный конец. Каждый новый слой должен чуть-чуть заграждать предыдущий. Для большего удобства и ровной повязки нужно слегка натягивать бинт, но не слишком туго, чтобы не нарушить циркуляцию крови.
- Когда покончено с нижней частью колена, следует переходить на верхнюю. Все производится таким же образом, но нужно следить за равномерным покрытием бинта.
- После окончания всех манипуляций с заматыванием нужно закрепить оставшийся конец бинта. Это можно сделать специальными замочками или просто подоткнуть конец под какой-либо слой.
- После этого нужно перебинтовать другую ногу по той же схеме.
- Для удобства следует проверить, не жмет ли повязка и не стесняет ли она движений. Для этого можно несколько раз присесть или согнуть ноги. Если завязано слишком туго, лучше немного расправить, иначе потом будет неудобно.
Правила использования бинтов
Когда получены навыки того, как правильно бинтовать суставы или места травм, можно ознакомиться с рядом советов о том, как и в каких случаях использовать эластичный бинт на колено.
- Бинтовать нужно в расслабленном состоянии. Если случилась травма ног, то лучше повязку накладывать в постели с утра.
- Эластичную повязку нужно накладывать равномерно, потому что могут случиться микротравмы кожи.
- Для того чтобы избежать несвоевременного растяжения бинта, требуется раскрывать его только наружу и поблизости от кожи.
- Каждый уровень повязки должен перекрывать предыдущий на 20-50%.
- По мере окончания бинтования следует немного ослаблять затянутость.
- Зона бинтования должна быть немного больше чем зона травмы (10-15 см).
- Следует выбросить негодные бинты, которые потеряли свои резиновые свойства.
- Бинты можно накладывать после разогрева мышц (разминка или специальная мазь).
- Во время тренировки в спортзале использовать бинты нужно только при работе с тяжелым весом. В остальных случаях — это лишнее и никакой пользы не принесет.
- Опять же, в спортзале между подходами силовых упражнений лучше разбинтовывать ногу, чтобы кожа дышала.
Побочные эффекты
При слишком частой и тугой повязке может произойти повреждение внутренней поверхности чашечки.
Если бинт завязать очень туго, то это приведет к чрезмерному трению двух костных поверхностей.
По тем же причинам может повреждаться и мышечная ткань. Поэтому нужно быть очень осторожным при проведении таких процедур.
Иногда чрезмерно частое применение бинтов чревато психологической зависимостью. Это касается спортсменов, которые занимаются силовыми тренировками в спортивных залах с тренажерами. Иногда человек настолько привыкает к работе с бинтами, что после этого он уже не может выполнить упражнение, пока не завяжет бинт. Хотя повязка это всего лишь мера предосторожности, кто-то может подумать, что без него что-либо сломается или не получится.
Рекомендации по выбору эластичного бинта
Прежде чем купить бинт, стоит ознакомиться с некоторыми рекомендациями на этот счет:
- лучше посоветоваться со специалистом;
- нужно обратить внимание на растяжимость (смотря какая травма);
- выгоднее выбирать фирму, которая уже зарекомендовала себя на рынке (так вы сэкономите на долгой службе бинта);
- в зависимости от полученной травмы, потребуется разная длина эластичного бинта;
- если «тугую» повязку назначил врач, то он должен и уточнить, какой именно бинт нужно приобрести.
Эластичный бинт намного выгоднее и удобнее в отличие от обычного медицинского бинта. Во-первых, прорезиненный бинт можно намотать и во второй раз, когда обычный бинт растягивается и деформируется уже после первого использования, хотя и стоит дешевле, но прослужит гораздо меньше чем эластичный.
Эластичный бинт обладает очень полезными свойствами. Особенно он помогает спортсменам, поскольку те очень часто травмируются (растяжение, ушиб, вывих или просто боль в суставах). При растяжении бинт очень хорошо фиксирует больное место и не дает возможности для лишних движений. Такой бинт имеет также способность согревать, так что перед тем, как замотать пораженное место, можно втереть разогревающую мазь, эффект которой усилит «повязка».
Виды эластичных бинтов
Бинты бывают разные по ширине, длине и по степени растяжения. Перед покупкой необходимо тщательно изучить разновидность бинтов:
- Низкая растяжимость (30-100%) создана для лечения хронических проблем с венами, таких как: венозная недостаточность, тромбоз глубоких вен. Очень удобные для оказания первой помощи, когда нужно сразу же наложить долгосрочную повязку. Дают прочную фиксацию дополнительных средств на пораженном участке без проявления какого-либо дискомфорта.
- Средняя растяжимость (100-150%) используется для лечения варикоза, заболевания с трофическими и послефлебитными синдромами. Очень эффективна для поддержания ткани после снятия гипса и проведения компресссионной склеротерапии.
- Высокая растяжимость (150 и более %) применяется для менее тяжелой степени варикоза, для лечения послефлебитных болезней. Очень удобна после операции при отеках, для поддержки суставов после травм и операциий, для больных, находящихся в постельном режиме.
Чем можно заменить бинт
Для большего удобства и фиксации придумали специальные наколенники. Они подразумевают облегченную «перевязку», то есть просто надеть — и все. Магазины, которые специализируются на продаже такого рода средств предлагают специальные бандажи со вставными ребрами для регуляции жесткости фиксации.
В большинстве случаев специальные наколенники выполняют те же функции, что и эластичный бинт. Они поддерживают сустав, помогают понизить болевой синдром и уменьшить уровень отека. Существуют также специальные бандажи с ортопедическими свойствами.
Усиленные наколенники используются в таких случаях:
Наколенники, все-таки, имеют небольшое преимущество перед простой эластичной повязкой: они отличаются возможностью предупреждать атрофию мышц и гарантируют свободу конечностей. Они улучшают циркуляцию крови и тем самым положительно воздействуют на травмированный сустав или наоборот выступают в качестве меры профилактики.
В любом случае, выбор за вами. Многие спортсмены используют наколенники из-за удобства и быстроты их применения, а некоторые до сих пор пользуются эластичным бинтом. Свое предпочтение нужно отдавать средству, которое удобнее именно для индивидуальных потребностей и особенностей. Эластичный бинт на колено — это более выгодное средство для профилактики, когда бандаж — это уже более серьезное, с сильным ортопедическим воздействием средство.
Эластичные бинты в медицине применяются достаточно часто, но многие не знают весь спектр применения. Попробуем разобраться, что собой представляют эластичные бинты, какие они бывают, зачем необходимы, и рассмотрим различные виды.
Эластичные бинты как ортопедическое изделие
Эластичные бинт – специальный медицинский бинт, в его ткань вплетены специальные резиновые нити. Благодаря подобной структуре данное изделие имеет широкий спектр применения, в отличие от обычных марлевых бинтов.
Существует и второе название – гипсовый бинт, хотя название встречается реже. Гипсовым бинт называют потому, что в ходе использования не редко он выполняет функции гипса. Хотя полностью заменить гипс нельзя, принцип действия остается похожим.
Болят суставы ? — Этот крем способен “поставить на ноги” даже тех, кому несколько лет больно ходить. .
Для чего нужен эластичный бинт?
Большинство считает, что данное медицинское изделие используется в узких сферах медицины.
На самом деле существует достаточно много сфер использования:
- Лечение и профилактика венозных заболеваний. Например, варикозное расширение вен. Период использования дооперационный и послеоперационный.
- Профилактика и лечение спортивных травм. Изделие предназначено для фиксации суставов и мягких тканей при травмах. Примером травмы может быть растяжение, разрыв связок, вывих и многое другое. В зависимости от вида травмы применяются различные виды эластичных бинтов.
- Предотвращение образования гематом и удержание эндопротезов в стабильном состоянии при пластических операциях.
Как правильно использовать бинт?
Разберем перечень основных особенностей использования и постараемся ответить на самые популярные вопросы пациентов:
- Использовать по назначению врача. Рекомендуется узнавать у специалистов стоит накладывать подобную повязку в конкретной ситуации, какую выбрать, как правильно накладывать. В ряде ситуаций самолечение может навредить.
- Длительность использования зависит от целей наложения повязки. Если это послеоперационный период, то её убирают через 4-5 суток. Если повязку накладывают вследствие травмы, то период может составить несколько недель.
- Эластичные бинты на ночь снимать можно и нужно. Это помогает избежать отечности, и помогает коже начать «дышать». Практически всегда рекомендуется снимать повязки на ночь.
- Запрещено снимать повязку, только если повязка наложена для остановки кровотечения, в послеоперационные периоды и тому подобное. В данных случаях медицинские работники обязательно об этом сообщает. Если при снятии повязки ничего не произойдет (например, пациент её носит после растяжения), то рекомендуется спать без неё.
- Эластичный бинт накладывается по утрам. Для пациента подобная процедура должна быть такой же привычной и обязательной, как например, почистить зубы. Проснуться, наложить повязку, а после идти заниматься остальными делами.
Как правильно завязывать бинт?
Рассмотрим пошаговую инструкцию и ряд основных рекомендаций:
- Если бинтовать необходимо ноги, то делать это следует с утра, не вставая с постели в положении сидя. В этот период времени отечность нижних конечностей минимальна, так как ночью на них нет никакой нагрузки.
- Бинт накладывается равномерно и без складок. Различные складки и изгибы повредить кожу при движении, создать дополнительную отечность, и могут приносить постоянный дискомфорт. Лучше потратить больше времени, но зафиксировать повязку равномерно и без складок.
- На ногах эластичный бинт накладывается, начиная от суставов пальцев. Далее следует завязать пятку и переходить на голень. Такой способ поможет избежать сползания и обеспечит максимальный эффект, позволит закрепить всю перевязку надежно.
- На руках эластичный бинт изначально обматывается вокруг запястья, после вокруг большого пальца, а только потом переходит на ладонь.
В случаях, когда необходимо сделать бинтование корпуса, все немного сложнее. Обычно подобное необходимо в результате серьезных травм, ушибов или после операций. В таких случаях пациентов учат накладывать повязку врачи или медсестры.
Общие рекомендации по наложению эластичного бинта:
- Изначально бинт должен быть свернут в рулон. При накладывании рулон разворачивается наружу (данное условие выполнять обязательно) в близости от кожи. Делать это следует, чтобы не перетянуть повязку в некоторых местах, либо наоборот ослабить её. Если все делать в близости с кожей, то натяжение контролировать легче.
- Каждый новый виток бинта перекрывает предыдущий на 30-50%. Это помогает лучше фиксировать и перемотать необходимую область. Если подобного не делать, то натяжение будет неравномерным, а как следствие необходимый эффект не будет достигнут.
- Повязка всегда накладывается не только на место повреждения, но и поблизости. Например, если было травмировано ахиллово сухожилие, то перематывать следует не только область, где ощущается самая сильная боль, желательно начать со стопы и дойти почти до середины голени, чтобы перевязать все сухожилие.
- Обычно рекомендуется наматывать повязку на 10-15 сантиметров выше и ниже больной зоны.
- Если бинтуется нога, то стопу нужно обматывать под прямым углом по отношению к голени.
Если эластичный бинт наложен правильно, то по завершению процедуры должно присутствовать небольшое онемение, а иногда посинение (речь идет о пальцах). Подобное нормально и проходит в первые 15-20 минут. Если чувство не пропадает, процедуру нужно повторить, повязка слишком перетянута.
Колено имеет сложное строение, позволяющее человеку двигаться. На него приходится максимальная нагрузка, и оно травмируется чаще остальных. Чтобы снизить риск получения повреждения и уменьшить клинические проявления уже развившейся патологии, замедлить ее прогрессирование врачи рекомендуют бандажи на коленный сустав — ортопедические приспособление, плотно облегающие колено и фиксирующие его в анатомическом положении.
Показания
Надевать коленный бандаж советуют с терапевтической и профилактической целью различных повреждений суставно-связочного аппарата. Особенно они необходимы людям, ведущим активный образ жизни из-за большой вероятности травматизма.
Доктора выписывают бандаж для коленного сустава:
- Для снижения риска повреждения и патологий при чрезмерных нагрузках на здоровые колена:
- людям, занимающимся спортом;
- представителям тех профессий, у которых на ноги приходится большая нагрузка (грузчики, продавцы, все, кому приходится много ходить);
- лицам, страдающим ожирением;
- гражданам с врожденной слабостью опорно-двигательной системы, для снижения вероятности повреждения хрящевой ткани и развития артроза.
Доктор может выписать бандаж для коленного сустава при следующих патологиях:
- травмирование костно-мышечной системы (вывихи, ушибы, растяжение связок);
- послеоперационный период;
- гонит и гонартроз;
- воспаление и дистрофия сухожилий;
- отек, болезненность колена;
- повреждение мениска;
- остеохондропатия бугристости большеберцовой кости.
Как может помочь бандаж?
Бандаж позволяет жестко зафиксировать суставно-связочный аппарат, что не получится сделать с помощью простого эластичного бинта.
Когда фиксатор подобран правильно он может помочь снизить нагрузку на колено, замедлить появления артрита.
Иногда мягкий эластичный бандаж уплотнен шерстяной вставкой, которая обладает теплосохраняющим свойством, улучшает циркуляцию крови.
Регулярное ношение фиксатора помогает устранить боли, замедлить прогрессирования разрушения сустава, способствует быстрейшему восстановлению его активности.
Компрессионный бандаж позволяет купировать воспалительный процесс, увеличить объем движения в поврежденном колене.
Но только когда ортопедическое изделие будет подобран правильно, оно окажется полезным.
В продаже имеется широкий выбор ортопедических товаров, отличающих между собой по конструкции, материалам, показаниям к назначению.
В зависимости от строения бандаж на колено бывает:
- Самые элементарные — мягкие повязки, заменяющие эластичные бинты. Их применяют во время тренировок, для терапии заболеваний суставно-связочного аппарата.
- Бандаж на коленный сустав с ребрами жесткости изготавливают из полимеров, он снабжен самоклеющимися застежками и ремнями, обеспечивающий иммобилизацию сочленения. Они необходимы, когда нужно обеспечить неподвижность сустава после серьезных травм, хирургической терапии, при приступах гонита и гонартроза.Бандаж Орлиман с закрытым наколенником, ребрами жесткости, гелевым массажным кольцом, расположенным вокруг надколенника.
- Когда наблюдаются болезненные ощущения под надколенником, рекомендуется ортопедический бандаж, не сужающий амплитуду движения связок, позволяющий поддержать сухожилие.Фиксирующий ремень позволяющий поддерживать надколенник и сухожилие.
- Бандаж с магнитным аппликатором оказывает тепловое действие, купирует воспаление, боли, улучшает движение крови в поврежденном участке.
Бандаж Орлиман с закрытым наколенником, ребрами жесткости, гелевым массажным кольцом, расположенным вокруг надколенника.
Фиксирующий ремень позволяющий поддерживать надколенник и сухожилие.Степень фиксации
В зависимости от показаний и степени фиксации все наколенники делятся на следующие виды (классификация германской фирмы Оrlett):
- Компрессия. Бандаж компрессионный или динамический, обычно делают из эластичных тканей. Его рекомендуется носить после травм, операционного лечения, с профилактической целью при непомерных динамических нагрузках, при рецидиве болезни. Он оказывает согревающее и обезболивающее действие, устраняет отек, нормализуют кровоснабжение в больном участке.
- Функциональность. Такой наколенник может устранить гипермобильность сочленения, и одномоментно позволяет сохранить его функцию. Это могут быть ортопедические аппараты, в которых предусмотрены шарниры, жесткие ребра. Они купируют боль и припухлость колена, помогают уменьшить нагрузку на них. Такие наколенники рекомендуется надевать после травм легкой и средней степени тяжести, при обострении гонит и гонартроза, при патологической подвижности сустава.
- Стабильность. Ортопедическое приспособление, обеспечивающее иммобилизацию колена, называется тутор. В его конструкции имеются металлические и пластмассовые детали. Он полностью обездвижить поврежденное сочленение, может использоваться вместо гипса после травмы или оперативного лечения. Тутор отличается гипоаллергенностью, не раздражает кожу, дает возможность следить за выздоровлением в динамики в отличие от гипсовой повязки.
- Этапность. К таким приспособлениям относится жесткий бандаж, в котором предусмотрена регуляция степени фиксации, что делает возможным постепенное увеличение объема движения во время восстановления функции сустава после операции и серьезной травмы. Наколенник из неопрена, снабженный ребрами жесткости шарнирами, полицентрическими замками, позволяющий фиксировать колено в нужном положении называется брейс.
Спортивные
В спорте выделяют следующие виды бандажей:
-
Тейп представляет собой клейкую ленту, напоминающую медицинский катушечный пластырь. Это эффективный индивидуальный фиксатор, помогающий уменьшить болевые ощущения, снизить нагрузку на суставно-связочный аппарат.
Врачебная классификация
Врачи все наколенники в зависимости от степени фиксации условно делать на:
- средние, такие конструкции изготавливают из плотных эластичных материалов, в них не предусмотрены вставки из металла или пластика, так как модели не предназначены для обездвиживания, они нужны для нормализации движения крови и быстрого восстановления после вывиха и растяжения;
- сильные — в них имеются ребра жесткости, такие модели помогают купировать боли, согреть и снизить нагрузку на ногу (показания: воспаление и дистрофически-дегенеративные патологии суставов, переохлаждение);
- максимальные — у них полужесткий корпус, имеются шарниры, ребра жесткости, различные липучки, ремни или шнурки (показания: сильное растяжение и послеоперационный период после лечения мениска).
Правила выбора ортопедического изделия
Прежде чем купить бандаж на колено стоит проконсультироваться с доктором. Специалист посоветует, какое ортопедическое приспособление подойдет в каждом конкретном случае.
Без него можно приобрести только эластичный бандаж, который разрешено использовать с целью предупреждения травматизма.
Размер
Покупать фиксатор стоит, подходящий по размеру, иначе большой наколенник не сможет надежно зафиксировать сочленение, маленький, пережмет сосуды и усугубить течение патологии. При этом нужно учитывать, что у каждой компании-изготовителя своя линейка размеров.
Чтобы купить фиксатор необходимого размер, надо измерить диаметр нижней части бедра, от которой зависит длина наколенника, чем больше размер, тем бандаж длиннее. Некоторые фирмы-производители рекомендуют измерить окружность колена, и на 10—15 см выше и ниже.
Чтобы узнать размер наколенника нужно измерит обхват колено, и на 10 или 15 см ниже и выше него.
- размер S – окружность бедра до 43 см;
- размер M – окружность от 43 до 50 см;
- размер L – от 50 до 56 см;
- размер XL – от 56 до 62 см;
- размер 2XL – свыше 62 см.
Аппараты сильной фиксации являются безразмерными, в них предусмотрены специальные застежки, которые можно регулировать.
Особенности покупки
- тип и предназначения фиксатора (должен определять доктор);
- материал, из которого изготовлен бандаж, должен отличаться практичностью, быть воздухопроницаемым, гипоаллергенным, приятным для кожи, не терять своих качеств после стирки;
- не стоит покупать светлые приспособления, они быстро мараются, а из-за частых стирок изнашиваются;
- проверить все фиксирующие элементы;
- фирма-изготовитель и стоимость;
- размер;
- перед покупкой изделия его стоит примерить, оно не должно жать и напирать кожу.
Противопоказания
Ношение ортопедических изделий противопоказано если наблюдается:
- индивидуальная непереносимость материалов, из которых сделано приспособление;
- воспаление вен нижних конечностей с образованием в них тромба;
- дерматологические заболевания в зоне надевания фиксатора;
- скопления гноя в сочленение, при котором его нельзя прогревать.
Популярные компании-производители и стоимость
В продаже представлен большой выбор ортопедической продукции, выпускаемой различными фирмами.
Самые знаменитые из них следующие:
- Mueller Sports Medicine — это самая популярная фирма, изготавливающая товары спортивной медицины. Среди ее ассортимента можно выбрать продукцию, для активного отдыха и профессиональных тренировок.
- Orlett — германские модели, отвечающие мировым стандартам, для производства которых применяют современные качественные материалы.
- Medi —еще одна германская компания, выпускающая различную ортопедическую продукцию, в том числе спортивные изделия и ортезы.
- Pharmacel — фиксаторы, изготовленные в США.
Стоимость изделий сильно отличается и зависит от компании-изготовителя, типа приспособления. Самые дешевые — эластичные (мягкие) отечественные модели. Их можно приобрести, начиная от 400 руб. Приспособления для терапии артроза с жесткой фиксацией можно купить, начиная от 900 руб. Самые дорогие шарнирные устройства их стоимость может быть более 20 тыс. руб.
Цены на фиксирующие аппараты популярных фирм:
| Фирма | Модель | |
|---|---|---|
| Medi | Фиксатор medi elastic knee support, модель 601 —эластичная повязка, которую можно носить при воспалении синовиальной жидкости, гоните, гонартрозе, ушибе и травмирование связок, не требующего хирургического лечения. Цена 1300 руб. |
Модель Genumedi с силиконовым кольцом, которое дополнительно защищает и фиксирует надколенник, с боков вставлены ребра жесткости, предупреждающие спадание наколенника. |
Цена 13тыс. 500 руб.
Но нужно помнить дороже не значит лучше, подбирать ортопедическое приспособление нужно с учетом необходимо эффекта.
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