Yaye yintoni sibaphathe njani bedsores?

Unyango izigulane ezibhedini belisoloko nzima: ngononophelo ngenyameko kunye nolawulo kukarhulumente kunye nempilo yesigulane. Kuyinto ulawulo kwala machiza, kodwa ke yococeko ngemihla, ukutya okunezondlo, ukuthobelana iindlela umoya nakwimithambo nje kuphela. Ingxaki enkulu izigulane enzima ke sisilonda ebhedini. Ziye ke benziwa ngenxa lunamaqoqo nokudleka eluswini xi ngokugqithiseleyo. Indlela yokuphatha Izilonda umandlalo ukuba abaphilise? Makhe ukuzama ukuphendula lo mbuzo kweli nqaku.

Ingcamango izilonda uxinzelelo, iintlobo zabo neendawo zemfundo

Bedsores - inkqubo necrosis yethishyu, olwenzeka kwiindawo ezithile zomzimba. Ukonakala enokuchaphazela ulusu, imithambo yegazi, okunamafutha izicwili kunye nezinye izakhiwo. Ngokuqhelekileyo izilonda kwenzeka kwiindawo Buze ithambo. Oku kungenxa kwiindawo ezinjalo umaleko isikhumba ibhityile kakhulu, ngoko nayiphi uxinzelelo ongaphezu kwemfuneko kuyingozi.

Bathi nezilonda uxinzelelo ngezizathu ezahlukeneyo. Kuxhomekeka imvelaphi yazo cell ukuba zithe zadala, okubangelwe neziphumo ngoomatshini zangaphandle kunye iqala - .. senziwe utshintsho ngenxa neurotrophic esikhumbeni. ZifunwaEzokugqibela zidweliselwe zikholisa amiliswe ngaphakathi esikule ngenxa ukufakelwa catheters okanye ethumela izigulane.

Bedsores mava hayi kuphela izigulane ezibhedini - ukuba benziwa nokuba yinxalenye ulusu engaphandle angalinandiphi, apho wabona ezinye izizathu. Kakade ke, uninzi izilonda akhiwa ngokunxulumene ukunyhashwa innervation izicwili. Kuxhomekeka kwindawo apho isigulana ngamaxesha amaninzi, kukho iindawo ezithile utshintsho necrotic:

• ngokwebala ubunzima esinamavili ibeka uxinzelelo ezimpundwini zagonyamelwa izithende;
• elele ngecala baboniswa ekunyukeni iqatha pressure, hip, idolo;
• nezilonda decubitus lisalele zingenzeka isithende, sacrum, tuberosity ischial, iibhleyidi amagxa, iingalo, emva intloko;
• xa umntu elele esiswini sakhe, isikhumba unesifo cheekbones kunye pubis.

It ibalekisa ukufuma okanye ukoma ifaka kwemfuneko. Ukuze ukuba uzibuze: "Indlela yokuphatha izilonda ebhedini," kufuneka ngenyameko ukuthatha unonophelo eluswini yomguli. Ukuba owomileyo olubonakalayo - sebenzisa amafutha cream abantwana. Ngamanzi kakhulu nzima usebenzisa dusting. ulusu olunamafutha kufuneka siphathwe alcohol-based. ixesha Kubalulekile ukuba aququzelele amanyathelo ucoceko: bath asisule, utshintsho rhoqo yangaphantsi, zokulala, zokulala.

ubungozi, iingxaki

Nabani na uphathwa ngokuhambisana alale okanye asebenzise isitulo esinamavili, kuba sengozini. Bucala kunye nezinye izinto ezandisa amathuba ukuyilwa izilonda uxinzelelo:

• ubudala - omdala kwisigulana, susceptibility na ulusu lwakhe, kwaye izicwili ngokutsha lot nzima nangaphezulu;
• zemizwa, lo innervation izicwili, isifo luvo;
• esiqhenqethayo kwezihlunu kunye nokulahlekelwa ubunzima - umqobo yendalo phakathi ithambo kunye ulusu lifinyele, ukuze kwandiswe ukusebenza uxinzelelo phezu kwalo;
• inani elingonelanga amanzi, ukungatyi ukutya okunesondlo - akukho ukudla okunempilo lolwelo imeko ezaneleyo sibi kakhulu eluswini;
• ngumchamo ilindle okanye umchamo - unobangela proliferation iintsholongwane;
• ukufuma ngokugqithisileyo okanye kome kwesikhumba;
• seswekile kunye nesifo semithambo;
• nokutshaya, ukusetyenziswa kotywala okanye iziyobisi;
• kuphazamisane sezingqondweni aqaqambayo kungalawuleki.

Ukuba isigulana akhoyo ubuncinane enye yezi meko, kufuneka ucinge nzulu malunga nokuthintelwa izilonda uxinzelelo. Babonakala ngokukhawuleza kakhulu, kodwa ke baphathwa elide yaye kunzima. Safumana Iimpawu zokuqala ucinezelo yethishyu, kufuneka uqale unyango kunye nokuqinisa amanyathelo othintelo ngoko nangoko. Indlela yokuphatha izilonda mandlalo? Kumanqanaba okuqala eyona nto ibalulekileyo - ukunikela ingqalelo nococeko kwangethuba. Ungasebenzisa yeoli ezikhuthaza ijwabu ngokutsha. Malunga inkqubo entsha kuyimfuneko ukwazisa ugqirha. Usenokubeka elinye ixesha okanye unyango engafanelekanga kunokubangela imiphumo enjalo:

• nokudumba - imeko ubomi emngciphekweni apho usulelo engena egazini kwaye isasazeka ngokukhawuleza wonke umzimba;
• cellulitis - luphawulwa iintlungu eziqatha, bomvu, ukudumba;
• izifo amalungu kunye namathambo, nto leyo enokusongela ukusindeka kwabo;
• nomhlaza wesikhumba ezivele ngenxa amanxeba ezinganyangekiyo nonhealing.

Yiyo loo nto kubalulekile ukuqonda ukuba bedsores - ingxaki enkulu unyango nokhathalelo abagula kakhulu kwaye ngumlwelwe. Iindlela zokujongana kubo eyahlukileyo ngokuxhomekeke nobungakanani kolusu.

Decubitus degree I

Lokuqala lophuhliso kwesi sifo lixesha ezithandwa kakhulu unyango. Yaba ngeli xesha kunokwenzeka ukubuyisela ngokupheleleyo ulusu size siphephe inkqubo necrotic. bedsores I degree nibonakala njengeendawo bubomvu. Ukuba uxinzelelo encinane kakhulu eluswini, qhagamshelana ndawo emhlophe. Kweli nqanaba uphuhliso umonakalo kumphezulu ekuvumela ukuba unyango olusebenzayo, abahlaziye ngokupheleleyo.

Xa efumanise kwiindawo yesikhumba bubomvu kubalulekile ukwazi ukuba yokuphatha izilonda ingcinezelo yaye ngawaphi amanyathelo othintelo ukwenza. Okokuqala, simele sinikele ingqalelo kucoceko: ulusu isigulane kufuneka sihlale sicocekile neyomileyo. Ukuze kube nokusetyenziswa bhetele ukuhlamba iziponji ezenziwe ngezinto cotton. Ndifume ngamanzi anesepha, ngobunono kuzisula isikhumba isigulane. Sebenzisa isepha antibacterial akunconywa, kungcono ukukhetha eqhelekileyo okanye usana. Ukususa iintsalela isisombululo isepha, Ubucime esikhumbeni. Musa ukulibala ukutshintsha iingubo zokulala nempahla yangaphantsi. Kulo mzekelo, eli laphu kufuneka kwidayrektri, imxinwa. Kuyimfuneko ukuba ngokusondeleyo esweni imeko yesikhumba: moisturize ixesha owomileyo, sula izinto utywala-okunamafutha, zimanzi kakhulu ukusingatha olungumgubo. maqula umoya kufuneka njalo ahlele.

Indlela yokuphatha izilonda alale ogulayo elele? Ngelo isanda sentlambululo iphumile ulusu ochaphazelekayo usebenzisa kuthwalelwa saline ukusebenza komzimba okanye camphor utywala. On kwimimandla emanzi kunokubangela zinc, linamafutha aqholiweyo. ukuba esha kancinane isikhumba kunye awukhusele umonakalo ongaphezulu. Izilonda abangelwa iphathwa kunye namafutha aqholiweyo "Solkoseril", "Aktovegin", "Dermazin". Ungasebenzisa umgubo "xeroform". Le ndawo ochaphazelekayo lisetyenziswa yokugquma lyu film. Kuyinto ecacileyo umboniso ngcina komhlaba. ukusetyenziswa kwayo inika ukhuseleko ngokuchasene iintsholongwane, ukufuma kwamanzi kunye nokufikelela oxygen emzimbeni. Indlela yokusingatha izilonda uxinzelelo kwizigulane elele ngokuchanekileyo? Kufuneka balandele le nkqubo: zokwenza nyulu, ukusebenzisa yeoli esisiseko, bandaging. Le isikhumba kufuneka rhoqo esweni.

Ukongeza unyango esisiseko kunye nemigangatho yezempilo yomguli amanyathelo othintelo kuyimfuneko ukukhusela uphuhliso izilonda uxinzelelo. Ukuza kuthi ga ngoku, ukuma izigulane embhedeni ebhedini zitshintshiwe qho kwiiyure ezimbini. Ukuze ngokwebala esinamavili kuyimfuneko ukuba iqalise le nkqubo kanye iyure. Ukongezelela, ungakwazi basebenzisa oomatrasi anti-bedsore ezizodwa kwimiqamelo, leyo kunciphisa kakhulu uxinzelelo ubunzima bomzimba apha esikhumbeni. Zokutya ze isigulane kufuneka ukuzinza, ninendyebo iivithamini kunye neeminerali. Akunamsebenzi ukuphazamisa ikhosi immunotherapy.

unyango bedsore I degree of namayeza emveli

Handle bedsores ukuqala ayikwazi kuphela namafutha aqholiweyo ekhemisti nezisombululo, kodwa amayeza womthonyama. Kubalulekile ukuqonda ukuba ukuqhubela phambili kwesifo kwenzeka ngokukhawuleza ngokwaneleyo. Ngoko ke, ukusetyenziswa iindlela ezingaqhelekanga kufuneka kuvunyelwane kunye nogqirha, kunye neziphumo zonyango makulawulwe ngokungqongqo. Izilonda zinokunyangwa? Xa lokuqala oli yemifuno esekwe kakuhle: lesi ulwandle, umnquma, camphor. Bona isicelo kwimimandla ulusu bubomvu izihlandlo eziliqela ngemini.

kagqirha esebenzayo namafutha Balyninyh. It yenziwa izithako zemvelo kwaye zigcinwe ixesha elide. Kuba ukulungiselela zezithako zilandelayo kufuneka ithengwe:

• fir (kwesitulo ecaweni ezentengiso) okanye namafutha omnquma - 100 ml;
• fini okanye ikhandlela Yanjengomthwebeba - 40 g;
• sugar - isahlulo sesithathu itispuni.

Thatha kumgqomo lwawo uze ubeke amacandelo kuwo. Ubushushu emanzini amanzi de zokuchithwa kwabo ngokupheleleyo, ngoko cool. Oyigcina a kwijokhwe yakho yeglasi kwisibandisi ukuba kombiwe ukuya kunyaka. Ngexesha ukupheka, ungadibanisa apha kumxube zinqunqwe iintyatyambo calendula womisa (icephe).

Indlela yokusingatha nezilonda uxinzelelo kweli khaya? Kufuneka wazi ukuba iindawo ezonakeleyo ulusu kuyo nayiphi na imeko ayikwazi ukuba kuzanywe ukuba. Iinkcukacha kunye bedsores ziya kuba ncinci. Okokuqala, isikhumba iphathwa saline okanye umoya camphor, ngoko kakuhle isicelo kwi-arhente engundoqo (kwimeko ukusetyenziswa kwamayeza emveli - oyile). Ukusuka apha ngentla, ungasifaka isicelo umhlabelo wawuqalekisa.

II decubitus eqongeni sophuhliso

Ukuba iimpawu kokuqala kolusu hayi zibonwa ngexesha okanye unyango kuphumelele, isifo sanda ngokukhawuleza. Inqanaba elilandelayo inqanaba II, nto leyo ebalasele inxeba elivulekileyo. Maxa wambi decubitus unawo ifomu ingxa-, okanye icala, esinyini zokuzicingela kulwelo ngaphaya. Kweli nqanaba kwandisa ingozi yosulelo, ngoko ke unyango lugqityiwe. It iqulathe antibiotics kunye arhente ephilisa. amanyathelo othintelo nemiyalelo zokuhlamba kufuneka ilandelwe ngenyameko, kungenjalo unyango siza kulibaziseka ukuba ixesha elide.

Indlela yokuphatha izilonda alale isigulane ezibhedini abanenqanaba II? Eyona nto ibalulekileyo luba iintsholongwane amanxeba avulekileyo. Kule isisombululo zingasetyenziswa:

• Chlorhexidine - inikezela kwamagciwane, ukubulala iintsholongwane, umngundo kunye ezinye iintsholongwane;
• zesiliva colloidal - ishenxisa ubuhlungu kunye neentlungu, iphucula sisenzo olwa nawo, disinfects;
• furatsilina - ikhuthaza intshabalalo ezincinane izifo;
• 3% hydrogen peroxide - ucoca ngobunono kwaye disinfects umphezulu inxeba;
• ukusebenza komzimba - ibalekisa impiliso, esusa iintsholongwane.

Emva kokuba isicelo-arhente magciwane ushiye isikhumba sakho umoya kwaye yome kancinane. Ukuze ezi njongo, esibhedlele badla ngokusebenzisa izibane zwi.

amanyathelo kuxhomekeka kuhlobo isilonda. Ukuba ubomvu engekho, sebenzisa ephilisa namafutha aqholiweyo, umzekelo, "Metiluratsil" okanye "Thiotriazoline". Iyaluthintela uphuhliso usulelo kunokwenzeka ngokusebenzisa izixhobo ezifana 'Betadine "yaye" Iruksol ". Ezi Amachiza zifunxe kunye izihlunu kwabafileyo, ngaloo ndlela ukucoca inxeba nokunceda aphilise yakhe.

Imphathe bedsores ezingcono isigulane ezibhedini kwi uphawu lokuqala usuleleko? Kucetyiswa ukuba usebenzise amafutha ngokusekelwe antibiotics. Umzekelo, "Levomekol", "Levosin", "Argosulfan", "Iruksol". Zizinto ezibalulekileyo zosulelo bandaging kufuneka sithwale abasebenzi bezonyango. Ukubonisa ukuhlanza inxeba magciwane, ukususwa izicwili ezifileyo izikere utyando. Koko lifake amafutha kunye bandage.

zokupheka Folk kuba unyango lwe bedsores kwi sigaba II

Yenza sigaba II decubitus efanele unyango usebenzisa infusions iziyobisi okanye oli yemifuno? Ewe, kodwa efunekayo kukusetyenziswa kweziyobisi ezithile kunye namafutha aqholiweyo. Indlela yokusingatha Izilonda uxinzelelo ekhaya kwityala enjalo? Unga alternate ukusetyenziswa Amafutha zoxubo mayeza kunye oyile. Kulo mzekelo, iingcali amayeza emveli zithi ukusebenza eliphezulu le mali:

• Nesoda yokubhaka - icephe exutywe iikomityi ezimbini amanzi abilayo kwaye desensitised kunye nesisombululo itawuli yelinen emhlophe, nto leyo ke isicelo ukuya kummandla ochaphazelekayo (blister). Ngenxa yoko, bonke ubomvu iphuma. Emva koko netawuli entsha kwakhona nkxu isisombululo. Le nkqubo Malivelise amagatya nyama xa kususwa i bedsore uhlambulukile na.
• oyile lwebhokwe - ugalelwe itswele (luyacolwa zinqunqwe), kunye sodium chloride ngokwesahlulo efanayo. Faka kwindawo ochaphazelekayo kangangesiqingatha seyure. Ekuqaleni yonyango isilonda bekuya kuba buhlungu, eli xesha babandezeleke.

Olusebenzayo sigaba II decubitus ebizwa iresipi: Mix ngamafutha Wisniewski kunye dioksidina nesisombululo-1% kule ratio 3: 1. Hlanganisa izinto kwisingxobo wawuqalekisa. Lo mxube ogqityiweyo lisetyenziswa enxebeni uvale walisusa. emva kweentsuku ezimbini ukuyitshintsha. Le nkqubo Kucetyiswa ukuba amanxeba ezihlambulukileyo ngaphandle ububomvu kunye neempawu ezibonakalayo osulelo.

Imithetho zokubopha neendidi zokubopha

phatha nje bedsores isigulana Akwanelanga ukuba unyango olusebenzayo. Enye yeendlela ezingundoqo yi tubal. Le inkqubo inyanzelekile ukuba naziphi iqondo umonakalo inyama, naphezu usulelo ngaphandle ukusetyenziswa kwayo ayenzi. Phambi kokuba ufake isicelo umhlabelo, kufuneka akwazi ukusebenzisa indlela nezilonda uxinzelelo ekhaya. Isanda iya kusoloko iintsholongwane ulusu kumphezulu achaphazelekayo. Oku kungenziwa ngokusebenzisa izisombululo ezizodwa ukuba kube lula sithengwe na ekhemesti. Indlela yokuphatha izilonda mandlalo? Ukuba ngqo le migaqo ilandelayo:

• musa ukuchukumisa inxeba izandla zakho, wenze inkqubo usebenzisa usula abawaziyo;
• ukuya enxebeni okanye isisombululo lolwabo obegalelwe, emva koko kummandla ochaphazelekayo ngobunono Ndilucimile ukugqibezela ukusulungekiswa kwayo;
• Ekupheleni kwale nkqubo inxeba lokufunxa iintshukumo nokuzisula owomileyo ngelaphu wawuqalekisa.

Kubalulekile ukuba ungayibaxi kunye nokusetyenziswa ebulala. Ukongeza, akumele ngobunono coca ngaphandle koku- ukutsha kunye ukuluma. Akuyi Kucetyiswa ukuba basebenzise Zelenko nesisombululo potassium permanganate okanye iodine.

Indlela yokusingatha izilonda uxinzelelo kwizigulane ezibhedini emva ngokucoca inxeba? Xa inyama engenazintsholongwane okanye bawubopha ngokwayo isicelo cream (impiliso, i-zintsholongwane), yaye emva koko uyaqhubeka tubal. Walisusa kufuneka sasingabhekiseli uyadana. Ngaphezulu, kufuneka idlule umoya yaye ngaloo ndlela babe uphawu ashinyeneyo. Iikona zawo ezichaphazelekayo ulusu esempilweni. Lenquba yenzelwa phezu yonke imihla. Xa uhambisa izabelo ezisisigxina kuyibopha umzimba iqhiya ngakumbi. Kwezinye iimeko, oko lukhuselekile ngendlela ngcina, uncamathelise kungqameko ngesixhobo ibala esempilweni. Kukho ezininzi mihla zokubopha, leyo ibe isale izinto esebenzayo.

sigaba Unyango III izilonda uxinzelelo

Isigaba sesithathu yophuhliso luphawulwa necrosis olunzulu kwithishyu - up ukuya ifascia. sangaphandle Ukutshatyalaliswa, dermis kunye namafutha ongama. Isikhumba uyazicebula. Amaninzi, inxeba sele osulelekile, oko kuphakamisa ekumisweni ubofu. Kulo mzekelo, kunyanzelekile ukuba ukucocwa ngokucokisekileyo ulusu ochaphazelekayo. Ekhaya, isiphatho kufuneka bedsores nzulu magciwane, ukuqinisekisa kwizihlunu yokuhlanjululwa eliphezulu. Xa cluster yayo nyama kufuneka zisuswe intsumpa. Nqanda ukwanda necrosis kunokwenzeka kuphela ngokusebenzisa yokuvulwa kwangethuba izilonda nokucoca inxeba izihlunu necrotic, oluqhutywa ngokusebenzisa necrectomy.

Uxinzelelo yokubamba ngcono izilonda sigaba III? Usebenzisa efanayo izithambiso impiliso kunye nemithi, njengoko kwi sisilonda esidumbileyoesingaphakathi kwiqondo lesibini. Oku "Iruksol", "Thiotriazoline", "Levosin", "Levomekol", "Algofin", "Solkoseril". Nceda ne yokucoca inxeba yethishyu necrotic kuya kunceda wamafutha "trypsin", "terrilitina", "Kollagenazin", "Chymotrypsin".

Iziphumo ezincumisayo ukunika zokubopha ezizodwa. Umzekelo, "Multiferm", "Pam-T", "trypsin-Daltseks". Umphezulu yabo buzane enzyme kunye nezinye arhente esebenzayo ekhuthaza kuphiliswa ngokukhawuleza kunye inyama ngokutsha. Le ukunxiba imihla ngemihla. Ukufunyanwa unakekelwa eyiyo lwenzeka kwisithuba seeveki-2.

Unyango lwe sigaba IV yophuhliso bedsores

Inqanaba lokugqibela le ukuyilwa izilonda xi lubonakala ngokuba inyama necrosis nzulu. Yayiphumela up nge njengokweyela izihlunu kwabafileyo, apho ubona i izihlunu, imisipha okanye amathambo. Le nkqubo sisasazeka ngobulungisa ngokukhawuleza enyameni esempilweni. Unyango emiselwe ngugqirha wakho. Kusenokwenzeka ukuba Kucetyiswa ndlela leyo ibandakanya ukusetyenziswa ngokufanayo kuthetha ukuba unyango bedsores nezidanga III. Oqeshwe kwamafutha kwezihlunu ukulungiswa, ukususwa umxholo necrotic kunye nosuleleko ekulweni. Amaxesha amaninzi tubal lwenziwa kwi kwigumbi imithi okanye isigulane esibhedlele.

Izilonda zinyangwa esibhedlele? Used magciwane (ngokuqhelekileyo saline okanye chlorhexidine). inyama Necrotic lisusiwe usebenzisa isixhobo zonyango, yaye emva koko wahlamba ngenyameko inxeba. Amafutha imiselwe ngokuxhomekeke kwimeko yomguli. Xa usuleleko olunzulu - antibiotics, kwezinye iimeko - iziyobisi ezivuselela yokulungisa inyama bawubopha impiliso. Ukuba intengiselwano yabelwa iiveki ezimbini unyango endala akuthethi ukunika iziphumo. Eli nyathelo kakhulu, okt. To. Ingaba kukho ingozi ephezulu iingxaki nokwandisa ummandla a bedsore. Chaza imida necrosis kunzima kakhulu, ngoko ke yona yabuyela ukususa inxalenye kuphela nyama. Emva koko iqala izinga ekuphulukenwe nalo. Otyunjwe ukuyifundisa kunye namayeza. Ngelishwa, unyango ngotyando ayisoloko ukunika iziphumo ezilungileyo. zisengozini enkulu yokuba ukuphinda sifo.

amanyathelo othintelo

A indima enkulu kakhulu ngonyango kunye nothintelo bedsores edlala nokuthintela kwabo. Kulula kakhulu ukuba ukuthobela inani kweemfuneko yokhathalelo onomonde ukujongana nomonakalo inyama eqhubekayo. Ukuphatha isikhumba kufuneka ibe camphor utywala, saline okanye ezinye ezingephi kubola ukunqanda bedsores. Oku kuyinyaniso ngakumbi kwiimeko apho umchamo wokuchama okanye isitulo yesigulane. Kuyimfuneko ukuba ugcine rhoqo ulusu ecocekileyo owomileyo. Ukuba kuyimfuneko, oko moisturizes baby cream okanye, phezu koko, sebenzisa umgubo (zinc mafutha). Izihlandlo eziliqela ngosuku amalungiselelo iibhate moya. Tshintsha indawo umzimba ungqendeve isigulane qho kwiiyure ezimbini. Xa uphawu lokuqala izilonda xi uqale unyango ngoko nangoko.

Bedsores kwenzeka lula kakhulu yaye ngokukhawuleza ukuphuhlisa. Kwanele kanye ukuba ashiye isigulane kwibhedi zimanzi, kwaye ulusu uya kusabela ngephanyazo. Ukuze balwe nale ngxaki esimbaxa oko kuyimfuneko ukuphatha ngokuchanekileyo iziciko: kuthintelo ixesha yeqonga ukucoca, eyomileyo kunye nokhathalelo. Xa uphawu yokuqala ukudibanisa namafutha aqholiweyo ezizodwa, ukomeleza amanyathelo othintelo.