Yintoni izilonda xi? Unyango lwe izilonda uxinzelelo kunye nokuthintela kwabo

unyango Long-term, esifuna ukungqinelana alale, kwisikhumba yomguli ukuze abunjwe bedsores. unyango bedsore - oku sisiganeko esibalulekileyo kakhulu, ekufuneka yenziwe ngokulandela imigaqo. siphene ezingemnandi kwenzeka ngenxa ngokonakala kwegazi kwi Amalungu nezihlunu, kunyanzeleke ukuba ugcine indlela esisigxina yobomi. Oogqirha bancome umkhosi imisebenzi, phantsi leyo umzimba isigulane babengenayo nayiphi izilonda ebhedini. Unyango izilonda uxinzelelo kunye nonyango lwabo - kukho ixesha elininzi kunye elukhuni. Kulula kakhulu ukuba ukuthintela kwabo, ukuba alwe nabo.

Yintoni izilonda xi?

Abantu, ixesha elide lulele kwindawo enye, inkqubo yokujikeleza nayo ibingasebenzi kwi ngokupheleleyo. Phantsi yempembelelo womxhuzulane emithanjeni ezincinane oluphumayo. Oku kuthintela igazi flow kwiindawo ezithile. Ngenxa yoko ziyakupheliswa oxygenation nesondlo kwithishyu. Okokugqibela, musa ukufumana izondlo kuyimfuneko, baqale kufa. Kuyinto kwezi nkalo kwasekwa bedsores. Unyango izilonda uxinzelelo, eyaqala ngaphambi kokuba kwenzeke, njengenyathelo lokuthintela, uyakwazi ukutshintsha imeko. Kwiimeko ezininzi, imisebenzi enjalo ukukhusela isigulana osuka kwiziseko futhi kubuhlungu.

Njani izilonda uxinzelelo?

Ulusu necrosis kwenzeka ngokwamanqanaba eziliqela. bedsores Uhlobo kuxhomekeke eqongeni womxhuzulane:

1. Eyokuqala (lokuqala) iqondo kweendawo yesikhumba kade icinezelwe-benozuko, aphakama aze abe ebomvu. Ngokweliso, kubonakala ngathi kukho ingcaphukiso elula, maxa wambi aluhlaza. Neentlungu obungqingqwa kwezi amalungu omzimba. Xa iimpawu ezinjalo kufuneka ngoko nangoko uqale uthintelo bedsore. umoya camphor kuyekwe le site unyango liya kubonelela iziphumo ezisemagqabini.
2. Inqanaba lesibini luphawulwa uluhlu kwiindawo adikwe amanxeba nzulu elintlangothi bomvu, zidumbe. Kubonakala ngathi libe sisilonda. Ngamanye amaxesha bedsore sesibini isigaba uyafana ingxa- le kwiqamza.
3. Xa inyathelo wesithathu nxeba nzulu. Ngaphakathi kunokuthi kubonwe inyama yellow necrotic.
4. Inqanaba yesine ebalasele kukuqiniswa nangakumbi izilonda. Uqala kuchaphazela nezihlunu zangaphakathi. Umsantsa inxeba imisipha ezibonakalayo, izihlunu, amathambo ngamanye amaxesha.

Indawo isenzeko izilonda uxinzelelo kuxhomekeke kwindawo yesigulane. Ukuba isigulane engqengqe ngomqolo, nangezilonda eqalisiweyo iincakuba, sacrum kunye izithende. Kwi esinqeni, amagxa kunye nezilonda amadolo uxinzelelo kwenzeka kwabo bantu bonke kwicala lakho. Izigulane idluliselwa kwisitulo sezigulana esinamavili, izilonda angavela ezinqeni, sacrum, nomhlana izandla.

Le mimandla kufuneka babe nolwazi kwaye ahlole ngenyameko kubo. Musa ukulibala ukuba aba bantu ekucetyiswa unyango yonke imihla izilonda uxinzelelo kunye nokuthintela kwabo.

oonobangela

Bedsores kwenzeka kwezo ndawo apho la inwebu yesihlunu phakathi amathambo kunye nesikhumba. Nezilonda ukwasuleleka ngabantu abaye baphulukana nako ukuqhubela. Hi xikombiso, le yangaphambili kusenokuba zinjalo yokuphumla ebhedini emva utyando okanye nitrogen komzimba womntu ngenxa yokwenzakala. Ngamanye amaxesha unobangela izilonda kontanga kungaba:

• ngebhandishi splinting embi, niwatyabeke ngefutha;
• okungalungile zitho kunye braces;
• amabhandeji iqine kakhulu, libe zizibaya zempahla ebhedini, impahla tight.

Kwangaxeshanye, ezinye izigulane ezibhedini izifo ezifana ngayo ukuphuhlisa ngokukhawuleza ngokwaneleyo. Aba bantu, nokuba ngenkathalo ngenyameko, nokuba kwakheka kwi izilonda umzimba. Izigulane zifuna Bole inkathalo ingqalelo nonyango rhoqo izilonda uxinzelelo. Xa izigulane seswekile, umzekelo, ephazamisa igazi. Kwaye ukuba isigulane baye batyelela ixesha elide imeko emileyo apho inyama ukwazi, umngcipheko izilonda uxinzelelo ngamaxesha ukunyuka. Ukongeza, igalelo ekwakhiweni leengxaki zinto ezilandelayo:

• Ukutshaya.
• Ukutyeba.
• ukudla engalunganga.
• Emzimbeni.
• Diabetes osegazini.
• intliziyo kunye nezifo nemithambo.
• ukubila Ukwandiswa.
• kwezonyango unxinzelelo okanye ukuphazamiseka ebuchotsheni okanye umnqonqo.
• kukwalisa zokuthambisa ukunakekelwa isikhumba.

amanyathelo othintelo

izigulane embhedeni kufuneka inkathalelo eyodwa. Kubaluleke kakhulu ukuba unyango izilonda uxinzelelo kunye nokuthintela kwabo kwenziwa ngokuchanekileyo. Ukususela ngoko, kamsinya nje isigulane wavaleleka ebhedini. Imisebenzi enjalo ziquka:

1. uhlolo olubonakalayo imihla eluswini yomguli. Kulo mzekelo, oko kuyimfuneko ukuze bayitshekishe ngocoselelo imeko dermis kwiziza apho amathambo ezivelileyo.
2. bedsores Processing in ugula kakhulu camphor utywala (10% isisombululo) okanye ammonia (0.5%). iinkqubo ezinjalo kucetyiswa kwimimandla 'esiyingozi "kwaye ukuba bomvu lisekhona. Ngexesha isiganeko kufuneka kwenziwe lula iintshukumo yokuthanjiswa swab nkxu isisombululo utywala. Le massage kunceda kwegazi kudaleke esikule.
3. ukwahluka Periodic kokuma yesigulane. Esi sigulane asikwazi zingatshintshwa ngokusebenzisa ngendlela ekhethekileyo (umz, izileyi okanye isangqa sawa). ngokukhethekileyo kuyimfuneko ukuguqula indawo ezimpundwini zagonyamelwa izithende ukukhusela kumaqweqwe ukusuka creasing. Indlela elungileyo ukuthintela i noomatrasi ekhethekileyo wamathambo.
4. Qiniseka ukusebenzisa amalaphu ngokwemvelo iingubo zokulala nempahla nomonde. Kuphephe kwalimala izinto ulusu (iiziphu, amaqhosha, amahaki).
5. Kukugcina lobushushu obutofotofo nokufuma kwelo gumbi apho ibekwe isigulane.
6. Umxholo ehlambulukileyo nomonde. isikhumba yomguli kufuneka ufumile. Awukwazi ukusebenzisa iindlela leyo ukuze bandiqumbise kwinwebu iziciko.
7. Ingqondo kwemisebenzi mafutha ukuba yesigulana. Ivula neshukumayo amalungu yokuthanjiswa yomzimba ukunceda ukuthintela Izilonda uxinzelelo.
8. I ezichanekileyo, ukutya okunezondlo. It iqulathe yokutya ezinomthamo esezantsi lweekhalori, kodwa atyebe iiminerali neevithamini. Kuyimfuneko ukuba esweni exchange amanzi. Isigulane kufuneka kuzidla ulwelo, ngaphezu akukho ngaphezu kweelitha enye enesiqingatha ngosuku.

Esi siganeko iphambili yona ekuthinteleni izilonda uxinzelelo.

unyango Skin kwi ukuvela bedsores

Amancedo, nkqu kakhulu, asiyi kuba nako kuzuza ukuba umhlaba apho kukho isiphako lihlala icinezelwe-karhulumente. Ukuyeka i ngezifo akunakwenzeka, ukuba ummandla awuqali ukwenza igazi, lokondla ancedisana izinto eziyimfuneko.

Ngenxa yoko, care ibandakanya iimeko 3 eziphambili:

• wokubuyisela kwegazi isahlulo abachaphazelekayo;
• ukuqinisekisa ukungahambisani yethishyu necrotic;
• amanyathelo okulungisa ejolise ephilisa amanxeba.

Makhe sihlolisise ngokweenkcukacha indlela eyenzeka bedsores processing. Technique, ngezantsi, wowufeza isiganeko ngokuchanekileyo nangokufanelekileyo.

Iinkqubo sokubuyisela ukuhamba kwegazi ukuya kummandla ochaphazelekayo

Kwimeko apho kukho bedsore kufuneka asuse nesikhumba ngomandlalo kwiindawo ubuhlungu. Ukuza kuthi ga ngoku, phantsi umzimba ubeka isangqa irabha okanye ababetheki kakhulu, kangangokuba inxeba kwaba njalo ku emoyeni. A isilinganiso esihle lokunqanda nxamnye bedsores na umyalezo. Ngaba kusasa nangokuhlwa. isikhumba yomguli aqaqambe neyomileyo. izithambiso ezizodwa oyile ingasetyenziswa xa enza umyalezo. Iinkalo apho kwasekwa amanxeba, kodwa kuzanywe! unyango olunjalo zizilonda xi izigulane kuba kunokwenzeka kuphela kwinqanaba lokuqala.

Inkqubo ukuqhuba le nkqubo:

1. Beka isigulana kwi esiswini sakhe. Ukuqhuba umlenze stroking ukusuka izithende ukuya ezimpundu.
2. hamba ngoku ezandleni. Nangesandla izandla ukuya entanyeni.
3. Massage inkciyo kunye nomsila lwenziwa kwicala phantsi, emva koko - ecaleni.
4. Irobhothi emva lonke.

Le nkqubo yenziwa ukuba imizuzu emi-5. Movement kufuneka ukukhanya ekuqaleni, ngoko olukhulu ngakumbi. Emva koko wenza uhlikihlo, imikhumbi kunye Intshukumo iindawo ezifanayo omzimba. reception nganye yoviwo ithatha imizuzu emi-5. Kwabanjwa inkomfa ekupheleni kwe yokuthanjiswa lwentloko, ingakumbi entanyeni, nto leyo ebangela ukuba umngcipheko izilonda uxinzelelo. Ngoko ke isigulane ilele phezu emqolo kwaye athwale yokuthanjiswa efanayo phambi komzimba. Ngokucokisekileyo uhlikihla kwimimandla ukuba bavelele ngakumbi (amadolo, iimbambo, isinqe).

Iinkqubo abakuthandayo nyama

Ezinye izigulane ziye olukhula ngokukhawuleza kakhulu bedsores. Ukunenzela bedsores, ukuba kukho enenxeba ngaphezulu iqalisa ukukhulula kummandla ochaphazelekayo iiseli ezifileyo ubomvu. Ukuze wenze oku, asebenzise iziyobisi ezizodwa. Kwiingozi ezimasikizi, utyando kuyacetyiswa.

unyango eveliswayo izilonda uxinzelelo:

1. umoya Camphor. Esi sixhobo lisetyenziswa kuphela kwinqanaba lokuqala. Eyona azamkeleki isicelo wayo amanxeba avulekileyo.
2. Iperoksayidi yehidrojeni (3% solution).
3. "Chlorhexidine". Kuthethwa cala ngakumbi nolusu.

Ukuba kufuneka ukususa iiseli abafileyo kunye ubomvu, iindlela ezizodwa zisetyenziselwa amanxeba "Izuksol" yaye "Xhosa-Proteoks".

Imisebenzi ukuba ukuphiliswa umphezulu inxeba

Emva isilonda wakususa, kufuneka uqale unyango. ukuphiliswa Zintle of bedsores negalelo alginates kunye zokubopha hydrocolloid :

• "Plus Comfy."
• "Multifrem".
• "Gidrokoll".
• "Gidrosorb".
• "Duoderm".

Le ndlela zikhankanywe ngasentla ayabiza kakhulu. Ngoko ke, asingabo bonke abantu ukuthenga kubo, ukuze ukunyanga bedsores. unyango Decubitus mazenziwe kunye namafutha aqholiweyo ezizodwa nezithambiso ukuba kukhuthaza inxeba, nakuba ayengenalo kangakanani inani. Phakathi iziyobisi ezifana ayinabantu:

• "Sintomitsina".
• "Dexpanthenol".
• "Aktovegin".
• "Levomikol".
• "Vulnostimulin".
• "Solkoseril".
• "Levosin".
• Wort oli St. uYohane.
• ioli sihlahla eLwandle.

Kuba ukuthintelwa wokosuleleka unyango lwe izilonda kufuneka bathobele ngokungqongqo imithetho antisepsis. Emva kokuba isicelo kuthetha ukuba uphilise inxeba kuyimfuneko ukusebenzisa avale wawuqalekisa. Ukuba awukwazi kuyibopha inxeba ngayo, ungakwazi uvala isiciko endaweni yokubulala soyiswa udaka okhethekileyo. Kodwa ke kufuneka ukuba ulusu ukuphefumla. Kufuneka kuqatshelwe ukuba amabhandeji kunye band-aids musa ukuba ukutsala amalengalenga ukuthintela umonakalo ongaphezulu. Tubal lwenziwa njengoko kufuneka. Phambi unyango nganye kakubi ebulala decubitus. Maxa wambi xa kuboniswe izigulane ezimiselweyo antibiotics.

Xa unyango kuhlinzwa?

Ngelishwa, nkqu unyango qualitative nephumelelayo bedsores e ugula kakhulu ukuba kusoloko kukhokelela ukuphiliswa imiphezulu nxeba. Xa kunjalo, ukuba unyango elondoloza uyasilela, kufuneka uqhaqho. Kudla isetyenziselwa nezilonda uxinzelelo isigaba 3-4.

Le nkqubo ilandelayo yenzelwa ngaphambi utyando:

• bedsores zokucoca (ukususa iindawo ulusu kwabafileyo);
• antibiotics;
• ukucoca umzimba ityhefu;
• iphelele amanzi, iiproteins kunye nokulungelelana electrolyte.

Kukho ubuchule zotyando ekunyangeni izilonda uxinzelelo, leyo ixhomekeke eqongeni yophuhliso kwethumba, ubungakanani sisilonda esidumbileyoesingaphakathi kunye nobukho usulelo ezininzi:

1. dermepenthesis Free. Yenza bedsores 2 kunye inyathelo 3. Inxeba liya liphola kwiiveki 2-3.
2. Ukusikwa nezihlunu zeplastiki ezingqongileyo. Olwenziwa kwizigaba 4 bedsores. Le isilonda liphola kwisithuba seeveki 2 izigulane ezininzi.
3. Ukusikwa nesikhumba yokumilisela, yeplastiki okanye ngaphandle kwezihlunu. Surgery kuvezwa bedsores inyathelo 4 umgangatho ophezulu inyama necrotic. Philisani inxeba kwiiveki 2-4 kwizigulana 2/3.

Ngamanye amaxesha, kuphela ungenelelo zokutyanda kunceda isigulane sizohlukana bedsores nokuthintela iingxaki ezifana ukusilela kwezintso, isifo sesibindi, nokudumba, kunye nokufa. Emva kotyando, kwiindawo ezichaphazelekayo ulusu aphilise ngokukhawuleza ngokwaneleyo. ungenelelo zokutyanda kakhulu ekunciphiseni imeko yabantu ugula kakhulu.

Mafutha for bedsores

Uhla for unyango ezi ezimbi mkhulu kakhulu. Ukuze unyango izilonda uxinzelelo ekhaya olwenziwe ngempumelelo ngokwazo, kufuneka ibe ukukhetha amayeza ekunene. Amafutha yonyango lwesifo, kufuneka:

• buyisela flow igazi;
• ukukhuthaza ijwabu kutsha;
• ilifa umsebenzi antibacterial;
• uza kuziphelisa zonke iintlungu.

Kodwa musa ukulibala malunga umcimbi nobuchwepheshe. Ngaphambi kokuba nokusebenzisa kwamafutha kufuneka iintsholongwane kwaye aphathe kummandla ochaphazelekayo kunye magciwane. Ukuze wenze oku, basebenzise iziyobisi, "Chlorhexidine digluconate," "Colloidal Silver", "Furatsilinom".

Namafutha aqholiweyo ukunyanga bedsores lukhethiwe kuxhomekeke kumlinganiselo yophuhliso nangezilonda, kukho usulelo. Kuba inyathelo lokuqala eziyimfuneko ukuphucula kwegazi kunye neziphumo elwa. Kweli nqanaba kusebenza:

• Zinc, linamafutha aqholiweyo.
• "Dermazin".
• "Argosulfan".
• "Tsindol".

Xa lesitofu iintsholongwane inxeba ifuna ukusetyenziswa antibiotics. Kuba Kwiimeko ezinjalo, ekusebenziseni inyathelo amalungiselelo lokuqala:

• "Argosulfan".
• "Iruksol".
• "Levomekol".
• "Levosin".

In inyathelo yesibini, namafutha ngenxa yokubulala iiseli ufile. Kulo mzekelo, kufuneka babe negalelo anti-ukudumba futhi omisa:

• "Betadine".
• "Metiluratsil".
• "Iruksol".
• "Thiotriazoline".

Xa inyathelo eboniswe nezithambiso wesithathu eziya kusikhuthaza impiliso:

• "Algofin".
• "Solkoseril".
• "Bepanten".
• "Levosin".
• "Thiotriazoline".
• "Iruksol".

Bedsores degree yesine kufuneka ziphathwe esibhedlele njenge emngciphekweni omkhulu iingxaki. Ngokwendalo, yonke yeoli kunye neendlela kufuneka isetyenziswe kuphela emva kothetha-thethwano kunye nogqirha wakho. Expert, ngokusekelwe kuhlalutyo, atyumbe unyango obutofotofo nesebenzayo. Self kulo mzekelo contraindicated ngokungqongqo. Kuyinto basengozini enkulu kakhulu yokuba ukufa unyango engafanelekanga.