Futhi yini imphathe kanjani bedsores?

bekulokhu kunzima Ukwelashwa kweziguli esembhedeni: ukunakekelwa ngokucophelela nokulawula isimo nempilo isiguli. Kuyinto abaphathi esifike izidakamizwa, kodwa futhi inhlanzeko nsuku zonke, ukudla ukudla okunomsoco, ukuhambisana ukupholisa izindlela futhi yokuzijwayeza hhayi kuphela. Inkinga enkulu iziguli ezisindayo zibalulekile embhedeni izilonda. Basuke kwakhiwa ngenxa ziboya bony esikhumbeni ingcindezi ngokweqile. Indlela esiphatha ngayo embhedeni Izilonda ngibaphilise? Ake sizame ukuphendula lombuzo kulesi sihloko.

Umqondo ingcindezi izilonda, izinhlobonhlobo zabo nezindawo zemfundo

Bedsores - inqubo ye necrosis kwezicubu, okuyinto eyenzeka ezindaweni evamile umzimba. Ukulimala kuthinte isikhumba, imithambo yegazi, okunamafutha izicubu kanye nezinye izinhlaka. Ngokuvamile Izilonda zenzeka ezindaweni ithambo protrusion. Lokhu kungenxa yokuthi ezindaweni ezifana ungqimba isikhumba mncane kakhulu, ngakho iyiphi ingcindezi ngokweqile ku kuyingozi.

Faka kusigaba ingcindezi izilonda ngezizathu ezahlukene. Kuye imvelaphi yabo secrete exogenous, ukuthi kubangelwa zangaphandle imiphumela mechanical endogenous - .. Kwakheka ngenxa izinguquko neurotrophic esikhumbeni. Laba lubohlo ngaphakathi izicubu ngenxa ukufakwa catheters noma amanzi.

Bedsores ayisibonelo hhayi kuphela iziguli esembhedeni - basuke kwakhiwa ngisho nalapho ingxenye isikhumba yangaphandle isibambo, okuyinto waphawula nangenxa yezinye izizathu. Yiqiniso, izilonda kakhulu layenta ukwephulwa innervation kwezicubu. Kuye isikhundla lapho isiguli isikhathi esiningi, kukhona izindawo ezithize izinguquko necrotic:

• zihlalo endaweni isisindo sabakhubazekile ubeka ingcindezi ezinqeni kanye izithende;
• ngohlangothi yayo wadalula waqinisa iqakala, hip, amadolo;
• lisalele decubitus izilonda kungenzeka esithendeni, sacrum, tuberosity ischial, izindwani ehlombe, izindololwane, ngemuva ekhanda;
• uma umuntu elele ngesisu sakhe, isikhumba lihlupheka cheekbones futhi pubis.

It ngesivinini ngokweqile umswakama noma ukoma izembozo. Ukuze uzibuze: "Indlela aphathe embhedeni izilonda," kufanele uthathe ngokucophelela ukunakekela isikhumba lesiguli. Uma ezomile obonakalayo - ukusebenzisa amafutha ukhilimu izingane. Nge umswakama ngokweqile olwisana usebenzisa dusting. isikhumba oily kufanele luphathwe izixazululo utshwala ezisekelwe. isikhathi esibalulekile ukuhlela izinyathelo yokuhlanzeka: esesula okugeza, izinguquko njalo kwezingubo zangaphansi, amaphijama, izingubo zokulala.

engcupheni, ukuxakeka

Noma belashwa kuhambisana embhedeni ukuphumula noma asebenzise isihlalo sabakhubazekile, isengozini. Ukwabela nezinye izinto ukwandisa amathuba kumiswa ingcindezi izilonda:

• yobudala - omdala isiguli, ezifweni zesikhumba sakhe, futhi yakhe izicubu ukuvuselelwa is a lot nzima futhi isikhathi eside;
• thuthuva sezinzwa, le innervation kwezicubu, isifo esithinta izinzwa;
• imisipha ukuchithwa nokuqothulwa kwesisindo - isithiyo yemvelo phakathi ithambo kanye isikhumba kuyehla, ngaleyo ndlela kwande ingcindezi kuso;
• engayitholi enganele yamanzi, ukudla okungenamsoco - akukho ukudla okunempilo kanye eyanele ketshezi Sizobabucayi isikhumba isimo;
• incontinence fecal noma umchamo - imbangela ekwandeni amagciwane;
• umswakama ngokweqile noma ukoma kwesikhumba;
• sikashukela kanye nesifo semithambo;
• ukubhema, ukuphuza utshwala noma izidakamizwa;
• ukungakhuli ukwazi ngokweqile futhi zingalawuleki kwemisipha izinhlungu zibe.

Uma isiguli samanje okungenani eyodwa yalezi zici, kufanele icabangisise nokuvinjelwa ingcindezi izilonda. Babonakala ngokushesha okukhulu, kodwa iphathwa ziningi futhi zaba nzima. Safumana izimpawu zokuqala kokucindezelwa kwezicubu, kufanele kuqale ukwelashwa kanye nokuqinisa izinyathelo ngokushesha. Indlela esiphatha ngayo embhedeni izilonda? Ezigabeni zokuqala into esemqoka - ukuba banake inhlanzeko ngesikhathi esifanele. Ungasebenzisa yokugcoba ekhuthaza izicubu ukuvuselelwa. Mayelana inqubo entsha ke kubalulekile ukuba kwaziswe i-udokotela. Alibale noma ukwelashwa okungafanele kungaholela emiphumeleni enjalo:

• sepsis - isimo esisongela ukuphila lapho ukutheleleka ingena egazini usabalala futhi ngokushesha kulo lonke umzimba;
• cellulitis - libhekene sebuhlungwini obunzima, ububomvu, ukuvuvukala;
• izifo amalunga namathambo, okuyinto okusongelayo nokubhujiswa kwabo;
• umdlavuza wesikhumba ezivukayo ngenxa amanxeba ezingamahlalakhona nonhealing.

Yingakho kubalulekile ukuqonda ukuthi bedsores - inkinga enkulu ekwelapheni kanye nokunakekela nezibi futhi esehlala elele. Izindlela zokubhekana nazo lihlukile kuye kube sezingeni Izilonda.

Decubitus degree mina

Esigabeni sokuqala ekuthuthukiseni lesi sifo kuyisikhathi esihle kakhulu ukwelashwa. Kwakuphakathi nalesi sikhathi kungenzeka ukubuyisa ngokugcwele isikhumba futhi ugweme inqubo necrotic. Ngaphandle mina degree bedsores zivela njengoba izindawo ogcwele ukuchitheka. Uma ingcindezi ezincane esikhumbeni, thintana nendawo emhlophe. Kulesi sigaba ukuthuthukiswa ukulimala ebusweni oluvumela ukwelashwa okuphumelelayo, bagcine besimeme ngokugcwele.

Phezu ukuthola izindawo isikhumba reddened kubalulekile ukwazi indlela yokuphatha ingcindezi izilonda futhi yini izinyathelo zokuvimbela ukuba afeze. Okokuqala, kufanele sinake kwenhlanzeko: isikhumba lesiguli kufanele kuhlanzeke futhi ezomile njalo. Ukuba balisebenzise kangcono wokugeza izipanji eyenziwe ukotini impahla. Moisten ngamanzi anensipho, ngobumnene ukusula isikhumba isiguli. Sebenzisa insipho elwa namagciwane is hhayi Kunconywa, kungcono ukuba ukhethe evamile noma umntwana. Ukususa izinsalela isixazululo insipho, uyakwesula isikhumba. Ungakhohlwa ukushintsha izingubo zokulala kanye izingubo zangaphansi. Kulokhu, indwangu akufanele crumple, wathatheka. Kuyadingeka ukuba eduze ukuqapha isimo kwesikhumba: moisturize isikhathi esomile, ukusula izinto notshwala okunamafutha, wet okuwathwala powder. emoyeni zokugeza kufanele kube njalo ukuhlela.

Indlela esiphatha ngayo embhedeni izilonda nesineke esembhedeni? Ngesikhathi besanda kuqala sokuhlanzwa Kwenziwa kwesikhumba ethintekile usebenzisa nosawoti bokuphila noma camphor utshwala. On ezindaweni esemanzi kungabangela zinc wamafutha. Basuke kancane omisiwe isikhumba futhi awuvikele umonakalo. I kwaphumela ingcindezi izilonda ziphathwe yokugcoba "Solkoseril", "Aktovegin", "Dermazin". Ungasebenzisa powder "xeroform". Le ndawo ethintekile sisetshenziswa avale polyurethane ifilimu. Kuyinto ecacile ifilimu Yesigcilikisha ebusweni. Ukusetshenziswa Its inikeza isivikelo bacterium, umswakama ukuhwamuka futhi ukufinyelela-mpilo ezicutshini. Indlela yokusingatha ingcindezi izilonda iziguli esembhedeni kahle? Kufanele ulandele inqubo: zokuhlanjululwa, ukusebenzisa yokugcoba eziyisisekelo, bandaging. Isikhumba kumele njalo ukugadwa.

Ngaphezu ukwelashwa eyisisekelo namazinga inhlanzeko lesiguli ayadingeka izinyathelo zokuvimbela ukuze kuvinjelwe ukuthuthukiswa ingcindezi izilonda. Kuze kube yimanje, isikhundla iziguli esembhedeni embhedeni baguqulelwa njalo ngemva kwamahora amabili. Ukuze zihlalo e ngesihlalo sabakhubazekile kuyadingeka ukuze sifeze inqubo kanye ngehora. Ngaphezu kwalokho, ungakwazi nezipesheli anti-bedsore omatilasi kanye pillows, okuyinto iyehlisa esisindo ingcindezi phezu kwesikhumba. Ukudla isiguli kumele ibhalansiswe, ecebile amavithamini namaminerali. Akukona liphazamisane inkambo immunotherapy.

ukuphathwa bedsore I degree of imithi yendabuko

Yiphathe kokuqala bedsores abakwazi kuphela ekhemisi amafutha izixazululo, kodwa futhi amakhambi abantu. Kubalulekile ukuqonda ukuthi ukuqhubekela phambili kwesifo kwenzeka ngokushesha ngokwanele. Ngakho-ke, ukusebenzisa izindlela ababezibheka kumele kuvunyelwane ngakho udokotela, futhi imiphumela yokwelashwa lilawulwa. Ezilondeni zingelashwa? Ngesikhathi sokuqala Sekutholakele zemifino amafutha: ulwandle lalesi sihlahla, umnqumo, camphor. Kusetshenziswe izindawo isikhumba reddened izikhathi eziningana ngosuku.

kadokotela Ngempumelelo yokugcoba Balyninyh. Yenziwe izithako zemvelo futhi lilondolozwe isikhathi eside. Ngokuba ukulungiswa izithako ezilandelayo kumele ithengwe:

• fir (ebhentshini esontweni okudayiswayo) noma amafutha omnqumo - 100 ml;
• ngengcina yezinyosi noma ikhandlela wax - 40 g;
• ushukela - ingxenye yesithathu isipuni.

Thatha isitsha koqweqwe lwawo bese ubeka izingxenye kuwo. Ukushisa in a okugeza amanzi kuze nokonakala kwabo okuphelele, bese usebenzisa abandayo. Gcina embizeni ingilazi in the esiqandisini kuze kube unyaka. Phakathi zokupheka, ungakwazi ukwengeza ngengxube oqoshiwe omisiwe calendulakuva izimbali (isipuni).

Indlela yokusingatha ingcindezi izilonda ekhaya? You azi ukuthi ezindaweni ezilimele kwesikhumba noma kunjalo ayikwazi massaged. Imininingwane nge bedsores kufanele kube omncane. Okokuqala, isikhumba ziphathwe nosawoti noma camphor umoya, khona-ke ngomusa isicelo ku-ejenti main (in the case of ukusetshenziswa imithi yendabuko - uwoyela). Kusukela phezulu, ungafaka isicelo ngebhandeshi oyinyumba.

II decubitus phezu komqondo nezinga lokukhula kwengane

Uma izimpawu kokuqala Izilonda kungukuthi ukubonakala ngesikhathi noma kwelashwa ingaphumeleli, isifo siqhubeka ngokushesha. Isigaba esilandelayo esiteji II, esibonakala by enenxeba elivulekile. Ngezinye izikhathi decubitus has Ekhala ifomu, noma Ngakolunye uhlangothi, isinye eqolo nge uketshezi esobala. Kulesi sigaba kwandisa ingozi yokutheleleka, ngakho ukuphathwa kuqedile. Siqukethe kwamaphilisi, ephulukisa ejenti. Izinyathelo kanye nemiyalelo egeza kumelwe ilandelwe ngokucophelela, ngaphandle kwalokho ukuphathwa izobanjezelwa isikhathi eside.

Indlela esiphatha ngayo embhedeni izilonda nesineke esembhedeni nge esiteji II? Into ebaluleke kakhulu kuba magciwane amanxeba evulekile. Ukuze lokhu isixazululo zingasetshenziswa:

• Chlorhexidine - inikeza magciwane, ukubulala amagciwane, isikhunta futhi abanye amagciwane;
• esiliva colloidal - aqede ubuhlungu nobuhlungu, sithuthukisa isenzo elwa namagciwane, disinfects;
• furatsilina - ikhuthaza ukubhujiswa nezilwanyana ezincane pathogenic;
• 3% i-hydrogen peroxide - ngobumnene ahlanze futhi disinfects ebusweni wamanxeba;
• Ngokwendlela umzimba owakheke ngayo - ngesivinini ukuphulukisa, esusa amagciwane.

Ngemva isicelo ejenti isinqandakuvunda ushiye isikhumba sakho umoya futhi yome out kancane. Ngenxa yalezi zinjongo, esibhedlela ngokuvamile zisebenzisa izibani asebenza ngebhethri.

Ezinye izinyathelo zincike ubunjalo isilonda. Uma ubomvu alikho, sebenzisa ephulukisa yokugcoba, isibonelo, "Metiluratsil" noma "Thiotriazoline". Vimbela ukuthuthukiswa ukutheleleka kungenzeka esebenzisa amathuluzi ezifana "Betadine" futhi "Iruksol". Le mithi kuthiwa kugaywe izicubu efile, ngaleyo ndlela ukuhlanza isilonda futhi amsize okuphulukisa.

Ngcono ukuphathwa bedsores esigulini esembhedeni lapho kuqubuka ukutheleleka? Kunconywa ukusebenzisa wamafutha ngesisekelo antibiotic. Ngokwesibonelo, "Levomekol", "Levosin", "Argosulfan", "Iruksol". Nge isenzakalo esiphawulekayo ukutheleleka bandaging kufanele baphathe nabezokwelapha. Ukubonisa ukugeza inxeba ngamanzi izixazululo isinqandakuvunda, ukususwa izicubu efile nge sikelo kuhlinzwa. Khona-ke abeke wamafutha futhi ibhandishi.

Folk zokupheka for ekwelapheni bedsores at esiteji II

Ingabe isigaba II decubitus amenable ekwelashweni usebenzisa infusions izidakamizwa noma zemifino amafutha? Yebo, kodwa imfuneko kuyinto ukusetshenziswa kwezidakamizwa ezithile namafutha. Indlela yokusingatha ingcindezi izilonda ekhaya Kulezo zimo? Ungakwazi alternate ukusetshenziswa yokugcoba yezemithi amafutha. Kulokhu, ochwepheshe imithi yendabuko usho kahle eliphezulu lezi zimali:

• Ukubhaka Soda - isipuni buhlanjululwe in ezimbili izinkomishi zamanzi abilayo futhi wetted necebo lelineni ithawula, okuyinto zizosetshenziswa endaweni ethintekile (ibhamuza). Ngenxa yalokho, bonke ubomvu uyaphuma. Khona-ke thatha ithawula entsha bese futhi elicwiliswe ikhambi. Inqubo baqhubeka nje izicubu ngenkathi kususwa bedsore engahlanzekile.
• uwoyela Imbuzi - exutshwe onion (oqoshiwe), futhi i-sodium chloride e ingxenye efanayo. Sebenzisa on endaweni ethintekile for isigamu sehora. Ekuqaleni ekwelapheni inxeba zazibalimaza, kulokhu ahlupheke.

Ngempumelelo at esiteji II decubitus ngokuthi iresiphi: Hlanganisa wamafutha Wisniewski futhi dioksidina isixazululo 1% kule isilinganiso 3: 1. Xhuma impahla esitsheni oyinyumba. Ingxube siphelile sisetshenziswa enxebeni ukuvala ibhandishi. Ngemva kwezinsuku ezimbili ukuyiguqula. Inqubo Kunconywa amanxeba ehlanzekile ngaphandle ubomvu kanye izimpawu ezisobala ezibatshela lokhu ukutheleleka.

Imithetho kusaladi kanye nezinhlobo kusaladi

Vele aphathe bedsores nesineke akwanele ukwelashwa okuphumelelayo. Omunye izinyathelo Ukhiye Ligation. Lena inqubo saziso nganoma yisiphi izinga lomonakalo izicubu, naphezu ukutheleleka ngaphandle kokusetshenziswa kwawo angakwenzi. Ngaphambi isicelo ngebhandeshi, kufanele akwazi ukuthi siphathwa kanjani ingcindezi izilonda ekhaya. Esigabeni sokuqala uyohlale zokukhipha igciwane ethintekile isikhumba ebusweni. Lokhu kungenziwa ngezindlela izixazululo ekhethekile ukuthi kungenziwa kalula ithengwe ngasiphi ekhemisi. Indlela esiphatha ngayo embhedeni izilonda? Kumele zithobele imithetho elandelayo:

• ungathinti isilonda ngezandla zakho, ukwenza inqubo usebenzisa usula oyinyumba;
• ukuze abophe inxeba noma isixazululo izicubu kuthululwe, ngemva kwalokho endaweni ethintekile ngobumnene wesula ukuqedela uhlanzekile yayo;
• Ekupheleni inqubo isilonda lokusula ukunyakaza Sula ngendwangu eyomile oyinyumba.

Kubalulekile ukuba overdo it nokusetshenziswa antiseptics. Ngaphezu kwalokho, kufanele ngobumnene ehlanzekile zokukhipha igciwane ngaphandle kokudala ukusha kanye ukuluma kwesikhumba. It is hhayi Kunconywa ukusebenzisa Zelenko isixazululo potassium permanganate noma iodine.

Indlela yokusingatha ingcindezi izilonda iziguli esembhedeni emva ekuhlanzeni isilonda? Ngo izicubu oyinyumba noma ukulimaza ngokwayo isetshenziswa ukhilimu (sokuphulukiswa, ama-antibiotic), bese wabe Ligation. Ibhandishi okumele asetshenziswe hhayi Friend too. Ngaphezu kwalokho, kumelwe kudlule umoya futhi ngaleyo ndlela uphawu futhi obukhulu. imiphetho yayo abathintekayo kanye isikhumba enempilo. Inqubo wenziwa nsukuzonke. Ngo ezihambayo izingxenye fixed ukubopha ibhandishi umzimba ngokwengeziwe. Kwezinye izimo, it is kuvikelwe esebenzisa ingcina, ukunamathisela emaphethelweni impahla nge isikhumba enempilo. Baningi yesimanje kusaladi, ezingasetshenziswa ngaphezu kwalokho kumele camera nge izinto asebenzayo.

Ukwelashwa esiteji III ingcindezi izilonda

Isigaba sesithathu yentuthuko libhekene necrosis olubanzi izicubu - kuze kube fascia. epidermis Labhujiswa, dermis namafutha ongama. Isikhumba peels off. Ngokuvamile, isilonda etheleleka, ukuthi kuphakamisa kumiswa ubomvu. Kulokhu, kubalulekile oyisibopho ukuze ukuhlanzwa ngokucophelela isikhumba abathintekayo. Ekhaya, isibambo kumele kube bedsores ezijulile izixazululo isinqandakuvunda, ukuqinisekisa esiphezulu ukuhlanzwa kwezicubu. Ngezinye cluster yayo kwezicubu efile kumele zisuswe surgically. Vimbela ukusabalala necrosis kungenzeka kuphela esebenzisa ukuvulwa ngesikhathi esifanele izilonda nokuhlanzwa nilimaza kusukela izicubu necrotic, okuyinto eyenziwa usebenzisa necrectomy.

I kangcono isibambo ingcindezi izilonda esiteji III? Ukusebenzisa okufanayo ukuphulukiswa okhilimu kanye antibiotic, njengoba lesibili degree lesion. Lokhu "Iruksol", "Thiotriazoline", "Levosin", "Levomekol", "Algofin", "Solkoseril". Siza ekuhlanzeni isilonda kwezicubu necrotic kuzosiza namafutha "trypsin", "terrilitina", "Kollagenazin", "Chymotrypsin".

Imiphumela emihle nika kusaladi ekhethekile. Ngokwesibonelo, "Multiferm", "Pam-T", "trypsin-Daltseks". ezindaweni zawo is elifakwe enzyme nezinye izinto ezithwala asebenzayo ukuthi abantu bakhuthaza ukuphulukiswa okusheshayo nezicubu ukuvuselelwa. I ukugqoka nsuku zonke. Yokutakula, uma unakekelwa kahle kwenzeka ngaphakathi 2 amaviki.

Ukwelashwa nokuvikelwa IV esiteji ukuthuthukiswa bedsores

Esigabeni yokugcina kumiswa ingcindezi izilonda elinesimo ezijulile izicubu necrosis. It ahlala nge phansi ebumnyameni kwezicubu efile, lapho ungabona imisipha, imisipha noma amathambo. Inqubo kahle ngokushesha angehleli esikhunjeni enempilo. Treatment enqunywe udokotela wakho. Kungase kube Kunconywa indlela olandelanayo ukuthi kuhilela ukusetshenziswa okufanayo kusho ukuthi ekwelapheni bedsores futhi III degree. Aqokwe wamafutha for izicubu ukukhanda, ukususwa kokuqukethwe necrotic futhi ukulwa ukutheleleka. Ngokuvamile Ligation lwenziwa egumbini ukwelashwa noma isiguli esibhedlela sakhona.

Ezilondeni ziphathwa esibhedlela? izixazululo isinqandakuvunda Isetshenziswa (ngokuvamile nosawoti noma chlorhexidine). izicubu Necrotic isuswe usebenzisa ithuluzi wezokwelapha, bese wageza ngokucophelela isilonda. Wamafutha ezinqunyiwe kuncike ngezimo zesiguli. Lapho olubanzi ngegciwane - imithi elwa namagciwane, kwezinye izimo - izidakamizwa ukufukula izicubu ukukhanda futhi nilimaza ukuphulukiswa. Uma kuthengiselana inikezwa amasonto amabili ukwelashwa ngoludala akukuniki imiphumela. Lona isilinganiso ezimbi nakakhulu, isb. Ukuze. Ingabe ingozi eliphezulu ngenxa yezinkinga ukwandisa kwendawo bedsore. Chaza imingcele necrosis kunzima ngempela, ngakho-ke uphendulela ukususa kuphela ingxenye izicubu efile. Ngemva kwalokho iqala izinga yokutakula. Aqokwe Physiotherapy nemithi. Ngeshwa, impatho kuhlinzwa akusho ngaso sonke isikhathi ukunikeza imiphumela emihle. ingozi yezifo Ukuphinda.

izinyathelo

A indima enkulu ukwelashwa kanye nokuvimbela bedsores ukudlala zokuvimbela yabo. Kulula kakhulu ukuthobela eziningi izimfuneko ukunakekelwa nesineke kuka ukubhekana umonakalo izicubu ezithuthukayo. Ukwelapha isikhumba kumele kube camphor utshwala, nosawoti noma ezinye omnene isinqandakuvunda ukuvimbela bedsores. Lokhu kuyiqiniso ikakhulukazi ezimweni lapho incontinence urinary lesiguli noma kuso. Kuyadingeka njalo ukugcina isikhumba ihlanzekile futhi yomile. Uma kunesidingo, moisturizes baby cream noma, kunalokho, ukusetshenziswa powder (zinc wamafutha). Kaningana ngosuku uhlele emoyeni nokugeza. Shintsha isikhundla umzimba ababehlezi nesineke njalo ngemva kwamahora amabili. Lapho kuvela izimpawu zokuqala of ingcindezi izilonda uqale ukwelashwa ngokushesha.

Bedsores kwenzeke kalula kakhulu futhi ngokushesha ukuthuthukisa. Engingakusho nje kanye ukushiya esigulini ngesimiso embhedeni ezimanzi, kanye isikhumba bazothini kweso. Ukuze ulwe le nkinga eziyinkimbinkimbi kubalulekile efanele yokusingatha nesembozo: ekuvikelweni kwesikhathi esiteji ukuhlanza, omile futhi ukunakekelwa. Lapho kuvela izimpawu zokuqala ukuxhuma yokugcoba ekhethekile, siqinise izinyathelo.