Protivoprolezhnevye izimali kanye nezinhlobo zazo

U-oksijeni kanye nezakhi zomzimba zijikeleza ngokusebenzisa ama-capillary ezithombeni zangaphakathi. Izindonga zemikhumbi ziyinkimbinkimbi futhi uma zicindezelwa, ukugeleza kwegazi kwehla. Kwenzeka ukuthi umuntu akahambisani namahora angaphezu kwama-amabili. Kulesi simo, ukwemukelwa kwegazi futhi kuphelile ngokuphelele. Inqubo enjalo ibangela ukubonakala kwe-necrosis yezicubu ezithambile.

Uma ungasebenzisi i-anti-bedsore, i-necrosis izothinta izicubu ze-muscle nezethambo kuzo zonke izendlalelo. I-degree ye-necrosis inqunywa ukujula kwenqubo ye-pathological. Kunezinyathelo ezine zokunqotshwa.

Iziphi izingxenye zomzimba ezithinteka kakhulu?

Indawo yokwakhiwa kwe-necrosis yesikhumba ngokuqondile kuxhomeke esimweni isiguli esithathayo.

Ukulala okuningi kubonakala ezindaweni ezilandelayo zomzimba:

• Ingemuva kwekhanda, ama-shoulder blade, i-rump kanye nezithende. Kulokhu, isiguli silele ngemuva kwakhe.
• Indawo yokuhamba kwamalungu, njengoba isikhumba kulezi zindawo singathandeki.
• Ama-Ankles nesiguli eceleni kwakhe.

Ungasiza kanjani kuleli cala futhi uvimbele ukuthuthukiswa kokulimala okujulile? Okokuqala, kufanele unqume imbangela yenqubo yokwelapha, uqaphele izici ezivusa amadlingozi, futhi-ke, khetha amakhemikhali akhethekile (amafutha, ama-creams, ama-gel, ama-bandages) asisiza ukunakekela isikhumba somuntu ogulayo.

Iziqu ze-necrosis

• I-degree yokuqala. Ibonakala ngokuphindaphindiwe kancane ngaphandle kokuphazamisa isakhiwo sesikhumba. Ngemuva kokusikhipha ukukhanya noma ukuguqulwa emzimbeni, kudlula.
• Isiqu sesibili. Ngalo, kubonakala ukubomvu, okungahambi ngisho nangemva kokushintsha ukuma. Mhlawumbe ukubonakala kwezilonda ezibuhlungu, izibhansela, ukuguquka kwamagciwane, ama-vesicles, ukukhula okungenasisekelo. Isakhiwo sesikhumba sonakalisiwe.
• I-degree yesithathu iboniswa ngezilonda ezijulile zesikhumba. Kulesi sigaba, zonke izingxenye zesikhumba zivutha. Isiteji sibonakala ngokuvuvukala, izilonda ezinezinyosi nokubomvu okukhulu. Ama-ulcers agcwele u-granulation ophuzi noma obomvu. Amanxeba akhipha iphunga elimnandi.
• I-degree yesine indawo yesikhumba efile enezinqwaba zezilonda ezigcwele izingcezu zesikhumba esimnyama.

Izimbangela ze-decubitus

Izimbangela eziyinhloko zezicubu ze-necrosis zihlanganisa:

• Ukuba khona isikhathi eside komuntu osesikhundleni esiphakeme (iziguli eziye zahlushwa isifo, isifo senhliziyo, ukulimala komzimba, njll);
• Ukungena kwe-urine nemifino;
• Ukujuluka okukhulu;
• Ukulala okumanzi nokumanzi;
• Ukwanele kwengqondo yesikhumba;
• Ukuba khona kwamapulangwe kushidi, izinkinobho ezembathweni, imvuthu embhedeni;
• Izifo zemithambo yegazi nenhliziyo;
• Ubukhona besifo sikashukela.

Izizathu eziningi ezibalulekile zokuvela kwe-necrosis zihlanganisa:

• Ukwelashwa ngokungenangqondo kweziguli ezilele.
• Ukuguqulwa okusheshayo.
• Ukushintshwa okuvamile kwelineni.
• Ukucindezelwa kwesikhumba ngesitsha, lapho ama-capillary amancane kakhulu aqala khona. Ukugeleza kwegazi kulezi zindawo kuphazamiseka kakhulu.

Izimali ezibhekene nezibhebhe ema Pharmacy aseMoglev zimelelwa ukugcoba okuningi kwamafutha ahlukahlukene kanye nama-creams eziguli ezibhekene nokulala. Izindlela ziyakwazi ukuyeka inqubo ye-necrosis yezicubu zesikhumba futhi ikhulise kakhulu izinga lokuphila kwesiguli.

Izinsisekelo ze-prophylaxis yezimbhedlele

Umsebenzi oyinhloko obhekene nomuntu onakekela isiguli esiqamba amanga ukuqaliswa kwezinyathelo ezivimbela ukuvimbela i-necrosis yesikhumba. Izilonda zokucindezela ziletha ubuhlungu kanye nokwelashwa okunzima kakhulu. Kuhlale kulula ukwenza izinqubo zokuvimbela ukudlula okwenziwe othandekayo ekuhluphekeni okukhulu kanye nokwelashwa okwesikhathi eside.

Ukuvimbela i-necrosis kufaka phakathi imisebenzi eminingi eyenziwa njalo. Kumele kuqashelwe umthetho oyinhloko: ukunakekelwa ngokucophelela isikhumba sesiguli kumele kufake ukuhlunga nsuku zonke nokugeza.

Izinsizakalo eziyisisekelo ze-prophylaxis yezinkinga zokulala

Ngezinhloso ze-prophylactic, ama-anti-bedsore amanxusa alandelayo asetshenziswa:

• Amafutha;
• Ama-gel;
• Ama-Bandages;
• Izindwangu;
• Izinsika;
• I-band ye-raber ene-inflatable;
• Ama-irradiators asekelwe ku-quartz.

Ukwelashwa kwezilonda zomshoshaphansi

Inqubo ye-pathological yezinga lokuqala neyesibili ingasuswa ekhaya ngokusebenzisa izindlela ezifana nama-anti-bedding agents, kanti ukwelashwa kuthatha isikhathi eside. Kodwa umphumela uwufanele. Ukulala kwezinga lesithathu nelesine kukhishwa esibhedlela kuphela.

Ukwelashwa kwe-necrosis yesikhumba kuhlanganisa izigaba ezimbili:

• Ukubuyiselwa kokugeleza kwegazi endaweni ewonakele;
• Ukuhlanzwa kwesilonda kusuka ekufakweni kwe-pus ne-necrotic.

Ukubuyiselwa kwegazi kusakazeka ngosizo lwamatresi, ukusikhipha, ukuguqula isikhundla somzimba wesiguli.

Ukuhlanzwa kwamagundane we-necrotic kanye nokuvuselelwa kwawo okubanjelwe amabhandeki akhethekile.

Ngokusho kohlobo lomthelela endaweni elonakalisiwe, amabhandeki avela ku-decubitus ahlukaniswe ngezigaba ezimbili:

• Ukuhlanza. Bakha i-pus and exudate.
• Ukuphulukisa. Ama-agent anjalo anesandla ekuvuseleleni izicubu.

Isigaba sinemibandela, ngoba konke ukugqoka kubangela ukuhlanza nokusheshisa ukubuyiselwa kwesakhiwo sesikhumba.

Ama-bandages ngokumelene ne-decubitus anamafomu ahlukene:

• Imikhiqizo ehlanzekile yokubhebhetheka emibhede esetshenziselwa ukumisa i-necrosis ezindaweni ezifinyeleleka kalula zomzimba womuntu. Ngokuvamile, imikhiqizo isesigabeni noma isikwele.
• Ama-Bandages adalwe ukuphatha indawo ye-sacrum. Zinehlobo levemvane noma inhliziyo.
• Imikhiqizo yokuqeda ama-decubitus ezithendeni. I-bandage enobunjwa bevemvane noma i-shamrock isetshenziswa.

Ukuhlanza amabhandeshi ngokumelene ne-necrosis

Imodeli evamile kunazo zonke zezingubo ze-decubitus yimikhiqizo enomphumela wokuhlanza. Kuze kube manje, izinga eliphakeme lokusebenza kahle linokusetshenziswa kwe- "Hydrocol", "HydroSorb", "TenderVet Activati".

I-bandage "i-Gidrokoll" ikhonjwe endaweni ethintekile ngezinsuku ezingu-3-8. Kuyasiza ukuhlanza isilonda, kuthatha okuqukethwe okungenawo ama-purulent, ukuyijika ibe yisimo se-gel.

I-bandage "Hydrosorb" igqugquzela ukudalwa kwemvelo enomswakama esilonda, okukhuthaza ukulahla izicubu ezifile nokuphulukiswa kwayo.

Ama-bandages we-firm "TenderVet" "I-Activiti" adalwe ngesimo samapayipi athambile. Bahlanganiswe ne-raster ka-Ringer, edala umphumela wokugezwa okungenakuphazamiseka kwesilonda emini. Bakha izicubu ze-necrotic futhi bakhuthaze ukuvuselelwa kwendawo yesikhumba ewonakele.

Ukuhlanza nokudonsa amabhandeji ngamanxeba ajulile

Iyiphi indlela ye-anti-beddingore? Izinhlobo ezibalwe ukulala okujulile kanye nokuba khona kwe-exudate ne-pus, zihlukile. Phakathi kwabo, kufanele kuqashelwe "iSalbalgon" ne "PermaForm".

Isisekelo se "Sorbalgon" siyimpahla engaphelele, esethula ekujuleni kwe-decubitus eningi. Lezi zinto zikhuthaza ukumuncwa kwe-pus, zihlanza phansi isilonda, zilukhuni, bese zisuswa kalula kwilonda. Uma phansi kuhlambulukile, i-cotton impahla ithatha uhlobo lwe-gel, ikhubaza isilonda futhi igeleza yona ngokwayo.

Ibhande lokuthi "Permanform" liyi-matrix ngesisekelo sesiponji. Iphinde ibambe ipus and exudate. Isusiwe ngaphandle kobuhlungu. Kushiya ngemuva kwesikhulumi esikhuthaza ukuphulukiswa kwe-necrosis.

Kusho ukuphulukiswa

Izindlela ezivame kakhulu ngendlela yokubopha amabhande "yi-Atrauman" no- "Branolind." Yiziphi izici ezikwenziwayo lezi antidecubicides?

Ibhande le "Atrauman" linesisekelo esisodwa. Ihlanganiswe ngendlala encane kakhulu yesiliva ne-hydrophilic ointment. Umkhiqizo unempahla ye-bactericidal, inikeza ukungcola kwesilonda futhi ukhuthaza ukuvuselelwa kokuqala kwendawo ewonakele.

I-bandage "I-Branolind" nayo iqukethe i-mesh egcwele i- balm Peruvian. Umkhiqizo une-antiseptic nomphumela wokuphulukisa.

Sibutsetelo sama-gel

Izimali ze-Antidecubital zimelelwa ingxenye enkulu yama-gel ahlukahlukene. Phakathi kwama-crams asetshenziselwa ukwelapha isikhumba se-necrosis, okulandelayo kufanele kuqashelwe:

• Gel "Argosulfan". Isithako esisebenzayo sulfatizole. Ivimbela ukukhula nokukhiqizwa kwezinambuzane. Izinto eziwusizo ziyi-ion zesiliva. Bandisa ukwelashwa kwe-sulfatizol, futhi basiza ekuvimbeleni ukukhula kwebhaktheriya. Isisekelo se-hydrophilic somkhiqizo sinomthelela omuhle, siphuthukisa isilonda futhi siphuthumisa inqubo yokuvuselelwa kabusha. Ukugxila kwesisekelo sekhilimu asinayo umphumela onobuthi. Ukwelashwa kwama-decongestants nge-"Argosulfan" ukhilimu kungenziwa ngendlela evulekile noma esetshenziselwa ngokuhambisana nokugqoka okujwayelekile. Isidakamizwa kufanele sisetshenziswe kuyo yonke indawo yesilonda esingenqamukiwe 2-3mm obukhulu noma kathathu ngosuku. Inkambo yokwelapha izinyanga ezimbili. Ikhambi lisetshenziswa nsuku zonke. Isenzo esifanayo senziwa yiziphathamandla ezinjalo zokulwa nezibhebhe njenge "Sulfargin" ne "Dermazin".
• I-Cream "Iruksol". Ukwakhiwa kwalesi sidakamizwa kuhlanganisa i-collagenase ye-chloramphenicol kanye ne-enzymes ehambisanayo. Izindlela ze-enzymatic ziqinisekisa ukuhlanzwa kwezilonda ezicindezelayo, kuvimbela ukubola kwezicubu zesifo sochungechunge, kuvimbela amabhaktheriya omphakathi osondelene, unomphumela wokulwa nomzimba. Ukhilimu usetshenziselwa isikhumba esingenqamukile. Isidakamizwa siqinisekisa ukuphulukiswa okusheshayo kwezicubu ezilinakele.
• Amafutha "Levosin B". Isizathu salo muthi yi-levomitsitin, enomthelela wokulwa namagciwane. Futhi, i-sulfadimethoxin, ekhuthaza ukuphulukiswa kwesilonda, i-methyluracil kanye ne-anesthetic trimecaine yendawo, ifakwe kulesi sidakamizwa. Amafutha anomthelela osheshayo wezokwelapha. Kuyasiza ukuhlanza izilonda ezicindezelayo ezivela emaphethini nasezikhunjini, kanye nokuphulukiswa kwendawo ephethwe. It isetshenziswa nsuku zonke. Isetshenziselwa ubuso obungasetshenzisiwe futhi ihlanganiswe nge-bandage. Mhlawumbe isingeniso salo emgodini ophethe ipulazi nge-syringe.
• Isixazululo "Levomekol". Ngaphezu kwe-methyluracil, i-chloramphenicol ifakwe ekubunjweni. Leli thuluzi lisiza ukuphulukisa amanxeba. Isetshenziswa phambi kwezilonda zokucindezela kanye nezifo, kanye nasesiteji se-purulent senqubo ye-necrotic.
• I-Metronidazole ukhilimu. Isisekelo salo isifo se-antibacterial. Ijel isetshenziselwa izinto zokugqoka futhi kusiza ukususa iphunga elimnandi kumanxeba. Lapho kutholakala ukulala okunezinhlamvu eziningi noma izidakamizwa, ama-bandages asetshenziswe nge-styrofoam ne-metronidazole. Ngaphambi kokulala okumile, ama-bandages ne-hydrogel asetshenziswa.
• I-Hydrogel "Intrasite" inikeza ukuhlanzwa kwesikhumba samathishu enesifo sochungechunge, ngokucophelela kunakekela isikhumba. I-hydrogel isetshenziswa nge-bandage yangaphandle, imvamisa yeshintsho incike esimweni sesilonda. I-ejenti inikeza ukuhlanzwa okusheshayo kwezicubu ezithintekile, ngoba ngaphansi kwethonya layo, ukukhishwa kanye ne-pus kuyolulwa. "Intrasite" i-gel amorphous ehlanzekile, efaka amanzi, i-propylene glycol kanye ne-polymer carboxymethylcellulose eguquliwe.

Izixazululo ze-decubitus esithendeni

Ama-anti-bedsores for izithende amelwe ububanzi obubanzi. Phakathi kwabo, umkhiqizo we- "Comfil" uthandwa kakhulu. Ifakwe "izindlebe" ezikhethekile zokulungiswa emlenzeni. I-Pillow inomumo ojikelezayo we-ergonomic, iphinda iphinde isithende. Isetshenziselwa ukuphulukisa amanxeba ahlanzekile phezu kwesithende ngaphandle kwezimpawu zokutheleleka nge-necrosis.

Umkhiqizo usebenza njengesivikelo esihle kakhulu sezicubu ezivuthayo, kanye nokuvimbela ukutheleleka kwesibili. Kuncike ekungenikeni komonakalo, kusetshenziswe ukusetshenziswa kwe-2-5 yokugqoka. Isikhathi sokuveza yisikhathi ezinsukwini ezingu-2-5.

Uma isilonda siqukethe i-necrosis ye-exudate noma i-pus, i-antidecubital remedy for heels, Ukusiza ukuhlanza isilonda bese uyeka inqubo yokuvuvukala. Phakathi kwabo, kufanele kuqashelwe "i-Protex-TM." Umkhiqizo ukhuthaza ukuphulukiswa okusheshayo kwesikhumba esithintekile.

Izinzuzo zebhansela elithi "Comfil Plus" ngombuthano ophezulu

Ibhande le "Comfil Plus" liyisibonelo esihle. Inzuzo yomkhiqizo ikhona ekutholakaleni kwamasongo akhethekile. Zitholakala ezingxenyeni zangaphakathi nangaphakathi zomkhiqizo, zikhishwa ngesikhathi esisodwa, ziqala phakathi kwe-bandage.

Ukuze ukhethe usayizi olungile, kunikezwa "izindlebe" ezikhethekile, okuvumela ukulungiswa okuthembekile kokugqoka esithendeni. Umkhiqizo unikeza ukuphulukiswa okusheshayo kwilonda, kuphuthumisa inqubo yokuvuselelwa kwezicubu, kuvimbela ukungena kokutheleleka kwesibili emibhedeni. Ukugqoka okulodwa kuyanele ezinsukwini ezingu-2-6. Ukushintsha okungavamile kuyasiza ekuphulukiseni kokuqala kwilonda, futhi kunikeza isiguli induduzo.

Izinzuzo eziyinhloko zama-bandages:

• Umkhiqizo ulula futhi ukhululekile;
• Ungasusa ubuhlungu;
• Ukuphela kwezidakamizwa kanye nezicubu ezivuthayo kuvikelwe ngokuphepha ngejeri elimanzi;
• Ukugqoka akubanga ukulimala, kungabangeli ubuhlungu uma kushintsha, kungabangeli ukugula;
• Ukulungiswa okulondekile komkhiqizo kunikezwa umkhawulo wokunamathisela ngaphandle kokugqoka okunye.

Ngaphambi kokuba usebenzise ukugqoka kunconywa ukuba uhlaziye isilonda esithendeni. Ngalokhu, ithuluzi elinjenge "Furacilin" noma "Rivanol" lingasetshenziswa. Isikhumba esiseduze nesilonda sesomile. Ubukhulu bokugqoka kumele bube ngaphezu kwe-2 cm ngaphezu kwesayizi kwilonda. Ukugqoka kufakwe esikhumbeni esikhulayo futhi kugxile esikhunjeni esinempilo nge "izindlebe". Amasongo asuswa kuze kube umkhiqizo weka ukulayisha isithende. Ngokubanjwa kwe-pus ne-exudate, ukugqoka kuyashintsha umbala wayo. Iba sobala. Kulokhu, kudinga ushintsho.

Ama-anti-bedsore agents (ama-bandages) awasetshenziselwa ukulala okujulile ngokutholakala kwamanxeba namapokheji enxeba. Futhi ayisetshenziselwa ukutheleleka kwe-necrosis.

Ukubuyekezwa mayelana nemikhiqizo yanamuhla ye-anti-decubitus

Ama-anti-bedsore agents (ama-creams, ama-gel, ama-bandages), njengabaningi, abe nezinga eliphakeme lokuphumelela ekuvimbeleni inqubo yesikhumba se-necrotic. Imikhiqizo ilula kakhulu ukusebenzisa. Unganikezi kahle isiguli. Futhi okubaluleke kakhulu, ngesikhathi esifushane kakhulu singasusa izimpawu ezisemqoka zezilonda zesikhumba ku-1 st noma 2 isiteji.

I-anti-beddingore isho ukuthi, yiziphi izibuyekezo ezihamba phambili, ukukhulula ukuvuvukala nobuhlungu, ukuqeda i-exudative kanye ne-pus kusuka ku-decubitus, ne-antimicrobial effect, ukuphazamisa ukuthuthukiswa kokutheleleka kwesibili.

Ukupheka kwabantu ngokumelene ne-decubitus

Ngaphandle kwemali enikezwa imithi esemthethweni, kunezindlela eziningi zokupheka ezisetshenziswa abantu. Zisekelwe ezingxenyeni zemvelo, ezinemiphumela elwa nokuvuvukala nokuphuza esikhumbeni.

Wenza kanjani anti-bedsore? Ukupheka komphakathi kuhlukile.

Ngezansi kukhona okunye okuvame kakhulu:

Ezigumbini zeglasi, amaconsi amahlanu amafutha abalulekile afakwa emrithini, e-chamomile nasetizeni. Ingxube ingeziwe 2 tbsp. L. Amafutha kaJojoba namaconsi angu-12 amafutha ka-lavender. Ingxube ixutshwe ngokuphelele futhi ifakwe endaweni emnyama. Amaconsi okudonsa amaconsi angu-2-6 ngesilonda ngasinye, bese ehlanganiswa ne-bandage eyomile. Kutuswa ukuba usebenzise kabili ngosuku. Ngaphambi kokusetshenziswa, umkhiqizo uyagungqiswa. I-recipe enjalo ingasusa ubuhlungu, isuse ukutheleleka, ukuvuvukala nokuphunga okungajabulisi okuvela ku-necrosis.

Iresiphi elandelayo unikeza isikhumba umuzwa nokuhlanzeka kanye freshness. Thatha 100 g camphor kanye notshwala imoto izingane. I izingxenye ngokuphelele exubile. Ingxube kwaphumela is wesula amanxeba.

Wamafutha ngesisekelo calendula izimbali. Kufanele kuthathe 20 g we izimbali omisiwe ugaye wabayisa ikhofi grinder. I powder ingezwe ku-50 g petrolatum. Zonke kahle exubile. Ingxube lisetshenziswa isilonda 2-3 izikhathi ngosuku.

ithuluzi Landelayo aqede ubuhlungu nokuvuvuka, aqede inqubo ezithathelwanayo ngo necrosis. Kufanele kuthathe 100 g amafutha sunflower bese wengeza 30 amagremu ngengcina yezinyosi. Zonke kuxutshwe ngokucophelela futhi avunyelwe ukuba kuphole. Wamafutha nivame nezimagqabhagqabha avuvukele zesikhumba.

Leresiphi ine malula futsi kahle. anyanisi ezimbili kufanele ochotshoziwe, engeza kuya okuholela mass 2 tbsp. l. amafutha zemifino. Anyanisi kuphekwe ebhodweni koqweqwe lwawo imizuzu engu-20, ke elicwengekileyo ngokusebenzisa colander. Amafutha esisele kufanele ancibilike 1/4 amakhandlela isonto. Lokhu necrosis wamafutha nivame kabili ngosuku. Ingxube lagcinwa embizeni uphawu kule esiqandisini.

isiphetho

Decubitus kuphambene isakhiwo isikhumba. Inqubo senziwa kokucindezelwa ka-capillary. Ngokuvamile lo zokugula ebonwe iziguli esembhedeni ngenxa yokugula. belulekwa ukuba baphuze izinyathelo zokuvimbela ukuze kuvinjelwe necrosis. Isimo main uhambisane nezindlela inhlanzeko.

Endabeni le zokugula ingasiza nesineke ekhaya kuphela izigaba sokuqala. Ngenxa yale njongo kukhona ezihlukahlukene anti-bedsore izindlela (yokugcoba, kusaladi, lotions nama-gel) kokuba isinyathelo antiinflammatory. izidakamizwa Modern abe izinga eliphakeme kahle.

Ezigabeni lokugcina ukufa amenable ekwelashweni kanzima, njengoba inqubo iba ngokujulile. Kulokhu, isiguli sidinga ukwelashwa kuzilungiselelo esibhedlela.