Yiziphi ingcindezi izilonda? Ukwelashwa nokuvikelwa ingcindezi izilonda kanye nokuvimbela yabo

kungenzeka ukwelashwa eside, edinga ukuhambisana embhedeni ukuphumula, esikhunjeni lesiguli kwakhiwa bedsores. ukwelashwa bedsore - lena isenzakalo esibaluleke kakhulu, okumelwe kwenziwe ngokuvumelana nemithetho. isici ezingemnandi kwenzeka ngenxa Ukuwohloka kwegazi kwezitho nezicubu zomzimba, aphoqeleka ukuba aqhubeke ngendlela engaguquki zokuphila. Odokotela batusa zaziziningi imisebenzi, emzimbeni wesiguli azange abe ngaphansi kwayo noma yisiphi Izilonda embhedeni. Ukwelashwa nokuvikelwa ingcindezi izilonda nokwelashwa kwazo - kakhulu isikhathi-ukudliwa futhi inkiyankiya yenkinga. Kulula kakhulu ukuvimbela kubo kunokuba alwe nabo.

Yiziphi ingcindezi izilonda?

Kubantu, isikhathi eside ilele endaweni efanayo, isimiso sokujikeleza kwegazi is ayisebenzi at zigcwele. Ngaphansi kwethonya gravity capillary ezincane isibambo. Lokhu kuvimbela igazi ligeleze ezindaweni ezithile. Ngenxa yalokho sinqanyuliwe oxygenation kanye nokudla ihlule. Kugcine, ungatholi izakhamzimba ezidingekayo, baqala ukufa. Kuyinto kulezi zindawo kwakhiwa bedsores. Ukwelashwa nokuvikelwa ingcindezi izilonda, elaqala ngisho zingakenzeki, njengoba isilinganiso izifo, akwazi ukushintsha isimo. Ezimweni eziningi, imisebenzi efana ukuvikela esigulini phakathi zokwakheka akujabulisi futhi kubuhlungu.

kanjani ingcindezi izilonda?

Skin necrosis Kwenzeka ngezigaba eziningana. Uhlobo bedsores kuncike esigabeni gravity:

1. Eyokuqala (kokuqala) degree izindawo isikhumba ukuthi kade sicindezelwe-esimweni, bandisa futhi babe bomvu. Ngokubukeka, kubonakala sengathi i-kuyacasula elula, ngezinye izikhathi nge blue. Ubuhlungu okungase kuthintwe kulezi zitho zomzimba. Lapho izimpawu ezinjalo kufanele ngokushesha saqala bedsore zokuvimbela. umoya camphor yakhinyabezeka isayithi ukwelashwa kuyoba ukunikeza imiphumela emihle kakhulu.
2. Isigaba sesibili libhekene kumiswa ezindaweni wacasuka yamanxeba engajulile nge imiphetho Pinkish abazigabisayo nabagcwele. Kubukeka sengathi isilonda. Ngezinye izikhathi bedsore esigabeni sesibili iyafana Ekhala of the bubble.
3. In the isinyathelo sesithathu ezijulile ukulimaza. Ngaphakathi kungabonwa izicubu ophuzi necrotic.
4. Isigaba sesine libhekene i ushona nakakhulu izilonda. Buqala kuthinte nezicubu yangaphakathi. Igebe isilonda imisipha ebonakalayo, imisipha, amathambo ngezinye izikhathi.

Indawo okuvela ingcindezi izilonda incike isikhundla lesiguli. Uma isiguli ungephansi kwemandla emhlane wakhe, izilonda akhiwa izindwani, sacrum kanye izithende. On okhalweni, emahlombe namadolo ingcindezi izilonda zenzeka bantu abangabahlali ngohlangothi lwakho. Iziguli idluliselwa ngesihlalo sabakhubazekile, izilonda zingabonakala khona izibunu, sacrum, futhi imihlane izandla.

Lezi zindawo kufanele uqaphele futhi ngokucophelela nokuhlola kubo. Ungakhohlwa ukuthi laba bantu Kunconywa ukwelashwa yansuku zonke ingcindezi izilonda kanye nokuvimbela yabo.

izimbangela

Bedsores zenzeka kulezozindawo ezingenakho nezicubu imisipha phakathi amathambo nesikhumba. Izilonda zenzeka abantu abalahlekelwe ikghono. Ngokwesibonelo, umbandela kungenzeka mkhosi esiqinile embhedeni ukuphumula ngemuva kokuhlinzwa noma nenkanuko edlulele zomzimba womuntu ngenxa yokulimala. Ngezinye izikhathi imbangela ingcindezi izilonda kungaba:

• ezimbi splinting ngebhandeshi ayibhade;
• ngokungalungile ifaniswe lokufakelwa kwezitho futhi besokunxele;
• amabhandeshi Friend too, emphethweni ngombhede izingubo ezihambisanayo.

Ngesikhathi esifanayo, ezinye iziguli esembhedeni izifo ezifana ingaqala basheshise ngokwanele. Laba bantu, ngisho ngokunakekela ngokucophelela, zingase zimiswe ezilondeni umzimba. Iziguli ezinjalo zidinga Bole ukunakekelwa anake nokwelashwa njalo ingcindezi izilonda. Ngo iziguli sikashukela, ngokwesibonelo, aphazamise igazi eligciniwe. Futhi uma isiguli Usuvakashele isikhathi eside esimweni umile lapho izicubu onomfutho, ingozi ingcindezi izilonda ngezinye izikhathi iyakhula. Ngaphezu kwalokho, laba kanjani nesandla ekwakhekeni zokugula elandelayo izici:

• Ukubhema.
• Ukukhuluphala.
• Ukudla engalungile.
• Ukuphelelwa amanzi emzimbeni.
• Ngifundise ngesifo sikashukela.
• nenhliziyo kanye nezifo semithambo.
• ukujuluka Eliphakeme.
• zokwelapha Obungapheli noma ukuphazamiseka kwempilo okuthile ebuchosheni noma emgogodleni.
• komzimba nezinto izimonyo isikhumba ukunakekelwa.

izinyathelo

iziguli esembhedeni badinge ukunakekelwa okukhethekile. Kubalulekile kakhulu ukuthi ekwelapheni ingcindezi izilonda kanye nokuvimbela yabo Kwakuseshwa kahle. Kusukela ngaleso sikhathi, njengoba nje isiguli ukuba ilale embhedeni. Leyo misebenzi ihlanganisa:

1. Daily Ukuhlolwa okubonakalayo isikhumba lesiguli. Kulokhu, kubalulekile ukuba ngokucophelela hlola isimo dermis ezindaweni lapho amathambo aphume ashone.
2. Icubungula bedsores e ugula ubangwa nezibi camphor utshwala (10% isixazululo) noma ammonia (0.5%). Izinqubo ezinjalo Kunconywa ezindaweni "eyingozi" futhi uma ububomvu sisekhona. Phakathi komcimbi kumele kwenziwe kwaba lula massage ukunyakaza swab wasigcobhoza isixazululo utshwala. Lokhu massage isiza kwegazi futhi kuvusa kwezicubu.
3. ukushintshashintsha Periodic kokuma lesiguli. Isiguli kungashintshwa esebenzisa izindlela ezikhethekile (isib ezinamasondo noma umbuthano inflatable). ukunakekelwa ngokukhethekile kuyadingeka ukuze uguqule yokuma ezinqeni izithende ukuvikela nesembozo kusukela creasing. Indlela enhle ukuvimbela kuyinto kumatilasi ekhethekile wamathambo.
4. Qinisekisa ukuthi usebenzisa izindwangu Kungokwemvelo zokulala kanye izingubo nesineke. Ugweme ukuzilimaza izakhi isikhumba (bensimbi, izinkinobho, izingwegwe).
5. Ukulondoloza lokushisa ukhululekile kanye nomswakama endlini lapho isiguli itholakala.
6. Okuqukethwe ahlanzekile nesineke. isikhumba lesiguli kufanele kube olumanzi. Awukwazi ukusebenzisa izindlela okungenzeka avuse ukucasuka nesembozo.
7. Ingqondo of motor nemisebenzi nesineke. Ivula futhi izingxenye massage umzimba ezihambayo ukusiza ukuvimbela ingcindezi izilonda.
8. I oluyilo, ukudla ukudla okunomsoco. Siqukethe ukudla nge okuqukethwe ongaphakeme kilojoule, kodwa abacebile amaminerali namavithamini. Kuyadingeka ukuba ukuqapha exchange amanzi. Isiguli akufanele baphuze ketshezi, hhayi ningi than amalitha eyodwa nengxenye ngosuku.

Lona umcimbi eyinhloko okuyinto nokuvimbela ingcindezi izilonda.

ukwelashwa Skin lapho kuvela bedsores

Amakhambi, ngisho kwaphumelela kakhulu, ngeke bakwazi ukuzuza uma izwe lapho isici uhlala sicindezelwe-state. Ukuyeka le zokugula akunakwenzeka, uma izoni kungaqali ukwenza igazi, okunomsoco kwezicubu izinto ezidingekayo.

Ngakho, ukunakekelwa kuhlanganisa 3 izimo esemqoka:

• ekubuyiseleni kwegazi engxenyeni abathintekayo;
• ukuqinisekisa ukulahlwa izicubu necrotic;
• izinyathelo zokulungisa okuhloswe ngaso ephulukisa amanxeba.

Ake sihlole kabanzi indlela bedsores ukucutshungulwa kwenzeka. Technique, ngezansi, bazocula umcimbi ngendlela efanele futhi ephumelelayo.

Izinqubo sokubuyisela igazi ligeleze endaweni ethintekile

Esimeni a bedsore kumelwe asuse isikhumba ukuxhumana embhedeni ezindaweni ukucasuka. Kuze kube yimanje, ngaphansi umzimba ubeka indandatho iraba noma isiguqo, ukuze inxeba kwaba njalo emoyeni. Ngezinga elithile ezinhle zokuvimbela ngokumelene bedsores kuyinto massage. Kwenze ekuseni nakusihlwa. isikhumba lesiguli kufanele kuhlanzeke futhi yomile. okhilimu akhethekile amafutha engasetshenziswa uma kwenziwa massage. Izindawo lapho kwakhiwa amanxeba, hhayi massaged! Ukuphathwa kanjalo yokucindezelwa ulcer iziguli kungenzeka kuphela esigabeni sokuqala.

Inqubo zokuqhuba inqubo:

1. Beka isiguli esiswini sakhe. Ukwenza umlenze kuwukuziphulula kusukela izithende ukuze ezinqeni.
2. Manje ukuya izandla. Kuwukuziphulula izandla kufinyelele entanyeni.
3. Massage loin futhi iqolo wenziwa ohlangothini phansi, bese - ohlangothini.
4. Kuwukuziphulula yonke emuva.

Le nqubo Kwenziwa amaminithi awu 5. Movement kufanele kube ukukhanya ekuqaleni, okukhulu bese kakhudlwana. Khona-ke wenza i-ukuzihlikihla, nomkhombe vibration zezitho efanayo umzimba. reception ngamunye ihlala imizuzu 5. Labetibambile ekupheleni massage ekhanda, ikakhulukazi entanyeni, okuyinto ngaphezulu obala ingozi ingcindezi izilonda. Isiguli sibekwa emhlane wakhe futhi athwale massage efanayo ngaphambili emzimbeni. Ngokuphelele uhlikihla izindawo kukhona esicace kakhulu (ngamadolo, izimbambo, ukhalo).

Tinchubo ukwenqaba izicubu efile

Ezinye iziguli ziye ngokushesha kakhulu ekuthuthukiseni bedsores. Icubungula bedsores, uma kukhona kukhona ukulimaza ebusweni iqala ukukhulula Endaweni ethintekile amangqamuzana afile futhi ubomvu. Ukuze wenze lokhu, sebenzisa izidakamizwa ezikhethekile. Ezimweni ezimbi kakhulu, ukuhlinzwa Kunconywa.

ukuphathwa Ikhishwa yokucindezelwa izilonda:

1. Camphor umoya. Leli thuluzi lisetshenziswa kuphela izigaba sokuqala. Kasibili inadmissible isicelo yayo emanxebeni evulekile.
2. Hydrogen peroxide (3% isixazululo).
3. "Chlorhexidine". Kusho kokungathathi hlangothi ngaphezulu kwesikhumba.

Uma kudingeka ukususa amangqamuzana afile futhi ubomvu, izindlela ezikhethekile asetshenziselwa amanxeba "Izuksol" futhi "TM-Proteoks".

Imisebenzi ukuthi ukuphulukiswa ebusweni isilonda

Ngemva isilonda usule, kufanele uqale ukwelashwa. ukuphulukiswa kahle kakhulu bedsores neqhaza alginates kanye kusaladi hydrocolloid :

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

Le ncwadi eshiwo ngenhla izindlela abasakwazi eqolo. Ngakho-ke, akubona bonke abantu abakwazi ukuthenga kubo, ukuba aphathe bedsores. ukwelashwa Decubitus kungase kwenziwe nge yokugcoba akhethekile okhilimu ekhuthaza nilimaza ukuphulukiswa, nakuba ayengenalo obuhlungu ezinjalo. Phakathi kwemithi enjalo kuyinto angawodwa:

• "Sintomitsina".
• "Dexpanthenol".
• "Aktovegin".
• "Levomikol".
• "Vulnostimulin".
• "Solkoseril".
• "Levosin".
• uwoyela St John sika wort.
• uwoyela Sea lalesi sihlahla.

Ukuze zokuvimbela ukutheleleka nge-ekwelapheni izilonda ngokuqinile kufanele bathobele imithetho antisepsis. Ngemuva kokufaka isicelo okuyiwa isilonda sisheshe siphole kubalulekile ukusebenzisa avale oyinyumba. Uma ungeke ukwazi ukubopha inxeba iphathwa, ungakwazi ukukhiya ikhava endaweni decontamination ukunqotshwa usimende ekhethekile. Kodwa kufanele kube ukuvumela isikhumba ukuphefumula. Kufanele kuqashelwe ukuthi amabhandeshi futhi band izinsizi akudingeki ukudonsa izilenge ukuvimbela umonakalo. Ligation wenziwa njengoba kudingeka. Ngaphambi ukwelashwa ngasinye ngempela iphathwa decubitus antiseptics. Ngezinye izikhathi lapho kuboniswe iziguli ebekiwe antibiotic.

Lapho ukwelashwa kuhlinzwa?

Ngeshwa, ngisho impatho qualitative emhloleni bedsores e ugula ubangwa nezibi ngaso sonke isikhathi kuholele ukuphulukiswa evele ukulimaza. Kuleso simo, uma ukuphathwa olandelanayo ehluleka, ukuhlinzwa liyadingeka. Ngokuvamile isetshenziselwa ingcindezi izilonda esiteji 3-4.

Le nqubo elandelayo wenziwa ngaphambi kokuba uhlinzwe:

• wokuhlanza bedsores (ukususa izindawo isikhumba esifile);
• imithi elwa namagciwane;
• ukuhlanza umzimba ubuthi;
• Reconstitution amanzi, amaprotheni electrolyte ibhalansi.

Kukhona amasu amaningi kuhlinzwa ekwelapheni ingcindezi izilonda, okuyinto incike esigabeni yentuthuko isilonda, usayizi lesion futhi khona ukutheleleka:

1. dermepenthesis Mahhala. Yenza bedsores 2 futhi isinyathelo 3. Isilonda uphulukisa emasontweni 2-3.
2. Excision and plastic ezizungezile kwezicubu. Okwenziwe ngesikhathi 4 izigaba bedsores. Isilonda uphulukisa ngaphakathi 2 amaviki e iziguli eziningi.
3. Excision nesikhumba ngokuxhunyelelwa, plastic noma ngaphandle kwemisipha. Ukuhlinzwa kuvezwa isinyathelo 4 bedsores kanye ebusweni okusezingeni eliphezulu izicubu necrotic. Heal isilonda amasonto 2-4 in iziguli 2/3.

Ngezinye izikhathi, kokungenela kuhlinzwa kuphela kungasiza isiguli balahle bedsores futhi kuvimbele yezinkinga ezifana ukuphathwa izinso, isifo sesibindi, sepsis, futhi ukufa. Ngemva kokuhlinzwa, ezindaweni ezithintekile kwesikhumba ukuphulukisa ngokushesha ngokwanele. kokungenela Steel kungaba ngokuphawulekayo ekunciphiseni isimo sabantu ugula ubangwa nezibi.

Wamafutha for bedsores

Ububanzi ukwelapha lezi pathologies mikhulu. Ukuze ekwelapheni ingcindezi izilonda ekhaya eyenziwa ngempumelelo bebodwa, kufanele kube ukukhetha imithi efanele. Wamafutha for ekwelapheni isifo, kufanele:

• ukubuyisela ukugeleza kwegazi;
• zishukumisa izicubu ukuvuselelwa;
• ifa umsebenzi elwa namagciwane;
• uyoqeda ubuhlungu.

Kodwa ungakhohlwa mayelana nomcimbi ubuchwepheshe. Ngaphambi kokufaka isicelo namafutha kufanele zokukhipha igciwane futhi aphathe leyo ndawo eshile isinqandakuvunda. Ukuze wenze lokhu, sebenzisa izidakamizwa, "Chlorhexidine digluconate," "colloidal Silver", "Furatsilinom".

Yokugcoba ukwelashwa bedsores kuyakhethwa kuncike degree of ukuthuthukiswa izilonda futhi khona ukutheleleka. Ukuze isinyathelo sokuqala ezidingekayo ukuze uthuthukise kwegazi nemiphumela imithi elwa nawo. Kulesi sigaba zisebenza:

• Zinc wamafutha.
• "Dermazin".
• "Argosulfan".
• "Tsindol".

Lapho injected amabhaktheriya nilimaza kudinga ukusetshenziswa kwemithi elwa namagciwane. Ukuze Ezimweni ezinjalo, e isinyathelo sokuqala ukusetshenziswa amalungiselelo:

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

In the isinyathelo sesibili, yokugcoba zokususa amangqamuzana afile. Kulokhu, kufanele ube nomphumela eqeda ukuvuvukala kanye omiswe:

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

In the isinyathelo kuboniswe yokugcoba wesithathu okuyinto zishukumisa ukuphulukiswa:

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

degree Bedsores wesine kumele ukwelashwa esibhedlela njengoba ingozi eliphezulu yezinkinga. Ngokwemvelo, bonke amafutha izindlela okufanele isetshenziswe kuphela emva kokubonisana udokotela wakho. Isazi, ngesisekelo cwaningo, likhethe yokwelapha ukhululekile futhi ngempumelelo. Self kulokhu ngokuqinile contraindicated. Kuyinto ingozi eliphezulu kakhulu sokufa by ukwelashwa okungalungile.