Kodi ndi zimene kuchitira bedsores?

Chithandizo cha odwala omwe ali pabedi nthawi zonse chimakhala chovuta: kusamalira mosamala ndi kuyang'anira matenda a wodwalayo ndi thanzi ndilofunika. Izi sizitha kugwiritsa ntchito mankhwala osokoneza nthawi panthaŵi yake, komanso ukhondo wa tsiku ndi tsiku, zakudya zoyenera, kutsatiridwa ndi mpweya wabwino komanso masewera olimbitsa thupi. Zovuta ndizovuta kwa odwala olemera. Zimapangidwa chifukwa cha kupanikizika koopsa kwa kansalu ka khungu. Kodi mungawachitire bwanji mankhwalawa? Tiyeni tiyankhe funso ili m'nkhaniyi.

Lingaliro la kugona, mitundu yawo ndi malo a maphunziro

Zofooka ndizo mchitidwe wa minofu ya necrosis, yomwe imapezeka m'madera ozungulira thupi. Kuwonongeka kumakhudza khungu, mitsempha ya magazi, minofu yambiri ndi zina. Nthaŵi zambiri mabedi amapezeka m'malo omwe mafupa amatha. Izi zimatheka chifukwa chakuti m'madera amenewa khungu lachikopa ndi lochepa kwambiri, kotero kulimbika kwina kulikonse kumafa.

Sungani malonda ndi zizindikiro zosiyana. Malingana ndi chiyambi chawo, zosiyana, mwachitsanzo, kuchokera kuntchito, zimamasulidwa, ndi zosakwanira - zopangidwa chifukwa cha kusintha kwa khungu pa khungu. Zomalizirazo zimapangidwa mkati mwa ziphuphu chifukwa cha kukhazikitsidwa kwa catheters kapena matope.

Zofooka ndizofunikira osati kwa odwala okhaokha - zimapangidwanso ndi kufalikira khungu kokha, komwe kumawoneka pazifukwa zina. Inde, kawirikawiri zilonda zimapangidwa chifukwa cholephera kusungunuka matenda. Malingana ndi kumene wodwalayo ali nthawi yambiri, pali kusintha kwa chisokonezo m'madera ena:

• Pokhala pa chikuku, kulemera kwa thupi kumayendetsa pamabowo ndi zidendene;
• Mu malo apamwamba pambali, mabotolo, ntchafu, mawondo amachitidwa kuwonjezereka;
• Zovuta zingathe kuoneka m'malo a chidendene, sacrum, sciatic tubercle, scapula, elbow, occiput;
• Ngati munthu agona pamimba, khungu la cheekbones ndi dera la pubic limavutika.

Zimachepetsa njira yowonjezera yowonjezera kapena yowuma kwa zivundikirozo. Kuti musadabwe: "Momwe mungaperekere mankhwala ogona?", Muyenera kusamalira mosamala khungu la wodwalayo. Ngati kuuma kukuwoneka - gwiritsani ntchito zowonongeka kwa ana. Ndi chinyezi chokwanira, amamenyana ndi ufa. Khungu loyera liyenera kuperekedwa ndi njira zothetsera mowa. Ndikofunika kukonzekera nthawi ya ukhondo: kusamba, kusamba, kusintha kwa nsalu, nsalu, mapulogalamu.

Zowopsa, zovuta

Munthu aliyense amene amachiritsidwa ndi kupuma pa kama kapena kugwiritsira ntchito chikuku. Apatseni zina ndi zina zomwe zimapangitsa mpata wobala zipatso:

• Ukalamba - wamkulu wodwala, kulandira khungu kowonjezera, ndi kubwezeretsanso kwa minofu ndi kovuta kwambiri komanso motalika;
• Kusokonezeka, kukhudzidwa kwa matenda, matenda a ubongo;
• Kupweteka kwa minofu ndi kulemera kwake - chilema pakati pa fupa ndi khungu limachepa, zomwe zimapangitsa kuti pakhale kuwonjezeka;
• Kusadya madzi okwanira, kusowa zakudya zabwino - kusowa chakudya choyenera komanso kuchuluka kwowonjezereka kwa mthupi;
• Kulephera kwa fodya kapena mkodzo - ndiko chifukwa cha kufalikira kwa mabakiteriya;
• Kuchuluka kwa chinyezi kapena khungu la khungu;
• Matenda a shuga ndi matenda amphamvu;
• Kusuta, kumwa mowa kapena mankhwala osokoneza bongo;
• Kusokonezeka kwa chidziwitso ndi malo osokonezeka a minofu.

Ngati wodwala ali ndi chimodzi mwazimenezi, ndibwino kuganizira mozama za kupewa zilonda. Amawoneka mofulumira kwambiri, koma amachiritsidwa motalika komanso molimbika. Atapeza zizindikiro zoyamba za kufinya ziphuphu, munthu ayenera kuyamba mwamsanga mankhwala ndi kulimbikitsa njira zothandizira. Kodi mungatani kuti muzitha kupweteka? Pazigawo zoyamba, chinthu chofunikira ndikumvetsera nthawi yoyenera. Mukhoza kugwiritsa ntchito mafuta odzoza thupi. Ndikofunikira kudziwitsa adokotala za njira yomwe wayamba. Kuchita zinthu mosayenera kapena chithandizo cholakwika kungayambitse zotsatirapo izi:

• Sepsis - chikhalidwe chowopsya chomwe chiwopsezo chimalowa m'magazi ndi kufalikira mofulumira thupi lonse;
• Kutupa kwa minofu yapansi - yodziwika ndi matenda aakulu, hymeremia, edema;
• Kugonjetsedwa kwa mafupa ndi mafupa, zomwe zimayambitsa chiwonongeko chawo;
• Khansara ya khungu yomwe imapezeka chifukwa cha zilonda zam'mbuyo zosachiritsika.

Ichi ndi chifukwa chake nkofunika kumvetsa kuti zilonda zoopsa ndizovuta pochiza ndi kusamalira ogona ndi ogona kwambiri. Njira yolimbana nayo imasiyana malinga ndi kukula kwa khungu.

Zovuta zedi

Gawo loyamba la chitukukochi ndilo nthawi yabwino kwambiri yothandizira. Panthawi imeneyi n'zotheka kubwezeretsanso khungu lonse ndikupewa njira yothandizira. Zovuta za digiri yoyamba kunja zikuwoneka ngati malo ofiira. Ngati mukakanikizira khungu khungu, malo olankhulana amatembenuka oyera. Panthawi imeneyi ya chitukuko, zilondazi ndizopanda chithandizo, zomwe zimathandiza kuti chithandizo chamankhwala chikhale chonchi.

Ngati mupeza malo ofunika kwambiri a khungu, nkofunika kudziwa momwe mungagwiritsire ntchito mabedi ndi zomwe mungachite. Choyamba, muyenera kumvetsera ukhondo: khungu la wodwalayo liyenera kukhala louma komanso loyera. Pofuna kutsuka, ndi bwino kugwiritsa ntchito zipangizo zopangidwa ndi thonje. Pambuyo powagwiritsira madzi sopo, pewani khungu la wodwalayo modekha. Sopo sagwiritsire ntchito sopo, ndi bwino kusankha mwana wamba kapena mwana. Pambuyo pochotsa zitsulo za sopo, yesani khungu. Musaiwale kusintha nthawi yogona ndi zovala. Pachifukwa ichi, nsalu sayenera kusinthasintha, pezani. M'pofunika kuyang'anitsitsa bwino khungu: nthawi yowuma, mafuta amathetsa zinthu zakumwa zoledzeretsa, zowonongeka kuti azipaka ndi ufa. Muyenera nthawi zonse kukonzekera kusambira mpweya.

Kodi mungatani kuti muchepetse zilonda zam'mimba? Pa nthawi yoyamba, kuyeretsa khungu kumakhudzidwa ndi chithandizo cha thupi kapena camphor mowa. Pa malo ozizira mungagwiritse ntchito mafuta odzola. Amangouma khungu ndikuteteza kuti asawonongeke. Bedsores zopangidwa ndi mavitamini "Solcoseril", "Actovegin", "Dermazin". Mukhoza kugwiritsa ntchito ufa "Xeroform". Gulu la mafilimu la polyurethane limagwiritsidwa ntchito kumalo okhudzidwa. Ndi filimu yowonekera bwino. Ntchito yake imatetezera mabakiteriya, chinyontho cha evaporation komanso mpweya wabwino. Kodi mungagwiritse ntchito bwanji mankhwala ogona pabedi odwala? Ndikoyenera kutsatira ndondomeko iyi: kuyeretsa, kugwiritsa ntchito mafuta opangira, kugwiritsa ntchito ma bandage. Chikopa cha khungu chiyenera kuyang'aniridwa nthawi zonse.

Kuphatikiza pa chithandizo chachikulu ndi kutsata miyezo ya ukhondo wa wodwala, njira zothandizira ndizofunikira kuti zisawononge kukula kwa bedsores. Chifukwa cha ichi, malo ogona pabedi amasinthidwa maola awiri alionse. Kuti mukhale pa chikuku , m'pofunika kuti mutha kuchita chimodzimodzi ola limodzi. Kuphatikiza apo, mungagwiritse ntchito mapiritsi apamwamba oteteza mavitamini ndi mapiritsi, omwe amachepetsa kwambiri kulemera kwa thupi pa khungu. Chakudya cha wodwalayo chiyenera kukhala choyenera, chodzala ndi mavitamini ndi mchere. Musasokoneze njira ya immunotherapy.

Kuchiza kwa zilonda zapakati pa digiri yoyamba ndi mankhwala a zamankhwala

Chithandizo cha mankhwala oyamba a bedsores sichikhoza kokha mankhwala opangira mankhwala komanso njira zothetsera mankhwala, komanso mankhwala ochiritsira. Ndikofunika kumvetsa kuti kukula kwa matendawa kumachitika mofulumira. Choncho, kugwiritsiridwa ntchito kwa njira zomwe si zachikhalidwe ziyenera kuvomerezedwa ndi dokotala, ndipo zotsatira za chithandizo zimayang'aniridwa bwino. Kodi mungatani kuti muzitha kupweteka? Pa nthawi yoyamba, mafuta a masamba monga nyanja buckthorn, azitona, ndi camphor adziwonetsa okha. Amagwiritsidwanso ntchito pazigawo zofiira khungu kangapo patsiku.

Mankhwala a mafuta a Balynin ndi othandiza. Zapangidwa ndi zigawo zachilengedwe ndi kusungidwa nthawi yaitali. Kukonzekera zotsatirazi:

• Mafuta (ogulitsidwa mu sitolo ya tchalitchi) kapena maolivi - 100 ml;
• Sera kapena sera ya sera - 40 g;
• Shuga - gawo limodzi mwa magawo atatu a supuni ya supuni.

Tengani chidebe chojambulidwa ndikuyika zigawozo mmenemo. Kutentha pa kusamba madzi mpaka kwathunthu kusungunuka, ndiye kuzizira. Sungani mu mtsuko wa galasi mufiriji kwa chaka chimodzi. Pamene mukuphika, mukhoza kuwonjezera pa chisakanizo chophwanya maluwa owuma a calendula (supuni).

Kodi muyenera kuchiza bwanji zilonda zapakhomo? Muyenera kudziwa kuti khungu lowonongeka mwanjira ina iliyonse silingathe kusonkhanitsidwa. Kuyanjana ndi zilonda zolimbikitsidwa ziyenera kukhala zochepa. Choyamba, khungu limasamalidwa ndi saline kapena camphor mowa, kenako mankhwalawa amagwiritsidwa ntchito mosavuta (ngati akugwiritsa ntchito mankhwala achipatala - mafuta). Bandage wosabala ikhoza kugwiritsidwa ntchito kuchokera pamwamba.

Zovuta pa gawo 2 la chitukuko

Ngati chizindikiro choyamba cha zilonda za khungu sichidziwika nthawi kapena mankhwalawa sagwira ntchito, matendawa amakula mofulumira. Gawo lotsatira ndilo gawo lachiwiri, lomwe limadziwika ndi kukhalapo kwa chilonda chotseguka. Nthawi zina mabedi amawoneka ngati akuphulika kapena, mosiyana, chikhodzodzo chotengeka ndi madzi omveka bwino. Pa nthawi imeneyi, chiopsezo chotenga kachilomboka chikuwonjezeka, choncho mankhwala ndi ovuta. Amapangidwa ndi maantibayotiki ndi kukonzekera machiritso. Zomwe zingadziteteze ndi ndondomeko za chisamaliro ziyenera kuwonetsedwa ndi chisamaliro chapadera, mwinamwake chithandizochi chidzachedwa kwa nthawi yaitali.

Kodi mungagwiritse ntchito bwanji malo ogona pabedi pa stage II? Mfundo yofunikira kwambiri ndi kupunduka kwa bala lotseguka. Pachifukwachi, njira zitha kugwiritsidwa ntchito:

• Chlorhexidine - amapereka matenda ophera tizilombo toyambitsa matenda, amawononga mabakiteriya, bowa ndi mavairasi ena;
• Siliva ya Colloidal - imathetsa ululu ndi ululu, imapangitsa zotsatira za maantibayotiki, kusokoneza;
• Furatsilina - amalimbikitsa kufa kwa tizilombo toyambitsa matenda;
• 3% hydrogen peroxide - bwino kutsuka chilonda ndikuchotsa pamwamba;
• Zachilengedwe - zimachepetsa machiritso, zimayeretsa mabakiteriya.

Pambuyo pogwiritsira ntchito antiseptic amachoka pakhungu ndikuwuma pang'ono. Matabwa a quartz amagwiritsidwa ntchito m'mabungwe chifukwa cha izi.

Zochita zina zimadalira mtundu wa chilonda. Ngati palibe pus, perekani mafuta odzola, mwachitsanzo, "Methyluracil" kapena "Tiotriazolin". Kuteteza chitukuko cha matenda kungakhale kugwiritsa ntchito njira monga "Betadin" ndi "Iruksol." Mankhwala awa amathyola minofu yakufa, potero amachotsa bala ndi kulimbikitsa machiritso ake.

Ndi bwino kuchiza bedsores mu bedi pa chizindikiro choyamba cha matenda? Ndibwino kuti mugwiritse ntchito mafuta opangira ma antibayotiki. Mwachitsanzo, "Levomekol", "Levosin", "Argosulfan", "Iruksol". Ngati pali chitukuko chachikulu cha matendawa, kuvala kumachitika ndi ogwira ntchito zachipatala. Sambani chilonda ndi mankhwala osokoneza bongo, chotsani mkombero wa opaleshoni wa minofu yakufa. Pambuyo pake, perekani mafuta ndi bandage.

Maphikidwe a anthu kuti azitha kuchiza zilonda zam'mimba m'gawo la II

Kodi siteji yachiwiri ya bedsores imatha kuchiritsidwa ndi mankhwala opatsirana kapena mankhwala a masamba? Inde, koma chofunika kwambiri ndi kugwiritsa ntchito mafuta odzola ndi kukonzekera. Kodi mungagwiritse ntchito bwanji vutoli pakhomo pompano? Mukhoza kugwiritsa ntchito mankhwala osungiramo mankhwala ndi masamba ophikira. Pa nthawi yomweyi akatswiri a mankhwala ochiritsira amanena za njira yabwino kwambiri yothetsera mavutowa:

• Soda yosakaniza - supuni imabzalidwa m'magalasi awiri a madzi otentha ndipo yothira ndi yankho la thaulo lamanja, lomwe limagwiritsidwa ntchito nthawi yomweyo. Zotsatira zake, zonsezi zimatulukira. Kenaka tengani thaulo latsopano ndikugwiritsanso ntchito mvula. Ndondomekoyi ikupitirira mpaka minofu ili yoyera pamene imachotsedwa kupsinjika.
• Mafuta a nyama - kusakaniza anyezi (finely akanadulidwa) ndi tebulo mchere mofanana. Yesetsani ku malo okhudzidwa kwa theka la ora. Kumayambiriro kwa mankhwalawa, balala lidzakhala lopweteka, nthawi imeneyi iyenera kukhala yolimbikitsidwa.

Kuchita pa gawo lachiwiri la decubitus kumatchedwa recipe: kusakaniza mafuta a Vishnevsky ndi 1% yankho la dioxygen mu chiŵerengero cha 3: 1. Sungani zinthuzo mu chidebe chosabala. Sakanizani okonzeka kusakaniza pa bala ndikutseka ndi bandage. Pambuyo masiku awiri, sintha. Njirayi imalimbikitsa mabala abwino, opanda pus ndi zizindikiro zooneka za matenda.

Malamulo a kuvala ndi mitundu yovala

Kusamalira wodwala wodwalayo sikukwanira kuchipatala. Chinthu chimodzi chofunikira ndi kuvala. Iyi ndiyo njira yowonjezera ya kuwonongeka kwa minofu iliyonse, ndipo ngati kachilombo kopanda kuchigwiritsa ntchito sitingathe kuchita. Musanagwiritse ntchito bandage, muyenera kudziwa mmene mungachire zilonda zam'mimba kunyumba. Gawo loyambirira lidzakhala lopanda kutetezedwa kwa khungu. Izi zikhoza kuchitika pogwiritsa ntchito njira zothetsera, zomwe zimakhala zosavuta kugula pa mankhwala alionse. Kodi mungatani kuti muzitha kuchiza zilonda? Malamulo otsatirawa ayenera kuwonetsedwa:

• Musakhudze balalo ndi manja anu, chitani njirayi ndi opukuta osabala;
• Yankho limatsanuliridwa pa bala kapena chopukutira, pambuyo pake.
• Pamapeto pa ndondomekoyi, sulani chilonda ndi kusuntha ndi mawonekedwe owuma owuma.

Ndikofunika kuti tisagwiritse ntchito mankhwala osokoneza bongo. Kuonjezerapo, iwo ayenera kutsukidwa bwino ndi kutetezedwa ndi tizilombo toyambitsa matenda popanda kutentha ndi kukwiya. Sikoyenera kuti tigwiritse ntchito zelenok, yankho la potaziyamu permanganate kapena ayodini.

Kodi mungatani kuti musamalidwe ndi anyamata omwe akudwala matendawa? Zonona (mankhwala, machiritso) amagwiritsidwa ntchito ku nsalu yopanda kanthu kapena kudzivulaza yokha, kenaka amapita ku kuvala. Kuvala sikuyenera kugwiritsidwa ntchito mwamphamvu. Kuphatikiza apo, iyenera kuwalola mumlengalenga ndipo nthawi yomweyo ikhale yopanda mphamvu komanso yowuma. Mphepete mwace zimakhudzanso khungu labwino. Ndondomeko imachitika tsiku ndi tsiku. Mbali zothamanga za thupi, bandeji imayikidwanso ndi bandage. Nthaŵi zina, amamangiriridwa ndi pulasitiki, kumagumula m'mphepete mwa zinthuzo ndi khungu labwino. Pali zobvala zambiri zamakono zomwe zingathe kuwonjezeredwa ndi zinthu zogwira ntchito.

Kuchiza kwa zilonda zapakati pa gawo III

Gawo lachitatu la chitukuko likudziwika ndi minofu yambiri ya necrosis - mpaka ku fascia. Mphuno ya epidermis, dermis ndi subcutaneous mafuta imatha. Khungu limasintha. Nthawi zambiri, chilondacho chimakhala ndi kachilombo ka HIV, kamene kamayambitsa mapangidwe a pus. Pachifukwa ichi, kuyeretsa kwathunthu khungu lokhudzidwa ndilololedwa. Kunyumba, m'pofunika kuti muzitha kugwiritsira ntchito mankhwala osokoneza bongo ndi njira zothetsera vutoli. Mukamadzaza minofu yakufa, ayenera kuchitidwa opaleshoni. Kuteteza kufalikira kwa necrosis n'kotheka kokha pothandizidwa ndi kutsegulidwa kwa nthawi yopuma kwa abambo ndi kuyeretsedwa kwa chilonda ku matenda osokoneza bongo, omwe amachitika ndi chithandizo chokhazikika.

Ndibwino kuti muzitha kuchiza zilonda zapakati pa gawo lachitatu? Mankhwala ofanana ndi machiritso ndi antibiotics amagwiritsidwa ntchito ngati mlingo wachiŵiri wa zilonda. Awa ndiwo Iruksol, Tiotriazolin, Levosin, Levomekol, Algofin, Solkoseril. Thandizo poyeretsa chilonda ku matenda osakanikirana amathandiza mafuta "Trypsin", "Terrylitin", "Collagenazine", "Chymotrypsin".

Zotsatira zabwino kupereka Mavalidwe wapadera. Mwachitsanzo, "Multiferm", "Pam-T", "trypsin-Daltseks". pamwamba ndi impregnated michere ndi wothandizila ena ochita kuchirikiza machiritso mofulumira ndi minofu kusinthika. The kuvala tsiku. Kusangalala ndi kuisamalira amapezeka mkati mwa masabata 2.

Chithandizo cha IV siteji ya chitukuko cha bedsores

Gawo lotsiriza la mapangidwe zilonda kuthamanga amakhala ndi kuya minofu necrosis. Iwo atamangika ndi pansi mdima minofu akufa, amene inu mukhoza kuwona minofu, tendons kapena mafupa. ndondomeko ndi mwachilungamo mofulumira kuti khungu labwino. Chithandizo Kwalamulidwa ndi dokotala. Mwina analimbikitsa ndiwofatsa njira zimene zimaphatikizapo ntchito chimodzimodzi zikutanthauza kuti mankhwalawa bedsores ndi digiri III. Kuikidwa ndi onunkhira kwa minofu kukonza, kuchotsa zili necrotic ndi matenda nkhondo. Nthawi zambiri ligation anachita mu chipinda mankhwala kapena wodwala kuchipatala.

zilonda asonyezedwa kuchipatala? Ntchito antiseptic njira (zambiri saline kapena chlorhexidine). Necrotic minofu amachotsedwa ntchito chida cha mankhwala, ndipo kenako kutsukidwa chilonda. Mafuta Kwalamulidwa malingana ndi mmene wodwalayo. Pamene yaikulu matenda - mankhwala, nthawi zina - mankhwala yotithandiza minofu kukonza ndi chilonda machiritso. Ngati ndikupeleka ulipo kwa masabata awiri chithandizo ndiwofatsa sapereka zotsatira. Izi muyeso poipa kwambiri, mwachitsanzo. Kwa. Kodi chiopsezo cha matenda oyamba ndi kuonjezera dera bedsore a. Kutanthauzira malire a necrosis ndi kovuta, kotero likukhalira kuchotsa yekha gawo la minofu akufa. Pambuyo akuyamba mlingo kuchira. Kuikidwa ndi physiotherapy ndi mankhwala. Mwatsoka, chithandizo opaleshoni sikuti zotsatira zabwino. Mkulu chiopsezo zisadzachitikenso matenda.

zodzitetezera

A mbali yaikulu mu mankhwala ndi kupewa bedsores kusewera kupewa awo. Zimakhala zosavuta kutsatira zingapo zofunika chisamaliro mtima kuposa kuthana ndi minofu kuwonongeka pang'onopang'ono. Muzilemekeza khungu ayenera kukhala camphor mowa, saline kapena zina wofatsa antiseptic kuteteza bedsores. Zimenezi ndi zoona makamaka pa nthawi imene wodwala mkodzo incontinence kapena chopondapo. M'pofunika zonse kusunga khungu woyera ndi youma. Ngati ndi kotheka, izo moisturizes mwana kirimu kapena, pa mwake, ntchito ufa (nthaka mafuta). kangapo patsiku kukonza malo osambira mpweya. Kusintha udindo wa thupi kudya wodwala pa maola awiri. Poyamba chizindikiro cha zilonda kuthamanga ayamba mankhwala mwamsanga.

Bedsores zimachitika mosavuta ndipo mwamsanga kukulitsa. Wokwanira kamodzi kusiya wodwala mu bedi chonyowa ndipo khungu angachite yomweyo. Pofuna vuto lamavutoli m'pofunika molondola kusamalira chimakwirira: pa kupewa nthawi siteji kuyeretsa youma ndi chisamaliro. Poyamba chizindikiro kulumikiza mafuta apadera, kulimbikitsa njira zodzitetezera.