Ndi kuthamanga zilonda chiyani? Zilonda zam'mimba kuthamanga ndi kuteteza awo

Yaitali chithandizo, chimene chimafuna mogwirizana ndi bedi zina, pa khungu wodwalayo ungadzakhazikitsidwe bedsores. bedsore mankhwala - ichi ndi chinthu chofunika kwambiri, zimene ziyenera kuchitidwa motsatira malamulo. Zosasangalatsa chilema kumachitika chifukwa cha kuwonongeka kwa magazi mu ziwalo ndipo zimakhala, anakakamizika kusunga njira yoikika moyo. Madokotala amalangiza gulu la zinthu, imene mu thupi la wodwalayo analibe zilonda aliyense bedi. Chithandizo cha zilonda kuthamanga ndi mankhwala - kwambiri nthawi yambiri ndi ndondomeko zovuta. Zimakhala zosavuta kuwaletsa kuposa kumenyana nawo.

ndi kuthamanga zilonda chiyani?

Anthu, nthawi yaitali m'manja mwa malo omwewo, mitsempha ya magazi si zikugwira ntchito pa mphamvu zonse. Mothandizidwa yokoka capillaries ang'onoang'ono cholizira. Zimenezi zimathandiza kuti magazi m'madera ena. Chifukwa cha kutsazikana oxygenation ndi zakudya za minofu. Last, simukhala zakudya zofunikira, anayamba kufa. Ndi m'madera awa anapanga bedsores. Chithandizo cha zilonda kuthamanga, amene anayamba ngakhale zisanachitike, ngati muyeso njira, akhoza kusintha zinthu. Nthawi zambiri, zinthu zimenezi kuteteza wodwalayo formations zosasangalatsa chopweteka.

Kodi kuthamanga zilonda?

Khungu necrosis kumachitika panthawi angapo. Mtundu bedsores zimadalira siteji yokoka:

1. Woyamba (koyamba) digiri ya m'madera khungu kuti kalekale mbamuikha mu boma, pathupi ndi kukhala wofiira. Zowoneka, zikuwoneka ngati atapita yosavuta, nthawi zina ndi buluu. Ululu umatha kufika m'madera amenewa a thupi. Zizindikiro ayenera yomweyo anayamba kupewa bedsore. camphor mzimu tikhale mankhwala malo adzapereka kwambiri.
2. Gawo lachiwiri amakhala ndi mapangidwe pa madera sakumvetsa mabala osaya m'mbali pinkish ndi kutupa. Izo zikuwoneka ngati chamtunduwu. Nthawi zina bedsore mu gawo lachiwiri ndi lofanana ndi akuphulikira wa kuwira.
3. Mu ndime yachitatu chozama chilonda. Mkati Tingaone chikasu necrotic minofu.
4. Mbali chachinayi amakhala ndi kuzama kuposa zilonda. Umayamba bwanji ndi ziwalo. Bala kusiyana kuonekera tendons, minofu, mafupa zina.

Place wa zosayembekezereka zilonda kuthamanga zimadalira malo wodwalayo. Ngati wodwala atagona pa nsana wake, zilonda anapanga mu masamba, sacrum ndi zidendene. Pa chiuno, mapewa ndi zilonda mawondo kuthamanga zimachitika anthu amene ali kumbali yanu. Odwala atagwidwa mu chikuku, zilonda akhoza kuoneka pa matako ndi, sacrum, ndi misana manja.

Mbali zimenezi ayenera kudziwa ndi mosamala kuyendera iwo. Musaiwale kuti anthu awa yovomereza chithandizo tsiku zilonda kuthamanga ndi kuteteza awo.

zimayambitsa

Bedsores zimachitika m'madera amene mulibe minofu minofu pakati pa mafupa ndi khungu. Zilonda zimachitika anthu amene ataya amatha. Mwachitsanzo, precondition akhale okhwima mwambo wa mphasa zina pambuyo opaleshoni kapena fixation m'thupi la munthu chifukwa cha kuvulala. Nthawi zina chifukwa cha zilonda kuthamanga kungakhale:

• zoipa splinting bandeji ndipo pulasitala;
• molakwa chikufanana ziwalo ndi braces;
• kwambiri zolimba nsalu, makutu mu bedi, zovala zothina.

Pa nthawi yomweyo, anthu ena odwala chigonere matenda angathe mofulumira zokwanira. anthu awa, ngakhale mosamala mosamala, akhoza kupangidwa pa zilonda thupi. odwala ameneŵa amafuna Bole tcheru chisamaliro ndi chithandizo pafupipafupi zilonda kuthamanga. Mu odwala matenda a shuga Mwachitsanzo, akusokoneza ntchito yobweretsa magazi. Ndipo ngati wodwalayo anapita kwa nthawi yaitali mu mkhalidwe n'kupuma imene minofu wothinikizidwa, chiopsezo zilonda kuthamanga pa nthawi ukuwonjezeka. Komanso, zimathandiza kuti mapangidwe kudwala zifukwa zotsatirazi:

• Kusuta.
• Kunenepa.
• Cholakwika zakudya.
• Madzi m'thupi.
• Shuga.
• mtima ndi matenda mtima.
• Kuchuluka thukuta.
• Mantha achire kapena matenda a ubongo kapena chingwe msana.
• thupi lawo siligwirizana ndi zodzoladzola kusamalira khungu.

zodzitetezera

odwala chigonere amafunika chisamaliro chapadera. Nkofunika kuti zilonda zam'mimba kuthamanga ndi kuteteza awo ikuchitika molondola. Kuyambira nthawi imeneyo, mwamsanga pamene mtima wa anadwala. Zinthu zimenezi ndi monga:

1. Daily zithunzi anayendera khungu wodwalayo. Pankhaniyi, m'pofunika mosamala onani mkhalidwe wa dermis pa malo pamene mafupa protrude.
2. bedsores processing adwala camphor mowa (10% njira) kapena amoniya (0.5%). njira zimenezi tikuyivomereza mu madera "oopsa" ndipo ngati redness mpaka pano. Mukamaonerera ikhale yosavuta kayendedwe kutikita swab choviikidwa mu njira mowa. kutikita Izi zimathandiza kuti magazi aziyenda bwino ndipo kumapangitsa minofu.
3. Nthawi inanso kaimidwe wodwalayo. Wodwala zikhoza kusintha mwa njira yapadera (mwachitsanzo, odzigudubuza kapena bwalo kufufuma). chisamaliro makamaka m'pofunika kusintha malo a matako ndi zidendene kuteteza chimakwirira ku creasing lapansi. Njira yabwino kupewa chapadera mafupa matiresi.
4. Onetsetsani kuti ntchito nsalu Mwachibadwa zofunda ndi zovala mtima. Azipewa zinthu khungu (zippers, mabatani, ngowe).
5. Kukhala ndi kutentha omasuka ndi chinyezi mu chipinda kumene mtima ndi ili.
6. Okhutira wa oyera mtima. khungu wodwalayo ayenera lonyowa. Inu simungakhoze ntchito njira zomwe imfayo mkwiyo wa chimakwirira.
7. Kukondoweza mwa ntchito galimoto wodwala. Akutembenukira zokwawa mbali zina za kutikita thupi kuthandiza kuteteza zilonda kuthamanga.
8. Zolondola, chakudya chabwino. Amakhala zakudya ndi okhutira otsika wa zopatsa mphamvu, koma wolemera mu mchere ndi mavitameni. M'pofunika kuyan'ana kuwombola madzi. Wodwala ayenera kudya madzi, zosaposa malita chimodzi ndi theka tsiku.

Chimenechi ndicho chochitika chachikulu chimene ndi kupewa zilonda kuthamanga.

Khungu maonekedwe a bedsores

Azitsamba, ngakhale zothandiza kwambiri, sadzatha kupindula ngati dziko limene chilema amakhalabe mu mbamuikha boma. Kuthetsa kudwala n'zosathekadi, ngati woyendera nthambi sayamba kuchita magazi, chakudya ndi zimakhala zinthu zofunika.

Choncho, chisamaliro zikuphatikizapo 3 zinthu zikuluzikulu:

• kubwezeretsa kufalitsidwa mu gawo bwanji;
• kuonetsetsa kukana minofu necrotic;
• miyeso kukonza umalimbana kuchiritsa mabala.

Tiyeni tione mwatsatanetsatane mmene bedsores processing amapezeka. Njira munsimu, adzayitsiriza chochitika molondola ndi efficiently.

Ndondomeko kubwezeretsa magazi kwa zinkakhala m'dera

Mu chochitika cha bedsore ayenera kuchotsa kaye khungu kukhudzana ndi bedi malo mkwiyo. Kuti zimenezi zitheke, pansi thupi amaika mphete mphira kapena khushoni, kotero kuti chilonda mosalekeza mu mlengalenga. A zabwino njira muyeso ndi bedsores ndi kutikita. Kodi izo m'mawa ndi madzulo. khungu wodwalayo ayenera kukhala oyera ndi youma. creams wapadera ndi mafuta angagwiritsidwe ntchito pamene akuchita kutikita. Mbali zimene mabala inakhazikitsidwa, osati massaged! Chotero zilonda zam'mimba kuthamanga odwala n'chotheka mu gawo loyamba.

Ndondomeko kuchititsa ndondomeko:

1. Ikani mtima pa mimba yake. Kuchititsa mwendo stroking kuchokera zidendene ndi matako a.
2. Tsopano kupita ku manja. Stroking manja m'khosi.
3. Kutikita tinsalu ndi rump imagwiridwa mu njira kunsi, ndiyeno - mmbali.
4. Stroking kumbuyo lonse.

Ndondomeko ikuchitika kwa mphindi 5. Movement akhale kuwala poyamba, ndiye chachikulu. Ndiye kuchita akusisita, chiwiya chako chokandiramo ufa ndi kugwedera la mbali yomweyo ya thupi. Aliyense phwando kumatenga Mphindi 5. Unachitikira ku mapeto a kutikita mutu, makamaka khosi, amene zambiri timakumana ndi chiopsezo cha zilonda kuthamanga. Ndiye mtima yaikidwa pa nsana wake ndi kunyamula kutikita chomwecho kutsogolo kwa thupi. Bwinobwino kutikita madera amene zamubweretsera (mawondo, nthiti, mafupa a chiuno).

Ndondomeko kukana minofu akufa

Odwala ena mofulumira kwambiri osauka bedsores. Processing bedsores, ngati pali chilonda pamwamba ayamba kumasula zinkakhala m'dera maselo akufa ndi mafinya. Kuchita izi, ntchito mankhwala apadera. Zikavuta opaleshoni bwino.

Yopangidwa zilonda zam'mimba kuthamanga:

1. Camphor mzimu. Chida ichi ntchito kokha mu magawo koyamba. Mwamtheradi inadmissible tanthauzo lake m'mabala lotseguka.
2. Wa hydrogen peroxide (3% njira).
3. "Chlorhexidine". Amatanthauza zambiri ndale khungu.

Ngati chofunika kuchotsa maselo akufa ndi mafinya njira yapadera ntchito kukonza mabala "Izuksol" ndi "TM-Proteoks".

Activities kuti machiritso a padziko bala

Pambuyo chilonda chitakonzedwa, muyenera kuyamba chithandizo. Kwambiri machiritso a bedsores zimathandiza alginates ndi Mavalidwe hydrocolloid :

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

Tatchulawa njira ndi okwera mtengo kwambiri. Choncho, anthu onse akhoza kugula iwo, kuchitira bedsores. Decubitus chithandizo akhoza ikuchitika ndi zodzola wapadera ndi creams kuti limathandiza chilonda machiritso, ngakhale kuti sanali ngati zimenezi ziwachitikire. Mwa mankhwala amenewa ndi akutali:

• "Sintomitsina".
• "Dexpanthenol".
• "Aktovegin".
• "Levomikol".
• "Vulnostimulin".
• "Solkoseril".
• "Levosin".
• St. John wa liziwawa mafuta.
• Sea buckthorn mafuta.

Popewa matenda ndi zilonda zam'mimba sayenera mosamalitsa kutsatira malamulo a antisepsis. Pambuyo kutsatira njira machiritso chilonda m'pofunika ntchito kuvala wosabala. Ngati simungathe kumangirira chilonda ankachitira, mukhoza logwirana chivundikiro mu malo decontamination kugonjetsedwa pulasitala wapadera. Koma ayenera kulola khungu kupuma. Tikumbukenso kuti nsalu ndi gulu ndi othandiza mulibe kukokera makatani kuletsa kuwononga dzikoli. Ligation imagwiridwa akamavutika. Musanadye chithandizo kwenikweni ankachitira decubitus antiseptics. Nthawi zina anasonyeza odwala Kwalamulidwa mankhwala.

Pamene mankhwala opaleshoni?

Mwatsoka, ngakhale Mkhalidwe ndi ogwira mankhwala a bedsores mu adwala si nthawi zonse zinthuzo machiritso a kali chilonda. Zikatero, ngati mankhwala ndiwofatsa sichitha, opaleshoni chofunika. Kawirikawiri ntchito kuthamanga zilonda siteji 3-4.

Ndondomeko zotsatirazi imagwiridwa isanafike opaleshoni:

• kukonza bedsores (kuchotsa mbali khungu akufa);
• mankhwala;
• kukonza thupi la poizoni;
• reconstitution madzi, mapuloteni ndi bwino electrolyte.

Pali njira zingapo opaleshoni zochepetsera zilonda kuthamanga, amene amadalira siteji ya chitukuko cha chilonda, chotupa kukula ndi kukhalapo kwa matenda:

1. Free dermepenthesis. Pangani bedsores 2 ndi 3. chilonda amachiza mu masabata 2-3.
2. Excision ndi pulasitiki ozungulira zimakhala. Anachita pa magawo 4 a bedsores. Chilondacho amachiza mwa masabata 2 odwala ambiri.
3. Excision ndi khungu kumezetsanitsa, pulasitiki kapena opanda minofu. Opaleshoni imaonekera mu bedsores sitepe 4 ndi mkulu padziko necrotic minofu. Chiritsani bala kwa masabata 2-4 odwala 2/3.

Nthawi zina, kokha alowererepo opaleshoni akhoza kuthandiza wodwalayo tichotse bedsores ndi kupewa mavuto monga kulephera impso, chiwindi matenda, sepsis, ndi imfa. Pambuyo pa opaleshoni, madera akhudzidwa wa khungu kuchiza msanga zokwanira. Opaleshoni alowererepo akhoza kwambiri kuchepetsa chikhalidwe cha anthu adwala.

Mafuta odzozera bedsores

Zosiyanasiyana zochizira pathologies izi ndi waukulu ndithu. Kuti zilonda zam'mimba kuthamanga kunyumba ikuchitika bwino paokha, ayenera kusankha mankhwala bwino. Mafuta zochizira matenda, muyenera:

• kubwezeretsa magazi;
• yotithandiza minofu kusinthika;
• adzalandira ntchito antibacterial;
• kupweteka.

Koma musaiwale za chochitika sayansi. Patsogolo ntchito mafuta ayenera mankhwala ndi kuchitira zinkakhala m'dera ndi antiseptic. Kuchita izi, ntchito mankhwala, "Chlorhexidine digluconate," "colloidal Silver", "Furatsilinom".

Mankhwala odzola mankhwala bedsores amusankha malingana mlingo wa chitukuko cha zilonda ndi pamaso pa matenda. Pakuti sitepe yoyamba zofunika kusintha magazi ndiponso zotsatira antimicrobial. Apa ntchito:

• Nthaka mafuta.
• "Dermazin".
• "Argosulfan".
• "Tsindol".

Pamene jekeseni mabakiteriya bala amafuna kugwiritsa ntchito mankhwala. Pakuti Zikatero, choyamba kukonzekera sitepe ntchito:

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

Mu ndime yachiwiri, mafuta kochotsa maselo akufa. Pankhaniyi, iwo ayenera kukhala wotsutsa-yotupa ndi kuyanika kuti:

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

Wachitatu sitepe wasonyeza mafuta amene yotithandiza machiritso:

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

Bedsores digiri chachinayi ayenera kulandira chithandizo kuchipatala ngati chiopsezo zosokonezeka. Mwachibadwa, onse mafuta ndi njira ayenera kugwiritsidwa ntchito atakambirana ndi dokotala. Katswiri, pa maziko a nkhani, uzipereke omasuka komanso zothandiza mankhwala. Self Pankhaniyi mosamalitsa contraindicated. Ndi kwambiri chiopsezo imfa ndi mankhwala osayenera.