Bedsores: Kāohiʻana. Lapaʻau o bedsores ma bedridden nā mea maʻi

Bedsores - kekahi o ka loa e like me ka complication, 'ia i loko o bedridden nā mea maʻi. He aha ka mea?

Kapa bedsores kino'aʻaʻa loli i loko o ka hana i ho'ākāka 'āpana (a oi) no ka hooloihi ae i hui' ia me ka paa ili. Oia loli hoonaukiuki ma ke koko holo, lymph holo a me nā aʻalolo lako.

He nui no ka maopopo i ho i ka decubitus Kāohiʻana a me ka hana ana o ia mau mea.

ulu Hiʻona

Maoli ai ka puʻuwai na mai hehe ma kaʻaoʻao o ke kino ma luna a ke kanaka ke moe, i mau mea e pili ana i ka ili honua. No laila, a me ka hoʻomanawanui ma ke kua o ka bedsores ma bedridden nā mea maʻi loa pinepine hoʻomōhala i nā lākou kīkala, sacrum, coccyx, kuekue wawae, ma ka'ūhā mua kōmi 'ana, ma ka pae ana o ka spinous keʻano o ka hanaʻana o ka spine. Inā kekahi kanaka ke moe ia ma kona opu, bedsores kānāwai ma na kumu o ka hui 'ana me ka' ilikai: ke kuli māhele 'āina, ka mua ili o ka pahu pa, iliac kulana. Ma ka hapalua o-noho ana kulana, he typical wahi o ka pio - kīkala wahi.

Akā, ka mea, ua ole ke hoʻokoe ', a me ka loli wahi,ʻaʻole i helu' ia ma luna. No ka laʻana, (hiki ke loaʻa nā kiʻi o kēia maʻi i loko o ka 'inikua pili) puʻe ulcers i kekahi manawa hoʻomōhala i loko o ka occipital'āina, a ma ka loko ma lalo o ka waiū. Paha i ka henua i loko o ke alo o ka, i hoʻolei i loko o nā wahi o ko lākou snug pono o ka mea hiki i kaʻili, hoʻohana 'oilskin fabrics, laholio paipu, catheters, prostheses. I ka mea ku pono i ka IIeEeAIEUAA o kahi mea, he kumumeaʻino wale i.

I nui o ke ano o ka hoʻomanawanui. High pilikia o ka oi kokololio? Acaeoey o ka puʻe ulcers ka wā mau exhaustion, he mea stagnation, a ua pinepine malama i loko o ka naʻau o ka hoʻokō 'ole, i loko o nā mea maʻi e noho ana ma ka holomua makahiki. I ka opiopio, kanaka e ike, ma ka mea ku ole, ia mea olelo lealea i keʻano o nā bedsores. A ina ka mea, e ikeia, ka mea, kākaʻikahi hoʻomōhala a ka hope kahua o ka hoʻonaʻauao. Akā, i ka mea ia manawa mea hoʻomanaʻoʻia ai ia ia, ma muli o ia o ka holo 'ana o nā lesions i loko o kēia mau hoʻomanawanui iki mai, i kekahi manawa e hiki skip na symptoms mua o ka maʻi.

Ma aneane pau hihia o ka puʻe ulcers o ka ia kumu ulu, okoa o ka manawa wale nō o kēlā me kēia kahua. Ka hoʻomaka He mau koko stasis kūpono'ōpā, ina untreated, i ka loli ana i nā'aʻaʻa e necrotic.

He aha ka i ka pilikia o ka puʻe ulcers?

I ka papa kuhikuhiE weliweli pili me kā lākou mau complications. No ka mea, i loko o ka hapanui o na hihia puʻe mai hehe ma bedridden nā mea maʻi hoʻomōhala hoʻomaka koke, a pau loa ia i loko o ka pōkole manawa hiki fester a necrotic nui wahi pinepine i ke excise mai'aʻaʻa. Kēia kekahi manawa, hele aku ai i ka hoʻohuikau 'ana o ke koko a me ka lako innervation o ka puni mau mea, i ka huli hele aku ai i ka hoʻohuikau' ana i kā lākou mau hana.

Ma kekahi mau hihia, o ka a no o ka ulu ana o bedsores o ka pono, e amputate i ka lala. Eia kekahi, necrotic keʻano o ka hanaʻana i hoʻomōhala i loko o ka periosteum ai iwi, ke kinoea gangrene paha sepsis.

Ua mea i nui ia na keʻano o ka hanaʻana 'ia i loko o ke kino i ka hooulu ana o ka puʻe mai hehe, kā lākou lapaʻau, pono nui ikehu hoʻokomo o, no laila, deplete ka hoomanawanui, hiki exacerbating i ka papa o ka nń ku maʻi. No pilikia festering bedsores.

Penei, ia mea nui e maopopo pehea eʻike bedsores. Etiology, pathogenesis, Kāohiʻana a me ka hana o ka puʻe ulcers ma kekahi mau wahi, ua loa like.

No ke aha lā i loaʻa decubitus?

Ke kumu no kā lākou ulu ka holo ilihune ma ka kekahi wahi o ka ili. Kēia ke hiki mai i loko o kekahi mau hihia.

Loa pinepine keia kŰia ua malama i'ōpā ipu koko, o ka oi aku i mīkini'opihia aku i, elua no hora, i mea ma lōʻihi noho i loko o kekahi wahi. 'aʻaʻa, a 'aʻole komo ole i ke koko, necrotic, a me ia ua ua ulu bedsores.

A hiki kumu o microdamages a me nā ipu uuku aia i loko o kaʻili. Kēia kānāwai ka wā mai o ka hoʻomanawanui huki wai'aʻaʻa, e laʻa me, contaminating i ka pepa. I kekahi manawa nā palapū i hoʻomaka ai i ka hopena o ke kanaka a ho'āʻo paha e kū kaʻawale hoʻololi wahi paha e neʻe. No laila, 'oe e pale ia ai kekahi kū'ē, nīnūnē poino i kaʻili a me ka mucous membranes, a ma na kanaka makemake i ka huli a puni' ole hana 'oe e ho'āʻo e kōkua iā ia i kekahi mea.

Inā 'oe i ke kumu puʻe na mai hehe, lalau mai, Kāohiʻana, hana maikaʻiʻole o kēia pathology e lawe mai pono a me ka pono.

I maoli he i ka pilikia o ka ulu puʻe ulcers?

I mea e maopopo mea bedsores, aha nō nā kumu, Kāohiʻana a me ka hana ana o ka ike i ka mea nui, e loli ai i ka pilikia o ko lākou mau hanana. He nui aʻe. mea e pili ana i ke 'o ka hoʻomanawanui ka ke ano kekahi o lakou, oiai kekahi poe - me ka hoʻolālā o ke kupono malama no bedridden nā mea maʻi.

lākou nei ka poʻe hiʻona, mai ka pae mua loa nui aʻe o:

• Makahiki - māhuahua pilikia o ka poʻeʻelemākule nā mea maʻi.
• Weight - aia no ke kamepiula a me ka overweight, a me ka lawa. Ua oi aku ke kaumaha, ka mea i oi aku i ka puʻe ma luna o ka maka o ke kino kākoʻo. Akā, underweight mea pinepine hōʻike no depletion o ke kino, a me ka mea hoi he predisposing ololi ole wale no ka helehelena akā, no hoi no ka nui kokololio kūpono 'ana o necrotic keʻano o ka hanaʻana.
• Ka maʻi puʻuwai a me ka circulatory'ōnaehana - ma pathologies o kēia 'ano, e hoʻomōhala congestion i loko o ka circulatory nenoaiu, ia ka uuku maoli o ka pōʻino moku, oi nui o kekahi hopena, e hoʻonāukiuki i ke kue o ko lākou mau ano hoopono.
• Concomitant maʻi - he kūikawā wahiʻaneʻi lawe maʻi, e alakai i ka hoʻohuikau o innervation (e like mamuaʻai), e like me ka pono me ka poʻe i loko o i aʻe ka metabolic keʻano o ka hanaʻana (e like, mimikō).
• Food a me ka inu - dangerously lawa ponoʻoleʻai ana o fluids a me ka ai, o ka oi aku nui e kanaka hoʻoponopono i ka nui o ke kumuʻiʻo i loko o kaʻai.
• Ke impossibility o ka pakiko urination a me ka defecation - ka mea, ua ike ia ina ke ahonui mea unconscious, lolo a hiki i ka pāʻana i ko lākou hana a me ka moku'āina like me ka hopena o ka dementia.
• Profuse sweating - i e kaʻilihune o ka metabolic a endocrine kāna hana, a me ka hopena o ke alo o ke kuni.
• Hiʻona o ka pokole o ka laau - adverse ololi hiki ia i keʻano o ka allergic reactions i ai 'hoʻohana no ka ili mālama i wahi kahi puʻe mai hehe ulu. Kāohiʻana, hana maikaʻiʻole o bedsores hoʻohuʻu ka pono, e lawe i ka mooolelo a pau o ka hiʻona o ka hoʻomanawanui ka kino.

A hiki i ka lua o ka pūʻulu kumumea nā pakahi malama. E hoomahuahua oe i ka likelihood o ka ulu puʻe ulcers mea pohihihi keia loli o ka moe kapa, nele no paha kūpono hana kou niho, excessive roughness a me ka paakiki o ka ili ma luna a me ka hoʻomanawanui mea wahaheʻe, i ke alo o nā hunahuna i loko o kahi moe, liʻiliʻi 'ikamu.

Bedsores: pehea e ike ia lakou?

Inā ka hoʻomanawanui ka manao a me ka ua, hoopaa mai la pā lonoaʻili,ʻo ia ke kamaʻilio e pili ana i pilikino manaʻo i ka poe e mālama ai ia. Na hoailona o ka hoouka kaua ana o bedsores nā hoopii o ka tingling. Ua kupu ana ma ka hopena o ka stagnation o ke koko a me ka lymph i loko o ka wahi, kahi a ka pahiki kiʻekiʻe o ka hanana o pathological keʻano o ka hanaʻana alakai ana i ke kahua o bedsores, ina e lawe i ka pono ana. E like me ka hopena o ka stagnation o na nā aʻalolo mai i loaa kūpono no kou kino, a me ka subjectively ia Kahalaopuna e like me ka tingling. Ma hope o kekahi mau hola o ka hiki lilo o ka waiʻona ma,ʻeha o numbness i loko o nā wahi likeʻole o kaʻili, a 'aʻole komo ole i ke koko.

Ma hope o kekahi manawa, he mea hiki hoailona. Nā maka o ka hui 'huina māhele o ke kino me ka paakiki surfaces ikeia bluish-ula kohu - venous erythema. Ka mea, eʻAʻole i maikaʻi-i ho'ākāka 'lua penei. Lākou mau waihoʻoluʻu hiki e nā paʻa kūhohonu loa, a aneane kekahi '.

Inā e ike ia na hoailona, e pono e lawe koke hana e ole hou 'ana o pathological keʻano o ka hanaʻana i loko o ka loli wahi. pono e manao eʻike bedsores oe. Kāohiʻana, lapaʻau o bedsores, i ka nui mana ma mua o ka hoailona mua i ike, a me nā hana i hoʻokō 'ia ka hoʻoponopono' ia.

Kōkua ma ka hoailona mua o ka puʻe mai hehe

No ka Kāohiʻana a me ka hana ma ka kakahiaka kahua o lākou? Acaeoey e lawe ana no i ke ahiahi, oi hoʻokolokolo pono ahonui malama, ka hoʻolako 'ia i ka manawa ia e ia ma ka noho a me ka pololei kulou.

E hoʻohana i kūikawā mattresses e kōkua i ka poe i hiki mai bedsores. Kāohiʻana a me ka hana ana i kēia mau ē aʻei - ka pololei manao no i ka mea i hana ai. Ua Anati-decubitus mattresses mea a mau ano: ke kelepona a me ka hoʻonui. Ka mea, i lako pono me compressors, malie iho i ka hana a me ka malama i ka pono paakiki o ka ili ma luna a me ka hoʻomanawanui moe. No ka hoʻomanawanui iki mai ka poe i noho loa ma ka noho huila, e hiki ke hoʻohana kuikawa uluna piha me ka lewa, hua ole tuko pīlali.
Inā i ke kanaka i loko o ka supine kulana, ia mea pono i ke poo o ka moe ua he uuku kuu iho la a mohala me ke kino.

Kekahi mea nui ololi - he mau loli ma ke kino kūlana. Inā loaʻa nā ole contraindications, ka mea e hanaia auanei ia e like me ka pinepine me kela 2 hola. Pela ka mea, mea pono e hoʻohana i ka pela kūkulu pale. Ka mea, kōkua e hoʻololi i ke kūlana o kekahi māhele o ke kino e pili ana i ka ili ma a moe i ke kanaka. Manawa a hiki i keia no ka manawa ma waena o na mau kanaka o ka ili, a me ka moe ka wa, aole he mīkini'opihia o na moku koko, ho'ēmi i kā ka likelihood o ke ana a me ka Holomua o bedsores. E hoomanawanui i ka poe ma ka noho huila, i ke kino kulana loli pono ai kela hora. Ke moe ma i ka hoʻomanawanui mea wahaheʻe, e pono perestilat ma ka liʻiliʻi koke i ka lā. He nui ke kanaka hoʻoponopono i keʻano o ka moe kapa - mea pepehi wrinkling, noho i ka holoi hunahuna 'ole' ē aʻe liʻiliʻi 'ikamu i hiki i ili ae hookaawale a me microdamages.

O ka nui o kou niho ili. E e uku ai i kā lākou ona mau pakahi noonoo. E ka mana no keia ano, a me ka Kāohiʻana o excessive ona mau ke hoʻohana i ka kūikawā he lepo lā, holika, pāʻoihana, paipu,ʻai ana o ka mehana (i wela) bata. Mau kou niho kaʻina hana e ke hana i na manawa elua ma ka liʻiliʻi loa o ka lā. Eia hou, i urination a me ka defecation e e like hikiwawe e loaa ana i ka wehe i mea hoʻohaumia, mai ka ili a me ke kapa. No keia mea, e like me ka wehe hou, meaʻai'ōpala hoʻi, hookuuia o nāʻeha, hoʻohana diapers, pepa, kahei, diapers, absorbent nā pale poʻohiwi.

Ana stroking mau mea o ka ili kahi i na hoailona o ka stagnation, akā, he mea hiki ole i ka hamo i kēia mau wahi, hana mālama nui lomilomi. Ia mau hana ke kāhea hoʻonui o ke kaʻina.

pathogenesis

Ma ka pathogenesis o ka puʻe na mai hehe, he eha kahua o ka hoʻonaʻauao o? Acaeoey. Ma ke kahua au i kaʻili ma ke kahua o ka hui 'ana me ka mea o waho ili o ka ulu venous erythema. Ke kumu o ka erythema - he 'aʻe' ana o ka outflow o ke koko. Externally erythema ikeia like bluish-ula ke kina ole, i ka'aloʻahiʻa-ikepili koʻikoʻi ili ma ka hoʻohuli ai i nā wahi huli keʻokeʻo. Ke ana wela i loko o ka erythema o ka ia me ka koena o kaʻili a me iki ma lalo nei. Ka loa e like me ka wahi o ka? Acaeoey - pokou kūlana kiʻekiʻe. Ka ili i koe kōna, aole mea ole 'aʻe' ana o kona ano hoopono.

Ma ke kahua II decubitus ia lŘlŘ thinning o ka epithelium, ili flakes, Oe i hanaʻia ma loko o laila. Kēia mea he hopena a pau o ka ai ana kāna hana nā'aʻaʻa, a ia lŘlŘ no ke koko stagnation. Ua hiki aku i ka 'aʻe' ana o innervation. Eia hou, i ka ili accumulates loli, ili keena pehu a ho'ōla moku hoʻi iaʻu a make. Pela, ma keia kahua mua i hiki ili lesions, maceration hiki ke malama i ka loli wahi.

No ka Wa III decubitus eha helehelena ano. Inā e loaʻa pathogenic microflora e hoʻomōhala festering. Ia mea ma keia kahua i loko o ka pathological kaʻina komo ai malalo iho papa o ka ili, subcutaneous'aʻaʻa, Muscle, necrotic keʻano o ka hanaʻana hoʻomaka. ko Necrosis a me ka likelihood o purulent li nui he nui hoʻoweliweli 'ana i ke ola o ka hoʻomanawanui.

I ka anu u IV mai he nui kina mea i loaʻa i loko o ka'aʻaʻa lua, i hiki ke ike i na paia o ka purulent li nui. Ke kumu o ka mahuahua, a me ka lua -'aʻaʻa necrosis.

Kekahi kanaka i loko o nā wahi likeʻole o ke kino i i puʻe mai hehe, a nō ma kekahi mau kahua o ka hoʻonaʻauao o? Acaeoey.

hiki complications

Ka hapanui o complications i kupu mai ma ka hooulu ana o ka puʻe ulcers aie i ka waiū i ka poino hapa o pathogenic koʻohune. Loa pinepine ia mea staphylococcus paha streptococcus, akā, ma laila e pono e hihia o ka mea hoʻohaumia a me nā pyogenic meaola.

Loa pinepine suppurative keʻano o ka hanaʻana i loko o bedsores hoʻomohala i ke 'ano o erysipelas a cellulitis. Ma na hihia a mau exhaustion, nawaliwali e hoʻonele 'ole kūpono hui o hygienic ana, lawa ponoʻole lapaʻau o ka puʻe mai hehe e hoʻomōhala ola-hooweliweli complications, e like me sepsis a me ke kinoea gangrene.

Bedsores i loko o nā mea maʻi e hoʻomaka e fester ma ka lua a me ke kolu o ke kahua, ka wā i ke kahua o ka poino epithelium 'ōili mai ai ka hamama eha, alaila, he mea ka hou' ana o ka purulent keʻano o ka hanaʻana.

Nolaila, ina e haule ana na mai hehe, Kāohiʻana a me ka hana e pono ai,ʻaʻole wale nō ia iā lākou, He nui a me ka ikaika mana hoʻomalu ma luna o ka mau ana o ka meaola. ʻeleu maoli E i ke ala i loko o ke kino wela, mahuahua nawaliwali, headache, haanou ana a puni ka helehelena o bedsores, ili discoloration puni kona oho, putrid ala mai o ka eha, a me nā loli.

Typical IIeEeAIEUAA o bedsores

Ke kaumaha ma muli o kaʻoihana i loko o i ke ahonui o ka wahaheʻe, o kahi malaila decubitus Kāohiʻana a me ka hana ia lakou i ka oko ao.
Mau noonoo E e hāʻawiʻia i nā koho no lākou e hiki IIeEeAIEUAA ma ka oihana o ke kanaka ma luna o kona kua. Ma keia hihia, o ka loa pinepine ia e ala aʻeʻoe decubitus ma kuʻekuʻe, kīkala, coccyx, i loko o ka'āina o ka huhui.

Ka hanana o ka puʻe ulcers ma luna o nā kuʻekuʻe pinepine. A pehea pinepine ka kūpuna i keia stagnation i loko o nā wāwae, kūpono ma ka puʻe ma luna o nā kuʻekuʻe wāwae o ia keʻano o ka hanaʻana wale nō i huiʻia. Eia hou, nō kāu kaʻili i loko o kēia mau mea oi anuanu kino, no laila ia mea paakiki e hai i ka hoailona mua o ka maʻi. No ka mea ua kumu, keia IIeEeAIEUAA bedsores (lapaʻau ia) e noi mai ana lōʻihi, a loa akahele noonoo.

Puʻe mai hehe ma na lākou kīkala pilikia, no keia wahi o ke kino, ua kokoke i ka nui nā loko. Hoʻolilo i kēia mau kino pono ole wale akahele lapaʻau, akā, i loko o ka wā e hiki mai i ka ikaika hopena ma luna o ka mau ana a me ka functioning o ke kino, e hoʻopōkole 'ola. No laila, 'oe e e hana ana, e ole ia bedsores. Kāohiʻana a me ka hana (kiʻi depicting i keʻano o kēia 'ano o ka puʻe ulcers, i loaʻa ma ka hana kūikawā Hōʻuluʻulu manaʻo puke) keia poino e halihaliia oia iwaho e like me na rula. I ole ia mea he likelihood ikaika mea e alakaʻi i ke kaʻina hana i undesirable hopena.

Decubitus lapaau a me ka Kāohi

Ma waho aʻeo i ka ike i ka mea bedsores, ma ka mea hiki ke noho a pehea e nana, pono ike ana pehea e hana ia lakou, a pehea e ole kā lākou hanana. Ka iapaau ana o ka puʻe ulcers i loko o ka hoomanawanui ka loaʻa o ka ili lapaʻau i loko o kou niho, kāohi a me ka pololei pākōlea mau hana. Kēia hana e halihaliia oia iwaho mau.

He nui ke maopopo ke kumu, aia no na mai hehe na kumu. Kāohiʻana, lapaau o bedsores, a pono e E ke Kumu. Ka hui hoʻomaʻemaʻe ili iapaau ana ua hana no ka malama ana i ka maluhia nui o kona hoʻokumu paʻa waiwai a me nā 'ano: pH, ona mau, elasticity. Ka mea, e pono ai ka wā i hoʻopau mea hoʻohaumia.

Kāohi lapaʻau kŰia hana, hoonui ae i ke koko holo a me ka hou o ka ili pā lonoaʻili a me ka hp'pnphp nā'aʻaʻa. Mai poina i ka nui susceptible i ka ikea ana o bedsores a me keʻano o ka hanaʻana suppurative poino ili, no laila, e pono e lawe mai kāohi hoomau o kona dryness, a me ka nānā aku o na mawae ma luna o laila.

Lapaʻau o lapaʻau ka loa nui. E hana i kēia, ua he pono kuikawa lapaʻauʻia. Ano, ua nui no ia, ka mea i loaʻa i loko o kekahi mau wale nō a me nā 'ano apau loa. Anti-bedsore hoʻohana 'likeʻole me ka hinu, gels, me ka pauka, pāʻoihana, paipu. Kēlā me kēia laʻau heluna palapala i nā hiʻona: contraindications, ki ina hana like o ka pono. He nolaila, nui ka wā koho i ka iapaau ana, e kukakuka pu ana me ka hoao ana i ka technician.

He aha ka i ka pono, hoola iho bedsores? Reviews o kanaka, ka poe iʻalo i kēia pilikia, ae e līkaia no kekahi o ka loa e like me ka Lolina o nā pāʻoihana i ua ana noi i loko o ia hihia. No ka mea, mawaho machining ua? Aeiiaiaoaony e hoʻohana makanekiuma sulufahate pāʻoihana (25%) ole hypertonic (10%) paʻakai koloriside pāʻoihana me ka chymotrypsin a intravenously lawelawe 0.5% metronidazole pāʻoihana. He undesirable e hoʻohana potasiuma permanganate, iodine,''he'ōmaʻomaʻo.

He nui e ike i ka mea i ole he hou mai hehe hou. Kāohiʻana, hana maikaʻiʻole o ka puʻe ulcers pele he pono i ka hailona o ka hana, manawa-hoopau loa.

Ka huakaʻi nā mea i ka hoʻomanawanui i kaʻai. Keʻai E e noho i loko o ke koi dala nā wikamina, nā minelala hao, o ka oi aku kiniki a me ka hao, nā polokina, pono hokii o kaʻai a me ka hua. Ua? Aeiiaiaiaaia io? I loko o kaʻai o ka haleʻuwī waiū huahana, ka iʻa, hua paha, ai (kaʻoi loa nā manuʻaiʻia). Inā kekahi kanaka mea ole, eʻai i kaʻai, ka mea hiki ke auou caiaiai kai.