Bedsores: ārai. Maimoatanga o bedsores i roto i tūroro ro'i

Bedsores - tetahi o te pōauautanga tino noa, tupu i roto i tūroro ro'i. He aha te mea te reira?

Huaina huringa bedsores tinana kiko i roto i te rohe motuhake (nui ake ranei) e tika ana ki te whakapā auroa ki te mata mārō. Taua huringa whakapataritari i toto tohanga, waitinana tohanga me te supply karere.

He mea nui ki te matau e tohu he ārai decubitus me te maimoatanga o ratou.

Āhuatanga whanaketanga

Noatia akiaki mariao i te taha o te tinana i runga i nei i te tangata e takoto, i roto i ngā wāhi e pā ana ki te mata. Na, ki te manawanui i runga i te hoki o bedsores i roto i tūroro pāria tino maha whakawhanake i runga i nga papa, sacrum, iwi timu, rekereke, i runga i nga matatahi pokohiwi, i te taumata o te tukanga spinous o te tuaiwi. Ki te takoto te tangata i runga i tona kopu, kia tupu bedsores i taua ngā o whakapā ki te mata: te rohe turi, te mata mua o te taiepa pouaka, ngā tihi iliac. I te tūnga hawhe-e noho ana, he wahi angamaheni o hinga - rohe papa.

Otiia e kore e te reira waho, a kahore te rohe pānga, rārangi i runga ake. Hei tauira, tuwhenua te pēhanga (taea whakapakoko o tenei mate e kitea i roto i te tohutoro hauora) i ētahi wā whakawhanake i roto i te rohe kōpako me i te hipi i raro i nga uma. Mahalo he wāhi motuhake i roto i te aroaro o paru i roto i te wahi o to ratou pai snug o te rauemi ki te kiri, mā te whakamahi i papanga oilskin, korere rapa, catheters, prostheses. Ko e tika ana ki te localization o te wahi kua reira āhuatanga e totohu.

nui hoki ko te huru o te manawanui. mōrea tiketike o atu whanaketanga tere o keha te pēhanga rohirohi ka whānui, i reira he stagnation, Kei te maha i kitea i roto i te kore te ngakau, i roto i tūroro e i te tau matatau. I roto i te taitamariki, e matau iwi, i runga i te anga ke, ko reira pea te ahua o bedsores. A, ki te e kitea e ratou, e ratou uaua whakawhanake noa te wāhanga i muri mai. Otiia i te wa ano kia mahara ai e, e tika ana ki te whanaketanga āta o pāpaka i roto i enei tūroro, i ētahi wā ka taea e koe te tīpoka i te tohu tuatahi o te mate.

I roto i te tata katoa wā o keha pēhanga whanaketanga ko te tauira kotahi, rerekē he anake te wa o ia wāhanga. Ko nga wa katoa te timatanga toto stasis hua pēpēhinga, ki te kore maimoatia, nga kopa pāngia hei necrotic.

He aha te mea te tūpono o keha pēhanga?

Ko te ati matua e pā ana ki o ratou pōauautanga. Mai i roto i te nuinga o te wā mariao pēhanga i roto i te tūroro te pāria whakawhanake tere, me te tino i roto i te wa poto ka taea e piro ana me te wāhi nui necrotic maha i ki Ekisia kiko turoro. ētahi wā arata'i tenei ki te rangirua o te supply toto me te innervation o nga wāhi e karapoti ana, e i roto i te tahuri arata'i ki te rangirua o ratou ngā mahi.

I roto i ētahi wā, te hopearaa o te whanaketanga o bedsores ko te hiahia ki te pororere te e alangá. I tua atu, kia whakawhanake i ngā tukanga necrotic i roto i te kiriuhi wheua wheua ranei, hau kikohangatia sepsis ranei.

Ko reira ano hoki nui e te tukanga tupu i roto i te tinana i roto i te whanaketanga o tuwhenua te pēhanga, ratou maimoatanga, titau tāuru pūngao nui, na te whaiwhaiā i te manawanui, reira exacerbating te akoranga o te mate whāriki. bedsores Rawa mōrearea hakihaki.

Ko te kupu, ko te mea nui ki te mārama me pēhea te ki te mohio ki bedsores. Etiology, pathogenesis, te ārai me te maimoatanga o te keha te pēhanga i roto i te wāhi rerekē e tino rite.

He aha kei reira decubitus?

Ko te take hoki ratou whanaketanga he rawakore tohanga i roto i te tetahi wāhi o te kiri. Tenei e taea te hoko i roto i te wā torutoru.

Nuinga maha kitea tenei āhuatanga i pēpēhinga oko toto, tautautefito ki he lolotonga nui kōpeketanga rua haora, e te mea i noho roa i roto i te kotahi te tūranga. Kikokiko, e kore nei e tomo i te toto, necrotic, a kua reira te whakawhanake bedsores.

He take taea he microdamages me oko iti kei roto i te kiri. Tenei kia puta ka i te manawanui wawahia e kiko mākū, hei tauira, poke te whārangi. I te tahi taime wharanga puta rite ki te hua o ngā nganatanga tangata ki te huri takitahi tūranga ranei ki te neke. Na reira, kia karo koe i tetahi waku, kino iti ki nga kiriuhi kiri, me te mucous, a i roto i te hiahia te tangata ki te tahuri a tawhio noa ranei te mahi i te tahi mea e tamata koe ki te āwhina ia ia.

Ki te matau koutou ki nga mariao take pēhanga take, te ārai, kua kawea maimoatanga o tenei māuiuitanga i tika, me te whai hua.

E faarahi te mōrea o te whakawhanake keha pēhanga?

I roto i te tikanga ki te matau te mea bedsores, he aha e nga take, te ārai me te maimoatanga o te mea he nui ki te mohio, e pä te mōrea o ratou tupu. He maha ngā āhuatanga. He tūhono ki te peculiarities o huru o te manawanui etahi o ratou, i etahi atu - ki te whakahaere o tika te tiaki mō ngā tūroro ro'i.

Ko aua āhuatanga i te rōpū tuatahi o te nuinga o ngā āhuatanga tāpua:

• Age - nui ake te mōrea o tūroro ruhiruhia.
• Taumaha - i reira ko te tūpono me te taumaha, me te iti. Ko te nui o te taimaha, te nui te pēhanga ki runga ki nga ngā o te tautoko tinana. Ko raro i he maha tohu o kēkeno o te tinana, a ka he ano hoki he take predisposing hoki ahua e kore anake, engari ano hoki mo te whanaketanga atu tere o ngā tukanga necrotic.
• ka whakawhanake i roto i pathologies o tenei momo popoketanga i roto i te pūnaha circulatory, he māmā ake oko papaka, nui atu ko tetahi pānga, whakapataritari i te takahi o ratou tapatahi - mate ngakau, me te pūnaha circulatory.
• mate te rere - te wahi motuhake konei tango mate, ārahi ki te rangirua o te innervation (hei tauira patunga mua), me te hunga i roto i i takahi i te tukanga pūkoro tinana (hei tauira, mate huka).
• Food me te inu - fakatu'utāmaki horomanga takarepa o fluids me kai, nui rawa ki te aroturuki i te nui o te pūmua i roto i te kai.
• Ko te eita o urination mana-whaiaro me te defecation - kua kitea te reira e te mea he kohatu, pararutiki taea ki te whakahaere i to ratou whanonga me te āhua rite ki te hua o te tupu ranei te manawanui.
• sweating auau - pea te putanga o te pūkoro endocrine ranei disorders, me te hua o te aroaro o te kirika.
• Āhuatanga o te perception o ngā rongoā - take kino taea e te ahua o tauhohe mate pāwera ki taero whakamahia mō te tiaki kiri i roto i ngā wāhi i reira mariao pēhanga whakawhanake. Prevention, maimoatanga o bedsores fakahu'unga te hiahia tango ki ki pūkete nga āhuatanga katoa o te tinana o te manawanui.

Ki te āhuatanga rōpū tuarua ngā tiaki ngā. Whakanuia te tūponotanga o te whakawhanake keha te pēhanga ko te huringa onge o kakahu moenga, kore o ranei akuaku whakahaere tano ore, roughness nui me te pakeke o te mata ki runga ki e nga teka manawanui, te aroaro o kongakonga i roto i te moenga, tūemi iti.

Bedsores: me pehea ki te mohio ki a ratou?

Ki te he mohio te manawanui, me te kua puritia tūtohutanga, ka taea e ia te kōrero e pā ana ki mana'o tuakiri ki te hunga e tiaki hoki ratou. Ko te tohu o te tīmatanga o bedsores ngā amuamu o mania. whakatika te reira rite ki te hua o te stagnation o toto me te te tīpona i roto i te wahi i reira te tūponotanga tiketike o te takanga o ngā tukanga pathological ārahi ki te hanganga o bedsores, kahore, ki te tango i te mehua tika. Ka rite ki te hua o te stagnation o te raru kore te whiwhi i ngā kai tōtika, me te tumu mana'o te reira rite te mania. I muri i te tahi haora o te mate ka taea o te sensation, mau mana'o o te kōpā i te wāhi o te kiri, e kore nei e tomo i te bloodstream.

I muri i te tahi wa, i reira he tohu e kitea ana. Ko nga ngā o whakapā uaki wahi o te tinana ki te mata pakeke puta stains kikorangi-whero - erythema venous. e kore e ratou i taha pai-tautuhi. Ka taea e ratou te tae e rua kukū, me te whakauaua kite.

Ki te kite taua tohu, me tango e koe mahi tonu ki te ārai i te whanaketanga atu o ngā tukanga pathological i roto i te wāhi pānga. Me waiho e koe tupato ki te mohio ki bedsores. Prevention, maimoatanga o bedsores, te whai hua atu i te aroaro o nga tohu tuatahi i kitea, me ngā mahi ki te whakatutuki ia ratou.

Āwhina i te tohu tuatahi o tuwhenua pēhanga

Hoki te ārai me te maimoatanga i te wā wawe o ratou whanaketanga kia tango mehua mo te tiaki manawanui ara tino atu, whakarato ia i te whai wāhi ki te waiho i roto i te tūranga hāneanea me te tika.

Whakamahia mattresses motuhake e te tauturu i te hunga e he bedsores reira. Prevention me te maimoatanga o enei hinonga - te whakaaro tika e hanga hoki e ratou. Ko o rua momo taua mattresses anti-decubitus: pūtau me te poihau. E rite rawa ana ratou ki compressors, puku ki whakahaere me te mau tonu i te pakeke e tika ana o te mata ki runga ki e te manawanui takoto. No te tūroro roa kua nei i roto i te wīra, ka taea e koe te whakamahi i urunga motuhake ki tonu i te rangi, pahuka i rā ranei.
Ki te ko te tangata i roto i te tūranga te maungārongo, ko reira e minaminatia e ko te matenga o te moenga, he iti tuku iho Nini ki te tinana ranei.

Ko tētahi atu take nui - he huringa auau i roto i te tūranga tinana. Ki te mea i reira e kore contraindications, kia meatia reira rite maha rite nga 2 haora. Ko te kupu he reira e minaminatia ki te whakamahi i te papa rawa hangaia. te āwhina ratou ki te huri i te tūnga o etahi wahi o te whanaunga tinana ki te mata ki runga ki e takoto i te tangata. Nā ki tenei mo te i waenganui i nga wāhi takitahi o te kiri, me te moenga, ko te wāhi, i reira he kahore kōpeketanga o oko toto, te whakaiti i te tūponotanga o te whanaketanga me te ahunga whakamua o bedsores. Tūroro e te hunga i roto i te saliote, e hiahiatia ana te huringa tūranga tinana katoa haora. Ko te moenga i runga i nei te teka manawanui, me perestilat koe i te iti rawa kotahi te ra. He mea nui ki te aroturuki i te huru o kakahu moenga - wrinkling kino, whiwhi i te kongakonga horoi atu tūemi iti ranei e taea meinga ritenga kiri me microdamages.

O te faufaa rahi he kiri akuaku. kia utua ngā aro ki to ratou makuku. Hei te whakahaere hoki i tenei āhuatanga me te ārai o te makuku nui whakamahi i te paura motuhake, aihikirīmi, rongoā, Tāhorongia, te horomanga o mahana (kore wera) pati. kia meatia ēnei ngā tukanga akuaku i te iti rawa e rua i te ra. I tua atu, i roto i urination me defecation kia rite wawe tonu kia ki te tango contamination i te kiri, me te kakahu. Hoki tenei whakaaro, me te ki te tango werawera, otaota kai, rere o patunga, taipa whakamahia, tauera, kope, taipa, Pads absorbent.

Whakaaetia wāhanga stroking o te kiri te wahi i reira he tohu o stagnation, engari e kore e taea ki te mirimiri i enei wahi, mahi mirimiri kaha. Taua mahi i taea e tīmata whakaterenga o te tukanga.

pathogenesis

I roto i te pathogenesis o te pēhanga tuwhenua he wāhanga e wha o te whanaketanga. I roto i atamira te kiri i te pae o te whakapā ki te mata waho o te whakawhanake erythema venous ahau. Ko te take o te erythema - he takahi o te matamua o te toto. Waho puta erythema wahi rite kikorangi-whero, tahuri te kiri pēhanga-tairongo i runga i te wāhi kua pā ma. Te pāmahana i roto i te erythema ko te taua rite te era atu o te kiri paku raro ranei. Ko te wahi tino noa o te whanaketanga - prominences Ihakara. tonu tonu te kiri, i reira he kahore maumau'i o tona tapatahi.

I roto i te atamira puta II decubitus thinning o te epithelium, tawerewere kiri, e hanga e mirumiru reira. Ko te hua katoa o kai disorders te kopa, e puta tika ki te stagnation toto tenei. arata'i te reira i ki te takahi o te innervation. I tua atu, piki te kiri inu, pūtau kiri pupuhi a faifai pakaru, ka mate. Ko te kupu, i tenei wā kua whai pāpaka kiri kitea, e taea te kite maceration i roto i te wāhi pānga.

Hoki Hipanga III decubitus patunga ahua āhuatanga. Ki te riro te reira kia whakawhanake microflora pathogenic hakihaki. Ko reira i tenei wā i roto i te tukanga pathological whai wāhi papa hohonu o kiri, kiko subcutaneous, uaua, tīmata tukanga necrotic. Necrosis me te tūponotanga o te purulent mumura tohu he riri nui ki te hauora o te manawanui.

I roto i te taahiraa kua IV he hakari i roto i te kōhao kiko, e taea te kite i runga i te taiepa o te purulent mumura te koha nui. Ko te take o te hua, me te kōhao - kiko necrosis.

Kotahi te tangata i roto i ngā wāhanga rerekē o te tinana kia whai mariao pēhanga, e te hunga i ngā wāhanga rerekē o te whanaketanga.

pōauautanga taea

Te nuinga o pōauautanga puta i roto i te whanaketanga o keha te pēhanga e tika ana ki te rongo ki te wahi pakaru o huakita pathogenic. Nuinga o ngā wā ko reira staphylococcus streptococcus ranei, engari i reira kia pai kia take o contamination me ētahi atu rauropi pyogenic.

Nuinga o ngā wā tukanga suppurative i roto i bedsores whakawhanakehia i runga i te momo o erysipelas cellulitis ranei. I roto i te wā o te rohirohi whānui, wātea i te mate ngoikore whakahaere tano ore o mehua akuaku ranei, maimoatanga takarepa o tuwhenua pēhanga kia whakawhanake pōauautanga te ora-whakawehi, pērā i sepsis me te hau kikohangatia.

kia timata Bedsores i roto i tūroro ki te pirau i runga i te atamira tuarua tuatoru ranei, ka puta te pae o te epithelium pakaru ranei he patunga tuwhera, na reira ko te whanaketanga atu o ngā tukanga purulent.

Na reira, ki te reira he mariao, he tika ki a ratou e kore anake ārai me te maimoatanga, he mana nui, me te tino i runga i te āhua whānui o te rauropi. kia meinga tokanga he ara i roto i te pāmahana te tinana, te whakanui ake i te ngoikore, ānini, huamo huri noa te ahua o bedsores, discoloration kiri a tawhio noa tona hina, kakara e pirau i te motu, me ētahi atu whakarerekētanga.

localization Angamaheni o bedsores

Tei runga i te tūranga i roto i nei te manawanui takoto, he wahi i reira decubitus ārai me te maimoatanga kia rerekē ratou.
kia hoatu ngā aro ki ngā kōwhiringa mō rātou localization taea i te tūnga o te tangata i runga i tona hoki. I roto i tenei take, i te tino pinepine whakatika decubitus i runga i rekereke, papa, iwi timu, i roto i te rohe o te matatahi.

Ko te takanga o te pēhanga keha i runga i te rekereke maha. Na te tini o te kaumātua he stagnation reira i roto i nga waewae, hua i roto i te pēhanga ki runga ki nga rekereke o taua tukanga anake hanga. I tua atu, te nuinga te kiri i roto i ēnei wāhanga, ko te tinana ake mātotoru, na ko reira uaua ki te kite i te tohu tuatahi o te mate. Hoki te take taua, tenei bedsores localization (maimoatanga ratou) rapua e whakarongo roa, me te tino tupato.

mariao pēhanga i runga i nga papa mōrearea no te mea he tata ki te whēkau nui tenei rohe o te tinana. Hinga enei tinana titau kore anake maimoatanga tupato, engari kia i roto i te heke mai i te kaha pānga i runga i te huru whānui, me te mahi o te tinana, ara whakapoto te ora. Na reira, kia meinga koe tautooraa motuhake ki te ārai i taua bedsores. kia Prevention me te maimoatanga (whakaahua e tohu ana i te ahua o tenei momo o keha te pēhanga, he wātea ana i roto i makasini motuhake) kia kawea taua kino i roto i rite ki te tikanga. Kore ko te tūponotanga kaha e ka arahi i te tukanga ki nunu'a houhou.

maimoatanga Decubitus me te ārai

I tua atu ki te matauranga e he bedsores, te wahi e taea te kei ratou, ka pehea ki te titiro, titau matauranga o te pehea, ki te hamani ratou me pehea ki te ārai i ō rātou tupu. Ko te maimoatanga o keha te pēhanga i roto i te manawanui ngā he maimoatanga kiri i roto i te akuaku, mau opuaraa ārai, me te tino whakaora. kia kawea tenei maimoatanga i roto i wā.

He mea nui ki te mahino te take he aha i reira he tuwhenua. Prevention, maimoatanga o bedsores me me taukei. Kei te whakamana te maimoatanga kiri parukore mō te whakaū i te taumata haumaru o ona āhuatanga taketake me ngā āhuatanga: pH, makuku, elasticity. Me te reira i te wā ki te whakakore contamination.

maimoatanga ārai tā mahi, whakapiki i te toto tohanga me te whakahou o te tūtohutanga kiri, me te waiwai te kopa. Kaua e wareware e te ngoikore ake ki te ahua o bedsores me ngā tukanga suppurative pakaru kiri, na e hiahia ana koe ki te kawe i roto i te tiaki ārai o tona maroke me te ahua o te kapiti i runga taua mea.

Ko te tino nui maimoatanga Medical. Ki te mahi i tenei, e rapu kua rongoā motuhake. Na i reira e nui o ratou, e wātea ana i roto i ngā putanga me ngā puka e ratou. Anti-bedsore whakamahi ngā hinu, hāpiapia, puehu, rongoā, Tāhorongia. He nga āhuatanga ia puka inenga: contraindications, tikanga o te whakamahi. Ko reira he mea nui ina kōwhiri i te maimoatanga ki te kōrero ki te kaitoi mātanga.

He aha te mea te bedsores pai ora? Reviews o te iwi e kua fehangahangai tenei raruraru, tukua ki te tohatoha etahi o nga rerekē te nuinga noa o rongoā kua pai tono i roto i ngā take pēnei i. Hoki tūtohutia machining waho te ki te whakamahi i otinga konupora pūkawa (25%) ranei hypertonic (10%) te konutai otinga pūhaumāota ki chymotrypsin me pâmuhia whakahaere 0.5% otinga metronidazole. Ko reira houhou ki te whakamahi i te pāhare, iodine, matomato ngingila.

He mea nui kia kite ki reira e puta kore te mate hou. Prevention, maimoatanga o keha te pēhanga te tikanga rapu i te rota o te kaha, tikanga wā-e kai ana.

faufaa nui ko te kai o te manawanui. kia te kai hakari i te huaora nui e hiahiatia, kohuke, rawa konutea me te rino, pūmua, te kohi tika o huawhenua me hua. e tūtohu ana ki te ngā i roto i te kai o ngā hua miraka, ika, hua, kai (he pai heihei). Ki te he uaua te tangata ki te kai kai, e taea te whakakapi i te reira hupa.