Kupewa ndi Kuchiza
Chilonda chotchedwa ulcer, chomwe chimatchedwanso kupweteka kwambiri kapena kubedi, ndi kuvulaza khungu ndipo mwinamwake zimakhala pansi pa khungu. Kuvulaza kotereku kumayambitsidwa ndi kupanikizika m'deralo, komwe kungayambitsidwe ndi kulemera kwa thupi, zipangizo zachipatala kapena kusowa kwa kayendedwe. Malo a Bony opanda mafuta kapena minofu pansi pa khungu amatha kukhala ndi zilonda kuposa malo omwe ali ndi mafuta ndi minofu.
Mwachitsanzo, mlatho wa mphuno ndi khungu pamwamba pa khungu, ndipo ndi malo oopsa kwambiri opangira chilonda.
Odwala opaleshoni makamaka ali pachiopsezo cha zilonda zam'mimba chifukwa zimakhala pamalo amodzi kwa nthawi yaitali ndipo satha kuyenda panthawiyi. Munthu amene ali maso angamve kupweteka kapena kusokonezeka akakhala pamalo amodzi kwa nthawi yayitali, ndikuyankhidwa ndi kutengeka kapena kusintha thupi lake. Munthu amene watengedwera, atapatsidwa anesthesia kapena akudwala kwambiri kusuntha, sangathe kuchita chimodzimodzi.
Kupewa Pa Opaleshoni
Imodzi mwa njira zabwino kwambiri zopezera kupweteka kwa zilonda kuchokera pakupanga nthawi zambiri zimayenda, makamaka kuima ndi kuyenda, koma izi sizingatheke pamene opaleshoni. Mmalo mwake, chifukwa wodwalayo amakhalabe wosasunthika pa nthawi ya anesthesia , kuteteza zilonda kumagwa kwa ogwira ntchito ndi chipangizo.
Zipinda zambiri zogwiritsira ntchito tsopano zimagwiritsa ntchito matebulo ogwiritsira ntchito, omwe amagwiritsa ntchito zipangizo zambiri kuti apereke chinyontho chofewa kuti wodwala azigona kwa nthawi yaitali.
Ogwira ntchito m'chipinda chogwiritsira ntchito amagwiritsanso chidwi kwambiri ndi malo osungirako zinthu, monga mlatho wa mphuno, omwe amatha kupanikizika ndi mpweya wofewa womwe umagwiritsidwa ntchito panthawi yopweteka. Kwa ena, mlatho wa mphuno uli ndi zovala zazing'ono, kwa ena, phokoso la fluffy likhoza kuikidwa patsinde kapena chiuno.
Kupewa Pambuyo Opaleshoni
Pambuyo pa opaleshoni, kupewa kuteteza zilonda ndi udindo wa anamwino ndi wodwalayo. Wodwalayo ali ndi udindo wopeza mankhwala molondola, kudzuka ndi kuyenda mwamsanga. Aanesi ndi omwe amachititsa kuti adziwe oyambirira omwe ali pangozi yowonongeka khungu, ndikuyika njira zothandizira, ndikuzindikiritsanso kuti zilonda zam'mimba zimayamba msanga . Manesi amachititsanso kuti odwala asinthe nthawi zambiri omwe satha kutuluka kapena atembenuke. Anamwino angathenso kudumpha mapazi, zikopa ndi malo ena ozungulira ngati wodwalayo akuwoneka kuti ali pachiopsezo cha khungu. Amaphunzitsidwa kupeĊµa kuvulaza khungu, ndi mtundu wina wa kuvulazidwa kwa khungu kumene umachotsedwa, pogwiritsira ntchito mapepala pansi pa wodwalayo kuti athetse chipsinjo pakhungu.
Kwa odwala ena, mabedi apadera angagwiritsidwe ntchito omwe angachepetse mapangidwe a zilonda zam'mimba.
Zowopsa
Pali zifukwa zambiri zoopsa zowonjezera zilonda zamtunduwu, ndi kusakhoza kusuntha nthawi zambiri kukhala imodzi mwa zofunika kwambiri. Odwala m'mzipatala omwe sangathe kusuntha amatha kukhala malo atsopano osachepera maola awiri kuti athe kulandira zilonda zam'mimba.
Zowonjezera zina ndizo:
- Matenda a shuga
- Nthawi yonse mu chipinda chogwiritsira ntchito (ingakhalepo opaleshoni yambiri)
- Ukalamba (okalamba okalamba amakhala ndi zilonda zam'mimba)
- Kugwiritsa ntchito mankhwala omwe amatchedwa vasopressors kuwonjezera kuthamanga kwa magazi
- Kuopsa kwakukulu pa chiwerengero cha Braden, chida chogwiritsira ntchito chiwerengero cha chiopsezo cha wodwalayo ngati wopanga opaleshoni
- Mchere wochepa thupi (ochepa odwala ali pa chiopsezo chachikulu, iwo ndi ochepa "fluffy" ndi zina "bony")
Kusinthana
Kupsyinjika kwa zilonda zam'mimba ndi njira yofotokozera kuopsa kwa chovulalacho. Mitundu yosiyanasiyana ya zilonda zam'mimba imafuna mankhwala omwe amasiyana kwambiri malingana ndi momwe zilonda zakhalira.
Zilonda zina zowonjezera zimakhala ndi bandeji kuti zisawonongeke zina pamene ena angafunike opaleshoni imodzi kapena yambiri kuti akonze ndi kuchiritsa.
Gawo / Gawo I Zosagwiritsidwa ntchito poyerekeza ndi erythema: Khungu lenileni lomwe lili ndi ubweya wofiira wosakhala woyera wa malo omwe mumakhalamo nthawi zambiri kumakhala pamwamba pa bony. Khungu lakuda lakuda sangakhale loyera blanching; Mtundu wake umasiyana ndi malo ozungulira. Dera lanu likhoza kukhala lopweteka, lolimba, lofewa, lotentha kapena lozizira poyerekezera ndi minofu yoyandikana nayo.
Gawo / Gawo lachiwiri Kutalikirana: Pakati pa makulidwe ochepa a khungu akupereka ngati chilonda chosatsegulidwa ndi chilonda chofiira bedi. Mukhozanso kuwonetsa ngati bulletti yodzazidwa kapena yotsegula kapena yotsekemera yomwe ikudzaza kapena sero-sanginous.
Gawo / Stage III Kukwanira kwa khungu khungu: Kukwanira kwathunthu minofu. Mafuta angakhale owoneka koma mafupa, tendon kapena minofu siziwululidwa. Kuzama kwa Gawo / Stage III kupweteka chilonda kumasiyana ndi malo. Mlatho wa mphuno, khutu, mutu ndi minofu fupa mulibe minofu yambiri ndipo ikhoza kukhala yozama. Mosiyana ndi malo, mafuta omwe angakhalepo angathe kukhala ndi chigawo chakuya kwambiri / Gawo III.
Category / Stage IV Full makulidwe minofu imfa: Full makulidwe minofu imfa ndi poyera fupa, tendon kapena minofu. Kuzama kwa chigawo / Gawo lachinayi cha zilonda zam'mimba chimasiyana ndi malo omwe amapezeka. T Kutuluka mafupa / minofu ikuwoneka kapena ikhoza kumveka mosavuta.
Osasunthika / Osadziwika: Kukwanira khungu kapena kuwonongeka kwa minofu, kuya kwakukulu kosadziwika (gulu ili likugwiritsidwa ntchito ku United States): Kukwanira kwathunthu kwa minofu yomwe ululu weniweniwo umasungidwa ndi minofu yotchedwa slough kapena eschar pa bala. Mpaka slough yokwanira ndi / kapena eschare achotsedwa kuti awulule maziko a chilonda, kuya koona sikungatsimikizidwe.
> Zotsatira:
> NPUAP Pressure Ulcer Stages / Categories. Komiti Yowonongeka ya National Pressure Ulcer.
> Wodwala Wodziwika ndi Zochita Zopangira Opaleshoni Pakukula kwa Ulonda Wopanikizika. Buku Lopatulika la Chisamaliro Chofunika.