Sei uye chii kubata bedsores?

Mushonga wevarwere vanorara pamubhedha nguva dzose wakanga wakaoma: kuchengetedza nokungwarira uye kutarisa kwemamiriro emurwere uye utano hwakakosha. Uku hakusi kungoshandiswa kwenguva pfupi kwezvinodhaka, asiwo hwehutano hwezuva nezuva, kudya kunovaka muviri, kutevedza kuputika uye gymnastics regimes. Zvigaro zvedambudziko guru kune varwere vane simba. Iyo inoumbwa nekuda kwekudzvinyirirwa kwakanyanya kwebony zviratidzo pachiganda. Nzira yekurapa matambudziko ekurapa? Ngatiedzei kupindura mubvunzo uyu munyaya.

Mhedziso yekuvata, mhando dzavo uye nzvimbo yekudzidza

Mabhedhare ndiyo nzira yezvigunwe necrosis, iyo inowanikwa munzvimbo dzakafanana dzomuviri. Kukuvadza kunokanganisa ganda, mitsipa yeropa, mafuta ane zvimwe zvivako. Kazhinji kunorara kunowanzoitika munzvimbo dzinotenderera mapfupa. Izvi zvinokonzerwa nekuti munzvimbo dzakadaro ruvara rweganda ruchena kwazvo, naizvozvo chero kuwedzerwa kudzvinyirira pamusoro paro kunouraya.

Sarudza mararamiro ezviratidzo zvakasiyana. Zvichienderana nezvakabva, izvo zvinonzwisisika, kureva, zvichibva kunekunze kwemaitiro, zvinosunungurwa, uye zvisingagoneki - zvakagadzirwa nekuda kweeurotrophic inoshandiswa paganda. Izvozvo zvinowanzoumbwa mukati memishonga nekuda kwekuiswa kwecatheters kana kuti drain.

Mhemberero idzi hazvizivikanwi chete nevarwere vari pamubhedha - dzinoumbwawo nekunze kwekunze kwechiganda, izvo zvinoonekwa kune zvimwe zvikonzero. Zvechokwadi, kazhinji zvipembenene zvinoumbwa nekuda kwekushaya simba kusachengetwa kwemasukisi. Zvichienderana nezvinodiwa nemurwere nguva yakawanda yenguva, kune hutachiona hwekuchinja mune dzimwe nzvimbo:

• Agere muwiricheya, kurema kwomuviri kunomira pamabako uye zvitsitsinho;
• Muchikamu chepamusoro kune rumwe rutivi, makumbo, mahudyu, mabvi anowedzera kuwedzera;
• Zvigaro zvinogona kuonekwa munzvimbo yechitsinho, sacrum, sciatic tubercle, scapula, elbow, occiput;
• Kana munhu akarara mudumbu rake, ganda re cheekbones uye nzvimbo yepicic inotambura.

Inoita kuti kuve nekunyanyisa kana kuoma kwezvivharo. Kuti usashamisika kuti: "Maitiro ekubata sei matambudziko?", Unofanirwa kuchengetedza ganda romurwere. Kana kuoma kuchionekwa - shandisa mhepo inonwisa mvura. Nekunyanyisa kwakanyanya, vanorwisana neupfu. Ganda rehuni rinofanira kubatwa newaini-ine mhinduro. Zvakakosha kuronga munguva yekucheneswa kwekuchenesa: kubvisa, kushamba, kazhinji kushanduka kwejira, mapajamas, mabhedha.

Zvinhu zvinotyisa, zvinetso

Munhu upi noupi anotarirwa kurapwa nemubhedha wezororo kana kuti achishandisa chikwama chavasingaoneki ari pangozi. Sarudza uye zvimwe zvinhu zvinowedzera mukana wekubereka chigubhu:

• Zera - yakakura murwere, kunyanya kugamuchira ganda, uye kuchinja patsva kwemasumbu kunonyanya kuoma uye kwenguva yakareba;
• Kushungurudzika kwekunzwisisa, kusachengetedzwa kwemasukisi, zvirwere zvehupombwe;
• Tsvina inrophy uye kuora kurasikirwa - chigadziro chepakati pefupa uye ganda rinoderera, zvichiita kuti kuwedzerwa kuwedzera pairi;
• Kusadya mvura yakakwana, kudya kwakashata - kusadya kwekudya kwakakwana uye kukwana kwakakwana kwechirwere kunowedzera mamiriro echiganda;
• Incontinence yegorosi kana urini - ndicho chikonzero chekupararira kwebhakitiriya;
• Kunyanya kuwedzerwa kana kuoma kweganda;
• Diabetes mellitus uye zvirwere zvevascular;
• Kusvuta, kunwa doro kana zvinodhaka;
• Kushungurudzika kwekuziva uye kusadzora kwemaviri emhepo.

Kana murwere ane chimwe chezvinhu zvakataurwa pamusoro apa, zvakakodzera kukoshesa kufunga pamusoro pekudzivirira zvironda zvinoremedza. Vanoonekwa nokukurumidza zvikuru, asi vanorapwa kwenguva refu uye zvakaoma. Kana uchinge watora zviratidzo zvekutanga zvekudzikisa maviri, munhu anofanira kutanga atanga kurapwa nekusimbisa matanho ekudzivirira. Nzira yekurapa zvipembenene zvinorevei? Muchikamu chekutanga, chinhu chakakosha ndechokuteerera kune nguva yakachena. Iwe unogona kushandisa mafuta anosimudzira kuchinja patsva. Zvakakosha kuzivisa chiremba nezvekuita kwakatanga. Kuzvifungidzira kana kusakodzera kunogona kutungamirira kumigumisiro yakadaro:

• Sepsis - chirwere chinopisa upenyu umo utachiona hunopinda muropa uye hunopararira nokukurumidza mumuviri wose;
• Kuvhiringidza kwemuviri mutsvuku - unoratidzwa nehutwa hwakanyanya hutachiona, hyperemia, edema;
• Kuvharirwa kwezvibatano nemapfupa, izvo zvinovhiringidza kuparadzwa kwavo;
• Kenza yepachira inowanikwa nekuda kwenguva refu isingarapore maronda.

Ndosaka zvakakosha kunzwisisa kuti zvipembenene zvinodzvinyirira chinetso chakakomba mukurapa uye kuchengetwa nemubhedha uye vanorwara zvikuru. Nzira yekurwa navo inopesana zvichienderana nehuwandu hweganda rinokanganisa.

Mabhedhares I degree

Chikamu chekutanga chekuvandudzwa kwechirwere chinonzi ndiyo nguva yakanakisisa yekurapa. Ndiyo panguva ino iyo inogona kugadzirisa zvachose ganda uye kudzivisa necrotic process. Zvigaro zvegorosi rekutanga zviri kunze zvinoratidzika sezvikamu zvakatsvuka. Kana iwe ukanyanyisa zvishoma paganda, nzvimbo yekutarisana inotendeuka chena. Panguva ino yekukura, mhirizhonga yacho haisi yepamusoro, iyo inobvumira kurapwa kwakanaka kunotungamirira pakuzadzikisa.

Kana ukawana nzvimbo dzakasvibirira dzeganda, zvakakosha kuti uzive kuti chii chekubata mararamiro uye kuti ndezvipi zvinodzivirira kutora. Chokutanga pane zvose, iwe unofanirwa kubhadhara utsanana: ganda remuurwere rinofanira kugara rakaoma uye rakachena. Nokushambidza, zviri nani kushandisa zvipfeko zvakagadzirwa nekotoni zvinhu. Mushure mekunge mavaisa mumvura ine sopu, nyatsoropodza ganda revarwere. Shandisa sese antibacterial haina kukurudzirwa, zviri nani kuti usarudze zvinowanzoitwa kana mwana. Mushure mokubvisa zvakasara zve sopu remhinduro, ganda paganda. Usakanganwa kuchinja mubhedha uye zvepurasitiki munguva. Muchiitiko ichi, chigadziko hachifaniri kuve crumple, press. Zvinotarisirwa kunyatsocherechedza chiganda chemukati: nguva yakaoma yekudzikisa, mafuta anonatsa doro-ane zvinhu, uyewo mvura inobata nehupfu. Iwe unofanirwa nguva nenguva kuronga mabhati ekumhepo.

Nzira yekurapa sei zvirwere mumaronda akarara? Pakutanga kwekutanga, kucheneswa kweganda rakagadzirirwa kunoitwa nekubatsirwa kwehupenyu hwehupenyu kana camphor doro. Panzvimbo dzekunaya unogona kushandisa mafuta eincincense. Vanongoomesa ganda uye vanoridzivirira kubva pakuwedzera kukuvara. Mabhedha akaumbwa anogadzirwa nemafuta "Solcoseril", "Actovegin", "Dermazin". Iwe unogona kushandisa powder "Xeroform". Rimwe bhanhire repa polyurethane rinoshandiswa kunzvimbo inobatwa. Iko firimu rakajeka rine anotsigira pasi. Kushandiswa kwaro kunochengetedza mabhakitiriya, unyoro hunobuda evaporation uye oxygen kuwana maviri. Nzira yekurapa nhovo dzepabonde dziri mumubhedha varwere vakarurama zvakadini? Zvakakosha kubatana nemhando iyi: kuchenesa, kushandisa mafuta makuru, kushandisa mabheji. Ganda rinofanira kugara richiongororwa.

Mukuwedzera kune zvakakosha kurapwa nekutevedzwa kwehutano hwehutano hwemurwere, zviyero zvekudzivirira zvinodiwa kuti zvidzivirire kukurudzirwa kwezvokugara. Nokuda kweizvi, chinzvimbo chevatadzi vanovata pamubhedha vanoshandurwa maawa maviri. Nekugara muwiricheya kunofanirwa kuita zvinoitwa kamwechete awa. Mukuwedzera, iwe unogona kushandisa zvakanyanya anti-decubitus mattresses nemitsipa, iyo inonyanya kuderedza kuwanda kwemuviri mukati meganda. Zvokudya zvemuurwere zvinofanira kuva zvakanyatsonaka, zvakagadziridzwa nemavitamini nemaminera. Usapindira nekodzero ye immunotherapy.

Kurapa kwezvinosuruvarisa maronda edigiri yekutanga nemishonga yemagariro

Kurapa kwekutangira bedsores hakugoni kungoita maawa ezvokurapa uye zvinogadziriswa, asiwo maitiro evanhu. Zvakakosha kunzwisisa kuti kufambira mberi kwechirwere kunoitika nokukurumidza. Nokudaro, kushandiswa kwemaitiro asina tsika kunofanira kubvumirana nachiremba, uye migumisiro yehutano inonyatsodzorwa. Iwe ungabata sei maronda ekumanikidza? Pakutanga kwekutanga, mafuta emiriwo akadai segungwa-buckthorn, maorivhi, uye camphor vakazviratidza ivo pachavo. Inoshandiswa kune dzimwe nzvimbo dzakatsvuka dzeganda kanomwe pazuva.

Balynin mafuta ekurapa inoshanda. Iyo yakaitwa yezvinhu zvakasikwa uye yakachengetwa kwenguva yakakwana. Kugadzirira zvinotevera:

• Oiri (inotengeswa muchitoro chechechi) kana mafuta emuorivhi - 100 ml;
• Bhisiki kana kendende yewax - 40 g;
• Shuga - chetatu chepasipuni.

Tora ndiro yakagadziriswa ugoisa zvikamu mairi. Pisa pamvura yekushambidza kusvikira wakanyatsopera, uye ikozvino kunotonhora. Chengeta muhari yegirazi mufiriji kusvikira kune gore. Paunenge uchibika, unogona kuwedzera kune musanganiswa wakapwanyika maruva akaoma e calendula (kikapu).

Ndeipi nzira yekubata nayo zvirwere zvinorwadza mumusha? Iwe unofanirwa kuziva kuti ganda rakakanganiswa chero ripi zvaro harigoni kuiswa. Kukurukurirana nekumanikidzwa maronda kunofanira kunge kusina. Chokutanga, ganda rinobatwa ne saline kana camphor doro, mushure mokunge chigadzirwa chikuru chinoshandiswa zvinyoro (kana zvichizoshandisa mushonga wemagariro - mafuta). Bhandeni isina kuchena inogona kushandiswa kubva kumusoro.

Mabhedhares muchitsauko II chekufambisa

Kana zviratidzo zvekutanga zveganda zvisingaonekwi munguva kana kuti kurapwa hakubatsiri, chirwere ichi chinowedzera nokukurumidza. Chikamu chinotevera chikamu chechipiri, chinoratidzwa nekuvapo kwevanga rakazaruka. Dzimwe nguva bedsore inoratidzika seyakavhuvhuta kana, pane kudaro, chikafu chinoputika nemvura yakachena. Panguva ino, njodzi yehutachiona inowedzera, saka kurapa kwakaoma. Inoumbwa nemishonga inorwisa mabhakitiriya uye kugadzirira kurapa. Zvinodzivirira matanho uye mazano ekuchengetedza zvinofanira kuonekwa nekuchengetwa kwakanyanya, zvisinei kana kurapa kwacho kunonoka kwenguva yakareba.

Nzira yekurapa matambudziko mumubhedha-murwere muchetatu II? Pfungwa inonyanya kukosha ndeyekusaporesa kwevanga rakazaruka. Nokuda kweizvi, mhinduro dzinogona kushandiswa:

• Chlorhexidine - inopa kusaporesa, inoparadza mabhakitiriya, fungus uye mamwe mavairasi;
• Colloidal silver - inogumisa kusagadzikana uye kurwadziwa, inowedzera simba remishonga inorwisa mabhakitiriya, inodzivisa;
• Furatsilina - inokurudzira rufu rwezvirwere zvepathogenic;
• 3% hydrogen peroxide - kunyatsochenesa ronda racho uye rinodzivisa pasi;
• Physiological - inokurumidza kuporesa, inochenesa mabhakitiriya.

Mushure mekushandiswa kwevanoshandiswa nemishonga inoshandiswa kubva kumapurisa vanosiya ganda kuti vaende uye vanomesa zvishoma. Mwenje yeQuartz inowanzoshandiswa muzvipatara nekuda kwezvinangwa izvi.

Zvimwe zviito zvinoenderana nemhando yevanga. Kana pasina pus, shandisa mafuta okurapa, somuenzaniso, "Methyluracil" kana "Tiotriazolin". Kuchengetedza kukura kwehutachiona kunogona kushandisa nzira dzakadai se "Betadin" uye "Iruksol." Iyi mishonga inovhuna maronda akafa, nokudaro kuchenesa ronda uye kukurudzira kurapa kwayo.

Zviri nani kubata zvirwere mumubhedha-murwere pane chiratidzo chekutanga chekutachiona? Inokurudzirwa kushandisa mafuta anobva pamishonga inorwisa mabhakitiriya. Somuenzaniso, "Levomekol", "Levosin", "Argosulfan", "Iruksol". Kana pane chiitiko chinokosha chehutachiona, kupfeka kunofanira kuitwa nevashandi vezvoutano. Shamba vanga nevariseptic mhinduro, bvisa magetsi ekuvhiya evanhu vakafa. Mushure meizvozvo, shandisa mafuta uye bandage.

Mapoka evanhu kuti vashandise zvinokonzerwa nemakondomu muchetatu II

Unogona here kutarisa danho rechipiri rinorapwa nemishonga inodhaka kana mafuta? Hongu, asi chiitiko chakakosha kushandiswa kwemafuta anogadzirwa uye kugadzirira. Nzira yekugadzirisa sei matambudziko mumusha munyaya iyi? Iwe unogona kushandisa kushandiswa kwemishonga yemishonga yemafuta nemafuta emiriwo. Panguva imwecheteyi nyanzvi mumishonga yevanhu inotaura nezvekubudirira kwakanyanya kwezvinhu izvi:

• Baking soda - kikapu chinowanikwa mugirazi mbiri dzemvura inopisa uye yakanyoroveswa nechinogadziriswa chechirairi chembatya, iyo inoshandiswa pakarepo panzvimbo yakakanganiswa (blister). Somugumisiro, zvose pus inouya. Zvadaro tora techira itsva uye udzoke zvakare mumhinduro. Nzira yacho inopfuurira kusvikira mavara ari akachena paanobviswa pamusana pekuoma.
• Mbudzi yemafuta - funganisai anyanisi (yakagadzirwa zvakanaka) uye tafura yemunyu mune imwechete. Isa kune dzimwe nzvimbo inopera hafu yeawa. Pakutanga kwekurapa, ronda racho richava rakaoma, nguva ino inofanira kusimbiswa.

Kubudirira pachikamu chechipiri che decubitus kunonzi recipe: mix Vishnevsky mafuta uye 1% dioxygen solution muchiyero che3: 1. Itai zvinhu izvozvi mumubhodhoro usina. Sakanidza musanganiswa wakagadzirirwa pavanga uye uvhare nebandani. Mushure memazuva maviri, shandurai. Iyo nzira inokurudzirwa maronda akachena, pasina pus uye zviratidzo zvinooneka zvehutachiona.

Mitemo yekupfekedza nemhando dzekugadzirisa

Kungobata bedsore murwere hakukwani kuti mushonga unoshanda. Chimwe chezvinhu zvinokosha kupfeka. Iyi inomirira nzira yehutachiona hwehuipi hwehutachiona, uye kana utachiona usingashandisi zvachose haugoni kuita. Usati washandisa bhanhire, iwe unofanirwa kuziva maitiro ekurapa zvinokonzera kusuruvara kumba. Chikamu chekutanga chichagara chisina kudzivirirwa cheganda rakagadzirirwa. Izvi zvinogona kuitwa kuburikidza nemhinduro dzakakosha, izvo zviri nyore kutenga pane chero mapeji. Nzira yekubata sei zvirwere zvinorwadza? Mitemo inotevera inofanira kuonekwa:

• Usabata vanga nemaoko ako, ita izvi nenzira isina kuchena;
• Mhinduro inodururirwa pavanga kana napukisi, shure kwaizvozvo iyo inoputirwa pasi inonyoreswa zvinyoro kusvikira yacheneswa zvakakwana;
• Pakuguma kwegadziriro, sula vanga racho nekudzima mafambiro nemucheka wakaoma wakaoma.

Zvakakosha kuti tisapfurikidza kushandiswa kwemishonga inodhaka. Mukuwedzera, vanofanirwa kucheneswa uye kunyatsodzivirirwa pasina kupisa kupisa nekutsamwa. Hazvikurudzirwi kushandisa zelenok, sarudzo ye potassium permanganate kana iodine.

Nzira yekurapa kurara mumarwere akarara pamubhedha mushure mekuchenesa ronda? Kushanda (kuporesa, antibiotic) inoshandiswa kumaputiki asina kuchena kana kuti maronda pachayo, mushure mezvo inopinda pakupfeka. Kupfeka hakufaniri kushandiswa zvakasimba. Mukuwedzera, inofanira kurega mumhepo uye panguva imwechete ichive ichidzivirirwa uye yakaoma. Mhedhi yaro inobatsirawo ganda rakanaka. Iyo nzira inoitwa zuva rega rega. Pazvikamu zvinokambaira zvemuviri, bhanhire inowedzera kuiswa nebandanho. Mune zvimwe zviitiko, yakabatanidzwa nepasiteri, ichiputika kumativi emashoko acho neganda rakanaka. Kune zvakawanda zvekugadzirwa kwemazuva ano izvo zvinogona kuwedzera kuvharwa nezvinhu zvinoshanda.

Kurapa kwezvinodzvinyirira maronda zvechitatu III

Chikamu chechitatu chekufambisa chinoratidzirwa nehuwandu hwezvinyama necrosis - kusvika kune fascia. Iyo epidermis, dermis uye subcutaneous fatty tissue inoputsika. Ganda rinoputika. Kazhinji kacho, vanga rinotapukirwa, izvo zvinokonzera kugadzirwa kwepus. Muchiitiko ichi, kucheneswa zvakakwana kweganda rakagadzirirwa kunotarisirwa. Pamba, zvakakosha kubata zvidhazvo zvakadzika nekugadziriswa kwevhiringidzi, kupedza kuchenesa kwemasukisi. Paunounganidza maitiro akafa, inofanirwa kubviswa chirwere. Kuchengetedza kupararira kwaNecrosis kunogoneka chete nekubatsirwa kwekuvhurika panguva yakakodzera yevessesses uye kucheneswa kwevanga kubva necrotic tissues, iyo inoitwa pamwe nekubatsirwa necrectomyomy.

Zviri nani kubata chirwere chechirwere muchitsauko III? Izvozvo zvinokonzera kuporesa nemishonga inorwisa mabhakitiriya zvinoshandiswa sechipiri chechionda. Aya ndiwo Iruksol, Tiotriazolin, Levosin, Levomekol, Algofin, Solkoseril. Kubatsira pakuchenesa maronda kubva kune maitiro echectic inobatsira mafuta "Trypsin", "Terrylitin", "Collagenazine", "Chymotrypsin".

Migumisiro yakanaka nyatsofunga dressings. Somuenzaniso, "Multiferm", "Pam-T", "trypsin-Daltseks". pamusoro avo akaiswa mushonga wokuuraya makemikari nezvimwe yomuchipatara vanoshingaira kuti pave nokukurumidza kuporeswa uye tishu patsva. The kupfeka daily. Recovery zvakanaka zvakakodzera kunoitika mukati 2 weeks.

Mabatirwo IV padanho pokumuka bedsores

The wokupedzisira pavaipfuura paumbwe kufurirwa nemaronda kunoratidzwa yakadzika tishu necrosis. It ndakakuvadza ainge rima pasi afa zvinyama, kuburikidza paunogona kuona tsandanyama, nemarunda kana mapfupa. Masero ari zvakanaka kukurumidza paganda utano. Treatment iri ushandiswe nachiremba wako. Zvinogona varumbidzwa kuchinja kusvika kuti kunosanganisira kushandiswa chete kunoreva kuti pakurapa bedsores uye III dhigirii. Yakatarwa mafuta pamusoro zvinyama kugadziriswa, kubviswa necrotic kugutsikana uye kurwisa zvirwere. Kazhinji ligation mabasa marapirwo mukamuri kana kuti murwere muchipatara.

The maronda vari kurapwa muchipatara? Used akambozvishandisa kuuraya utachiona zvingaitwa (kazhinji sesaline kana chlorhexidine). Necrotic zvinyama chinobviswa kushandisa wezvokurapa mudziyo, uye ipapo kunyatsoongorora yakakukurwa ronda. Mafuta ari ushandiswe zvichienderana ezvinhu omurwere. Kana zvakawanda chirwere - nemishonga, mune zvimwe zviitiko - mishonga inotokonya zvinyama kugadzira uye muchikuvadza chingamubatsira. Kana kutengeserana iri basa kwevhiki mbiri kuchinja mabatiro haapi mhinduro. Ndiwo nechiyero zvikuru, kureva. To. Munhu mukuru mukana yematambudziko uye kuwedzera nzvimbo imwe bedsore. Dudza miganhu necrosis rakanyatsojeka zvakaoma, saka anotendeukira kubvisa chete chikamu vakafa tishu. Pashure anotanga yavaipora unodiwa. Akagadzwa physiotherapy nemishonga. Zvinosuruvarisa kuvhiya kurapwa hapasi kupa migumisiro yakanaka. High mukana chirwere dzokororo.

matanho

A rakakura basa kurapwa uye kudzivirira bedsores achiridza dziviriro yavo. Zviri nyore zvikuru kuti zvinoenderana zvinoverengeka zvinodiwa kuti murwere hanya pane kugadzirisa mberi kukuvara tishu. Vachiona ganda inofanira camphor doro, sesaline kana zvimwe vanyoro akambozvishandisa kuuraya utachiona kudzivirira bedsores. Izvi ndezvechokwadi kunyanya zviitiko apo murwere Urinary incontinence kana chetsoka. Zvakakodzera kuramba kuchengeta ganda yakachena uye yakaoma. Kana zvakakodzera, izvozvo moisturizes mwana ruomba kana nekusiyana, kushandiswa upfu (zingi mafuta). kakawanda zuva anoronga mhepo dzokugezera. Kushandura nzvimbo muviri pakudya murwere maawa maviri ose. At chiratidzo kufurirwa maronda okutanga kutanga kurapwa pakarepo.

Bedsores kuitika chaizvo nyore uye nokukurumidza kutanga. Zvakakwana kamwe kusiya murwere nyoro pamubhedha, uye ganda vachaita sei pakarepo. Kuti tikurire dambudziko ino yakaoma zvakafanira kuti zvakarurama mubato cover: pamusoro kudzivirira pachikuva nguva kuchenesa, yakaoma uye kutarisirwa. Pakutanga chiratidzo kubatanidza chaiwo mafuta okuzora, achisimbisa matanho.