Iibhondi zitshintshi kwiishucu ezinqamlekileyo zomzimba, ziphuhlise ngenxa yokuphazamiseka kwexesha lokutya kunye nokucima. Oku kubangela ukucaphukisa, i-skin detachment, ukubonakala kwamanxeba kunye ne-necrosis yezicubu. Ubunzulu bezilonda kwiimeko ezinzima zingakwazi ukufikelela kumgca we-muscle, tendon kunye neethambo zamathambo.
Kutheni i-bedsores ivela?
Izibhedlele - oku akunjalo nakwixesha lokuphela kwezigulane ezibuthakathaka, ziyakhiwa ngenxa yongcinezelo lwangaphandle, ngokuqhelekileyo kwiindawo ze-bony protuberances. Ngokomzekelo, izilonda zogonyamelo zivame ukubunjwa kwizigulane ezinamaqhekeza phantsi koxinzelelo lwe-bandage eqinile okanye engalinganiyo, ehambisa umjikelezo wegazi. Kukho iimeko zokuvela kwe-decubitus kwisigodlo somlomo ngenxa yokunyanzeliswa kwamazinyo . Kodwa iimeko ezinjalo zidla ngokugqithiseleyo kwizigulane ezisebenzayo okanye izigulane, ixesha elide kwindawo yokunyanzeliswa kunye nokunyamekela.
Iprophylaxis yokwakheka kwamabhedlele kwizigulane ezilala
Ukufumana iprophylaxis yokulala, kokubili ekhaya nasezibhedlele, kuyimfuneko, okokuqala, ukubonelela isigulane ngokunyamekela nokuchaneka koluntu. Yaye kunye nemilinganiselo yokuthintela ukulala kufuneka iqhutywe ngokusuka kwiintsuku zokuqala zesifo. Makhe sicinge ngamanyathelo okuqala kunye nezindlela zokuthintela izilonda zengcinezelo:
- Enye yemithetho ephambili yenguqu yenkqubela yesigulane kwisibhedlele (nganye iiyure eziyi-2-3, ubuncinane ama-8 ngosuku). Zonke iintshukumo kufuneka zenziwe ngokuqaphela okukhulu, ukuze ukuxhatshazwa okanye ukunweba kwesikhumba akuvumelekanga. Umsebenzi uba lula xa usebenzisa ibhedi ekhethekileyo.
- Kunconywa ukuba usebenzise umthamo kwisigulane ukuthintela izilonda zengcinezelo (i-mattress anti-bedding). Ezizona ziqhelekileyo zimbini iintlobo zamatitha - iselula kunye nebholethi. Umgaqo wokusebenza kwezi mathathane kusekelwe kutshintsho oluqhubekayo kwingcinezelo emzimbeni kwimimandla eyahlukileyo ngenxa yokujola kwomoya rhoqo kunye nokuqhutyelwa kwamagumbi akhethekileyo (ii-cylinders, iiseli). Oku kukuvumela ukuba ugcine ukujikeleza kwegazi ngokuqhelekileyo kumathisculi atyhidiweyo, ngaloo ndlela uphelise imbangela yokubunjwa kwezilonda zengcinezelo.
- Ukunciphisa uxinzelelo kwiimfucu ezithambileyo, izangqa ezikhethiweyo zerabha, iiprayim, ii-liners, njl njl. Kufuneka zifakwe kwiindawo ezinobungozi kwisigulane.
- Kubalulekile ukuqinisekisa ukuba ishidi kwisibhedlele sesigulane asiqhubeki kwiifolthi, kwaye kwiingubo zangaphantsi azikho i-sutures eziqhenqileyo. Ubumanzi obunqamlekileyo kunye neengubo zangaphantsi kufuneka zithatyathwe ngokukhawuleza.
- Kulo gumbi apho isigulane khona, kuyimfuneko ukugcina ukushisa okuqhelekileyo kunye nomswakama womoya, ukuhlaziya rhoqo nokucoca.
Amanyathelo athile okwenzela i-prophylaxis yokulala
Umlinganiselo obaluleke kakhulu weprophylaxis yokulala i-bedsores yinkathalo yesikhumba. Kufuneka kuqinisekiswe ukuba isikhumba isiguli sihlala sihlambulukile, singadambisi kwaye singasomile. Ukwenza oku, kufuneka wenze oku okulandelayo:
- Uhlamba rhoqo isigulane ngamanzi afudumele usebenzisa isepha yangasese kunye nesiponsi esithambileyo (ngokukhethekileyo kwendalo), landelwa ngokucoca ngokucophelela nangokucokisekileyo ukoton
ingubo; - Iisayithi zengcinezelo enkulu kakhulu kathathu-kane ngeentsuku, usula nge-camphor utywala, i-ammonia (0.5%), utywala (salinlic alcohol) (1%) okanye isisombululo se-potassium permanganate (1%), ukudibanisa kunye ne-massage engeyiyo.
- Ukuba isikhumba sesigulane siphelile, ukhilimu ophuculisayo kufuneka usetyenziswe (ngokukhethekileyo kubantwana), xa kunomswakama ogqithiseleyo, ipowder okanye omisa amafutha.
- Ukuba ufumana indawo zobomvu esikhumbeni, kufuneka uhlaziye ngokukhawuleza kule mimandla.