Lero tiyeni tiphunzire za kupezeka kwa bedsores ndi momwe tingapewere

Ngati wokondedwa wavulala kwambiri kapena akudwala kwambiri, angafunikire kuthera nthawi yambiri ali pabedi.Kusagwira ntchito kwa nthawi yayitali, ngakhale kuli kopindulitsa kuchira, kumatha kukhala kovuta ngati kuyika khungu lolimba nthawi zonse.

Zilonda zopatsirana, zomwe zimadziwikanso kuti bedsores kapena zilonda zapabedi, zimatha kuchitika ngati palibe njira zodzitetezera.Zilonda za pabedi zimayamba chifukwa cha kupanikizika kwa nthawi yaitali pakhungu.Kuthamanga kumachepetsa kuthamanga kwa magazi kudera la khungu, zomwe zimapangitsa kuti cell kufa (atrophy) ndi kuwonongeka kwa minofu.Zilonda zopatsirana nthawi zambiri zimachitika pakhungu lomwe limaphimba mbali za mafupa a thupi, monga akakolo, zidendene, matako, ndi tailbone.

Omwe amavutika kwambiri ndi omwe mikhalidwe yawo yakuthupi siyiwalola kusintha malo.Izi zikuphatikizapo okalamba, anthu omwe anadwala sitiroko, anthu ovulala msana, ndi anthu olumala kapena olumala.Kwa anthu awa ndi ena, zilonda zapabedi zimatha kuchitika panjinga ya olumala komanso pakama.

Zilonda zopatsirana zimatha kugawidwa m'modzi mwa magawo anayi potengera kuya kwake, kuuma kwake, komanso mawonekedwe ake.Zilonda zapakatikati zimatha kuwoneka ngati kuwonongeka kwa minofu ndi mafupa owonekera. Chilonda chopanikizika chikayamba, zimakhala zovuta kuchiza.Kumvetsetsa magawo osiyanasiyana kungathandize kudziwa njira yabwino kwambiri yochitira.

Bungwe la American Pressure Ulcer Advisory Group limayika zilonda zam'mimba mu magawo anayi, kutengera kuchuluka kwa kuwonongeka kwa minofu kapena kuya kwa chilondacho.Magawo abungwe atha kugawidwa mu:

I.

Zilonda za Stage I zimadziwika ndi kufiira pamwamba pa khungu lomwe silimasanduka loyera likakanikizidwa.Khungu likhoza kukhala lofunda kukhudza ndikuwoneka lolimba kapena lofewa kuposa khungu lozungulira.Anthu omwe ali ndi khungu lakuda amatha kukhala ndi mawonekedwe owoneka bwino.
Edema (kutupa kwa minofu) ndi induration (kuuma kwa minofu) kungakhale zizindikiro za siteji 1 zilonda.Gawo loyamba la chilonda cham'mimba chikhoza kufika pa siteji yachiwiri ngati kupanikizikako sikunathe.
Ndi matenda achangu ndi chithandizo, zilonda zapamsewu zoyambira nthawi zambiri zimatha mkati mwa masiku atatu kapena anayi.

II.

Chilonda cha siteji 2 chimadziwika ngati khungu lomwe silili bwino limang'ambika mwadzidzidzi, ndikuwonetsetsa epidermis komanso nthawi zina dermis.Zilondazo zimakhala zachiphamaso ndipo nthawi zambiri zimafanana ndi zotupa, matuza ophulika, kapena maenje osaya pakhungu.Gawo lachiwiri la zilonda zam'mimba nthawi zambiri zimakhala zofiira komanso zofunda pokhudza.Pakhoza kukhalanso madzi omveka bwino pakhungu lowonongeka.
Pofuna kupewa kuti zilondazo zisapitirire pagawo lachitatu, kuyenera kuchitika zotheka kuti zilondazo zitsekedwe ndikusintha malo pafupipafupi.
Ndi chithandizo choyenera, siteji ya II bedsores imatha kuchira kuyambira masiku anayi mpaka masabata atatu.

III.

Zilonda za Gawo lachitatu zimadziwika ndi zilonda zomwe zimapita ku dermis ndikuyamba kuphatikizira minofu ya subcutaneous (yomwe imatchedwanso hypodermis).Pa nthawiyi, chiphalaphala chaching'ono chapangika mu chotupacho.Mafuta amatha kuwoneka m'zilonda zotseguka, koma osati mu minofu, tendon, kapena mafupa.Nthawi zina, mafinya ndi fungo losasangalatsa limatha kuwoneka.
Chilonda choterechi chimachititsa kuti thupi likhale lotetezeka ku matenda, kuphatikizapo zizindikiro za fungo loipa, mafinya, kufiira, ndi kutuluka kofiira.Izi zingayambitse mavuto aakulu, kuphatikizapo osteomyelitis (matenda a mafupa) ndi sepsis (chifukwa cha matenda m'magazi).
Ndi chithandizo chaukali komanso chokhazikika, zilonda zapakati pa siteji III zimatha kuthetsa mkati mwa mwezi umodzi kapena inayi, malingana ndi kukula kwake ndi kuya kwake.

IV.

Zilonda zapakati pa Gawo IV zimachitika pamene minofu ya subcutaneous ndi fascia yapansi yawonongeka, kuwonetsa minofu ndi mafupa.Uwu ndiye zilonda zowopsa kwambiri komanso zovuta kuchiza, zomwe zimakhala ndi chiopsezo chachikulu chotenga matenda.Kuwonongeka kwa minofu yakuya, tendon, minyewa, ndi mfundo zimatha kuchitika, nthawi zambiri ndi mafinya komanso kutuluka.
Zilonda zopatsirana za Gawo IV zimafunikira chithandizo chaukali kuti mupewe matenda amtundu uliwonse komanso zovuta zina zomwe zitha kupha moyo.Malinga ndi kafukufuku wa 2014 wofalitsidwa m'magazini yotchedwa Advances in Nursing, akuluakulu omwe ali ndi zilonda zam'mimba za 4 akhoza kufa mpaka 60 peresenti mkati mwa chaka.
Ngakhale ndi chithandizo chogwira ntchito kumalo osungirako okalamba, zilonda zam'mimba za siteji 4 zimatha kutenga miyezi iwiri kapena isanu ndi umodzi (kapena kupitirira) kuti zichiritse.

Ngati bedsore ndi yakuya komanso yokhazikika m'matenda omwe akudutsana, wothandizira zaumoyo wanu sangathe kudziwa bwino siteji yake.Chilonda chamtunduwu chimaonedwa kuti sichochitika ndipo chingafunike kuwononga kwambiri kuti achotse minofu ya necrotic isanakhazikitsidwe siteji.
Zilonda zina zogona zimatha kuwoneka ngati gawo 1 kapena 2 poyang'ana koyamba, koma minyewa yamkati imatha kuwonongeka kwambiri.Pachifukwa ichi, chilondacho chikhoza kutchulidwa ngati siteji yoyamba ya SDTI. Poyang'anitsitsa, SDTI nthawi zina imapezeka ngati siteji.III kapena IV zilonda zam'mimba.

Ngati wokondedwa wanu ali m'chipatala ndipo sakuyenda, muyenera kukhala tcheru kuti muzindikire ndikupewa zilonda zopanikizika.Katswiri wa zachipatala kapena wothandizira thupi angagwire ntchito nanu ndi gulu lanu losamalira kuti muwonetsetse kuti zotsatirazi zikutsatiridwa:
Itanani dokotala ngati muwona kupweteka, kufiira, kutentha thupi, kapena kusintha kwina kulikonse kwa khungu komwe kumatenga masiku angapo.Kuchiza msanga zilonda zam'mimba zimakhala bwino.

Mapangidwe a ergonomic kuti muchepetse kupanikizika komanso kupewa zotupa

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