Ukuba umntu omthandayo wonzakele kakhulu okanye ugula kakhulu, kusenokufuneka achithe ixesha elininzi ebhedini.Amaxesha amade okungasebenzi, ngelixa kuluncedo ukuchacha, kunokuba yingxaki ukuba babeka uxinzelelo oluqhubekayo kwisikhumba esibuthathaka.
Izilonda zoxinzelelo, ezikwaziwa ngokuba ziibedsores okanye izilonda zebhedi, zinokukhula ukuba amanyathelo okuthintela awathathwa.Izilonda zokulala zibangelwa uxinzelelo olude esikhumbeni.Uxinzelelo lunciphisa ukuhamba kwegazi kwindawo yolusu, okukhokelela ekufeni kweeseli (i-atrophy) kunye nokutshatyalaliswa kwezicubu.Izilonda zoxinzelelo zihlala zivela eluswini olugubungela amathambo omzimba, njengamaqakala, izithende, iimpundu kunye nomsila.
Abo babandezeleka kakhulu ngabo iimeko zabo zomzimba zingabavumeli ukuba batshintshe isikhundla.Oku kuquka abantu abadala, abantu abaye bahlaselwa sistrowuku, abantu abonzakeleyo kumqolo, nabantu abakhubazekileyo okanye abakhubazekileyo ngokwasemzimbeni.Kwaba kunye nabanye abantu, i-bedsores ingenzeka zombini kwisitulo esinamavili kunye nebhedi.
Izilonda zoxinzelelo zinokwahlulwa zibe esinye sezigaba ezine ngokusekelwe kubunzulu bazo, ubukhali kunye neempawu zomzimba.Izilonda eziqhubelekayo zinokubonakala njengomonakalo onzulu wezicubu ezibandakanya izihlunu kunye nethambo.Xa isilonda soxinzelelo sikhula, kunokuba nzima ukunyanga.Ukuqonda amanqanaba ahlukeneyo kunokunceda ukumisela eyona ndlela ilungileyo yokwenza.
Iqela leNgcebiso ye-American Ulcer Ulcer Advisory Group lihlela izilonda zoxinzelelo zibe ngamanqanaba amane, ngokusekelwe kwiqondo lomonakalo wezicubu okanye ubunzulu besilonda.Amanqanaba ombutho anokohlulwa abe:
I.
Izilonda zenqanaba I zibonakaliswa bubomvu kumphezulu wolusu olungaguqukiyo olungajiki lube mhlophe xa lucinezelwe.Ulusu lunokufudumala xa lubamba kwaye lubonakale luqina okanye luthambile kunolusu olujikelezileyo.Abantu abanolusu olumnyama banokuba notshintsho olubonakalayo lombala.
I-Edema (ukuvuvukala kwezicubu) kunye nokunyanzeliswa (ukuqina kwezicubu) kunokuba iimpawu zenqanaba le-1 loxinzelelo.Isilonda soxinzelelo lwenqanaba lokuqala sinokuqhubela kwinqanaba lesibini ukuba uxinzelelo alunciphi.
Ngokuxilongwa ngokukhawuleza kunye nonyango, izilonda zoxinzelelo lwenqanaba lokuqala zihlala zisonjululwa kwiintsuku ezintathu ukuya kwezine.
II.
Inqanaba lesi-2 lesilonda lifunyaniswa xa ulusu olungaguqukiyo lukrazulwa ngokukhawuleza, luveze i-epidermis kwaye ngamanye amaxesha i-dermis.Izilonda zingaphezulu kwaye zihlala zifana nokukrala, amadyunguza, okanye imingxuma engekho nzulu eluswini.Inqanaba le-2 leedsores lihlala libomvu kwaye lishushu xa libamba.Kusenokubakho ulwelo olucacileyo kwisikhumba esonakeleyo.
Ukuthintela ukuqhubela phambili ukuya kwinqanaba lesithathu, kufuneka kwenziwe zonke iinzame zokuvala izilonda kunye nokutshintsha indawo rhoqo.
Ngonyango olufanelekileyo, i-bedsores yesigaba II inokuphilisa ukusuka kwiintsuku ezine ukuya kwiiveki ezintathu.
III.
Izilonda zeSigaba se-III zibonakaliswa ngamanxeba angena kwi-dermis kwaye aqale ukubandakanya izicubu ezingaphantsi (ezaziwa ngokuba yi-hypodermis).Ngeli xesha, icrater encinci sele yenzekile kwisilonda.Amafutha anokuqala ukubonakala kwizilonda ezivulekileyo, kodwa kungekhona kwimisipha, imisipha, okanye amathambo.Kwezinye iimeko, ubovu kunye nevumba elibi lisenokubonakala.
Olu hlobo lwesilonda luwushiya umzimba usemngciphekweni wokosuleleka, kuquka iimpawu zevumba elibi, ubovu, ububomvu, nokuphuma kombala.Oku kunokukhokelela kwiingxaki ezinzulu, kuquka i-osteomyelitis (usulelo lwethambo) kunye ne-sepsis (ebangelwa yintsholongwane egazini).
Ngonyango oluqatha kunye noluqhubekayo, isigaba se-III soxinzelelo soxinzelelo sinokusombulula phakathi kweenyanga enye ukuya kwezine, kuxhomekeke kubukhulu kunye nobunzulu.
IV.
I-Stage IV izilonda zoxinzelelo zenzeke xa izicubu ezingaphantsi kwe-subcutaneous kunye ne-fascia ephantsi zonakaliswe, zibonakalisa izihlunu kunye namathambo.Olu lolona hlobo lunzima loxinzelelo olubuhlungu kwaye lolona lunzima ukunyanga, olunomngcipheko omkhulu wosulelo.Umonakalo kwizicubu ezinzulu, i-tendon, i-nerve, kunye namalungu anokuthi kwenzeke, ngokuphindaphindiweyo ubofu kunye nokukhutshwa.
Izilonda zoxinzelelo lwenqanaba le-IV zifuna unyango oluqatha ukuthintela usulelo lwenkqubo kunye nezinye iingxaki ezinokuthi zibe yingozi ebomini.Ngokutsho kophononongo lwe-2014 olupapashwe kwiphephancwadi I-Advances in Nursing, abantu abadala abadala abanezigaba ze-4 zezilonda zoxinzelelo banokuba nezinga lokufa ukuya kuma-60 ekhulwini kunyaka.
Nokuba unyango olusebenzayo kwindawo yokonga, inqanaba lesi-4 izilonda zoxinzelelo zinokuthatha iinyanga ezimbini ukuya kwezintandathu (okanye ngaphezulu) ukuba ziphole.
Ukuba i-bedsore inzulu kwaye ifakwe kwizicubu ezidlulayo, umboneleli wakho wezempilo akanakukwazi ukugqiba ngokuchanekileyo isigaba saso.Olu hlobo lwesilonda luthathwa ngokuba lungekho kwinqanaba kwaye lunokufuna ukuchithwa okubanzi ukuze kususwe izicubu ze-necrotic ngaphambi kokuba kusungulwe inqanaba.
Ezinye ii-bedsores zingabonakala njengesigaba 1 okanye i-2 ekuboneni kokuqala, kodwa izicubu eziphantsi zingonakaliswa kakhulu.Kule meko, isilonda singahlelwa njengento ekrokrelwayo yokulimala kwezicubu ezinzulu (SDTI) isigaba 1. Xa kuvavanywa ngakumbi, i-SDTI ngamanye amaxesha ifumaneka njengenqanaba.Izilonda ze-III okanye ze-IV zoxinzelelo.
Ukuba umntu omthandayo ulaliswe esibhedlele kwaye akashukumi, kufuneka uphaphe ukuze uqaphele kwaye ukhethe ukukhusela izilonda zoxinzelelo.Ingcali yezempilo okanye ingcali yezempilo inokusebenza nawe kunye neqela lakho lokhathalelo ukuqinisekisa ukuba kulandelwa la manyathelo okhuseleko:
Biza ugqirha wakho ukuba ubona intlungu, ubomvu, umkhuhlane, okanye naluphi na utshintsho lwesikhumba oluhlala ngaphezu kweentsuku ezimbalwa.Ukukhawuleza ukunyangwa kwezilonda zoxinzelelo, kungcono.
Uyilo lwe-ergonomic ukunciphisa uxinzelelo kunye nokuphepha i-bedsores
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Ixesha lokuposa: Apr-28-2023