Ngokuvame ukubizwa ngokuthi izilonda zamabhedeni, izilonda ze-decubitus noma izilonda zomshoshaphansi, izilonda zomshoshaphansi yizindawo zesikhumba esonakalisiwe okubangelwa ukucindezela okukhulu noma isisindo endaweni. Umonakalo ungaba phezu komhlaba noma ungene phansi, ngisho nasesiswini nasethambo.
Izindawo zomzimba ezingengozini enkulu yokuchithwa kwesikhumba zihlanganisa amathanga, i-coccyx, izithende, ama-ankle, amahlombe, amahlombe, izintambo, izimbambo nezinkalo.
Kunezigaba ezahlukene zezilonda ezicindezelayo ezivela esigabeni 1, okuyizindawo ezibomvu, kuze kube sesiteji 4 lapho imisipha, ithoni noma ithambo libonakala. Izindawo zokucindezela nazo zingabhekwa njengezingenakulinganiswa, lapho ungakwazi ukutshela ukuthi ukulimala kwezicubu ukujulile kangakanani, noma ukulimala okujulile kwesikhumba lapho kukhona indawo enombala ephuzile noma i-blister yegazi ehlanganisa izicubu ezizwa "mushy" noma ezifudumele uma kuqhathaniswa nesikhumba esizungezile.
Kungani Izilonda Ezicindezelayo Zithuthukiswa?
Izilonda zomshoshaphansi zivame ukukhula ngenxa yokuhamba okulinganiselwe, ukudla okunomsoco, nezifo. Ekupheleni kwesifo sokuwohloka komqondo, ukusebenza komzimba kuthintwa futhi ikhono lokuhamba ngokuncipha. Ngakho-ke, lo muntu angase ahlale esimweni esifanayo isikhathi eside kakhulu-noma ngabe ulele embhedeni noma ehlezi esihlalweni sokucindezela kakhulu ezingxenyeni ezithile zomzimba futhi ekwandisa ingozi yezilonda zomshoshaphansi.
Izingozi Zobunzima Bokucindezeleka
Izimo eziningana zempilo zibeka abantu engozini enkulu yezilonda ezicindezelayo.
Amakhaya asezihlengikazi nezinye izikhungo zokunakekelwa zisebenzisa amathuluzi afana ne-Braden Risk Assessment Scale ukusiza ukukhomba izakhamuzi ezinengozini enkulu yokukhathazeka kesikhumba. Lezi zinhlobo zezilinganiso zinikeza inombolo enquma izinga lomngcingo kumuntu ngamunye, futhi lelozinga lokubeka ingozi kufanele liqalise izindlela eziningi zokuvimbela ukuvimbela.
Kodwa-ke, ungabuye ubuyekeze izingozi ezingezansi eziye zabonwa ngabacwaningi njengoba ziboshwe engozini enkulu yokulimala kesikhumba.
- I-Dementia
- Ukuhamba ngokomzimba okulinganiselwe
- Ukuthukuthela nokuphumula
- Isibhedlela
- I-Incontinence
- Ukudideka
- Ukunciphisa ikhono lokuxhumana
- Ubuhlungu
- Izifo zenhliziyo
- I-pneumonia
- Ukubhema
- Ukuqapha kakhulu
- Ukwehlisa ukuzwela
- Ukulahlekelwa kwesisindo
- Izifo zokuphela kwesikhathi
Yini Engalungile Ngama-Pressure Sores?
Izilonda zomshoshaphansi zingabangela ubuhlungu obukhulu, futhi izicubu zingagcina zife futhi zidinga ukususwa, njenge-amputation. I-Sepsis , isifo esesongela impilo, singabuye sibe nezinkinga zokucindezeleka. Izilonda zokucindezela zihlotshaniswa nengozi enkulu yokucindezeleka kanye nokufa.
Ngenxa yokuthi kungenzeka ukuthi izilonda ezicindezelayo zithinte izinga lokuphila futhi ngaphezu kwayo yonke impilo, izilonda ezicindezelwayo zikhonjisiwe, phakathi kwezinye izici, njengesilinganiso esibalulekile semfanelo phakathi kwamakhaya asebekhulile. Amaphesenti abantu abahlala nezilonda ezicindezelayo-ikakhulukazi lezo ezakhiwe ngesikhathi kulesi sikhungo ngokumelene nalabo ababekhona ngaphambi kokuba umuntu eze kule ndawo-enye indlela yokuhlola ikhwalithi yokunakekelwa kwesibonelelo.
Ukuvimbela ku-Dementia
Abanakekeli kubantu abanomdlandla- kubandakanya amalungu omndeni, abangani nabanakekeli abakhokhelwayo njengabahlengikazi bezempilo ekhaya noma abahlengikazi basekhaya - abanesidingo sokuqapha ukuze bavimbele izilonda ezingcindezi.
Izinyathelo ezivimbelayo zingabandakanya:
Ukuhlolwa kwesikhumba njalo
Ukuhlola ngeso lengqondo isikhumba, ikakhulukazi ngaphezu kwamaphutha amaphuzu amaphuzu anjengezithende, i-coccyx, namafolosi ohlelweni oluvamile. Isikhathi esihle sokwenza lokhu ukusiza umuntu ngokugeza. Ukuhlela kokubili ukugeza nokuhlolwa kwesikhumba kukhalenda kuyasiza ekuqinisekiseni ukuthi lokhu akukhohliwe.
Izithende ezivuthayo emceleni
Beka umcamelo ngaphansi kwamathole- hhayi amadolo- ukuze izithende zomuntu "ziqhubekele" emoyeni esikhundleni sokuphumula ngqo ematithini ombhede.
Umkhwa wezinyawo
Leli thuluzi elifana netende elivimbela amashidi namabhodlela ekuphumuleni ngqo ezinyaweni zomuntu olele embhedeni.
Foam ekupheleni kombhede
Faka isikhumba sokuzivikela ukuze izinyawo zihlale, esikhundleni sokuzivumela ukuba ziphumule ematithini.
Ukuhlala njalo-ukujika nokushintsha
Siza ngokuguqula njalo noma ukuguqula izikhundla ukuze izindawo ezahlukene zomzimba ziguqulwe zibe nesisindo saso.
Imikhiqizo efanelekile yokukhathazeka nokunakekelwa
Abantu abaningi abane-dementia bahlakulela ukungena. Sebenzisa ama-pads okuyizinga eliphakeme lokungena nokudonsa okwenzela umswakama kude esikhumbeni, futhi uguquke njalo. Geza ngesikhumba ngendwangu yokuhlanza ehlanzekile esikhundleni sokusihliza.
Izingosi zokuvimbela umswakama
Amanye ama-creams, afana no-Baza angavikela futhi isikhumba ekungeneni.
Izinsizakalo zokwelapha ngokomzimba noma emsebenzini
Ngezinye izikhathi i-Medicare ikhokhela- kungaba ekhaya noma endaweni - ukuze kutholakale ukwelashwa ngokomzimba nokusebenza ukuze kuhlolwe futhi kutholakale izikhundla ezifanele kakhulu nezinsiza zokuhlala ukuze uthole induduzo nokuvikelwa kesikhumba.
Hlola izivumelwano
Izivumelwano- lapho isikhumba esikhungweni soxhumana nabo esikhungweni-singandisa ingozi yezilonda ezicindezelayo. Isibonelo, uma ingalo yomuntu igcizelela futhi igoqa ngokungahoxisi emgqeni ngenxa yesifo, leso sikhumba ngaphakathi kwendwangu sisengozini enkulu ngoba umswakama nokushisa kungabanjwa lapho.
Sebenzisa umcamelo wokuma endaweni yokulala
Cabanga ukubeka umcamelo phakathi kwamadolo omuntu lapho behlangothini lwabo embhedeni ukuvimbela ukucindezelwa kusuka emadolweni ukuya emadolweni. Noma, ungabeka umcamelo ngemuva ukushintsha isimo kancane.
Qinisekisa ukuma okuhle esihlalo sabakhubazekile noma esihlalweni
Qaphela ukuma. Isibonelo, uma othandekayo wakho ehlala ehlangene ngakwesobunxele esihlalweni sakhe sabakhubazekile, usebenzisa izikhuni eziwubucayi ukuvikela lolo hlangothi lwesobunxele kungasiza ekuvimbeleni amaphuzu okucindezela. Kukhona nemikhonto ekhethekile yokubeka esihlalweni sesitulo sabakhubazekile esiza ekucindezelekeni ukuvimbela okujulile.
Engeza i-padding noma ama-cushions ezindaweni ezandisa ingozi
Isibonelo, uma unyawo lomuntu lihlala liphumula ngokuqondile esenzweni sokuhamba ngezinyawo esihlalweni sabakhubazekile, phakamisa inyawo ukuze uvikele unyawo lwabo.
Sebenzisa amabhethri akhethekile
Ungalawula ukucindezela okhethekile okunciphisa ama-mattress, kufaka phakathi ukucindezela komoya okushintshashintsha umoya okuzungezile ngaphakathi kwawo ukuze kunciphise ingcindezi yomuntu osengozini enkulu. Ngaphansi kwezimo ezithile kanye ne-oda lomdokotela, uM Medicare angakhokhela amathebhuthi okulala.
Ukudla kanye nezithako
Ukuhlinzeka amaprotheni engeziwe ekudleni kungasiza ekuvinjeni nasekuphulukisweni kwesikhumba.
Isikhathi esilinganiselwe phezulu
Uma, isibonelo, othandekayo wakho unengozi enkulu noma inkinga yesikhumba emaqenjini akhe, ungase udinge ukusiza ngokunciphisa isikhathi esingakanani sokuhlala esihlalweni ngesikhathi.
Ukugqugquzela ukudla okuhle okuketshezi kungafaka isikhumba esinempilo.
Phakamisa - ungabeki
Qinisekisa ukuthi uma usiza othile ukuthi ashintshe izikhundla, empeleni uyamphakamisa esikhundleni sokumhambisa emaphepheni embhedeni wakhe. Isikhumba esilahlayo phezu komhlaba njengamashidi kungabangela ukugaya, lapho isikhumba esikhuthele sikonakaliswe ukuqubuzana koxhumana noshidi. Ishidi lokudweba , eliyishidi elincani elibekwe ngaphansi komuntu embhedeni, lingakusiza wena nomunye umuntu uphakamise umuntu kusuka ohlangothini ngalunye ukuze abaphendule.
Uma lo muntu ekwazi, ukunyakaza nokugeleza kwegazi kusuka ekuzivocavoca umzimba kungasiza ekuvikeleni izilonda zomshoshaphansi.
Imishini iphakamisa
Ngezinye izikhathi, umshini wokusiza ukuphakamisa nokubeka kabusha umuntu kuyadingeka ukuze unakekele ngokuphepha.
Phakamisi
Lapho ugeza, qiniseka ukuthi udosa umzimba womuntu owomile ngethawula, kunokuba uwubhebhe.
Qaphela ngamashidi ombhede
Ishidi lokubheka elibheke ngokuqinile eduze komuntu lingenza kube lula ukuhamba futhi kwandise amathuba okulonda izifo. Faka ishidi ngokungenalutho phezu komuntu kunalokho.
Izikhumba ze-Foam
Abanye abantu bazuzwa ebhokisini lezinyosi ezinyaweni ezivikela isithende, ama-ankle, nezinzwane.
Cela usizo
Ekugcineni, uma othandekayo wakho engozini yokucindezela izindawo, unganqikazi ukummela ngokuxhumana nodokotela usizo ukuze uthole izinsiza kanye nemishini endaweni ezoba usizo kakhulu.
> Imithombo:
> I-Alzheimer's Society. I-Pressure Ulcers (Ama-Bed Sores). May 2013.
> I-International Wound Journal. 2015 Nov 20. Ithi: 10.1111 / iwj.12535. Ukuhlolisiswa kwe-Ulcer Press kanye Nezinkinga Ezihlobene Nezikhumba Kuyo yonke Inselele yezilungiselelo zokunakekelwa kwezempilo e-Ontario Ukusebenzisa idatha yokuphatha.
> Hopkins Medicine. Isahluko 30- Izilonda zokucindezela .
> UMnyango wezeMpilo waseMelika kanye nezinsizakalo zabasebenzi. I-Agency for Research and Health Quality. Ukunakekelwa Kwekhaya Kwasekhaya Okuhlala Ekhulile: Amaphesenti Ezakhamuzi Eziphakeme Ezingozi Nezilonda Zokucindezela. Ngo-Ephreli 15, 2013.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. Ukuvimbela Izilonda Ze-Pressure. NgoJulayi 30, 2014.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. Izitebhisi zezilonda zokucindezela.