Ukuvimbela nokwelapha
I-ulcer isilonda, eyaziwa nangokuthi ingcindezi enkulu noma imibhede, ukulimala esikhumbeni futhi kungenzeka ukuthi izicubu ngaphansi kwesikhumba. Lolu hlobo lokulimala lubangelwa ukucindezelwa endaweni, okungabangelwa isisindo somzimba, amadivayisi wezokwelapha noma ukungabi nokunyakaza. Izindawo ze-Bony ngaphandle kwamafutha noma imisipha ngaphansi kwesikhumba zingase zithole izilonda kunezindawo ezinamafutha nomzimba.
Isibonelo, ibhuloho lempumu yesikhumba phezu kwe-cartilage, futhi yindawo engozini yokubunjwa kwesilonda.
Iziguli ikakhulukazi zisengozini yokulonda izilonda ngoba zigcinwe endaweni eyodwa isikhathi eside futhi azikwazi ukuhamba ngesikhathi senqubo. Umuntu ophapheme angase azwe ubuhlungu noma angakhululekile uma ebeka endaweni eyodwa isikhathi eside kakhulu, futhi ephendula kulowo nzwa ngokuhamba noma ukulungisa isimo sakhe somzimba. Umuntu oguqulwayo, owanikwa i- anesthesia noma ogula kakhulu ukuhamba, akakwazi ukwenza okufanayo.
Ukuvimbela Phakathi Nokuhlinzwa
Enye yezindlela ezinhle zokuvimbela izilonda zokucindezela ekubunzeni ukunyakaza njalo, ikakhulukazi ukuma nokuhamba, kodwa lokho akunakwenzeka ngesikhathi sokuhlinzwa. Esikhundleni salokho, ngoba isiguli sihlala singanyakazi ngesikhathi se- anesthesia jikelele , ukuvimbela izilonda kuwela abasebenzi begumbi lokusebenza kanye nemishini.
Amakamelo amaningi okusebenzisa manje asebentisa amatafula asebenzayo asetshenziselwe, asebenzisa izinto eziningi ezihlukene ukuze banikeze umkhumbi ophansi ukuze isiguli silale isikhathi eside.
Abasebenzi basegumbini lokusebenza bayagxila ezindaweni ezibhekene nezibhamu, njengebhuloho lempumu, elingabhekana nokucindezeleka okuvela emasikini okuphefumula asetshenziswe ngesikhathi se-anesthesia. Kwabanye, ibhuloho lempumu ligcwele ukugqoka okuncane, kwabanye, i-pad efrijini ingabekwa ngaphansi kwe-elbow noma i-hip.
Ukuvimbela Ngemva Kokuhlinzwa
Ngemuva kokuhlinzwa, ukuvimbela izilonda ezicindezelayo kungumthwalo womhlengikazi kanye nesiguli. Isiguli sinomthwalo wokuthatha imithi ngendlela efanele, ukuvuka nokuhamba ngokushesha ngangokunokwenzeka. Abahlengikazi banesibopho sokuqokwa kuqala kweziguli ezisengozini yokulimala kesikhumba, nokubeka izinyathelo zokuvimbela endaweni, kanye nokukhomba izilonda ezicindezelayo ezithuthuka ngokushesha . Abahlengikazi nabo banesibopho sokuguquka njalo kweziguli ezingakwazi ukuphuma embhedeni noma ukuziphendulela. Abahlengikazi bangase badonsa izinyawo, ama-ankle kanye nezinye izindawo zokugoma uma isiguli sibonakala sengozini yokulimala kesikhumba. Baphinde baqeqeshwe ukuvimbela ukulimala, okunye uhlobo lokulimala kesikhumba okubangelwa ukufuduswa, ngokusebenzisa amashidi ngaphansi kwesiguli ukunciphisa ukuqubuzana esikhumbeni.
Kwezinye iziguli, imibhede ekhethekile ingasetshenziswa enganciphisa ukwakhiwa kwezilonda zamagciwane.
Izingozi Zezingozi
Kunezici eziningi eziyingozi zokulonda izilonda, ngokuhluleka ukuhamba njalo kube yinto ebaluleke kakhulu. Iziguli ezibhedlela ezingakwazi ukuhamba zivame ukuphenduka isikhundla esisha okungenani njalo amahora amabili ukuvimbela ukwakheka kwezilonda zamagciwane.
Ezinye izici ezingozini zihlanganisa:
- Isifo sikashukela
- Isikhathi esiphelele ekamelweni lokusebenza (singabandakanya ukuhlinzwa okuningi)
- Ubudala (iziguli ezindala ziningi amathuba okuthuthukisa izilonda)
- Ukusetshenziswa kwemithi ebizwa ngokuthi i-vasopressors ukwandisa ukucindezeleka kwegazi
- Ingozi ephakeme esikalini saseBraden, ithuluzi elisetshenziselwa ukunquma izinga lezinkinga njengesiguli sokuhlinzwa
- Inkomba ye-mass body ephansi (iziguli ezincane zibeka engozini ephakeme, zingaphansi "ezibhebhethekile" nokuningi "ibhonasi")
Isiteji
Izilonda zokucindezela ukucindezeleka indlela yokubeka ubuhlungu bokulimala. Izinhlobo ezahlukene zezilonda ezicindezelayo zidinga ukwelashwa okuhluka kakhulu kuye ngokuthi isilonda sesisindo sína kangakanani.
Ezinye izilonda ezicindezelayo zigcwele ibhande lokumisa ukulimala okunye kanti abanye bangadinga ukuhlinzwa okulodwa noma ngaphezulu ukulungisa nokuphatha.
Isigaba / Isitezi I-non-blanchable erythema: Isikhumba esingenakuqhathaniswa nesibhakabhaka esingenakuqhakaziza endaweni esendaweni yendawo ngokuvamile kuvame ukugqama okuvelele. Isikhumba esimnyama esikhanyayo kungenzeka singabi ne-blanching ebonakalayo; umbala walo ungahluka endaweni ejikelezile. Indawo ingaba ebuhlungu, eqinile, elula, efudumele noma epholile uma kuqhathaniswa nezicubu eziseduze.
Isigaba / Isigaba II Ubuningi obuhlukile: Ukulahlekelwa okwehlukile kwesikhumba okwethulwa njengesilonda esivulekile esivulekile ngombhede obomvu obunama-pink. Kwangathi futhi ingabonakalisa njenge-blister egciniwe egcwele noma evulekile-egcwele noma evulekile.
Isigaba / Isigaba III Ukuqina kokulahlekelwa kwesikhumba okugcwele : Ukulahlekelwa okuphelele kokucubuka kwezicubu. Amafutha angase abonakale kodwa amathambo, i-tendon noma i-muscle ayibonakaliswa . Ukujula kwesigaba seSigaba / Stage III isilonda sesilonda kuhluka ngendawo. Ibhuloho lemphunga, indlebe, ikhanda kanye ne-ankle bone ayinayo izicubu ezinamafutha futhi angabi nakancane. Ngokuphambene nalokho, izindawo zokufaka amafutha zingathuthukisa izilonda ezinzima kakhulu zeSigaba / Stage III.
Isigaba / Isigaba IV Ukuqina okuphelele kokufiphaza izicubu: Ukulahlekelwa okuphelele kokucupha kwamathisipuni ne-bone, tendon noma imisipha. Ukujula kwesilonda sesigaba / isigaba se-IV sihlukahluka endaweni esetshenzisiwe. T I-bone / muscle eveziwe ibonakala noma ingazwa kalula.
Ukungenakulinganiswa / Ukungatholakali: Isikhwama esigcwele ukuqina noma ukulahlekelwa kwezicubu, ukujula okungaziwa (lesi sigaba sisetshenziswe e-United States): Ukulahlekelwa okuphelele kwamathisipuni lapho ukujula kwangempela kwesilonda kufihliwe ngokuphelele yizicubu ezibizwa ngokuthi i-slough noma i-eschar esilonda. Kuze kube yilapho slough kanye / noma eschar zisuswe ukuze ziveze isisekelo senxeba, ukujula kweqiniso akukwazi ukunqunywa.
> Imithombo:
> NPUAP Ukucindezela Ulcer Izigaba / Izigaba. Iphaneli lezokuHlola le-National Pressure Ulcer.
> Iziguli ezicacile kanye nezici zokuhlinzeka ekuthuthukiseni i-Ulcers ye-Pressure. Umagazini waseMelika Wokunakekelwa Okubalulekile.