Kunezici eziningana zokubeka ingozi ezilonda izilonda , izilonda zesikhumba ezivame ukukhula ezindaweni ezingaphezu kwebonyane, njengezinsipho eziphansi, iziqhakazi, namajuba. Eyaziwa nangokuthi i-bedsores, izilonda ezicindezelayo ziyinkinga evamile yeziguli zokunakekelwa kokunakekelwa kokuhamba lapho ukuhamba kwehla futhi iziguli zichitha isikhathi esiningi embhedeni.
Izilonda ezicindezelayo zibuhlungu futhi zingase zibe nzima ukuzinakekela.
Ukuvimbela izilonda ezicindezelayo kubalulekile ukugcina induduzo futhi ukwelapha ngokushesha kuyadingeka. Kodwa wazi kanjani ukuthi othandekayo wakho usengozini yokuthuthukisa eyodwa? Ingabe kufanele ukhathazeke?
Ukungahambi kahle
Abantu abasengozini enkulu yokuthuthukisa izilonda zamagciwane yibo abangenasimo. Uma umuntu elahlekelwa ikhono lokuthutha futhi engasebenzi, ingozi yokuthuthukisa imibhede iyakhula.
Ukulahlekelwa okubuhlungu
Iziguli eziye zalahlekelwa isifo ngenxa yokulimala komgogodla noma izifo zezinzwa zinezingozi ezengeziwe zokuthuthukisa izilonda. Umuntu ongenayo ukulahlekelwa okuzwakalayo angazizwa ebuhlungu futhi ngokuvamile angezizwa engakhululekile ngemuva kokuchitha isikhathi esiningi endaweni eyodwa. Uma ukulahleka kokuzwa kwenzeka, umuntu angase angazizwa engakhululekile noma isidingo sokubekwa kabusha.
Izinguquko esimweni sengqondo
Ngokufanayo, umuntu onezinga lokuzizwa angaguquki angase angazizwa engakhululekile noma angase angavuki ngokwanele ukuze aziphindiselele ngokwabo uma enza.
Shear
I-shear ukuxubha ama-tissue ekhumba namanoni kuwo wonke amathambo, futhi kubangelwa ukuhlanganiswa kokuvuthwa komzimba kanye nokungqubuzana. I-shear ivame kakhulu lapho isiguli silele nenhloko yombhede ophakanyisiwe. Amapulangwe omuntu angase ahlele phansi embhedeni ngenkathi isikhumba namathishu amafutha ehlala endaweni.
Loluhlobo lwamandla lubangela ukulimala emithanjeni yegazi engaphansi, okubangelwa izilonda ezinomonakalo omkhulu wangaphakathi kwesikhumba kanye nomonakalo obonakalayo obala ebusweni besikhumba.
I-Friction
I-friction ibonakala lapho ukuphakama okubili kudlulela komunye nomunye. I-friction inciphisa ukubekezelelana kwesikhumba ekucindezelweni ngokubangela ukukhishwa kwamakhemikhali futhi kuhlanganiswe umphumela we-shear. Lokhu kungenzeka uma isiguli sishiya embhedeni noma sihlezi embhede ngendlela engafanele.
Umswakama
Umswakama kuyinkinga evamile kubantu abaye abazithokozi futhi kufanele bagqoke ama-diapers. Umswakama wokuthuthumela ungabuye ube inkinga. Umswakama ususa amafutha esikhumbeni esivame ukuwenza ukuvikela nokunciphisa izicubu zomzimba zesikhumba, okwenza imiphumela ye-shear ne-friction ivame kakhulu.
I-Incontinence
Njengoba ngenhla, ukungahambisani nokuhamba kwamathumba kanye nomchamo kudala umswakama esikhumbeni futhi kwandise ingozi yokuphazamiseka. Ukungathembeki kwe-Fecal kunengozi eyengeziwe yokulimala esikhumbeni kusuka kubhaktheriya nama-enzyme esitokisini futhi kwandisa ingozi yokutheleleka.
Ukudla Okubi
Ukudla okunomsoco kungaholela ekulahlekelweni kwesisindo okungase kwandise ukucindezela ezindaweni ezingaphansi komzimba. Ukudla okunempilo kubalulekile nokuphulukiswa kwezilonda ezicindezelayo.
Ubudala
Njengomuntu ubudala, isikhumba siyaba mncane futhi sibe nesibhakabhaka, sikhulisa ingozi yokuchithwa kwesikhumba.
Uma othandekayo wakho enezizathu eziyingozi, kubalulekile ukuthi uthathe izinyathelo zokuvimbela isilonda sesisindo ekuthuthukiseni.
> Imithombo:
> Ferrell BR, Coyle N. Umbhalo Wezincwadi Zokuhlengikazi Nge-Palliative, Edition 2. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, i-Policzer JS. Izinkinga ezivamile: Ukuphela kokuKhathalela impilo. McGraw-Hill, 2002.
> Kayser-Jones J, et al. Izilonda Zezingcindezi Phakathi Kwezakhamuzi Zasekhaya Zokunakekela Abahlengikazi Zasekhaya. Ucwaningo ngo-Nursing Gerontological Nursing 2008; 1 (1): 14-24