Uma othandekayo wakho ehlakulele ukucindezeleka ngenkathi ehlala ekhaya labahlengikazi, kubalulekile ukukhuthaza ukuthi izinyathelo zithathwe ngokushesha ukuze ziphulukise endaweni. Izilonda zokucindezela ziyisignali ukuthi ezinye izici zokunakekelwa komuntu othandekayo zidinga ukuguqulwa.
Izilonda ezicindezelayo ziyakwazi ukuvimbela, futhi amakhaya asebehlengikazi azama ukuwaqeda kubantu bawo, kodwa iqiniso liwukuthi abahlali basekhaya labahlengikazi abangu-1/10 bazoba nengcindezi enkulu ngesikhathi esithile .
Izilonda zokucindezela ziyaphathwa, kodwa ekuqaleni zibanjwa futhi zibhekiswe kalula endleleni yokuphulukisa.
Iyini Ingcindezi Yokucindezeleka?
Izilonda ezicindezelayo nazo ziyaziwa njengezibhedlele, izilonda ze-decubitus, noma izilonda zomshoshaphansi.
Izilonda ezicindezelayo zikhishwa isikhumba kanye nezicubu ezingaphansi kwegazi ezibangelwa ukucindezela isikhathi eside noma ngokweqile esikhumbeni. Zivame ukukhula ezindaweni ezinobuncwane ezithola ukucindezeleka lapho zihlezi noma zilele phansi, njenge-tailbone, emuva, izithende, izinqama, nezindebe.
Izilonda zokucindezela zingashintsha ngokuphawulekayo ngobukhulu babo.
Yini Ebangelwa Izilonda Zokucindezela?
Amandla asemzimbeni abangela ukucindezeleka isilonda ngokuvamile aphule phansi kulezi zigaba:
Ukucindezelwa Okusekelwe - Lokhu kusho ukuthi iklayenti ihlala endaweni efanayo isikhathi eside kakhulu.
I-friction / i-Shear - Ivela lapho isikhumba somthengi sidonselwa phezulu, njengalapho sebhekwa kabusha noma badluliselwa kwenye indawo.
Kodwa, amandla emzimbeni esikhumbeni cishe akuyona indaba yonke.
Ngokuvamile, impilo yesikhumba seklayenti ishintshwe ngandlela-thile, ilahlekelwa yilolu hlobo lokulimala. Konke okulandelayo kunganciphisa ubuqotho besikhumba:
- Ukuguga
- Ukuhamba okulinganiselwe
- Ukuba khona komswakama (isibonelo, kusuka ekungeneni)
- Ukudla okunomsoco
- Ukwehla kwamanzi
- Ukulahlekelwa kwesisindo
- Ukungabi namamukeli wokuzwa
- Ukubhema
- Noma yisiphi isimo sezokwelapha esithinta ukugeleza kwegazi (isifo sikashukela, isifo se-vascular, njll)
Isilinganiso esivamile esetshenziswa emakhaya asebekhulile ukulinganisa ingozi yomthengi yezilonda zomshoshaphansi yiBraden Scale, ongayibona lapha.
Ukuthola Ithimba Eliphelele Lezempilo EBhodini
Kubalulekile ukuthi uma kutholakala ukuthi ingcindezi iyabonakala ukuthi wonke amalungu ethimba lezempilo asebenza ndawonye ukuze avumelane ngenkathi yokwelashwa, evela kudokotela owengamele kuya kumsizi onesihlengikazi osebenza ebusuku.
Izakhiwo eziningi ziyoba neqembu elibheke ukunakekelwa kwesikhumba / inxeba elizoqondisa icala. Iziyalo ezihilelekile ekucindezelweni okucindezelayo zingabandakanya udokotela wakho, ukwelashwa, ukwelashwa ngokomzimba , ukwelapha emsebenzini, umsebenzi wezenhlalo, ikhemisi, ukudla, kanye nezimo ezimbi nakakhulu, udokotela ohlinzayo.
Ukwandisa Ubuqotho Besikhumba
Ngaphezu kokusebenza ukuphulukisa isilonda esivele sikhona, ukukhomba imbangela eyinhloko yenkinga yokucindezeleka kuyinkinga enkulu. Uma ubuqotho besikhumba bubucayi, ukondleka, imithi, njll kungadinga ukuxazululwa. Udokotela wakho kanye nesidlo sokudla kufanele abheke ubuqotho besikhumba.
Esinye isici esibalulekile sobuqotho besikhumba ukuhamba. Ingabe isiguli siyichitha noma kunini siqondile? Izinguquko ezinjalo ezikhundleni zibalulekile ekugezeni kwegazi enempilo esikhumbeni nasezicathulweni ezingaphansi.
Ukwelapha ngokomzimba, ukwelashwa komsebenzi, kanye nomhlengikazi kungase kuhileleke ohlelweni olusha lokuhamba.
Ukushintsha Indawo
Kunezinsiza eziningi zemvelo ezingasetshenziswa ukusheshisa ukuphulukiswa kwesilonda futhi zivimbele ukuqhuma okuqhubekayo. Ngokuvamile ukwelashwa kanye nokwelashwa komsebenzi kuzosebenza ndawonye ukubhekana nezinguquko zemvelo.
- Amamitha okuthuthukisa
- Isithukuthezi esithuthukisiwe sabakhubazekile
- Izivikeli zesithende
- Okukhethwa kukho okuhleliwe okuthuthukisiwe
- Ukumiswa kwesimiso sokushintsha
- Ukuphathwa kwe-Continence ngcono
Ukuphulukisa isilonda
Udokotela wakho kufanele aqaphele ukuphulukisa isilonda sangempela, mhlawumbe ngenhlanganisela ethile yokuhlanza, ukugqoka kanye nemithi.
Kwezinye izimo, udokotela ohlinzayo angadinga ukuhileleka. Abasebenzi basekhaya labahlengikazi bangaba nelungu elibhekele ukunakekelwa kwezilonda, kungaba ngosizo lwezokwelapha, ukwelashwa ngokomzimba noma ukwelapha emsebenzini okuzoqondisa uhlelo lokwelapha.
Imibuzo Yendlu Yakho Yesihlengikazi
Isikhungo osebenza nabo kufanele sibe nezinqubo ezihlelekile zokubhekana nezilonda zokucindezela. Enye yezindima zakho njengommeli ukuzijwayeza ngezinqubo zabo futhi, uma kungenzeka, qiniseka ukuthi zenziwa. Nazi eminye imibuzo ongase ufune ukuyibuza indawo yakho:
- Uyini umfutho wakho wezinkinga zokuhlola izinhlekelele ezinkulu?
- Iyini le protocol uma umuntu ekhonjiswe ukuthi usesengozini enkulu?
- Yimaphi amalungu eqembu ahilelekile ekunakekeleni iziguli ezisengozini?
- Yini uhlelo lwezokwelapha olulodwa olubandakanya iziguli ezisengozini noma
- Iyini inqubo yokuqinisekisa ukuthi izinhlelo zokwelashwa zenziwa futhi zisebenza kahle?
> Umthombo:
> Giesbrecht ED. I-Pressure Ulcers ne-Occupational Therapy Practice: I-Canadian Perspective. I-Canadian Journal ye-Occupational Therapy. 2006; 73, 1; I-ProQuest Nursing & Healthlied Source Source pg. 56