Momwe mungasamalire zilonda zamavuto

Chilonda chopanikizika ndi gawo la khungu lomwe limasweka pamene china chake chikupaka kapena kukanikiza pakhungu.

Zilonda zamavuto zimachitika pakakhala kupanikizika kwambiri pakhungu nthawi yayitali. Izi zimachepetsa magazi kupita kuderalo. Popanda magazi okwanira, khungu limatha kufa ndipo zilonda zimatha kupangika.

Mutha kukhala ndi vuto ngati:

• Gwiritsani ntchito chikuku kapena kukhala pabedi kwa nthawi yayitali
• Ndi wamkulu wamkulu
• Sangathe kusuntha ziwalo zina za thupi lanu popanda thandizo
• Khalani ndi matenda omwe amakhudza kuyenda kwa magazi, kuphatikiza matenda ashuga kapena matenda amitsempha
• Khalani ndi matenda a Alzheimer kapena vuto lina lomwe limakhudza malingaliro anu
• Khalani ndi khungu losalimba
• Simungathe kuwongolera chikhodzodzo kapena matumbo
• Osalandira chakudya chokwanira

Zilonda zamagetsi zimaphatikizidwa ndi kuopsa kwa zizindikilo. Gawo I ndiye gawo lofatsa kwambiri. Gawo IV ndiloyipitsitsa.

• Gawo I: Malo ofiira ofiira, opweteka pakhungu lomwe silimasanduka loyera mukapanikizika. Ichi ndi chizindikiro choti zilonda zam'mimba zimatha kupangika. Khungu limatha kukhala lotentha kapena lozizira, lolimba kapena lofewa.
• Gawo II: Khungu limatuluka kapena limapanga zilonda zotseguka. Malo ozungulira zilondazo akhoza kukhala ofiira komanso osachedwa kupsa.
• Gawo lachitatu: Khungu limayamba kukhala ndi bowo lotseguka, lomira lotchedwa crater. Minofu yomwe ili pansi pa khungu yawonongeka. Mutha kuwona mafuta amthupi mchigwacho.
• Gawo IV: Zilonda zam'mimba zakula kwambiri kwakuti pamakhala kuwonongeka kwa minofu ndi mafupa, ndipo nthawi zina kumatenda ndi mafupa.

Pali mitundu iwiri ya zilonda zapanikizika zomwe sizikugwirizana ndi magawo.

• Zilonda zokutidwa ndi khungu lakufa lomwe ndi lachikaso, khungu, lobiriwira, kapena bulauni. Khungu lakufa limapangitsa kuti zikhale zovuta kudziwa kukula kwa zilondazo. Zilonda zamtunduwu "ndizosakhazikika."
• Zilonda zamavuto zomwe zimatuluka m'munsi mwa khungu. Izi zimatchedwa kuvulala kwakukulu kwa minofu. Deralo likhoza kukhala lofiirira kapena maroon. Pakhoza kukhala chotupa chodzaza magazi pansi pakhungu. Kuvulala kwamtunduwu kumatha kukhala gawo lachitatu kapena la IV.

Zilonda zamagetsi zimakonda kupangika kumene khungu limakhudza malo amfupa, monga anu:

• Matako
• Chigongono
• Chiuno
• Zitsulo
• Ankolo
• Mapewa
• Kubwerera
• Kumbuyo kwa mutu

Zilonda za Gawo I kapena II nthawi zambiri zimachira ngati zisamalidwa bwino. Zilonda za Gawo lachitatu ndi IV ndizovuta kuchiza ndipo zimatenga nthawi yayitali kuchira. Umu ndi momwe mungasamalire zilonda zapanyumba.

Pewani kupanikizika kwanuko.

• Gwiritsani ntchito mapilo apadera, mapilo a thovu, zofunkha, kapena mateti kuti musachepetse vutoli. Mapadi ena amadzazidwa ndi madzi kapena mlengalenga kuti athandizire ndikuteteza malowa. Mtundu wanji wa khushoni womwe mumagwiritsa ntchito umadalira bala lanu komanso ngati mukugona kapena mukukhala ndi njinga ya olumala. Lankhulani ndi omwe akukuthandizani zaumoyo pazakusankha zomwe zingakhale zabwino kwa inu, kuphatikiza mawonekedwe ndi mitundu yazinthu.
• Sinthani malo nthawi zambiri. Ngati muli pa chikuku, yesetsani kusintha mawonekedwe anu mphindi 15 zilizonse. Ngati mukugona, muyenera kusunthidwa pafupifupi maola awiri aliwonse.

Samalirani zilonda monga momwe woperekayo akuuzira. Sungani bala kuti lisatenge matenda. Sambani zilonda nthawi zonse mukasintha mavalidwe.

• Pa gawo lomwe ndimamva kuwawa, mutha kutsuka malowa mosamala ndi sopo wofatsa ndi madzi. Ngati kuli kotheka, gwiritsani ntchito chotchinga kuti muteteze malowo ku madzi amthupi. Funsani omwe amakupatsani mwayi kuti mugwiritse ntchito zonunkhira.
• Zilonda zakatundu wachiwiri wachiwiri ziyenera kutsukidwa ndi madzi amchere (saline) nadzatsuka kuchotsa minofu yakufa, yakufa. Kapenanso, omwe amakupatsani akhoza kukulangizani zoyeretsera.
• Musagwiritse ntchito hydrogen peroxide kapena oyeretsa ayodini. Zitha kuwononga khungu.
• Sungani zilondazi ndi chovala chapadera. Izi zimateteza kumatenda ndipo zimathandiza kuti zilonda zowuma zizichira.
• Lankhulani ndi omwe akukuthandizani za mtundu wa mavalidwe omwe mungagwiritse ntchito. Kutengera kukula ndi kukula kwa chilondacho, mutha kugwiritsa ntchito kanema, gauze, gel, thovu, kapena mtundu wina wa mavalidwe.
• Matenda ambiri am'magawo III ndi IV amathandizidwa ndi omwe amakupatsani. Funsani za malangizo aliwonse apadera osamalirira kunyumba.

Pewani kuvulala kwina kapena kukangana.

• Pukutani mapepala anu mopepuka kuti khungu lanu lisapakire pa kama.
• Pewani kutsetsereka kapena kutsetsereka mukamayenda malo. Yesetsani kupewa malo omwe amakupanikizani zilonda zanu.
• Kusamalira khungu labwino mwa kulisunga kuti likhale loyera komanso lonyowa.
• Yang'anani khungu lanu ngati muli ndi zilonda tsiku lililonse. Funsani amene akukusamalirani kapena munthu amene mumamukhulupirira kuti aone madera omwe simukuwawona.
• Ngati vuto lapanikizika lisintha kapena latsopano, uzani omwe akukuthandizani.

Samalirani thanzi lanu.

• Idyani zakudya zabwino. Kupeza zakudya zoyenera kungakuthandizeni kuchira.
• Kuchepetsa thupi.
• Muzigona mokwanira.
• Funsani omwe akukuthandizani ngati zili bwino kuchita zolimbitsa thupi pang'ono kapena zochepa. Izi zitha kuthandiza kupititsa patsogolo magazi.

Osasisita khungu pafupi kapena pachilonda. Izi zitha kuwononga zambiri. Musagwiritse ntchito ma khushoni owoneka ngati donut kapena mphete. Amachepetsa magazi kutuluka m'derali, omwe amatha kuyambitsa zilonda.

Itanani omwe akukuthandizani ngati muli ndi zotupa kapena zilonda zotseguka.

Itanani nthawi yomweyo ngati pali zizindikiro za matenda, monga:

• Fungo lonunkha kuchokera pachilondacho
• Mafinya kutuluka pachilondacho
• Kufiira ndi kufatsa mozungulira zilondazo
• Khungu pafupi ndi chilondacho ndi lotentha komanso / kapena lotupa
• Malungo

Anzanu chilonda - chisamaliro; Bedsore - chisamaliro; Zilonda za Decubitus - chisamaliro

• Kupita patsogolo kwa chilonda cha decubitis

James WD, Elston DM Chitani JR, Rosenbach MA, Neuhaus IM. Dermatoses chifukwa cha zinthu zathupi. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: chaputala 3.

Marston WA. Kusamalira mabala. Mu: Cronenwett JL, Johnston KW, olemba., Eds. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 115.

Qaseem A, Humphrey LL, Forciea MA, Starkey M, Denberg TD; Clinical Guidelines Committee ya American College of Physicians. Kuchiza kwa zilonda zam'mimba: malangizo achipatala ochokera ku American College of Physicians. Ann Intern Med. 2015; 162 (5): 370-379. PMID: 25732279 pubed.ncbi.nlm.nih.gov/25732279/.

• Zilonda Zapanikizika