Zomwe Muyenera Kudziwa Zokhudza Zilonda za Decubitus

Zamkati

• Kodi zizindikiro za chilonda cha decubitus ndi ziti?
• Magawo a zilonda za decubitus
• Gawo 1
• Gawo 2
• Gawo 3
• Gawo 4
• Wosakhazikika
• Nchiyani chimayambitsa chilonda cha decubitus?
• Ndani ali pachiwopsezo cha chilonda cha decubitus?
• Kuzindikira chilonda cha decubitus
• Kuchiza zilonda za decubitus
• Kodi malingaliro akutali ndi otani?

Kodi chilonda cha decubitus ndi chiyani?

Chilonda cha decubitus chimadziwikanso kuti chilonda chopanikizika, kupsinjika, kapena kugona. Ndi bala lotseguka pakhungu lanu. Zilonda za Decubitus nthawi zambiri zimapezeka pakhungu lomwe limakwirira malo othamanga. Malo ofala kwambiri a chilonda cha decubitus ndi anu:

• mchiuno
• kubwerera
• akakolo
• matako

Izi ndizofala pakati pa anthu omwe:

• ndi achikulire
• zachepetsa kuyenda
• amakhala nthawi yayitali pabedi kapena pa njinga ya olumala
• sangathe kusuntha ziwalo zina za thupi popanda thandizo
• ndi khungu losalimba

Matendawa amachiritsidwa, koma zilonda zam'mimba zimakhala zovuta kuchiza. Maganizo ake enieni amatengera zinthu zingapo, kuphatikiza zovuta zamankhwala komanso gawo la chilondacho.

Kodi zizindikiro za chilonda cha decubitus ndi ziti?

Gawo lirilonse la chilonda cha decubitus limakhala ndi zizindikiro zosiyanasiyana. Kutengera ndi siteji, mutha kukhala ndi izi:

• khungu
• kupweteka m'deralo
• matenda
• khungu lotseguka
• khungu lomwe siliwala pakukhudza
• khungu lofewa kapena lolimba kuposa khungu lozungulira

Magawo a zilonda za decubitus

Zilonda za Decubitus zimachitika pang'onopang'ono. Pali njira yothandizira omwe amakuthandizani kuti akuthandizeni kuzindikira zaumoyo wanu.

Gawo 1

Khungu silimathyoledwa, koma ndi lotumbululuka. Dera lingawoneke lofiira ngati muli ndi khungu lowala. Kutuluka kumatha kusiyanasiyana ndi buluu mpaka kufiira ngati muli ndi khungu lakuda. Kutha kukhala kotentha komanso kotupa.

Gawo 2

Kuthyoledwa pakhungu kuwulula chilonda chosazama kapena kukokoloka. Pangakhalenso blister yodzaza ndi madzi.

Gawo 3

Zilondazo zimakhala zozama kwambiri pakhungu. Zimakhudza mafuta anu osanjikiza ndipo zimawoneka ngati chigwacho.

Gawo 4

Magawo ambiri amakhudzidwa panthawiyi, kuphatikiza minofu ndi mafupa anu.

Wosakhazikika

Chikwangwani chamdima cholimba chotchedwa eschar chimatha kukhala mkati mwa chilondacho, chomwe chimapangitsa kuwunika kwathunthu ndikukhala kovuta. Nthawi zina dokotala wanu amafunikira kulingalira kwina kapena kuwunika kwa opaleshoni yamderalo kuti adziwe kukula kwa chilondacho. Chilondacho chikhoza kukhala ndi zinyalala zotayika zotchedwa slough (chikasu, khungu, zobiriwira, kapena zofiirira), zomwe zimapangitsa kuti kuyezetsa kwathunthu kukhale kovuta.

Nchiyani chimayambitsa chilonda cha decubitus?

Kupsinjika kwakanthawi ndiye chifukwa chachikulu cha zilonda za decubitus ndizinthu zina monga chinyezi, kusayenda bwino, komanso kuperewera kwa zakudya m'thupi. Kugona pa gawo lina la thupi lanu kwa nthawi yayitali kumatha kupangitsa khungu lanu kuwonongeka.Madera oyandikira m'chiuno, zidendene, ndi mafupa a mchira amakhala pachiwopsezo chazilonda.

Chinyezi chochulukirapo komanso zotupa pakhungu monga mkodzo ndi ndowe, zomwe zimadza chifukwa cha ukhondo, zimathandizanso pakupanga zilonda zam'mimba. Mikangano imathandizanso, monga ngati munthu amene wagona pakama watulutsa mapepala pansi pake.

Ndani ali pachiwopsezo cha chilonda cha decubitus?

Pali zifukwa zingapo zoopsa za zilonda za decubitus:

• Mutha kukhala pachiwopsezo ngati simungathe kusuntha kapena kusintha malo panokha mutagona pabedi kapena mutakhala pa chikuku.
• Khungu lanu limatha kukhala lofooka komanso lofooka ngati ndinu wamkulu wachikulire, zomwe zingakuikeni pachiwopsezo chachikulu.
• Kudya moperewera kapena kusapeza zakudya zokwanira m'zakudya zanu kumatha kusokoneza khungu lanu, zomwe zimawonjezera ngozi yanu.
• Zinthu monga matenda ashuga zimatha kuchepetsa kuyenda kwa magazi kwanu, komwe kumatha kupangitsa kuwonongeka kwa khungu pakhungu lanu ndikuwonjezera ngozi.

Kuzindikira chilonda cha decubitus

Wopereka chithandizo chazaumoyo wanu akhoza kukutumizirani ku gulu losamalira mabala la madotolo, akatswiri, ndi anamwino omwe akudziwa zothetsa zilonda. Gulu litha kuyesa zilonda zanu kutengera ndi zinthu zingapo. Izi zikuphatikiza:

• kukula ndi kuzama kwa chilonda chanu
• mtundu wa minofu yomwe yakhudzidwa ndi zilonda zanu, monga khungu, minofu, kapena fupa
• mtundu wa khungu lomwe lakhudzidwa ndi chilonda chanu
• kuchuluka kwa minofu yomwe imapezeka kuchokera pachilonda chanu
• momwe zilonda zanu zilili, monga kupezeka kwa matenda, fungo lamphamvu, komanso magazi

Wothandizira zaumoyo wanu akhoza kutenga zitsanzo zamadzi ndi minofu mu chilonda chanu cha decubitus. Kuphatikiza apo, atha kuyang'ana zizindikilo zakukula kwa mabakiteriya ndi khansa.

Kuchiza zilonda za decubitus

Chithandizo chanu chidzadalira gawo ndi chilonda chanu. Chithandizo chitha kukhala:

• mankhwala
• kusamalira mabala am'deralo, kuphatikizapo malingaliro ovalira
• kusintha kwa moyo, monga kuyikanso pafupipafupi ndikugwiritsa ntchito ma khushoni apadera, komanso kusankha zakudya zoyenera
• chithandizo cha matenda aliwonse omwe alipo
• opaleshoni

Mankhwala a antibacterial amatha kuchiza matendawa. Muthanso kulandira mankhwala kuti muchepetse kapena kuchepetsa mavuto aliwonse.

Njira yochotsera minofu yakufa kapena yomwe ili ndi kachilombo yotchedwa kuchotsedwa ikhoza kulimbikitsidwa ndi dokotala wanu.

Kusunga tsambalo kukhala loyera, louma, komanso lopanda zonyansa ndikofunikira kulimbikitsa machiritso.

Kutulutsa kukakamiza komanso kuyikanso pafupipafupi ndikofunikira kwambiri pochiza chilonda cha decubitus. Kuchepetsa mikangano pamalo ndikofunikanso.

Wothandizira zaumoyo wanu amatha kuyitanitsa kusintha kwa bala lanu.

Njira zina zochiritsira ndizofunikira kwambiri pazilonda zamtsogolo kwambiri (monga kuchotsedwa kwa opareshoni ndi kupsinjika kwa zilonda zamankhwala mu zilonda zam'mimba 3 ndi 4), pomwe zilonda zonse zitha kupindula ndi njira zamankhwala monga kuchepetsa mikangano ndi chinyezi m'deralo, kusunga malowo kukhala oyera , kutsitsa kutsitsa ndikuikanso pafupipafupi, ndikuwongolera kusankha zakudya.

Njira yanu yothandizira imadalira pazinthu zingapo, ndipo dokotala wanu akukambirana nanu zomwe zingakhale zabwino pachilonda chanu.

Kodi malingaliro akutali ndi otani?

Kuchira kwanu kumadalira gawo la chilonda chanu. Mukazindikira msanga, posachedwa mutha kuyamba kulandira chithandizo ndikuchira.

Wothandizira zaumoyo wanu angakuuzeni kuti musinthe zakudya zanu. Magawo amtsogolo nthawi zambiri amafunikira chithandizo champhamvu kwambiri komanso nthawi yayitali yochira.