Bedsores in bedridden ailments of the cob stage. Pochatkov stage of bedsores. How and why bedsores develop

One of the most unacceptable complications of a practical illness, tied to a fringed rickety of a person, is bedsores. Today's medicine is under understanding the process of necrosis of soft tissues, which is blamed on the song of the body of the body through the constant pressure. This kind of action on the vineyards provokes damage in the process of blood circulation, as well as dysfunction of the nerve trophism - the injection of the nervous system into the structural and chemical organization of tissues and organs.
In most cases, decubitus ulcers are blamed on patients, as these are other causes of sagging. Zokrema, until the necrosis of soft tissue ailments, who lie down, cannot independently change the position of their body with an overlying frequency.

In addition, according to medical statistics, in seven out of ten cases, problems with pressure sores are blamed on people of a frail age. It is due to the fact that the body itself is not so crumbly, the blood circulation is naturally impaired, but the tissues are less built up to independent renewal.

Areas of blame for bedsores lie down in the middle, in order to spend people in a similar position for most of the hour. Like ailments to lie on the back, then bedsores settle across, on the sides and interscapular spaces. For people, like to lie on the bots, the solution of bedsores is typical for the areas of the shoulders and knees, as well as across that fork. In quiet patients, for example, most of the hour is spent in a sitting position - in a wheelchair, the bedsores of the patient settle on the shoulder blades, buttocks and heels.
In medicine, there are several stages in the development of bedsores:

• • First step it is characterized by redness and roughness of the skin's curve at the places of the greatest pressure, as it is often accompanied by slight sagging. For whom there is no structural damage to the shkiri. Having begun to heal bedsores in people of a frail age at the first stage, it is easier to achieve a positive effect of therapy. Daily foldable procedures are not required.
  • Another step The development of decubitus ulcers is indicated by the lesions of the upper sphere of the epidermis, which provokes damage to its integrity. In addition, at this stage, the processes of extermination and erosion begin, which are succumbing to the underworld cells.
  • head characteristic third stepє an ear of serious folds in the liquor bedsores. At this stage, the development of the coats is covered by a lot of old-fashioned shkiri, under which one can clearly see the fat and m'yazovu tissue. Dosit often this stage of pressure sores is accompanied by purulent wounds.
  • The extreme stage of the development of bedsores is manifested by radiation before the process of tearing the tendon and the cystic tissue. Utvorenі wounds are already deep, the skin of that fatty tissue is actually completely eroded by necrotic processes. Usі rani decubitus fourth step filled with pus. Jubilation is more important than the surgical intervention.

Likuvannya bedsores

Antiproliferative therapy without intermediary lie down in the stage of development. Therefore, the tactics of exaltation of pathology should be considered often.

Treatment of bedsores of the first stage of development

The main metatherapy for decubitus ulcers at the early stage of development is to prevent their transition at the advanced stage. In fact, the joy at this stage is a complex of preventive approaches, combined with a simple therapy of the mass flow.

Nasampered bedsores of the first stage of development - this is a signal about the wrong watch over the patient. To that, having remembered such a complication, it is necessary to improve the regime of morning sickness. Skin for two years, it is necessary to change the position of the body, regularly carry out hygiene of the skin cover, avenge the damage to the sheath near the dry camp.

In addition, at this stage it is recommended to use vicorist preparations to reduce the bleeding process. Before them, zocrema, apply Solcoseryl ointments (for 115 rubles) I (for 400 rubles). Come on in and let us get rid of the main causes of bed sores: the pressure on the body and the lack of blood supply.

Immunostimulating therapy will be the next step for the treatment of bedsores in the first stage, as to speed up the renewal of skin tissue. For most of the opinions of such a complex, it’s enough to get to the bottom of the style of terms to effectively solve the problem.

Treatment of bedsores of another stage of development

When visible wounds are healed due to damage to the skin covering, the therapy of bedsores becomes more complicated and requires the introduction of new drugs. Nasampered, go about antiseptics, for example, chlorhexidine (for 15 rubles). Obroblyat it in the early stages of the need for a sprat of time for production, combining it with the most important means for improving blood flow: Solcoseryl or Actovegin.

Also, at this stage, the development of decubitus ulcers must be treated with special hydrogel dressings. The stench of the veins of the hydroactive polymer sublimes the middle of the wound in the wound, overcoming the very distant development of tissue necrosis. Tse allow me to speed things up.

Well, you can’t forget about the basic therapy for bedsores: regular body hygiene, changing the position of the sick, instead of skin crooks in a dry bed.

Treatment of bedsores of the third stage of development

This stage of the development of bedsores will require the consultation of a surgeon. Vіn evaluate the folding of the situation and conduct a complex of likuval-prophylactic visits, so as to allow the wound to be cleaned from necrotic masses that are stingy, and to encourage the correct tactics of likuvannya.
There is also a victorious complex of medicines, which can be divided into chotiri groups:

• • • anti-solid care,
    • preparations for stimulation of the process of restoration of the skin curve,
    • medicines, which are aimed at improving blood flow,
    • get a necrolytic infusion.

The main faces of these groups can be seen in the table:

Naming the drug	Type of drug	Price	Description
Hydrocortisone		out 29 rub.	The preparation of a group of glucocorticosteroids, which may have a good anti-inflammatory effect.
Algofin	anti-heating protection	out 70 rub.	The drug with antimicrobial activity is most effective in infections of the skin surfaces. Cream of antiseptic, may repair and regenerate effects.
Dexamethasone	anti-heating protection	47 rub.	Strongly anti-cold effect and effective anti-allergen. Yogo effectiveness, compared with cortisone, higher in 35 times.
Vulnuzan	anti-heating protection	incl 170 rub.	Anti-seizure ointment, as it stimulates the process of cleansing and healing of festering wounds.
Pirikarbat	blood pumping stimulants		Drug with angioprotective activity. Revealing the disrupted blood microcirculation in the development of pathological processes.
tribenoside	blood pumping stimulants	incl. 327 rub.	Zasіb for improving microcirculation of blood, which reaches for the rahunok to improve the tone of the walls of the vessels and change the stagnant manifestations in the veins.
Bepanthen		230 rub.	Bepanthen's intoxicating speech - dexpanthenol, sucking into the epithelium, making pantothenic acid. The process of regeneration of the skin is activated, the cellular metabolism is normalized, mitosis is accelerated.
Vinilin	stock for reinforcing the skinny curve	incl 130 rub.	Early healing ointment for bedsores for bedridden patients, which may cause bacteriostatic disease. Spray activation of epithelialization processes.
Curiosin	stock for reinforcing the skinny curve	370 rub.	Hyaluronic acid, which enters the warehouse of Curiosin, stimulates the processes of cellular regeneration, activating the natural wound healing of various wounds.
trypsin	necrolytic preparations	incl. 240 rub.	Preparation for splitting dead tissues and fibrinous tissues. In addition, trypsin is directed to the distribution of viscous secretions, exudates and blood clots.
Terilitin	necrolytic preparations		Zasіb proteolytic diї. Effective in case of damage to the shkiri, which are accompanied by more severe attacks.
Chymotrypsin	necrolytic preparations	330 rub.	Dia is similar to Trypsin.

Treatment of bedsores of the fourth stage of development

Most bedsores at the fourth stage develop due to surgical removal of dead tissues. Tsya procedure dosit foldable z tієї points of dawn, scho exactly vyznachit between the afflicted plots most of the time is impossible.
In addition, this step in the development of the pathological process is in addition to the complex of drug therapy, which is the front, including ointments, injections and sips, and further such physiotherapy procedures are added to the new one:

• • • phonophoresis of antiseptic preparations for greater penetration of drugs of this group;
    • laser therapy for speeding up the processes of burning;
    • electrophoresis of antibiotic preparations, which allows to effectively change the number of bacteria and reduce the dynamics of the development of the ignition process;
    • UHF injection on bedsores in bedridden patients to fight against pathogenic microorganisms and normalize the process of bleeding.

However, the tactics of therapy for pressure sores of the fourth is not necessarily given the necessary effect. To that it is necessary to work everything, to prevent the development of pathology to the stage. Really, it’s much simpler, lower then put on the covers of the deep damage to the tissue of the body.
I finished talking about the treatment of bedsores, significantly more important entries, as it is necessary to win at any stage of the development of wounds:

• • • ailments with the fringed rottenness vimagaє permanent change of the camp of the body. This is a critically important factor in the prevention and treatment of bedsores;
    • the skin of the patient can be dry and clean;
    • It is very important to select special mattresses for bedridden patients. The stench is received by balloons from time to time, as if they are pumped up unevenly and create a different pressure at different points.

Folk medicine recipes for curing bedsores

History of bed sores for a long time, and fighting with them, we fought in the hour. Tse allowed the people to take care of the bedsores, to effectively fight the wounds of the skin curves, which have been settled, and to carry out the treatment of the bedsores in the home minds with sufficient efficiency. Zagalom їхіснє dosit rich, but deyakі z them povnotsіnі vznaє i recommend modern medicine.

One of the most effective natural preparations for bedsores is Kalanchoe. The stripping of the uzdovzh sheet with the inner side is applied to the wound and sealed with a gauze bandage. It is effective to introduce Kalanchoe from the early days of the river, drying up and speeding up the process of burning.
Brought to the efficiency of maє і sіk centurion. A crushing from a new compress is applied to a bedsore for a quarter of a year. It is important that such a method improves the process of infection and develops pressure ulcers at the early stages.

Vicarious potato starch is not only a sip for small children, but also for the prevention of bedsores. Vіn allows you to tidy up the vologer’s zayva from the body, having vanquished by himself the parrying of the shkiri. , zavdyaki vitamins A, E and C, as if they were in the dark, give a regenerating injection to the skin and improve the process of bleeding. Official medicine often recommends treating bedsores with sea buckthorn oil, as it is one of the most effective infusions among such preparations.

Sophisticated, to which bedsores can lead

Insufficient surveillance of the recumbent ailment, as if incorrectly exuberant bedsores that develop, can lead to more serious consequences. Before them, bring:

• • • problems with the circulation of the whole organism,
    • gangrene
    • sepsis,
    • skin cancer,
    • osteomyelitis.

All of these heritages are extreme depressions. Ale about the development of their development, it is necessary to remember and report all efforts, in order to prevent the development of bedsores or to heal them at the early stages.

Prevention of the development of bedsores

The complex of preventive approaches to the development of bedsores can itself be understood as a complex of approaches to the careful monitoring of the patient, obmezhenim at the fragility. Physicians see six points, which allow the development of bedsores to disappear:

• • • Changing the patient in one position is not more than two years.
    • Yakіsna hygiene shkіri: regular wiping, shower or bath, wiping the body dry.
    • Balanced eating and sufficient nutritional regimen.
    • Iniknennya zhorstnyh elementіv in mіstsyah contact shkіri z lіzhkom: gudzikіv, folds, glitter.
    • Vykoristannya spets_alnyh outbuildings for changing the vice on the body of the body: mattresses, pads.
    • Therapeutic come in to imitate the mental activity.

To complete a simple algorithm will give the opportunity to eliminate the development of bedsores, the shards of the veins will actually be necessary to turn on the impact on the patient's body of the factors of their adoption: a constant pressure on the sing of the veil and insufficient bleeding.

Golovna, which needs to be remembered about bedsores: it’s easier to hide them richly, lower them later. Therefore, especially when looking after summer people with fouled rottenness, try to win all the possibilities for their comfortable life in such a situation, so that later we will not suffer from the fight against bedsores.

A decubitus ulcer is an open wound on the surface of the skin. In especially zanedbanih vipadki it reaches deep m'yazovyh balls and is characterized by clear necrotic lesions of the tissues, most often with the advent of bacterial infections. Decubitus ulcers heal through mechanical compression of the local mesh of other blood-bearing vessels, with the patient's thriving in one position. Similar injuries, as a rule, are settled in recumbent or sedentary ailments, although they cannot or for some reason do not want to regularly change the camp of their body.

Stages of decubitus ulcers are the reasons that can take their appearance

The damage to friability is one of the most common reasons for the development of decubitus ulcers as a result of compression action on the blood-bearing vessels of the subcutaneous cellular tissue. Most often, bedsores are seen in visually impaired patients, who are under anesthesia, suffer from important psychopathological conditions, which may be in the anamnesis of important pathologies of the musculoskeletal apparatus or the central nervous system, which are reminiscent of for important surgery or trauma. Patients, for low reasons, that it is impossible to change the station of your body often, and having poured in the wet body mass, repair a serious vice, especially in those villages, shkiri, as if they vibrate over the sunken surface.

Another significant reason for the development of bedsores is the rupture of blood-bearing blood vessels, which heal the entire area of ​​the tissue, after pulling the patient along the lie, pulling the back of the new wet whiteness or stretching, as well as the pressure of the vessel.

Distinguish a sprinkling of factors that make it easier, yak, krіm ugogo іnshoy, priyat the development of bedsores.

• Immunization of friability of loam (contractures) and increased tone of skeletal muscles (spasticity)

Change the normal movement of the patient's body. Contractures of the joint are most often blamed for tendon aching, arthritis, cicatricial lesions on the surface of the skin curve, or disruption of the nervous regulation of the central genesis. Severe damage to the cerebral and spinal cord apparatus often leads to a spastic state of the m'yazovoi mass in the area of ​​kintsivok and the empty cerebrospinal apparatus.

• One of the most important incentives is to change the position of the body and feel pain.

Various neurological disorders or trials of pain medications can be significant lower the threshold of pain sensitivity they themselves do not tell them about the need to reposition the body.

• Increased pain sensitivity in the aftermath of surgical and traumatic wounds

Can you please the patient gradually occupy a static camp.

• I mean the role in resisting pathological processes due to the transfer of pressure on the blood vessels and nerve endings in the physiological state of the skin folds.

Mitsna elastic skin may be sufficient resistance against the development of bedsores. Navpaki, thinning, atrophy of the epithelium through a decrease in the density of the regeneration, it quickly collapses with a shortage of living speech, which grows, which comes from the blood. Such phenomena are often blamed for taking certain medicinal products, which are added to the water-salt metabolism in the body and hormonal preparations.

• Decreased regenerative functions of the skin epithelium

Thinning of the dermal-epidermal articulation and organic destruction of the capillaries in the subcutaneous cellular tissue is dominant in patients of the old age. Tom The development of bedsores in people with a frail age is constantly leaking and threatening with complications.

• The skin becomes more responsive to an insignificant influx of traumatic forces in the aftermath of deepithelialization, which, as a rule, is caused by rubbing and dizzying transverse forces when the patient is overtightened.

Loss of the area on the skids may decrease the bar'єr protection against bacterial contamination., and are also characterized by a low volume of transepidermal water, which leads to maceration of the skin curves from their distant openings.

• Postiyna dіya dіya dіya vіdvishchenої vologostі on shkіrnі pokrivi

Mozhe winicati due to insufficient care for the patient also produce to the point of poshkodzhennya zovnіshnіh pokrivіv skіri. The situation is exacerbated by an aggressive influx of speeches that rush into the feces of that section of the patient.

• brudna whiteness

Tse is one of the main reasons for the development of pathogenic microflora in virazkovy lesions on the skin slopes. The temperature and moisture content of the virazkovy pit create the most favorable mind in the development of pathogenic microorganism, to bring antibiotics resistant to medical therapy. The zanedbaniste of such processes is often brought before the transition from a localized purulent-infectious process to a generalized form. The weak have ailments bacterium, sepsis, myonecrosis or both often develop.

• Lack of, insufficient amount of protein in the skin, as well as anemia

Vibrate the patient's flaming camp to resistance against skin lesions of infectious and non-infectious types. Poor eating habits of the ability of the immune system of the body against the influx of pathogenic factors. In addition, anemia causes erythrocytes to filthy vantazhopidyomnosti. The situation is even worse with the development of cardiovascular pathologies and hypovolemia.

• Reperfusion

Reinstatement of normal blood flow on ischemic dilation, on the thought of rich fahivtsiv, spriya prolongation of necrotic processes. Accumulated in the period of venous congestion, the products of metabolism are expanded by the sphere of injection, thereby increasing the toxicity to this area.

In patients with normal sensitivity, mobility and daily psychopathological infirmities, bed sores are rare. An inward ligament in the subcutaneous receptors, which signal to the brain about ischemic processes, which originate in the area of ​​the compression infusion on the blood-bearing vessel, disturbs the person to change the position of the body on his own or on the other side.

The development of decubitus ulcers proceeds in stages, moreover, the further the stage is, the more therapeutic infusion on the viraz-necrotic ablution.

• First stage characterized by the integrity of the skin curves in the area of ​​compression air and the presence of persistent hyperemia three times after the clutch is turned off.
• Other stage - hyperemia of the epithelium of the epithelium at the early stages of the physical shrinkage of the epithelial superficial balls.
• Third stage - the solution of deep, wet skin with total damage to all the balls of the skin and the transition of pathological processes of necrosis into the subcutaneous cellular tissue and m'yazovu tissue.
• Fourth stage characterized by a deep expansion of pathological processes, right up to the brushes and m'yazovyh fascia.

Pathophysiological basis for the elimination of bedsores

Previously, the pathological processes of the elimination of bedsores were described in 1873 by D. Paget, who accurately identified the development of necrotic processes as a result of pressure on the local subdivision of small blood-bearing vessels. Rich factors are added to the development of bedsores, prote in the basis of the process of starting to lie ischemic manifestations, which lead to the collapse of the clitin membrane, and further and to death due to tissue trophic insufficiency.

From the point of dawn, bedsores develop with a trivial, constant pressure on the very area that damages the blood circulation of one and the same tissue.

• For the development of ischemia it is necessary compression injection on arterial capillaries not less than 32 mm of mercury stovp and 12 mm in diameter - for venous capillaries.
• The pressure of arterioles relieves the insufficiency of a rush of fresh blood, saturated with sourness and life-giving speeches, and the pressure of venules improves blood flow, rich in productive tissue metabolism.
• Vіdpovіdno, krіm іshemіchnyh manifestations, watch out for more stagnant processes in tissues that are crushed. which significantly aggravates the pathological process.

Sound the tissues of a living organism in the norms of the building to show a greater pressure, a lower value is more ostentatious. To this end, the elasticity and strength of the walls are sufficient. However, the compression injection into the lot for over 2 years interrupts the capacity of tissues with a trophic deficiency.

The development of decubitus ulcers most often occurs in the areas of skin curves, as they stick most strongly to the surfaces. Documented indications of the vice on specific anatomical areas of the patient were found to be dependent on the position of the body. So, with the recumbent bed, the development of bedsores is the most stable to the risk:

• krizh;
• five;
• potilice.

A vise of about 40-60 mm of mercury stoup is repaired on them. On the chest, that knee falls about 50 mm, so that the patient lies on his stomach. In the sitting position, the most compressive inflow of the side humps is supported - about 100 mm of mercury stoup. It is necessary to indicate that the constitution of a person does not play a significant role in the development of bedsores - the larger the person, the more the clitin stroma is displaced. Vinyatok to become patients with a transcendental vaga, however, they have a compensation for the pressure on the judge for the help of additional shock-absorbing capacities of the fat prosharka.

After reaching the third stage, the pathological process accelerates, the wines are already characterized by more important lesions of the malignant tissue, as they are more likely to be sour to the point of sourness, and the excretion of metabolic products. For reasons of reason, the term “point of no return” is introduced about the 2nd year, after which irreversible changes in the m'azovih tissues are repaired. If it is necessary to take care of taking the skinny curves, then the stench can affect the compression effect up to 12 years.

Crim without median insufficiency of blood supply, in the crushed space, the processes of regulation of tissue activity are disrupted due to the pressure of nerve endings.

Features of localization of bedsores, symptoms and diagnosis

Bedsores, as a rule, describe from the point of view of the growth of the pathological area and the depth of tissue burrowing, which is lower.

• Close to 70% of all cases, decubitus ulcers settle down most often the area of ​​the sidewalks, the great forests of the steg's brush.
• on five, combs of the clubbing brush, shoulder blades and elbow loam falls close to 15-25%.
• Vіdsotkova chastka, scho lost, expands on the place of the patient's body, which are sticking together for a trivaly hour with some surfaces for example, in case of improper application of plaster casts.

Varto indicates that the elimination of decubitus ulcers in the empty mouth is often irritated in the dentist's room. The regions often blame the pressure points of dental prostheses, as well as the interdental space in the clear, which spices the stuffing of the gaps from the grub masses.

As a rule, making a diagnosis of a bedsore does not become particularly difficult. visually and organoleptically, it is possible, with a sufficient amount of breathiness, to show the development of ischemic processes at the dealership, which is due to the compression injection. However, in cases, if there is no improvement in the correct therapy of pressure ulcers, additional diagnostics may be needed due to the method of manifestation of third-party pathologies, including the oncological plan. Cream of that necessary to exclude osteomyelitis especially in cases of deep bedsores, tissue lesions.

New blood test With differentiation, it can show the development of white blood cells, which allows you to judge the possibility of generalization of the pathological process for interbedsores, as well as the development of invasive infection. The number of erythrocyte counts is greater than 120 mm/year and the number of leukocytes is over 15,000 cells/µl.

Yakist kharchuvannya As an indispensable factor of favorable pressure ulcer therapy, it is attributed to the presence of albumin, prealbumin, transferrin and the amount of total protein in the blood serum.

A biopsy of wound tissues should be taken at the time of repair, regardless of the diligent observation of bedsores. It should be carried out with the method of identifying the species diversity of the bacterial flora, which populate the wound surface, as well as to exclude the malicious growth of clitin. Shchoraz, if you are afraid of a sore bedsore, which is at the stage of remission for a few months, a biopsy of the obov'yazkovo may be vikonan. Such an effect is most likely to be observed in the development of malignant processes in old wounds.

Briefly about treatment and prevention of bedsores

Varto signify that there is no panacea for the exaltation of bedsores. Obov'yazykovy series of last visits, which will shove the most obvious zvilnennya in the pathological plant that develops.

1. The need for maximum renewal of blood circulation that innervation in the mist is pressurized.
2. Viluchennya necrotic masses in the pathological center.
3. Spryannya yaknaishvidshy zagoєnnu the wounds that they did.

Always remember about those who have a pressure sore - this is a sign of the patient's zanedbanosti in terms of diligent observation of the correctness of therapy, which is victorious. To that, as an unfortunate patient independently change the position of the body, it is necessary to close the attendants behind him, especially one and the same people, so that you will be aware of the development of possible pathological prognosis sesiv. It’s a pity, in the minds of the current Russian hospital, which is functioning for the sake of the sovereign support, it’s practically an unimaginable task.

Supplementary care will be required by absolutely all patients who are surrounded by a wheelchair, bedridden, suffer from paresis or paralysis of several parts of the body, as well as ailments, which reduce the rate of cerebral activity . Special respect is needed for people with such pathologies:

• non-mania cut and feces;
• who are at the stage of exile;
• suffer from obesity;
• ill with blood diabetes;
• may have an aggravated stroke in the anamnesis.

What should lie before the main principles of prevention of the development of bedsores?

• Reduced compressive air, the effect of rubbing or transverse zsuva of the body.

Bedsores - the process of destroying tissue, which is caused through the destruction of blood circulation on a well-taken body space. They are most common in bedridden ailments of a frail age, but in younger children, such a process can also begin, for example, after the troubling wearing of a plaster cast. They develop on quiet parts of the body, as if they found contact with a hard surface. The largest expansion of the species is bedsores on the sides. Rarely can you watch on such parts of the body, like a sweatshirt, ribs and fingertips.

Thus, the death of tissue is not safe, but in case of insignificant manifestations of bedsores, it can carry a ruinous effect on more deep balls of the skin, globule and wind the brushes, and in case of untimely laziness, in one way it will be affected ї parts of the drift. Infusion of bedsores on the bone tissue swells and is accompanied by purulent newborns, most often near the stake (with an unacceptable smell). There are no signs of illness in the early stages, so it is necessary to regularly examine such patients.

Fallen deposits in the wound of the skin cover of the curvature of the bed sores can be treated with decalcification in ways, the simplest of which are dressing and rubbing in household minds. Ale, in especially zanedbanih situations, does not get away with surgical intervention. Yakshcho dotrimuvatisya clumsy rules for the prevention of bedsores, high immunity to protect the ailing recumbent in the appearance of such ailments. For whom it is necessary to put on a sick special mattress and soft colo, and also periodically change the position.

In the international classification of illness (ICD 10), bedsores may have a high value - L89 (so called decubital viraz).

Etiology

Bedsores settle through trivalent contact of the brush with the hard surface of the bed or wheelchair, which leads to insufficient blood circulation in the vessels, the supply of a small amount of sour and living speeches, and in the end of the chest, there is a tissue zone of air (often articulation).

Before the risk group, patients are included, often or more often due to such factors:

• serious fractures of the lower ends of the ridge, through the yak, the person was ruffled for three hours without a rut;
• surgical infusion. Quite often people after the operation are disturbed lie for a long time for several months;
• Komi camp;
• paralysis;
• otherwise, on the contrary, critical lowering of body mass, for which there is no possibility to win active body movement.

Krіm tsgogo, to find out the reasons that reduce the risk of the appearance of pressure sores in bedridden ailments:

• sings of trauma to the brain, through like ailments, you don’t feel uncomfortable and painful feelings. For example, with paralysis, bedsores can appear in such an atypical area, like five or five fingertips, like they bleed into a thorny plethora, to press;
• age category. The greatest sight of such a wide range of fabrics of the silky curve is found in people of a frail age, the stinks of the stink are most susceptible to serious injuries, and they seldom come into contact with them;
• shkiri camp. With increased moisture or dryness, high ymovіrnіst vyniknennya newborn on the epidermis;
• irrational eating that poor family. In the recumbent position of the singing of the village, the shkіri and so do not take away the overdose of the lively mouths, and in the cases of the wrong eating, that insufficient amount of water, the camp of the ailing is not enough;
• the patient's indeterminacy to self-sustaining slaughter and feces. Having poured in radini and bacteria from the feces, to rob the skin more skhilnoy until bedsores appear;
• rіznі ailments, scho lead to destruction of blood circulation, for example;
• ills bedridden on nicotine;
• wrong look after the sick.

Rіznovidi

As it was guessing more, bedsores are settled in the face of a trembling shkir about bedding or a wheelchair. In the medical sphere, there is no classification of such a process as a step in the expansion of the pathological process in tissue tissue. Distinguish the following stages of bedsores:

• Pochatkova - to be afraid of an insignificant strengthening of the fabrics, the swollenness of that change in the color of the tієї dіlyanka shkіri, like a vise. In such a state of mind, the problem can be solved in the minds of the home due to the stagnation of medical care, which will quickly start a fuss;
• medium severity - erosis and folds begin to appear, but the skin is not affected by the flooring much, so that it turns to the doctor, the shards pouring in the top ball of the skin’s curve of the person. Change the ignition process of healing medicinal ointments for bedsores, and ease the pressure to add special mild cola, which help to improve the damage to the zone of the body of a sick person;
• vzhka - for her, it is more characteristic to damage the glib spheres of fabrics and loams, the sight of rotten native land, which may have a pungent and unacceptable smell. Likuvannya such a stage is problematic;
• aggravated - in the middle of the shkir and a strong negative injection on the driftwood and brushes. Conservative measures do not allow the necessary effect, so they go to operable delivery.

According to the position of the body, bedridden ailments can be localized:

• if a person lies on his back all the time, then he will have bedsores on the sweatshirt, shoulder blades, and it is also possible to blame bedsores on the heels;
• the position of the ailing person on the bots is used to treat bedsores on the leg, the tip of the ear, or on all yogo surfaces, shoulders, knees and homilkostops;
• like a person lying on his stomach for a long time, a new one has bedsores on his knees, elbows, or rather on the tips of his fingers;
• at the quiet, who corrode with an invalid armchair, bedsores always appear on the seats, ridges, shoulder blades and quiet places of the lower and upper chins, which constantly stick with the armchair.

Symptoms

Symptoms of bedsores lie in the head warehouse, which led the person to complete or partial malaise, as well as in the stage of damage to the shkir. Ale often gets sick without showing any signs.

Thus, the symptoms of bedsores are:

• little bit of pain, that name, yakі not to give discomfort to bedridden ailments;
• change of the hairline from sizable to pale erysipelas, with a clear contour. This gives you the opportunity to remember that healthy tissues do not take part in the process of inflammation. You can blame yourself at another stage of illness.

For important stages of decubitus ulcers, other symptoms are characteristic:

• seeing pus of an unacceptable smell from the eyes, healthy tissues are aggravated even more quickly;
• fever and fever;
• intoxication to the body;
• change the rhythm of the heartbeat;
• decrease in arterial pressure;
• quick breath;
• no need to cut that feces.

Bedsores on the heels may have symptoms:

• slightly shaking;
• the loss of a frequent decrease in sensitivity;
• the appearance of white patches.

Vіdmіnno help to change the intensity of the sign of decubitus ulcers in special m'yakі kola, yakі pіdkladayutsya pіd ill mіstsya, scho turbobuyut.

complication

The consequences of such a process of wiping out tissues are only blamed for ignoring symptoms, untimely treatment of the wrong ways to prevent bedsores. Such traces can be:

• infection of wounds or by larvae of coma;
• lethal end.

Diagnostics

Diagnosis of decubitus ulcers is easy to carry out for characteristic signs (often decubitus ulcers form in the form of a cola) and symptoms. There are no specific methods for diagnosing bedsores. The only driving force behind laboratory investigations is the sight of home with houses of pus and virazok. For the appointment of a health worker, which is grafted to such a result, a pick-up of a child or a scribble from wounds is carried out. After which doctor will determine what the bedsores will do.

Celebration

It is possible to carry out the treatment of decubitus ulcers in dekilcom ways - in the form of help in the home minds for the help of various benefits to surgical intervention.

The main task of doctors in the treatment of blood flow in the lesions of tissues and the prevention of the further expansion of bedsores in glybin. This is why antibacterial speeches are prescribed, which are used to treat wounds. If necessary, the doctor cleans the wound from tissues that have been washed. After that, bandaging of the affected area is carried out due to the stagnation of early contagious diseases.

Peredumovami for stationary treatment of decubitus ulcers and severe stages of tissue inflammation. Golovne zavdannya - to eliminate symptoms and to forget the comfort. Operations are carried out to remove and replace the sludge, and for the necessary brushes.

In domestic minds, less bedsores of the first stages are rejoiced, which proceed without symptoms. For whom the relatives of the ailing may:

• if necessary, support for damage to the wooden deck of the shkir and soft stake for changing rubbing against a hard surface;
• regularly, through the skin for three years, change the position of the body of the sick;
• to process the damage of the village shkiri, but in the same time, do not vicorate for this iodine, brilliant green and water peroxide, but first consult with fakhіvtsy, as if to recognize the conspiracy of harm.

Do not shy away from people's zasobami, wanting in the medical sphere to see an impersonal superechok like a bunch of people.

Prevention

Prevention of bedsores is carried out by people who are close to the sick, as if they are guilty of complying with the current rules:

• today, carry out an inspection and dressing of the skins with special ointments, ointments and other methods to prevent the appearance of bedsores;
• ensure proper eating, enriched with vitamins and minerals;
• vikoristovuvaty a special mattress against decubituses, which will help to protect the ailing recumbent from the air of the sky;
• carry out massage of the whole body, especially respect for the tips of the toes and toes;
• follow the temperature of the place, where a person has suffered - she can be comfortable for her;
• carry out an inspection of the bedding and clothes for the purpose of making folds;
• at the same time conduct hygienic visits and changes in sleep;
• in case of non-trimani sich and kalu vikoristovuvati;
• when the first symptoms are revealed, such as a severe illness of an ailing, negligently call the doctor home.

We discuss decubitus ulcers. Rozpovidaemo about the causes of their appearance, stages and prevention. You know how it is necessary to prepare and zastosovuvat for the treatment of illness, how to treat bedsores correctly.

Severe illnesses, like riveted to a lie, can lead to the establishment of rotten and trophic virazok, to that:

1. It is necessary to trivale, or it is practical to post-squeeze the singing of the bodies of the body, which causes damage to the blood circulation, it is filthy to live on the camp of the ships.
2. Severely ill bedridden patients often stikkayutsya іz zagalnymi izmenіtemu, scho vіdbivaєєє on zdatnostі tkanіnі before regeneration, іnіchennyа ієї її її ї ї ії bolshe polyuє camp.
3. Trivale of lying in one position can lead to the fact that bedsores settle in other parts of the body. The stench can be blamed on the shoulders, on the boots, on the surface of the pelvis, on the quilts and homies. If a person lies in a position on his back for a long time of the day, then he can provoke the incendiary fires to wind on the potile part of the head, on the seats, heels, or krizhs.

As bedsores appeared, it is necessary to quickly get used to the entrances. Insanely, until what food is the traditional medical pidkhid, which is rooted in the conduct of a good watchful eye for ailments, the processing of the wounds of the villagers of the shkir with medicinal preparations from the opposing authorities.

In traditional medicine, there is no such thing as folk medicine, as it propagates impersonal prescriptions, building strength of medicines, which will significantly relieve the patient's condition.

Photos of bedsores

Treatment of decubitus ulcers in the fallow stage

The process of exaltation of rotten and incendiary mortuaries, which are blamed through pressure, will require a non-gay cob. This is necessary in order to keep the process running and to prevent a distant development of damage to the shkir.

In the first place, when the place is inflamed, they put a special inflatable ring, as if to help change the vice to the whole lot, we can take it down.

In another way, it's important to secure the best possible access to the fire point. Obov'yazkovo gives respect to the dryness of the peasants, like the middle of the battle.

Select the type of therapy to lie down in the stage of the process. So the name of the superficial rotten wounds, yak vvazhayut I and II stages, turn richly easier, lower the process, which is already delayed.

As soon as the inflamed one is resting at the first stage, then the surface shkiri at this galusia can become slightly swollen, blackened, as a result of the onslaught the shkir is white.

In order to speed up the flooding of the afflicted lot, they are treated with disinfectants, for example, camphor alcohol. Let's use vicorist oil of sea buckthorn or extract of sophora japonica, which will help to strengthen regeneration processes.

Another stage of inflamed may be accompanied by a small amount of necrotic tissue, which is called a puhir. For dressing, it is recommended to use antiseptics, and then to use ointments with high conspiracy powers (Levomekol, Actovegin, etc.). A good result is given by applications with such preparations as Multiferm, as well as hydrocoloid or hydrogel dressings.

How to treat decubitus ulcers III and IV stage rozpovist the surgeon, who teaches how to treat wounds and how to perform wound dressing and bandaging. Vikonannya yogo recommendations from the general obsyazі - a guarantee of success and dressing the sick. In order to avoid surgical intervention, it is necessary to pay attention to the prevention of purulent inflammation.

Deep wounds III-IV stages are characterized by an intensive igniting process, which is characterized by obvious pus, and can stick out of the tissue, and wind the tendon and wind the brush. To carry out the sanation of the wound, which we have resolved, it is recommended to go into surgery, decompetent doctor, clean the wound from the accumulated pus, carry out the prevention of infection, vicorist wound healing with a very high intensity.

For deep wounds of vicorist, dressings of the type PAM-T, Proteox-TM, are changed not more often than once for 1-2 days. As early as one can see a large amount of pus, vicarious bandages of a spongy type. Even before a purulent inflammation, a secondary infection has already arrived, the process of healing is supplemented by the infusion of Purilon gel, which may absorb power.

Video: How to treat bedsores

Prevention

The road, ill that trival therapy may not be needed, as if to attach due respect to the prevention of festering wounds. It includes the obov'yazkovy change of the position of the body of the ailing person at least once in two years.

The place of the greatest pressure is due to light massage, however, it should be remembered that it is impossible to perform intensive massage on the reddish skin.

Comfort and safety of the recumbent patient To provide an anti-decubitus mattress and soft, which is regulated, bed whiteness from natural materials with a smooth texture. Do not mess up the swindle of cats, to cope with the best.

Remember that it is necessary to consult with a doctor before trying to find out if there are any medical needs and medications.

Bedsores - tse poshkodzhenі dіlyanki shkіri, yakі vykayut vnaslidok zdavlyuvannya teknіvnіn іn trіvalny kontaktі z hard surface (lіzhkom, іnvalidny kіslо, tire lean). Decubitus ulcers are caused by bleeding and necrosis of tissues in the area of ​​​​healing of the shkir.

Causes of blame for bedsores

As you can see, eating that sour shkir is sour with the veins of the presence in the blood-bearing vessels. The most important of them, under the name capillaries, penetrate a centimeter of shkir and live at the skin. With a tribal squeeze, the judges squeeze, and no shelter can be found. It is necessary to bring it to the point that the songs of the children of the shkir are bleeding and there is tissue necrosis.

Another reason for the establishment of bedsores is the displacement of the upper balls of the shkir. Tse vіdbuvaєtsya, if the patient is forced to pull on the bed, or to pull up under the new vessel or the whiteness is wet. Everything can lead to destruction of hemorrhage, as a result bedsores are established.

Chinniki riziku viniknennya decubituses

The most sick people before viniknennia decubituses are people who may suffer from vagus, either, navpaki, vysnazhennya, nasty food and drink little, may have a history of diabetes or heart disease, richly drink, suffer from injuries of the head and spinal brain, suffer in the absence of slaughter and feces . Also, unfriendly factors include brudna shkir, folds and seams on the leg, the presence of wrinkles and other objects, as well as an allergy to watching for the shkir.

Mіstsya utvochennya decubitus

Dіlyanki tіla over kіstkovih ledges, like sticking with a hard surface, the most shillnі to utavlenny decubituses. It is practical to repeat the day in these areas of the subcutaneous fat-fat cells, as a building to reduce the pressure on the tissue.

As soon as a person lies on his back for a trivial hour, then bedsores settle on krizhs, side pagorbs, shoulder blades, poticles, heels and elbows.

When lying on the bots, bedsores settle down on the quilts of the area of ​​the great horn, on knees and tassels.

Trivale camping on the stomach to cause necrosis on the pubis and groin to the end.

Grades of severity of bedsores

The fallow, depending on the degree of severity, bedsores are subdivided into six stages:

I stage - the chervoninnya of the shkir's vineyards, which are being crushed, is being redeemed;

Stage II - the shkira bulges, bulges, begins necrosis (deepening) of the upper ball of the shkir;

III stage - on the shkіrі z'yavlyayutsya virazki;

IV stage - the virazki grow and penetrate the m'yazovy ball;

Stage V - mortification and destruction of m'yaziv;

Stage VI - the most important stage, the brush against the cysts, as it can be infected and become infected.

Prevention of bedsores

Prevention of decubitus ulcers includes low entry in patients, contribution to changes in tissue pressure and preservation of normal blood circulation in the skin.

For recumbent ailments, a great sight is of great importance. To change the pressure on the tissues of the recumbent, it is necessary to add a soft spring mattress. For sale, there is a special mattress for bedsores, which may have an effect on massage, improving blood flow in the singing bedsores. You can also beat a foam mattress, since you don’t have the ability to put a mattress in the form of bedsores. It is necessary to change the position of the body of the ailing one, moreover, it is necessary to do it carefully, so as to avoid rubbing that soft tissue. We can easily clean the patient, without crying and third-party objects. Pіd dіlyanki tіla, dezvichay z'yavlyayutsya decubituses, it's necessary to lay rollers or soft pads from foam rubber. Under krizh, you can put a special gumove kolo. All tsі outbuildings (rollers, mattresses from bedsores) increase the area of ​​the body, as they stick to the surface, on which there are ailments. This will significantly improve blood circulation in tissues and reduce the risk of pressure ulcers.

Prevention of decubitus ulcers also includes correct and better turning over of the patient, with minimal risk of injury and rubbing of soft tissues. If you can’t fit in alone, joke around with your helper. Do not follow and drag the wet whiteness that stretched the patient's stomach, it is necessary to lift the lower part of the hand. All manipulations with a look behind the skin and bedding accessories are carried out dbaily and gently.

To change the teasing of the shkіri, beat the soft whiteness (which is more fir, it’s softer) without seams, patches and gudzikiv. For toilet shkіri vikoristovyte soft low-allergenic cosmetic products. Most often, spend the toilet of state organs and troughs, splintering and slashing that feces mayut power to draw shkir. Ensure the optimal temperature regime near the room, keep it warm and dress the ailing person at a fallow temperature, avoiding overheating. Pete teases the skin and raises the rhyme of the viniknennya virazok.

The correct look behind the skin is one of the ways to prevent bedsores. Do not allow the skin to be wet or dry, look after its purity. Vykoristovyte healing and life-giving creams, powders, ointments that dry.

Do not rub the skin when washing and wiping the patient, but lightly blot. Sponges and washcloths mayut buti m'yakimi. In case of a non-trimanny cut, use a diaper or a cutter (for people).

Likuvannya bedsores

No damage to bedsores will not help to overcome the problem of dotty, the docks will not be used to press on fabrics. The main treatment of decubitus ulcers can be directed to the restoration of blood flow in the damaged tissues. For whom vikoristovuyut usі come in for the prevention of decubitus ulcers.

For vіdtorgnennya vіdmerlih fabrics vicoryist vіznі vіd vіd decubitus. Garniy effect may ointment "Іruksol". For swishing wounds, it is necessary to use gauze dressings, soaked with vaseline. You can apply special hydrocolic bandages, so that you have the ability to wash them (to finish the road). Also, special treatment for decubitus ulcers is used, in the presence of different ointments. You can vicorate sea buckthorn oil. In times of development of a secondary infection, which often happens with vindictive bedsores, it is necessary to treat antibacterial infections.

Likuvannya decubituses, like a great area and it’s important to fight, slacken less with a surgical path (transplantation of tissues).

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