Okufanele Ukwazi Nge-Decubitus Ulcers

-Delile

• Ziyini izimpawu zesilonda se-decubitus?
• Izigaba zezilonda ze-decubitus
• Isigaba 1
• Isigaba 2
• Isigaba 3
• Isigaba 4
• Akuqedi
• Yini ebangela i-decubitus ulcer?
• Ubani osengozini yesilonda se-decubitus?
• Ukuhlonza isilonda se-decubitus
• Ukwelapha isilonda se-decubitus
• Uyini umbono wesikhathi eside?

Siyini isilonda se-decubitus?

Isilonda se-decubitus saziwa nangokuthi isilonda sengcindezi, isifo sengcindezi, noma i-bedsore. Kuyisilonda esivulekile esikhunjeni sakho.Izilonda ze-Decubitus zivame ukuvela esikhunjeni esimboze izindawo ezinamathambo. Izindawo ezivame kakhulu zesilonda se-decubitus yilezi:

• okhalweni
• emuva
• amaqakala
• izinqa

Lesi simo sivamile kubantu abenza lokhu:

• badala
• kunciphise ukuhamba
• ukuchitha isikhathi eside embhedeni noma esihlalweni sabakhubazekile
• ayikwazi ukuhambisa izingxenye ezithile zomzimba ngaphandle kosizo
• babe nesikhumba esintekenteke

Isimo siyelapheka, kepha kungaba nzima ukwelashwa izilonda ezijule kakhulu. Umbono othize uncike ezintweni eziningana, kufaka phakathi izimo zezokwelapha eziyisisekelo kanye nesigaba sesilonda.

Ziyini izimpawu zesilonda se-decubitus?

Isigaba ngasinye sesilonda se-decubitus sinezimpawu ezihlukile. Ngokuya ngesiteji, ungahle ube nokulandelayo:

• ukuguqulwa kwesikhumba
• ubuhlungu endaweni ethintekile
• ukutheleleka
• isikhumba esivulekile
• isikhumba esingakhanyi ukuthinta
• isikhumba esithambile noma esiqinile kunesikhumba esizungezile

Izigaba zezilonda ze-decubitus

Izilonda ze-Decubitus zenzeka ngezigaba. Kukhona inqubo yesiteji yokusiza umhlinzeki wakho wezokunakekelwa kwempilo ukukuxilonga nokukuphatha.

Isigaba 1

Isikhumba asiphukile, kodwa sigqamile. Indawo ingavela ibomvu uma unebala elikhanyayo. Ukuguqulwa kombala kungahluka kusuka kokuluhlaza okwesibhakabhaka kuya kokunsomi uma unebala elimnyama. Kungaba nokufudumala nokuvuvukala.

Isigaba 2

Kukhona ukuphuka esikhunjeni okuveza isilonda esingajulile noma ukuguguleka. Kungenzeka kube khona ibhamuza eligcwele uketshezi.

Isigaba 3

Isilonda sijule kakhulu ngaphakathi kwesikhumba. Ithinta ungqimba lwamafutha akho futhi ibukeka njengentaba.

Isigaba 4

Izendlalelo eziningi ziyathinteka kulesi sigaba, kufaka phakathi imisipha yakho nethambo lakho.

Akuqedi

Uqwembe olumnyama, oluqinile olubizwa ngokuthi i- eschar lungaba ngaphakathi kwesilonda, elenza kube nzima ukuhlolwa ngokuphelele. Kwesinye isikhathi udokotela wakho udinga ukucabanga okuqhubekayo noma ukuhlolwa kokuhlinzwa kwendawo ukuthola ubukhulu besilonda. Isilonda singabuye sibe nemfucumfucu enemibala eyaziwa ngokuthi i-slough (ephuzi, e-tan, eluhlaza, noma ensundu), okwenza ukuhlolwa okugcwele kube nzima.

Yini ebangela i-decubitus ulcer?

Ukucindezela isikhathi eside empeleni kuyimbangela enkulu yesilonda se-decubitus nezinye izinto ezinjengomswakama, ukusakazeka okungalungile, kanye nokudla okunomsoco okunomthelela. Ukulala engxenyeni ethile yomzimba wakho isikhathi eside kungadala ukuthi isikhumba sakho sidilike. Izindawo ezizungeze okhalweni, izithende namathambo omsila zisengozini enkulu yezilonda zengcindezi.

Umswakama owedlulele kanye nezicasuli zesikhumba ezifana nomchamo nendle, okubangelwa ukungabi nenhlanzeko kahle, nakho kungaba nomthelela ekwakhekeni kwesilonda se-decubitus. Ukungqubuzana nakho kunomthelela, njengalapho umuntu olele embhedeni ehudule amashidi ngaphansi kwawo.

Ubani osengozini yesilonda se-decubitus?

Kunezici eziningana zobungozi bezilonda ze-decubitus:

• Ungaba sengozini uma ungakwazi ukunyakaza noma ukushintsha izikhundla wedwa ngenkathi ulele embhedeni noma uhleli esihlalweni sabakhubazekile.
• Isikhumba sakho singaba ntekenteke futhi sithambe uma ungumuntu omdala osekhulile, okungakubeka engcupheni eyengeziwe.
• Imikhuba emibi yokudla noma ukungatholi izakhamzimba ezanele ekudleni kwakho kungathinta isimo sesikhumba sakho, okungakhuphula ubungozi bakho.
• Izimo ezinjengesifo sikashukela zingakhawulela ukujikeleza kwegazi lakho, okungadala ukubhujiswa kwezicubu esikhunjeni sakho futhi kwandise ubungozi bakho.

Ukuhlonza isilonda se-decubitus

Umhlinzeki wakho wezokunakekelwa kwempilo angakudlulisela ethimbeni lokunakekelwa kwezilonda lodokotela, ongoti, nabahlengikazi abanolwazi ekwelapheni izilonda zengcindezi. Iqembu lingahlola isilonda sakho ngokususelwa ezintweni eziningana. Lokhu kufaka phakathi:

• ubukhulu nokujula kwesilonda sakho
• uhlobo lwezicubu ezithinteka ngqo yisilonda sakho, njengesikhumba, imisipha, noma ithambo
• umbala wesikhumba othintwe yisilonda sakho
• inani lokufa kwezicubu okwenzeka kulonda lwakho
• isimo sesilonda sakho, njengokubakhona kokutheleleka, iphunga elinamandla, nokopha

Umhlinzeki wakho wezokunakekelwa kwempilo angathatha amasampula oketshezi nezicubu ku-ulcer yakho ye-decubitus. Ngaphezu kwalokho, bangahle babheke izimpawu zokukhula kwamagciwane kanye nomdlavuza.

Ukwelapha isilonda se-decubitus

Ukwelashwa kwakho kuzoncika esiteji kanye nesimo sesilonda sakho. Ukwelashwa kungafaka:

• imithi
• ukunakekelwa kwesilonda sendawo, kufaka phakathi izincomo ezithile zokugqoka
• izinguquko zendlela yokuphila, njengokubeka kabusha kaningi nokusebenzisa amakhushini akhethekile wokulayisha ngaphandle, kanye nokukhetha ukudla okunempilo
• ukwelashwa kwanoma yikuphi ukutheleleka okukhona
• ukuhlinzwa

Izidakamizwa ezilwa namagciwane zingaphatha ukutheleleka. Ungase futhi uthole imithi yokwehlisa noma yokunciphisa noma yikuphi ukungahambi kahle.

Inqubo yokususa izicubu ezifile noma ezinegciwane ezibizwa ngokuthi ukususwa komzimba inganconywa udokotela wakho.

Ukugcina indawo ihlanzekile, yomile futhi ingenazinto ezicasulayo kubalulekile ukukhuthaza ukwelashwa.

Ukulayisha ngaphandle ingcindezi kanye nokubeka kabusha njalo kubaluleke kakhulu lapho welapha isilonda se-decubitus. Ukunciphisa ukungqubuzana endaweni nakho kubalulekile.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuguqulwa okuvamile kwesilonda sakho.

Ezinye izindlela zokwelapha zibaluleke kakhulu kwizilonda ezisezingeni eliphakeme (njengokukhucululwa kokuhlinzwa kanye nokwelashwa kokulimala okulimazayo esigabeni sesi-3 kanye nesine sezilonda), kuyilapho zonke izilonda zingazuza kumasu ejwayelekile okwelashwa njengokunciphisa ukungqubuzana nomswakama endaweni, ukugcina indawo ihlanzekile , ukucindezela kokulayisha nokubeka kabusha njalo, nokwenza ngcono ukukhetha kokudla.

Isu lakho lokwelashwa elithile lincike ezicini eziningana, futhi udokotela wakho uzoxoxa nawe ngalokho okungaba ngcono kakhulu ngesilonda sakho esithile.

Uyini umbono wesikhathi eside?

Inqubo yakho yokuphulukiswa incike esigabeni sesilonda sakho. Lapho isheshe yatholakala, ngokushesha ungaqala ukwelashwa nokululama.

Umhlinzeki wakho wezokunakekelwa kwempilo angaphakamisa ukuthi ushintshe indlela odla ngayo. Izigaba zakamuva zivame ukudinga ukwelashwa okunolaka nezikhathi zokululama ezinde.