Bedsores: kev tiv thaiv. Kev kho mob ntawm bedsores nyob rau hauv bedridden cov neeg mob

Bedsores - ib qho ntawm feem ntau yam tab kaum, tshwm sim nyob rau hauv bedridden cov neeg mob. Yuav ua li cas yog nws?

Hu bedsores lub cev nqaij mos hloov nyob rau hauv lub cheeb tsam (los yog ntau tshaj) vim heev kev sib cuag nrog ib tug khoom nto. Tej kev hloov provoked los ntawm cov ntshav ncig, cov qog ntshav thiab paj mov.

Nws yog ib qho tseem ceeb kom nkag siab txog uas sawv cev rau ib tug decubitus kev tiv thaiv thiab kev kho mob ntawm lawv.

txoj kev loj hlob nta

Lawm siab tawm nyob rau sab ntawm lub cev uas ib tug neeg lus dag, nyob rau hauv tej thaj chaw uas muaj feem rau ntawm qhov chaw. Yog li ntawd, nrog tus neeg mob nyob rau hauv lub rov qab ntawm bedsores nyob rau hauv bedridden cov neeg mob feem ntau tsim nyob rau hauv lub pob tw, sacrum, coccyx, luj, nyob rau hauv lub xub pwg tuaj, nyob rau theem ntawm cov spinous kev ntawm cov nqaj qaum. Yog hais tias ib tug neeg lus dag nyob rau hauv nws lub plab, bedsores zaum yuav tshwm sim nyob rau hauv xws cov ntsiab lus ntawm kev sib cuag nrog tus nto: lub hauv caug cheeb tsam, pem hauv ntej saum npoo ntawm lub hauv siab phab ntsa, iliac crests. Thaum ib nrab-zaum txoj hauj lwm, ib tug raug qhov chaw ntawm yeej - pob tw cheeb tsam.

Tab sis nws yog tsis cais, thiab cov Cuam tshuam cheeb tsam, uas tsis muaj npe saum toj no. Piv txwv li, siab ulcers (dluab ntawm tus kab mob no yuav muaj nyob rau hauv cov kev kho mob reference) tej zaum kuj tsim nyob rau hauv lub occipital cheeb tsam thiab nyob rau hauv lub folds nyob rau hauv lub ob lub mis. Tej zaum ib qhov chaw nyob rau hauv lub xub ntiag ntawm casts nyob rau hauv qhov chaw ntawm lawv cov snug haum ntawm cov khoom mus rau ntawm daim tawv nqaij, siv oilskin fabrics, roj hmab hlab, catheters, prostheses. Qhov ntawd yog vim lub localization ntawm qhov chaw uas nws muaj ua yam.

Tsis tas li ntawd ib qho tseem ceeb yog cov mob ntawm tus neeg mob. High kev pheej hmoo ntawm ntau sai kev loj hlob ntawm siab ulcers thaum general qaug, muaj yog stagnation, uas yog feem ntau pom nyob rau hauv lub plawv tsis ua hauj lwm, nyob rau hauv cov neeg mob uas muaj nyob rau ntawm ib advanced muaj hnub nyoog. Nyob rau hauv cov tub ntxhais, cov neeg tsis paub, on qhov tsis tooj, nws yog tsis zoo li cov tsos ntawm bedsores. Thiab yog hais tias lawv tsis tshwm sim, lawv tsis tshua muaj tsim kom txog thaum lub tom qab ua sawv. Tab sis nyob rau tib lub sij hawm nws yuav tsum tau nco ntsoov hais tias hais tias, vim yog lub gradual kev loj hlob ntawm qhov txhab nyob rau hauv cov neeg mob no, tej zaum koj yuav hla tus thawj cov tsos mob ntawm tus kab mob.

Nyob rau hauv yuav luag txhua tus neeg mob siab ulcers txoj kev loj hlob yog ib yam txawv, txawv yog lub sij hawm xwb ntawm txhua theem. Thaum pib yog yeej ib txwm ntshav stasis ua cia li muab, yog tias tsis kho, lub cuam tshuam ntaub so ntswg ua necrotic.

Yuav ua li cas yog qhov uas yuav muaj siab ulcers?

Qhov txaus ntshai txuam nrog lawv mob. Txij li thaum nyob rau hauv Feem ntau siab qhov ncauj tawm nyob rau hauv bedridden cov neeg mob tsim sai heev thiab tag nyob rau hauv ib tug luv luv lub sij hawm yuav fester thiab necrotic loj cheeb tsam feem ntau muaj rau excise mob cov ntaub so ntswg. Qhov no tej zaum kuj ua rau yus muaj kev cuam tshuam ntawm cov ntshav mov thiab innervation ntawm lub cheeb tsam surrounding, uas nyob rau hauv lem ua rau muaj kev cuam tshuam ntawm lawv ua hauj lwm.

Nyob rau hauv tej rooj plaub, rau qhov tsim nyog ntawm kev loj hlob ntawm bedsores yog qhov yuav tsum tau rau txiav tes txiav taws lub limb. Tsis tas li ntawd, necrotic dab yuav tsim nyob rau hauv lub periosteum los yog pob txha, roj gangrene los yog sepsis.

Nws tseem yog ib qho tseem ceeb tias cov dab uas tshwm sim nyob rau hauv lub cev thaum lub sij hawm txoj kev loj hlob ntawm siab qhov ncauj tawm, lawv kev kho mob, yuav tsum tau txiav txim siab zog tawm tswv yim, yog li deplete tus neeg mob, yog li exacerbating lub chav kawm ntawm lub lwm tus kab mob. Tshwj xeeb tshaj yog txaus ntshai festering bedsores.

Yog li, nws yog ib qho tseem ceeb kom nkag siab txog yuav ua li cas kom paub txog bedsores. Etiology, pathogenesis, kev tiv thaiv thiab kev kho mob ntawm ulcers siab nyob rau hauv txawv qhov chaw no zoo heev.

Yog vim li cas yog muaj decubitus?

Yog vim li cas rau lawv txoj kev loj hlob yog neeg pluag ncig nyob rau hauv ib tug tej yam cheeb tsam ntawm daim tawv nqaij. Qhov no yuav tshwm sim nyob rau hauv ib tug ob peb tus neeg mob.

Feem ntau cov feem ntau qhov no tshwm sim yog cai nyob cia li muab cov hlab ntsha, tshwj xeeb tshaj yog thaum lub sij hawm compression tshaj ob sij hawm, uas yog nyob rau ntawm lub ntev nyob rau hauv ib txoj hauj lwm. Ntaub so ntswg, uas tsis nkag rau hauv cov ntshav, necrotic, thiab nws twb yog tsim bedsores.

Ib tug tau ua yog microdamages thiab me me hlab ntsha nyob rau hauv daim tawv nqaij. Qhov no tej zaum yuav tshwm sim thaum los ntawm tus neeg mob rub ntub ntaub so ntswg, e.g., contaminating daim ntawv. Tej zaum kev raug mob tshwm sim raws li ib tug tshwm sim ntawm cov tib neeg npaj siab rau nws tus kheej hloov txoj hauj lwm los yog txav. Yog li ntawd, koj yuav tsum tsis txhob muaj kev sib txhuam, me kev puas tsuaj rau ntawm daim tawv nqaij thiab qog ua kua week, thiab nyob rau hauv tus tib neeg lub siab kom tig ib ncig los yog ua ib yam dab tsi koj yuav tsum tau sim mus pab nws.

Yog hais tias koj paub ua siab qhov ncauj tawm ua, kev tiv thaiv, kev kho mob ntawm no pathology yog nqa tawm kom zoo thiab zoo.

Uas tsub kom kev pheej hmoo ntawm kev tsim siab ulcers?

Nyob rau hauv thiaj li yuav to taub li cas bedsores, dab tsi yog qhov ua rau, kev tiv thaiv thiab kev kho mob ntawm dab tsi yog ib qho tseem ceeb kom paub tias, uas muaj feem xyuam rau txoj kev pheej hmoo ntawm lawv tshwm sim. Muaj ntau ntau yam tseem ceeb. Ib txhia ntawm lawv yog kev cob cog rua nrog lub peculiarities ntawm tus neeg mob tus mob, thaum lwm tus neeg - nrog rau cov koom haum ntawm kom zoo mob rau bedridden cov neeg mob.

yog cov yam ntxwv ntawm thawj pab pawg neeg ntawm feem ntau tseem ceeb yam:

• Hnub Nyoog - kev raug mob ntawm cov neeg laus cov neeg mob.
• Nyhav - yog ib tug uas muaj feem yuav thiab nyhav dhau heev lawm, thiab tsis txaus. Qhov ntau dua qhov nyhav, ntau dua qhov lub siab rau lub ntsiab lus ntawm lub cev them nyiaj yug. Tab sis underweight yog feem ntau Schedule havzoov ntawm lub cev, thiab tseem yog ib tug predisposing tau tsis tsuas yog rau cov tsos tab sis kuj rau ntau sai kev loj hlob ntawm necrotic dab.
• Mob plawv thiab circulatory system - nyob rau hauv pathologies ntawm no hom yuav tsim congestion nyob rau hauv lub plawv system, nws yog yooj yim puas hlab ntsha, tseem ceeb yog muaj kev cuam tshuam, provoking ua txhaum ntawm lawv cov ntseeg.
• Concomitant kab mob - ib tug tshwj xeeb qhov chaw ntawm no coj tus kab mob, ua rau muaj kev cuam tshuam ntawm innervation (xws li ua ntej stroke), raws li zoo raws li cov neeg nyob rau hauv uas ua txhaum cov metabolic dab (xws li, ntshav qab zib).
• Khoom noj khoom haus thiab haus - dangerously tsis txaus kom tsawg ntawm cov kua thiab cov zaub mov, tshwj xeeb tshaj yog ib qho tseem ceeb los mus saib xyuas cov nyiaj uas muaj protein ntau nyob rau hauv cov khoom noj.
• Cov impossibility ntawm nws tus kheej-tswj tso zis thiab defecation - nws yog pom tias yog hais tias tus neeg mob tsis nco qab lawm, tuag tes tuag taw los yog tsis tau los tswj lawv tus cwj pwm thiab lub xeev raws li ib tug tshwm sim ntawm dementia.
• Profuse tawm hws - tej zaum yuav ua tau ib tug rau txim ntawm metabolic los yog endocrine ntshawv siab, thiab ib tug tshwm sim ntawm lub xub ntiag ntawm kub ib ce.
• Nta ntawm xaav ntawm cov tshuaj - phiv tau yuav yog cov tsos ntawm kev tsis haum tshuaj rau cov tshuaj siv rau kev tu tawv nqaij nyob rau hauv tej qhov chaw uas siab qhov ncauj tawm kev tsim. Kev tiv thaiv, kev kho mob ntawm bedsores implies qhov yuav tsum tau coj mus rau hauv tus account tag nrho cov nta ntawm ib tug neeg mob lub cev.

Rau qhov thib ob pab pawg neeg yam muaj xws li kev kho mob. Ua kom cov ntxim yuav zoo siv ntawm kev tsim siab ulcers yog ib tug tsis tshua muaj kev hloov ntawm txaj khaub ncaws, tsis muaj los yog kev coj kev tu cev, ntev li roughness thiab hardness ntawm qhov chaw uas tus neeg mob lies, muaj cov khoom noj nyob rau hauv txaj, me me khoom.

Bedsores: yuav ua li cas kom paub txog lawv?

Yog hais tias tus neeg mob yog meej pem thiab tau muab khaws cia tseg rhiab heev, nws muaj peev xwm tham txog subjective txoj kev xav rau cov neeg uas tu lawv. Cov cim ntawm qhov pib ntawm bedsores muaj xws li kev tsis txaus siab ntawm tingling. Nws tshwm sim raws li ib tug tshwm sim ntawm stagnation ntawm cov ntshav thiab cov qog nyob rau hauv ib qho chaw qhov twg lub siab yuav tshwm sim ntawm pathological dab ua rau lub tsim ntawm bedsores, yog hais tias tsis tau tus tsim nyog ntsuas. Raws li ib tug tshwm sim ntawm lub stagnation ntawm lub qab haus huv tsis tau txais txaus noj haus, thiab subjectively nws pom tau tias zoo li ib tug tingling. Tom qab ob peb teev tau poob ntawm nov ntawm nqaij tawv, kev xav ntawm xws li loog loog nyob rau hauv cov cheeb tsam ntawm daim tawv nqaij, uas tsis nkag rau hauv cov hlab ntsha.

Tom qab ib co sij hawm, muaj cov pom tej yam tshwm sim. Cov ntsiab lus ntawm kev sib cuag projecting qhov chaw ntawm lub cev nrog rau cov txee tshwm xiavlus-liab tsuas - venous erythema. Lawv tsis muaj zoo-txhais npoo. Lawv xim yuav ua tau tag nrho ob qho noo thiab tsis yog hnov li cas.

Yog hais tias xws tej yam tshwm sim yog pom, koj yuav tsum nqa tam sim ntawd txiav txim kom tiv thaiv tau kev loj hlob ntxiv ntawm pathological dab nyob rau hauv lub cuam tshuam cov cheeb tsam. Koj yuav tsum tau ceev faj kom paub txog bedsores. Kev tiv thaiv, kev kho mob ntawm bedsores, qhov ntau zoo ua ntej thawj cov cim qhia tau pom, thiab tej yam coj mus rau qhov lawv.

Pab nyob rau ntawm lub thawj kos npe rau ntawm siab qhov ncauj tawm

Rau kev tiv thaiv thiab kev kho mob nyob rau ntawm ib thaum ntxov rau theem ntawm lawv txoj kev loj hlob yuav tsum tau ntsuas rau ib tug txawm ntau txhij txhua tus neeg mob mob, muab nws lub sij hawm yuav nyob rau hauv ib tug xis thiab yog hwj tau lub cev.

Siv tshwj xeeb txaj uas pab cov neeg uas yog tam sim no bedsores. Kev tiv thaiv thiab kev kho mob ntawm cov chaw - qhov ncaj lub hom phiaj uas lawv tau ua. Tej anti-decubitus txaj yog ob hom: cellular thiab zais pa. Lawv yog nruab nrog compressors, ntsiag to rau koj khiav lag luam thiab muaj cov kev tsim nyog hardness ntawm qhov chaw uas tus neeg mob cov lus dag. Rau cov neeg mob uas tau ntev tau nyob rau hauv ib rooj log, koj muaj peev xwm siv tshwj xeeb hauv ncoo uas muaj cov huab cua, ua npuas ncauj los yog gel.
Yog hais tias tus neeg ntawd yog nyob rau hauv lub supine txoj hauj lwm, nws yog ntshaw tias lub taub hau ntawm lub txaj yog ib tug me ntsis tsawg dua lossis dej ntws yaug nrog rau lub cev.

Ib qho tseem ceeb tshaj - tsis tu kev hloov nyob rau hauv lub cev txoj hauj lwm. Yog hais tias muaj yog tsis muaj contraindications, nws yuav tsum tau ua raws li feem ntau raws li txhua txhua 2 teev. Yog li ntawd nws yog ntshaw kom siv ib tug qhia tshwj xeeb uas tsim ncoo. Lawv pab mus hloov tus txheej xwm ntawm tej qhov chaw ntawm lub cev txheeb ze mus rau qhov chaw uas lus dag ib tug txiv neej. Vim qhov no rau ib tug thaum nyob nruab nrab ntawm tus neeg qhov chaw ntawm daim tawv nqaij thiab lub txaj yog chaw, muaj yog tsis muaj compression ntawm cov hlab ntsha, thiaj li yuav ua rau muaj ntawm txoj kev loj hlob thiab vam meej ntawm bedsores. Cov neeg mob uas muaj nyob rau hauv ib rooj log, lub cev txoj hauj lwm kev hloov uas yuav tsum tau txhua txhua teev. Lub txaj uas tus neeg mob lies, koj yuav tsum perestilat tsawg kawg ib zaug ib hnub twg. Nws yog ib qho tseem ceeb los mus saib xyuas qhov mob ntawm txaj khaub ncaws - txaus ntshai wrinkling, tau txais cov khaub ncaws tej yam khoom noj los yog lwm yam me me yam khoom uas yuav ua rau daim tawv nqaij voos thiab microdamages.

Ntawm kuj zoo kawg tseem ceeb yog kev tu cev tawv nqaij. Kev mloog yuav tsum tau them mus rau lawv ya. Yuav kom tswj tau qhov no yam ntxwv thiab cov kev tiv thaiv ntawm ntau noo noo siv ib tug tshwj xeeb hmoov, cream, kev daws teeb meem, tshuaj tsuag, kom tsawg ntawm sov (tsis yog kub kub) da dej. Cov kev tu cev cov txheej txheem yuav tsum tau ua yam tsawg ob zaug ib hnub twg. Nyob rau hauv tas li ntawd, thaum lub sij hawm tso zis thiab defecation yuav tsum tau sai li sai tau tshem tawm cov kab mob sib kis los ntawm daim tawv nqaij thiab khaub ncaws. Rau lub hom phiaj no, raws li zoo raws li tshem tawm hws, khoom noj khoom haus cov khib nyiab, paug wounds, siv cov pawm, phuam da dej, napkins, pawj, ntxeem tau dej los.

Permissible stroking qhov chaw ntawm daim tawv nqaij uas muaj cov cim qhia ntawm stagnation, tab sis nws yog tsis yooj yim sua rau tshiav cov chaw, ua intensive zaws. Tej yam ua yuav ua rau muaj mob acceleration ntawm tus txheej txheem.

pathogenesis

Nyob rau hauv lub pathogenesis ntawm siab qhov ncauj tawm yog plaub theem ntawm kev loj hlob. Thaum lub sij hawm theem kuv daim tawv nqaij ntawm qhov chaw ntawm kev sib cuag nrog rau sab nraum qhov chaw ntawm cov venous erythema. Qhov ua rau ntawm erythema - ib tug ua txhaum ntawm lub outflow ntawm cov ntshav. Externally erythema tshwm li xiavlus-liab chaw, lub siab-sensitive daim tawv nqaij nyob rau hauv lub cheeb tsam cov puv dawb. Qhov kub nyob rau hauv lub erythema yog tib yam li tus so ntawm daim tawv nqaij los yog me ntsis hauv qab no. Feem ntau qhov chaw ntawm kev loj hlob - bony prominences. Cov tawv nqaij tseem lawm, muaj yog tsis muaj kev ua txhaum cai ntawm txoj kev ntseeg.

Nyob rau hauv theem II decubitus tshwm sim thinning ntawm lub epithelium, daim tawv nqaij flakes, npuas yog tsim nyob rau ntawd. Qhov no yog tag nrho ib tug tshwm sim ntawm kev noj mob ntaub so ntswg, uas tshwm sim vim cov ntshav stagnation. Nws ua rau ib tug ua txhaum ntawm innervation. Nyob rau hauv tas li ntawd, daim tawv nqaij accumulates kua, daim tawv nqaij hlwb o thiab nws thiaj li tawg thiab tuag. Yog li, nyob rau ntawm no theem twb muaj pom daim tawv nqaij qhov chaw mob, maceration tau cai nyob rau hauv lub cuam tshuam cov cheeb tsam.

Rau cov kauj ruam III decubitus txhab tsos yam ntxwv. Yog hais tias nws tau txais pathogenic microflora yuav tsim festering. Nws yog nyob rau ntawm no theem nyob rau hauv lub pathological txheej txheem yuav ntxaum khaubncaws sab nraud povtseg ntawm daim tawv nqaij, subcutaneous cov ntaub so ntswg, mob, necrotic dab pib. Necrosis thiab yuav ua rau muaj ntawm purulent o sawv cev rau ib tug lossis loj kev hem thawj rau lub noj qab haus huv ntawm tus neeg mob.

Nyob rau hauv kauj ruam IV muaj ib tug tseem ceeb defect yog tam sim no nyob rau hauv ib tug nqaij mos kab noj hniav, uas yuav pom nyob rau ntawm cov phab ntsa ntawm purulent o. Qhov ua rau ntawm lub nce thiab cov kab noj hniav - cov ntaub so ntswg necrosis.

Ib tug txiv neej nyob rau hauv ntau qhov chaw ntawm lub cev tej zaum yuav muaj siab qhov ncauj tawm, uas yog nyob rau ntawm ntau theem ntawm kev loj hlob.

tau teeb meem

Feem ntau cov teeb meem tshwm sim thaum lub sij hawm txoj kev loj hlob ntawm siab ulcers vim raug mus rau lub puas feem ntawm pathogenic cov kab mob. Feem ntau cov feem ntau nws yog Staphylococcus los yog tus kab mob Streptococcus, tab sis muaj tej zaum zoo yuav tsum tau tus neeg mob ntawm kab mob sib kis thiab lwm yam kab mob pyogenic.

Feem ntau cov feem ntau suppurative dab nyob rau hauv bedsores tsim nyob rau hauv hom erysipelas los yog cellulitis. Nyob rau hauv tus neeg mob ntawm lub tuam qaug, tsis muaj zog tiv thaiv los yog kev koom haum ntawm tu ntsuas, tsis txaus kev kho mob ntawm siab qhov ncauj tawm tej zaum yuav tsim txoj sia teeb meem, xws li sepsis thiab roj gangrene.

Bedsores nyob rau hauv cov neeg mob tej zaum yuav pib fester rau lub thib ob los yog peb theem, thaum lub qhov chaw ntawm lub puas epithelium tshwm los yog ib tug qhib lub qhov txhab, ces muaj yog ib tug ntxiv kev loj hlob ntawm purulent dab.

Yog li ntawd, yog hais tias muaj yog qhov ncauj tawm, kev tiv thaiv thiab kev kho mob yog tsim nyog tsis tsuas mus rau lawv, yog ib qho tseem ceeb thiab nruj tswj tshaj lub xeev ntawm tus kab mob. Tus neeg ras heev yuav tsum ua ib tug sawv nyob rau hauv lub cev kub, ua tsis muaj zog, mob taub hau, o ib ncig ntawm lub tsos ntawm bedsores, daim tawv nqaij heev nyob ib ncig ntawm nws txho, putrid tsw los ntawm lub qhov txhab, thiab lwm yam kev hloov.

Raug localization ntawm bedsores

Nyob rau txoj hauj lwm nyob rau hauv uas tus neeg mob cov lus dag, yog qhov chaw uas muaj decubitus kev tiv thaiv thiab kev kho mob lawv tej zaum yuav txawv.
Kev mloog yuav tsum tau muab rau cov kev xaiv rau lawv tau localization ntawm txoj hauj lwm ntawm ib tug neeg rau nws rov qab. Nyob rau hauv cov ntaub ntawv no, feem ntau nquag tshwm sim decubitus rau heels, pob tw, coccyx, nyob rau hauv lub cheeb tsam ntawm lub nplooj pu.

Cov tshwm sim ntawm siab ulcers nyob rau hauv lub luj taws feem ntau. Yog li ntawd yuav ua li cas feem ntau cov laus uas tam sim no stagnation nyob rau hauv lub ob txhais ceg, ua nyob rau hauv siab rau lub heels ntawm xws dab xwb compounded. Nyob rau hauv tas li ntawd, feem ntau ntawm daim tawv nqaij nyob rau hauv cov chaw no yog xav paub ntau tuab lub cev, ces nws yog ib qhov nyuaj rau pom thawj cov cim qhia ntawm tus kab mob. Tib yam vim li, qhov no localization bedsores (kev kho mob rau lawv) yuav tsum tau ntev thiab tau ceev faj heev sai sai.

Siab qhov ncauj tawm rau ntawm pob tw txaus ntshai vim hais tias cheeb tsam no ntawm lub cev yog nyob ze rau ib qho tseem ceeb kabmob. Defeat cov lub cev tsis tau tsuas yog yuav tsum tau ceev faj kev kho mob, tab sis tej zaum yuav nyob rau hauv lub neej yav tom ntej muaj ib tug muaj zog feem nyob rau kev mob thiab hauj lwm ntawm lub cev, txawm kom lub neej. Yog li ntawd, koj yuav tsum siv zog los mus tiv thaiv xws bedsores. Kev tiv thaiv thiab kev kho mob (cov duab depicting lub tsos ntawm no hom ntawm siab ulcers, yog muaj nyob rau hauv tshwj xeeb cov phau ntawv Magazine) xws puas tsuaj yuav tsum tau nqa tawm raws li cov kev cai. Txwv tsis pub yog ib tug muaj zog yuav hais tias cov txheej txheem yuav ua rau undesirable txim.

Decubitus kev kho mob thiab kev tiv thaiv

Nyob rau hauv tas li ntawd mus rau lub kev txawj ntse uas yog bedsores, qhov uas lawv muaj peev xwm yuav nyob thiab yuav ua li cas mus nrhiav, yuav tsum tau paub txog yuav ua li cas los kho lawv thiab yuav ua li cas tiv thaiv lawv tshwm sim. Cov kev kho mob ntawm ulcers siab nyob rau hauv ib tug neeg mob muaj xws li ib daim tawv nqaij kho mob nyob rau hauv kev tu cev, tiv thaiv thiab nruj me ntsis kho lub hom phiaj. Qhov no kev kho mob yuav tsum tau nqa tawm tsis tu ncua.

Nws yog ib qho tseem ceeb kom nkag siab txog vim li cas yog vim li cas muaj qhov ncauj tawm. Kev tiv thaiv, kev kho mob ntawm bedsores thiab yuav tsum tau mastered. Cov kab mob daim tawv nqaij kev kho mob yog ua rau muaj kev ruaj ntseg theem ntawm nws yooj yim zog thiab cov yam ntxwv: pH, ya raws, elasticity. Nws yuav tsum tau lub sij hawm los mus tshem tawm paug.

Tiv Thaiv kev kho mob yuav txiav txim, pab txoj kev ntshav thiab daim ntawv rov ntxiv ntawm daim tawv nqaij rhiab heev thiab lwm ntaub so ntswg. Tsis txhob hnov qab tias tus raug mus rau lub tsos ntawm bedsores thiab suppurative dab puas daim tawv nqaij, ces koj yuav tsum mus nqa tawm tiv thaiv kev txij nkawm ntawm nws cov dryness thiab cov tsos ntawm cov kab nrib pleb rau nws.

Kev kho mob yog ib qho tseem ceeb heev. Ua li no, twb yuav tsum tau tshwj xeeb cov tshuaj. Tam sim no muaj ntau ntau ntawm lawv, lawv muaj nyob rau hauv ntau yam versions thiab cov ntaub ntawv. Anti-bedsore siv ntau yam tshuaj pleev, tshuaj kua, hmoov, kev daws teeb meem, tshuaj tsuag. Txhua ntau npaum daim ntawv muaj cov yam ntxwv: contraindications, txoj kev ntawm kev siv. Nws yog yog li ntawd ib qho tseem ceeb thaum xaiv ib tug kho mob rau tham nrog ib tug tej ti teg taw.

Yuav ua li cas yog qhov zoo tshaj plaws kho bedsores? Xyuas ntawm cov neeg uas tau kev nyuaj siab qhov teeb meem no, cia rau faib ib co ntawm cov feem ntau variants ntawm kev daws teeb meem muaj tau ntse thov nyob rau hauv xws li mob. Rau lwm machining yog pom zoo kom siv magnesium sulfate tshuaj (25%) los yog hypertonic (10%) sodium tshuaj dawb tov nrog chymotrypsin thiab intravenously muab 0.5% metronidazole tshuaj. Nws yog undesirable siv poov tshuaj permanganate, iodine, ci ntsa iab ntsuab.

Nws yog ib qho tseem ceeb saib mus rau nws hais tias tsis yog ib tug tshiab tawm yuav tshwm sim. Kev tiv thaiv, kev kho mob ntawm ulcers siab feem ntau yuav tsum tau ib tug ntau ntawm kev rau siab, lub sij hawm-siv txhais tau tias.

Txiav txim siab tseem ceeb yog tus neeg mob txoj kev noj haus. Cov khoom noj yuav tsum tau tam sim no nyob rau hauv yuav tsum tau npaum li cas vitamins, minerals, tshwj xeeb tshaj yog zinc thiab hlau, cov nqaijrog, tsim nyog noj ntawm cov zaub thiab txiv hmab txiv ntoo. Nws yog pom zoo kom muaj xws li nyob rau hauv cov khoom noj ntawm khoom noj siv mis, ntses, qe, cov nqaij (dua li nqaij qaib). Yog hais tias ib tug neeg yog ib qhov nyuaj rau noj nqaij, nws yuav tsum tau hloov broth.