Ukwephulwa okukhulu kwezicubu ze-trophic nokujikeleza kwegazi kuholela ekwakheni izilonda ezijulile ne-necrosis yesikhumba. Lesi sifo sidinga indlela ehlanganisiwe esebenzisa izidakamizwa zesistimu kanye nezendawo. I-ointment kusuka ku-decubitus iyinkampani ephoqelekile yokwelashwa kwalesi sifo, emva kokulungiselela konke okukhethiwe kahle kuvumela ukuhlanza ngokucophelela, ukukhipha igciwane lesilonda, nokusheshisa ukuphulukisa, ukubuyisela isikhumba.
Ungakhetha kanjani amafutha angcono kakhulu okulala?
Kunconywa ukuthi imithi yendawo, kuhlanganise namafutha, kufanele ibekwe odokotela abaya khona. Lapho ukhetha ikhambi, kubalulekile ukuba unake isiteji sokuqhubekela phambili kwezinkinga zokulala kanye nemigomo elandelayo:
- indawo yangakini yomonakalo;
- usayizi wamanxeba;
- i-degree of tishu necrosis;
- ukutholakala kwenqubo ye-septic nokuvuvukala;
- izinga lokusabalala kwezilonda.
Amagama amafutha asebenzayo avela ku-decubitus ezinyathelweni ezingu-1-2 zokuthuthukiswa
Ukuze ukwelashwa nokuphulukiswa kokudala umonakalo wezinga elilodwa, amalungiselelo wendawo akhuthaza ukujikeleza kwegazi, ukujikeleza kwe-lymph, ukusheshiswa kokuvuselelwa kwesikhumba kufanelekile:
- I-Actovegin;
- I-solcoseryl;
- I-Algophine.
Futhi watusa amafutha avela ku-bedsores ngesiliva:
- Sulfargin;
- Argosulfan;
- Dermazin.
Le mithi ikhiqiza umphumela we-antimicrobial, yanciphisa amandla okushisa nokuhlunguphazwa kwesifo, ngcono ukubuyiswa kwama-dermis nezicubu zesikhumba.
Enye ikhambi lendawo eliphumelelayo yi-Vulnuzan. Lesi sidakamizwa sinomsebenzi we-antimicrobial, iyeka izinqubo ezibuhlungu nezivuvukala.
Isigaba sesibili senkinga echazweyo akubonakali ukulimala okungenasici kwesikhumba, kodwa ngokugranulation. Ngakho-ke, ukwelashwa kwalo kudinga ukugcoba ngamafutha okumiswa ngokumelene ne-decubitus, ngesikhathi esifanayo kuvuselela ukulahla izicubu ezifile, izixuku eziphuthumayo futhi kusebenze izinqubo zokuvuselelwa. Izakhiwo ezibalwe zikhona ngemithi enjalo:
- IBetadine;
- I-Methyluracil;
- i-zinc ointment;
- I-Ethonia;
- Tiotriazolin.
Endabeni yokuvuvukala kwe-septic, ama-antibacterial asetshenziselwa ukwelashwa kwezigaba kamuva ze-pathology kufanele afakwe ekwenzeni ukwelashwa.
Amafutha okwelashwa kwama-bedsores 3-4 amazinga okuqhubekayo
Izinhlobo ezimbi zesifo esibuzwayo zivame ukuhambisana ne-necrosis ejulile ye-dermis nezendlalelo ezingaphansi. Ama-ulcers adinga ukuhlanzwa ngokugcwele emzimbeni we-purulent exudate kanye nezicubu ezifile ngokulandelwa kwezikhangiso ezifihliwe. Ngakho-ke, ukwelashwa kwamafutha okulala okuyinkimbinkimbi ngama-antibiotic kunqunywe:
- Levomekol;
- Sulfargin;
- Levosin.
Amandla ama-antimicrobial amahle kanye nezindawo zokulwa nesifo sofuba zikhona ngemithi engenhla ene-silver ions kanye namalungiselelo anjalo:
- I-Metrogil;
- Iruksol;
- i-metronidazole gel;
- Ukuhlukunyezwa.
Ngemva kokuhlanza ama-decubituses nokususa izicubu zesifo sochungechunge, kubalulekile ukubuyisela ukujikeleza kwegazi kuzo, ukusheshisa ukuphulukisa nokuvuselela ukuvuselelwa kweseli. Lokhu kukuvumela ukuba wenze amafutha akhethekile:
- I-Mephenate;
- Bepanten;
- I-Curioson;
- Vul'tinoumulin;
- I-Dexpanthenol;
- I-Alantan Plus;
- amafutha e-Kalanchoe;
- Vinilin .
Imithi entsha i-Stellanin amafutha. Ubungqayizivele bayo yikhono lokubuyisela i-trophic kusukela ngosuku lokuqala lokusetshenziswa
- emigqeni engaphansi kwesikhumba. Ngaphezu kwalokho, i-Stellanin iveza imiphumela eminingana ebalulekile ngesikhathi esisodwa:
- ukuqedwa kwama-bacterium kanye ne-fungi pathogenic;
- ukuvuselela kokuvuselelwa kwezicubu;
- ukuyeka ukuvuvukala kwe-septic nokusabalalisa kwesikhumba esinempilo;
- ukujwayelekile kwegazi.
Ucwaningo lwezokwelapha luye lwabonisa ukuthi izinyanga ezingu-2.5 zokusebenzisa njalo lamafutha zilawulwa ngokuphelele ngisho nokulala okujulile kwezigaba 3-4.