Oko Ufanele Ukwazi Nge-Decubitus Ulcers

Umxholo

• Ziintoni iimpawu zesilonda sedecubitus?
• Amanqanaba ezilonda zedububus
• Inqanaba 1
• Inqanaba 2
• Inqanaba 3
• Inqanaba 4
• Ayizinzanga
• Yintoni ebangela isilonda se-decubitus?
• Ngubani osemngciphekweni wesilonda se-decubitus?
• Ukuchonga isilonda se-decubitus
• Ukunyanga isilonda se-decubitus
• Ithini imbonakalo yexesha elide?

Yintoni i-decubitus ulcer?

Isilonda se-decubitus siyaziwa ngokuba sisilonda soxinzelelo, uxinzelelo lwesifo, okanye i-bedsore. Sisilonda esivulekileyo kulusu lwakho. Izilonda ze-Decubitus zihlala zikhona kulusu olugquma iindawo ezinamathambo. Iindawo eziqhelekileyo zesilonda se-decubitus zezakho:

• isinqe
• umva
• amaqatha
• iimpundu

Le meko iqhelekile phakathi kwabantu:

• badala
• kunciphise ukuhamba
• sichitha ixesha elide ebhedini okanye kwisitulo esinamavili
• ayinakuhambisa amalungu athile omzimba ngaphandle koncedo
• inesikhumba esiethe-ethe

Le meko iyanyangeka, kodwa izilonda ezinzulu ezingapheliyo kunokuba nzima ukunyanga. Imbonakalo ethile ixhomekeke kwizinto ezininzi, kubandakanya imeko zonyango kunye nenqanaba lesilonda.

Ziintoni iimpawu zesilonda sedecubitus?

Isigaba ngasinye sesilonda se-decubitus sineempawu ezahlukeneyo. Kuxhomekeka kwinqanaba, unokufumana oku kulandelayo:

• ukujika kwesikhumba
• intlungu kwindawo echaphazelekayo
• usulelo
• ulusu oluvulekileyo
• ulusu olungakhanyisiyo ekuphathweni
• ulusu oluthambileyo okanye oluqinileyo kunolusu olungqongileyo

Amanqanaba ezilonda zedububus

Izilonda zeDecubitus zenzeka ngokwamanqanaba. Kukho inkqubo yokujonga ukunceda umboneleli wakho wezempilo ukuba akufumanise kwaye akuncede.

Inqanaba 1

Ulusu alophukanga, kodwa luyakhanya. Indawo inokubonakala ibomvu ukuba unombala okhanyayo. Ukuguqulwa kombala kuyahlukahluka ukusuka eluhlaza okwesibhakabhaka ukuya kumfusa ukuba unobumba obumnyama. Isenokuba shushu kwaye idumbe.

Inqanaba 2

Kukho ukuqhekeka kolusu ukuveza isilonda esinzulu okanye ukhukuliseko. Kukho ukubakho kweblister ezaliswe lulwelo.

Inqanaba 3

Isilonda sinzulu ngakumbi ngaphakathi kwesikhumba. Ichaphazela uluhlu lwakho lwamafutha kwaye ijongeka njenge crater.

Inqanaba 4

Amacandelo amaninzi ayachaphazeleka kweli nqanaba, kubandakanya izihlunu zakho kunye nethambo.

Ayizinzanga

Ilitye elimnyama nelinzima elibizwa ngokuba yi-eschar lisenokuba ngaphakathi kwisilonda, elenza ukuba kube nzima ukuvavanywa kunye nokuhamba. Ngamanye amaxesha ugqirha wakho ufuna ukucinga ngakumbi okanye ukuvavanywa kwendawo ukufumanisa ubungakanani besilonda. Isilonda sinokuba nobutyobo obunombala obaziwa ngokuba sislough (tyheli, tan, luhlaza, okanye mdaka), nto leyo eyenza ukuba uvavanyo lube nzima.

Yintoni ebangela isilonda se-decubitus?

Uxinzelelo lwexesha elide sesona sizathu siphambili sesilonda sedecubitus enezinye izinto ezinje ngokufuma, ukujikeleza okungalunganga, kunye nesondlo esifanelekileyo esinegalelo. Ukulala kwindawo ethile yomzimba wakho ixesha elide kunokubangela ukuba ulusu lwakho lonakaliswe.Iindawo ezijikeleze isinqe, izithende, kunye nomsila zisengozini ikakhulu kwizilonda zoxinzelelo.

Ukufuma okugqithileyo kunye nolusu olucaphukisayo olufana nomchamo kunye nelindle, ezibangelwe yimpilo enkenenkene, nazo zinokuba negalelo ekwakhiweni kwesilonda sedecubitus. Uxinzelelo lubuye lube negalelo, njengaxa umntu ohleli ebhedini ewarhuqiwe amashiti phantsi kwawo.

Ngubani osemngciphekweni wesilonda se-decubitus?

Zininzi izinto ezinobungozi kwizilonda ze-decubitus:

• Unokuba semngciphekweni ukuba awukwazi ukuhamba okanye ukutshintsha izikhundla wedwa xa ulele ebhedini okanye uhleli kwisitulo esinamavili.
• Ulusu lwakho lunokuba buthathaka ngakumbi kwaye lubuthathaka ukuba umdala, nto leyo enokukubeka emngciphekweni owandayo.
• Imikhwa yokutya engalunganga okanye ukungazifumani ngokwaneleyo izakhamzimba ekutyeni kwakho kunokuba nefuthe kwimeko yesikhumba sakho, enokuthi inyuse umngcipheko.
• Iimeko ezinje ngeswekile zinokuthintela ukujikeleza kwegazi, okunokubangela ukutshabalalisa izicubu kulusu lwakho kunye nokwandisa umngcipheko.

Ukuchonga isilonda se-decubitus

Umboneleli wakho wokhathalelo lwempilo unokukuthumela kwiqela lokhathalelo lwenxeba loogqirha, iingcali, kunye nabongikazi abanamava ekunyangeni izilonda zoxinzelelo. Iqela linokuvavanya isilonda sakho ngokusekwe kwizinto ezininzi. Oku kubandakanya:

• ubungakanani kunye nobunzulu besilonda sakho
• uhlobo lwethishu echaphazeleke ngokuthe ngqo sisilonda sakho, njengesikhumba, umsipha, okanye ithambo
• umbala wesikhumba ochaphazeleka sisilonda sakho
• ubungakanani bokufa kwezicubu okwenzeka kwilonda lakho
• imeko yesilonda sakho, njengobukho bosulelo, ivumba elinamandla, nokopha

Umboneleli wakho wezempilo unokuthatha iisampulu zamanzi kunye nezicubu kwilonda lakho le-decubitus. Ukongeza, banokujonga iimpawu zokukhula kwebhaktheriya kunye nomhlaza.

Ukunyanga isilonda se-decubitus

Unyango lwakho luya kuxhomekeka kwinqanaba kunye nemeko yesilonda sakho. Unyango lunokubandakanya:

• amayeza
• ukhathalelo lwenxeba lwasekhaya, kubandakanya neengcebiso zokunxiba
• utshintsho kwindlela yokuphila, njengokubeka endaweni rhoqo kunye nokusebenzisa okomatshini bokukhuphela, kunye nokwenza ukhetho lokutya olusempilweni
• unyango lwalo naluphi na usulelo olukhoyo
• utyando

Amachiza e-antibacterial anokunyanga usulelo. Unokufumana kwakhona amayeza okuphelisa okanye ukunciphisa nakuphi na ukungonwabi.

Inkqubo yokususa izicwili ezifileyo okanye ezosulelekileyo ekuthiwa kukususa unakho ukucetyiswa ngugqirha wakho.

Ukugcina indawo icocekile, yomile, kwaye ingenazicasuli kubalulekile ukukhuthaza ukuphilisa.

Ukukhuphela ngaphandle uxinzelelo kunye nokubekwa kwakhona rhoqo kubaluleke kakhulu xa kunyangwa isilonda se-decubitus. Ukunciphisa ukungqubana kwindawo leyo kubalulekile.

Umboneleli wakho wezempilo unokuyalela ukutshintsha rhoqo kwenxeba lakho.

Olunye unyango lubaluleke kakhulu kwizilonda eziphambili (njengokukhutshwa kotyando kunye nokunyanga koxinzelelo kwinqanaba lesithathu kunye nezilonda ezine), ngelixa zonke izilonda zinokuxhamla kwizicwangciso zonyango ngokubanzi njengokunciphisa ukungqubana kunye nokufuma kwindawo, ukugcina indawo icocekile , ukothula umthwalo kuxinzelelo kunye nokubeka kwakhona rhoqo, kunye nokuphucula ukhetho lokutya.

Isicwangciso sakho sonyango esithile sixhomekeke kwizinto ezininzi, kwaye ugqirha wakho uya kuxoxa nawe ngento enokuba yeyona ilungileyo kwisilonda sakho.

Ithini imbonakalo yexesha elide?

Inkqubo yakho yokuphilisa ixhomekeke kwinqanaba lesilonda sakho. Ngokukhawuleza ukuba ifunyenwe, ngokukhawuleza ungaqala unyango kunye nokubuyiselwa.

Umboneleli wakho wezempilo unokucebisa ukuba utshintshe indlela otya ngayo. Amanqanaba kamva ahlala efuna unyango olunobundlongondlongo kunye namaxesha amade okubuyisela kwimeko yesiqhelo.