Decubitus ulcers (bedsore), tseem hu ua bedsores lossis mob siab, yog cov ntsiab lus mob uas tshwm rau ntawm lub cev thaum siv lub siab ntau dhau rau thaj chaw. Qhov no tuaj yeem dhau los ua qhov hnyav, ua rau qhib qhov txhab uas yuav tsum tau kho. Hauv qhov xwm txheej hnyav tshaj plaws, lub qhov txhab siab yuav xav tau kev phais. Muaj ntau yam uas tuaj yeem ua tiav los kho qhov txhab uas twb muaj lawm thiab tiv thaiv qhov tshiab los ntawm kev tsim.
Kauj ruam
Txoj Kev 1 ntawm 4: Txheeb Xyuas Decubitus Ulcers
Kauj Ruam 1. Txheeb rau ntawm daim tawv nqaij
Ua tib zoo saib xyuas txhua qhov ntawm koj lub cev, tshwj xeeb yog thaj chaw uas tiv thaiv lub txaj lossis lub rooj zaum muaj log. Siv daim iav, lossis thov kom ib tus neeg pab koj pom sab nraub qaum ntawm koj lub cev, uas yuav nyuaj rau koj pom ntawm koj tus kheej.
Kuj xyuas cov tawv nqaij uas hnov nyuaj rau kov
Kauj Ruam 2. Txheeb xyuas ntshav los yog lwm yam kua
Yog tias mob hnyav los ntshav lossis tso kua dej, koj yuav muaj mob hnyav, thiab koj yuav tsum mus ntsib kws kho mob tam sim ntawd txhawm rau tiv thaiv kev puas tsuaj ntxiv thiab daws qhov mob.
Qhov tsis hnov tsw zoo tuaj yeem qhia tias muaj kab mob hauv lub qhov txhab, yog li koj yuav tsum mus ntsib kws kho mob tam sim
Kauj Ruam 3. Txheeb xyuas koj tus mob
Ua ntej mus ntsib kws kho mob, npaj cov lus teb rau ntau nqe lus nug uas tus kws kho mob yuav nug. Cov lus nug no yuav suav nrog:
- Ntev npaum li cas cov tawv nqaij hloov pauv mus?
- Cov tawv nqaij puas nyob hauv cheeb tsam?
- Koj puas muaj kub taub hau?
- Koj puas tau muaj tus kab mob bedsores/decubitus ua ntej?
- Muaj pes tsawg zaus koj hloov chaw lossis hloov chaw?
- Koj noj zaub mov zoo li cas?
- Koj haus dej ntau npaum li cas txhua hnub?
Kauj Ruam 4. Mus ntsib kws kho mob
Koj tus kws kho mob yuav nug koj txog koj kev noj qab haus huv, qhov xwm txheej ntawm qhov txhab, koj noj zaub mov, thiab lwm yam ncauj lus. Tus kws kho mob tseem yuav ua qhov kev tshuaj xyuas lub cev txhawm rau tshuaj xyuas koj lub cev thiab txhua qhov chaw uas pom tias mob, tsis pom xim, lossis nyuaj rau kov. Tus kws kho mob kuj tseem tuaj yeem kuaj zis thiab kuaj ntshav kom paub meej txog qee yam mob thiab tshuaj xyuas koj kev noj qab haus huv tag nrho.
Kauj Ruam 5. Txiav txim siab qhov mob hnyav ntawm qhov txhab
Muaj 4 theem ntawm kev mob plab. Cov theem I thiab II tsis hnyav heev thiab tuaj yeem kho thiab kho tau. Theem III thiab IV xav tau kev pab kho mob thiab tej zaum yuav phais phais txhawm rau kho kom zoo.
- Theem I: Cov tawv nqaij tau hloov xim, tab sis tsis muaj qhov txhab qhib. Rau cov tawv nqaij tones, cov tawv nqaij yuav tig liab; rau cov tawv nqaij tones, cov tawv nqaij yuav tig xiav, ntshav, lossis tseem dawb.
- Theem II: Muaj qhov txhab qhib uas tseem ntiav. Cov npoo ntawm qhov txhab mob los yog muaj cov nqaij tuag.
- Theem III: Qhov txhab yog dav thiab tob. Lub qhov txhab tob dua hauv qab ntawm txheej txheej saum toj kawg nkaus ntawm daim tawv nqaij, uas yog, kom txog thaum nws mus txog txheej txheej ntawm cov nqaij rog. Lub qhov txhab tuaj yeem nqus dej los yog pus.
- Theem IV: Lub qhov txhab loj thiab cuam tshuam rau ob peb txheej ntawm daim tawv nqaij. Cov nqaij lossis pob txha tuaj yeem nthuav tawm, thiab tej zaum yuav muaj eschar, uas yog qhov teeb meem tsaus ntuj uas qhia txog cov nqaij mos necrotic (tuag).
Txoj Kev 2 ntawm 4: Txhawb Nqa thiab Tiv Thaiv Lub Cev
Kauj Ruam 1. Tso siab rau thaj tsam ntawm qhov mob
Yog tias koj tau mob, hloov koj txoj haujlwm, thiab paub tseeb tias koj tsis nias ntawm thaj chaw tsawg kawg 2-3 hnub. Yog tias qhov liab tseem tsis ploj mus, mus ntsib koj tus kws kho mob kom txiav txim siab txog kev kho mob ntxiv.
Kauj Ruam 2. Hloov lub cev tsis tu ncua
Yog tias koj tsis tuaj yeem tawm ntawm lub txaj lossis hauv lub rooj zaum muaj log, koj yuav tsum tau hloov pauv ntau zaus nyob rau ib hnub kom txo qhov siab ntawm qhov chaw mob thiab tiv thaiv qhov txhab kom tsis txhob tsim. Hloov lub cev txhua txhua 2 teev yog tias nyob hauv txaj lossis txhua 1 teev yog nyob hauv lub rooj zaum muaj log. Qhov no yuav daws qhov kev nyuaj siab uas tau txhim kho ntawm qee thaj tsam ntawm lub cev, yog li tiv thaiv qhov mob txhab kom tsis txhob mob ntxiv.
Kauj Ruam 3. Sim nyob twj ywm li sai tau
Txawm hais tias cov neeg uas tsis tuaj yeem tawm ntawm lub txaj lossis lub rooj zaum muaj log yuav tsis nquag, lawv lub cev tseem tuaj yeem txav tau. Nws yuav tiv thaiv kev nyuaj siab los ntawm kev txhim kho hauv qee thaj tsam ntawm lub cev thiab tseem ua kom cov ntshav ntws thoob plaws lub cev. Kev ua ub no tseem tuaj yeem txhim kho kev puas siab puas ntsws, uas yog ib feem tseem ceeb ntawm kev saib xyuas kev noj qab haus huv tag nrho.
Kauj Ruam 4. Siv cov chaw txhawb nqa thiab cov ntaub thaiv npog
Qhov tseem ceeb los txo qhov kev pheej hmoo ntawm mob plab yog kom txo lub siab uas txhim kho ntawm qee qhov ntawm lub cev. Siv lub tog hauv ncoo tshwj xeeb ua los ntawm ua npuas dej lossis ntim nrog cua lossis dej tuaj yeem pab tau. Nrog rau lub tswv yim zoo sib xws, cov ntaub tiv thaiv tuaj yeem pab tau, tshwj xeeb yog ntawm lub hauv caug lossis hauv qab taub hau lossis lub luj tshib.
Qee cov khoom txhawb nqa, xws li donuts, tuaj yeem ua rau muaj kev pheej hmoo ntawm kev txhim kho mob plab. Nrog koj tus kws kho mob txiav txim seb yam khoom twg zoo tshaj rau koj
Kauj Ruam 5. Khaws cov ntshav kom txaus
Decubitus ulcers tshwm sim ib feem vim tsis txaus ntshav ntws mus rau thaj tsam ntawm daim tawv nqaij. Thaum muaj kev nyuaj siab rau ntawm daim tawv nqaij, cov hlab ntshav tau txhaws. Tswj cov ntshav kom zoo los ntawm kev haus dej ntau, tsis haus luam yeeb, thiab hloov pauv lub cev ntau zaus.
Muaj ntshav qab zib kuj tseem tuaj yeem ua rau cov ntshav qis. Tham nrog koj tus kws kho mob los npaj txoj hauv kev txhawm rau txhim kho kev ncig ntshav
Kauj Ruam 6. Xaiv cov khaub ncaws uas xis nyob
Hnav cov khaub ncaws uas tsis nruj heev lossis tsis xoob, ob qho tib si tuaj yeem ua rau muaj kev sib txhuam thiab ua rau khaus. Hloov khaub ncaws txhua hnub kom paub tseeb tias koj cov tawv nqaij huv ib yam nkaus. Hnav khaub ncaws ua los ntawm paj rwb uas tsis muaj nqaws tuab.
Kauj Ruam 7. Hloov cov ntawv nquag
Rau cov tib neeg uas tsis tuaj yeem tawm hauv txaj, dag ntawm cov ntaub huv yuav ua kom cov kab mob tsis ua rau mob hnyav ntxiv. Cov ntaub pua txaj kuj tuaj yeem ntub los ntawm hws thiab ua rau tawv nqaij. Hloov daim ntawv nquag yuav pab tshem tawm qhov kev pheej hmoo no.
Kauj Ruam 8. Tswj qhov mob nrog ibuprofen
Noj tshuaj tom chaw muag tshuaj, xws li ibuprofen lossis naproxen, txhawm rau txo qhov mob. Xaiv cov tshuaj anti-inflammatory nonsteroidal (NSAIDs) hloov tshuaj aspirin, acetaminophen, lossis opioids.
Noj ibuprofen ua ntej lossis tom qab koj hloov koj txoj haujlwm, thaum lub sijhawm ua haujlwm tsis zoo, lossis thaum lub qhov txhab raug ntxuav. Noj ibuprofen tuaj yeem pab daws qhov mob uas koj xav tau
Txoj Kev 3 ntawm 4: Kev Tu tawv nqaij
Kauj Ruam 1. Txheeb daim tawv nqaij txhua hnub
Decubitus ulcers tuaj yeem tshwm sim sai, thiab yuav tsum tau kho sai li sai tau. Ua tib zoo saib xyuas lub cev uas nyob rau ntawm lub txaj lossis lub rooj zaum muaj log, lossis rub rau lwm lub cev lossis khaub ncaws.
Them nyiaj tshwj xeeb rau sab nraub qaum, pob tw, pob taws, pob tw, pob tw, hauv caug, nraub qaum taub hau, lub luj tshib, thiab pob taws
Kauj Ruam 2. Ua kom tawv nqaij huv
Rau cov kab mob siab rau theem pib, maj mam ntxuav lub qhov txhab nrog xab npum thiab dej. Npog thaj chaw kom qhuav (tsis txhob txhuam) nrog phuam. Them nyiaj tshwj xeeb rau ntawm daim tawv nqaij uas nquag ua rau tawm hws lossis ntub. Siv cov tshuaj pleev kom tiv thaiv kom tawv nqaij qhuav.
Decubitus ulcers uas tshwm rau ntawm pob tw lossis ze rau ntawm qhov chaw mos tuaj yeem ua rau kis tau cov quav los yog tso zis. Siv daim ntaub thaiv thiab/lossis ntaub qhwv dej tsis zoo rau ntawm qhov txhab kom tshem tawm qhov kev pheej hmoo no
Kauj Ruam 3. Ntxuav lub qhov txhab, thiab npog nws nrog ntaub qhwv
Lub qhov txhab yuav tsum tau muab ntxuav thiab qhwv nrog cov ntaub qhwv tshiab. Lub qhov txhab tuaj yeem ywg dej nrog cov kua ntsev (kua dej ntsev) rau kev ntxuav ua ntej rov muab ntaub qhwv. Tham nrog kws kho mob ua ntej ua tus txheej txheem; kws kho mob yuav ua tus txheej txheem rau koj.
- Tsis txhob siv tshuaj tua kab mob xws li iodine lossis hydrogen peroxide ntawm qhov txhab siab; vim nws tuaj yeem cuam tshuam txoj kev kho kom zoo.
- Muaj ntau hom ntaub qhwv los yog ntaub npog uas tuaj yeem siv tau. Cov yeeb yaj kiab meej lossis cov dej hydrogels tuaj yeem pab theem kuv ua kom lub qhov txhab zoo dua thiab yuav tsum tau hloov txhua 3-7 hnub. Lwm cov ntaub qhwv tuaj yeem tso cua ntau ntxiv lossis tiv thaiv lwm yam kua xws li quav, tso zis, lossis ntshav.
Kauj Ruam 4. Mus raws txoj kev debridement
Debridement yog txheej txheem tshem tawm cov ntaub so ntswg tuag, uas yog ua los ntawm kws kho mob. Debridement yog txheej txheem tsis mob, vim cov ntaub so ntswg tuag kiag li tsis muaj cov hlab ntsha nyob, txawm hais tias qhov kev nkag siab tseem tuaj yeem tshwm sim vim tias cov nqaij tuag nyob ib sab ntawm cov leeg nqaij. Cov kab mob decubitus qib siab yuav xav tau cov txheej txheem no. Tham nrog koj tus kws kho mob txhawm rau txiav txim siab txoj hauv kev zoo tshaj plaws los kho qhov mob txhab.
Kauj Ruam 5. Kho tus kab mob nrog tshuaj tua kab mob
Koj tus kws kho mob yuav sau ntawv tshuaj tua kab mob uas tuaj yeem siv ncaj qha rau qhov mob hnyav kom tsis txhob kis tus kab mob thiab pab lub cev kho nws tus kheej. Koj tus kws kho mob kuj tseem tuaj yeem muab tshuaj tua kab mob hauv qhov ncauj rau koj, tshwj xeeb yog mob rwj nyob rau theem siab.
Yog tias koj muaj osteomyelitis, lossis kab mob pob txha, koj yuav tsum tau siv tshuaj tua kab mob mus sij hawm ntev. Ib qho ntxiv, nws kuj tseem yuav xav tau kev kho mob ntau dua
Kauj Ruam 6. Saib xyuas cov txheej txheem kho mob ntawm lub qhov txhab siab
Saib xyuas cov txheej txheem kho kom zoo kom ntseeg tau tias kev kho mob tshwm sim thiab tsis mob ntxiv. Yog tias lub qhov txhab zoo li tsis pib kho, mus ntsib kws kho mob tam sim.
Txoj Kev 4 ntawm 4: Hloov Koj Cov Khoom Noj
Kauj Ruam 1. Noj cov zaub mov uas muaj cov vitamins ntau
Kev noj zaub mov kom noj qab haus huv txaus yog qhov tseem ceeb rau kev ua kom lub cev noj qab haus huv thiab tiv thaiv kev mob plab. Yog tias koj noj qab nyob zoo, koj lub cev tuaj yeem kho qhov txhab sai dua thiab tiv thaiv qhov txhab tshiab los ntawm kev tsim. Yog tias koj tsis muaj qee yam khoom noj tshwj xeeb, tshwj xeeb yog hlau, zinc, vitamin A, thiab vitamin C, koj yuav muaj feem yuav pheej hmoo mob plab ntau dua. Noj cov tshuaj vitamin ntxiv nrog rau noj cov zaub mov uas muaj cov vitamins.
Noj ntau cov protein kuj tseem yuav pab kom koj lub cev noj qab nyob zoo
Kauj Ruam 2. Ua kom koj tus kheej muaj dej txaus
Haus dej kom ntau txhua hnub. Cov txiv neej yuav tsum haus txog 13 khob ntawm 30 ml kua hauv ib hnub, thiab poj niam yuav tsum haus txog 9 khob ntawm 30 ml kua ib hnub. Qhov ntawd tsis txhais tau tias koj tsuas tuaj yeem tau cov kua los ntawm dej. Ntau yam zaub mov muaj cov dej ntau, thiab cov zaub mov muaj txiaj ntsig tuaj yeem muab txog 20% ntawm koj cov dej haus txhua hnub. Noj cov khoom noj uas tseem muaj cov dej hauv cov dej ntau, xws li txiv kab ntxwv, kom nce koj cov dej kom tsawg.
- Koj tseem tuaj yeem tau txais cov dej ntxiv los ntawm kev nqus ntawm cov dej khov thoob plaws ib hnub nrog rau haus dej.
- Tsis txhob haus cawv, vim nws tuaj yeem ua rau lub cev qhuav dej.
Kauj Ruam 3. Ua kom lub cev hnyav
Yog tias koj hnyav dua, koj yuav muaj lub ncoo tsawg los tiv thaiv qee thaj chaw ntawm koj lub cev uas nquag txhim kho mob plab. Cov tawv nqaij tuaj yeem tawg tau yooj yim dua. Kev rog dhau tuaj yeem ua rau muaj teeb meem zoo sib xws, vim nws tuaj yeem ua rau koj hloov pauv koj lub cev txoj haujlwm kom txo kev ntxhov siab ntawm qee qhov ntawm lub cev.
Kauj Ruam 4. Tsis txhob haus luam yeeb
Kev haus luam yeeb ua rau daim tawv nqaij qhuav, thiab feem ntau suav tias yog tus cwj pwm tsis zoo. Ib qho ntxiv, kev haus luam yeeb kuj tseem txo qis cov ntshav ncig, ib qho xwm txheej uas tuaj yeem ua rau muaj kev pheej hmoo ntawm mob plab ntau ntxiv.
