HealthDiseases and Conditions

Pressure sores. Than to treat and how to prevent.

In order to provide proper care to the patient, it is necessary to clearly know what bedsores are, than to treat them and how this can affect the health of a person. Only awareness of the seriousness of the problem stimulates to do everything right.

Bedsores are a site with dead skin. If you do not help the person in time to whom they appeared, the limits of this necrosis will increase rapidly, causing gangrene and irreversible processes over time. Care for bedsores is much easier than treating them.

There are 3 stages of bedsores:

  • The first stage is characterized by harbingers of the necrosis of the skin. It is realistic not to allow bedsores, than to cure such options will be told a little later. It all starts with the fact that the skin turns pale, followed by venous hyperemia and then there is a cyanosis with blurred boundaries.
  • During the second stage, necrosis of the skin tissue and under it develops. If pressure ulcers are endogenous in nature (development starts under the skin), the affected area looks like a moist gangrene with abundant purulent discharge. When exogenous (started with the skin), the necrosis is dry.
  • Usually, the third stage is healing. If the treatment was not given at stage 1, then it turns out to be exactly 2.

The most frequent places for the appearance of affected areas: the area of the shoulder blades, the sacrum and the heels. It is here with the immobile state of the patient that the skin and tissues give in to the greatest pressure from the bed and bones. With improper care, infection from contaminated skin can join, which helps to deepen and spread decubitus.

The most correct method of treatment is prevention. For this, it is necessary to observe such rules:

Ü The patient's bedding and clothing should not have seams or reliefs. Perestylaya or laying a person should be watched, so that creases and creases do not form on the fabric.

Ü Carefully follow the hygiene of the patient: change the laundry immediately after contamination, wash and dry the skin several times from urine and feces.

Ü Turn the person from side to side and back often, to change the bed.

Care for bedsores at the first stage is simple enough: preventive measures are improved, repeated squeezing of the affected areas is prevented and the necessary places are processed. Usually, as a treatment, wipe the potassium permanganate in 5% or 10% concentration, then it is necessary to treat everything with greenery.

If bedsores have appeared, than to treat is the main question. But it's better to take care of this in advance. Quite often, both with bedsores and for their prevention, use of special mattresses with a system of automatic air injection into the necessary areas is advised. The surface of such a product is rubberized, so there is no danger. Anti-bedsore mattresses adapt to the body of each person. What makes them a universal option.

If there is no possibility to purchase such a mattress, then a rubber circle is put under the sacrum, covered with a cloth, so that the most problematic place is above the hole. Under the heels lay towels, which are previously tightly folded, and under the neck you need to put a rolled up bagel cloth, so that the shoulder blades are not pressed against the bed.

If the second stage of decubitus has appeared, than to treat - the doctor who deals with the basic treatment of the patient will tell. It is possible to use special ointments with lytic enzymes, moist dressings are applied before the appearance of granulations, sometimes all the affected areas are treated with hydrogen peroxide and extremely carefully remove the dead tissue. If the pressure sores become very large, then surgical intervention is necessary, after which the wound is kept dry, applying bandages of gauze or other cotton soft tissue.

But it's better to carefully monitor the person from the very beginning who got into a difficult situation, because in his place could be any.

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