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Prevention of bedsores

Preventing the formation of pressure ulcers is crucial because their further treatment is too complex task. At the same time, we must realize that in difficult still patients in the terminal stage of the disease likely to develop pressure ulcers is very high, regardless of using the method of prevention. Practically most rational definition of risk formation of bedsores, with all internal and external factors that increase its likelihood.

For prevention, especially should zapezpechyty patients personal hygiene and skin care: regular body wash with warm water 1-2 times a day, thoroughly podmyvaniya after defecation; leather cushioning protective and antiseptic creams and ointments.

Important role (in the prevention of pressure sores) is given to measures to prevent outside pressure on soft tissue. Designed specifically air and water mattresses, which in practice hospitals Ukraine are used yet rarely. Soft (preferably down) mattresses also help solve the problem. In the field of bone appearances can use special soft pads which help reduce pressure.

You also need to regularly (every 1-2 hours) change in body position of the patient, in order to remove the external pressure of the most vulnerable parts of the body. Typically, patients return alternately every 1-2 hours from side to side and back. Moving the patient should be carefully so it does not injure the skin.

Some importance in the fight against bed sores has patients, diverse, rich in vitamins food that contains essential elements. The optimum amount of liquid, preferably in the form of natural juices and mineral waters, with the obligatory account diuresis and blood biochemical parameters.

Treatment of pressure ulcers.

Treatment of pressure ulcers made ​​taking into account the stage of disease development. Basic principles of treatment of pressure ulcers:

     removal of external pressure and prevent further spread of necrosis;

     protection of the surrounding skin and wounds from infection;

     general and local use of drugs that improve blood circulation and trophic tissue;

     removal of necrotic tissue (surgical nekrektomiya, autolitychna enzimatychna or reorganization);

     keeping the wound moist sredovyscha and temperature, stimulation of reparative processes anesthesia.

In 1 and 2 stages of treatment aimed at protecting the skin from infection and improve trophic tissue to prevent the development of necrotic processes or minimize them.

In stages 3 and 4 focuses on cleaning the wound of necrotic tissue, preventing infection, keeping moist environment in the wound, stimulating reparative processes.

For the treatment of pressure ulcers are different external agents: ointment based antibiotic (bacitracin, haramitsyn, klimitsyn, Dalacin - c, Imex, linkomitsynova ointment sintomitsinovoy emulsion baneotsyn, drapolen, dermazin) ointment with anti-inflammatory and improving regeneration effect (liniment Vishnevsky, vinilin , Levomekol, levosyn, dioksyzol, trofodermin, vulnuzan, methyluracil, propotseum, panthenol) ointment of proteolytic (iruksol, fibrolan, profezim, viprosal) and analgesic effect (fastin, Menovazin, alhezal).

Bandages used to treat bedsores, must meet the following requirements: protect the wound from contamination and infection, help maintain moisture and temperature in the wound, absorb excess fluid, to ensure maximum activity of the patient. Patching and can perform special functions, depending on need: with bleeding bandages are used with a solution of adrenaline or hemostatic sponge, deodorizing effect providing bandages sorbents, activated carbon (in the form of the upper dry layer) gel metronidosol; analgesic effect can be achieved by applying bandages to 0.1% mixture of morphine gel or ointment, etc. To prevent sticking to the wound dressing applied ointment (levomikol, levosyn, dioksyzol and so on.), hydrogels, hidropolimery.

Particular attention should be paid to personal hygiene and patient adherence to rules of asepsis. Despite the severity of the patient is necessary to organize regular washing of the body with warm water 1-2 times a day and thoroughly podmyvaniya after each defecation and urination, with subsequent treatment of skin creams and ointments. Given that patients are particularly vulnerable to infection, required strict compliance with all aseptic procedures and protecting patients from unwanted contact with carriers of infection by caring, relatives or visitors.

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