How to treat lying patients at home: an overview of all methods

Prolesidery - sections of leather and soft tissues, which occur in patients with limited mobility with improper care.

Prolesidery - sections of leather and soft tissues, which occur in patients with limited mobility with improper care.

With timely detection and competent treatment, they do not constitute a serious threat to health and life. In advanced cases, damage is converted into deep fusion wounds, which can cause the development of severe complications and patient death.

From this article, you will learn about the rules of patient care, about the ways of their treatment at home, as well as contemporary techniques that make it possible to effectively cope with these damage.

The reasons for the development of the breakdowns

The key factor is the pressure of the solid surface, on which the patient is located, on the discovering parts of the body. Most often, damage arise in areas such as the crosses, the chest spine, the blades, the heads, the heels (in situations where the person lies on the back) - it is in these areas between the bone tissue and the skin there is a very minor interlayer of muscles and adipose tissue.

When the patient lies on the side, the greatest pressure falls on the region of the large spit of the femoral bone, the iliac bone. In the stomach position, fabrics are suffering in the zones of repeated ileal bones and chest. In sedentary patients, the risk of damage is higher in the field of sedanized bugs, sacrings, heels, fingers, feet, blades.

Why does pressure cause damage in tissues?

  • Blood vessels are clarified, ensuring the delivery of oxygen and nutritional components in skin cells and muscles. Oxygen fasting (hypoxia) and nutritional deficiency leads to the oppression of the vital activity of the cell and its death;
  • Nervous fibers are squeezed, regulating metabolism in the tissues: which, in turn, negatively affects the viability of cells
  • The lymphatic vessels are squeezed responsible for the elimination of the cells of the cells from the intercellular space, slags and poisons begin to accumulate, reducing the viability of the cells and leading them to death as a result of poisoning. The lymphatic system is also responsible for the elimination (utilization) of the dead cells: squeezing the lymphatic vessels leads to the accumulation of dead cells in tissues - and this creates favorable conditions for the development of infection

The most important reasons for the development of laying out of sedentary patients are the deficiency of microvibration in the patient's body. This is an energy that is produced by muscle cells, even when the body is at rest (the so-called, the background activity of the body). Famous physicist V.A. Fedorov in the book "The resources of the body. Immunity, health and longevity "speaks of microvibration as a resource, just as important to maintain life, like air, water, food and heat. Mikrovibration energy is necessary for the flow of all physiological and biochemical processes in the body, ensuring metabolic processes in each cell.

To maintain the level of microvibration at the level required to ensure the full work of the body, it is possible only due to constant physical activity. Therefore, sports, walking, swimming, charging is so important to maintain health. Hydodina, a sedentary lifestyle lead to the dindewind of the body by this valuable resource. If, due to some reasons - diseases, injuries - a person turns out to be chained to bed or a wheelchair, the deepest microvibration energy deficit in the body is almost inevitable. How does such a situation contribute to the development of bedding?

  1. The blood supply to tissues (including leather and muscles) is suffering, which leads to even greater depletion of cells with oxygen and nutrients;
  2. Due to the oppression of the work of the lymphatic system, liver and kidneys, the removal of recycled substances from the intercellular space is disturbed, which leads to their poisoning and speeds up the death process. Damaged and dead cells are also not utilized, but accumulate in tissues, creating favorable conditions for the development of infectious processes
  3. Due to the violation of the lymphatic system, immune system suffers, the number of immune cells, detecting and destroying alien microbes decrease. It also increases the susceptibility of the organism to infections and increases the risk of purulent complications and blood infection (sepsis).

In addition, the longer the person is forced to conduct a sedentary lifestyle, the smaller the muscular mass remains (this process is called atrophy - loss of muscle tissue due to illness or serious movement limit). Therefore, even the background muscular activity is gradually reduced, which provides the body with a minimum level of microvibration at rest. Also V.A. Fedorov notes that a pronounced decrease in the microvibration background is observed in the body of patients who are superimposed with gypsum bandages: rigid fixation does not leave chances even to minimal movements, therefore muscle atrophy (and, therefore, the increase in resource deficiency) is faster.

In addition to the main reasons - pressure on the fabric and reducing the level of microvibration in the body, the development of layers also leads to the impact of factors such as friction, which contributes to mechanical damage and lunch of skin cells, and shift (offset) of in-wheeling tissues relative to the skin, which leads to vessels .

Also, the risk of skin damage increases with high humidity, which promotes skin swelling, increasing friction. The likelihood of their occurrence in incontinence of feces and urine containing substances irritating the skin is especially large.

Stages of development Proleegoes

Breaks may appear on the body of the patient for two hours lying in one pose. Pressing the body tissues by weight of the body to the surface of the bed causes their poor nutrition and is the cause of the violation of normal life processes in them down to necrosis.

Negative processes proceed consistently from small redness to serious purulent wounds. Experts divided transformations taking place with tissues during breakdowns, four stages:

  1. The first degree is characterized by redness and lowering the skin in places of the greatest pressure, which are often accompanied by a slight swelling. At the same time, structural disorders of the skin are not observed. Starting treatment of laying out of the elderly at the first stage, the easiest way to achieve a positive effect of therapy. No complicated medical procedures are required.
  2. The second degree of development is lazy denoted by the defeat of the top layer of the epidermis, which provokes a violation of its integrity. In addition, the processes of detachment and erosion begin at this stage, which relate to subcutaneous fiber.
  3. The main characteristic of the third degree is the beginning of serious difficulties in the treatment of layers. At this stage of development, there are completely dead areas of the skin, under which a clearly visible fat and muscle tissue. Frequently often this stage is accompanied by purulent wound filling.
  4. The extreme degree of development is shielded by involvement in the process of destruction of tendons and bone tissue. Educated wounds are very deep, leather and adipose tissue is actually completely destroyed by necrotic processes. All wounds of the fastest fourth degree are filled with pus. Treatment mainly requires surgical intervention.

Complications

Insufficient care for lying patients, as well as the wrong treatment of developing beds, can lead to very serious consequences. These include:

  • Problems with blood circulation of the whole organism,
  • gangrene,
  • sepsis,
  • skin cancer,
  • osteomyelitis.

All these consequences are extreme cases. But the likelihood of their development should be remembered and to make every effort to prevent the development of bedtime or overcome them in the early stages.

Why start treatment?

The preventive measures include:

  1. Changing the patient's body position every 1.5-2 hours - this measure allows you to avoid long squeezing of the same part of the body, which is the main reason for the appearance of bedding. If there are already signs of the initial stage of ulceration on any site (red non-leaving stain, maceration), the patient should not be put on this zone.
  2. Self-rich food - protein is the main building material of animal fabrics. His drawback leads to a violation of many processes, including regenerative and immune. The affected fabrics are not restored, as a result of which there are strands.
  3. Compliance with hygienic events - leather constantly located in a wet environment, turns. Macerations arise. To avoid this, it is necessary to wash the patient immediately after defecation or urination. Wipe the patient's body several times a day you need when it is high sweating.

Above, three fundamental principles were given, without compliance with neither the treatment of laying out at home or their prevention. However, for recovery in severe trophic violations, this is not enough. In such situations, drugs are used to stimulate regenerative processes and combating the associated infection.

Treatment of layers 1 and 2 stages

How to treat laying 1 degree? At the beginning of development, the proligests should be carried out active prevention of the progression of the necrotic change of tissue, since at this stage only seals and hyperemia of the skin occurs:

  1. Assessment of health status in order to maximize the exclusion of domestic and external risk factors for the development and progression of laying out.
  2. Treatment of all accompanying syndromes and pathologies, aggravating breakdowns.
  3. Disinfection of the body - blood transfusion, Reopolyglyukin, hemodhet.
  4. Immunostimulating therapy - vitamins, immunomodulators and immunostimulants.
  5. Elimination of continuous pressure. It is recommended every 2 hours to turn the lying patients from one position to another.
  6. Reducing pressure for tissue and ensuring pressure intermittentness.

This event implies the use of special means:

  • plastic tires;
  • Special anti-runa beds;
  • pillows, mattresses, gaskets, circles with gel, foam, air, water filling, or with a combination of several fillers;
  • Systems with adjustable vibration and pressure.

The Anti-Rubber Mattress is the most effective means of propagating prevention. Such mattresses constantly change the pressure on the body at different points, thanks to blowing and inflating the air every 7 minutes in special chambers of the mattress. The alternate change of pressure points eliminates the cause of the formation of bedding and retains normal blood circulation in the squeezed tissues. Mattresses of a cellular type are used for treatment and prevention of 1-2 stages (the price of 2000-2800 rubles), the balloon type 3-4 of the stages of bed (approximate prices are 4800-9000 rubles).

Also, simple rules should also be needed when lesing patients:

  1. The patient's skin should always be clean, not wet, and not dry - do air baths. For hygiene, do not use antibacterial soap (it kills and useful, protective bacteria), use a simple soap, a natural sponge (or x / b washbasin) and pure water. Skin do not try, but carefully wipe, after washing, do not wipe the skin, but scrape.
  2. Carefully monitor the condition of the skin - if it is overpower, use moisturizers (moisturizing hypoallergenic creams, better children's cream), for which the patient has no allergies.
  3. If the skin is too wet, without fanatism, you can use suit, talc or ointment, drying the skin - a solution of manganese 1%, zinc ointment or a diamond green solution, but only for prevention or 1 stage, in the future it is not necessary to use ointments containing zinc And the solution of manganese.
  4. Fatty skin can be treated with alcohol-containing means.
  5. When reddening is detected - do not massage it, make a massage only around damaged skin. You can specifically make a mam and terry towel and produce massage.
  6. If a patient incontinence urine is to regularly change diapers or homemade gaskets made of x / b fabric and produce a crotch toilet, it is better to use the urinary system for men. At high temperature, or when the patient sweats abundantly for other reasons, wipe the sweat is better than a weak solution of cutlery - 1 tbsp. A spoon for 250 ml. Waters than water with soap.

Local treatment of places formed bedding requires a competent approach, since incorrect actions can provoke further development of necrosis.

Previously, treatment of layers in lying patients was mistakenly carried out by ion exchange drugs, such as chlorhexidine, iodinol, etc. However, these drugs change the permeability of cell membranes, leukocytes are killed and reduced cellular opposition to bacteria.

Modern local processing scheme Prolazzo includes:

  1. Toilet skin with the use of physiological solution or drugs that do not have ion exchange properties - camphoring alcohol.
  2. Skin drying and processing with drugs that improve the local blood circulation of fabrics (Actovegin, Solfirel).
  3. The peeling of xeroform helps with breakdowns.
  4. Overtention of polyurethane film bandage. This modern dressing material is available in the form of a transparent film with an adhesive surface and provides protection against bacteria, oxygen access to tissues and evaporation of moisture, and also allows visual control over skin condition. When gluing such pverseastic dressings, an excessive tension should be avoided, because when the patient moves, small folds are formed, which aggravates the state.
  5. Well shows itself and such a technique like kneading the skin with cold water. The reduction of vessels and their subsequent compensatory expansion leads to improved local blood flow and increasing tissue nutrition.

Second stage It is a transitional state of the skin when small surface damage is already visualized. At this stage, minimal surgical interference and measures suspending tissue necrosis are carried out, contributing to the regeneration of damaged areas:

  1. Toilet formed wounds with removing dead epidermis from bubbles. Ideally, under the conditions of dressing: cutting with surgical scissors of the dead epithelium, washing the wound with saline, hydrogen peroxide.
  2. Observation of the breakdown in the dynamics with the evaluation of the development of the process.
  3. Antibacterial therapy in the case of progression of bedside and early inflammatory reaction.
  4. Outing to the scene beds, devoid of epidermis, antiseptic dressings, consulted with a doctor, which of the dressings is better to use for the treatment of this wound surface, taking into account the stage (presence, absence of necrosis), lesion area: transparent film bandages with an adhesive surface (togaderm, hyrofilm, Cosmopor, blisterphilm), waffle hydrocolloid (hydrocoll, duoderm) or hydrogel (hydrosolbs) of dressings, semi-permeable dressings based on hydropolymer (Tiellee), spongy dressings with a top layer from breathable polyurethane, which prevents the peeping of bacteria and fluid (pimaph).

Treatment of layers 3 and 4 stages

Treatment of the third and especially fourth stage should correspond to the treatment of purulent wounds. Purulent wounds are difficult to treat, but over many years of field surgery produced a standard treatment algorithm. Of course, the addition and improvements in treatment are regularly made, but the goal and task of treatment remains unchanged.

In the first phase When the wound is filled with pus and necrotized tissues:

  • provide an outflow of pus from the wound;
  • Remove swelling;
  • Suppress the microbial seamation of the wound.

The revision of the wound, cleaning the edges from necrotic tissues is performed under conditions of surgical compartment. For pus outflows make drainage tubes and regularly revominate them. Passive drainage is possible at home :

  1. To do this, the wound is filled with special napkins, soaked in compositions that contribute to the invertion of pus. Periodically, the napkins change. You can use conventional bandages as napkins, the edges of which are not disintegrated by the thread. For impregnation napkins use solutions and ointments.

Outdated drugs: Hypertensive solutions of 10% sodium chloride, 3-5% boric acid solution and others. Currently, the use of such solutions is limited in view of small suction force from 4 to 8 hours.

Hydrophobic ointments (linimes, emulsions) on a vaseline basis (line in Vishnevsky, syntomic acid emulsion, tetracyclinic, neomycinic and others). Their disadvantage is that they do not absorb the pus, antibiotics in their composition do not act in full force.

Modern drugs: hydrophilic (water-soluble ointments) - levomecol, levosin and other water-soluble compositions. They are well removed from the wound rose, about 20-24 hours. Attention! Hydrophilic ointments use only in the presence of pus in the wound, in another situation (there is no pus) These ointments are not effective.

  1. Enzymotherapy is the following method of surgical treatment of purulent wounds (therapy by removing enzymes).

Proteolytic enzymes (tripsin, chymotrypsin, others). To enhance their actions, use the combination of these or other enzymes with ointments, for example, a combination of enzymes and ointments Iruksol.

  1. Antiseptic solutions of external use. Furacilin, hydrogen peroxide, boric acid (currently used limited). Showing for use Modern compositions - 0.5% solution of iodopyron, 1% dioxidine solution.
  2. Physical treatments. Traditional methods (UHF, ultrasound cavitation, oxygenation, vibro phony, laser therapy and other similar methods)

In the second phase After cleaning, it seems to appear healthy tissues from pus. Healthy Strap is a thin layer of dry granulation. Punchy Strap is a thick crust, consisting of a snack pus. Recovery under purulent scrap is impossible! With the appearance of healthy granulations, treatment is prescribed:

  • lifting inflammatory phenomena;
  • protecting healthy granulation (healthy fabrics) from accidental damage;
  • Stimulating fabric restoration processes.

To remove inflammation use:

  • Ointments (hydrophobic ointments - methyluracyl, timing, hydrophilic ointment - Bepanten and others);
  • Plant preparations - aloe juice, calangean, butter (sea buckthorn, rich);
  • Laser therapy with therapeutic effect of stimulating tissue epithelization.

In the third phase , achieve regeneration and scarring of the wound process. Modern preparations are used stimulating epithelization and scarring of tissues, for example: EDAS-201, vitamins, immunostimulants. At all phases of pathogenesis, the use of antibacterial agents is allowed, the intravenous drip administration of the metrogil solution, antibiotics is recommended.

Formed defects and consequences lay down trembling in the hospital.

How to help the patient with a lying sick?

Of course, treatment of layers is an important and necessary event. But you need to know some features of the care of lying patients - in this case, it will be possible to prevent the appearance of the considered pathological process.

What do we have to do:

  • Every 2 hours change the position of a lying patient - be sure to turn it off from the s side, if there is an opportunity to raise the upper part of the body, it will be excellent;
  • Be sure to acquire special mattresses filled with air or foam balls - they provide a uniform distribution of the load on the skin of the body, constantly change the load from one place to another;
  • If a lying patient has incontinence of feces or urine, then changing diapers / diapers need as often as possible - data of biomaterials will definitely provoke the formation of bedding;
  • Every day you need to check the condition of the skin on the patient's body - so it will be possible to detect primary signs of development of bedtime and provide the necessary medical care;
  • Not less than 2 times a week of a lying patient, you need to wash / wipe the soft sponge with soap solution.

Treatment of laying on a lying patient - the process is long, it is often not necessary to achieve success. But using all the means and methods listed in the article, it is possible to significantly alleviate the patient's condition.

Features of treatment from location

Therapeutic result increases while compliance with the following treatment rules, taking into account the localization of the necrotic process.

  1. Sweese on the heels - wedge-shaped pillows, skin protection by a colloid bandage with a comedom for 2-5 days.
  2. Putting on buttocks - treatment and prevention includes the use and regular change of diapers, special buttock circles. The prophylactic massage of the berry zone in the absence of signs of necrotization may be deeper, since this area has a fairly pronounced muscular layer.
  3. Sloping on the paddle - the minimum muscular layer causes the rapid spread of necrosis to bone tissue, so this zone is treated with antiseptics in the first place.

Mattresses and pillows against bedside

The Anti-Rubber Mattress serves to enhance the blood circulation in the zone subject to the formation of the bedding. Due to the constant change in pressure points, the body massage is massaged by a lying patient. We produce balloon and cellular mattresses.

When buying cellular models, keep in mind that they are not intended for people with weight more than 120 kg. Large patients need a balloon type mattress. The microperphoration of these mattresses contributes to an additional air flow.

You can find different types of pillows for treating lying patients:

  1. Poropolone pillows are inexpensive. However, they gradually lose the initial elasticity. This somewhat reduces their therapeutic effect.
  2. To prevent education, it is possible to use the gel pillow. Note that the gel at low temperatures becomes harder.

Folk remedies

Folk remedies clean the wounds and contribute to the formation of new tissues. However, in this case, it is necessary to take into account the likelihood of an allergic reaction. Before contacting traditional medicine, consult your doctor.

There are several simple and effective ways to treat ulcers at home:

  1. Infusion of the bark of Duba - Applied at the stain stage. To prepare a tool, you need to take a tablespoon of raw materials, pour it with a glass (200-250 ml) boiling water and insist 2-3 hours. After the medicine is filled, poured onto the sponge and wipe the location of the location of the bedside during the general hygienic treatment of the body. The drug has a flushing effect, forms a tannic film on the surface of the wound surface, reduces the intensity of inflammation.
  2. Sea buckthorn oil - A wonderful regenerating agent, not possessing, however, the properties of the antiseptic. At the initial stages, the proligests can be used as a single treatment. For this, the surface of the focus is treated with the drug twice a day. With deep beds, they are possible their tamponade with napkins impregnated with sea buckthorn oil. Pulling and replacement of napkins is produced 1 time in 1-2 days. Oil is not suitable for the treatment of purulent processes.
  3. Onion . You need to take two middle-sized flashes, finely cut and fry in vegetable oil to golden color. Then the oil is fastened, the bee wax or church candle (1 piece) is added to it, which is predefined in the water bath. Such an ointment can be used to treat babes on any stage of their development, but before each use of it means to heat / melt it.
  4. Mix in equal amounts essential oils of Gerania, Mirra, tea tree, lavender, Petitgrina and add to them Macerat . The effect of using this "cocktail" from the essential oils is simply amazing - if the proligeses are located on 1 and 2 stages of development, the first results of such treatment will be noticeable after a day, and if the deep breakdowns have already been formed, then the positive result will appear after 3-5 procedures. From this collection of essential oils you need to make warm compresses once a day and it is better to leave a dressing on the wound at night.
  5. Infusion of chamomile field - prepares and applied in the same way as the decoction of oak bark. It has pronounced anti-inflammatory and antibacterial effect. Used to handle skin and washing wound surfaces. It can be used unlimited, however, the average processing frequency is 2 times a day.
  6. Baking soda . It is used to treat 2 stages of beds, when the formation of blisters with purulent content is already observed. What should be done? Divide a complete tablespoon of soda in boiling water (2 cups) and moisten in the resulting solution with a flax towel. Immediately attach a towel to a problem place and leave until complete cooling. When the fabric is removed from the breakdown, it is found right on it Pump - it comes out of the blisters. The next clean towel takes and is also wetting in soda solution, it is applied again. Such a procedure must be carried out until after removing the tissue from the wound, the pure surface of the towel will not be noted.

Prevention

In order to prevent the occurrence of pathology in patients who are long staying in a sitting or a lying position, the prevention should be carried out in a timely manner. Experts recommend applying special cellular (dynamic) mattresses.

They are effective because:

  • Guaranteed a uniform distribution of the patient's mass over the surface, adjusts to the contours of the body.
  • Provide free blood circulation throughout the area of ​​the skin. "Honeycombs" are constantly moving, contributing to normal blood flow.
  • Help to neutralize the emergence of rejection foci (in 9 out of 10 cases).

It will help to prevent the pathology of the massage (occipital) pillow - "remembers" the contours of the neck, shoulders. The rectal pillow will provide comfortable finding an individual in a sitting or lying position.

Tip: acquiring a mattress, take into account the weight of the patient so that the "Effect of Svbsnia" does not arise. This can lead to the disappearance of therapeutic and prophylactic effects of the accessory.

You learned how to treat the breakdowns depending on the stage of the disease, the location of the localization, which drugs pharmaceuticals and folk remedies will help cope with the problem that has arisen than to smear wet, dry and purulent wounds in the elderly, and who threatens the disease and what to do for prevention. We support the information received photos and videos.

Sweesess are a serious complication of many diseases associated with tissue disorders or arising due to their external shift. In medical practice, breakdowns are often referred to as ulcers.

This complication is by no means fate only by lying patients, breakdowns can be formed with any external compression, especially often in the places of bone protrusions.

Patients suffering from disruption of tissue innervation due to pathology or spinal cord damage. Such patients are relevant to the treatment of layers on the heels, on the buttocks, i.e. Points receiving the greatest pressure from body weight.

In lying patients, skin and vessels occurs, the resulting congestive processes and dieting tissues in the places of maximum contact of the body with solid parts bed, so the beds are formed depending on the position of the body:

  • When lying on the stomach - Lobok and cheeks are affected
  • When position on the side - knees, thigh, ankle
  • Lying on the back - the crushes, heels, sedanized hill, elbows, blades, head

Supply to such a process of cutting or vice versa, excessive humidification of the skin. Suchness leads to exfoliation of a horn (protective) layer of skin, and humidity provokes infection of affected areas, all this is aggravated by a violation of blood supply to the compression regions.

Such a complication of both breakdowns, their prevention and treatment are relevant to this day - the search for the newest means of therapy and the prevention of these formations is constantly being conducted. Prolesiderys are formed quickly enough, but their treatment is problematic and does not always bring the desired effect.

70% of patients who have breakdowns are older people:

  • 66% - Older people with hip fractures (hip necks)
  • 60% - patients with tetraplegia
  • 33% patients in resuscitation compartments
  • 9% of hospitalized patients
  • 3-25% - people who are at home (lying sick)

General approach to treating beds

Methods and treatment facilities are vary depending on the degree of pathological process. A huge place of importance is prevented by the prevention, which is actively held from the first days of the disease that contributes to the emergence of this complication.

Treatment is divided into: conservative and surgical. The latter is shown in severe degrees of layers, difficult to treat and non-healing. All conservative medical events are aimed at achieving the following key points:

  • Improving trophy (blood supply) tissues.
  • Purification of the surface laying on necrotic masses.
  • Healing the surface of the beds.

Property therapy principles:

  • Each degree of development, the prevention is carried out prevention of its progression.
  • It is unacceptable to use softening ointments, deaf dressings, overlapping oxygen access and evaporation of moisture, wet bandages in the initial stages and during dry necrosis - all this leads to the formation of wet necrosis and fabric death.
  • Mazi with antibacterial action is prescribed when forming a wet wound with purulent contents, with wet necrosis of tissues.
  • General antibacterial therapy is carried out taking into account the sensitivity of the pathogenic flora.
Pure Proleside

Pure Proleside

Ask the questions about the conditions of hospitalization, you can find out the cost of medical services by telephone Yusupov Hospital or on the clinic website, in the coordinator doctors.

Surface Prolesidery - 1-2 Stage

Deep breakdowns 3-4 stage

Deep breakdowns 3-4 stage

Treatment of layers 1 and 2 degrees

Surface Prolesidery - 1-2 Stage

Anti-religion cushion with memorization of form

So how to treat laying 1 degree? At the beginning of development, the proligests should be carried out active prevention of the progression of the necrotic change of tissue, since at this stage only seals and hyperemia of the skin occurs:

  • Assessment of health status in order to maximize the exclusion of domestic and external risk factors for the development and progression of laying out.
  • Treatment of all accompanying syndromes and pathologies, aggravating breakdowns.
  • Disinfection of the body - blood transfusion, Reopolyglyukin, hemodhet. Anti-Rubber Mattress

    Anti-Rubber Mattress

  • Immunostimulating therapy - vitamins, immunomodulators and immunostimulants.
  • Elimination of continuous pressure. It is recommended every 2 hours to turn the lying patients from one position to another.
  • Reducing pressure for tissue and ensuring pressure intermittentness.

This event implies the use of special means:

  • plastic tires;
  • Special anti-runa beds;
  • pillows, mattresses, gaskets, circles with gel, foam, air, water filling, or with a combination of several fillers;
  • Systems with adjustable vibration and pressure.

The Anti-Rubber Mattress is the most effective means of propagating prevention. Such mattresses constantly change the pressure on the body at different points, thanks to blowing and inflating the air every 7 minutes in special chambers of the mattress. The alternate change of pressure points eliminates the cause of the formation of bedding and retains normal blood circulation in the squeezed tissues. Mattresses of a cellular type are used for treatment and prevention of 1-2 stages (the price of 2000-2800 rubles), the balloon type 3-4 of the stages of bed (approximate prices are 4800-9000 rubles).

Also, simple rules should also be needed when lesing patients:

  • The patient's skin should always be clean, not wet, and not dry - do air baths. For hygiene, do not use antibacterial soap (it kills and useful, protective bacteria), use a simple soap, a natural sponge (or x / b washbasin) and pure water. Skin do not try, but carefully wipe, after washing, do not wipe the skin, but scrape.
  • Carefully monitor the condition of the skin - if it is overpower, use moisturizers (moisturizing hypoallergenic creams, better children's cream), for which the patient has no allergies.
  • If the skin is too wet, without fanatism, you can use suit, talc or ointment, drying the skin - a solution of manganese 1%, zinc ointment or a diamond green solution, but only for prevention or 1 stage, in the future it is not necessary to use ointments containing zinc And the solution of manganese.
  • Fatty skin can be treated with alcohol-containing means.
  • When reddening is detected - do not massage it, make a massage only around damaged skin. You can specifically make a mam and terry towel and produce massage.
  • If a patient incontinence urine is to regularly change diapers or homemade gaskets made of x / b fabric and produce a crotch toilet, it is better to use the urinary system for men. At high temperature, or when the patient sweats abundantly for other reasons, wipe the sweat is better than a weak solution of cutlery - 1 tbsp. A spoon for 250 ml. Waters than water with soap.

Local treatment of places of forming beds

This event requires a competent approach, since incorrect actions can provoke further development of necrosis.

Previously, treatment of layers in lying patients was mistakenly carried out by ion exchange drugs, such as chlorhexidine, iodinol, etc. However, these drugs change the permeability of cell membranes, leukocytes are killed and reduced cellular opposition to bacteria.

Modern local processing scheme Prolazzo includes:

  • Toilet skin with the use of physiological solution or drugs that do not have ion exchange properties - camphoring alcohol.
  • Skin drying and processing with drugs that improve the local blood circulation of fabrics (Actovegin, Solfirel).
  • The peeling of xeroform helps with breakdowns.
  • Overtention of polyurethane film bandage. This modern dressing material is available in the form of a transparent film with an adhesive surface and provides protection against bacteria, oxygen access to tissues and evaporation of moisture, and also allows visual control over skin condition. When gluing such pverseastic dressings, an excessive tension should be avoided, because when the patient moves, small folds are formed, which aggravates the state.
  • Well shows itself and such a technique like kneading the skin with cold water. The reduction of vessels and their subsequent compensatory expansion leads to improved local blood flow and increasing tissue nutrition.

How to treat breakdown 2 stages?

This stage is a transitional skin condition, when small surface damage is already visualized. At this stage, minimal surgical interference and measures suspending tissue necrosis are carried out, contributing to the regeneration of damaged areas:

  • Toilet formed wounds with removing dead epidermis from bubbles. Ideally, under the conditions of dressing: cutting with surgical scissors of the dead epithelium, washing the wound with saline, hydrogen peroxide.
  • Observation of the breakdown in the dynamics with the evaluation of the development of the process.
  • Antibacterial therapy in the case of progression of bedside and early inflammatory reaction.
  • Outing to the scene beds, devoid of epidermis, antiseptic dressings, consulted with a doctor, which of the dressings is better to use for the treatment of this wound surface, taking into account the stage (availability, absence of necrosis), lesion area:
  • Transparent film bandages with adhesive surface (togaders, hyrofilm, cosmopor, blisterfilm)
Anti-religion pillowHow to treat the breakdown - TigadermBandages for treating beds - hyrofilmCosmopor
  • Waffle hydrocoleloid (hydrocoll, duoderm) or hydrogel (hydroserbs) bandages
BlisterfilmHydrocolDouoderm
  • Semi-permeable dressings based on hydropolymer (Tielle), spongy dressings with a top layer of breathable polyurethane, which prevents the penetration of bacteria and fluid (pimaph)
HydrasorbPEMAFOM

Treatment of layers 3 and 4 degrees

In the 3 stages of development, proligence occurs, necrosis of the dermis and subcutaneous fatty fiber to the fascia occurs. Treatment of layers of 3 degrees is aimed at surgical purification of wounds from necrosis and purulent exudate and further absorption of the separated wound with drying protection.

The peculiarity of the necrotic change of the bedding is the rapid spread of the pathological process to the neighboring tissues with poor blood supply. An erroneous tactic in this case is to expect independent rejection of the dead fabrics and cleansing the wound. Necectomy with the opening of purulent cavities is recommended before the appearance of capillary bleeding.

After necrectomy, a sanitation of a breakdown ulcer is carried out using antibiotic therapy, local antiseptics and other drugs. Groups of preparations used in the treatment of brooded ulcers:

Necrolitical preparations: Tissue Reparation Stimulants: Tools for improving blood microcirculation: Anti-inflammatory drugs:
  • Collagenzin
  • TRIPSIN
  • Deoxyribanic Nuclease
  • Territine
  • Chimothrixin
  • Methyluracyl
  • Ointment Kalanchoe
  • Vinyline
  • Vulcymulin
  • Kurizin
  • Bepanten
  • Hydrotisut
  • Algofin
  • Dexametanone
  • Vulnusan

Comprehensive treatment allows you to stop the septic state and achieve the purification of ulcers. Local treatment is carried out using the following popular selection preparations:

Argosulfan cream Tielle

The active base of which represents an antibiotic sulfatiasis, inhibiting growth and further reproduction of pathogenic microorganisms. Auxiliary active ingredient - silver ions that enhance the therapeutic effect of sulfatizol and at the same time reduces its sensitizing (allergic) Ointment from bedside - SulfarginAction, and also inhibit the growth of bacterial flora.

The hydrophilic base of the drug provides an exploring effect, wound moisturizing and accelerating its healing. The concentration of the active base of the cream in the wound is long at the same, therapeutic level, and minimal resorption ensures the absence of toxic action.

Argosulfan.The treatment of argosulfana ointment ointment can be carried out in an open way or use it with an occlusal bandage. The drug is applied to the entire surface of the purified wound 2-3 mm thick twice and three times a day. Used up to 2 months.

A similar action possess ointment sulfargin (50g 200 rubles) and dermatain (50 gr. 200 rubles, 250 gr. 530 rubles), Argosulfan (15 grams 200 rub. 40 gr. 350 rub)

Ointment of Iruksol

DermazinIn the current composition of ointments are: collagenase, chloramphenicol and related enzymes. This embosimatic drug provides the purification of brooded wounds, the disintegration of narcotic tissues, which deprives the bacteria of the nutrient medium, as well as a bacteriostatic action. The use of Iruksol on purified tissue provides their growing granulation.

It is applied to the wound cleaned or moisturized, twice a day to completely purify the wound and granulation of tissues.

Iruksol ointment, the price is about 1300 rubles. for 30 gr.

Ointment Levosyn

Iruksol - a good ointment from laying outAt the heart of the drug - antimicrobial substances of Levomycesetin and sulfadimetoxin, wound-healing component of methyluracil and local anesthetic Trimkain. The ointment has a high hydration activity, thereby providing a quick therapeutic effect. The use of ointments leads to the purification of a breakdown wound from pus and necrotic masses and the subsequent healing of the wound.

It is used daily to the purified surface, which loosen is filled with ointment and is covered with dressing material. It is possible to introduce into purulent cavities through the syringe.

Price Levosin for 40 gr. 80 rubles.

Levomecol

LevosynLevomecol - In addition to methyluracyl, chloramphenicol is included in the composition. This drug improves tissue regeneration and has antibacterial properties. Used with infected proligeses in the purulent-necrotic phase of the wound process.

Levomecole (price 80-100 rubles)

Metronidazole gel 0.75%

LevomikolThe basis of metrgila is a substance with antimicrobial action of metronidazole. The gel is used with dressing material and provides weakening of sinewings from brooded ulcers and braking microbes. When laying with abundant separated, foam bandages with a metronidazole, with dry beds, either with a slight separated - hydrogel dressings with metronidazole.

Metrogil gel Price 100-120 rubles.

Hydrogel intrasite - for skin cleaning from necrotic tissues

MetrogylFor soft cleaning from necrotic tissues of the skin during breakdowns. Hydrogel is recommended to use with an outdoor bandage, the change rate of which and the choice of bandages depend on the state of the breakdown ulcer. It provides a soft, fast cleaning of the wound from necrotic fabrics, since adsorb is an excessive exudate and wound child. Intrasayt is a pure amorphous hydrogel, which consists of water, propylene glycol and a modified carboxymethytocellulose polymer.

Price: gel intrasite 2100 rub. (Great Britain)

At 4 stages of formation, there is deep necrosis with the involvement of muscles in the pathological process, the tendons of the articular capsules and bones. Treatment includes excision of necrosis, absorption of the breakdown separated and moisturizing the healing ulcers.

In conservative treatment, if the value of the deep breakdown ulcer does not decrease by 30% in 14 days, then the degree and severity of the patient's state should be recently assessing and change the treatment method. After stopping the acute phase of the area of ​​the peptic process, the issue of surgical treatment is solved.

The complete surgical excision of all dead fabrics is impossible and inappropriate (it is quite difficult to determine exactly the boundary of the sampler). The surgical cleansing of the wound is carried out with the maximum possible preservation of live tissues in the zones of the articular bags of vascular-nerve beams.

Medicase therapy is similar to that used in the treatment of 3 degrees.

With surgical treatment and to stimulate tissue repair, physiotherapeutic treatment is carried out by bedding:

  • Reducing the microbial dissemination of ulcers - ultrasound, UHF in a thermal dose, electrophoresis of antibiotics, phonophoresis of antiseptics.
  • Stimulation of reparative processes - Darsonval of healthy fabrics surrounding the breakdown (see Darsonval - instruction, indications for use), low-indense laser, mud appliqués, constant current, electric pump.
  • Stimulation of blood supply and microcirculation - massage of healthy fabrics bordering the breakdowns.

Surgery

Surgical treatment is carried out according to strict testimony, because with incorrect and inappropriate intervention, there is likely an increase in the area of ​​the prland. The effectiveness of surgical treatment methods is estimated in order to avoid further complications.

The free skin plastic (outoderoplasty) is used, excision of the proligence with comparison of the edges of the wound, plastic by local fabrics. Unfortunately, this treatment is not always perfectly, since the transplanted fabric is badly leaving on the spot with insufficient blood supply, and the proligent ulcer a priori is non-sterile.

Early operating complications are a cluster of exudate under the skin flap, the discrepancy of the seams, the edge necrosis of the flap of the skin, necrosis of the wound, bleeding. In the future, fiscased, forming a purulent cavity and leading to recurrence, can be formed.

Treatment of laying down at home

Treatment of layers in the lying patients, located at home, is very important and represents certain difficulties. At home, it is difficult to carry out a full cleaning of purulent wound and provide good gas exchange for drying the surface and repair fabric. The modern industry produces convenient disposable antiseptic self-adhesive bandages made of innovative materials and applicable at different stages of layers infected or not, which must be taken into account when choosing them.

IntrasaytProteox-TM.How to treat stranders - multifersTreatment of laying on home - biaten ag
  • Proteox-TM with trypsin and mexidol

It is used for the treatment of infected beds in the last stages. Wakes ulcers from purulent masses, necrosis, stimulates the reparation process, relieves inflammation. (price 180 rubles).

  • Multifers - Complex of Enzymes and Chitosan (Moscow)

Treatment of layers with insignificant exudation and without such, infected and no, 1 and 2 degrees.

Exposure time 1 bandage (10x10cm) 24-48 hours (price 180 rubles)

Treatment of laying on with an extensive mocking surface infected.

The course of treatment is 1-10 dressings, bandage shift frequency - once every 1-7 days (as impregnation). Price 950 rubles.

Treatment of large legs with minor exudation and without such uninfected. (price 140 rubles)

Popular treatment breakdown

When idols were formed, treatment with folk remedies is an auxiliary measure that helps purify the wounds and the formation of new tissues. It should be remembered that almost all folk methods imply the use of medicinal plants, which can cause an allergic reaction in hypersensitivity in the patient, and also depend on the stage of the process, so before applying the doctor should be consulted about the feasibility of such treatment. It is impossible to use vegetable remedies with a tannie effect - Craea willow, infusion of green walnut, oak borer, an acorns and a pr.

  • Freshly squeezed juice from the leaf of meduser lubricate the area lying several times a day.
  • Calangeau leaves of medicinal, dried in pressure, fit the cut to the breakdown and fasten the bandage overnight.
  • Young leaves of black elderberry, scratching with boiling milk, fit to the surface of the breakdown 2 times a day.
  • Ointment of calendula flowers (1 tbsp. Crushed flowers to mix with 50 grams of vaseline) are applied to break 2 times a day.
  • Summies from fresh crushed potatoes mixed with honey in a ratio of 1: 1 are imposed on places subject to the formation of bedding.
  • Juice of tea tree or sea buckthorn oil several times a day lubricate places with prladle (1-2 stage).
  • Cupiolete juice and aloe, mixed with honey in a 2: 2: 1 proportion, are applied to the plots with a breakdown of 2 p / day.
  • Compress from sterile fish fat based on sterile napkins leave overnight.
  • Popping by breaking starch.

Complications breakdown

Swelling can lead to purulent arthritis, phlegmon, wound miaza (when adult flies are laying out eggs on a wound surface), contact osteomyelitis. When corrosing the walls of the vessels, arripentic bleeding may occur, and with long-lasting stralanding, the risk of skin cancer increases.

The most severe complication in the breakdown - sepsis, when the infection from the wound with blood flow is distributed throughout the body, it leads to polyorgan deficiency and death outcome.

PREVENTION BREAKS

When preventing breakdowns, it is worth considering provoking factors and risk factors for their appearance:

  • Dirty leather, crumbs and other particles, folds, buttons, rough seams on bed linen
  • Incontinence of feces and urine, allergic manifestations in a patient on hygienic tools
  • Obesity, diabetes, increased sweating (reasons), Parkinson's disease
  • Poor nutrition, body exhaustion, insufficient drink
  • Smoking, diseases of vessels and heart, head and spinal cord
  • Cala and urine incontinence
  • Continuous pressure, humidity, friction
  • Men are more likely to suffer from bedside
  • Age - older than 70 years
  • Immobility or bone fractures
  • Low blood pressure, anemia, malignant tumors, stroke
  • Dry skin, swelling

Prevention should be carried out from the first day of the disease, with special persistence and thoroughness. As practice shows, if the breakdown has already begun to form, prevent its progression is quite difficult, and each subsequent stage of the proligence increasingly reduces the chance for the spontaneous resolution of the pathological process.

Prevention includes the following activities:

  • Careful skin care - cleansing, contactless drying and disinfection.
  • Regular bed linen change, smooth tensioning sheets without folds.
  • The use of special mattresses (aquatic, pneumatic, vibration), circles and gaskets.
  • Permanent change of the position of the patient (after 2 hours).
  • Rational nutrition with drinking mode.
  • Imitation of muscle work - massage, special electric lingerie.

Treatment of laying down at home

List of home remedies

From bedtime:

As a result of circulatory disorders and lack of movement in lying patients, ulcers are formed on the body. They may affect all layers of skin and even bone tissue. In medicine, such ulcers are called proleells. To avoid their appearance, it is necessary to provide a patient with the correct care, often turn it over, follow drink and power.

The body of the patient must be constantly inspecting. If the skin becomes a pale color in some sections, swelling appears, this indicates poor blood circulation. Soon at these places will appear. It is important to notice damage on the skin on time. Prolesidery at the initial stage is being treated much easier than in running cases. In addition, regular prophylaxis costs much cheaper and brings a patient with less discomfort. After all, the breakdown is quite painful. For treatment, both pharmacy preparations and folk remedies are used, which are often no less effective.

Shampoo vodka from laying

From laying out of any extent when not only soft tissues are affected, but the next mixture is used. For her cooking, a children's shampoo will be required. It does not contain fragrances, is a gentle tool. It is better to choose the one that is made on the basis of natural components. Also, for the manufacture of this effective medication, vodka needs vodka. Both ingredients should be taken in the ratio of 1: 1. Of these, it is necessary to make a solution. According to the consistency, it should not be too thick.

In the resulting liquid mixture, make a soft sponge and wipe the sick places. It is necessary to do it carefully, so as not to injure the skin once again. Conduct the procedure in the evening. At night, the active ingredients included in the ingredients act on ulcers. In the morning you need to wipe the skin with another sponge. It is made in pure warm water. After that, the skin should be keenly dry. Use the towel at the same time carefully, not rubbing the breakdown. However, the skin should not be wet. This contributes to the formation of new ulcers. It is necessary to continue treatment with this tool until the breakdown will fail. This may require a lot of time.

Treatment breakdown

Oil from stopping

Essential oils - the source of many useful trace elements and vitamins. In addition, they possess a pleasant smell. Due to this, treatment with means based on essential oils is not only useful, but also very nice.

In folk medicine, they are used to combat various diseases. For example, the burdock and castor oil helps well from hair loss. Oil droplets can be added to face masks to make them fragrant. It softens very well and moisturizes the skin. They can also catch the angry rash. Since essential oils are perfectly softened by the skin, they can be used to treat holopesh. There are several procedures enough so that the skin is not so rude.

Essential oils possess healing and antiseptic effect. Therefore, they are used to treat skin diseases and laying out. So, with the help of palmaroza oil make a warm compress that are imposed on ulcers. To do this, it is mixed with the oil of the Hypericum. As a second ingredient, oil sprouts of wheat or a hiceboy is suitable. The ratio of the ether of palmaroza and another component should be 1: 2. Compress is superimposed for the night. After it, the skin is gently treated with a sponge dipped in warm water.

You can also make a mixture of the following oils: Gerani, Mirra, Lavender, Petitgreine, Tea Tree and Macerat of the Hypericum. The amount of each of the components is only a few drops, but the effect will be visible almost immediately. Compress with this means can be done once a day. This method is effective both for the prevention of bedsores and in the case of running ulcers that require rapid treatment.

Sea buckthorn oil

Another effective means. This substance is rich in vitamins E and C. It is used with the treatment of many diseases: angina, atherosclerosis, hemorrhoid, stomatitis, gastritis and cold. In cosmetology it is added to the facility and hair. Sea buckthorn oil has a protective and strengthening property for the body. With it, you can restore weakened immunity. Thanks to the antimicrobial effect and ability to improve blood supply to sea buckthorn oil is used for healing laying out. It is recommended to alternate with a richness oil, which has a similar action. The most effective treatment with these means at the initial stage of the bedding. In advanced cases, sea buckthorn oil or rosehip can be an addition to the treatment with other drugs, but it will not be possible to completely get rid of ulcers with their help.

Before using oil, the skin should be disinfected by camphor alcohol. After that, gently apply oil on the areas of skin affected by ulcers. You need to wait until the tool is fully absorbed into the skin. Only after that can be put on sick clothes and hide it. It is important that cotton swabs used to apply funds were sterile. Protection in infection ulcers causes severe consequences.

Butter

Camphor oil

  • It has vegetable origin. Get oil from a tropical tree. This agent has the following useful properties:

  • anti-inflammatory;

  • antiseptic;

anesthetic.

Like sea buckthorn, camphor oil allows you to improve blood supply. In addition, it restores fabrics and enhances metabolic processes. It is used both in medicine and in cosmetology. For example, to improve the external condition of the hair.

For prophylaxis, it takes a solution of camphor oil. Sometimes this means can be represented in the form of ointment. In this case, it is better to take it precisely, because because of a thick consistency it is more convenient to apply it to the skin. To process camphor oil should be sections on which ulcer only begins to appear. For prophylaxis, this tool is recommended to even apply to the whole body of the patient. It should be done on clean skin, that is, after it is wrapped with a wet sponge. You can not use camphor oil for open ulcers. When the strags are already covered not only all layers of skin, but also bone tissue, such a means can cause a burn.

Shatter from bedside

This method leaves the skin a pleasant feeling of purity and freshness. You can prepare a chatter from medical, camphor alcohol and shampoo. The amount of each component is 100 g. Shampoo, as in the case of the preparation of a mixture with vodka, it is worth taking children. Its composition acts on the skin softer, does not cause irritation and allergies.

Foam balls from bedside

Today in stores you can find toys filled with foam balls. They are very nice to argue in their hands. For treating breakdowns, several such toys will be required. You should get the balls and fill with them pillowcase from the pillow. If there is such an opportunity, it is worth buying toys more to have enough mattress. Its action is similar to the action of special mattresses from bedside. The balls will move inside and shift the pressure from one place to another. Thus, blood circulation will gradually restore. Old breakdowns will be held, and new will not form. When a bowl on the body is a bit, you can do the cushion. It is simply necessary to put under the sick places.

Camphor oil

Other funds from laying

Water

Sometimes avoiding the formation of an ulcer on the body can be using ordinary water. It should fill the bulk container and put under the bed on which the patient lies. However, such a tool will be ineffective against the already formed bedding.

Wax ointment and fir

You can use the following ointment for the treatment of ulcers. For its manufacture, beeswax, fir trees and several sugar spoons are required. The mixture is obtained from these components. It must be heated on the stove in the enameled dishes, and then you can use for processing laying out. Such a means is well stored in the cool place. The finished ointment should be shifted into the dark tank and put in the refrigerator. For fragrance and gain properties, you can add a dry flowers of calendula or cleanliness into the dryer.

Dairy products

Equality products have many useful properties. They have a positive effect on the skin and hair. Four from cream and kefir make all sorts of masks. These products are effective and from bedside. Sick places need to handle fatty cream once a day. It is better to cook them on their own from homemade milk. However, if there is no such possibility, it is also suitable for those that can be purchased in the ready-made form in the store. The main thing is that they do not have different additives.

Soda

Onion

Soda is a simple and affordable means to combat breakdowns. It will be necessary to dissolve the tablespoon of powder in boiling water, and then moisten a flax towel in it. The cloth is attached to the patient. When the towel cools, it should be removed. It will appear purulent discharge. Then take a clean piece of linen fabric and repeat the proceeding procedure. It follows the treatment until the towel remains clean after the compress.

Well helps from laying out and onions fried in oil. For the preparation of the means there is enough pair of bulbs. They must be crushed and pour vegetable oil. It is necessary to fry until the bow does not get a golden shade. After that, the oil should be strain and add beeswax, or one church candle (in molten form). Now the means for treating beds are ready. Such ointment is applied to ulcers a couple of times a day. It can be stored in the refrigerator long enough. Before each treatment, laying out, the composition must be melt.

Starch

Prolesiders are often sprinkled with starch. This tool helps well from small ulcers. You can also melt a little beeswax in vegetable oil. When the mixture is cooled, it should be regularly applied to sick places. With such treatment, the breakdowns pass quite quickly. The effectiveness of this means is due to the antibacterial property of bee wax.

Goat Gold

If there is a goose fat farm, you can use for the treatment of patient ulcers formed on the body. In addition to it, the usual table salt and onions will be required, which must be chopped with a knife or grate. Components to connect and smear the resulting mixture of the breakdown. It is worth noting that the treatment of this means is very painful. The patient may experience unpleasant sensations. However, as ulcers are healing, pain will be less and less tangible.

If there is a goose fat farm, you can use for the treatment of patient ulcers formed on the body. In addition to it, the usual table salt and onions will be required, which must be chopped with a knife or grate. Components to connect and smear the resulting mixture of the breakdown. It is worth noting that the treatment of this means is very painful. The patient may experience unpleasant sensations. However, as ulcers are healing, pain will be less and less tangible.

Firing ointment

Another dosage ointment is prepared from spruce resin, vegetable and butter, beeswax. Take the ingredients are necessary in the ratio of 1: 2: 2: 1. Means to warm in the water bath, and then cook. Ready it will be 2.5-3 hours later. Such a means helps not only from bedside, but also from long non-healing wounds, scratches. You can use it for a long time, as the ointment is well stored in the refrigerator.

  • Recipes from herbal

  • Healing herbs decractions are used for lotion from bedside. For this, the bark is oak. A spoonful of the base for the beam should be pouring boiling water and insist for several hours. Then a sponge dipped in the resulting solution, process patients.

  • Another recipe involves cooking alcohol tincture. For her it is necessary to take fresh calendula flowers. Collect them follows in the summer. Pour the chopped raw materials with vodka and insist 14 days. After that, you can use the means for the treatment of bedsores and an ulcers, prehending it.

The anti-inflammatory effect is the elderly. Therefore, its fresh leaves will be suitable for dealing with proligens. They are poured fresh milk or steep boiling water. After that, you can apply leaves to ulcers on the body.

Treatment by folk methods is usually quite effective, and a few months later, it is possible to get rid of this disease. However, it is better to prevent the formation of an ulcery, conducting regular prevention. A source:

Newspaper Zozhe, All-Ukrainian Healer Newspaper "Grandma"

Prolesidery or otherwise necrosis of soft tissues - ailment characteristic of people, temporarily or constantly chained to bed (staying sick, people with a trauma of the musculoskeletal system, disabled from birth, elderly). The human body is very weak, and any new disease seriously affects its health and recovery rate. Guardian, caring for lying patients, should be able to recognize the first symptoms of necrosis and know how to effectively cure the breakdowns.

Symptomatics

A person who is in the lying position for a long time, its own weight presses on all the protruding parts of the body - heels, buttocks, elbows, blades, chest (if the patient lies on the stomach), as a result of which blood circulation is broken in these sites, skin sinks lose sensitivity And in severe cases, necrosis of soft tissues begins, bleeding and infected wounds appear, which need to be quickly cured.

  • Determine the first symptoms and the occurrence of the patient on the skin of the patient can anyone, even having medical education. The rapid development of necrotic lesions is accompanied by the following symptoms:
  • palpation pain;
  • changing the color of the skin and temperature on the affected body of the body;
  • edema and partial swelling;

Ointment

numbness, itching, burning.

Depending on the symptoms, the area of ​​damage and severity of necrosis, four stages of the disease are distinguished:

Stage

1

Symptoms breakdown

Skin covers are not damaged. Blood outflow on protruding parts of the body is difficult, edema, color changes and

.

2

Leather temperature

3

The appearance of small wounds, skin covers acquire a dark blue tint. Quickly cure the layers of the first two stages at home.

4

Deep, up to the muscles, waving and bleeding wounds. It is difficult to quickly cure the breakdown, since for healing bleeding wounds you need at least several days.

Determine the first symptoms and the occurrence of the patient on the skin of the patient can anyone, even having medical education. The rapid development of necrotic lesions is accompanied by certain symptoms.

Skin and adipose fabrics are very exhausted, the available wounds do not heal, fastened. The symptoms of the lesions of the tendons and bones appear. Sweese wounds are rapidly increasing in size. No treatment with a lying patient fever comes, sepsis develops. With the future there are no intense therapy, death is inevitable. At this stage, it is impossible to quickly heal the breakdown, since in most cases surgical intervention (removal of dead sections of soft tissues, purulent clusters, etc.). Fully cure breakdown wounds and remove all the symptoms will be possible in a few weeks after the start of treatment.

Important! Only the attending physician determine the severity of necrosis and prescribe qualitative treatment.

To learn how to quickly and effectively cure breaks, you can familiarize yourself with the most popular advice and frequently appointed methods of treatment.

Medication tools

  • The main goal of all therapeutic measures carried out is to prevent the damage to the soft tissues and the appearance of infected wounds at the first symptoms of the bedding. Quickly cure breakdowns, remove the symptoms and save the patient from painful sensations using the following medicines:
  • Painkillers local and common, containing lidocaine;
  • Wound-healing (hydrocortisone, dexamethasone);
  • Necrolitic (tripsin);
  • Anti-inflammatory ointments and preparations (levomecol);
  • Funds of local action to improve blood circulation (pyricarbat, tribenoside)

Preparations that accelerate the regeneration of the skin (Bepanten).

Depending on the symptoms, the area of ​​lesion and the severity of necrosis, four stages of the disease are distinguished.

If the lying patient is rapidly formed, bleeding wounds appear, it is necessary to process the affected areas of skin cover several times a day and applied, not rubbing, wound-healing ointments (levomexol, solicoryl, actovegin). With the deterioration of the condition of the skin and when paining pain in the patient, you need to call a doctor to cure the sliced ​​wounds.

  • Fast treatment of laying out and removal of symptoms implies not only the reception of potent drugs, but also the fulfillment of a guardian (medical worker) of the following requirements:
  • Improving hygienic conditions of the content of the patient. Disposable underwear should be changed in a timely manner, every two hours to help the patient to turn over.
  • Acquisition of anti-face mattress, pillows and other devices.
  • Use of antiseptic tools when contacting the patient's skin (for example, Miramistin, chlorhexidine).

To cure open wounds to use in hard-to-reach hydrogel or hydrocolloid bandages having adhesive fixation. With their help, you can quickly calm and cool the sore place, and thanks to the humid environment formed under the bandage - the body owns the dead tissues independently, which contributes to the rapid healing of the bedding.

Folk advice

In cases where the underlying patient is contained at home, and its relatives do not know about elementary rules of care, it quickly appears to appear. Most often, when the first symptoms appear, the guardians are trying to help a lying patient on their own, cure with the help of proven folk remedies.

If the lying patient is rapidly formed, bleeding wounds appear, it is necessary to process the affected areas of skin cover several times a day and applied, not rubbing, wound-healing ointments (levomexol, solicoryl, actovegin).

In cases where there are no open wounds on the body, it is possible to quickly get rid of the legs and their symptoms using antiseptic, air baths, sea buckthorn oil or camphor alcohol. For example, sea buckthorn oil contain vitamins A, E and C, due to which the local blood circulation is improved, the process of regeneration of skin cells is accelerated. It should be applied to clean areas of the skin, thin layer, and leave until complete drying. In addition, there are cases of successful use of a mixture of vodka with shampoo, but this folk remedy and the effectiveness of its application is different.

Important! It is impossible to massage and squeeze the affected areas, as it can negatively affect the progressive breakdown, provoke the acceleration of its development and cause pain to the patient.

Home compresses

In cases where there are no open wounds on the body, it is possible to quickly get rid of the legs and their symptoms using antiseptic, air baths, sea buckthorn oil or camphor alcohol.

The appearance of symptoms of necrosis in the lying sick and the elderly people with a sedentary lifestyle is a frequent occasion. The leaves of Calanechoe and the metering are widely popular in the treatment of laying outstanding stages. These plants are capable not only to quickly eliminate the symptoms of laying out and cure them, but also stop the release of fluids from open wounds. For compresses, it is best to use gauze bandages. The procedure follows daily, half an hour.

The leaves of Calanechoe and the metering are widely popular in the treatment of laying outstanding stages.

Another known means is potato starch. Pouring it on sick places, you can avoid the appearance of wound wounds. After the powder wets, it is important to carefully remove all the particles and prevent it with accumulating in the folds of the skin.

Tincture

  1. In order to quickly cure lying out, you can use various herbal tinctures. The necessary herbs can be purchased in any pharmacy point or independently assemble and put it in the warm season. To quickly get rid of the symptoms of laying back and cure the wounds with the help of herbal info, it is necessary:
  2. Prepare a tincture - well washed birch leaves, sage and hunting flowers to pour hot water and give to stand for one hour.
  3. Processing straggling with an antiseptic agent.

Rinse all sore places with warm tincture with cotton disks.

Potato starch for treating laying in lying patients

To cure breakdown quickly, it is necessary to prepare fresh infusion for each processing procedure.

  • Although the method will be chosen for rapidly healing, it is important to comply with the basic principles of treatment:
  • Positioning the patient, including at night;
  • Regular, high-quality cleaning of all wounds from dead tissues, pus and liquids;
  • air baths;
  • maintaining normal blood circulation on all discovering parts of the body;

Using medicines for removing pain, stopping bleeding and to prevent infection of available wounds.

To cure breakdowns from a lying patient is much more complicated than to perform preventive measures. It is important to carefully treat the care of an insolvent person.

Video

130.

Overview

Prolesidery are dead sections of the skin and soft tissues under it, which are formed during prolonged squeezing or friction. Prolesiders usually appear in lying patients.

Prolesiders differ according to severity. The process of forming the breakdown begins with spots on the skin and ends with open wounds in which the bones or muscles are visible.

Most often, the proligeses are formed in people with chronic diseases that limit their mobility. According to statistics, the breakdowns are developing in 2.7-29% of people who are hospitalized to the hospital. Especially high risk of skin damage from squeezing in people over 70 years, which is associated with aging of the skin, a general deterioration of health and low motor activity.

For some people, the breakdown is inconvenience, requiring simple care. For other-speed state, which can lead to potentially fatal complications, such as blood infection or gangrene. It is known that the mortality rate of the elderly, who come with imputs in the nursing home, reaches 21-88%.

  • There are a number of techniques for preventing breaking out, namely:
  • Regular shift of the position of the body;

Special equipment for protecting vulnerable parts of the body - for example, special mattresses and pillows.

But, unfortunately, even when complying with the highest standards of medical care, to prevent the formation of laying out of particular vulnerable people, it is not always possible.

Signs of bedside

Most often, the breakdowns are formed over bone speakers of the body, which are covered with a small layer of soft tissues, including subcutaneous fatty fiber. They are formed on those parts of the body, which are directly in contact with the bed or wheelchair and have the greatest pressure.

  • For example, people who are chained to bed are most often a breakdown on the following parts of the body:
  • shoulders or blades;
  • elbows;
  • slaughter;
  • the edges of the ears;
  • Extensive knee surface, heels;
  • spine protrusions;

Cross and Copchik (at the bottom of the back).

  • People in the disabled armchair are most often formed in the following parts of the body:
  • Sedal bugs (under the buttocks);
  • rear surface of the hands and legs;

Lower back (sacrum area).

Prepare a tincture - well washed birch leaves, sage and hunting flowers to pour hot water and give to stand for one hour.

Stages breakdown

The degree of gravity is estimated by a special scale. The most common is the scale of the European Expert Commission on Podland (EPUAP). The higher the degree, the hardest damage to the skin and soft tissues under it. Stage I Stage

- the most surface breakdown. The affected skin is changing color - people with white skin it becomes red, with a dark - acquires purple or blue shade. When pressed, the breakdown will not be pale. The integrity of the skin is not disturbed, but the affected area can be sealing or root. It can also be hot and atypically soft or solid to the touch. Stage II

- The site of the upper layer of the skin is amazed - epidermis - or a deeper layer - dermis, which leads to damage. Spruce looks like an open wound or a bubble filled with liquid. III Stage

- The destruction of all layers of the skin. Also suffer subcutaneous fatty tissue, but the muscles are not damaged. Spruce looks like a deep hollow wound. IV Stage

- The most severe breakdown. Complete destruction of all layers of skin, subcutaneous fiber, muscles, tendons. Bones and joints can be affected. People have the risk of death from infectious complications in people with the fourth degree.

Stages of bedside (scheme)

Causes of beds

Healthy people do not face breakdowns, as they are constantly in motion. Even during a strong sleep, we unconsciously change our position to avoid long-term squeezing of the same parts of the body. Overnight, man is touched in bed until 20 times.

Prolesiders are formed in lying or sedentary patients with prolonged pressure on soft body tissues. Due to pressure in the affected skin, blood ceases to flow containing oxygen and nutrients necessary for tissue health. Without constant blood supply, the tissue is damaged and dies with time. Breasting violation also entails a shortage of leukocytes - white blood tauros who are struggling with infection. After the breakdown was formed, it infects bacteria.

  • Possible causes of the appearance of laying out:
  • Pressure tight surface - bed or wheelchair;
  • pressure from muscle involuntary movements - for example, muscle spasms;

Humidity, which can lead to a violation of the integrity of the top layer of the skin (epidermis).

  • In addition, different types of mechanical exposure are distinguished that cause skin damage:
  • surface pressure - pressing the skin weighing body to solid surface;
  • Shift and displacement of different layers of skin and soft tissues relative to each other occurs when a person goes down the bed or raise it from a bed or a wheelchair;

friction, such as mattress or clothes, about the surface of the skin.

The rate of formation of damage depends on the force of squeezing and skin sensitivity. For example, in people with predisposition, the breakdown, striking all the skin layers, can be formed in just one or two hours. However, in some cases, damage becomes noticeable only a few days later. There are various risk factors for the formation of bedding. They are described below. Restriction of mobility

  • - Any reasons that prevent all the body or separate parts. It can be:
  • spinal injury;
  • lesion of the brain due to stroke or severe head injury;
  • The disease causing the progressive damage to the nerves participating in the body movement - for example, Alzheimer's disease, sclerosis, or Parkinson's disease;
  • severe pain that makes the movement of the body or individual parts;
  • crack or bone fracture;
  • restoration after surgery;
  • coma;

The disease limiting the mobility of joints and bones - for example, rheumatoid arthritis. Incorrect nutrition

  • - The skin of the skin requires nutrients that can be obtained only from food. Causes of possible lack of nutrients in the diet:
  • Anorexia is a mental illness, in which a person is obsessed with low body weight;
  • Dehydration - lack of fluid in the body;

Dysphagia - difficulty swallowing. Chronic illness

Violating blood circulation or enhancing skin predisposition to injury and damage. For instance: Age older than 70 years.

  • There are a number of reasons why aging leather is more vulnerable before prladle, namely:
  • With age, the skin partially loses elasticity (ability to stretch), because of which it is easier to be injured;
  • Reducing the blood flow of the skin caused by aging;

With age, a layer of subcutaneous fat, as a rule, decreases, and fat performs the function of the pillow - the shock absorber. Urinary incontinence and (or) feces

It may lead to certain areas of the skin become wet and vulnerable to bacteria. Heavy mental illness.

  • People with severe mental illness, such as schizophrenia (when a person is not able to distinguish reality from fiction) or severe depression, have an increased risk of the appearance of beds in a number of reasons, namely:
  • These patients often eat poorly;
  • they often have other physical diseases, such as diabetes or incontinence;

They may not comply with personal hygiene rules, which increases the risk of skin infections.

Diagnosis of bedtime

  • Splashing are easily diagnosed by their appearance. However, doctors try to prevent their education, so it is important to assess the predisposition of a person to them. When evaluating the predisposition, the following factors are taken into account:
  • General health;
  • ability to move;
  • Are there any problems with posture;
  • Are there signs of friction;
  • mental health;
  • whether there were breakdowns in the past;
  • there is incontinence of urine or feces;
  • food;

The state of the circulatory system.

Blood and urine tests can also be assigned. The blood test reflects the general state of health and whether the body receives enough nutrients. The urine analysis shows how the kidneys work well, and there is no urinary tract infection, which may be the cause of anxiety when urine incontinence or the injury of the spinal cord.

If a person has an increased predisposition to skin damage, he should regularly inspect himself for the first signs of bedding. You need to look for skin areas that have changed the color that have become very soft or rigid to the touch. Inaccessible parts of the body, for example, the back and buttocks, can be inspected using a mirror. When the symptoms are found, you should consult a doctor.

How to treat prisoners

Treatment is selected depending on the severity of the proligence and may be in regular change of body position or the use of a special anti-taper mattress and dressings to facilitate pressure or skin protection. In some cases, a surgical operation may be required.

The doctors of surgeons are engaged in treating sores. Medical sisters are engaged in caring for patients with prladle and daily skin processing.

Large importance in the treatment of bedding plays proper nutrition. Certain elements, such as protein, zinc and vitamin C, accelerate wound healing. If the body does not receive a sufficient number of these vitamins and minerals, the skin becomes more vulnerable. To compile a proper diet, a nutritionist consultation may be required.

Surface Prolesidery - 1-2 Stage

It is important to avoid pressure on the area, inclined to the appearance of bedside, and to the places where they have already been formed. Movement and regular change is helps to prevent the development of laying out and facilitate the pressure on the already available. Legging patients in bed must be constantly moved. This is usually done every 2 hours, on the recommendation of the doctor (if the high risk of forming the bassings) - more often, up to one time in 15 minutes.

Anti-Rubber Mattresses and Pillows

Significant various special mattresses and pillows, helping to remove pressure from vulnerable parts of the body. Anti-Rubber mattresses and pillows should be chosen along with the attending physician. People with predisposition to breakdowns and those who already have a breakdown of the first or second stage, it is worth purchasing a mattress made by individual order, filled with foam, which helps facilitate the pressure on the body.

People with the breakdowns of the third or fourth stage will require a more complex mattress or system. For example, there are mattresses connected to a direct current of air, which is needed automatically adjusting the pressure.

Bandages and Outflows

  • Special dressings help protect the breakdown and speed up healing. There are the following bandages:
  • Hydrocolloid - containing a special gel, stimulating the growth of new skin cells in the straland, while maintaining the surrounding healthy skin in dryness;

Alginate - made of algae and sodium and calcium containing, accelerating the healing process.

To accelerate the healing and prevention of further tissue damage, special creams and ointments can be used. Directly on the breakdown, the disinfection cream, which kills the bacteria is sometimes applied. Antibiotics in tablets are prescribed only with infected prladle to prevent the development of infection.

Proceeding - Sanitation

  • In some cases, to accelerate the healing of the proleside, it is necessary to remove dead fabrics. This is called rehabilitation. If the dead fabrics are a bit, treatment is carried out with the help of special dressings and pastes. Large sections of dead tissue have to be removed mechanically. Mechanical processing methods laying on:
  • Pressure and irrigation under pressure - dead fabrics are removed by water jets under pressure;
  • Ultrasonic cavitation - Sanitation Podlszda with high-frequency sound waves;
  • Laser ablation - dead fabrics are removed using high energy light radiation;

Surgical sanitation - wound cleaning by surgical instruments.

Before processing, the breakdown and fabric around it is processed by local painkillers so that the reservation does not cause pain and discomfort.

Treatment of larvae

Alternative Sanation method. The larvae is ideally suited for wound sanitation, as they feed on dead and infected fabrics, not touching healthy. They also help to struggle with infection, highlighting substances that kill bacteria and stimulating healing.

During the procedure, the larvae is attached to the bandage, which is superimposed on the wound, and then this area is borne by. After a few days, the bandage is removed, and the larvae is removed. The idea of ​​treatment with larvae seems disgusting, but the results of some studies have shown that this method of rehanging can be more efficient than traditional. However, this method of treatment is officially not applied in Russia.

Surgical operation for treating beds

The splashing of the third or fourth grade is rarely heal independently. In this case, an operation is required, which consists in cleaning the wound and its closure by crossing the edges (direct closure) or with the help of tissue taken from the neighboring body of the body (plastic skin flap).

  • The closure surgery can be difficult, especially considering that people with proligeses are most often so weak health. The operation is associated with the risk of complications, for example, the following:
  • infectious damage to the wound;
  • Empting of the tissues of the sewn flap;
  • infectious damage to bone (osteomyelitis);
  • bleeding;

Thrombosis of deep veins (blockage of blood clot vessel).

Despite the risks, the operation is often necessary to avoid threatening living of complications, such as infecting blood and gangrene (rotting of living fabrics).

What are dangerous lying?

Despite the good care and treatment, with the standings of the III and IV stage, complications life-threatening can develop. They are described below. Purulent diseases of soft tissues

, such as Panniculitis - inflammation of subcutaneous fatty fiber in the field of proligene and nearby fabrics, necrotic fasciites - in purulent inflammation the fascia of the muscles are involved, gas gangrene - the destruction of soft tissues under the action of bacteria that live without access of oxygen. All these complications are very dangerous, manifested by an increase in body temperature, strong pain in the place of lesion, edema and redness. In purulent complications, urgent medical care is required: surgical processing of the wound, the course of antibiotics. In particularly severe cases, it may be necessary to amputate limbs. Blood infection (sepsis)

- distribution of infection in blood and throughout the body. This is possible with severe proleells in people with a weak immunity. In the most severe cases, multiple infectious-toxic damage to organs can lead to a sharp drop in blood pressure (septic shock) - deadly complication. Blood infection is an urgent state that requires immediate treatment in resuscitation conditions, where the functions of the body will be supported by medical devices until it is possible to get rid of infection. Infection of joints and bones

PREVENTION BREAKS

- Septic arthritis and osteomyelitis. These complications can cause the destruction of joints and bones. Antibiotics use for treatment. However, in the most severe cases, surgical removal of damaged tissues may be required.

One of the most effective methods for preventing breaking down in laying patients - regularly and often change body position. If the breakdown has already appeared, regular movements will help reduce the pressure on it and accelerate wound healing. Lodged patients should be changed the position of the body is not less than once every 2 hours. People chained to the wheelchair should be changed at least once every 15-30 minutes.

When it appears, it is important to try to reduce the pressure on it as much as possible so that the wound hesitate faster. If a person himself is not able to move, he should help a relative or a nurse.

For lying patients, anti-face mattresses are used. Under those parts of the body that are most susceptible to squeezed, put foam pillows of various thicknesses from 3 to 10 cm. The bed must be refilled by pure cotton linen. It is necessary to ensure that the sheets are not going to the folds, there were no crumbs and other objects in the bed, which put friction and pressure on the body. The underwear of the patient should be made of natural fabrics, without coarse seams and rubber bands.

It is necessary to strictly follow the hygiene skin, take water procedures daily with liquid soap. During washing it is impossible to rub the skin. If necessary, use diapers or absorbing diapers to keep the body dry and clean.

People prone to the appearance of laying out, it is necessary to check the skin every day for the presence of signs of their appearance, such as stains. Inaccessible parts of the body, such as buttocks and stop soles, can be inspected using a mirror. If any signs are detected, you should consult a doctor.

Nutrition for breakdown

  • A healthy balanced diet, which includes a proper amount of protein and a variety of vitamins and minerals, will help to avoid skin lesion and speed up healing. In the absence of appetite, due to any disease, advice below should be used:
  • Food with small portions throughout the day instead of two-three large meals. You can make a schedule of meals, and not wait for the appearance of a feeling of hunger. It is necessary to consume a sufficient amount of nutrients.
  • Before eating should not drink a lot of fluid, as this will create a false sense of saturation.
  • With difficulty swallowing, you can try special nutritional drinks or purees and soups.

Vegetarians need to consume enough vegetable protein. Examples of products rich in protein: cheese, yogurt, peanut butter, legumes and nuts.

One of the most effective methods of preventing sores for smokers - a refusal of smoking. Smoking leads to a decrease in the blood oxygen content, and also weakens the immunity, which increases the risk of forming beds.

What doctor to contact during the breakdowns?

If you or your relative have appeared signs of bedside, find a good surgeon. The doctor will examine the skin and suggest you treatment options. It may be necessary to hospitalize in surgical hospital. With the help of the service, you can call the surgeon to the house.

Prolesiders can appear in people of any age if they cannot independently change the position of the body. For example, chained to bed or wheelchair. Treatment and prevention of bedtime - a whole range of care measures for a sick person. It is easier to warn breakwesters than to treat them.

The skin is an important organ, due to which the integrity of the human body is preserved, the constancy of the inner environment of the body. The skin consists of the epidermis and the skin itself - the dermis, in which the blood vessels are located, greasy and sweat glands, nervous endings. Oxygen comes through the skin, which is mainly in the supply of epidermis cells.

To protect the skin, it is necessary to maintain its purity, elasticity and continuous blood supply. If one or more of these conditions are not respected, various skin diseases may occur. Prolesidery is one of the most dangerous human health disorders of the normal functioning of the skin.

Prolesiders are sites of necrosis and ulcerations arising in places where soft tissues are squeezed between bone protrusions and solid surfaces.

Sweese can appear in people of any age if they are chained to bed or wheelchair and cannot independently change their position. It is possible that there are impositions from the gypsum bandage, tires, poorly fitted orthopedic prosthesis or from constant pressure on the skin of other solid objects.

How to arise prolesidery

The main cause of laying out of laying patients is an uneven pressure distribution between the supporting areas of the body and the surface of bed. The pressure in such parts of the body is higher than the pressure in small vessels feeding the skin, about 10-15 mm. RT. Art .. If the blood does not go to the skin for more than 2 hours, then there is a nutritional disorder (ischemia) of tissues, and then their oversonation (necrosis). As a result, there is a breakdown.

First, the skin protrudes on the skin, it blossoms and swells, sometimes accompanied by the formation of bubbles in the places of depressing the epidermis. Then necrosis leads to the exposure of the surface of the wound and its further infection, damage to the tissues, up to the bone. If unfavorable conditions persist, the area lay down quickly begins to grow, sometimes capturing almost all parts of the body in contact with the support surface.

Factors contributing to the formation of layers: immobility of the patient's body, solid surface, skin pollution and underwear and feces, careless manipulations, resulting in damage to the epidermis.

Risk factors for the emergence of laying back: reduced nutrition and disadvantage of drinking, overweight, depletion, cardiovascular diseases, diabetes mellitus, sweating at elevated temperature, allergic reactions to skin care products.

Swelling may be life-threatening, if patients do not receive appropriate treatment or major diseases prevent their healing.

Especially dangerous to breakdowns for people of elderly and senile age. Many older people have less fat and muscles that help absorb pressure. The amount of blood vessels is reduced, and their walls become thinner and lighter. All wounds, including breakdown, heal slower.

  • Development of legs in the elderly people contribute to certain conditions:

  • No possibility to move normally due to illness, such as stroke.

  • The need to remain in bed for a long time, for example, due to the operation.

  • Excessive drowsiness. Such people are less likely to change the situation or rarely ask someone to help them in this.

  • Loss of sensitivity due to nerve damage. Such people do not feel discomfort or pain that would prompted them to change the position.

  • Weak reaction to your own discomfort or pain due to illness, for example, dementia.

Weak ability to heal wounds due to diseases such as diabetes, peripheral arterial disease or venous insufficiency.

How to warn breakwesters

Treatment and prevention of bedtime - a whole range of care measures for a sick person.

It is easier to warn breakwesters than to treat them.

The best ways of the prevention of the formation of beds are a frequent change of body position and careful skin care. Patients bedged to bed better turn over every 2 hours. Persons who care for the sick should carefully examine the skin daily to see the early signs of redness or color changes. Any pigmentation that is not characteristic of normal skin signals that it is time to change the position of lying. In addition, it is recommended to carry out a soft massage of surface tissues. It warns blood and lymphs in the skin and subcutaneous fatty tissue.

The following simple rules for proper care for lying patients will help not provoke excessive skin friction, causing the appearance of bedding:

- Do not tighten the patient alone.

- It is impossible to pull the underwear from under the patient, especially wet.

- Do not be written under the sore ship, you must first raise it.

- It is not recommended to try to squeeze or give a semi-dyed position with a weak patient. Their muscular activity is missing to keep in this position, and they gradually begin to crawl. Prevent crashing any device to stop in the legs.

To prevent the beds, it is good to use anti-face mattresses. Their design allows you to increase the area of ​​the skin support surface by regulating the pressure in the mattress depending on the patient's weight. Regular, optimally 1 time in 5 minutes, pressure change in different parts of the mattress leads to a pressure change on different areas of the skin in contact with the mattress.

Food and drink lying patients

Legging patients doctors recommend include more protein in the diet. Protein - construction material for muscles, which can atrophy atrophy. Choose products that contain many trace elements - iron, zinc, vitamin C. Well, if the patient's menu will include fermented dairy products, greens, vegetables, fruits. For heavy patients, meat is better to replace with lighter sources of proteins - chicken broth, fish, beans, crops and dairy products. If there are no restrictions, then drink is preferably at least 1.5 liters per day. It is undesirable to use sweet and carbonated drinks, quick food.

Skin care of lying patients

Steam sick soft underwear without coarse seams, buttons, patches, regularly and often correct the bed so that there are no folds and small items under it.

Conduct the toilet regularly. Cala and urine particles are strong stimuli. Even if the patient's incontinence of urine, in no case do not limit it in drinking. With a lack of liquid, the concentration of urine increases, and accordingly the force of irritation.

Briefly cut your nails and the patient to avoid damage and combing the skin. With long-term lying or seat on the compressed areas, itching occurs. Make sure that the patient is dressed and closed with a blanket, respectively, the temperature of the room. Overheating causes an increased sweating and increases the risk of developing beds.

Skin care rules are quite simple: do not allow skin pollution, excessive dryness and humidity, because the skin of a lying patient is not capable of preventing external influences.

The general rule is: a wet skin need to be dried, and dry - moisturize. Cleansing procedures must be carried out without using antibacterial soap. Together with harmful bacteria, soap destroys and useful microorganisms. After stopping the use of such soap, the skin is barely able to resist even a minor infection. When cleaning the skin in places of compression, use a soft sponge and use it very delicately, avoiding injury to the upper layers of the skin. To dry the skin after washing it should be delicately rinse with a soft cotton cloth. Either one of the following preparations can be used: 1% a solution of manganese, green, ointment with zinc. When applying zinc ointments, gauze bandages do not stick to the edges of the wound and, accordingly, the newly formed epithelium and granulation are not injured when removing the bandage. Outing the dressings on the deep breakdowns, the wounds must be closed to the entire depth, but not tight. The redneed areas of the skin in no way massage, but the light regular massage around these places is very desirable. Be sure to arrange air baths for skin.

It is important to observe the patient's hygiene: often change underwear. When urine incontinence, the position of the lining or special diapers will make it easier, although some patients just enough to give the ship. Instead of lining and diapers, you can use diapers from linen. Several times folded cotton linen, laid in the crotch or sublated under the buttocks, will limit the spreading of urine, and the old covered underwear absorbs moisture well.

With incontinence of urine in men cope easier. You can use a special urinary system.

Increased sweat is released in patients with high temperatures. In order to reduce sweating, it is necessary, first of all, to treat the main disease. To wipe the patient, it is better not to use soap and water, but a weak vinegar solution: 1 tbsp. Spoon of table vinegar per 1 cup of water.

Principles of treatment breakdown

It is necessary to free the affected places from the compression so that the blood can freely come to the place of formation formed.

Sandages arise from compression, and if we loosened it, then the blood circulation in the place of damage will be restored. This will lead to the rejection of the necrosis formed (bedding) and the gradual healing of wound through granulation and epithelization.

For necrosis rejection, mechanical removal of necrotic masses surgically or use drugs accelerating independent rejection.

To treat the wound, it is necessary to clean it, then create conditions for healing. This can be done using alginates in the form of napkins and powder to fill wounds, hydrocoleloid dressings that contribute to the purification and closure of the wound. You can use the most diverse healing ointment and gels.

Often, secondary infections complicate skin condition. In such cases, it is necessary to use antiseptic and antibacterial agents. In severe cases, in weakened and elderly patients, the use of antibacterial drugs inside is shown.

Sometimes it is badly healing and large in the area of ​​the proligests can be cured only by a surgical path - tissue transplantation.

When treating breakdowns, bandages apply. To fix the dressings, use the bandage or plaster. However, the plaster takes off the top layer of skin cells when removing, which can provoke the appearance of new wounds. To avoid such complications, it is better to use a paper-based plaster - the skin is well breathing well, and the adhesive base is less injured when the patch is removed. When overlapping the patch, do not pull it strongly to avoid the formation of small skin folds. Consider the moment that when changing the position of the patient, soft tissues will shift and stretch, which can lead to the formation of unwanted skin folds.

If you or your relative have appeared signs of bedside, find a good surgeon. The doctor will examine the skin and suggest you treatment options. It may be necessary to hospitalize in surgical hospital. With the help of the service, you can call the surgeon to the house.

Prolesiders can appear in people of any age if they cannot independently change the position of the body. For example, chained to bed or wheelchair. Treatment and prevention of bedtime - a whole range of care measures for a sick person. It is easier to warn breakwesters than to treat them.

The skin is an important organ, due to which the integrity of the human body is preserved, the constancy of the inner environment of the body. The skin consists of the epidermis and the skin itself - the dermis, in which the blood vessels are located, greasy and sweat glands, nervous endings. Oxygen comes through the skin, which is mainly in the supply of epidermis cells.

Treatment of layers in an early stage can be successful if the patient received timely treatment. But for complete recovery, several weeks are usually required. After 6 months of treatment, more than 70% of the layers of stage II, 50% of the layers of stage III and 30% of the IV stage, are healing.

Sweese can appear in people of any age if they are chained to bed or wheelchair and cannot independently change their position. It is possible that there are impositions from the gypsum bandage, tires, poorly fitted orthopedic prosthesis or from constant pressure on the skin of other solid objects.

How to arise prolesidery Education mechanism breaks

The main cause of laying out of laying patients is an uneven pressure distribution between the supporting areas of the body and the surface of bed. The pressure in such parts of the body is higher than the pressure in small vessels feeding the skin, about 10-15 mm. RT. Art .. If the blood does not go to the skin for more than 2 hours, then there is a nutritional disorder (ischemia) of tissues, and then their oversonation (necrosis). As a result, there is a breakdown.

First, the skin protrudes on the skin, it blossoms and swells, sometimes accompanied by the formation of bubbles in the places of depressing the epidermis. Then necrosis leads to the exposure of the surface of the wound and its further infection, damage to the tissues, up to the bone. If unfavorable conditions persist, the area lay down quickly begins to grow, sometimes capturing almost all parts of the body in contact with the support surface.

Factors contributing to the formation of layers: immobility of the patient's body, solid surface, skin pollution and underwear and feces, careless manipulations, resulting in damage to the epidermis.

Risk factors for the emergence of laying back: reduced nutrition and disadvantage of drinking, overweight, depletion, cardiovascular diseases, diabetes mellitus, sweating at elevated temperature, allergic reactions to skin care products.

Swelling may be life-threatening, if patients do not receive appropriate treatment or major diseases prevent their healing.

Prolesiders are sites of necrosis and ulcerations arising in places where soft tissues are squeezed between bone protrusions and solid surfaces. Sweese can appear in people of any age if they are chained to bed or wheelchair and cannot independently change their position. It is possible that there are impositions from the gypsum bandage, tires, poorly fitted orthopedic prosthesis or from constant pressure on the skin of other solid objects.

  • Development of legs in the elderly people contribute to certain conditions:

  • No possibility to move normally due to illness, such as stroke.

  • The need to remain in bed for a long time, for example, due to the operation.

  • Excessive drowsiness. Such people are less likely to change the situation or rarely ask someone to help them in this.

  • Loss of sensitivity due to nerve damage. Such people do not feel discomfort or pain that would prompted them to change the position.

  • Weak reaction to your own discomfort or pain due to illness, for example, dementia.

Weak ability to heal wounds due to diseases such as diabetes, peripheral arterial disease or venous insufficiency.

How to warn breakwesters

Treatment and prevention of bedtime - a whole range of care measures for a sick person.

It is easier to warn breakwesters than to treat them. Proleside

Development of legs in the elderly people contribute to certain conditions:

The following simple rules for proper care for lying patients will help not provoke excessive skin friction, causing the appearance of bedding:

- Do not tighten the patient alone.

- It is impossible to pull the underwear from under the patient, especially wet.

- Do not be written under the sore ship, you must first raise it.

- It is not recommended to try to squeeze or give a semi-dyed position with a weak patient. Their muscular activity is missing to keep in this position, and they gradually begin to crawl. Prevent crashing any device to stop in the legs. Change of position

The following simple rules for proper care for lying patients will help not provoke excessive skin friction, causing the appearance of bedding:

Food and drink lying patients

Food and drink lying patients

Skin care of lying patients

Steam sick soft underwear without coarse seams, buttons, patches, regularly and often correct the bed so that there are no folds and small items under it.

Conduct the toilet regularly. Cala and urine particles are strong stimuli. Even if the patient's incontinence of urine, in no case do not limit it in drinking. With a lack of liquid, the concentration of urine increases, and accordingly the force of irritation.

Briefly cut your nails and the patient to avoid damage and combing the skin. With long-term lying or seat on the compressed areas, itching occurs. Make sure that the patient is dressed and closed with a blanket, respectively, the temperature of the room. Overheating causes an increased sweating and increases the risk of developing beds. mattress

Skin care rules are quite simple: do not allow skin pollution, excessive dryness and humidity, because the skin of a lying patient is not capable of preventing external influences.

The general rule is: a wet skin need to be dried, and dry - moisturize. Cleansing procedures must be carried out without using antibacterial soap. Together with harmful bacteria, soap destroys and useful microorganisms. After stopping the use of such soap, the skin is barely able to resist even a minor infection. When cleaning the skin in places of compression, use a soft sponge and use it very delicately, avoiding injury to the upper layers of the skin. To dry the skin after washing it should be delicately rinse with a soft cotton cloth. Either one of the following preparations can be used: 1% a solution of manganese, green, ointment with zinc. When applying zinc ointments, gauze bandages do not stick to the edges of the wound and, accordingly, the newly formed epithelium and granulation are not injured when removing the bandage. Outing the dressings on the deep breakdowns, the wounds must be closed to the entire depth, but not tight. The redneed areas of the skin in no way massage, but the light regular massage around these places is very desirable. Be sure to arrange air baths for skin.

It is important to observe the patient's hygiene: often change underwear. When urine incontinence, the position of the lining or special diapers will make it easier, although some patients just enough to give the ship. Instead of lining and diapers, you can use diapers from linen. Several times folded cotton linen, laid in the crotch or sublated under the buttocks, will limit the spreading of urine, and the old covered underwear absorbs moisture well.

With incontinence of urine in men cope easier. You can use a special urinary system.

Increased sweat is released in patients with high temperatures. In order to reduce sweating, it is necessary, first of all, to treat the main disease. To wipe the patient, it is better not to use soap and water, but a weak vinegar solution: 1 tbsp. Spoon of table vinegar per 1 cup of water.

Principles of treatment breakdown

It is necessary to free the affected places from the compression so that the blood can freely come to the place of formation formed.

Sandages arise from compression, and if we loosened it, then the blood circulation in the place of damage will be restored. This will lead to the rejection of the necrosis formed (bedding) and the gradual healing of wound through granulation and epithelization.

For necrosis rejection, mechanical removal of necrotic masses surgically or use drugs accelerating independent rejection.

To treat the wound, it is necessary to clean it, then create conditions for healing. This can be done using alginates in the form of napkins and powder to fill wounds, hydrocoleloid dressings that contribute to the purification and closure of the wound. You can use the most diverse healing ointment and gels.

Often, secondary infections complicate skin condition. In such cases, it is necessary to use antiseptic and antibacterial agents. In severe cases, in weakened and elderly patients, the use of antibacterial drugs inside is shown.

Sometimes it is badly healing and large in the area of ​​the proligests can be cured only by a surgical path - tissue transplantation. massage

When treating breakdowns, bandages apply. To fix the dressings, use the bandage or plaster. However, the plaster takes off the top layer of skin cells when removing, which can provoke the appearance of new wounds. To avoid such complications, it is better to use a paper-based plaster - the skin is well breathing well, and the adhesive base is less injured when the patch is removed. When overlapping the patch, do not pull it strongly to avoid the formation of small skin folds. Consider the moment that when changing the position of the patient, soft tissues will shift and stretch, which can lead to the formation of unwanted skin folds.

Skin care of lying patients

Sources and literature

If a person has an increased predisposition to skin damage, he should regularly inspect himself for the first signs of bedding. You need to look for skin areas that have changed the color that have become very soft or rigid to the touch. Inaccessible parts of the body, for example, the back and buttocks, can be inspected using a mirror. When the symptoms are found, you should consult a doctor.

Consider how to treat the strags (Lat. Decubitus) depending on the stage of their development and location location. We will understand which pharmacy drugs and proven folk remedies will help cope with the problem in the elderly than to smear wet, dry and purulent wounds. We learn who threatens the disease and what to do for prevention.

Pathology is necrosis (samples) of soft tissues, which occurs in lying patients with squeezing of vessels and skin between two solid bases: the surface of bed and protruding parts of the skeleton. This is one of the most unpleasant complications in people chained to the bed, a wheelchair.

How to treat breakdowns on 4 stages of education - 18 expert councils with photos

Solving the question of how to competently treat the breakdown, it is desirable to consult with doctors. Adhering to a certain algorithm for action, you can stop the destruction of fabrics at home. Therapeutic activities depend on the depth and location of the modified tissues.

treatment

Doctors are distinguished by surface and deep wounds - they are classified at 4 stages in the depth of tissue damage (see photo). Each stage has its own characteristics in the treatment, which is described in detail for each stage. In total, 18 expert councils are given to cure wounds.

The risk categories of the formation of idols include people who are chained to bed or a wheelchair. It happens because of the constant pressure on certain parts of the body, the blood ceases to enter them, which is the main reason for the start of the destruction of soft tissues.

With a long stay of the patient on his back, ulcers may appear on the back of the head, blades, elbows, cock, sacrum, heels. If the individual is forced to be on the side, the wounds are "settled" on the hip, the side of the knee, ankle. Damage is recorded on the pubic and cheekbones when a person lies for a long time on his stomach. The location of the affected parts of the body, see the photo below.

Treatment of superficial bedrooms in the 1st stage

The first stage is the initial, easiest. It is characterized by the occurrence of edema hypereminated (blusted) zones on the parts of the body in contact with the bed. It is characteristic that when you click on them there is no white trail. Sometimes instead of redness, a pronounced sinusiness (cyanosis) is observed.

With a long stay of the patient on his back, ulcers may appear on the back of the head, blades, elbows, cock, sacrum, heels. If the individual is forced to be on the side, the wounds are "settled" on the hip, the side of the knee, ankle. Damage is recorded on the pubic and cheekbones when a person lies for a long time on his stomach. The location of the affected parts of the body, see the photo below.

What does the leaning of fabrics look like on stage 1, look at the photo.

Let's deal with what to do if the initial stage is detected, how to prevent further necrotic changes in tissues, return the tone of the skin. Note that the detection of the redneous and underlined area in immobiliated (in whole or in part) of patients is the signal is incorrect or not sufficiently careful patient care.

  1. Prevent the progression of pathology in laying patients will help the following actions:
  2. After 2-2.5 hours to change the pose of the patient. To hold the affected areas on weight, it is convenient to use a special lining (inflatable) circle. This will allow you to remove the pressure from the injured zone, will provide access to it, protects from moisture.
  3. At least 2 times a day to make air baths (preventing supercooling).
  4. For hygienic procedures, use simple soaps (antibacterial kills and pathogenic, and beneficial bacteria), natural sponge (x / b washbasin), clean water. After washing, the skin carefully rinse - in no case rub.
  5. In the morning and in the evening massaging smooth circular motions around redness. It is convenient to do this with the help of a mouselette of a terry towel. It is impossible to rub, knead the surface of hyperemic (red-free) skin.
  6. Once a day to spend quartzing - ultraviolet kills bacteria on any surfaces. The procedure can be carried out with the help of a "Sunny" home medicine. It is advisable to agree with the doctor number of procedures.
  7. Do not allow damage to the integrity of the redneck (darkened) cover.
  8. When urine incontinence (feces), replace diapers or diapers from x / b fabric, to carry out the toilet genitalia. For strong sex, apply the urinary system.

With abundant sweating, wipe the skin with a weak solution of food vinegar - 1 tbsp. Spoon dilute in 250 ml of cool water.

The fight against the brooded wounds at home is a painstaking and permanent process requiring diligence.

A simple rule should be followed: wet skin (with sweating, selection of physiological fluids) dry, dry - moisturize. Suchness leads to peeling a protective (horny) leather layer. Excessive sputum - to infecting the affected areas. All this is aggravated by a circulatory disorder in the squeezing zones.

  • What to handle starting breakdown? Places of redness can be lubricated:
  • camphor alcohol
  • Lemon cut in half
  • zinc ointment
  • Oil from the fruit of sea buckthorn

tincture of Japanese sofa

The stains that have appeared once every two hours. It is not recommended to use manganese, green, iodine, because they cut the epithelium, disturb the granulation tissue.

Heels have increased dryness. They are lubricated with vaseline, children's cream, other moisturizing means. At this stage, effectively apply bandages Tenderur 24. At this stage, effectively apply bandages (Tenderwet 24),

  • Active (Tenderwet 24 Active). What ointment use with a rack of redness? Doctors recommend using preparations that improve the blood circulation process. In particular, they include:
  • Salcossuril (price from 120 rubles.)
  • Actovegin (from 41rub.)

Bapten (from 305 rubles) note

that the use of softening compositions, deaf and wet dressings blocking the penetration of oxygen and evaporation of moisture leads to the formation of wet necrosis, tissue destruction.

For clarity, we look at the video, where it is clearly shown, what actions will be taken in the first stage of formation.

Treatment of brooded wounds in 2 stages

How to treat straws in 4 stages of education

The appearance of ulcers and blisters with hemorrhagic or serous content is characteristic of the second stage - we look at the photo below.

  • The accuracy of the affected area includes the following actions:
  • Washing hyperemic leather chlorhexidine or hydrogen peroxide.
  • The imposition of bandages with any ointment of ointment-soldovegin, Levosin, Salcossurle, Levomecol.
  • The use of modern self-adhesive bandages on the wound: a cosmopor (from a nonwoven soft polyester material with an absorbent pad), a tagaderm (a special transparent film that serves as a moisture barrier does not prevent gas exchange). Covering places of lesion by anti-Rubber bandages Hartmann.
  • (Hartmann) and ointment bandages: ATRUMAN AG (silver-containing), Hydrotul (hydroactive), Branolind N (with Peruvian Balm).
  • Application of modern dressings Permafoam Cavity, Hydrosorb Gel, Tenderwet Active Cavity, which speed up the process of cleansing and healing wounds.

The imposition of applications with substances with invalid characteristics. For example, the use of multi-layer coatings by multiferms, proteox -tm, hydrogel dressings Hydrasorb Comfort, etc.

At this stage, an assessment of the general condition of the patient, which makes it possible to detect or eliminate factors that are able to exacerbate the development of the negative process, cause stronger damage.

Specialists can prescribe the disinfectant of the body - blood transfusion, hemodez (antitoxic plasma-substituting agent), immunostimulating therapy - receiving vitamin complexes, immunostimulants.

Treatment of deep beds in 3 and 4 stages

Treatment of brooded wounds in 2 stages

The open wound, covered with pus, is typical for the third stage. The pathological process covers deeper layers, destroying the skin, subcutaneous tissue, muscle mass, which can be seen in the photo. On fourth stage

Treatment of deep bedside - 3 Stage

The depth of damage increases - tendons are injured. The inflammatory-purulent process can cross the adjacent bones (see photos).

If only soft tissues are destroyed with deep wounds - skin cover, the muscles will help the competent selection of pharmaceutical preparations. The cure of deeper damage (up to the bones) is solved surgically.

  1. Used medicines are conditionally divided into such groups:
  2. Necrolitic drugs (accelerate the removal of dead tissues)
  3. Anti-inflammatory drugs
  4. Reparation Stimulants (Recovery) Tissues

Hardware

4 Stage Depth of Tissue Damage

Practical and convenient for use in lying patients various sprays from the bedding, for example, whats of the spray (price from 480 rubles / 370 UAH.), Olazol (cost 250 rubles / 76.17 UAH.), Menalind (380 rubles / 165.50 UAH.). Reliably protect against the negative effects of pathogenic bacteria napkins with silver Atraumum Ag (78 rubles / 40.95 UAH.).

3 stages of cure deep bedding

Deep breakdown wounds are treated in stages. They are always infected, contain a significant amount of dead tissues, pus. Their main danger - can cause a general blood infection, carry a threat to life. At the first stage Menalind and whats spray for the treatment of wounds

The focus of the lesion from pus and necrosis is performed using enzymes. PAM-T (with strong discharge), proteoks-TM (with moderate and minor discharge) are used.

Course treatment - 7-10 days. Purified wound becomes bright red. Significantly decreases the amount of pus separated from it. If the surgical processing of the problem zone was carried out before that, then immediately go to the next stage. Purpose The second stage

3 stages of cure deep beds - Sanation by bandages

It is stimulating the appearance of a young connective tissue. Speeding this process will help invalid drugs based on enzymes. Biatain Absorbating Bandages (Biatain) are able to create ideal conditions for healing external (wet) wounds. Third stage

Absorbent bandages Biatain (Biatain) - 2 phase of treatment

Therapeutic measures are associated with the protection of a young connective tissue. Hydrocolloid coatings Comfil Plus (Comfel Plus) are the most effective means at this stage: reliably protect against infections, create better conditions for tissue regeneration, do not require frequent dressings - 1-2 times in 2-5 days.

The acceleration of wound healing in Elderly, modern methods of treatment are promoted, for example, the use of vacuum therapy (NPWT or VAC-THERAPY).

Folk remedies

Surgical intervention in deep damage is a repeated excision of non-viable tissues (necrectomy), with severe destruction - the execution of outoderoplasty (plastic with displaced skin-muscular or skin losted). Innovation techniques can be used before operation - magnetic electrostimulation, laser electrostimulation.

Hydrocolloid coatings Comfil Plus (Comfel Plus)

Tandem of medication and traditional medicine will help to get rid of pathology faster. Consider the most common recipes and recommendations on the treatment of neoplasms from long lying.

How to treat wounds on the smoking and buttocks

Simplify treatment of layers on the cock, buttocks (often arise at the same time) at home will help bandages with an antiseptic.

Tandem of medication and traditional medicine will help to get rid of pathology faster. Consider the most common recipes and recommendations on the treatment of neoplasms from long lying.

Before their imposition, the surface should be treated with a mixture of water and vodka (1: 1), a solution of vinegar (1 spoon on a water cup), camphor alcohol. Next, apply Panthenol Spray, methyluracyl. What quickly lubricate redness and ulcers on the buttocks, smoking?

An excellent effect is achieved when using a mixture of essential oils: worlds, geraniums, tea tree, Petitgrina, Macerat of the Zverboard. Oils possess antiseptic and healing effect. Each oil take 2-3 drops. Oil compress do once a day.

[ADSP-PRO-1] Get rid of the wound on the buttocks from the seating will help another good tool - sea ​​buckthorn oil

. On the forums you can find many excellent reviews about wonderful oils. The substance improves blood supply, has an antimicrobial effect. In addition, it helps with gastritis, stomatitis, hemorrhoids.

Before applying, affected places in the buttocks have a lying person to disinfect camphor alcohol. Sea buckthorn oil can be alternating with a rosehip oil providing a similar action.

Treating with folk remedies

The use of the Anti-Rubber Circle will simplify care and in strong damage, and at the first symptoms of pathology.

  1. Several important nuances:
  2. The circle must be installed so that the wound is in its center.
  3. The product should be covered with film to prevent skin friction.

The circle should not be overly tough - only slightly lifted over the bed.

Often, questions on the forums sound about how to remove ulcers on the pope, smoking with sparing folk remedies, how to treat wounds in the immobilized patient with a tendency to allergies? It does not cause allergic reactions with a mixture of vodka (high-quality) and any shampoo for children (or natural Botanic). Swelling wounds are lubricated with the composition 1 time per day. After 10 hours rushed with clean water. This method is verified personally.

. At the stage of the lesion, it gives a good result and removes the smell.

How to get rid of wounds on the heel, on the leg. A photo

Anti-Rubber circle

At first, on the top layer of the epidermis, the fifth occurs a white spot, then a red bubble is formed, which quickly turns into a stain of black. Green "Lekari" will help to speed up and alleviate the heels.

  1. We offer to use repeatedly proven recipes:
  2. Fresh bezen leaves to quench the boiling milk and apply to ulcers.
  3. Freshly prepared juice from medpetian leaves to lubricate reddened areas 4-5 times a day.

Prepare ointment from the color of the calendula: 1 tbsp. l. Flowers crushed (conveniently use the coffee grinder) and connect with 50 g of vaseline. Apply twice a day.

An excellent effect is achieved when using a mixture of essential oils: worlds, geraniums, tea tree, Petitgrina, Macerat of the Zverboard. Oils possess antiseptic and healing effect. Each oil take 2-3 drops. Oil compress do once a day.

It will contribute to the healing of the epidermis cabbage leaf, slightly sophisticated in the hands and feed to the heel. Before the morning, you can fix the bandage with a calanche leaves - cut in half (along) and attach a cut to the breakdown.

How to say goodbye to spin sores

Beginner changes on the skin will remove a simple chatter from camphor, medical alcohol and children's shampoo (each component of 100 ml). She will give a feeling of freshness and purity. Handle a problem place in the evening. In the morning wipe with a sponge moistened in warm water. With the help of a soft towel carefully (not rubbing!) Seeing the skin. Continue procedures until complete recovery.

Recipe 1 half cups of vegetable oil to boil. Add a piece of bee wax, size in a poliance. The mixture is thoroughly stirred, cool. Obtained by ointment to process redness, ulcers.

Recipe 2. As a filler for a mattress made of cotton fabric, use the crude oats of the last harvest.

Recipe 3. Spread the handful of milf, pour into a bag of cotton fabric. Put under the affected place. After 4 hours, the bag is removed. With an extensive affected area, use several bags.

Recipe 5. Prepare a linen towel (better old) and faceted glass. In a glass, pour 1 tsp. Soda, pour boiling water and moisten the cloth with the resulting solution. Give fabric to cool, slightly squeeze, put on the affected place.

Fish fat, carnation oils will help to fight straggles in the old people. An ordinary potato starch can be used as a powder for wound wounds.

Another way to improve the status will learn from the video "How to treat and handle breakdowns".

Which doctor will help where to pass the procedures

When the pathological foci is found at the lying people who stay at home should be referred to as a family doctor or the therapist. With progressive manifestations of the disease, it is necessary to consult with the surgeon. It will help to choose medicines and tell me how to quickly cope with the problem of a dermatologist, an infectious physician.

Depending on the flow of pathology and the state of the individual, drug therapy is carried out at home or in the hospital.

Who in the risk area

  • Spellies in the elderly are formed fast enough. Characteristic for most patients of old age:
  • With a fracture of the neck of the thigh and the femur - 66%
  • With the paralysis of the lower and upper limbs (tetraplegia) - 60%
  • While staying in the intensive care unit - 33%

Lying patients (especially old people) located at home - 25%

Prevention

In order to prevent the occurrence of pathology in patients who are long staying in a sitting or a lying position, the prevention should be carried out in a timely manner. Experts recommend applying special cellular (dynamic) mattresses. How to get rid of wounds on the heel, on the leg

They are effective because:

  • Guaranteed a uniform distribution of the patient's mass over the surface, adjusts to the contours of the body.
  • Provide free blood circulation throughout the area of ​​the skin. "Honeycombs" are constantly moving, contributing to normal blood flow.
  • Help to neutralize the emergence of rejection foci (in 9 out of 10 cases).

It will help to prevent the pathology of the massage (occipital) pillow - "remembers" the contours of the neck, shoulders. The rectal pillow will provide comfortable finding an individual in a sitting or lying position.

Blood impairment is observed in diabetes mellitus, acute occlusion of vessels, refrusting endarteritis. Slows recovery smoking, as Nicotine narrows the vessels, which leads to a deterioration of blood supply. Council

You learned how to treat the breakdowns depending on the stage of the disease, the location of the localization, which drugs pharmaceuticals and folk remedies will help cope with the problem that has arisen than to smear wet, dry and purulent wounds in the elderly, and who threatens the disease and what to do for prevention. We support the information received photos and videos.

: Acquiring a mattress, take into account the weight of the patient so that the "Sensation effect" does not arise. This can lead to the disappearance of therapeutic and prophylactic effects of the accessory.

Prevention - cellular (dynamic) mattresses.Health your loved ones!

From this article, you will learn how and how to handle breakdowns from lying patients at home, which local means (for example, ointment from laying ones for lying patients) will help to cope with the problem at different stages of the process faster, what features are broken Wounds, as well as about modern effective ways of treating leather lesions and soft tissues in lying patients.

What is lying? In fact, it is the wounds of various areas and depths that arise on the body in a patient deprived of the opportunity to move. They not only cause a sick of suffering, even more limiting its mobility, but also are an entrance gate for an infection, a deadly for a weakened organism. With deep damage, the wound constantly occurs the decay of the tissue, which leads to chronic poisoning, oppression of immunity, deterioration of all organs and systems. A chronic loss of blood is also observed, a protein deficiency is developing associated with massive cell death.

Article author: doctor Klimova V.V.

  1. Content
  2. How to handle breakdown at home?
  3. Proceeding
  4. Bandages at breakdown
  5. Napkins from bedside
  6. Algorithm for the care of impressive wounds
  7. Microvibration deficiency as a factor in the development of brooded wounds
  8. Vibroacoustic therapy in comprehensive treatment
  9. Conclusion
  10. Frequently asked Questions:

List of used literature

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Check out the reviews of doctors and users! Read the new article by the Northwestern State Medical University. I.I. Mechnikova, Candidate of Medical Sciences, Associate Professor Ryabchuk F.N.

Learn more!How to handle breakdown at home?

In order to understand how to properly handle breakdowns at home, it is important to understand that they provide damage to the skin and driving tissues that appear in sedentary patients. These are not just wounds arising from injuries, cuts, etc. The fact is that the factors that lead to their development act much slower than in the case of other damage.

For example, such a key factor in the development of brooded wounds, as a pressure that has a solid surface on the patient's speakers, leads to damage only after two hours (and often later) after the start of its action. Other factors such as humidity, displacement, friction also lead to the development of layers through a rather long period of time. Therefore, the main rule in solving the issue, as and how to handle breakdowns from a lying patient is Maximum attention to the slightest changes in the skin in a sedentary patient and timely detection of the first signs of damage

. After all, it is much easier to cope with the process in stage 1, when there are only minor changes in skin cells than in a situation where extensive necrosis (cell death) of muscle tissue is observed. Learn more about the stages of the beds, you can read here. It is very important that Even at home, the process of treatment of the Russian Academy of Sciences occurs under the control of the attending physician

which will be able to competently appreciate the stage of the breakdown process, choose the necessary means for processing laying out. After all, there are often the situation when visible damage is small, and massive cell death occurs in deep-livet tissues. This happens, for example, in patients with severe injuries and diseases of the nervous system, when the extensive decay of muscle tissue is associated with the disorder of the nervous regulation of cell power. Incompute diagnosis and treatment in such a situation is fraught with the development of infection and patient's death. The doctor can also be able to not only recommend than to handle breakdown at home, but, if necessary, to solve the question of hospitalization of the patient in a timely manner. Because At home, you can only exercise care for minor damage

. Trying to independently cope with deep wounds and non-kind ulcers arising in 3-4 stages of the process, as well as in the case of development in the wound of the infectious process, is very dangerous.

How to handle breakdown at home?

Proceeding

  1. To answer the question "what to treat breakdown at home?", It is necessary to determine at what stage is the development of a breakdown wound. At different stages, different processes requiring different approaches occur. Next, we consider the funds that are used to treat skin damage and soft tissues at various stages: Tools for toilet (processing) damage

    The mechanism of education varies- They are used to eliminate contaminants (sweat, urine, etc.), which can have an irritating effect, as well as to prevent the addition of infection. It is they who are basic means in solving the issue, how to treat beds in the stage 1 (when the processes in the skin are also reversible and the death of the cells did not occur).

    For this purpose, it is not recommended to use, so-called, ion exchange preparations, which include iodine and chlorine, since these means violate the protective properties of cell membranes. As a result, the depression of local immunity occurs, immune cells die, penetrating the damage to the control of dangerous microbes. Thus, favorable conditions are created for the development of an infectious process.

    Also, the treatment of laying on the house should not be carried out using funds that have a busting effect on the skin, such as potassium permanganate (manganese) or diamond green (green). These drugs also have a damaging effect on the top layer of the skin, accelerating the development of necrosis (cell death). Ppm Dibirov (Department of Surgical Diseases and Clinical Angiology MGMS. A.I. Evdokimova) Recommends the processing of the zone of the lesion by conventional saline

    which can be bought at the pharmacy or prepare at home. To do this, it is necessary to dissolve 1 h / l of salt in a liter of boiled water.

    After processing the place of damage to the physiological solution, it is recommended to use cream from laying out for lying patients. The minutes of conducting patients with proligeses (the document on which employees of medical institutions are focused upon care for lying patients) It is recommended to use conventional nutrient and moisturizing cosmetic creams.

  2. Also as a means to care in the early stages of development of lesions, Bepanten can be used - cream against laying ones, diarmions, various irritations on the skin. It has a soothing effect, speeds up the processes of regeneration (recovery) of the skin. Preparations stimulating
    • Tools for processing place of damageThe processes of blood supply in the affected area. When care for the breakdowns in the early stages (1-2), to improve blood supply in the area of ​​damage in medical institutions is most often used camphor alcohol.
    • It has an irritant impact on nervous receptors (nerve ending) in the skin, which stimulates the tide of the blood and improving fabric nutrition. Also camphoring alcohol has a disinfecting effect, helps to reduce inflammatory manifestations and has an anesthetic effect. In case of damage to the 2 stage and above for local care it is necessary to apply Means directly affecting the vascular wall - angioprotectors
  3. Content(Angio - Vessel (Greek.), Protection - Protection (LAT). This may be an ointment or gel from laying out for lying patients, which include substances that strengthen the vascular wall that reduces its permeability that have a vasodilator effect that prevents the formation of thromboms. In the area of ​​defeat. As a result of the use of such drugs, on the one hand, the bloodstream in the affected area is improved, the best conditions for nutrition of tissues are created, which prevents the expansion of the necrosis zone (death). On the other, due to the decrease in the permeability of the vessel walls, the swelling in the area decreases. Wounds causing compression of fabric, and therefore favorable conditions for regenerative processes arise. Antimicrobial effects

    , There are drugs to protect the damaged area from the invasion of infection. If in the early stages, when the cell death did not yet occur or the minimum damage (1-2 stage), to prevent infection of the patient's care during breakdowns, it may be limited to the processing of the affected area with saline and camphor alcohol, then in the presence of a brooded wound, more efficient antimicrobials are needed. facilities.

    • Due to the overall weakening of the body and the energy deficit of microvibration, the patient deteriorates the state of both the general and local immunity. Therefore, the risk of infection as microbes falling into a wound from an external environment and, so-called conditionally pathogenic flora: we are talking about bacteria and mushrooms, which constantly live in the human body, but in normal operation of immunity do not show their pathogenic properties. Therefore, the care of proligeses implies both the use of overall antibiotics and the use of local funds with antimicrobial effects: Ointment for the treatment of layers containing antibiotics

      . The choice of a particular drug (the form of an antibacterial agent included in the composition of ointments, concentration) depends on the stage of the process, the presence of infectious complications. So, in the initial stages, when the prevention of infection is in the first place, the best ointment from the layers should contain a wide spectrum antibiotics that can affect the most different microorganisms. If the injection of wounds, antibiotics (local and general action) occurred, taking into account the symptoms and results of bacteriological research - sowing the wound content on nutrient media, followed by analyzing the sensitivity of pathogens to different antibacterial drugs.

    • Therefore, to select an effective means, you must consult with your doctor. The ointment against the layers containing antifungal (fungicidal) components.

      The attachment of fungal infection is a dangerous symptom, indicating the weakness of immunity. If it does not take measures to eliminate this danger in time, fungal sepsis can develop (blood generation, in which fungi is distributed by the body, leading to inflammation in various organs), in which the patient's death is high.

    • Therefore, even in the absence of signs of inflammation caused by fungi, weakened patients may be assigned ointment ointment for lying patients with antifungal components. Choose an effective tool for a particular patient should the attending physician.Therefore, even in the absence of signs of inflammation caused by fungi, weakened patients may be assigned ointment ointment for lying patients with antifungal components. Choose an effective tool for a particular patient should the attending physician. Ointment from sores with silver

      : Supply of silver ions that are part of such agents have a bacteriostatic effect, that is, stop the reproduction of bacteria in the wound. At the same time, the effectiveness of such funds in the treatment of truly serious wounds, including brooded, is not officially confirmed. This is due to the fact that the antibacterial activity of such components is significantly lower than that of traditional antibiotics used in medicine.

      Therefore, such ointments, as well as other means (for example, a plaster from silent with silver), the antibacterial effect of which is based on the inclusion of silver ions, it is recommended to use only in the initial stages (1 and 2). Combined funds are more effective, as part of which silver ions are combined with traditional antibacterial agents.

  4. Camphor alcohol for processing layingWith more extensive and deep lesions, and, especially when attaching an infection, a truly effective ointment should be applied, which includes modern antibiotics, along with the reception of antibacterial drugs. Dehydrating (drying) local means

    . Their use is relevant in the phase of vascular reactions when the fluid is the yield in the wound. Such phenomena are observed when the imprucial process affects the skin on all layers and affects the lying deeper fabric (3 stage). The most common means for drying the wound is a zinc ointment from the bedding.

    When it is used, the amount of fluid in the wound decreases, which reduces the risk of infection. Also, the ointment with zinc from the bedrooms has a slight anti-inflammatory effect, forms a film on the wound surface that protects it from exposure to external factors.

  5. Zinc is part of such a local agent as a cream of Songs from bedside. It can be used to care for patients at the initial stage of damage development, for skin treatment in intimate areas, in the zones of increased sweating, in which the risk of development of breakdown wounds is increasing due to excessive humidity. Anti-inflammatory means.
    • As a rule, it is used in 3-4 stages of development of laying out in the phase of vascular reactions accompanied by inflammation. Also used in the case of attachment of inflammation caused by the invasion of infection. Depending on the severity of inflammation, various groups of anti-inflammatory agents are applied - non-flame and hormonal. Mazi based on hormones should be used very carefully, since their use leads to a decrease in local and general immunity. It is possible to use them only in those situations where the benefits of their application outweighs harmful side effects. For example, if there are durable wounds, ulcers that are entrance gates for infection, poor treatment with other means. In any case, it is necessary to solve the question of how to handle breakdowns - hormonal or non-corporal drugs - must decide the attending physician! Hectepoid (non-nonal) anti-inflammatory drugs.
    • Used with minor manifestations of inflammation. What can be used by anti-inflammatory ointments from laying out? Names can be different, however, a limited spectrum of active ingredients is used as part of the funds: ibuprofen, diclofenac, indomethacin, nimesulide, etc. Hormonal anti-inflammatory funds.

      As a rule, they are resorted to their help when it comes to extensive lesions, impressive ulcers that do not heal for a long time. The mechanism of their action is similar to the action of adrenal hormones (glucocorticoids), which have anti-inflammatory, anti-refective, anti-allergic effect. The hormonal anti-inflammatory local means include ointment based on prednisolone, hydrocortisone, dexamethasone, etc. However, it is important to understand that These funds refer to the category of drugs with a variety of side effects

      - Local and common. In addition, when using drugs of this group, the production of own adrenal hormones is reduced, so their sharp abolition often causes a serious deterioration in the state of the patient.

  6. Therefore, it is necessary to solve the question than to handle the breakdown, which ointment to choose and how to apply it correctly, should the doctor. Necrolitic preparations that help get rid of dead cells.

    The use of these funds is relevant in the phase of cleansing the wound from dead tissues. It is necessary when the foci of necrosis (cell death) is observed in the wound, which corresponds to 3-4 stages. In order to help the body, to clean the wound, special ointments are used from bedding: the list includes a variety of enzyme preparations of local action, such as trypsin, chymotrypsin, deoxyribonuclease, collagenase (these actors are part of various ointments). They stimulate the splitting of dead cell proteins and speed up the wound cleansing process. However, it is necessary to remember that patients with reduced immunity and deficiency of microvibration energy in the body (and the decrease in the microvibration background in lying patients almost inevitably) the body's ability to dispose of (processing) dead cells from the foci of their death is significantly violated. therefore It is necessary to apply ointment from laying back with microvibration therapy:

    In such situations, the process of cleansing wounds from dead tissues is faster.

  7. It is also important to understand that during the breakdowns 3 and, especially, 4 stages, when there are extensive foci of necrosis (cell death) of local means to eliminate dead fabrics, it is very often not enough. In many cases, surgical intervention is necessary for their removal. Therefore, treatment of such wounds is carried out in the hospital. Stimulants of reparative (restoration) processes.
    • Processing with zinc ointmentTheir use is recommended in the regeneration stage (recovery), after it was possible to cope with inflammation, infection, clean the wound from the dead cells. The task is to speed up the formation of granulation (young connective) fabric, which fills the lumen of the wound, protecting it from injury and infection. To local drugs that stimulate recovery processes include a whole range of a wide variety of funds: Preparations made on the basis of shuttlecock from the blood of calves, such as Actovegin and Salkoseril
    • . They are produced in various dosage forms: it can be cream, ointment or gel from bedside and other skin lesions. Local use of these drugs activates metabolic processes in cells, stimulates the synthesis of collagen fibers (protein, which makes up the base of the connective tissue), improves the saturation of glucose cells - the main source of energy. All this contributes to the acceleration of wound healing. Methyluracyl ointment
    • When breakdown - a local action preparation that improves protein metabolism in cells activating the construction of new fabric. Also, this agent has a local immunostimulating and anti-inflammatory effect. Mazi containing vitamins:

    To activate regeneration processes, funds are particularly relevant, which contains such vitamins as folic acid, ascorbic acid, vitamins A, B1, B6, B12. It may be ointment or cream from bedside, containing one of the above substances and a polyvitamin agent of local action. To activate regeneration processes, not only gel or ointment can be applied, but also Spray from bedside

    . The name of the drug may be different, it is important to pay attention to the composition: it may be extracts and oils of plants with invalid properties (plantain, sea buckthorn), pharmacological substances, such as panthenol, etc.

Depending on the composition, the spray from the layers for lying patients can have additional impacts: reassure inflammatory processes, suppress the development of infection, reduce painful sensations, form a protective film on the skin. To choose the best tool for local processing will help the attending physician.

ProceedingBandages at breakdown

In modern medicine, bandages from laying out for lying patients are considered not only as a way to protect the wound from exposure to external factors, a barrier from infection and pollution, but also as an active medical agent. Today, in the treatment of wound processes, including brooded wounds, ordinary gauze and bandages are practically not used.

Professor MD Dibirov (Department of Surgical Diseases and Clinical Angiology MGSU. A.I. Evdokimova) In his work "Putting: Prevention and treatment", indicates that when processing breakdowns, it is desirable to give preference to frothy semi-permeable dressings. Due to the transparent basis, they allow you to observe the processes occurring in the wound without separating the bandage from the damaged surface, to notice the signs of inflammation and attachment to infection on time.

Also widely used bandages, on the surface of which various drugs are applied. So, Professor Dibirov at 3 stages recommends using hydrogel dressings with an actovegin. Apply bandages from lying with silver and other substances.

The dressings can be made of a variety of materials: there are hydrogel, hydrocolloid, algae (alginate) bandages, which can provide a dry effect, absorbing the liquid formed in the wound, to create a favorable medium for purification and wound healing. Learn more about what bandages on the breakdowns can be found here.

Napkins from bedside

Among local means that are used to treat skin damage and soft tissues in sedentary patients, napkins are used to treat bass. They can be used for hygienic procedures - with an antiseptic napkin on a nonwoven-based basis allow you to carefully carry out a daily toilet wounds.

Also used napkins impregnated with various therapeutic substances that are applied to the wound: it can be napkins from lying with silver, with antibiotics, enzymes, wound-healing means. They are applied to the wound after its toilet and are fixed with dressing material.

Tools such as a napkin or a plaster from laying ones can be considered as auxiliary treatment. For their use, it is necessary to consult with the attending physician.

Caring for breakdowns - algorithm

After the review of the funds that are used for local treatment of soft tissue damage in sedentary patients, it is important to deal with what drugs and in what sequence at different stages and at different stages of the wound process are handling the bedding. The actions algorithm is presented in the table.

Stage

Recommended local means

  • 1 Stage
  • Daily processing of the affected area with saline (it is possible to use hygienic napkins with an antiseptic).
  • Processing camphoring alcohol to activate blood circulation at the place of education.

Treatment of the area of ​​the resulting breakdown by moisturizing, nutritious cream. It is possible to use Bepanten cream and its analogues.

  • 2 Stage
  • Funds that improve blood circulation in the affected area.
  • Antibacterial and antifungal drugs in the signs of attachment of infection.
  • Preparations stimulating the processes of regeneration (recovery) of the skin.

Bandages on a hydrogel, hydrocoleloid basis.

3 Stage

  • Stage of inflammation, phase of vascular reactions (edema development):
  • Anti-inflammatory local drugs (nectepoid or hormonal, depending on the severity of inflammation and in accordance with the recommendations of the doctor).
  • Dehydrating (drying) ointment from bedside for lying patients
  • Antibacterial and antifungal agents.

Absorbing dressings on a hydrogel, hydrocoleloid basis.

  • The stage of inflammation, the wound cleansing phase
  • Necrolitical (contributing to the rejection of dead tissues) drugs on an enzyme basis.
  • Anti-inflammatory means.
  • Dehydrating (drying) ointment from bedside for lying patients
  • Drinking drugs.

Bandages.

  • Stage of regeneration (restoration) and scar formation
  • Preparations for improving blood circulation.
  • Drinking drugs.

Means for accelerating regeneration processes.

4 Stage

The departure algorithm is the same as in the 3 stages, however, in the 4 stages we are talking about deep wounds (up to bones and joints) and extensive foci of necrosis that need to be removed surgically. Therefore, such patients (like most patients with 3 stages) should be treated in the hospital. At home, treatment can be carried out only when the wound is in the stage of regeneration and forming a scar.

Mazi for handling bedsMicrovibration deficiency as an important factor in the development of brooded wounds

  • It must be said about such a most important factor in the development of bedtime - a shortage of muscular cell biological microvibration. Research confirming that continuous fluctuations of muscle fibers are as needed by the body as air, water, food and warmth, spent at the end of the twentieth century known physicist V.A. Fedorov together with a group of doctors (more about this can be found in the book "The resources of the body. Immunity, health and longevity"). Why do these muscular abbreviations need, which are registered even when a person is in immobility or sleeping? Mikrovibration energy is necessary to maintain many processes in the body:
  • To ensure metabolic processes in the intercellular space. When the microvibration level decreases, the transport of nutrients into the cells is disturbed.
  • To ensure venous blood flow, allowing the blood to move to the heart contrary to the earthly attraction. The deficiency of microvibration leads to a lip of fluid in tissues, edema.
  • To ensure the removal of damaged and dead cells, poisons and slags from the body, which is achieved due to maintaining the work of the lymphatic system and such selection bodies, such as liver and kidneys. With a decrease in the level of microvibration, the dead cells and poisons accumulate in the body, poisoning it.

To ensure normal operation of immunity, the activities of which are directly related to the function of the lymphatic system. The insufficient level of the microvibration deteriorates the body's ability to adequately respond to the invidence of the infection, to detect and neutralize cells with hazardous mutations (cancer).

The microvibration background of the body directly depends on the physical activity of a person. The more intense the muscles are working during the day, the higher the level of microvibration, which allows you to maintain health and preserve youth. And, on the contrary, a sedentary lifestyle leads to a deficiency of microvibration energy, diseases and early aging.

  • That is why the lack of ability to independently movement not only contributes to the development of layers due to the actions of the above factors, but also causes a pronounced deficit of microvibration. And the reduced microvibration background, in turn, increases the risk of tissue damage and creates conditions for the development of breakdown wounds: Violation of metabolism in the intercellular space exacerbates nutritional deficit in cells
  • caused by transmission of vessels and nerves, and accelerates cell death (necrosis). Because of the microvibration energy deficit, the function of venous valves suffers, and
  • Edems are developing in the tissues, reinforcement of vessels and nerves The deficiency of microvibration affects the activity of the processes in the phase of the wound cleansing from the dead fabrics. Reducing the function of the lymphatic system, liver and kidney contributes to the accumulation of damaged and dead cells
  • In the field of proligence, which negatively affects the healing speed. In addition, the deceased cells become a nutrient medium for pathogenic microbes, which contributes to the attachment of infectious complications. Poons and slags are also accumulated as a result of cells and microbes, poisoning organism. Reducing immunity due to a violation of the work of the lymphatic system also reduces the ability of the body to fight dangerous microbes. It creates Prerequisites for the distribution of infection in the body and the development of the most dangerous complication - sepsis

which is the most common cause of the death of patients with prladle! Thus, breakdown, which always occur in patients with limited mobility (or completely devoid of movement to move), always go hand in hand with a progressive deficit of microvibration energy. That is why, Unlike wounds associated with other reasons, changes in tissues in such patients may be much more pronounced.

and (despite the fact that they often develop slower). For the same reason, the impodent wounds are more often at risk of infection, more likelihood of spreading infection by the body. Also, the microvibration energy deficit leads to the fact that Healing of breakdown wounds in laying patients most often happens much slower and requires great efforts

. This must be taken into account when solving the issue than to handle the breakdown and how to build the tactics of the care and treatment of such patients. That is why, in addition to local and common events aimed at combating brooded wounds, it is so important to take measures to improve the level of microvibration: vibroacoustic therapy helps to solve this task.

Microvibration deficiency as a factor in the development of brooded woundsVibroacoustic therapy in comprehensive treatment

The biological microvibration energy deficit underlies the development of many diseases. However, when it comes to breakdown wounds, a decrease in the microvibration background is one of the key factors exacerbating the development of damage to the skin and soft tissues in lying patients. As mentioned above, due to the deficiency of this valuable resource, the swelling and squeezing of tissues increase, the cell death occurs, the wound cleansing processes are violated, conditions are created for the development of infection in the wound and its distribution in the body. Therefore, with such a problem as a breakdown, care should include not only the use of local agents, but also measures to improve the microvibration background.

  • The only available method to saturate the body of microvibration energy in a sedentary patient is vibroacoustic therapy. The effectiveness of this technique is proved by a whole range of clinical studies, confirmed by positive reviews of doctors and patients. With the help of apparatuses, the velitone, convenient for physiotherapy at home, can be achieved by the following effects in the treatment of laying out:
  • Reduced swelling in tissues.
  • The activation of metabolic processes in the interstitial space improves the delivery of nutrients into the cells, speeds up the processes of tissue recovery in the affected areas.
  • Improving the work of the lymphatic system and other organs (liver, kidney) responsible for recycling (processing and removing) of the dead cells, which helps to quickly clear the brood wounds from the areas of necrosis, as well as reduce the concentration of poisons and slags in the blood for the breakdown of tissues and death microbes.

Microvibration deficiency as an important factor in the development of brooded woundsDue to the stimulation of the work of the lymphatic system associated with the saturation of the organism by the microvibration resource, the state of both general and local immunity is improved, which reduces the risk of developing infection in the wound and spread its body. Studies show that the use of the apparatus of the Vitafon accelerates the movement of immune cells into the inflammation area, increases their ability to cope with the pathogenic microbes in the focus.

To carry out vibrationacoustic therapy, lying patients are best suited for Vitafon-2 and Vitafon-5. In case of damage to 1-2 stages, it is impaired directly to the area of ​​development of the proleezhka. In the presence of brooded RAS (3-4 stages), phoning of intact skin around the lesion focus is carried out.

Also for the implementation of the resource support of the body in a lying patient, you can use a vibrationacoustic mattress. Vibrofones, which are part of the Vitafon-2 apparatus, provide a one-time impact on various areas (including those meaningful to replenish the valuable resource of the zone, such as liver and kidney) and significantly increase the level of saturation of the body of the microvibration. It is convenient that the mattress works in automatic mode, independently, after 3 minutes every 24 minutes.

Detailed information on the use of vibroacoustic therapy in the complex treatment of breakdown wounds can be found in the articles "Foniography - an effective remedy for sleeping at home" and "method of treatment with imposing vitafon".

Conclusion

How to properly care for idle at home? It is important to understand that it is not just damage to the tissues on a particular plot that can be eliminated only by using any local means. In the treatment of such patients, it is always necessary to take into account the specifics of the disease or injury, which led to the limitation of mobility.

So, if we are talking about the defeats of the nervous system (injuries, strokes, tumors), or exchange disorders, no, even the most efficient, local action drugs will not solve the problem. Since the mass death of cells in these cases is associated with internal processes (disruption of nervous regulation, blood supply, etc.). In these cases, only an integrated approach, including treatment of both the underlying disease and breakdown wounds, will solve the problem.

  1. Medical apparatus Vitafon-2 for the treatment and prevention of bedsIt should also be remembered that the use of funds aimed at local treatment must be combined with other measures to combat breakdowns:
  2. Reducing the pressure on the fabric: change of the position of the patient every two hours, the use of special accommodation tools (anti-infrastructure mattresses, pillows, circles, etc.).
  3. Elimination of excessive humidity in the field of laying out through the use of disposable diapers, careful drying
  4. The elimination of the action of such factors as friction and displacement, which is achieved by compliance with the rules for the change of bed and underlying linen, fixing the patient's feet in the half-sidier position, etc.
  5. Application of general effects: antibiotics, drugs that improve blood supply and metabolic processes in tissues, immunity stimulants, etc.
  6. The use of vibroacoustic therapy as an effective method of improving the level of microvibration in the body, which helps to improve the work of all organs and systems, intensifying immunity and accelerate the healing of the proleside.

Rational power supply with sufficient protein content required to restore the dead fabrics and vitamins, especially ascorbic acid (vitamin C)

Learn more about the complex approach to getting riding from breakdown ulcers can be found in the article "How and what to treat the lying patients at home?". It is also important to remember that even at home the treatment of patients should be carried out under the supervision of the doctor. So, despite the measures taken, the progression of the broken process occurs, non-heaven wounds are observed, and new foci of lesion appear, it is necessary to consult a doctor at a request. Otherwise, the likelihood of infection and the development of hazardous complications, including sepsis (blood infection), which can lead to the patient's death is high.

Combat fighting measures

Click to find out about the availability of apparatus Vitafon in pharmacies and shops Medtehniki of your city

Also, along with the treatment of already existing wounds, it is important to remember the preventive measures to form new bedding. After all, the damage is even more limiting the patient's mobility, which creates conditions for the appearance of new lesions. Learn more about preventive measures can be found in the article dedicated to the prevention of the bedding.

Frequently asked Questions:

What to smear starting breakdowns?

In the stage of the process of developing the process, when there is only redness (edema can also be observed and "sinusia"), which does not pass after the pressure stop, but there are no signs of damage to the skin, the main tasks of local treatment are the elimination of irritant substances on the skin (sweat, urine etc.), as well as the restoration of blood circulation in the damage zone.

Thus, in the initial stage of the process, the care of the proligenesses at home should include regular and thorough treatment of the area of ​​damage to saline, the use of camphor alcohol for stimulating blood circulation in the development zone. In addition, in the initial stage, it is recommended to use moisturizing and nutrient cosmetics, as well as ointments and creams that reduce irritation, for example, bepanten. Simultaneously with the use of local means, it is necessary to carry out resource support for the body using vibroacoustic therapy: this will help prevent the progression of the broken process.

Click to go to the manufacturer's website!What ointment from the bedding for laying patients is better?

When considering the issue than to smear the breakdown from a lying patient, it is necessary to understand that there is no universal means that will help to quickly cope with the existing problem. At each stage, various tasks must be solved using various local means. So, at the initial stage, the main tasks is the rapid reduction of blood circulation in the affected area, elimination of skin irritation with a thorough toilet and the use of appropriate creams and ointments.

At the later stages, when the wound was already formed, the ointment for the treatment of layers in the lying patients should also be selected depending on the situation: anti-inflammatory, antibacterial, dried, healing means, etc. are used. In order to competently choose the medicine for local exposure, it is necessary to consult With your doctor.

Vibroacoustic therapy can be considered as a universal means at all stages of development of the lesion: the use of the apparatus of the veston has a beneficial effect on the healing rate of already existing damage, and allows you to prevent the emergence of new lesions. In addition, this technique has a positive effect on the whole organism, it allows you to strengthen the immunity, clean the blood and lymph from poisons and slags.

  1. List of references:
  2. Akhtyamova N.E. Treatment of laying out of sedentary patients / RMW. 2015 №26.
  3. Baskov A.V. Features of surgical treatment of laying out of different localization of neurosurgery them. Academician N.N. Burdenko, Moscow, 2002
  4. Bogachev V.Yu., Bogdnets L.I., Kiriyenko A.I, Brystkov A.Yu., Zhuravleva O.V. Local treatment for venous trophic ulcers. / Consilium Medicum. 2001, No. 11.
  5. Vorobev A.A. Treatment of breakdown in spinal patients / bulletin of the Volgograd Scientific Center of the RAM. - 2007 - № 2.
  6. Dibirov MD Prolesidery. Prevention and treatment / Medical Council, №5-6, 2013
  7. Klimiashvili A.D. Prevention and treatment of laying / Russian medical journal. - 2004 - T. 12, No. 12.
  8. Kuzin M.I. Dresutenok B.M. "Wounds and wound infection." Guide for doctors / Moscow. "Medicine", 1990
  9. Microvibration energy and quality of life / "doctor" №7 / 2014
  10. Protocol for maintaining patients. Prolesidery. / Appendix to the order of the Ministry of Health of Russia dated 17.04.02, No. 123.

Fedorov V.A., Kotenov A.Yu., Loginov G.N. et al. Body resources - a new approach to identifying the causes of diseases and methods of their treatment / SPB: Speclit, 2012

Article author: doctor Klimova V.V. (St. Petersburg)

List of used literature

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The risk categories of the formation of idols include people who are chained to bed or a wheelchair. It happens because of the constant pressure on certain parts of the body, the blood ceases to enter them, which is the main reason for the start of the destruction of soft tissues.

Education places breakdown

What ointment from the bedding for laying patients is better?
  • In the position lying on the back:
  • Sacrum,
  • Heels
  • Shoulder blades,
  • Head

Elbows.

Purge formation lying on the back. Sterile.com.
  • In the position lying on the side
  • Large spit area
  • Femur,
  • Mastoid,

Temple dice.

The field of education laying on side. Sterile.com.
  • In the sitting position
  • Sedal bugs,
  • Feet feet

Shoulder blades.

Appeared lying around: what to do?

Make an assessment of the risks and the stage of formation of bedsores, as well as the overall condition of the patient. To do this, download the Waterlow scales.

If the body portion, which is constant pressure, red, it is zudit and hurts, an unpleasant smell appeared - consult a doctor. These may be signs of infection. Also, the doctor should be caused if the bed is bleeding or a liquid is seeping out of it. Only a qualified specialist, with a personal inspection, will be able to say how and what to treat the breakdowns.

  1. There is no possibility to call a doctor, then follow the following rules:
  2. Put the lying patient on the anti-face mattress; Disabled wheelchairs should be used by anti-lurent pillows;
  3. Change body position every 2 hours underlying patients and 1 hour if the patient moves in a wheelchair. So you reduce the time of constant pressure on vulnerable parts of the body;
  4. Make a daily charge with a sick. This will improve the blood flow in the body;
  5. Once every 2-3 days, change the bed linen;

     Putting: How to treat at home than to process

  1. If the patient uses diapers - change them as soon as they are polluted. Do not save on one-time underwear!
  2. Watch the power. It must be balanced and enriched with vitamins. If there is not enough iron, zinc, vitamin A and C in the body of the patient, then the risk of forming the breakdasts sharply increases. For a balanced nutrition, add a patient with a patient with a liquid mixture of a non-study
  3. Observe the water balance of the body. Women need to drink for about 9 cups of liquid in 250 ml during the day, and men are about 13 cups of the same volume.
  4. To wash the patient, use the cleaners of the care, which retain normal pH leather. After washing procedures, carefully dry the body with a towel. Do not try skin!

Putting or exposed to pollution parts of the body process the moisturizing lotion to prevent dry skin.

  1. Breaks on the buttocks and near the groin, cover protective and waterproof bandages to avoid falling onto them or urine.

To accelerate the wound healing, during the dressing, make 10-15 minute ripples with sterile mortar for the Russian Academy of Sciences.

  1. Do not use iodine or green, because Their use will only aggravate the wound state.

Treatment should be carried out by sterile atraumatic bandages, which create an optimal wet environment in the wound. What contributes to the early healing of the proligence.

  • Tools for treatment are divided into 2 categories: Medicine
  • - antibiotics, nonsteroidal anti-inflammatory products, anabolics, antipyretic, immunostimulating drugs, vitamin complexes, as well as metabolic and reinforcing healing of medicines. They are necessary to combat infection and bacteria, pain, to improve immunity, and at the final stage of treatment - to accelerate the granulation and epithelization of the wound; Dressings

- Protect the wound from external microorganisms, clean it from dead tissues and fibrin, absorbed exudate, create an optimal environment for speedy healing.

  1. Depending on the stage and degree of exudation, the bandages for treatment are divorced on:
  2. Outflowing bandages are used on the standings of the 1st stage or at the final stage of treatment, when the wound no longer highlights the exudate or its number is insignificant. This type of dressings has a mesh structure that is impregnated with an active drug. They do not stick to the wound and contribute to the granulation and epithelization of tissues. For example, bronolind H, pomp is neutral or hydrothel.
  3. Special dressings - create and maintain the optimal environment in the wound. Clean it from necrosis. Accelerate cell regeneration. Protect from infection. These bandages are used at all stages of formation beds. Their choice depends on the degree of wound exudate and the location of the wound. For example, hydroclin plus is suitable at the stage of inflammation and granulation, and the hydrophas on the final stage of granulation and epithelization.
  4. If the wound is actively exserved, then it should be used by spongy bandages, for example, biaten, askina transorbent, Askina Foam, Pemafom.
  5. Purilan, hydraulmb or alginate dressings are suitable for deep beds, which, when interacting with the wound fluid, form a gel, evenly filling the entire cavity of the wound, for example, sorballar, biaten alginate or askin sorb.

If there is a risk of infection or breakdown already infected, use silver-containing bandages, such as Askin Calgitrol AG, Biathen AG, Atrauman AG or physiothel AG.

Also all the dressings are divided into self-adhesive and those that need to additionally fix the bandage or medical plaster.

For patients with diabetes mellitus, you can use only non-adhesive dressings!

Пролежни: как лечить в домашних условиях. Стерильно.com/БЛОГ

Articles on the topic:

For the elderly people, there can be a serious problem, as the treatment in this case is difficult. The healing process occurs much slower than in other cases. Therefore, it is important to take measures to prevent laying

Тестовый баннер

The place of education laid on the way, in what position a person is longer than the longest. In most cases, they are formed on the back, on the lower back, shoulders and the rival area. Sitting patients squeezed appear on buttocks, hips and lower back.

Stages of formation breakdown

  1. The formation process is carried out in 4 stages. As the pathology develops the area of ​​the defeat expands, affecting not only the epidermis, but also subcutaneous fat, soft tissues and bones. The method of treatment is selected directly taking into account the subsection stage. The sooner the problem was discovered, the higher the chances of successful recovery. Prolesidery are formed as follows:
  2. In the first stage, there is an appearance of swelling in places where heightened pressure is. As the disease develops, the color of the skin can become more saturated. Since the skin structure in this case is not damaged, there is no substantial discomfort. At this stage, there is a possibility to prevent the pathological process. Medical treatment will not need. It is enough to provide a patient with high-quality care. When switching out the following stage, numbness caused by pressure on the nerve endings will occur.
  3. At the next stage there is a violation of the integrity of the skin. Externally, this is manifested in the emergence of erosion. In some cases, the fibrinous flight or scape appears. Pathology begins to affect not only the top layer of the skin, but also the dermis. In the area around the foci of lesion, the skin begins to peel.
  4. The third stage requires special attention. It is characterized by necrosis of the skin. All skin layers are damaged. Muscle tissue begins in the wound. In some cases, purulent exudate is formed. There is a possibility of forming fistula strokes. In this case, combination therapy is carried out, but the assistance of surgeons may also be required.
  5. лежачая пожилая женщина.jpg

The fourth stage requires surgical treatment. It is accompanied by the lesion of tendons and bone tissue. The wound causes substantial discomfort, as it is very deep. The focus of damage is covered necrotizes and acquires black. The blood circulation in this area is completely violated. Almost in all cases inside it is purulent content. The fourth stage is very dangerous for life, since it can lead to general intoxication or sepsis. As a result of bone damage, osteomyelitis is developing.

Causes of the pathological process

  • Experts share breakdowns into two large groups - endogenous and exogenous. The pathological processes of exogenous species include prolesiders that have arisen with regular pressure on soft tissues. To the main reasons for their education include:
  • long-term contact with catheter, drainage tube or tampon;

Summifying areas on which there are no muscles (friction by mattress, plaster or other solid surface).

Exogenous beds are divided into external and internal. In the first case, we are talking about damage to the discovering areas of the body (heels, blades, crescents). Such a type of pathology also includes damage caused by friction of gypsum dressings and incorrectly selected prostheses. Internal strags are formed as a result of using a catheter for dulling urine. They are characteristic of patients with difficult blood circulation and metabolic disorders. The mixed type of beds are characteristic of cancer patients. In this case, both external and internal provoking factors are present. Education is caused by a violation of the nutrition of tissues, which reduces skin resistance at a pressure rendered.

Sandages of endogenous nature of origin are formed against the background of a reduced tissue trophic. As a rule, the problem is preceded by other disorders (diabetes mellitus, injury to the spinal or brain). Due to excessive weakening of the body, even light pressure contributes to the appearance. In the elderly, the process of their formation is carried out faster. Long-term finding in a horizontal position only aggravates the problem. In a special zone of risk there are people with overweight and those who cannot independently visit the toilet. Feling and sweat increases the likelihood of slandering. Humidity enhances friction between the skin surface and the mattress.

Methods of treatment, depending on the stage of bedside

prolezhni_stadii.jpg

The treatment method is selected, based on the degree of problem nestness. Therefore, before starting therapeutic actions, it is important to consult with a specialist. He will define the stage of illness and will give the necessary recommendations. To classify the ailment, enough visual examination of the wound

Treatment of the first stage of the disease

  • In the initial stages of the disease on the skin, red or blue marks are formed. If you touch the damaged zones, the skin can not be white. This indicates the impaired circulatory process. An insignificant pain can be felt when pressing. Medical treatment in this case is not required. To prevent the disease to the following stage, the following recommendations should be performed:
  • It is necessary to make a daily massage with a mittens with a porous surface. Circular massaging movements should be carried out. At the same time, it is impossible to put very much on the skin.
  • It is important to turn the patient every 2-3 hours. This will avoid the provision of long-term pressure on certain zones of the epidermis.
  • When dark areas appear on the body, they should ensure their protection against damage.
  • Air baths should be performed at least 2 times a day.
  • In order to prevent the growth of bacteria, it is necessary to conduct quartzing of the "Sun" device. The frequency of procedures is established by a doctor individually.
  • With excessive sweating, it is shown to wip the patient with a solution of vinegar. It is prepared at the rate of: 1 tbsp. l. Vinegar for 1 cup of water.

Эмоциональное выгорание при уходе? Есть решение!

In case of urine incontinence and feces, it is required to purchase a urinary or adult diapers. It is equally important to focusing the patient after each emptying of the intestine or bladder.

It is necessary to pay special attention to the choice of cleansing agents and sponges for washing the patient. Antibacterial soap is preferably not used because it kills not only pathogens, but also useful microbes. The sponge should consist of natural materials. It can be replaced with a cotton napkin.

  • The main goal of care is to follow the humidity of the skin. With excessive sweating, it is necessary to dry the skin in a timely manner, and with intensive dryness - moisturize it. The dryness stimulates the accelerated oroging of the epidermis, and the increased humidity leads to infection of the problem zone. Violated blood circulation only exacerbates the situation. The better to handle breakdown in the elderly, if dry areas appear on damaged zones:
  • zinc ointment;
  • camphor oil;
  • tincture of japanese sofa;

lemon juice.

It is not recommended to carry out treatment with the help of greencraft and iodine. This contributes to the drainage of the skin surface, which the procedure for applying mitigating funds is preferably carried out every 2 hours, up to the disappearance of dry sections.

The effectiveness of treatment will increase a special diet and an increase in physical activity within possible limits. In the diet, the food with a high content of protein, iron, zinc sulfate and vitamins C and A. should be included. If the problem occurs against the background of high humidity, it can agitate the fungal disease. In this case, ointment with antifungal effect - clotrimazole and miconazole.

Measures to eliminate the second stage

  • The second stage of the disease is accompanied by the emergence of erosion formations and blisters with hemorrhagic exudate. Their treatment requires an integrated approach. It includes the following activities:
  • The damaged area is processed using antiseptic means (hydrogen or chlorhexidine).
  • It is necessary to apply multi-layer appliques with a wound-risk effect on the wound. Among the most effective allocate "Proteox-TM" and "Multifers". As a replacement, you can use hydrogel applications "Hydrasorb Comfort".
  • Periodically, there should be a dressing with the use of SolkoSierl, Levosin ointles, "Levomekol" and "Aktovegin".
  • Some experts welcome the use of TenderwetActiveCavity and Hydrosorbgel cleansing arms.
  • To protect against moisture, it is recommended to use the "Tagaderm" film or the application "Cosmopor". Such measures contribute to the improvement of gas exchange in damaged tissues.

Among the antibacterial agents in demand: chloramphenicol, sodium sulfadiazine, clindamycin and silver sulfadiazine.

In some cases, treatment is accompanied by the use of hemodesa. It is a tool with counter-toxic and plasma-substituting effects. Sometimes the blood transfusion is prescribed. To maintain immunity, vitamin and immunostimulating therapy is carried out.

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Treatment of running beds

  • In the third stage of the ailment, the integrity of muscles and skin cover is disturbed. At the last stage, the tendons and bones are affected. In the event that the purulent process did not have time to affect the bones, the medication therapy is relevant. In case of damage to the structure of the bones, surgical intervention is necessary. Drug therapy implies the use of drugs of the following groups:
  • funds stimulating blood circulation;
  • antibiotics;
  • necrolites that contribute to the removal of dead fabrics;

Preparations accelerating regenerative processes.

What are dangerous lying for an elderly person

The main danger of the breakdowns of the third and fourth stage is the high risk of blood infection. Because of the large accumulation of pus, wounds are a serious danger of the health and life of the patient. The risk of gangrene and phlegmon formation increases.

Primary damaged skin cleanses are cleaned with enzymes. To this end, it is necessary to use the bandages "Proteox-TM" or "PAM-E". The first option is suitable for eliminating a minor amount of purulent content, and the second-used purulent discharge. Procedures are carried out for 7-10 days. When the amount of pus reaches a minimum, the skin in the affected places will become red.

The next step is to stimulate the process of forming a new connective tissue. In this help therapeutic agents with a wound healing effect. Doctors recommend to impose bandages with Biathen. Next, protective measures are taken. The use of the hydrocoleloid coating "Comfil Plus" makes it possible to prevent infection in injury and speed up regenerative processes. X The main feature is the ability to change bandages 1 time in 3-5 days.

In advanced cases, the only correct solution is surgical intervention. Most often conduct a procedure called Nekratectomy. With complex and extensive destruction of bone tissue, electrostimulation by magnets or laser is carried out. The patient is placed in the hospital. The total amount of therapeutic manipulations on average is 46 days. The probability of a favorable outcome with timely appeal to doctors is 79%. Before carrying out the operation, we must weigh the possible risks. In elderly, surgical intervention can provoke complications with health.

Folk treatments

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  • Funds of traditional medicine can be used to handle on home and help supplement and strengthen the effectiveness of drug therapy. But when selecting therapeutic means it is important to observe accuracy, since some of them are able to provoke an allergic reaction. Before applying any of the funds listed below, you should consult with the attending physician.
  • When forming laying on the surface of the head, it is recommended to use shampoo diluted with alcohol or vodka in a 1: 1 ratio. The resulting mixture must be distributed over the problem area and leave for some time.
  • Washing wounds must be sprinkled with starch. Such a procedure is performed no more than 1 time per day.
  • For the preparation of compresses, it is recommended to use bearish or fish oil. The compresses are imposed on the night, and in the morning - remove.
  • At the initial stages of development, it is not bad for the definitions, attachments to problem areas of cabbage sheets. Such a measure helps to get rid of the disease in 2 weeks.
  • A no less pronounced effect is made of herbal decoctions. One of the most effective is the decoction of black elderberry, oak bark and white birch leaves. 2 tbsp. Crushed raw materials should be covered in the container and pour 600 ml of hot water. For 3 hours, the decoction comes to readiness under the lid. After polling in the drug, you need to add some more water and set aside. After 6 hours, the ready-made tool can be used for a river.
  • For the night, supporters of the funds of traditional medicine are recommended to apply Kalanchoe to the wound. Its pre-cut along into 2 parts. Both halves need to be attached to the problem area and fix with a patch. It is advisable to make such procedures for the night.
  • Remove the swelling and accelerate the healing helps grated potatoes. It is mixed with honey in a 1: 1 ratio. Potatoes can be grinding, both with a grater and with a meat grinder. The resulting means is distributed over a napkin or gauze and applied to the breakdown.
  • During the day, the lesions are needed to lubricate the medberia juice. It increases local immunity and accelerates the process of tissue healing. Juice can be obtained by chopping fresh plants in a blender.
  • Stop the process of transition of the disease from one stage to another will help ointment ointment of vaseline and calendula. 50 g of Vaseline will require 1 tbsp. l. Crushed plant flowers. The resulting Cashitz should be distributed over the problem area. The procedure is performed twice a day - in the morning and in the evening.
  • In order to prevent the reproduction of bacteria, it should be treated with a weak solution of manganese.

    Prevention measures Proleegoes

    Пожилому не хватает внимания? Есть решение!

  1. Prolesiders develop in the event that due care is not installed for the patient. Prevent the pathological process is much easier than to treat its complications. Therefore, it is important to comply with prevention measures. These include the following:
  2. After the implementation of hygienic procedures, it should be cleaned with a high quality soap and dry skin surface dry;
  3. It is necessary to ensure that the patient does not remain crumbs on the bed;
  4. It is important to regularly change linens;
  5. It is impossible to plant an immobilized elderly person for a long time in a chair;

It is recommended to choose a sheet without seams to avoid additional irritation of the skin surface.

Previously, the massage was considered a good prophylactic agent. But with time, doctors revealed that in some cases it has more harm than good. It is much more important to follow hygiene rules and minimize pressure rendered on soft tissues. After each water procedure, the patient's skin must be softened with special creams. Also should ensure a uniform distribution of the load on the body. To do this, it is necessary to periodically turn the patient from one position to another. If there is no possibility of changing positions, it is recommended to purchase a special mattress. Its selection is desirable to exercise under the guidance of a specialist. From the comfort of the mattress depends on the distribution of the load on the body of the patient.

Plugs are areas of samples of soft tissues and skin arising from laying patients in the absence of proper care. Launched cases accompanied by deep flexible wounds can lead to serious complications and even to death. Therefore, relatives and loved ones, due to any reasons to be immobilized, should know how to treat implies at home, without harming the patient.

Пролежни: как лечить в домашних условиях, чем обрабатывать

Provided timely detection and competent treatment, which specialists of the Yusupov Hospital are provided, there are no serious threat to human health.

The reasons for the formation of beds

Prolesiders develop as a result of the pressure of solid surfaces, on which there are underlying patients, on their discover parts of the body with a slight muscular and fatty layer, most often on the blade, chest spine, seats, heels, heads, etc. In patients who have forced for a long time being in a sitting position, form a breakdown on the back, on the sacrum, heels, fingers, feet and blades.

  • Tissue damage is due to the following reasons:
  • The inflection of blood vessels, which deliver oxygen and nutrient components into muscle cells. Due to oxygen starvation (hypoxia) and insufficient nutrition, the vital activity of cells is oppressed, which leads to their death;
  • squeezing the nerve fibers responsible for the regulation of metabolism in tissues, as a result of which cell viability deteriorates;

The squeezing of lymphatic vessels, which remove the products of the life of the cells from the intercellular space, as a result of which slags and toxins are accumulated in it, the decrease in the viability of the cells of their poisoning and death. In addition, one of the functions of the lymphatic system is the disposal of dead cells: siled lymphatic vessels lead to the accumulation of dead cells in tissues, which favors the development of infection.

In addition, the development of shutters is associated with friction, as a result of which mechanical damage and lunching of the skin cells, the displacement of the deep tissues and the break of the vessels.

The probability of development of bedding increases increased humidity, due to which the skin swells and friction increases. Especially the high risk of forming beds in patients suffering from incontinence of urine and feces, which contain substances provoking skin irritation.

Complications breakdown

  • Prolesidery left without proper attention can significantly worsen the patient's condition and lead to the development of severe consequences. In most cases, the disease can be complicated by the following pathologies:
  • sepsis;
  • phlegmon;
  • osteomyelitis;
  • purulent arthritis;
  • wound miaz (can develop during the warm seasons of the year, with active reproduction of insects and postponed their larvae in wounds);
  • arousal bleeding;

Cancer skin.

Timely therapy and proper care for patients of highly qualified medical personnel of the Yusupov Hospital, who knows how to cure the prolesiders, ensure the development of such complications.

How to remove the idle by folk remedies

The main task of treating breakdown in the early stages is to restore blood circulation in damaged tissues. Improving blood circulation is achieved through active massage and the use of various warming ointments. Folk remedies are used as warming funds.

In order to avoid the development of severe complications, before treating breakdown at home, it is necessary to consult with the attending physician.

Putting: Treatment at home onion

If the patient has reddening the skin, you can cook onion mixture, in which, in addition to the bow, the olive oil and candle wax are included.

Well-chopped onion (two medium sized heads) are mixed with two tablespoons of olive oil, after which the resulting cleaner you need to warm up in a water bath for about 20 minutes. It is then a mixture to strain through the gauze, add wax from a melted church candle, give to cool. The resulting ointment applied to the reddened area of ​​the skin twice a day, (in the morning and before bedtime). Due to the soft heating, the discomfort in the patients is absent, the blood flow is activated, which has a positive effect on the regeneration process.

In addition, this remedy has a disinfecting effect, preventing infection by imputing in the presence of microcracks on the surface of damaged skin.

Dry breakdowns: the treatment of ammonia

One of the funds how to handle breakdown at home is the ammonia. To prevent the exacerbation of the breakdasts and the transition of the disease in a more severe stage, the reddened area of ​​the skin should be thoroughly wiped with ammonic alcohol. Before treating the lying patients with the ammonia, the skin must be carefully handled. Already on the third and fourth days of such treatment, redness disappears, there is a complete restoration of the skin, as it is quite simple to cure the breakdowns in the early stages that are not accompanied by a necrotic process.

Is it possible to cure breakdown by other means

At the first signs of development, the following composition is used: in boiled water (250ml) add one tablespoon of vinegar (9%). Processing the affected area with the resulting solution is necessary every hour during the day, making a break for the night. Redness disappears, as a rule, on the 4-5 day of treatment.

Excellent efficiency in the early stages of the disease have lilac leaves. The compress from the softened fresh leaves should be imposed on the redneel skin of the skin, and then fix it with the plaster. After three hours, make a compress, impose a new one. The course of treatment continue at least five days.

Than you can handle breakdowns with the wound

Treatment of layers with wound at home is possible only with the normal total state of the patient - the absence of intensive pain and high temperature. In addition, it is necessary to understand that if after 4 days of treatment with folk remedies, therapeutic result is not achieved, the use of medication therapy is necessary.

Processing laying out at home with soda solution

Purulent breakdowns can be treated with ordinary food soda. In steep boiling water (250ml) add 1 teaspoon of soda, solution to cool. A piece of linen fabric moisten in solution, slit a bit and attached to the affected skin. This remedy helps to actively disappear by purulent contents, which remains on the napkin. The napkin must be on the wound at least 10 minutes. For one procedure, you need to change three napkins. On a day you need to perform four procedures. Continue treatment from five to ten days, until full wound heal.

Treatment of shielding with starch

The effective means of traditional medicine is corn or potato starch used as a supper. Wound must be sprinkled with a sufficient number of starch twice a day. Before applying the following portion, the straland means must be processed using a soft antiseptic napkin. Treatment to continue before the appearance on the surface of the wound thin crust.

How to remove the breakdown with sea buckthorn oil

An excellent means to help treat breakdowns, even deep, is sea buckthorn oil. It contributes to the destruction of pathogenic bacteria, purification and drying of the wound, as well as intensifying the progress of regeneration in tissues. The desired effect is achieved with the imposition of this fund for a wound at least five times a day. Treatment should be continued until the breakdowns are completely listed.

Prevention of development of bedtime in the Yusupov Hospital

Thanks to the professional approach, greater experience and high qualifications of specialists of the Yusupov Hospital, the development of layers in patients forced is in the immobilized state (during the rehabilitation period), is practically excluded.

For lying patients in the hospital of the Yusupov hospital, special orthopedic mattresses are provided that provide a passive body massage and contribute to the proper distribution of the patient's weight, hygienic procedures are carried out regularly, the change of bed linen is provided with full-fledged nutrition.

Thanks to all these services, as well as professionalism and attentive attitudes of medical personnel to each patient, the risk of developing lying patients is reduced to a minimum.

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