Pehea e mālama ai i nā ʻeha puʻe
ʻO kahi ʻeha kaomi kahi ʻāpana o ka ʻili e haki ke mālama ʻia kahi mea e ʻānai a kaomi ʻana i ka ʻili.
Kū nā maʻi puʻe ke nui ke kaomi o ka ʻili no ka lōʻihi. Hoʻoemi kēia i ke kahe o ke koko i kahi. Me ka lawa ʻole o ke koko, hiki i ka ʻili ke make a ʻeha paha kahi kino.
E loaʻa paha iā ʻoe kahi ʻehaʻeha inā ʻoe:
- E hoʻohana i kahi noho huila a i ʻole e noho ma kahi moe no ka manawa lōʻihi
- He makua makua paha ʻoe
- ʻAʻole hiki ke hoʻoneʻe i kekahi mau ʻāpana o kou kino me ke kōkua ʻole
- Loaʻa i kahi maʻi e hoʻopili ai i ke kahe o ke koko, e like me ka maʻi kōkō a i ʻole ka maʻi vascular
- Loaʻa i ka maʻi Alzheimer a i ʻole kahi ʻano e hoʻopili i kou ʻano noʻonoʻo
- Loaʻa i ka ʻili nāwaliwali
- ʻAʻole hiki ke kāohi i kou ʻōpū a i ʻole kou ʻōpū
- Mai lawa kaʻai pono
Hoʻohui ʻia nā ʻeha puʻe e ke koʻikoʻi o nā ʻōuli. ʻO ke kahua ʻo wau ka pae haʻahaʻa. ʻO ke kahua IV ka mea ʻoi loa.
- Kahua I: ʻO kahi ʻulaʻula, ʻeha ma ka ʻili ʻaʻole i keʻokeʻo ke kaomi ʻia. He hōʻailona kēia e hana nei paha kahi ulcer pressure. Mahanahana a ʻoluʻolu paha ka ʻili, paʻa a palupalu paha.
- Kahua II: Pā ka ʻili a hana paha i kahi ʻeha hāmama. ʻUlaʻula a hoʻonāukiuki paha ka wahi a puni ka ʻeha.
- Kahua III: Hoʻomohala ka ʻili i kēia manawa i kahi puka hāmama, poho i kapa ʻia he lua pele. Ua hōʻino ʻia ke kiko ma lalo o ka ʻili. Hiki paha iā ʻoe ke ʻike i ka momona o ke kino i ka lua pele.
- Kahua IV: Ua lilo ka ulcer pressure i hohonu loa i mea e hōʻino ai i ka mākala a me ka iwi, a i kekahi manawa i nā iwi a me nā hono.
Aia kekahi mau ʻano ʻeha ʻē aʻe ʻē aʻe i kūpono ʻole i nā pae.
- Uhi ʻia nā ʻeha i ka ʻili make i melemele, ʻeleʻele, ʻōmaʻomaʻo, a me ʻeleʻele. He mea paʻakikī ka ʻili make e haʻi i ka hohonu o ka ʻeha. ʻO kēia ʻano ʻeha he "unstageable."
- ʻO nā ʻeha puʻupuʻu e ulu i ka mea i hohonu ma lalo o ka ʻili. Kapa ʻia kēia he ʻeha o ka ʻaʻa hohonu. Poni pouli a poni paha ka ʻāpana. Aia paha kahi pā a piha i ke koko ma lalo o ka ʻili. Hiki i kēia ʻano ʻeha ʻili ke lilo koke i kahua ʻehā a i ʻole IV ʻeha ʻeha.
Kū nā ʻeha puʻe kahi e uhi ai ka ʻili i nā wahi iwi, e like me kāu:
- ʻŪhā
- Kuʻekuʻe lima
- Hip
- Kahikina
- Nā kuʻekuʻe wāwae
- Poohiwi
- Hope
- Hope o ke poʻo
Ma ke kahua ʻo I a i ʻole II e hoʻōla pinepine ke mālama ʻia me ka mālama pono. ʻOi aku ka paʻakikī o ka hōʻeha ʻana ma ka pae III a me ka ʻehā a lōʻihi paha ka lōʻihi e hoʻōla ai. Eia pehea e mālama ai i kahi ʻeha puʻe ma ka home.
E hoʻokuʻu i ka kaomi ma ka wahi.
- E hoʻohana i nā uluna kūikawā, nā pale kapa, nā booties, a i ʻole nā pale moena e hōʻemi i ke kaomi. Hoʻopiha ʻia kekahi mau pads i ka wai a i ʻole piha ka ea e kōkua ai i ke kākoʻo a me ka pale ʻana i ka wahi. He aha ke ʻano o ka cushion āu e hoʻohana ai i kāu ʻeha a inā ʻoe i kahi moe a i kahi noho huila paha. E kamaʻilio me kāu mea mālama ola e pili ana i nā koho e kūpono iā ʻoe, e like me nā ʻano a me nā ʻano o nā mea.
- Hoʻololi pinepine i nā kūlana. Inā ʻoe ma kahi noho huila, e hoʻāʻo e hoʻololi i kou kūlana i kēlā me kēia 15 mau minuke. Inā ʻoe i kahi moe, pono ʻoe e hoʻoneʻe ʻia i kēlā me kēia 2 hola.
Mālama i ka ʻeha e like me ke kuhikuhi a kāu mea hāʻawi. E hoʻomaʻemaʻe i ka ʻeha e pale aku i ka maʻi. E hoʻomaʻemaʻe i ka ʻeha i kēlā me kēia manawa ke hoʻololi ʻoe i kahi lole.
- No kahi pae ʻeha au, hiki iā ʻoe ke holoi mālie i ka wahi me ke kopa liʻiliʻi a me ka wai. Inā pono, e hoʻohana i kahi pale wai e pale i ka wahi mai nā wai o ke kino. E noi i kāu mea hāʻawi i ke ʻano o ka moisturizer e hoʻohana ai.
- E hoʻomaʻemaʻe ʻia nā ʻeha puʻe o ka pae II me kahi wai paʻakai (saline) e holoi ai e hemo, nā mea i make. A i ʻole, hāʻawi paha kāu mea hāʻawi i kahi hoʻomaʻemaʻe kikoʻī.
- Mai hoʻohana i ka hydrogen peroxide a i nā hoʻomaʻemaʻe iodine. Hiki iā lākou ke hōʻino i ka ʻili.
- E mālama i ka ʻeha me kahi kapa komo kūikawā. Pale kēia i ka maʻi maʻi a kōkua i ka mālama i ka ʻeha i hiki iā ia ke hoʻōla.
- E kamaʻilio me kāu mea hāʻawi e pili ana i ke ʻano o ka ʻaʻahu e hoʻohana ai. Kaukaʻi ʻia i ka nui a me ke kahua o ka ʻeha, hiki iā ʻoe ke hoʻohana i kahi kiʻi ʻoniʻoni, gauze, gel, foam, a i ʻole kekahi ʻano o nā lole.
- ʻO ka hapa nui o nā maʻi ʻehā III a me IV e mālama ʻia e kāu mea hāʻawi. E nīnau e pili ana i nā ʻōlelo aʻoaʻo kūikawā no ka mālama home.
Hōʻalo i ka hōʻeha a i ʻole ka hakakā.
- E hoʻomoʻi māmā i kāu mau pale i ʻili ʻole kou ʻili iā lākou ma kahi moe.
- Hōʻalo i ka paheʻe a paheʻe paha i kou neʻe ʻana i nā kūlana. E hoʻāʻo e hōʻalo i nā kūlana e hoʻokau i kou ʻeha.
- Mālama i ka ʻili olakino e ka hoʻomaʻemaʻe a me ka momona.
- E hōʻoia i kou ʻili no ka ʻeha puʻe i kēlā me kēia lā. E noi i kāu mea mālama a i ʻole kekahi mea āu e hilinaʻi ai e nānā i nā wahi ʻaʻole hiki iā ʻoe ke ʻike.
- Inā loli ka ʻeha a i ʻole nā ʻano hou, e haʻi i kāu mea hāʻawi.
E mālama i kou olakino.
- ʻAi i nā meaʻai olakino. ʻO ka loaʻa ʻana o ka meaʻai kūpono e kōkua iā ʻoe e hoʻōla.
- Lilo i ka nui o ke kaupaona.
- E hiamoe nui.
- E noi i kāu mea nāna e hāʻawi inā maikaʻi ka hana ʻana i nā ʻōni mālie a i ʻole nā hana māmā. Hiki i kēia ke kōkua i ka hoʻomaikaʻi ʻana i ke kaapuni.
Mai lomilomi i ka ʻili ma kahi kokoke a ma ka maʻi ʻaʻai. Hiki i kēia ke kumu i nā hōʻino hou aʻe. Mai hoʻohana i nā pēpē donut-shaped a me nā apo. Hoʻoemi lākou i ke kahe o ke koko i kahi, i kumu ʻia ai ka maʻi ʻeha.
Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i kahi palapū a i ʻole ʻeha hāmama.
Kāhea koke inā he hōʻailona o ka maʻi, e like me:
- ʻAʻala pilau mai ka ʻeha
- ʻO ka pā e puka mai ana mai ka ʻeha
- ʻO kaʻulaʻula a me ka palupalu e pili ana i ka ʻeha
- ʻO ka ʻili kokoke i ka ʻeha mehana a / a pehu paha
- Fiva
Ulcer puʻe - mālama; Bedsore - mālama; Decubitus ulcer - mālama
- ʻO ka holomua o kahi ulcer decubitis
James WD, Elston DM Hana iā JR, Rosenbach MA, Neuhaus IM. Nā dermatoses e hopena ana mai nā kumu kino. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 3.
Marston WA. Mālama ʻeha. I: Cronenwett JL, Johnston KW, hua. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 115.
Qaseem A, Humphrey LL, Forciea MA, Starkey M, Denberg TD; ʻO ke Kōmike Alakaʻi Clinical o ke Kulanui ʻAmelika o nā Kauka. Hoʻomaʻamaʻa i nā puʻupuʻu kaomi: kahi kulekele hana hoʻokolohua mai ke Kulanui ʻAmelika o nā Kauka. ʻO Ann Intern Med. 2015; 162 (5): 370-379. PMID: 25732279 pubmed.ncbi.nlm.nih.gov/25732279/.
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