Mālama ka ʻili a me ka hoʻomau ʻole

ʻAʻole hiki i kahi kanaka me ka incontinence ke pale aku i ka mimi a me ka pahu mai ka kahe ʻana. Hiki i kēia ke alakaʻi i nā pilikia o ka ʻili kokoke i ka puʻupuʻu, nā pūhaka, nā genital, a ma waena o ka pelvis a me ka rectum (perineum).

ʻO ka poʻe i loaʻa ka pilikia e kaohi ana i ko lākou mimi a i ʻole ko lākou ʻōpū (i kapa ʻia ʻo ka incontinence) e makaʻu no nā pilikia o ka ʻili. ʻO nā wahi ʻili i pili nui ʻia ma kahi kokoke i ka pupu, nā pūhaka, nā genital, a ma waena o ka pelvis a me ka rectum (perineum).

ʻO ka nui o ka wai ma kēia mau wahi e hana i nā pilikia o ka ʻili e like me ka ʻulaʻula, ka ʻili ʻana, ka huhū, a me nā maʻi hū.

Hiki ke hoʻomohala ʻia ʻo Bedsores (ʻeha kaomi) inā he kanaka:

• ʻAʻole ʻai maikaʻi (malnourished)
• Loaʻa i ka radiation radiation i kēia wahi
• Noho i ka hapa nui a i ʻole o ka lā i ka noho huila, ka noho maʻamau, a me ka moena ʻole me ka hoʻololi ʻole i ke kūlana

MALAMA I KA LAI

ʻO ka hoʻohana ʻana i nā pale pale a me nā huahana ʻē aʻe hiki ke hōʻeha i nā pilikia o ka ʻili. ʻOiai hiki iā lākou ke mālama i ka moena a me ka hoʻomaʻemaʻe i ka lole, ʻo kēia mau huahana e ʻae i ka mimi a i ʻole ka pahu i ka pili mau me ka ʻili. Ma hope o ka manawa, haki ka ʻili. Pono e mālama pono ʻia e mālama i ka ʻili maʻemaʻe a maloʻo. Hiki i kēia ke hana e:

• Ke hoʻomaʻemaʻe a me ka hoʻomaloʻo koke ʻana i ka wahi ma hope o ka mimi ʻana a i ʻole ke neʻe ʻana o ka ʻōpū.
• Ka hoʻomaʻemaʻe ʻana i ka ʻili me ka mālie, hoʻoluʻu i ke kopa a me ka wai a holoi maikaʻi a maloʻo mālie hoʻi.

E hoʻohana i nā mea hoʻomaʻemaʻe ʻili kopa ʻole i kumu i ka maloʻo a i ʻole ka huhū. E hāhai i nā kuhikuhi a ka huahana. ʻAʻole koi kekahi huahana i ka holoi ʻana.

Hiki i nā kalima humisturizing ke kōkua i ka mālama o ka ʻili i ka ʻili. Hōʻalo i nā huahana i loaʻa ka ʻalekohola, e hoʻonāukiuki paha i ka ʻili. Inā ʻoe e loaʻa ana i ka radiation radiation, e nīnau i kāu kahu mālama ola inā maikaʻi ia e hoʻohana i nā kalima a me nā lotion.

E noʻonoʻo e hoʻohana i ka sila o ka ʻili a i ʻole ka pale wai. ʻO nā kalima a me nā hamo i loaʻa ka zinc oxide, lanolin, a i ʻole petrolatum e hana i pale pale ma ka ʻili. ʻO kekahi huahana mālama ʻili, pinepine i ke ʻano o ka ʻehu a i ʻole kahi kāwele, e hana i kahi kiʻi ʻoniʻoni, pale ma luna o ka ʻili. Hiki i kahi mea hoʻolako ke paipai i nā kalima pale e kōkua e pale i ka ʻili.

ʻOiai inā hoʻohana ʻia kēia huahana, pono e hoʻomaʻemaʻe i ka ʻili i kēlā me kēia manawa ma hope o ka hele ʻana o ka mimi a me ka pahu. Hoʻopili hou i ka kirimalu a i ʻole ka hamo ma hope o ka hoʻomaʻemaʻe a hoʻomaloʻo i ka ʻili.

Hiki i nā pilikia incontinence ke kumu i kahi maʻi hū ma ka ʻili. ʻO kēia ka ʻili, ʻulaʻula, a pimple-like pākaha hoʻi kēia. ʻIke maka ka ʻili. Loaʻa nā huahana e mālama i kahi maʻi hū:

• Inā pulu ka ʻili i ka hapanui o ka manawa, e hoʻohana i ka pauka me ka lāʻau antifungal, e like me nystatin a i ʻole miconazole. Mai hoʻohana i ka pauka pēpē.
• Hiki ke hoʻopili ʻia kahi pale wai a i ʻole ka wili ʻili ma luna o ka pauka.
• Inā ulu ka huhū ʻili nui, e ʻike i kāu mea hāʻawi.
• Inā kū ka maʻi koʻohune, kōkua nā antibiotic i ka ʻili a i lawe ʻia e ka waha.

He ʻikepili kōkua ka National Association for Continence (NAFC) ma www.nafc.org.

Inā ʻoe e moe ʻia a i ʻole e hoʻohana ana i kahi WHEELCHAIR

E hōʻoia i ka ʻili no ka ʻeha puʻe i kēlā me kēia lā. E nānā i nā wahi ʻulaʻula i keʻokeʻo ʻole ke kaomi ʻia. E nānā pū kekahi i nā palapū, nā ʻeha, a me nā ulcer hāmama. E haʻi aku i ka mea hoʻolako inā loaʻa kekahi auwai pilau.

ʻO kahi papaʻai olakino, kaulike kaulike i lawa nā calories a me nā protein e kōkua iā ʻoe a me kou ʻili maikaʻi.

No ka poʻe pono e noho i kahi moe:

• Hoʻololi pinepine i kou kūlana, ma ka liʻiliʻi i kēlā me kēia 2 hola
• Hoʻololi koke i nā pale a me nā lole ma hope o ka lepo
• E hoʻohana i nā mea i hiki ke kōkua i ka hōʻemi ʻana i ke kaomi, e like me ka uluna a i ʻole ka pale kapa

No ka poʻe ma ka noho huila:

• E hōʻoia i ka noho kūpono o kou noho
• E hoʻololi i kou kaumaha i kēlā me kēia 15 a 20 mau minuke
• E hoʻohana i nā mea i hiki ke kōkua i ka hōʻemi ʻana i ke kaomi, e like me ka uluna a i ʻole ka pale kapa

Hoʻopilikia ka puhipaka i ka hoʻōla ʻana i ka ʻili, no laila he mea nui ka hoʻokū ʻana i ka puhipaka.

Hoʻomaha ʻole - mālama ʻili; Hoʻomaha ʻole - ʻeha kaomi; Hoʻomau ʻole - kaomi ulcer; Hoʻomaha ʻole - ʻeha ka moe

• Kāohi ʻana i nā ulia puʻe

ʻO Bliss DZ, Mathiason MA, Gurvich O, et al, Nā hanana a me nā wānana o ka hoʻomau ʻole e pili ana i ka ʻeha o ka ʻili i nā poʻe home hānai me ka hoʻomau mua ʻole. J Wound Ostomy Continence kahu hānai. 2017; 44 (2): 165-171. PMID: 28267124 pubmed.ncbi.nlm.nih.gov/28267124/.

ʻO Boyko TV, Longaker MT, Yang GP. ʻO ka loiloi o ka mālama ʻana o nā ulia puʻe. ʻO ka holomua i ka mālama ʻana ʻo Wound (New Rochelle). 2018; 7 (2): 57-67. PMID: 29392094 pubmed.ncbi.nlm.nih.gov/29392094/.

Kwon R, Rendon JL, Janis JE. ʻEha puʻe. I: Mele DH, Neligan PC, eds. ʻOki lula: Volume 4: Low Extremity, Trunk, a me Burns. ʻEhā ed.Piladelapia, PA: Elsevier; 2018: chap 16.

Paige DG, Wakelin SH. Maʻi maʻi ʻili. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clark. 9th ed. Piladelapia, PA: Elsevier Saunders; 2017: chap 31.