Pressure sore is a wound or ulcer produced due to continuous local pressure in a bed of bond rotation or on a wheelchair. Pressure ulcers often occur in the pressure areas on the legs as they lie down or sit, for example in the hips or pelvis, or the coconut bone, or the skull. This phenomenon may occur in the long -term operations in the patients in a coma, and patients who are long on the same side of the body without mobility. Printing ulcers are distributed at about 10% of patients lying in hospitals, while 60% of the pressure sores in patients older than 70 years are, while its distribution varies in the elderly care houses, but it can reach 50%. Normally, the nervous system provides protection against continuous topical pressure, but people with sensation disorders, or paralysis do not have this mechanism. Pressure wounds are classified by pressure, depending on the level of the depth of the wound: First degree: Redness of the skin Only an hour after the pressure is lowered. Second degree: blister or superficial wounds. Third grade: Ulceration even reaches deep -skin tissues, such as: fat and muscles. Fourth class: A pressure weather also affects a specific leg or a certain detail. People with chronic pressure sores often suffer from ulcers ranging from 3-4. 1.. The initial symptoms of lemeless are one of the most important primary symptoms found in a patient with beds: the color of the color of a part of the skin, depending on the color of the skin, for example: The owners of the truck note the appearance of red spots, while the dark skin owners are noticed that there are blue or purple spots. The spot color does not change the natural color as you press. The stains that appear on the skin can be hot, texture sponge or solid. Feel pain, or itching in the affected environment. The doctor or nurse often mentions the previous symptoms of first -grade 2. The symptoms of pressure ulcers often occur at the beginning of sores, but it can get worse through the following signs: open wounds, or pimples, and are called second classes. Very deep wounds that reach the deepest degree of skin and often third classes. Very deep wounds that reach the muscles and bones, which are the most dangerous and fourth degree. 3. Symptoms require a visit to the doctor immediately if the patient is in the hospital, or receives medical assistance in the home. He must inform the doctor as soon as you experience any of the previous symptoms. In the event that the following symptoms appear, the distress should be directed directly: redness or swelling of the skin. The abscess (PUs) comes from the sore or wound area. Cold the skin and the acceleration of the heart. Severe or increasing pain. High body temperature. These signs indicate to capture the disease of a bacterial infection and should be treated immediately. Causes and factors of the risk of pressure sores, Printing ulcers occur for different causes and factors, which are as follows: 1. The causes of pressure arrangements occur as a result of the pressure on the area, which prevent blood from reaching, and in the next leading lead of the blood that has the blood, which has a particular area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, which has a specific area, access, which has access to the access, who has access, who has access, who has access to the access, who has access, who has access, who has access to the access, who has access, who has the access, which has access to access, which has access to the access, has the blood to the area, and without the presence of the most important food for the member, it can cause damage. For example: People with limited mobility suffer from ulcers and pressure in areas that are not fed with fats and muscles, such as: the cooking area, the spine area, the pelvic area, the shoulder area, the elbow area and the Kaab area. Friction occurs when friction occurs when the skin rubs clothing or bed, and the fragile skin is often more vulnerable to infection, especially when wet. Movement in contrast occurs when two surfaces move in the opposite direction, for example: If the bed from the side of the head is high, it can lead to the lower part of the body slipping specifically, causing the movement of the bones while the skin can remain above the bones. 2.. The risk factors in the following are the most important factors that increase the risk of pressure spirits: a lack of movement may be due to poor health, spinal cord injury or many other causes. Urinary incontinence becomes more vulnerable for long exposure to urine and feces. Sensation disorders can lead to a lack of sensory perception caused by spinal cord injuries, or neurological disorders, which do not experience pain, leading to the lack of awareness of the warning signals that predict the need for the situation. Dehydration and malnutrition everyone should drink enough fluids, eat healthy foods and make sure you eat protein, vitamins and minerals needed for healthy skin to prevent tissue tissue from being malnourished. Health problems impede blood flow and there are other causes of pressure ears: diabetes. Secondary infection. Vascular problems. Complications of pressure wines are one of the most important complications of pressure wandering. The following: 1. Cellulitis is an infection that affects the skin and the soft tissues around it, causing the skin, swelling and heat in the environment, can cause the nerve tissues not to feel inflammation. 2. Bone and joint inflammation is an infection caused by pressure weaers that can cause arthritis and bone. In the case of septic arthritis, it leads to the damage of cartilage and tissues. In terms of bone inflammation, it can reduce the function of the joints and limbs. 3. Cancer can exacerbate long -term wanderers to reach the formation of Hellian cell cancer. 4. Blood infection in rare conditions can cause pressure weaers. 5. Al -Ghhargharina, in the case of a continued pressure, is a defect in the supply of blood with blood, so that gangrena spoke in the same place and the ulceration arises. Until there is no recovery damage in the tissue, and only a few hours can pass, depending on the pressure position, the intensity of the pressure on it and according to other factors. Generally, the stronger and more powerful pressure, the less time for ulcers to be shorter and less. Diagnosis of pressure wandering, the doctor diagnoses with direct consideration of the skin and evaluation, the presence and degree of ulcers, the doctor can ask you to answer the following questions: When did you first notice the ulcers? What is the degree of pain? Have you ever faced the appearance of degenerate in the past? What is the method of treatment you followed? What is the nature of the work of the person who cares for you? What are your daily habits to change your position? What diseases and health problems do you suffer from? What is the nature of your food? Do you drink fluids with the required amount? Pressure treatment, the treatment is based on the degree of sores as follows: 1. The treatment of first -degree pressure ulcers is usually sufficient to reduce the pressure on the wound, which restores the wound within a few days. It is recommended to eat a healthy food that contains a high percentage of protein, vitamin A, vitamin C, zinc and iron and drinking liquid should be increased. 2.. Treatment of second -grade pressure ulcers is to reduce pressure, maintain general and topical hygiene by washing the area with water, water and salt and drying well, the doctor may recommend taking some kind of painkiller if you experience pain. The ulcers must be covered with a transparent connection, or wet, and if one of the signs of the infection must be told immediately. 3.. The treatment of the third degree Printing ulcers should include the treatment of tissue removal supported by surgery, but it is usually possible to be treated with preparations that absorb fluids due to ulceration, such as: calcium sodium language, or larvae that have devoured the ragged tissue. After topical treatment, small wounds with a diameter of 0-3 centimeters go through a few weeks of self-healing. As far as large sores are concerned, they need surgical intervention to close it, by planting new skin tissue, or by placing a topical textile container that brings the dust closer together until the wound is closed. The doctor may also spread an antibiotic in the event of a bacterial infection. 4.. The treatment of the fourth degree pressure or the damaged joint is part of surgical treatment, and after removing all the booby and affected tissues, a new tissue is placed in the area needed to fill the resulting void. The success of the treatment of pressure wandering depends on the patient’s ability to rehabilitate himself and respond to the treatment, in general, if the patient who is still bedridden, in the same circumstances, continues the pressure on the area that is surgically treated until the pressure sores reappear. Return – sores range from 16% – 70%, depending on the rehabilitation capabilities, pressure weather, patient age and other factors that contributed to its rise. Prevention of pressure weaers is the most important treatment, even in chronic patients who have been to bed for years. Pressure leaves can be prevented. Pressure is prevented by the following: Changing lying positions. Use a special bed and bed to spread pressure. There are special mobile devices and beds with automatic devices to change pressure. Training of nurses to use the appropriate equipment. Maintaining good nutrition and healthy and physical condition pay special attention to patients who are on the threshold for undergoing long surgeries.
Pressure Series: Causes, Symptoms and Treatment
