What are different types of decubitus ulcers?
Decubitus ulcers, also known as bed sores, are very painful wounds on the skin, which are the result of too long in one position and the resulting pressure caused by this lack of movement. The ulcers range from Stadium I, characterized by red, non -folding skin, to phase IV, in which the wound can be up to the bones. When the beginnings of the disorder are manifested, the first step of treatment of ulcers is pressure sores is to remove pressure from the affected area. The wound should then be debrinated, ie the removal of the whole dead tissue and cleaned and dressed by damp protective padding. It should be maintained without contamination of urine or feces and changing regularly. In order to support healing, the patient can be moved to an egg-short mattress, the air of a fluidized bed or another type of chair that keeps the pressure outside any part of the body. This can be done surgically with hydrotherapy, injury or enzymatically. Surgical removal of the skin or sharp debridement is the procedure of choice for a ulcer, which has a large necrotic tissue. HydrotherapyIE and wound irrigation can be used in conjunction with other types of debridement. Enzymes such as collagenase, or Endy supplied through the wound fluid can also be used to debridize the wound. This enzymatic debridement is a very slow process and is rarely used with infected wounds.
Once necrotic tissue is removed, the next step in the treatment of decubitus ulcers is the severity of sore introduction. Decubitus ulcer is classified from phase and phase IV. The skin is not broken in phase I, but the pain has unusual erythema or red spots on the skin that does not relieve pressure when pressure is exerted. Phase II is characterized by abrasion or blister on the surface of the skin. Before the decubitus has felt phases III, all layers of the skin are damaged to the level of fascia or on the connective membrane sitting on the muscle. Stage IV has a skin destruction with full thickness, tissue necrosis over the fascia and may include muscles, bones, tendons or jointsCaps.
After the show, the wound is covered with wet and dry dressing. A wet bandage or pad is laid on the wound and covered with a dry bandage. The wet bandage dries over time; When the bandage changes, the tissues in the wound are when removing the subsoil on the mat. Treatment of ulcers decubitus ulcers II or III decubitus can use as a wet bandage. Gauze in soaked physiological way can be used for phases II-IV. Every time the bandage changes, the wound should be irrigated; Before applying a clean bandage, the patient sometimes has hydrotherapy of whirlpool.
As part of the treatment of decubitus ulcers, patient with pains II or II.m regular mattress for air or water mattress with foam overlap. Alternating air mattress, low air loss or air Fluidized bed is useful for patients with several ulcers or decubitus ulcers that do not heal well. Patients with large ulcers III or IV can also be provided by the latter types of beds.
Decubitus ulcerscan be prevented. To avoid other ulcers and help recovery, it is necessary for the patient to be turned every two hours. The patient should not be placed in a position that puts pressure on existing wounds.
patients whose wounds in stage III or IV do not heal can see a plastic surgeon. The surgeon can determine whether surgical closure of the bed of the bed is an essential part of the treatment of decubitus ulcers. Surgery will be planned for the patient if the surgeon thinks it will accelerate the healing of the bed ulcers.