Lɛ wi lan bɔt prɛshɔn injuri pan pipul dɛn we de na bed. (Prɛshɔn Injuri / Bedsɔ) .

Ɛnibɔdi de na yu famili we nɔ de na bed bikɔs i sik ɔ i dɔn ol ɛn de na di sem pozishɔn fɔ lɔng tɛm? Yu go mɔs dɔn si se sɔntɛnde, dɛn kayn pipul ya kin gɛt wund na dɛn skin. Wi kin kɔl dɛn tin ya "bed sores". pan mεdikal, dεn kכl dεn tin ya `(Prεshכn Injuri)` כ `(Bedsכr). Tide, wi go tɔk ditayli bɔt wetin dɛn rili bi, wetin mek dɛn kin apin, aw fɔ mek dɛn nɔ gɛt dɛn, ɛn wetin fɔ du if dɛn apin bak . Dis na impɔtant tɔpik fɔ bɔku pipul dɛn.

Wetin na dɛn bed sore ya rili?

Fɔ tɔk am simpul wan, bedsɔ na wund dɛn we kin apin we prɛshɔn de na di sem say na wi skin fɔ lɔng tɛm, ɛn dis kin mek di skin we de na da say de pwɛl. Imajin, we pɔsin de na bed fɔ lɔng tɛm ɔ sɔm dez na di sem pozishɔn, ɔ we i sidɔm na wilchia fɔ lɔng tɛm na di sem pozishɔn, di skin kin prɛs di bon dɛn na di say dɛn we di bɔdi in wet fɔdɔm. We dɛn put dis prɛshɔn, di blɔd de go dɔŋ. If di blɔd nɔ de flɔ fayn, di sɛl dɛn na di skin kin bigin fɔ day , ɛn na da tɛm de dɛn wund ya kin apin.

Ɔda nem dɛn de fɔ dɛn bed dɛn ya. Yu dɔktɔ kin yuz dɛn nem ya:

• `(Dɛkubitus ɔlsa dɛn)`
• `(Prɛshɔn sɔr)`
• `(Prɛshɔn ɔlsa dɛn)`
• `(Prɛshɔn wund dɛn)`

I nɔ mata us nem yu kɔl am, i min di sem tin.

Aw kɔmɔn dɛn bed sore ya kin bi? Udat kin gɛt dɛn mɔ?

Dis kin rili kɔmɔn pas aw yu go tink. Dis risk kin bɔku mɔ fɔ di wan dɛn we nɔ kin izi fɔ muv fɔ dɛnsɛf, we kin de na bed, ɔ we de yuz wilchia. Imajin if wan pan wi granpa ɛn granma de na bed bikɔs ɔf sik, ɔ if pɔsin gɛt kɔndishɔn lɛk ``Paralysis`` bikɔs ɔf aksidɛnt ɛn i de na bed, i kin gɛt dɛn injuri ya.

Dɔn bak, pipul dɛm wae gɛt sɔm kayn mɛrɛsin kin gɛt bɔrku prɔblɛm. Fɔ ɛgzampul:

• Fɔ di wan dɛn we gɛt `(Dayabetes)`
• Fɔ di wan dɛn we nɔ gɛt bɛtɛ skin sɛnsitiviti
• Fɔ di wan dɛn we nɔ gɛt bɛtɛ tin fɔ it (Malnutrition) .
• Fɔ di wan dɛn we gɛt rili dray skin ɔ di wan dɛn we de kip tumɔs mɔstɔ
• Fɔ di wan dɛm wae nɔr kin ebul fɔ tɔk bɔt dɛn prɔblɛm bikɔs ɔf tin dɛm lɛk `(Dementia)`
• Sɔm pipul dɛn we gɛt kansa
• Fɔ pikin ɛn big pipul dɛn we gɛt nyurolɔjik sik lɛk sɛribra palsi
• `(Chronic venous insufficiency)` (Pɔr blɔd sirkuleshɔn na di vein dɛm)
• `(Hat we nɔ de wok fayn)` (At we nɔ de wok fayn)
• `(Kidni we nɔ de wok fayn)` (Kidni we nɔ de wok fayn)
• Pεrifεral atεri sik (di atεri dεm we de gi bכdi to di limb dεm de sכmtεm sכmtεm sכmtεm) .
• Kכndishכn dεm lεk spεnal kכd injuri כ spina bifida.

Usay na di bɔdi dɛn wund ya kin apin mɔ?

Infakt, dɛn wund ya kin apin ɛnisay na di bɔdi. Fɔ ɛgzampul, pɔsin we de yuz ɔksijɛn mask kin gɛt wund na in nos, na di tu say dɛn na in yes, ɔ na in bak pat na in ed. Pɔsin we wɛr dɛnt we nɔ fit fayn kin gɛt dɛn wund ya bak insay in mɔt. Dɔn bak, if dɛn dɔn put intubate (put insay tyub fɔ blo) ɔ dɛn de gi am mɛkanikal ventileshɔn (we i de blo wit di ɛp fɔ mashin), di prɛshɔn we gɛt fɔ du wit am kin mek i wund.

Bɔt dɛn injury ya kin apin mɔ na say dɛn we di bon dɛn de nia di skin . Dis na bikɔs na dɛn say dɛn de di skin de prɛs pan di bon ɛn di blɔd nɔ de flɔ. Dɛn kayn eria dɛn de na:

• Ankles dɛn
• Bak
• Bɔt dɛn
• Ɛlbɔ dɛn
• Il dɛn
• Wesbon dɛn
• Tɛlbon (bɔt ɔf di spayna) .

Wetin na di tin dɛn we kin mek pɔsin gɛt sɔri na bed?

Di men rizin na, as a bin dɔn tɔk bifo tɛm , prɛshɔn na di sem ples fɔ lɔng tɛm . Bikɔs ɔf dis prɛshɔn, di smɔl smɔl blɔd vesel dɛn we de gi blɔd to di skin kin swɛt, ɛn i kin tan lɛk se di blɔd nɔ de flɔ. Imajin, we yu swɛt wata paip ɛn ol am tayt, di wata nɔ de flɔ. we dis bכdi dכn lכs, di sεl dεm na di כp pat pan di skin `(Epidermis)` de bigin fכ day. We dɛn day sɛl dɛn ya brok smɔl smɔl, dɛn kin tan lɛk wund. Sɔntɛnde , ivin if dɛn dɔn pres yu na di sem ples fɔ shɔt tɛm, lɛk tu awa, wund kin bigin .

Apat frɔm dis prɛshɔn, ɔda tin dɛn kin ɛp fɔ mek dɛn wund ya:

• Mɔstɔ: If di skin wet bikɔs ɔf tin dɛn lɛk swet, urine, ɛn fes, i kin wik pasmak ɛn i kin gɛt injury mɔ.
• Traction/Shear: Dɛn kin pul di skin we dɛn es di ed pan di bed, we di bɔdi de na wilchia, ɔ we di bɔdi de slayv dɔŋ. Dis pul kin pwɛl di tisu dɛn we de ɔnda di skin bak ɛn mek yu wund.

Wetin na di sayn dɛm ɛn di stej dɛm fɔ bed sore?

De sayn dɛm fɔ bed sore kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin fil pen ɛn it bikɔs ɔf dɛn sos ya. Bɔt pipul dɛm wae gɛt wik nerv ɛn nɔr de fil fayn nɔr kin fil dis pen. So, i rili impɔtant fɔ chɛk di skin ɔltɛm.

Dɔktɔ dɛn kin sheb dɛn bed dɛn ya to stej dɛn bay aw dɛn siriɔs. Dis kin ɛp fɔ no aw fɔ trit di wund.

• Stej 1: Di skin kin tan lɛk rɛd ɔ pink. Bɔt, no skin nɔ brok ɔ wund yet. Dis kɔlɔ chenj kin at fɔ no smɔl fɔ pɔsin we gɛt dak skin. Di say kin fil pen smɔl we yu tɔch am, ɔ i kin fil wam, kol, saf, ɔ at pas ɔda say dɛn.
• Stej 2: Dis na di say we dεn dכn pul di tכp layεr fכ di skin, lεf wan shalo wund wit pink כ rεd bכtכm. Yu kin si bak di skin we de kɔmɔt ɛn blista .
• Stej 3: .Di wund dɔn dip smɔl naw. di wund kin dכn spre כl di we dכn to di haypodεmis, di fεt layεr כnda di skin.
• Stej 4: Dis na di stej we kin tranga pas ɔl. di wund dכn go insay כl di tri layεr dεm na di skin, εn di mכsul dεm we de כnda, di tεndon dεm, εn sɔntɛm ivin di bon dεm (di mכskul εn skel sistεm) de sho. Dɛn kayn wund ya kin tek lɔng tɛm fɔ wɛl, ɛn dɛn kin mek dɛn gɛt prɔblɛm.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt bed sos?

Bed sore nɔto jɔs wund dɛn na di skin. If dɛn nɔ trit dɛn, dɛn kin mek pɔsin gɛt baktriyal infɛkshɔn we kin mek pɔsin in layf de pan denja .

dis wund dεm kin mek yu gεt denja kכndishכn lεk `(Cellulitis)` (infεkshכn na di skin εn di tisu dεm we de כndalayn), `(Septicemia)` (blכd pכyzin). sכmtεm, i kin go bifo to `(Sepsis)` (wan bad bad infεkshכn we de spre כlsay na di bכdi) εn ivin `(Amputation)`.

Sɔm pipul dɛn kin gɛt sayn trakt dɛn we kin kɔmɔt frɔm dɛn bed sɔri ya. If dɛn trakt ya kɔnɛkt to dip pat dɛn na di bɔdi, prɔblɛm dɛn lɛk:

• Baktri dεm we de kam insay di bכdi (Bacteremia). dis kin mek baktriyal mεningaytis (infεkshכn na di bren) כ εndokardaytis (infεkshכn na di layn na di at).
• Bon infεkshכn (Osteomyelitis) כ jכyn infεkshכn (Septic arthritis).
• Baktri infεkshכn dεm lεk `(Grup A streptococcus)`. dis kin kכmכn frכm wan kכmכn infεkshכn lεk `(Cellulitis)` to wan denja kכndishכn we dεn kכl `(Necrotizing fasciitis)` (flesh-melting disease).

Aw yu go no if bed sore gɛt infekshɔn?

If wund gɛt di sik, yu kin gɛt sɔm sayn dɛn lɛk:

• Bɔku tɛm , fiva ɛn kol na di fɔs sayn dɛn we kin sho.
• Fɔ fil bad bad pen na di say we di wund de.
• Wan bad smel we de kɔmɔt na di wund.
• Di wund rɛd ɛn i kin rili wam we yu tɔch am .
• Wund we de swel .
• Pus we de kɔmɔt na di wund.

If yu si sɔntin lɛk dis , i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .

Bed sores diagnosis ɛn tritmɛnt

If yu tink se yu ɔ pɔsin we yu de kia fɔ gɛt bed sore, yu fɔ go to dɔktɔ. Yu kin nid bak fɔ go to pɔsin we sabi bɔt wund. Dɔktɔ dɛn go luk aw di wund tan fɔ no if na bed wund ɛn us stej i de.Dɛn kin tek pikchɔ bak fɔ di wund fɔ si aw i de wɛl.

Yu kin du tɛst lɛk dis bak fɔ chɛk fɔ si if yu gɛt infɛkshɔn:

• Fɔ tek smɔl pat pan di lɛsin fɔ ɛgzamin (bayopsi).
• Blɔd kɔlchɔ ɛn tɛst dɛn.
• Skan lεk `(X-ray)` כ `(MRI)`.

Tritmɛnt dɛn we nɔto ɔpreshɔn

Bɔku tɛm, yu ɔ di pɔsin we de kia fɔ yu kin trit mild wund dɛn we de na stej 1 ɛn 2 na os (wit dɔktɔ advays). Dip wund dɛn we de na stej 3 ɛn 4 nid fɔ go to dɔktɔ. Dipen pan aw di wund siriɔs, fɔ wɛl kin tek sɔm wiks to mɔnt .

Dɛn tritmɛnt ya na dɛn tritmɛnt ya:

• Klin di wund: Klin di wund wit sop wata ɔ salin (stɛriyl sɔl wata sɔlvushɔn).
• Fɔ drɛs di wund wit mɛrɛsin: Spɛshal kayn mɛrɛsin bandej dɛn de we de ɛp di wund fɔ wɛl kwik kwik wan. Sɔm ɛgzampul dɛn na Hydrogel (wata-based jel), Hydrocolloid, Alginates (we dɛn mek wit si-sid), ɛn fom dresin.

Insay dip, bad bad wund dɛn, di dɔktɔ go pul di day tisu. dis dεn kכl am ``Debridement.`` dεn kin du dis bay we dεn kin kכt di dεd skin wit shap instrכmεnt ``Scalpel.`` כ, dεn kin put כnt dεm we de sכlv di dεd tisu εn pul am. we dεn du dis, dεn kin injεkt wan ``Lכkal anεsthεtik`` fכ mek i numb. Bikɔs di tisu we de rawnd di tisu we dɔn day kin fil pen.

Di mɛrɛsin dɛn we dɛn kin gi

Dipen pan di kɔndishɔn fɔ di wund ɛn di sayn dɛm, dɛn kin gi dɛn mɛrɛsin ya:

• Antibayɔtiks kin mek pɔsin nɔ gɛt infɛkshɔn ɛn trit am.
• Ridyus pen ɛn swɛlin (Nɔnsterɔyd anti-inflammatory drɔgs - NSAIDs) .
• Di tin dɛn we de mek pɔsin nɔ fil pen.

Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn

Fɔ wund dɛn we rili dip ɛn we de na stej 3 ɔ 4, i kin nid fɔ du ɔpreshɔn. Dɛn kin yuz skin graft fɔ lɔk di wund ɛn ɛp am fɔ wɛl kwik kwik wan.

Aw fɔ mek yu nɔ gɛt bed sos? Dis na di tin we impɔtant pas ɔl!

I izi fɔ mek yu nɔ gɛt bed sore bifo i kam pas fɔ sɔfa wit am afta i apin. Na sɔm tin dɛn we yu kin du bɔt dɛn:

• Chenj yu pozishɔn ɔltɛm: If yu de na wilchia, chenj yu pozishɔn at le ɛvri 15 minit . If yu de na bed, tɔn yu bɔdi rawnd at le ɛvri tu awa . If yu gɛt prɔblɛm fɔ du dis fɔ yusɛf, gɛt ɛp frɔm pɔsin we de kia fɔ yu. Dis na di tin we impɔtant pas ɔl.
• Fɔ chɛk yu skin ɔltɛm: Chek yu skin ɔlsay na yu bɔdi (especially pressure points) wan tɛm insay di de. Chek fɔ chenj in kɔlɔ, pen, ɔt, ɔ kol. If yu nɔ ebul fɔ du am yusɛf, mek ɔda pɔsin du am.
• It fayn ɛn drink bɔku wata: It tin dɛn we gɛt fayn fayn tin dɛn, mɔ di tin dɛn we gɛt bɔku prɔtin fɔ mek yu skin gɛt wɛlbɔdi. Drink bɔku wata ɔl di de.
• Kip di skin klin ɛn dray: If swet, urine, ɔ fes de kam pan di skin, klin am wantɛm wantɛm ɛn kip am dray. Yu kin yuz krim dɛn we de mek yu nɔ gɛt wata fɔ protɛkt di skin.
• Fɔ du ɛksɛsayz:Tek ɛksesaiz as yu ebul. Dis kin mek di blɔd go fayn fayn wan. Yu kin aks fɔ advays frɔm dɔktɔ bɔt ``Fizik tɛrapi``.
• Nɔ smok: If yu de smok, aks fɔ ɛp fɔ lɛf fɔ smok. Nikotin kin mek wund nɔ wɛl.
• Yuz spɛshal matres ɛn kusɛn: Yuz spɛshal matres ɔ fom kusɛn we dɛn mek fɔ ridyus prɛshɔn. Nɔ sidɔm pan kusɛn we gɛt ol na di midul, lɛk donut. Dis kin mek di prɛshɔn we de rawnd di wund bɔku.
• Wash ɛn chenj bed, ɔndawea, ɛn klos ɔltɛm: I rili impɔtant fɔ kip dɛn tin ya klin.

Outlook fɔ pɔsin we gɛt bed sores

Ivin afta we bed sore dɔn wɛl, di skin na da say de nɔ kin strɔng lɛk aw i bin de bifo. Na dat mek i impɔtant fɔ kɔntinyu fɔ fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt di sik bak . Sivεr bed sכm dεm we de na stej 3 כ 4 kin at fכ hεl, εn dεn kin bכku fכ gεt infεkshכn εn dεn kin gεt hכy risk fכ gεt kכmplikεshכn dεm we kin mek dεn layf de pan denja.

Ustɛm yu fɔ go to dɔktɔ?

If yu de pan denja fɔ gɛt bed sos ɛn yu notis ɛni wan pan dɛn sayn ya, tɛl dɔktɔ wantɛm wantɛm:

• Di kɔlɔ we di skin kin chenj (rɛd, pink, pepul).
• Sayn dεm fכ infεkshכn (fiva, swεla, pus, bad smel).
• If i de at ɔ fil wam we yu tɔch wan patikyula say na yu skin.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

• Wetin mek a bin gɛt dis bed sore?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Yu tink se a nid ɔpreshɔn?
• Wetin a kin du fɔ mek a nɔ gɛt bed sos?
• A fɔ wɔri bɔt di prɔblɛm dɛn we kin apin?

Bed sores ɛn di impɔtant tin fɔ it

Bɔrku pipul dɛm wae kin gɛt bed so, nɔr kin it fayn. Dis kin kam bikɔs yu dɔn ol ɔ ɔda kayn mɛrɛsin. If yu it tin dɛn we gɛt bɔku tin fɔ it ɛn we gɛt bɔku prɔtin, dat kin ɛp fɔ mek yu nɔ gɛt bɛd ɛn i kin ɛp fɔ mek wund dɛn wɛl kwik kwik wan. Vitamin ɛn sɔpɔtmɛnt dɛn bak kin nid. Na smɔl tɛm nɔmɔ, pipul dɛn we nɔ gɛt bɛtɛ it kin nid fɔ gi dɛn it tru tiub (enteral nutrition) ɔ intravenous nutrition (IV nutrition).

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Pipul dɛn we nɔ de muv, we de na bed, we de go na wilchia, ɔ we gɛt ɔda tin dɛn we kin mek dɛn gɛt prɔblɛm, kin gɛt mɔ bed sore. So , i impɔtant fɔ fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt dis sik lɛk fɔ chɛk yu skin ɔltɛm ɛn fɔ chenj yu pozishɔn. (If yu nɔ ebul fɔ du am yusɛf, gɛt ɛp frɔm pɔsin we de kia fɔ yu, yu fambul, ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.)

I bεst fɔ no di bed sos kwik kwik wan (stej 1 ɛn 2). Dɔn, dɛn kin trit dɛn bifo di skin brok ɛn di wund big. Fɔ wund dɛn lɛk dis kin wɛl bɛtɛ wit tritmɛnt. Bɔt di wund dɛn we dip (stej 3 ɛn 4) kin gɛt infɛkshɔn ɛn ɔda siriɔs tin dɛn. Dat mekI rili impɔtant fɔ gɛt di rayt tritmɛnt.

If yu ɔ pɔsin we yu lɛk gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shem fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Bed so, prɛshɔn so, skin wund, bed pesin, nɔ de muv, kia fɔ di skin, wund de wɛl