Bedsores / Pressure Injuries chungchanga hriat tur pawimawh te

I in chhungah hian i hmangaih tak, natna avanga khumah mu emaw, wheelchair hmang emaw i nei em? Anmahni enkawl hi mawhphurhna lian tak a ni. Kan ngaihtuah loh fo thin, mahse pawimawh tak pakhat chu "bed sores" an tih hi a ni. Hengte hi Mizo tawngin `(Bedsores)` emaw `(Pressure Injuries)` emaw an ti bawk. A awlsam zawngin, hengte hi vun hmun khata hun rei tak pressure avanga lo awm hliam na tak tak an ni. A tir lamah chuan sen hring te tak te angin lang thei mahse, uluk taka enkawl loh chuan heng hliamte hi a lian thei a, a kai thei a, a hlauhawm hial thei bawk. Chuvangin, vawiin hian thumal awlsam takin engkim hi sawi ila.

Heng bed sores te hi eng tak nge ni?

A awlsam zawngin sawi ila, bedsores hi kan vun leh a hnuaia tissue te a tichhia a ni. Hei hi hmun khata rei tak kan awm hian a thleng thin a, kan taksa rit lutuk hian vun hmun thenkhatah pressure a siam thin. He pressure hian chu lai hmuna thisen kal chu a tibuai a ni. Miin tui pipe a ke a pen a, tui a luang chhuak tawh lo ang maiin han ngaihtuah teh. Chutiang bawkin thisen kal a reh chuan chu lai hmuna vun cell-te chuan an mamawh oxygen leh nutrients an hmu lo. Hun engemaw chen hnuah chuan chu cell te chu an thi tan ta a ni. Chutah chuan hliam angin an rawn lang ta a ni.

Heng hliamte hi hming dang engemaw zatin an ko bawk. I doctor-in heng hming zinga pakhat a koh che chuan hlau suh.

• `Pressure hliam`
• `Pressure ulcer awm thei te`
• `Decubitus ulcer awm thei te`

Heng zawng zawng hi dinhmun inang chiah chiah a ni.

Khawiah nge heng hliamte hi a thlen tam ber?

Heng hliam te hi taksa khawi hmunah pawh a awm thei tak zet a ni. Entîr nân, oxygen ei tawh mi hnar, beng, a lu hnung lam thlengin an lang thei a ni. Mahse, kan ruhte kan vun hnaih em emna leh pressure nasa tak awmna hmunah an awm tam ber.

Mi pakhat khumah muhil lai han mitthla teh. An taksa rih zawng hi khawiah nge a chawlh tam ber?

• Mawngbawr
• Buttocks leh tailbone te pawh a awm
• Heels leh Ankles te
• Shoulder blade leh hnungzang
• Elbows a ni
• Lu hnunglam a ni

Wheelchair-a chuang mi tan chuan pressure tam ber chu a hnute, a ke hnunglam leh a kekawrteah a ni. Chutiang damlo kan enkawl dawnin heng hmunte hi kan ngaihven reng a pawimawh hle a ni.

Tute nge heng hliamte hi vei theihna chance sang zawk?

Tu pawhin khum natna vei thei mah se, mi thenkhat chu an hlauhawm zawk. Hei hian mahni chauha insawn emaw, dinhmun thlak danglam emaw harsatna nei apiang a huam a ni.

Bed sores stage hrang hrangte i hriatchian ang u

Bed sore hi vawi khatah a lian vek lo. Stage engemaw zat kaltlangin a kal zel a ni. Heng stage te hi hriat chian a, a rang thei ang bera enkawl tan a pawimawh.

Bed sores atanga lo awm thei complication

Bed sore hi vun hliam mai a ni lo. Enkawl that loh chuan harsatna lian tak tak a thlen thei a, nunna atana hlauhawm pawh a ni thei.

• Skin Infection (Cellulitis): Hliam vel vun chu a sen a, a hring a, a lum a, a na bawk. Hei hi bacteria infection a ni.
• Ruh leh ruh natna: Hliam chu a thuk a, hrikte chu ruh emaw ruh emaw a thlen chuan natna khirh tak tak ``Osteomyelitis`` emaw ``Septic Arthritis`` emaw a awm thei.
• Cancer: Hun rei tak chhunga hliam dam thei lo hian a chang chuan vun cancer chi khat a thlen thei.
• Sepsis natna: 1.1.Hei hi dinhmun hlauhawm ber a ni. Hliam atanga natna hrik chu thisenah a lut a, taksa pum puiah a darh a, taksa peng hrang hrangte chu a thawk tha lo tan ta a ni. Hei hi nunna atana hlauhawm tak a ni.

Engtin nge hliam pakhatah natna hrik a awm leh awm loh i hriat theih ang?

I damlo hliam chu heng chhinchhiahna te hi enfiah rawh. An awm chuan Doctor pan nghal tur a ni.

• Hliam a rimchhia a nih chuan
• Yellow emaw green emaw pus i neih chuan
• Hliam chhehvelah hian a sen, a hring leh a lum zual a nih chuan
• Natna a zual chuan
• Damlo chu khawsik a neih a, khawsik a neih chuan

Engtin nge enkawl a nih?

Enkawl dan tur chu hliam stage leh damlo hriselna zawng zawng a zirin a innghat a ni.

Surgery hmanga enkawl loh

1. Pressure tihtlem: A hmasa ber leh pawimawh ber chu hliam chunga pressure dang lo thleng tur tihtawp hi a ni. Damlo dinhmun hi thlak fo tur a ni. Special mattress leh cushion te pawh hman theih a ni.

2. Hliam tihfai: Hliam fai taka vawn reng a pawimawh. Doctor-in a tih angin hliam chu saline water emaw, sahbawn nem tak emaw hmangin i tifai thei a ni.

3. Dressing: Hliam tihdamna tur, tuihna vawng rengtu, natna hrik laka venhimna tur dressing chi hrang hrang a awm. Entirnan, Hydrogel leh Hydrocolloid ang chi thil te. I doctor chuan eng chi nge hman tur tih a rel ang.

4. Debridement: Hliam chhunga tissue thi, dum chu damna daltu a ni. Hei hi doctor-in surgery hmanrua, special cream emaw, hmanraw dang emaw hmangin a paih chhuak thin.

Damdawi chi hrang hrang

• Antibiotics: Infection a awm chuan oral medication emaw ointment emaw angin pek thin a ni.
• Painkillers: Hliam natna tihreh nan damdawi pek thin a ni.

Inzai

Stage 3 emaw 4 emaw-a hliam lian tak tak, dam thei lote chu a chang chuan operation a ngai thin. Hei hian taksa peng dang atanga vun lak a, vun graft hmanga hliam kha khar a huam a ni.

A pawimawh ber chu: khum natna laka inven nan!

Khum natna enkawl ai chuan ven a awlsam zawk. I in chhungah khum mu chunga damlo i neih chuan heng thilte hi i ngaihtuah chiang hle ang.

• Position thlak fo rawh: Khum mut i nih chuan darkar hnih danah tal position thlak thin ang che . Wheelchair-a i thut chuan, i rit zawng chu minute 15 danah tal inthlak turin fuih rawh .
• Nitin i vun enfiah thin ang che: Ni khatah vawi khat tal i vun enfiah thin ang che, a bik takin hlauhawmna hmun (hips, heels, buttocks) ah te. Spot sen, blisters emaw, thil dang dang emaw zawng rawh.
• Vun thianghlim leh vawt taka vawng reng tur:Savun nalh tak leh tui lum tak hmangin vun chu silfai thin ang che. Moisturize tha la, vawt takin dah rawh. Vunah hian thawmhnaw, zun, etc. awm reng suh. A tul chuan `(moisture barrier cream)` hmang thin ang che.
• Ei leh in tha pe rawh: Protein, vitamin leh mineral tamna ei leh in inthlau tak pek hi hliam damna leh vun hriselna atana pawimawh tak a ni. Tin, ui hian tui a in tam em tih enfiah a pawimawh bawk.
• I khum enkawl rawh: I khum chu a hrual ang a, a hrual lo ang. A hnim veleh thlak nghal rawh.
• Meizial zu pumpelh: Meizial i zuk chuan bânsan tûrin in ṭanpui ang che. Nicotine hian thisen kal a ti tlem a, hliam damna a tikhawtlai bawk.
• Thil hmanraw bik hmang rawh: I doctor thurawn angin pressure-reducing mattress leh cushion bik (air mattress, foam cushion) hman theih a ni.