Inā ʻeha koʻikoʻi ka mea aloha a maʻi nui paha, pono paha lākou e hoʻolilo i ka manawa nui ma kahi moe.ʻO nā wā lōʻihi o ka hana ʻole, ʻoiai he pōmaikaʻi no ka hoʻihoʻi ʻana, hiki ke lilo i pilikia inā hoʻokau lākou i ke koʻikoʻi mau i ka ʻili palupalu.
Hiki ke ulu ka maʻi ʻeha, ʻike ʻia ʻo bedsores a i ʻole bedsores, inā ʻaʻole mālama ʻia nā hana pale.ʻO nā ʻeha moe ma muli o ke kaomi lōʻihi ma ka ʻili.Hoʻemi ke kaomi i ke kahe o ke koko i kahi o ka ʻili, e alakaʻi ana i ka make cell (atrophy) a me ka luku ʻana i nā kiko.ʻO ka maʻi maʻi maʻi maʻi maʻi ma ka ʻili e uhi ana i nā ʻāpana iwi o ke kino, e like me nā kuʻekuʻe wāwae, nā kuʻekuʻe wāwae, nā ʻāʻī, a me ka iwi huelo.
ʻO ka poʻe i ʻeha loa, ʻo ia ka poʻe i ʻae ʻole ke kūlana kino iā lākou e hoʻololi i ke kūlana.ʻO kēia ka poʻe ʻelemakule, ka poʻe i loaʻa i ka maʻi ʻaʻai, ka poʻe i ʻeha i ke kuamoʻo, a me ka poʻe lolo a i ʻole ke kino kīnā.No kēia poʻe a me nā poʻe ʻē aʻe, hiki ke loaʻa nā bedsores ma ka noho huila a ma kahi moe.
Hiki ke hoʻokaʻawale ʻia ka maʻi maʻi ʻeha i hoʻokahi o nā pae ʻehā ma muli o ko lākou hohonu, paʻakikī, a me nā ʻano kino.Hiki ke hōʻike ʻia ka maʻi maʻi maʻi ma ke ʻano he pōʻino ʻiʻo hohonu e pili ana i ka ʻiʻo a me ka iwi.ʻO ka hoʻomaopopo ʻana i nā pae like ʻole hiki ke kōkua i ka hoʻoholo ʻana i ke ala maikaʻi loa o ka hana.
Hoʻokaʻawale ka American Pressure Ulcer Advisory Group i nā maʻi ʻeha i ʻehā mau pae, e pili ana i ke kiʻekiʻe o ka pōʻino o ke kino a i ʻole ka hohonu o ka maʻi ʻeha.Hiki ke hoʻokaʻawale ʻia nā pae hoʻonohonoho i:
I.
Hōʻike ʻia ka maʻi maʻi maʻi ma ka ʻulaʻula ma ka ʻili o ka ʻili paʻa ʻaʻole keʻokeʻo ke kaomi.He mahana paha ka ʻili i ka hoʻopā ʻana a ʻoi aku ka paʻa a ʻoi aku ka palupalu ma mua o ka ʻili a puni.Hiki i nā poʻe me nā leo ʻeleʻele o ka ʻili ke ʻike i ka hoʻololi ʻana.
ʻO ka Edema (ka pehu o ka ʻiʻo) a me ka hoʻomau ʻana (ka paʻakikī ʻana o ka ʻiʻo) he mau hōʻailona paha ia o kahi ʻeha paʻi pae 1.Hiki ke piʻi ka maʻi ʻeha o ka pae mua i ka pae ʻelua inā ʻaʻole i hoʻomaha ʻia ke kaomi.
Me ka hoʻomaʻamaʻa wikiwiki ʻana a me ka mālama ʻana, hoʻopau maʻamau nā ʻeha o ka pae mua i loko o ʻekolu a ʻehā lā.
II.
ʻIke ʻia kahi maʻi maʻi pae 2 i ka wā e haehae koke ʻia ka ʻili paʻa, e hōʻike ana i ka epidermis a i kekahi manawa ka dermis.He pāpaʻu nā ʻeha a ua like pinepine me nā abrasions, nā ʻōhū pohā, a i ʻole nā lua pāpaʻu o ka ʻili.He ʻulaʻula a mehana maʻamau nā bedsores pae 2.Loaʻa paha ka wai maʻemaʻe i loko o ka ʻili i poino.
No ka pale ʻana i ka piʻi ʻana i ke kolu o ka pae, pono e hana ʻia nā hana āpau e pani i nā ʻeha a hoʻololi pinepine i ke kūlana.
Me ka mālama pono ʻana, hiki ke hoʻōla i nā bedsores pae II mai ʻehā lā a ʻekolu pule.
III.
Hōʻike ʻia ka maʻi ʻeha o ka pae III e nā ʻeha e hoʻonui i ka dermis a hoʻomaka e komo i ka ʻiʻo subcutaneous (ʻike ʻia ʻo hypodermis).I kēia manawa, ua hoʻokumu ʻia kahi lua liʻiliʻi i ka ʻeha.Hiki ke hoʻomaka ka momona ma nā ʻeha hāmama, akā ʻaʻole i loko o nā ʻiʻo, nā aʻa, a me nā iwi.I kekahi mau hihia, ʻike ʻia ka pus a me kahi ʻala maikaʻi ʻole.
ʻO kēia ʻano maʻi maʻi maʻi e waiho i ke kino i ka maʻi, me nā hōʻailona o ka pilau ʻino, ka pus, ka ʻulaʻula, a me ka hoʻoheheʻe ʻia.Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi, me ka osteomyelitis (ka maʻi iwi) a me ka sepsis (ma muli o ka maʻi i loko o ke koko).
Me ka hoʻomaʻamaʻa paʻa ʻana a me ka hoʻomaʻamaʻa ʻana, hiki ke hoʻoholo i kahi ʻeha puʻupuʻu III i loko o hoʻokahi a ʻehā mau mahina, ma muli o kona nui a me ka hohonu.
IV.
ʻO ka maʻi maʻi maʻi o ka pae IV ka wā i hōʻino ʻia ka ʻiʻo subcutaneous a me ka fascia lalo, e hōʻike ana i nā ʻiʻo a me nā iwi.ʻO kēia ke ʻano koʻikoʻi o ka ʻeha a me ka paʻakikī loa e mālama ʻia, me ka nui o ka maʻi.Hiki ke pōʻino i nā ʻiʻo hohonu, nā aʻalolo, nā aʻalolo, a me nā hono, pinepine me ka pus nui a me ka hoʻokuʻu ʻana.
ʻO ka maʻi maʻi maʻi o ka pae IV e koi aku i ka mālama koʻikoʻi e pale aku i ka maʻi ʻōnaehana a me nā pilikia ʻē aʻe e hoʻoweliweli i ke ola.Wahi a kahi noiʻi 2014 i paʻi ʻia ma ka puke pai Advances in Nursing, hiki i nā poʻe ʻelemakule me ka pae 4 ʻeha puʻuwai ke loaʻa ka nui o ka make a hiki i ka 60 pakeneka i loko o hoʻokahi makahiki.
ʻOiai me ka hoʻomaʻamaʻa maikaʻi ʻana i loko o kahi keʻena hānai, hiki i ka maʻi maʻi maʻi paena 4 ke lawe i ʻelua a ʻeono mahina (a ʻoi paha) e hoʻōla.
Inā hohonu ka ʻeha moe a kau ʻia i loko o nā ʻiʻo ʻāwili, ʻaʻole hiki i kāu mea mālama ola ke hoʻoholo pololei i kona pae.Manaʻo ʻia kēia ʻano maʻi maʻi maʻi ʻaʻole i hoʻopaʻa ʻia a makemake paha i ka debridement nui e wehe i ka ʻiʻo necrotic ma mua o ka hoʻokumu ʻana i kahi pae.
Hiki ke ʻike ʻia kekahi mau wahi moe i ka pae 1 a i ʻole 2 i ka nānā mua ʻana, akā ʻoi aku ka pōʻino o nā ʻiʻo o lalo.I kēia hihia, hiki ke hoʻokaʻawale ʻia ka maʻi maʻi ma ke ʻano he hōʻeha ʻeha hohonu (SDTI) i ka pae 1. Ma ka nānā hou ʻana, ʻike ʻia ʻo SDTI ma ke ʻano he pae.III a i ʻole IV ka maʻi ʻeha.
Inā mālama ʻia kāu mea aloha i ka hale maʻi a ʻaʻole hiki ke neʻe, pono ʻoe e makaʻala e ʻike a ʻoi aku ka maikaʻi o ka pale ʻana i nā ʻeha ʻeha.Hiki ke hana pū me ʻoe a me kāu hui mālama ola kino a mea lapaʻau paha e hōʻoia i ka mālama ʻia ʻana o kēia mau mea:
E kelepona i kāu kauka inā ʻike ʻoe i ka ʻeha, ka ʻulaʻula, ke kuni, a i ʻole nā loli ʻili ʻē aʻe i hala ma mua o kekahi mau lā.ʻOi aku ka maikaʻi o ka mālama ʻana i nā maʻi maʻi ʻeha.
Hoʻolālā Ergonomic e hōʻemi i ke kaomi a pale i nā bedsores
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Ka manawa hoʻouna: Apr-28-2023