Figyeljünk oda a bőr védelmére

Szemlézte: Pöltz Ágnes

2020.07.18. 09:00

Gondoskodás

forrás: Alzheimer Ireland

Nyomási fekély (decubitus, felfekvés) alatt azokat a bőrsérüléseket értjük, amikor egy adott testtájékra hosszabb időn keresztül olyan nyomás nehezedik, ami lecsökkenti vagy teljesen megakadályozza a terület vérellátását. Ha vörös foltokat veszünk észre a demenciával élő szerettünk testén, ami nem múlik el pár óra alatt, elképzelhető, hogy nyomási fekélyről van szó. A keveset mozgó, idős emberek különösen ki vannak téve kialakulásuknak.

A személyes gondoskodás során az öltözködés, mosakodás alkalmával mindenképp figyeljünk a fenti jelekre. Akkor is érdemes átvizsgálni hozzátartozónk testét, ha viselkedésével  fájdalomról, kényelmetlenségről tesz tanúbizonyságot, vagy ezekről panaszkodik. 

Javaslatok személyes gondoskodást nyújtóknak:

    • Igyekezzünk egészséges, kiegyensúlyozott táplálkozást biztosítani a demenciával élő betegnek. A megfelelő tápanyagellátás a bőrt is segíti védekezni a külső behatások ellen.

    • Segítsünk szerettünknek rendszeresen mozogni. A fizikai aktivitás a vérkeringés fokozása révén segít a nyomási fekélyek megelőzésében.

    • Ha a demens beteg inkontinens (vizelet- vagy székletvisszatartási nehézségei vannak), sose hagyjuk hosszan a nedves ruháiban vagy az átnedvesedett ágyban. Ha a vizelet hosszabb időn keresztül érintkezik a bőrrel, nagyban csökkenti a bőr ellenállását a sebek kialakulásával szemben.

    • Kerüljük a szűk ruházatot, kiváltképp a lábaknál.

    • A nyomási fekélyek kialakulásának kedvez a szélsőséges meleg és nedvesség, ezért próbáljuk megakadályozni, hogy a demenciával élő személy túlzottan izzadjon vagy kimelegedjen.

    • Minden mosakodás után alaposan szárítsuk meg a bőrt, különösképp odafigyelve a bőrredőkre. Dörzsölés helyett finoman itassuk fel a törölközővel a vizet.

    • A kipirosodott bőrt soha ne dörzsöljük vagy masszírozzuk, ezzel ugyanis tovább ronthatunk a problémán.

    • Kérjük meg a demens beteget, hogy időnként váltson ülőhelyzetet vagy forgassuk őt fektében.


Az időben felfedezett nyomási fekély könnyen kezelhető, azonban ha súlyosra fordul, igen komoly helyzet alakulhat ki. Feltétlenül forduljunk tehát orvoshoz már az első jelek megjelenésekor!

 

NYOMKÖVETÉS(string) «https://work1.felejtek.hu» (string) «{modul:wd_article}» INCLUDE MODUL: felejtek_meta CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_meta (0,0038 mp) INCLUDE MODUL: jsonld CALL: Andrea\Plugins\JsonLD\JsonLD::modul_json_ld (0,0001 mp) INCLUDE MODUL: owm_daily_mobile MISSED CALL (owm_daily_mobile). INCLUDE MODUL: felejtek_menu:1 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_menu (0,0699 mp) INCLUDE MODUL: wd_article CALL: Andrea\Plugins\Webdoki\MagazineArticle::modul_wd_article (0,0027 mp) INCLUDE MODUL: felejtek_box:250 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0,0007 mp) INCLUDE MODUL: felejtek_box:248 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0,0054 mp) INCLUDE MODUL: basemenu CALL: Andrea\Core\PageList::modul_basemenu (0,0004 mp) INCLUDE MODUL: comments MISSED CALL (comments). INCLUDE MODUL: felejtek_related_articles CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_related_articles (0,0000 mp) INCLUDE MODUL: felejtek_suggested_articles CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_suggested_articles (0,0062 mp)
MUNKAMENET VÁLTOZÓarray ( 'SID' => 'f11444fcb2fa5f009b9c2e36f4348b2c', 'user' => 'O:16:"Andrea\Core\User":5:{s:8:"login_ok";b:0;s:13:"inner_modules";a:0:{}s:8:"template";s:0:"";s:5:"items";N;s:8:"' . "{debug_info}" . '*' . "{debug_info}" . 'props";a:4:{s:7:"message";s:0:"";s:10:"user_group";O:21:"Andrea\Core\UserGroup":4:{s:13:"inner_modules";a:0:{}s:8:"template";N;s:5:"items";N;s:8:"' . "{debug_info}" . '*' . "{debug_info}" . 'props";a:0:{}}s:15:"registered_date";s:0:"";s:8:"topic_id";a:0:{}}}', 'lang' => 'hu', 'currency' => 'huf', 'a' => 'cikk', 'p' => '1', 'article' => 590, 'template_path' => '/templates/felejtek2023', )
KIKÜLDÖTT SQL KÉRÉSEKPDO connected to localhost. SET SESSION `character_set_client` = 'utf8' (0 sor: 0.0002 mp/0.0002 mp) SET SESSION `character_set_connection` = 'utf8' (0 sor: 0.0001 mp/0.0003 mp) SET SESSION `character_set_database` = 'utf8' (0 sor: 0.0001 mp/0.0004 mp) SET SESSION `character_set_filesystem` = 'utf8' (0 sor: 0.0001 mp/0.0005 mp) SET SESSION `character_set_results` = 'utf8' (0 sor: 0.0001 mp/0.0006 mp) SET SESSION `character_set_server` = 'utf8' (0 sor: 0.0001 mp/0.0007 mp) SET SESSION `collation_connection` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0007 mp) SET SESSION `collation_database` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0008 mp) SET SESSION `collation_server` = 'utf8_hungarian_ci' (0 sor: 0.0003 mp/0.0011 mp) SET SESSION `group_concat_max_len` = 1024 (0 sor: 0.0001 mp/0.0012 mp) SELECT * FROM `alz_core_plugin` WHERE `domain_id` = ? AND `option_active`=1 ORDER BY `depend_nums` ASC (9 sor: 0.0013 mp/0.0025 mp) SELECT `name`,`value` FROM `alz_core_param` WHERE domain_id = ? (18 sor: 0.0010 mp/0.0035 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0002 mp/0.0037 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0002 mp/0.0039 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0004 mp/0.0044 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0002 mp/0.0045 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0047 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0002 mp/0.0049 mp) SELECT `name`,`value` FROM `alz_core_lang` WHERE domain_id = ? (34 sor: 0.0011 mp/0.0060 mp) SELECT id FROM alz_core_page WHERE domain_id = ? AND permalink = ? (0 sor: 0,0008 mp/0,0068 mp) SELECT `theme_id` FROM `alz_core_domain` WHERE `id`=1 (1 sor: 0,0009 mp/0,0077 mp) SELECT * FROM `alz_core_theme` WHERE (`id`=2) LIMIT 1 (1 sor: 0,0007 mp/0,0084 mp) SELECT * FROM `alz_mag_topic` ORDER BY option_status DESC,`id` ASC (4 sor: 0,0007 mp/0,0091 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0008 mp/0,0098 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0005 mp/0,0103 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0005 mp/0,0108 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0,0014 mp/0,0122 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0006 mp/0,0128 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0003 mp/0,0131 mp) SELECT * FROM `alz_core_page` WHERE (`id`=1) LIMIT 1 (1 sor: 0,0007 mp/0,0138 mp) SELECT pageview FROM alz_mag_article_pageview WHERE domain_id = '1' AND mag_article_id = '590' (1 sor: 0,0011 mp/0,0150 mp) UPDATE alz_mag_article_pageview SET pageview = pageview + 1 WHERE domain_id = ? AND mag_article_id = ? (1 sor: 0,0008 mp/0,0157 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0007 mp/0,0164 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0004 mp/0,0168 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0170 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0,0004 mp/0,0174 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0003 mp/0,0177 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0003 mp/0,0181 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0015 mp/0,0195 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=270) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0007 mp/0,0202 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=257) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0006 mp/0,0209 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=108) AND ((option_submenu=1) OR (option_mainmenu=1)) (8 sor: 0,0010 mp/0,0218 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=145) AND ((option_submenu=1) OR (option_mainmenu=1)) (10 sor: 0,0009 mp/0,0227 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=165) AND ((option_submenu=1) OR (option_mainmenu=1)) (12 sor: 0,0020 mp/0,0247 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=202) AND ((option_submenu=1) OR (option_mainmenu=1)) (17 sor: 0,0015 mp/0,0262 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=248) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0007 mp/0,0270 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=250) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0007 mp/0,0277 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0006 mp/0,0283 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0005 mp/0,0288 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0008 mp/0,0296 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=109) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0301 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=110) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0305 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=111) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0309 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=112) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0314 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=113) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0319 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=136) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0006 mp/0,0324 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=114) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0007 mp/0,0331 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=267) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0335 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (10 sor: 0,0008 mp/0,0343 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=146) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0348 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=147) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0352 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=148) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0356 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=149) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0362 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=116) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0005 mp/0,0367 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=150) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0006 mp/0,0373 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=151) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0378 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=152) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0382 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=153) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0386 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=266) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0390 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (12 sor: 0,0009 mp/0,0399 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=166) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0403 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=167) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0407 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=168) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0410 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=169) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0413 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=226) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0006 mp/0,0419 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=140) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0423 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=242) AND ((option_submenu=1) OR (option_mainmenu=1)) (5 sor: 0,0005 mp/0,0427 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=193) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0006 mp/0,0433 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=142) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0437 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=144) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0441 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=239) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0005 mp/0,0446 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=268) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0450 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (17 sor: 0,0010 mp/0,0460 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=203) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0005 mp/0,0465 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=172) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0469 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=207) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0007 mp/0,0477 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=171) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0005 mp/0,0481 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=173) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0006 mp/0,0488 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=212) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0492 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=178) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0006 mp/0,0497 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=221) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0501 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=265) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0005 mp/0,0507 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=222) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0511 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=216) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0005 mp/0,0516 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=200) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0520 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=224) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0525 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=143) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0528 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=225) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0532 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=201) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0536 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=269) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0540 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0005 mp/0,0545 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0004 mp/0,0548 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0552 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0003 mp/0,0555 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0556 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0,0004 mp/0,0560 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0562 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0002 mp/0,0564 mp) SELECT * FROM `alz_core_page` WHERE (`id`=250) LIMIT 1 (1 sor: 0,0004 mp/0,0568 mp) SELECT * FROM `alz_core_page` WHERE (`id`=248) LIMIT 1 (1 sor: 0,0049 mp/0,0617 mp) SELECT SQL_CALC_FOUND_ROWS * FROM alz_mag_article WHERE option_status = 'published' AND date_publish > 0 AND option_suggest = 1 ORDER BY date_publish DESC LIMIT 0,5 (0 sor: 0,0061 mp/0,0679 mp)
FUTÁSI IDŐKSQL: 0,0679 mp Oldal: 0,4578 mp Andrea\Core\Site.generate(): 0,3616 mp Andrea\Core\Site.show(): 0,3684 mp