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 (0,0020 mp) INCLUDE MODUL: jsonld CALL: Andrea\Plugins\JsonLD\JsonLD::modul_json_ld (0,0000 mp) INCLUDE MODUL: owm_daily_mobile MISSED CALL (owm_daily_mobile). INCLUDE MODUL: felejtek_menu:1 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_menu (0,0455 mp) INCLUDE MODUL: wd_article CALL: Andrea\Plugins\Webdoki\MagazineArticle::modul_wd_article (0,0023 mp) INCLUDE MODUL: felejtek_box:250 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0,0006 mp) INCLUDE MODUL: felejtek_box:248 CALL: Andrea\Plugins\Felejtek\Felejtek::modul_felejtek_box (0,0004 mp) INCLUDE MODUL: basemenu CALL: Andrea\Core\PageList::modul_basemenu (0,0001 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 (0,0021 mp)
MUNKAMENET VÁLTOZÓarray ( 'SID' => '4389e204ac5a2f93e4e7a1ca1355112c', '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/0.0006 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/0.0007 mp) SET SESSION `collation_server` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0008 mp) SET SESSION `group_concat_max_len` = 1024 (0 sor: 0.0001 mp/0.0009 mp) SELECT * FROM `alz_core_plugin` WHERE `domain_id` = ? AND `option_active`=1 ORDER BY `depend_nums` ASC (9 sor: 0.0006 mp/0.0014 mp) SELECT `name`,`value` FROM `alz_core_param` WHERE domain_id = ? (18 sor: 0.0004 mp/0.0018 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0019 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0020 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0021 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0021 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0022 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0022 mp) SELECT `name`,`value` FROM `alz_core_lang` WHERE domain_id = ? (34 sor: 0.0003 mp/0.0025 mp) SELECT id FROM alz_core_page WHERE domain_id = ? AND permalink = ? (0 sor: 0,0003 mp/0,0028 mp) SELECT `theme_id` FROM `alz_core_domain` WHERE `id`=1 (1 sor: 0,0003 mp/0,0031 mp) SELECT * FROM `alz_core_theme` WHERE (`id`=2) LIMIT 1 (1 sor: 0,0002 mp/0,0033 mp) SELECT * FROM `alz_mag_topic` ORDER BY option_status DESC,`id` ASC (4 sor: 0,0003 mp/0,0036 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0039 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0003 mp/0,0041 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0042 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/0,0046 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0048 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0002 mp/0,0050 mp) SELECT * FROM `alz_core_page` WHERE (`id`=1) LIMIT 1 (1 sor: 0,0002 mp/0,0052 mp) SELECT pageview FROM alz_mag_article_pageview WHERE domain_id = '1' AND mag_article_id = '590' (1 sor: 0,0004 mp/0,0056 mp) UPDATE alz_mag_article_pageview SET pageview = pageview + 1 WHERE domain_id = ? AND mag_article_id = ? (1 sor: 0,0003 mp/0,0059 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0062 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0002 mp/0,0064 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0064 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0,0003 mp/0,0067 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0069 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0001 mp/0,0070 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0005 mp/0,0075 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=270) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0079 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=257) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0081 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=108) AND ((option_submenu=1) OR (option_mainmenu=1)) (8 sor: 0,0004 mp/0,0085 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=145) AND ((option_submenu=1) OR (option_mainmenu=1)) (10 sor: 0,0004 mp/0,0089 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=165) AND ((option_submenu=1) OR (option_mainmenu=1)) (12 sor: 0,0004 mp/0,0093 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=202) AND ((option_submenu=1) OR (option_mainmenu=1)) (17 sor: 0,0005 mp/0,0098 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=248) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0101 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=250) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0104 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0003 mp/0,0107 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0003 mp/0,0109 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0004 mp/0,0114 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=109) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0117 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=110) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0119 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=111) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0122 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=112) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0124 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=113) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0126 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=136) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0130 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=114) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0004 mp/0,0134 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=267) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0137 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (10 sor: 0,0006 mp/0,0143 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=146) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0146 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=147) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0149 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=148) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0151 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=149) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0154 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=116) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0002 mp/0,0156 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=150) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0158 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=151) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0161 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=152) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0021 mp/0,0182 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=153) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0185 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=266) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0187 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (12 sor: 0,0006 mp/0,0192 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=166) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0196 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=167) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0198 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=168) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0200 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=169) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0203 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=226) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0003 mp/0,0206 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=140) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0209 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=242) AND ((option_submenu=1) OR (option_mainmenu=1)) (5 sor: 0,0004 mp/0,0212 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=193) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0003 mp/0,0215 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=142) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0218 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=144) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0220 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=239) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0003 mp/0,0223 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=268) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0226 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (17 sor: 0,0007 mp/0,0234 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=203) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0004 mp/0,0238 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=172) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0240 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=207) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0243 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=171) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0245 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=173) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0248 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=212) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0251 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=178) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0003 mp/0,0254 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=221) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0257 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=265) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0003 mp/0,0260 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=222) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0263 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=216) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0010 mp/0,0273 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=200) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0277 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=224) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0280 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=143) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0283 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=225) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0286 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=201) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0289 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=269) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0292 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0004 mp/0,0295 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0003 mp/0,0298 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0301 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0002 mp/0,0303 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0304 mp) SELECT GROUP_CONCAT(keyword) FROM alz_mag_article_keyword WHERE mag_article_id = '590' GROUP BY mag_article_id (0 sor: 0,0003 mp/0,0308 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0310 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0002 mp/0,0312 mp) SELECT * FROM `alz_core_page` WHERE (`id`=250) LIMIT 1 (1 sor: 0,0003 mp/0,0315 mp) SELECT * FROM `alz_core_page` WHERE (`id`=248) LIMIT 1 (1 sor: 0,0002 mp/0,0317 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: 0,0020 mp/0,0337 mp)
FUTÁSI IDŐKSQL: 0,0337 mp Oldal: 0,3075 mp Andrea\Core\Site.generate(): 0,2633 mp Andrea\Core\Site.show(): 0,2664 mp