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 (0,0025 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 (0,0448 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 (0,0005 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 (0,0002 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 (0,0023 mp)
MUNKAMENET VÁLTOZÓarray ( 'SID' => 'b7a10788e41fc9d4e44ba01fdf2f8538', '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/0.0002 mp) SET SESSION `character_set_database` = 'utf8' (0 sor: 0.0000 mp/0.0003 mp) SET SESSION `character_set_filesystem` = 'utf8' (0 sor: 0.0000 mp/0.0003 mp) SET SESSION `character_set_results` = 'utf8' (0 sor: 0.0000 mp/0.0004 mp) SET SESSION `character_set_server` = 'utf8' (0 sor: 0.0000 mp/0.0004 mp) SET SESSION `collation_connection` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0005 mp) SET SESSION `collation_database` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0005 mp) SET SESSION `collation_server` = 'utf8_hungarian_ci' (0 sor: 0.0001 mp/0.0006 mp) SET SESSION `group_concat_max_len` = 1024 (0 sor: 0.0001 mp/0.0006 mp) SELECT * FROM `alz_core_plugin` WHERE `domain_id` = ? AND `option_active`=1 ORDER BY `depend_nums` ASC (9 sor: 0.0005 mp/0.0012 mp) SELECT `name`,`value` FROM `alz_core_param` WHERE domain_id = ? (18 sor: 0.0004 mp/0.0016 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 mp/0.0017 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0001 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/0.0019 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0000 mp/0.0020 mp) SELECT * FROM `alz_mag_topic_right` WHERE `user_id`= (0 sor: 0.0000 mp/0.0020 mp) SELECT `name`,`value` FROM `alz_core_lang` WHERE domain_id = ? (34 sor: 0.0003 mp/0.0023 mp) SELECT id FROM alz_core_page WHERE domain_id = ? AND permalink = ? (0 sor: 0,0003 mp/0,0026 mp) SELECT `theme_id` FROM `alz_core_domain` WHERE `id`=1 (1 sor: 0,0002 mp/0,0028 mp) SELECT * FROM `alz_core_theme` WHERE (`id`=2) LIMIT 1 (1 sor: 0,0002 mp/0,0030 mp) SELECT * FROM `alz_mag_topic` ORDER BY option_status DESC,`id` ASC (4 sor: 0,0002 mp/0,0032 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0036 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0002 mp/0,0038 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0039 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/0,0043 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0045 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0002 mp/0,0047 mp) SELECT * FROM `alz_core_page` WHERE (`id`=1) LIMIT 1 (1 sor: 0,0002 mp/0,0049 mp) SELECT pageview FROM alz_mag_article_pageview WHERE domain_id = '1' AND mag_article_id = '590' (1 sor: 0,0005 mp/0,0054 mp) UPDATE alz_mag_article_pageview SET pageview = pageview + 1 WHERE domain_id = ? AND mag_article_id = ? (1 sor: 0,0003 mp/0,0057 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0003 mp/0,0060 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0003 mp/0,0063 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0063 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/0,0067 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: 0,0003 mp/0,0072 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0006 mp/0,0078 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=270) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0082 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=257) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0084 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=108) AND ((option_submenu=1) OR (option_mainmenu=1)) (8 sor: 0,0004 mp/0,0088 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=145) AND ((option_submenu=1) OR (option_mainmenu=1)) (10 sor: 0,0003 mp/0,0091 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=165) AND ((option_submenu=1) OR (option_mainmenu=1)) (12 sor: 0,0004 mp/0,0095 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=202) AND ((option_submenu=1) OR (option_mainmenu=1)) (17 sor: 0,0004 mp/0,0099 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=248) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0102 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=250) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 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/0,0111 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (8 sor: 0,0005 mp/0,0116 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=109) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0119 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=110) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0123 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=111) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0126 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=112) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0129 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=113) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0131 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=136) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0134 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=114) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0004 mp/0,0138 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=267) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0141 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (10 sor: 0,0005 mp/0,0146 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=146) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0149 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=147) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0152 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=148) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0154 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=149) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0157 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=116) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0003 mp/0,0160 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=150) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0163 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=151) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0166 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=152) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0169 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=153) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0172 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=266) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0176 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (12 sor: 0,0007 mp/0,0183 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=166) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0187 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=167) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0191 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=168) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0004 mp/0,0195 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=169) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0198 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=226) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0004 mp/0,0202 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=140) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0205 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=242) AND ((option_submenu=1) OR (option_mainmenu=1)) (5 sor: 0,0003 mp/0,0208 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=193) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0003 mp/0,0211 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=142) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0213 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=144) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0216 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=239) AND ((option_submenu=1) OR (option_mainmenu=1)) (1 sor: 0,0003 mp/0,0219 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=268) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0221 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (17 sor: 0,0007 mp/0,0228 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=203) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0003 mp/0,0231 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=172) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0234 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=207) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0237 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=171) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0240 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=173) AND ((option_submenu=1) OR (option_mainmenu=1)) (4 sor: 0,0003 mp/0,0243 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=212) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0246 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=178) AND ((option_submenu=1) OR (option_mainmenu=1)) (6 sor: 0,0004 mp/0,0250 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=221) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0253 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=265) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0003 mp/0,0256 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=222) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0002 mp/0,0258 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=216) AND ((option_submenu=1) OR (option_mainmenu=1)) (3 sor: 0,0004 mp/0,0262 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=200) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0265 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=224) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0267 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=143) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0271 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=225) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0273 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=201) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0276 mp) SELECT * FROM `alz_core_page` WHERE (`parent_id`=269) AND ((option_submenu=1) OR (option_mainmenu=1)) (0 sor: 0,0003 mp/0,0279 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0004 mp/0,0283 mp) SELECT * FROM `alz_core_page` WHERE (`option_submenu` = 1) AND (`parent_id` = ?) ORDER BY `bearing` DESC,`title` ASC (0 sor: 0,0003 mp/0,0285 mp) SELECT * FROM `alz_mag_article` WHERE (`id`=590) LIMIT 1 (1 sor: 0,0002 mp/0,0288 mp) SELECT id FROM `alz_mag_topic` WHERE parent_id = '2' (0 sor: 0,0002 mp/0,0290 mp) UPDATE `alz_mag_topic` SET `permalink` = '' WHERE `id` = (0 sor: 0,0001 mp/0,0291 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/0,0294 mp) SELECT permalink FROM alz_mag_category WHERE id = '4' (1 sor: 0,0002 mp/0,0296 mp) SELECT * FROM alz_mag_category WHERE id IN (4) ORDER BY title (1 sor: 0,0002 mp/0,0298 mp) SELECT * FROM `alz_core_page` WHERE (`id`=250) LIMIT 1 (1 sor: 0,0002 mp/0,0300 mp) SELECT * FROM `alz_core_page` WHERE (`id`=248) LIMIT 1 (1 sor: 0,0002 mp/0,0303 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: 0,0023 mp/0,0326 mp)
FUTÁSI IDŐKSQL: 0,0326 mp Oldal: 0,3783 mp Andrea\Core\Site.generate(): 0,3345 mp Andrea\Core\Site.show(): 0,3383 mp