Yeh guide ghar walon ke liye aam maloomat hai, tibbi mashwara nahin. Jahan mareez ke doctor ya nurse ne care plan diya ho, usi plan par amal karein.
Aham haqaiq
- NICE ka mashwara hai ke dabao ke zakhm ke khatre wale baligh kam az kam har 6 ghante baad, aur zyada khatre ki soorat mein kam az kam har 4 ghante baad, apni position badlein.
- Airiyon, kohniyon, koolhon aur dumchi ki haddi ke upar ki jild rozana dekhein. NHS ke mutabiq gehri rangat wali jild par ibtidai nuqsan surkh ke bajaye jamni ya neela nazar aa sakta hai.
- Dabao kam karne wala gadda ya cushion sirf baqaidgi se karwat badalne ke saath madad deta hai, us ki jagah nahin.
- Garam aur suja hua zakhm, peep, bukhar ya barhta hua dard infection ki alamat ho sakta hai aur is ke liye foran doctor ki zaroorat hai.
Bed sore ko Urdu mein kya kehte hain?
Ghar wale bed sore ko بستر کا زخم (bistar ka zakhm) ya دباؤ کا زخم (dabao ka zakhm) keh sakte hain. In naamon se murad pressure ulcer hai, har qisam ka zakhm nahin.
Sab se zyada khatra kise hai
- Woh fard jo aasani se harkat na kar sake ya karwat na badal sake, maslan falij, operation ya girne ke baad, ya kisi sangeen bimari mein
- Buzurg, aur woh log jo bohat dublay hon ya theek se kha na rahe hon
- Woh log jinhein jism ke kisi hisse mein dard mehsoos na ho, ya jin ke khoon ki gardish kamzor ho, maslan sugar (diabetes) ki wajah se
- Peshab ya pakhane par qaboo na rakh sakne wale log, kyunke nam rehne wali jild zyada aasani se kharab hoti hai
Bedsores kahan bante hain
Jism ke un haddi wale hisson par jo bistar ya kursi par dabte hain: aeriyan, kohniyan, koolhe ki haddiyan aur dumchi, neez sar ka pichla hissa, kandhon ki haddiyan (shoulder blades) aur sureen (buttocks).
Rozana dekhne wali ibtidai alamaat
In hisson ki jild rozana jaanchein, behtar hai ke mareez ko nehlate ya kapre badalte waqt. Yeh cheezein dekhein:
- Jild ka koi hissa jis ka rang badla rahe aur halka sa dabane par bhi rang na badle. Gehri rangat wali jild par yeh surkh ke bajaye jamni, neela ya zyada gehra nazar aa sakta hai.
- Koi hissa jo chhoone mein garam, sponge jaisa naram ya sakht lage
- Kisi aik jagah dard ya kharish
- Chhala ya jild ka phatna, jis ka matlab hai ke nuqsan shuru ho chuka hai
In mein se koi bhi alamat ho to waqt par mareez ke doctor ya nurse ko batayein, taake nuqsan barhne se pehle jild ka muaina ho sake aur dekh bhaal ka mashwara mil sake.
Ghar par bedsore se bachao
Baar baar karwat badalwayein
Nuqsan aik hi jagah par dabao se hota hai, is liye mareez ko baar baar karwat badalne mein madad dein. NICE ka mashwara hai ke khatre wale baligh kam az kam har 6 ghante baad, aur zyada khatre ki soorat mein kam az kam har 4 ghante baad, apni position badlein; doctor ya nurse ki taraf se is se zyada baar ka mashwara diya ja sakta hai. Agar mareez khud harkat na kar sake to use aahistagi se kamar aur dono pehluon ke darmiyan baari baari paltein, aur ghaseetne ke bajaye uthayein, kyunke ghaseetne se jild ko nuqsan pahunchta hai. Ghutnon ke darmiyan aur pindliyon ke neeche takiye rakhne se haddi wale hisse aapas mein ya bistar par nahin dabte.
Dabao kam karne wala gadda ya cushion istemal karein
Khaas gadde aur cushion, jaise air mattress, mareez ka wazan phaila dete hain. Doctor ya nurse se poochein ke mareez ke liye kaun si qisam munasib hai. Ise ghar wale khareedte ya kiraye par lete hain, aur yeh sirf baqaida karwat badalne ke saath madad deta hai, us ki jagah nahin.
Jild ko saaf aur khushk rakhein
Halke sabun aur paani se dhoyein, jild ko ragarne ke bajaye thapthapa kar khushk karein, aur geele kapre, diaper, pad aur chadarein foran badlein. Chadarein hamwar rakhein, un mein silwatein ya khane ke zarre na hon.
Ghiza, mashroobat aur harkat
Munasib miqdar mein mashroobat ke saath sehatmand, mutawazin ghiza jild ko mazboot rakhne aur zakhm bharne mein madad deti hai. Mareez jo harkat bhi mehfooz tareeqe se kar sake, us ki hausla afzai karein, chahe bistar mein halki si harkat ho ya khane ke liye uth kar baithna.
Buzurg ya bistar par pare mareez ke liye bedsore care plan
Doctor ya nurse se mareez ki jild, harkat ki salahiyat aur deegar tibbi halaat ki bunyad par likha hua plan maangein. Is mein bataya jaye ke kitni baar karwat badalni hai, dabao kam karne wala kaun sa saaman istemal karna hai, kaun si tabdeeliyan batani hain aur kis se rabta karna hai. Jild mein tabdeeliyan aur di gayi dekh bhaal likhte rahein taake ghar ka agla fard ya agli nurse isi plan par amal kar sake.
Kya bedsore ka ilaaj ghar par ho sakta hai?
Pressure ulcer ka shubah ho to doctor ya nurse se muaina zaroori hai. Ilaaj zakhm ki shiddat par munhasir hai; kuch mareezon ko hospital mein ilaaj ki zaroorat hoti hai. Ghar par dekh bhaal mein dabao kam karna aur dekh bhaal ki team ki muntakhib kardah dressing shamil ho sakti hai. Khule zakhm ka ilaaj sirf bachao ki tadabeer se nahin hota. Tajweez shuda ilaaj ke plan par amal karein aur neeche di gayi khatre ki alamaat par fori madad lein.
Fori madad kab lein
Agar zakhm ke gird ki jild garam, sooji hui ya surkh ho jaye, zakhm se peep nikle, mareez ko bukhar ho, ya dard bohat barh jaye to foran doctor se rabta karein. Yeh infection ki alamaat ho sakti hain. Agar mareez bohat zyada bimar ho, uljhan ka shikar ho ya mushkil se jaage to Rescue 1122 par call karein.
Nurse se kya madad mil sakti hai
Bedsore se bachao ke visit mein Registered Nurse ki taraf se dabao wale hisson ki jild jaanchi jati hai, ibtidai surkhi ya nuqsan dekha jata hai, care plan ke mutabiq mareez ki karwat badalne mein madad di jati hai aur har tabdeeli ka record rakha jata hai. Bistar par pare mareez ki dekh bhaal mein is ke ilawa bistar par ghusl (bed bath), munh ki safai, peshab pakhane ki dekh bhaal aur chadar ki tabdeeli shamil hai. Khule ya infection wale zakhm ka doctor se muaina zaroori hai, aur app mein zakhm ki dressing ke liye doctor ki hidayat zaroori hai. Nurse at Home launch ki tayyari kar rahi hai aur abhi booking nahi ho rahi.