How can you treat bedsores at home. Bedsore treatment at home open wound

bedsores- these are parts of the body of a bedridden patient that appear as a result of bleeding and necrosis of tissues due to prolonged compression or displacement between the skeleton and the bed.

Potential bedsores are all over bony protrusions on the body that are compressed when lying or sitting. In these places, the subcutaneous fat is the least pronounced, the pressure of the bone protrusions is most pronounced.

If the patient lies on his back - these places are the sacrum, heels, ischial tubercles, elbows, shoulder blades, occiput. If on the side - on the side of the thigh (greater trochanter area), on the sides of the ankles and knees. If the patient lies on his stomach - the pubic area and cheekbones.

Causes of bedsores

In a sitting or lying person, compression of blood vessels and tissues occurs, as a result of which blood flow to the tissues is disturbed. If this continues long enough, there is a malnutrition of the tissues, and then their necrosis - a bedsore is formed.

The second cause of a bedsore occurs when the surface layers of tissues are displaced relative to the deep layers, for example, when the patient is pulled along the bed, linen is taken out from under him or a vessel is pushed under him.

Small blood vessels rupture and the blood supply is interrupted. In addition, factors such as:

• dirty skin;
• overweight or wasting;
• incontinence of urine and feces;
• small items in bed;
• reduced nutrition and lack of drinking;
• diabetes;
• sweating;
• diseases of the head and spinal cord;
• smoking;
• cardiovascular diseases;
• allergic reaction to skin care products.

Places of bedsore formation

In the “on the back” position, bedsores develop:

• in the back of the head,
• shoulder blades
• on the elbows
• sacrum,
• ischial tuberosities,
• heels.

In the side position:

• in the region of the auricle,
• shoulder,
• elbow joints,
• femoral
• knee joints,
• at the ankle.

In the sitting position:

• in the area of ​​the shoulder blades
• sacrum,
• heels,
• toes.

Stages of bedsores

There are 4 stages of bedsores, each of which develops in connection with the dynamic progress of the previous stage of the disease. All 4 stages of skin cell death can be treated. Depending on the degree of damage, appropriate measures for medical or surgical treatment are prescribed.

Important: it is best when a nurse takes care of such sick people. Their actions are based on the special knowledge that the table of stages of bedsores has collected. It describes possible methods of influence depending on the situation and the patient's condition.

1 stage bedsores

The initial stage of bedsores is accompanied by symptoms that are not always visible visually. Depending on the color of the skin, reddening of the epidermis can be seen, which does not change in color when pressed.

Most often, the affected area has a red-purple hue. With tactile contact, it can be noted that this area is hotter or cooler compared to the rest of the body surface. If the patient is able to speak, he may complain of tingling or numbness in these parts.

No other damage is noted, so it is very important that the initial stage is detected in time. Thus, it is possible to completely heal flaws without residue.

The main treatment is to change body position regularly, if possible. Every two hours, special inflatable pillows should be placed so that there is room for air circulation. In addition, it is necessary to carry out hygiene procedures using disinfectants.

You can rinse with chlorhexidine so as not to additionally dry out the skin. After that, it is necessary to apply restorative ointments that will help activate blood circulation. For this purpose, drugs Levomekol or Solcoseryl are suitable.

2nd stage bedsores

In the second stage of bedsores, visible damage to the epidermis is noted. The integrity of the cover is broken, delamination may begin. Initially, single wounds or blisters may appear. This indicates that the process of death has begun, which affects the subcutaneous tissue. The surface swells. At this stage, recovery is possible, but it will be much longer and more difficult than in the previous degree.

In the treatment of deeper damage, special wipes with sterile powder will be required. You can wash the wounds with saline or chlorophyllipt solution. Do not use iodine and brilliant green to cauterize ulcers. It is necessary to apply ointments prescribed by the attending physician. As additional measures, applications with enzymes are applied. They accelerate the process of wound healing and skin regeneration.

3rd stage bedsores

Damage begins to reach adipose tissue. The surface is completely affected, and the skin is missing. The ulcer resembles a crater, and its bottom is filled with dead tissue of a yellow-brown hue. The main danger during this period is that healthy areas of the skin can also be damaged.

Under the treatment of the third degree of damage is meant surgical intervention. During the operation, dead tissue is opened. They are cleaned and disinfected. Next, drugs are prescribed that help activate the regenerative functions of the epidermis, dressings are applied, which should be changed regularly.

4 stage bedsores

At this stage in the development of bedsores, all soft tissues die off. Bones and tendons are visible. Such manifestations are not treated with medication. The surgeon performs an operation during which dead tissue remains are removed, and all surviving layers are sanitized. Then artificial skin or a whole healthy cover can be transplanted.

Prevention of bedsores

Patients who use a wheelchair, are recumbent, suffer from partial immobility, incontinence of urine and / or feces, are malnourished or obese, suffering from diabetes mellitus or after a stroke, need to prevent pressure ulcers. The main principles for the prevention of bedsores are:

• reduction of pressure, shear or friction;
• reduction of skin irritants;
• decrease in skin moisture;
• personal hygiene;
• complete nutrition;
• correct delivery of urine and feces.

To reduce the pressure, a soft, elastic mattress is needed, for example, made of foam rubber with a thickness of at least 15 cm. There are special mattresses for bedsores on sale, but it should be remembered that with insufficient attention to other preventive measures, the patient may still experience bedsores.

It is necessary to examine the patient's skin every day in places where the bones protrude, since it is there that bedsores most often appear. It is necessary to change the position of the patient's body more often - at least every 2-3 hours, including at night.

Rollers or soft pillows should be placed under the bony protrusions, which increase the area of ​​contact between the patient's body and the surface of the bed. This reduces the pressure on soft tissues body, improves blood circulation and reduces the risk of pressure sores.

Important: it should be remembered that the patient must first be lifted, and only then should he be moved or something should be placed under him. Do not leave the patient in an uncomfortable position.

For the prevention of bedsores, the patient's diet should contain at least 20% protein, contain enough trace elements, zinc, iron and vitamin C. The diet should include fruits, greens, vegetables, dairy products. Fish should be used chicken bouillon, cereals and dairy products to meet the patient's protein needs. Drinking - at least 1.5 liters, if there are no medical restrictions.

To reduce skin irritation, underwear should be soft, without coarse seams, patches and buttons. The bed should be straightened regularly so that there are no wrinkles on it. For skin care, it is necessary to use proven, non-allergic products. In addition, perineal hygiene should be performed more frequently, as urine and feces are strong irritants.

It is necessary to ensure that the patient is covered with a blanket and dressed in accordance with the temperature of the room, as sweating increases with overheating.

The rules for skin care to prevent the occurrence of bedsores are quite simple:

• skin must not be contaminated
• excessive moisture or dryness,
• use plain water
• soap,
• cotton washcloth,
• natural sponges,
• moisturizing and nourishing creams,
• drying ointments and powders.

Wet skin should be dried, dry skin should be moisturized. Do not use antibacterial soap, as along with harmful microorganisms, it destroys beneficial ones, which reduces the skin's resistance to infections.

In addition, it is necessary to do air baths for the skin. For urinary incontinence, it is better to use diapers or pads, although for some patients it is enough to give a vessel more often. For urinary incontinence in men, a urinal can be used.

Treatment of bedsores

The treatment of bedsores is based on three principles: it is necessary to restore blood circulation at the site of injury as much as possible, it is necessary to promote the rejection of dead tissues, and it is necessary to help the wound heal.

To restore blood circulation in the tissues, it is necessary to follow the rules of prevention. To reject dead tissue, mechanical removal is used surgically or using medicines that accelerate rejection, for example, Iruksol ointment.

In addition, you can use such a home remedy: dressings with a solution of salt in brandy (150 ml of brandy and 30 g of salt), which should be applied under compress paper and replaced as necessary. Before applying a new bandage, it is necessary to wash the wound.

Various healing agents can be used to heal a wound:

• sea ​​buckthorn oil,
• ointment "Actovegin",
• "Levomikol",
• "Levosin",
• "Solcoseryl" and others.

Often, bedsores are complicated by a secondary infection, then antibacterial and antiseptic agents should be used to treat them:

• 3% hydrogen peroxide solution,
• boric acid,
• furacillin solution,
• white streptocide powder,
• ointments "Levomikol" and "Levosin".

Hard-to-heal or large bedsores can only be cured surgically - tissue grafting.

In the treatment of bedsores, dressings should be used. To secure them, use a bandage or patch. You need to use a paper-based patch, as the skin under it breathes, and the glue fixes the bandage well. When applying the patch, the formation of skin folds should be avoided.

Folk remedies for the treatment of bedsores at home

It must be remembered that when using folk remedies for the treatment of bedsores at home, you should consult with your doctor.

Boil 100 g vegetable oil and add a piece of beeswax there. Stir and cool - you will get a mass similar to vaseline. Bedsores, ulcers or wounds should be lubricated with this ointment.

To prevent bedsores, mix water with vodka or alcohol, add a few drops of shampoo or shower gel and wipe the body. Finish wiping with a dry cloth.

Bedsores well treats Kalanchoe. Cut the leaves of Kalanchoe and the side where the juice flows, attach as a sticker and secure. The wound will heal overnight.

Simmer 2 finely chopped onions and 2 tablespoons of vegetable oil in an enameled pan over low heat for about 20 minutes. When the onion turns golden, remove it with a slotted spoon. Melt 1/4 of the church candle in the remaining oil. Place the resulting mixture in a jar and store in the refrigerator. Lubricate bedsores twice a day until they disappear.

Place the patient on a mattress stuffed with straw. Straw is better to take oatmeal or any other, except barley. Through such a mattress, the skin breathes and is ventilated. Buy 15 kg of millet, put it in a pillowcase and sew it up. Place this pillowcase under the patient. There will be no bedsores. And if bedsores have already appeared, treat them with a strong solution of potassium permanganate (dark pink).

Folk remedy for bedsores and others skin diseases- This is calendula ointment. It is necessary to grind a tablespoon of dried calendula flowers in a coffee grinder and mix with 50 g of petroleum jelly. The mixture is applied to the sore spot 1-2 times a day until complete recovery.

Ointment for bedsores and fistulas: mix in equal amounts olive oil and vodka. Rub this mixture on the affected area 2-3 times a day.

Bedsores with hip fracture

A hip fracture is the most common injury in women who have entered menopause. Pathology occurs due to any blow (fall). With a pathology such as osteoporosis, fractures occur very often.

After a fracture, patients experience minor but constant pain in the groin. It makes them uncomfortable, they become irritable. The treatment of such people is complicated by the lack of psychological contact with them.

As a rule, at the beginning of the disease, patients experience urinary and fecal incontinence. To solve the problem, they need adequate care and treatment, some help. After a short period, the problem disappears (assuming normal operation Bladder and defecation).

But the biggest threat is bedsores. The main areas of inflammation are the sacrum and heel of the broken leg. Such patients require preventive measures.

The most effective prevention algorithm for bedridden patients is a constant change of position. But turning to the healthy side causes unbearable pain in the region of the hip fracture. Often because of this, it is difficult to perform the movements of the patient to the desired position.

In the area of ​​the sacrum, it is necessary to carefully examine and process the skin, to make a frequent change of linen. At the first signs of tissue necrosis, use drying ointments, powders, and carry out appropriate treatment.

Important: Hip fracture patients are critically ill, and professional medical care plays a huge role in preventing tissue necrosis in these bedridden patients.

Skin ulcerations can be caused by pollution, urine, feces, and high humidity. Skin care should be soft, non-aggressive. Wet skin should be gently dried, and if it is dry, then moisturize.

If it was not possible to avoid inflammation, then the wound must be cleaned to restore blood circulation. Necrosis can be removed surgically or a special ointment can be used.

Painkillers are used to turn patients with a hip fracture. They are used in the form of injections, tablets, or in combination. Massage is used as a preventive measure.

Light stroking massage movements eliminate blood stasis in a broken leg, improve tissue trophism, and reduce the risk of inflammation. Care and treatment of patients with a fracture should begin from the first days.

Questions and answers on the topic "Decubituses"

Question:Hello, my father is lying with a fracture of the femoral neck, the leg is fixed and there is no possibility to roll over or change position, how to prevent bedsores, how to treat the skin and in general what measures to take?

Question:Can pressure ulcers be prevented?

Answer: There are special anti-decubitus mattresses with a special coating and an air compressor, partly problem solving static and restoring blood circulation. However, skin examination and timely action are still necessary.

Question:Hello. A relative of mine developed a bedsore on the lower part of the buttock. I did applications with Solcoseryl gel. Now the dense central part has opened, there is a serous discharge with inclusions. I washed it with hydrogen peroxide and applied the gel. Please tell us how to treat such bedsores with drugs sold in pharmacies? Do I need ointment "levomikol" in such cases? What is better to dry or vice versa to keep the environment moist? And most importantly: is it possible to wash in the shower? The patient does not walk well, but is mobile.

Answer: Hello. Need to wash. Then dry, then lubricate (you can use the same levomekol). Humid environment is not needed. If possible - air baths (within reason, that is, so that your relative does not freeze). To prevent bedsores in other places, the patient should roll over more often, i.e. do not lie in one position. Massage helps a lot (only with intact skin in the area being massaged).

Question:My mother (78 years old) developed a decubitus on her heel after three weeks of resuscitation with a massive heart attack. Now she is moving around the apartment. But 7 months have already passed since the formation of the bedsore. I treat with ointments - argosulfan, levomikol, treat with a solution of chlorhexadine, make wet compresses with malavit and ointment. The healing process is very slow. The bed sore is very deep. Recommend something more efficient.

Answer: Hello. In general, there is no more effective than time and the drugs you use. But I think that since it takes so long for a pressure sore to heal, there may already be chronic osteomyelitis of the calcaneus supporting the existence of this pressure sore. In this case, as well as if the wound is simply large and does not heal because of this, it may be necessary surgical treatment. I advise you to see a surgeon.

Question:Hello. My husband (age 43) had a fracture of the femoral neck, while he was in the hospital, he developed a bedsore on the sacrum. At the moment, I treat at home with chlorhexine, then apply a sterile dressing with argosulfan. I don't know how often to change the bandage. Now the partially formed crust is coming off. Please tell me how to properly treat the wound so that there are no complications, maybe something else needs to be done for a speedy recovery. It is clear that this is a long process, please tell us your forecast. Thank you in advance.

Answer: Dressings should be done once a day, you should also invite the surgeon of the clinic to which you are assigned - to control wound healing and timely change medicines or the possibility of applying a bandage urgo.

Question:My husband developed a bedsore in the coccyx area (MTS in the pelvis and spine after a melanoma of the back removed 5 years ago). I tried to treat him myself (levomikol, argosulfan), a blood crust formed 2 by 3 cm in size. But, since he lies, fidgets on his back, ichor oozes from under the crust. What to do next? Thank you in advance for your response. Husband is 67 years old.

Hello. “Dry” the bed sore with green paint, fresh air, turn it (or let it turn more actively), re-lay it regularly, purchase (get?) an anti-decubitus mattress. You can apply dry sterile wipes once a day after brilliant green to “protect” the crust.

Question:Hello! Help me please! I take care of my mother-in-law, she has been lying and not getting up for 4 months in the hemodialysis unit. Bedsores do not give rest. I try, I process every day, but without results. I treat the bedsore on the spine with chlorhexidine and apply Ebermin ointment. It's been 2 months with no improvement. Please tell me effective remedy. I beg you, please help!

Answer: The best option is an anti-decubitus mattress, and a change in body position. You are processing correctly. The main thing in preventing the appearance of bedsores is a frequent change in body position.

Question:Please tell me how to treat epidermophytosis inguinal and bedsores on the buttocks. The husband is paralyzed, kidney cancer 4 tbsp.

Answer: If this is really inguinal erythroderma, treat the skin in this place with a solution of chlorhexidine and apply Triderm cream, later you can switch to Clotrimazole or Nizoral and Candide powder, inflammation sites can be treated with Fukortsin. Concerning decubituses consult internally to the surgeon, all depends on a stage of process.

Question:Hello! Prompt please, than and how to treat decubituses. We have a boy, 19 years old, after an accident, a fracture of the 6th vertebra and a contusion of the spinal cord, the operation was performed only on the third day. She did not give any results, now he is lying, there is no sensitivity below the belt. It took almost six months, bedsores began to appear. We don’t know how to treat, we’ve already tried everything, it seems to help, then again everything is the same. There is a deep bedsore on the sacrum and on the thighs, superficial. They smeared it with levomekol, panthenol, now we smear it on the thighs with solcoseryl, and on the sacrum with agrosulfan.

Answer: Hello. 1. Anti-decubitus mattress. 2. Periodic turning over (this is no longer needed for treatment, but for the prevention of bedsores, when they are not there yet, but in your case it will not hurt either). Ideally (in all textbooks they write) - coups from side to side every two hours, but this is not feasible and probably so much is not needed if you have a mattress. 3. Bedsores should be "dry" around the edges, with green paint, for example. If "inside" fester - then levomekol, if it almost does not "fester" or even slowly "overgrows" - you can use panthenol and solcoseryl. Close the bed sore with just clean napkins after it has been treated. The most important thing: you don’t have to “lie” on a bedsore, it needs to be “dryed” and “ventilated”. Time will do the rest.

Bedsores quite often form in people who are forced to stay in one position for a long time due to illness or injury. In fact, bedsores are the necrosis of body tissues caused by a lack of blood circulation due to squeezing of blood vessels in places adjacent to hard surfaces or on protruding parts of the body. In this case, the supply of nutrition and oxygen to the cells is disrupted, which causes their death and the formation of a deep or superficial wound.

Also, the occurrence of bedsores is possible under too tight plaster or ill-fitting dentures.

Reasons for the formation of bedsores

Bedsores in patients can also form with good care. The main reasons for their appearance are considered to be prolonged exposure to continuous pressure, especially in combination with displacement and friction of tissues. All these factors are present in bedridden patients. Pressure is caused by a long stay in one position, displacement and friction occur when patients are turned over or transplanted, changing linen or a vessel.

In addition, there are a number of other reasons that contribute to the occurrence of bedsores:

1. Overweight or underweight. With excess weight, it is the excess mass that exerts pressure on the tissues. With insufficient weight, there is no layer between the bones and the skin, so the pressure on the skin increases.
2. Bad nutrition. Bedridden patients often refuse to eat and drink, so the metabolic processes in the body slow down, the cells do not receive enough nutrients, and the waste products of the cells are worse removed from the body.
3. Excessive sweating leads to the appearance of salts on the skin, which irritate its surface.
4. The presence of cardiovascular diseases, inevitably leading to a deterioration in blood circulation in the tissues.
5. Diabetes.
6. Elderly age.
7. Urinary and fecal incontinence.
8. The presence of folds, crumbs, small items on the bed.
9. Allergy to skin care products.

Even before the appearance of bedsores, the patient, who is conscious, can feel the first signs of its occurrence and talk about them. Some parts of his body go numb, tingling is felt, the skin peels off, changes color. If the patient is unconscious, then he should be examined daily for changes in the skin.

In total, 4 stages of bedsores are distinguished and one should try to prevent the transition from the initial stage to the next.

What do bedsores look like in the initial stage?

In the initial stage, red or purple skin color is observed at the site of the bedsore. The patient complains of pain in this place or increased sensitivity of the skin. The skin itself is not damaged, but blisters may form on it, which then burst.

2nd stage bedsores

A shallow violation of the skin begins, sometimes the subcutaneous tissue is also affected. In this place, a bubble forms, or a red-pink wound.

Decubitus 3 degrees

At this stage, tissue necrosis extends deeper, to the muscle layer. A pressure sore looks like a crater wound and may have a fluid discharge.

Bedsores 4 degrees

In stage 4, the bedsore spreads even deeper and affects the muscles and tendons, and even the bone may be exposed, which also becomes infected.

Pressure ulcer care at home

When caring for bedridden patients, you should try to prevent bedsores and use special care products for this: mattresses, pillows, rubber circles.

Bedsore Mattress

An orthopedic anti-decubitus mattress is in many ways a means of preventing the appearance of pressure sores. It creates a massage effect and helps to relax the muscles, which leads to the restoration of normal blood circulation in them. The mattress greatly facilitates the life of both the patient and the one who cares for him, because. there is no need to constantly turn the patient.

Bedsore mattresses are created using innovative technologies made of hypoallergenic materials, durable enough, able to withstand long-term use and easy to clean. They can be treated with detergents, and the presence of micropores prevents excessive sweating.

When choosing a mattress, you need to take into account the weight of the patient, the larger it is, the more rigid the mattress should be.

Bedsore Pillow

With the help of pillows from bedsores, you can regulate the load on certain parts of the body, or support the patient in a comfortable position. There are pillows for certain parts of the body, such as the lower back or shoulder blades, feet or elbows, but there are also combined ones. Pillows for wheelchairs are also produced, of which contour pillows that repeat the configuration of the buttocks are popular.

When choosing a pillow, you should pay attention to its size, you need to select it in accordance with the height and weight of the patient.

The filler of the pillows is different, the most common foam rubber, it provides enough comfort for the patient. More expensive latex pillows perfectly adapt to the shape of the body, in addition, they are ventilated and thus prevent diaper rash. Gel pillows are great for sitting patients, they don't slip, but they are heavy. There are also air cushions, in which it is important to correctly adjust the degree of pumping.

Recently, combined pillows have begun to be produced, for example, a polyurethane pillow with gel inserts in places of greatest pressure.

Rubber circle from bedsores

Rubber circles are issued three sizes. The smallest are used to prevent bedsores on the elbows, heels, shins and head. Larger circles are used for other parts of the body: shoulders, hips, sacrum. The largest circles are used for large patients.

A rubber band can help relieve pressure on certain parts of the body, but it is best used in cases where the patient is not supposed to be in bed for too long. In severe cases, a mattress and pillows are still more effective.

How to treat bedsores at home with medical remedies

If a pressure sore occurs, treatment should be started immediately, it will not heal on its own, and delay can lead to further wound growth and sepsis.

Treatment consists in restoring blood circulation in the muscles, rejection of dead tissue and healing of the wound that has cleared.

Blood circulation is restored with the help of the means described above.

Treatment at the first stage of a bedsore consists in treating the skin with saline or camphor alcohol, using Solcoserine or Actovegin to improve blood circulation and powdering with Xeroform.

At the second stage of the development of a bedsore, minimal surgical intervention is possible to remove dead tissue, with inflammation, antibacterial treatment is performed and an antiseptic bandage is applied.

Bed sores: home treatment, open wound

In the third and fourth stages of a bedsore, wounds occur and it is important to treat them properly. There is no need to wait for the wound to open, but to carry out surgical intervention in a timely manner to remove necrotic tissues. After that, antibiotics and antiseptics are applied to treat the wound. It is important to constantly remove discharge from the wound and prevent the skin from drying out.

At the 4th stage, physiotherapeutic procedures are additionally prescribed to stimulate tissue repair: laser therapy, electroacupuncture, mud applications, additionally massage healthy places. UHF, ultrasound, electrophoresis with antibiotics, phonoresis with antiseptics are used to combat microbes.

How to treat bedsores on the buttocks at home

Treatment of pressure ulcers on the buttocks will be useless if pressure is not relieved on them. To do this, use pillows and circles. Often such bedsores occur in patients suffering from urinary and fecal incontinence. For them, it is better to use diapers, and before putting on a diaper, treat the skin with an ointment or cream containing silver. For rubbing, it is good to use a solution obtained by infusion of 2 tbsp. vodka or cologne in 0.5 liters. water. It is better not to use camphor alcohol, because. it dries out the skin a lot.

How to treat bedsores at home

For the treatment of bedsores, complex treatment should be used and drugs with necrolytic action, stimulants of the regenerative function of tissues, drugs to improve blood circulation, and anti-inflammatory drugs should be used. Now quite a lot of such funds are produced in different forms, but the doctor should select them.

Consider what tools are commonly used:

1. Ointments. They have the following advantages: they accelerate the healing process well, have a low cost, help relieve pain and discomfort, and have a bactericidal effect. These include Iruksol, Solcoseryl, Algofin, Metronidazole, Levosin, etc. Silver ointments - Dermazin, Sulfargil, Argol sulfate (also contains an antibiotic). good effect such old and reliable remedies as zinc or sulfuric ointment and Vishnevsky's ointment also provide.
2. Sprays. They are easy to use, form a thin protective film on the skin, have an anti-inflammatory effect, relieve pain, have antiseptic and antibacterial properties. Kavilon spray (otherwise called liquid plaster), Menalind, Panthenol, Acerbin, Vitargol are widely used. There are special sprays used in stages 3 and 4, they can cleanse wounds of pus and reduce the amount of discharge. These include Levovinizol, Olazol.
3. Other means. These include polyurethane film dressings that help protect the skin in stage 1. At stage 2, hydrocolloid or hydrogel dressings, bandages with a hydropolymer are used to protect the skin from the penetration of liquids and bacteria. These funds are quite expensive. Disposable self-adhesive antiseptic dressings can be used at all stages.

Folk remedies for bedsores

Folk remedies from bedsores are often not inferior to pharmacy ones, and their cost is much less.

Camphor oil for bedsores

This is a herbal remedy, it improves blood circulation, enhances metabolic processes and promotes tissue regeneration. Camphor oil is best used in the form of an aqueous solution or ointment. This is a prophylactic, when treating open wounds, you can get a burn. Camphor oil can be applied to the entire skin, but before that, it should be well cleaned.

Camphor alcohol from bedsores

Alcohol in combination with camphor irritates the nerve receptors on the skin and thus improves blood circulation and enhances metabolic processes. It is used for rubbing or compresses. Long-term use is not recommended, because. there is overexcitation nervous system, skin irritation, possible allergy.

Vodka with shampoo for bedsores

This remedy is used at any stage of bedsores for the treatment of sore spots. For preparation, children's shampoo is taken without additives and mixed with an equal amount of vodka. With the resulting mixture, pressure sores are carefully treated with a soft sponge. The procedure is performed in the evening, and in the morning the skin is wiped with a sponge moistened with water, then gently dried with a napkin. The tool does not work quickly, but reliably.

Bedsore talker

The bed sore talker acts more gently than the previous remedy, without causing irritation, while cleansing well. Prepared from camphor alcohol and baby shampoo, taken in equal volumes. The procedure is carried out in a similar way.

Other methods and means of traditional medicine

For the prevention and treatment of bedsores, products prepared on the basis of essential oils: palmarosa, hypericum, wheat germ, geranium, myrrh, lavender, tea tree. Can be used alone or in a mixture to make a warm compress. It is applied at night and washed off with water in the morning.

Sea buckthorn oil is an effective remedy, it is recommended to alternate it with rosehip oil, both of them have an antimicrobial effect. Used to prevent bedsores.

For the treatment of ulcers, an ointment prepared with beeswax, oil and sugar helps. The mixture is heated on a stove in an enamel bowl, transferred to a dark jar and stored in a refrigerator.

Another ointment is prepared from spruce resin (1 part), vegetable and butter (2 parts each), beeswax (1 part). The mixture is heated on a water bath for 2.5-3 hours. The ointment is stored in the refrigerator for a long time.

In addition to ointments, they use the application of Kalanchoe leaves, sprinkling with starch, compresses from sterilized fish oil etc.

Prevention of bedsores at home

To prevent the occurrence of bedsores, it is important to properly care for the skin of a bedridden patient. The main thing is not to allow excessive dryness or moisturizing of the skin and keep it clean. Hygiene products should be used without allergic additives, antibacterial soap should not be used, it destroys useful bacteria along with harmful ones. Use alcohol-based products for oily skin.

Treat the skin with a soft sponge, in no case rub. Then blot with a soft cloth or towel.

It is necessary to change bed linen more often, it is better to use it washed many times, it is softer. You can not pull the sheets from under the patient, so there is a displacement of the skin. If there is no possibility or strength to shift the patient for a while, then you need to carefully turn him over during these procedures. Underwear, diapers, diapers should also be changed as often as possible.

To reduce sweating, monitor the temperature and humidity of the air in the room, prevent overheating of the patient's body, arrange air baths for him more often.

Of course, if possible, buy an anti-decubitus mattress and pillows. Saving on these funds can lead to the fact that then a lot of work and money will have to be spent on the treatment of bedsores.

Seriously ill people who are forced to lie down for a long time often suffer from bedsores. Bedsores are damage to the skin tissue in those places where the human body is constantly in contact with the bed. Why is this happening? Blood vessels, which are located on human skin, are very elastic. And if you squeeze them for a long time, do not change their position, a sufficient amount of blood does not get into them. From this they starve and gradually die. The skin loses sensitivity and bedsores form. The patient's condition is aggravated by the fact that bedsores can not only hurt, but also itch. There are several stages in the development of this disease.

1. The first stage is the beginning of the development of bedsores. At this stage, the skin changes its color - it may become red or cyanotic, swelling appears. In some places, the destruction of the integrity of the skin may begin. If you press on the bedsores, the blood drains from the place of pressure, and then does not return to its previous state, or this happens for a very long time. Violated healthy blood circulation in the area of ​​the affected areas.
2. In the second stage of the development of bedsores, sores, blisters, worn places, ulcers, open wounds appear. Bedsores may ooze blood or ichor.
3. The third stage is very dangerous, because at this stage the tissues completely die off - they are no longer able to recover. In the third stage, the ulcers become very deep, the wounds do not heal. Sometimes not only the skin is destroyed, but also muscle. Bedsores can turn black and dark blue.
4. fourth and last stage characterized by severe destruction of skin, muscle and bone tissue.

Bedridden care

To get rid of bedsores and prevent their recurrence, you need to properly care for bedridden patients. 90% of success in the fight against bedsores depends on this. After all, sometimes bedsores are called a disease of neglected patients. So, to observe the hygiene of the patient, the following rules must be observed.

1. To avoid bedsores, you need to change the position of the patient several times a day, if this does not constitute discomfort for him. Lay the patient on the stomach, then on each of the sides. Let him lie down in this position for several minutes. Change the position of the patient at least every couple of hours.
2. Rub from time to time the places that are most prone to the appearance of bedsores - the back of the head, elbows, coccyx, buttocks, back, heels. So you improve blood circulation in the designated areas.
3. If the patient's condition allows, regularly perform imitation of movement - raise his arms and legs, doing light gymnastics.
4. Change bedding as often as possible - at least once every 5 days. If there are open sores on the body, linen should be changed daily to prevent infection of the wound. Every day you need to shake the sheet so that there are no crumbs or other small debris on it. When you make a bed, it should not have folds and bumps, buttons. Rigid and rough seams on bed linen are also not allowed.
5. Prevention of bedsores is a daily air bath. Expose those areas where bedsores may appear and leave them open for half an hour. And if you expose them to the sun, it will be even better. After all, ultraviolet improves blood circulation.
6. If there are already bedsores, they cannot be massaged. It is best to stretch the skin around the lesion so that pressure sores do not spread.
7. To date, there are special anti-decubitus mattresses on sale that take the anatomical shape of a person and do not put pressure on the skin.
8. If a seriously ill person cannot move and cannot be turned over, an inflatable rubber circle should be placed under his buttocks from time to time. It should lie in such a way that the tailbone and buttocks are in the hole of the circle. So that the skin does not rot from the rubber structure of the circle, you just need to place it in a pillowcase or pre-cover it with a cotton cloth.
9. Quartz treatment of the affected areas of the skin tissue with a special lamp helps very well. We wrote about how to properly use a quartz lamp.
10. Whole body hygiene is very important. Wipe the patient's skin daily with soapy water and thoroughly wipe it with clean water. After that, you need to wipe the patient with an alcohol-containing composition. Pay attention to all the folds - under the arms, in the groin, under the knees, in the neck, in women - under the breasts. Careful and regular treatment will help prevent diaper rash.
11. If bedsores become red and inflamed, if they appear pain and detachable pieces of skin tissue, if you feel bad smell most likely the wound was infected. In this case, you need to treat ulcers with antiseptic drugs, drink antibiotics.
12. Do not smear bedsores with greasy heavy ointments or bandage with a dense cloth. This blocks the flow of air to the wound and leads to the progression of the disease.
13. The patient's skin should not be wet. It does not need to be rubbed hard, the movements of the sponge should be soft and careful. Water should not be wiped, but blotted. In addition, make sure that the patient's skin is not overdried. Soften it with baby cream in time.
14. If your skin is prone to moisture, use baby powder or talcum powder.
15. The risk of pressure sores increases if the patient has diabetes or obesity. By the way, in men, bedsores are formed much more often.
16. The situation is exacerbated if the patient has fecal or urinary incontinence. In this case, you need to change the adult diaper frequently, and regular perineal toilet is required.

Medical treatment of bedsores

Modern treatment for pressure ulcers is to stop the progress of the disease and heal existing wounds. With bedsores, first of all, you need to wipe the affected areas with antiseptic solutions. It can be hydrogen peroxide or alcohol. Camphor spirit helps a lot. It disinfects the surface and improves blood circulation.

Dead tissue can no longer be restored, so they need to be disposed of in a less painful way. In severe cases, resort to surgical way, with small areas of damage, Iruksol ointment is used. It promotes the rejection of necrotic tissue and wound healing.

Along with this, the patient is prescribed drugs that improve local blood flow, for example, Actovegin. Also, the patient is prescribed anti-inflammatory drugs that will help to avoid the development of microorganisms in the wound. Solcoseryl gel helps to heal open ulcers. Xeroform powder is also very effective against bedsores. Physiological methods are also used for treatment - electrophoresis and Darsonval perfectly improve blood circulation.

You can also use special fabric bandages. They are impregnated with an antibacterial composition and allow air to pass to the wound.

Folk remedies against bedsores

I would like to note that the treatment of bedsores at home is permissible at the first stage and as a preventive measure. Advanced cases are best treated under medical supervision.

1. Calendula is effective and safe antibacterial agent. Two tablespoons of a dry or green plant should be poured with a liter of boiling water. Leave the broth to infuse for several hours. Strain and use when washing ulcers.
2. You can also treat bedsores with alcohol tinctures. A tablespoon of birch buds should be poured with a glass of alcohol or vodka, let it brew for several days in a dark, cool place. Then strain and dilute in half with water. Wipe the areas affected by bedsores twice a day.
3. If every day during hygiene procedures to wipe the patient with mouthwash, you can save a person from the appearance of diaper rash and bedsores on the body.
4. Rosehip oil - disinfects the surface, improves bleeding, softens the skin.
5. Wheat poultice is good for bedsores. A glass of wheat should be poured with a liter of boiling water, cover the pan with a towel and leave the millet to swell. When the cereal softens and absorbs water, the mixture must be filtered. Place the slurry in a linen bag and place under bedsores. You need to keep about 20 minutes until the mass cools down.
6. Black elderberry leaves have a pronounced antibacterial effect. Dried leaves should be evaporated in milk and applied to the affected areas of the skin.
7. Recipe for folk ointment from bedsores. Put a few pieces of butter in the pan. Fry a finely chopped onion head in oil. Melt the candle in a separate bowl. Mix onion, oil and wax. This ointment should be lubricated with bedsores several times a day. Store the prepared product in the refrigerator.
8. In the villages, a special mattress stuffed with straw helped from bedsores. He took the form of a human body, did not press and was not rigid. In addition, straw perfectly passes oxygen. It is best to use oatmeal.
9. Mix vodka with shampoo in equal proportions and wipe bedsores with it. This is a very good and effective tool.
10. Lungwort leaves are an excellent prevention from bedsores. Lubricate the skin with freshly squeezed juice of these leaves several times a day.
11. Several Kalanchoe leaves need to be cut lengthwise so that the cut surface area is maximized. Apply the sheet to the bedsore with the cut section and leave overnight. The plant well disinfects and heals the wound.
12. Raw potatoes should be grated and mixed in equal amounts with fresh natural honey. Apply this mass to the wound for several hours. Honey is a natural antiseptic, and potatoes, thanks to starch, dry wounds well.

If left untreated, bed sores can lead to serious complications. In advanced cases, bedsores can destroy bones. In addition, due to an open non-healing wound, the risk of blood poisoning increases. And sepsis can be fatal. Permanent damage to the epidermis increases the risk of blood cancer.

That is why bedsores need to be treated on time, and even better to do prevention. A person who cannot move, who is tied to a hospital bed, can develop bedsores in a couple of weeks. Therefore, it is very important to monitor his hygiene, carefully care for the patient's skin and toilet. In addition to hygiene, you need to follow the drinking regimen so that the skin is sufficiently elastic. Thoroughness and perseverance in care, compliance with all the rules and instructions of the doctor can save a person from bedsores and raise him to his feet.

Video: prevention of bedsores in a patient with a stroke

A sick person who observes bed rest for a long time constantly experiences discomfort - numbness of the limbs, pain, inability to go to the toilet on his own, depression. All this inevitably leads to a deterioration in the patient's condition, and as a result, the development of the disease and the appearance of complications. Pressure sores are the result of constant pressure on the skin and tissues. Most often, bedsores appear in bedridden patients.

most reliable and effective method treatment - to eliminate the cause of the appearance of necrotic changes. If the patient can move independently, he needs to make a complex exercise for daily recharge. If a person is completely immobilized, the guardian must constantly be and regularly carry out hygiene procedures. On initial stages it is possible to quickly relieve the symptoms of necrosis, and cure bedsores. In later stages, rapid treatment is not possible.

Symptoms

Depending on the degree of damage to the skin and soft tissues, experts distinguish 4 stages of the development of the disease. You can identify the appearance of bedsores by the following symptoms:

• pain and discoloration of the skin during palpation;
• swelling;
• sensation of tingling, burning and itching;
• swelling and violation of the integrity of the skin;
• sometimes bubbles form, and can also be felt in a certain area.

The main symptoms of bedsores of the initial stage are a change in the color of the squeezed areas of the skin and the appearance of seals. There are no open wounds. It is at this stage that bedsores can be quickly and without a trace healed.

The next stage is defined as a transitional one, since weeping wounds and ulcers are formed in the places of compression, the integrity of the skin is violated, the bedsores increase in size and in depth (necrosis of the subcutaneous tissue begins). For quick treatment, it is important to maintain cleanliness and order at the location of the bedridden patient, to carry out a change and treatment of wounds in a timely manner. In the treatment of decubitus wounds of the second stage, modern and medical remedies are of good help.

It is almost impossible to quickly cure decubituses 3 and 4 stages. This is due to the fact that not only the upper layer of the epidermis is affected, but also the muscles and tendons. Most often, the healing process is slowed down due to constant liquid secretions and deep infection of the wounds. Treatment of necrotic lesions at these stages should be entrusted to a specialist.

Video

Even the most conscientious and thorough care of a bedridden patient does not always help prevent the occurrence of bedsores. Therapeutic measures in such patients should be carried out at the first symptoms of skin changes. As well as possible, the alternative treatment of bedsores at home is suitable for this. It has been successfully used for mild to moderate skin lesions. How do pressure ulcers occur, what is it, what remedies are best suited for their treatment?

How to treat bedsores in bedridden patients and the elderly at home

Bedsores are dead tissue areas that form due to circulatory disorders. Old people often suffer from this phenomenon, but pathological process can also occur in a child who has been on bed rest for a long time due to illness. Bedsores can affect different parts of the body, but the sacrum, coccyx, heels, back, buttocks are more vulnerable to them. They are able to provoke such dangerous complications or diseases as gangrene, sepsis, erysipelas. How to treat bedsores at home?

Treatment of bedsores with ointment

In the initial stages of lesions, the use of ointments may be contraindicated, since they can provoke the formation of wet necrosis. However, with existing necrotic lesions or weeping wounds with purulent discharge, it is impossible to do without the use of antibacterial ointments. The doctor may prescribe to the patient such drugs in the form of ointments, such as:

• "Levosin" - has an antimicrobial, wound healing, local anesthetic effect.
• "Iruksol" - has an antibacterial, wound healing effect.
• "Levomekol" - provides an antibacterial effect, improves tissue regeneration.

Diaper rash cream

Inflammatory skin lesions in the form of diaper rash affect the inguinal, gluteal and axillary folds, the area under the mammary glands. If they do not go away after cleansing the skin and air baths, a cream for diaper rash in adults is used for treatment: Bepanten or Drapolen. At the healing stage, a bedsore cream for bedridden patients with Argosulfan silver content can be used.

medicine

In the treatment of bedsores, both external preparations and oral medications can be used. They contribute to the speedy healing of wounds, improving the effect of the use of ointments. The most popular remedy in this category is "Actovegin":

1. It is available not only in the form of a gel, cream and ointment, but also in the form of tablets.
2. Their reception ensures the acceleration of metabolism and tissue regeneration.

Folk remedies for bedsores

Along with the prescribed ointments and gels, the affected areas can be treated with means traditional medicine. However, they should only be used helper method and in consultation with the doctor. It is unacceptable to independently diagnose from a photo on the Internet. In the alternative treatment of bedsores at home, available recipes are used:

• Herbal infusion for washing wounds, applications, rubbing the skin: 2 tablespoons of a mixture of herbs (celandine, sage, birch leaves, St. John's wort), pour a glass of boiling water, leave for 1 hour.
• A healing remedy for bedsores, vodka with shampoo, is prepared as follows: mix 1 teaspoon of vodka and shampoo, add 1 tablet of analgin and streptocid, ground into powder. Lubricate the wounds 2-3 times a day.
• A remedy for the prevention of bedsores is an ointment from calendula flowers. Grind medicinal calendula flowers and mix them with petroleum jelly in a ratio of 1:5. Apply to the skin 2 times a day.
• Means to accelerate the healing of bedsores - lotions with sea ​​buckthorn oil, rosehip and tea tree oil, Kalanchoe leaves.

Features of the treatment of bedsores

Medical Therapy and Application folk treatment pressure ulcers at home give good results, but it is not always possible to use certain drugs and recipes. Many remedies are great for treating pressure ulcers if used correctly, but in some cases, certain areas of the skin cannot be treated with them.

Intertrigo under the mammary glands

Treatment of diaper rash in women in the area of ​​\u200b\u200bthe mammary glands is carried out with lotions with a solution of boric acid, zinc ointment. You need to apply any means little by little, avoiding excessive moisturizing of the skin. Affected areas can be wiped with decoctions from:

• sage leaves;
• valerian root.

Tailbone

To prevent the development of a necrotic process, the patient must be placed on an anti-decubitus mattress or turned over every 2-3 hours to normalize the blood supply. As wound healing agents it is allowed to use:

• sea ​​buckthorn oil;
• ointments "Levosin", "Solcoseryl".

On the heels

Treatment of ulcers or necrotic lesions on the heels is carried out using dressings with wound healing drugs "Derinat", "Actovegin". Before applying them, it is recommended to clean the skin with boiled water with baby soap, and then rinse with saline.

In the groin

Closed bandages for diaper rash are not applied. It is very important to carry out regular air baths so that the skin dries properly. Diaper rash in the groin in men and women is treated with:

• baby powder;
• decoctions of chamomile, St. John's wort and oak bark;
• zinc ointment.

Between the toes

Diaper rash between the toes is eliminated by frequent washing of the folds with warm soapy water and subsequent treatment with an antiseptic - a weak solution of furacilin or potassium permanganate. Additionally, talc and drying zinc ointments can be used.

On the buttocks

It is impossible to use iodine or greenery to lubricate lesions, since they strongly irritate the skin, and this prevents wound healing. Treatment of bedsores is carried out using:

• antibacterial ointments;
• camphor alcohol;
• dressings with wound healing agents.