Many face in life. Someone needs to take care of a grandmother or grandfather who has a sick person in the family, and not necessarily elderly, with acquired or hereditary physical disabilities. Be that as it may, but looking after a bedridden patient is rather complicated.
This is the implementation of hygiene procedures, and the timely intake of medicines and prescriptions, but the most unpleasant and disturbing thing is bedsores.
This is what the wounds formed on the body are called due to poor blood circulation and lack of ventilation of the skin areas. It all starts with this kind of redness - inflammation.
In the fight against bedsores of a bedridden patient, you need to be patient, because the problem is serious and requires a lot of attention and time.
Bedsores occur on those parts of the human body that have the greatest pressure on the surface of the bed or wheelchair. Often they are observed in the region of the sacrum, shoulder blades, on the femurs. The pathogenesis of the disease is associated with both circulatory disorders and atrophy of nerve endings. Tissue nutrition deteriorates, cell necrosis occurs, the skin layers begin to decompose, that is, rot, which can be accompanied by accumulation of pus and bleeding, which, in turn, is dangerous for the multiplication of infectious bacteria and blood poisoning.
That is why it is necessary to closely monitor the condition of the patient's body, not to allow the body to lie in one position for more than two hours. Constant hygiene procedures and more changes in body position help the patient not become a victim of bedsores, which are not easy to treat.
This ailment can make itself felt not only because of poor patient care (untimely replacement of bed linen, diapers, lack of bathing and wiping), the cause is also an unbalanced diet, excess or lack of body weight, fluid retention in the body. Bedsores develop very quickly with diabetes mellitus, obesity, atherosclerosis of blood vessels.
Sweat, urine, feces are the first irritants of the skin of immobile patients, due to which it first turns red, then swells and eventually becomes very inflamed and cracked.
Stages of trophic disorders
Doctors distinguish four stages of the death of the skin. Depending on the depth of the resulting ulcers, treatment is prescribed to the patient. A weakened human body is not able to regenerate tissues, as a result, whole cavities on the body of a living patient rot.
The layer of human skin includes four physiological full-fledged layers. Epidermal - protects the body from the effects of environmental factors. It includes five layers. Next is the basement membrane - it is a way of transferring water and nutrients from the dermal layer to the epidermal one, it consists of two plates. The dermal layer is the elastic support of the first layer and includes two sublayers. And the last one is the hypodermal layer responsible for retaining heat in the body, it is a protective barrier for internal organs and tissues.
Veins, vessels, capillaries, arteries, lymphatic vessels, and sweat glands pass through each skin layer in the form of a grid. The death of tissues indicates that the circulation of the blood supply throughout the body is disturbed.
The destruction of skin cells under the influence of a mechanical factor, chemicals or temperature changes begins with the first layer - the epidermal one. It looks like it is shown in the photo above. Then the problem comes to the second, third and fourth layers.
The first stage is characterized by the formation of erosions, redness and swelling. There are no visible wounds, the circle of irritation resembles a mosquito bite or acquires a purple hue, similar to a passing bruise. At the same time, subtle cracks form at the site of the bedsore.
The second degree is characterized by the appearance of a superficial wound. A deepening with pink painful swollen rims is formed on the surface of the skin. It looks like a wet sore that hurts.
The third stage is the formation of a deep wound, which looks like a deep crater.
The fourth stage is a deep ulcer through which tendons, muscles and bones are visible.
You can see this more clearly in the photo below.
Deep ulcers are very difficult to treat, while in the first stages the patient can be helped more effectively and prevent suffering.
What medicine to choose for the treatment of bedsores?
Depending on the stage of development of bedsores, an individual method of treatment is selected. Doctors prescribe alcohol-containing solutions, gels, aerosols, therapeutic moisture-proof plasters and antiseptic dressings, powders, talc, a solution of potassium permanganate or vinegar, ointments.
Currently, both professional doctors and those who care for bedridden patients at home have noticed a greater effect from the use of ointments. In modern pharmacies there is no shortage of these. Their variety is great, and they are inexpensive.
Who uses old familiar drugs, who gets acquainted and tries new drugs. If you are interested in the question “what is the best ointment for bedsores”, you will not find a definite answer, because different medicinal gels, creams and ointments are used at each stage of tissue necrosis. So the question of choosing an effective drug is always decided on a purely individual basis, the doctor must assess the general physiological state of the patient, and then prescribe treatment.
Ointments for bedsores, their benefits
Professional doctors prefer effective methods of dealing with ailments. Often they prescribe an ointment from bedsores for bedridden patients.
Creamy medicine has a relatively low cost, is always available in pharmacy chains. It is the ointment that improves blood circulation in the skin layers, accelerates physiological healing, and also acts as an anti-inflammatory and analgesic tool. Many drugs are excellent at fighting germs and external fungal infections. And when treating wounds with them, the patient does not feel severe discomfort.
When are ointments inappropriate?
In the most advanced cases, drugs in the form of ointments are less effective, so they are abandoned, giving preference to stronger drugs. They are also not suitable in cases of personal intolerance to the components contained in the composition of therapeutic agents.
What ointment is better for bedsores?
Let's repeat again. If you are looking for the most effective pressure sore ointment for bedridden patients, this basically does not exist. There are many quality drugs that have helped thousands of patients. The question of selection is purely individual. The decision to purchase this or that remedy should be the conclusion of the doctor who observes the patient. Buying and testing drugs, relying only on the advice of acquaintances and friends, is not worth it. Bedsores are painful, inflamed wounds. If you influence them with a medicine that is not suitable for a person, you can not cure them, but accelerate the process of tissue destruction, which will lead to undesirable consequences.
Bedsores are a serious problem, amateur performance and traditional medicine are inappropriate here. Only the professional approach of the doctor and nurses helps the majority of bedridden patients to help in essence.
Preparations with silver
Reviews characterizing the ointment from bedsores often tell about the effect of some selective drugs. So, the trust of many people has earned such a tool as Argosulfan. This ointment for bedsores, which is prescribed by doctors at the first stage of the appearance of signs of such, when it is necessary to effectively slow down the development of infections, improve tissue trophism at times and monitor the cleaning of wounds.
This is an antibacterial, healing drug, the basis of which is the antibiotic sulfathiazole, and the auxiliary element is silver ions. These two components, taken together, contribute to the destruction of the bacterial flora that forms on the inflamed, poorly nourished area of \u200b\u200bthe skin.
Ointment from bedsores "Argosulfan" in a pharmacy can be found under the name "cream". It is produced in tubes of fifteen and forty grams.
Reviews about this ointment from bedsores are highly recommendatory. People place special emphasis on its benefits due to the silver ions included in its composition. Their effect is noticeable from the first days of the drug. After all, patients cease to be tormented by burning and itching. Ointment from bedsores with silver "Argosulfan" is applied in a thin layer on the entire surface of the wound. Treatment can last up to two months. This ointment is suitable for the treatment of inflamed areas of the skin with an open method and with the use of special dressings. It moisturizes wounds, relieves inflammation and does not allow germs to develop, as well as infections to penetrate much deeper. This ointment for bedsores promotes relatively rapid skin regeneration.
The reviews of many people who have encountered bed sores while caring for them also praise the Dermazin remedy. It is also an ointment for bedsores with silver. Its action is similar to the drug "Argosulfan". It is produced in tubes of fifty and two hundred and fifty grams.
Also, many advise an ointment for bedsores, the name of which is Sulfargin. This is the second analogue of Argosulfan. One tube of this drug contains fifty grams of ointment.
To date, ointment-creams from bedsores with silver ions occupy an honorable place in the line of those drugs that effectively help to restore the skin of bedridden patients. But this does not mean that other means do not contribute to solving the problem. Indeed, on personal experience, it is possible to test the effect of not all existing drugs. People speak about those that they managed to test personally and see for themselves their action.
It is possible to achieve a positive result with proper treatment of wounds. This is done at least three times a day. In this case, the surface of the wound must be cleaned before each lubrication with medicine.
"Zinc ointment" - properties
The reviews of many also contain information about the effectiveness of a drug such as Zinc Ointment for bedsores. Its use is also appropriate in the first stage of the disease. The main effect of this medicine is that it dries the wound. Zinc oxide contributes to the antiseptic effect.
This ointment for bedsores has been used for a long time and was, until the advent of new drugs, one of the main ones in the treatment of this problem. Thanks to the creation of a transparent film, it is possible to protect wounds from the penetration of infections into them and their reproduction.
This remedy relieves swelling and soreness. The ointment is applied in a thin layer at least six times a day. The duration of treatment reaches two months. The medicine is produced in tubes of thirty grams.
This effective ointment for bedsores has an analogue - the drug "Tsindol". It is also often used in solving a complex problem. This is also an ointment.
Among the most popular remedies for the treatment of bedsores, ointments occupy a special place, because they have a lot of advantages:
- They speed up the healing process of wounds.
- They have a relatively low cost.
- Improve tissue trophism.
- Helps relieve pain and other discomfort.
- I have a bactericidal effect, eliminating pathogenic bacteria.
Names of ointments from bedsores for bedridden patients
Solcoseryl. A tool that is designed to improve tissue trophism and regeneration. The active ingredient is deproteinized dialysate, which is obtained from the blood of young healthy calves.
The drug is applied only to areas of the skin that have been damaged. It is necessary to clean the wounds before using the drug. Apply to the cover evenly in a small layer twice a day (it can be three times on the recommendation of a specialist). Therapy lasts until the bedsores heal.
If you are prone to the development of allergic reactions and do not tolerate the components of the product, you can not apply it. Not recommended for pregnant women. Rarely, but there is a manifestation of side effects in the form of marginal dermatitis or urticaria.
Algofin. The ointment is based only on natural ingredients: a salt of fatty acids, chlorophyll derivatives, film formers and carotenoids. The ointment has a strong anti-inflammatory effect, and also stimulates tissue regeneration.
To smear only the skin with wounds, without affecting the healthy surface, if necessary, it is possible to use a swab or bandage.
Some patients during therapy with Algofin feel a burning sensation in the area of application. There are no contraindications for use, the ointment is recommended even for pregnant women.
Methyluracil. The active active ingredient of the drug is dioxomethyltetrahydropyrimidine, due to which nucleic acids are restored. Ointment promotes rapid regeneration of damaged tissue.
The dosage during treatment is determined by the doctor in accordance with the individual symptoms of each patient. If you have a predisposition to the development of allergic reactions and individual intolerance to the substances that form the basis of the drug, it is contraindicated to use it. Some patients complain of an allergy to methyluracil as a side effect.
Mephenate. The basis of the drug includes the following active ingredients that are used in the treatment of bedsores are mefenamin sodium salt and vinylin.
The ointment is applied only on the skin where there are bedsores with a special spatula, usually once a day (but up to three times in 24 hours is allowed). The duration of therapy is approximately fifteen days. If treatment needs to be continued, further therapy is carried out under the supervision of a physician. You can apply the agent under the bandage.
The only contraindication: individual intolerance. Some patients may experience: irritation, allergies, swelling, mild numbness.
Alantan Plus. The drug is based on two active substances: allantoin and dexpanthenol. Thanks to this composition, the ointment has a healing effect, cleans wounds from unnecessary deposits of keratin, and stimulates regeneration.
The tool is not recommended for use by patients who suffer from frequent manifestations of allergies, especially to dexpanthenol and allantoin. Sometimes in the process of therapy with this remedy, there may be: allergies, skin hypersensitivity.
Ointment from bedsores with silver
Ointments containing silver are usually used to treat first-stage pressure sores. The most popular among them are the following drugs.
Dermazin. An agent with an antibacterial effect. The active substance, which is part of the drug, is silver sulfadiazine.
You can apply ointments under a bandage or without it in a thin layer twice a day until complete healing. When using a bandage, it should be changed daily (several times is possible).
The drug should not be applied to patients with intolerance to its main substances, up to one year, during childbirth. Sometimes from the use of the product appear: itching, burning, allergies.
Sulfargin. Has antibacterial action. The active ingredient is silver sulfadiazine. It has a bactericidal effect against many gram-negative and gram-positive bacteria (Klebsiella spp., Escherichia coli, Staphylococcus spp., Proteus spp., etc.).
Be sure to remove pus and necrotic masses before using this drug. Use once or twice a day under a bandage or without a bandage. Lubricate the affected areas with a small layer. The duration of treatment is determined by the doctor. Usually - not less than 3 weeks.
The tool can lead to unpleasant consequences if used to treat pregnant women, young children (up to a year), patients with intolerance to the components. Sometimes, rarely, side effects develop: indigestion with the development of diarrhea or constipation, nausea and vomiting, leukopenia, pain, burning of the skin, allergies.
Ointment Argolsulfan
The active substance of the drug is an antibiotic - sulfathiazole. Due to this, the growth of pathogenic organisms and their reproduction is inhibited. Additionally, the ointment also includes silver ions, which help enhance the main characteristics of sulfathiazole.
The drug has an analgesic effect. You can use a bandage if necessary. Smear several times a day with a small layer of bedsores. Treatment continues until all wounds disappear.
A limitation for the use of the ointment is the intolerance of its main ingredient. You can not treat it with small and premature babies. Side effects from the use of the drug: discomfort on the skin (burning, itching), allergies.
Ointment Stellanin
The tool has an antimicrobial, anti-inflammatory, regenerative effect. The drug is based on the active ingredient - the substance diethylbenzimidazolium triiodide.
When applying the ointment, make sure that its layer covers the bedsores completely. The duration of therapy and dosage are individual and depend on the stage of the wound process. Can be used under a bandage.
The drug is contraindicated in: thyrotoxicosis, acute liver failure, for the treatment of pregnant women and young children (under the age of one year). Some patients who used the remedy noted that they developed allergies, the skin often itched and burned.
Ointment with zinc
Dermatoprotective agent, which contains an active component - zinc oxide. It has a fairly well-pronounced anti-inflammatory effect.
For treatment, the ointment is applied in a thin layer to the places of bedsores from one to two times for 24 hours. The doctor may increase the dose if necessary. Therapy lasts until the wounds are completely healed.
The tool can be used by almost everyone, if you are not allergic to zinc. Sometimes patients note that the use of the ointment leads to unpleasant symptoms: swelling of the skin, itching of the skin and other allergic reactions.
Vishnevsky ointment
The active active ingredients of this remedy are: xeroform, birch tar, castor oil. The ointment is actively used to treat wounds, ulcers, juvenile acne, furunculosis, psoriasis, bedsores in bedridden patients.
In the treatment of bedsores, the ointment should be applied in a thin layer only to the affected areas of the skin. In this case, the wounds must first be disinfected. Therapy is individual, so the dose and duration are most often prescribed by the doctor.
The drug is contraindicated for use in case of intolerance to at least one of its main components. Among the main side effects are: allergic reactions (itching, skin flushing, burning, irritation).
Sulfuric ointment
The drug can be used from the age of three. Apply to the affected areas of the skin in a small amount two to three times a day. Therapy continues until the wound heals.
The ointment is contraindicated for use in case of intolerance to its main component. Also, it can not be used for treatment in early childhood and during pregnancy.
Among the main side effects from using the product, it is worth highlighting: allergic reactions (burning, itching, swelling).
Ointments from bedsores made in Germany
Recently, more and more new remedies for the effective treatment of bedsores have appeared in pharmacies. One of these drugs is the German ointment "Brownodin".
It is an antiseptic and disinfectant, the active ingredient of which is povidone-iodine. It is active against a wide range of fungi, bacteria (including Mycobacterium tuberculosis), viruses.
The dosage is completely individual and is prescribed by the attending physician in accordance with the severity of the patient's condition.
The ointment is contraindicated for use in hyperthyroidism, renal failure, thyroid adenoma. Also, you can not use the ointment during pregnancy, breastfeeding, with intolerance to its components.
Among the side effects, hyperemia and burning can be distinguished, with the appearance of which it is necessary to cancel therapy.
Bedridden patients often face such a disease as bedsores - soft tissue necrosis. It occurs as a result of circulatory disorders with a long stay of a person in one position. Of particular danger are bedsores of stages 3 and 4, which are not only difficult to treat, but also lead to the formation of deep necrotic lesions. Argosulfan ointment with silver is a drug that has an effective effect in the healing of purulent bedsores and other external skin lesions.
Pharmacological action of the drug Argosulfan
The antimicrobial agent with silver Argosulfan produced by the pharmaceutical plant "Elfa" (Poland) or the company "Valent" (Russia) is produced in the form of an ointment 2% in an aluminum tube of 15 g and 40 g.
Ointment from bedsores with silver Argosulfan prevents infection of open wounds, has a wound healing effect, and also reduces pain. With the timely use of the drug, tissue transplantation can be prevented. The active substance - silver sulfathiazole has an excellent antibacterial effect. Thanks to it, the area of \u200b\u200binfection of the skin is reduced and the reproduction of pathogens is prevented. The optimal level of acidity of the Argosulfan ointment base provides skin hydration, relief of the body's condition and good tolerability of the treatment in general.
Application features
Ointment Argosulfan with silver has a uniform consistency of light pink or white, which in the shortest possible time helps to get rid of bedsores.
The drug can be applied openly to damaged areas of the skin or used to apply dressings. The number of procedures and duration of treatment is determined by the attending physician (but not more than 3 times a day for 60 days).
For the treatment of bedsores in a bedridden patient, it is necessary to prepare the workplace in advance and that's it. Wound treatment should be carried out after water procedures. To maximize the effect of the drug, you need:
- Cleanse and treat the skin using sterile instruments. During cleaning, it is important to remove all keratinized tissues, traces of pus and exudate.
- In the presence of weeping wounds and inflammatory processes in the tissues, the damaged areas of the skin should be treated with a 0.1% aqueous solution of chlorhexidine or other antiseptic before application.
- Apply a thick layer of 2-3 mm to the entire affected area of the skin. If the ointment is partially absorbed, you can re-treat the wound.
Argosulfan for pressure sores should not be used in patients who are unconscious, in shock, or who have extensive burns, since in all these cases it is impossible to evaluate an allergic reaction.
Remember! Do not use Argosulfan with silver in conjunction with other local medicines.
Indications
Silver ointment Argosulfan is prescribed for external treatment with:
- thermal, chemical, electrical and other burns of any degree;
- with mild frostbite;
- tissue necrosis (including for the treatment of weeping wounds and bedsores of stages 3 and 4);
- the appearance of purulent inflammation in open wounds resulting from a domestic injury (with a cut);
- chronic venous insufficiency and for the healing of the lower leg;
- inflammation of the skin when exposed to chemical, biological or physical factors (various types of dermatitis);
- microbial or fungal skin lesions.
Contraindications
- with enzymatic deficiency (G6PD);
- in self-treatment of wounds and bedsores;
- for the treatment of premature and breastfed children under 6 months;
- pregnant and lactating women;
- when using folic acid and its structural analogues (folic acid reduces the effectiveness of the active components of the drug);
- with increased sensitivity to the constituent components of the ointment, as well as in the presence of allergic reactions to silver.
Analogues
Ointment with silver for bedsores Argosulfan is a unique remedy that has no structural analogues. For the treatment of damage to the skin, you can use Advantan, Afloderm, D-Panthenol.
When caring for bedridden patients, it is important to comply with all established hygiene standards and provide timely treatment. Otherwise, you can seriously aggravate the state of human health. Bedsores respond most quickly to treatment at the initial stage of development. In cases where purulent discharge appeared, tissue necrosis began, it is important to prevent necrosis of muscles and tendons. Argosulfan silver ointment is an excellent treatment for bedsores, which has a quick effect and relieves throbbing pain in the affected areas of the skin.
Video
Update: October 2018
Pressure sores are a serious complication of many diseases associated with malnutrition of tissues or arising from their external compression with displacement. In medical practice, bedsores are often referred to as ulcers.
This complication is by no means the fate of only bedridden patients; bedsores can form with any external compression, especially often at the sites of bone protrusions.
Bedsores are susceptible to patients suffering from impaired tissue innervation due to pathology or damage to the spinal cord. In such patients, the treatment of bedsores on the heels, on the buttocks becomes relevant, i.e. places receiving the most pressure from body weight.
In bedridden patients, compression of the skin and blood vessels occurs, as a result, stagnant processes and tissue death occur in places of maximum contact of the body with the hard parts of the bed, so bedsores are formed depending on the position of the body:
- When lying on the stomach - the pubis and cheekbones are affected
- When positioned on the side - knees, hips, ankles
- Lying on your back - sacrum, heels, ischial tuberosity, elbows, shoulder blades, back of the head
This process is promoted by overdrying or vice versa, excessive hydration of the skin. Dryness leads to exfoliation of the horny (protective) layer of the skin, and moisture provokes infection of the affected areas, all this is aggravated by a violation of the blood supply to the areas of compression.
Such a complication as bedsores, their prevention and treatment are relevant to this day - the search for the latest means of therapy and prevention of these formations is constantly being conducted. Pressure ulcers form quickly enough, but their treatment is problematic and does not always bring the desired effect.
70% of patients who develop bedsores are elderly:
- 66% - older people with fractures of the hip (femoral neck)
- 60% - patients with tetraplegia
- 33% patients in intensive care units
- 9% of hospitalized patients
- 3-25% - people at home (bed patients)
General approach to the treatment of pressure ulcers
Methods and means of treating bedsores vary depending on the degree of the pathological process. A huge place in importance is occupied by the prevention of bedsores, which is actively carried out from the first days of the disease, which contributes to the appearance of this complication.
Treatment is divided into: conservative and surgical. The latter is indicated for severe degrees of bedsores that are difficult to treat and do not heal. All conservative treatment measures are aimed at achieving the following key points:
- Improvement of trophism (blood supply) of tissues.
- Cleansing the surface of bedsores from necrotic masses.
- Healing of the surface of bedsores.
Principles of pressure ulcer therapy:
- At each stage of pressure sore development, prevention of its progression is carried out.
- It is unacceptable to use softening ointments, deaf bandages that block oxygen access and moisture evaporation, wet bandages in the initial stages and with dry necrosis - all this leads to the formation of wet necrosis and tissue death.
- Ointments with antibacterial action are prescribed for the formation of a wet wound with purulent contents, with wet tissue necrosis.
- General antibacterial therapy is carried out taking into account the sensitivity of the pathogenic flora.
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Superficial bedsores - stage 1-2 |
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Treatment of bedsores 1 and 2 degrees
Anti-decubitus cushion with shape memory
So, how to treat bedsores of the 1st degree? At the beginning of the development of bedsores, active prevention of the progression of necrotic changes in tissues should be carried out, since at this stage only thickening and hyperemia of the skin occurs:
This event involves the use of special tools:
- plastic tires;
- special anti-decubitus beds;
- pillows, mattresses, pads, circles with gel, foam, air, water filling or with a combination of several fillers;
- vibration and pressure controlled systems.
Anti-decubitus mattress is the most effective way to prevent pressure sores. Such mattresses constantly change the pressure on the body at different points, due to the deflating and inflating of air every 7 minutes in special mattress chambers. The alternating change of pressure points eliminates the cause of pressure sores and maintains normal blood circulation in the compressed tissues. Cellular type mattresses are used for the treatment and prevention of stages 1-2 (price 2000-2800 rubles), balloon type 3-4 stages of bedsores (approximate prices 4800-9000 rubles).
You should also know the simple rules when caring for bedridden patients:
- The patient's skin should always be clean, not wet, and not dry - do air baths. For hygiene, do not use antibacterial soap (it also kills beneficial, protective bacteria), use plain soap, a natural sponge (or cotton washcloth) and clean water. Do not rub the skin, but gently wipe it; after washing, do not wipe the skin, but blot it.
- Carefully monitor the condition of the skin - if it is overdried, then use moisturizers (moisturizing hypoallergenic creams, preferably a baby cream), to which the patient is not allergic.
- If the skin is too wet, without fanaticism, you can use powders, talcum powder or ointments that dry the skin - 1% potassium permanganate solution, zinc ointment or brilliant green solution, but only for prevention or at stage 1, in the future you should not use ointments containing zinc and a solution of potassium permanganate.
- Oily skin can be treated with alcohol-containing products.
- If redness is found, do not massage it, massage only around the damaged skin. You can specially make a mitten from a terry towel and use it to massage.
- If the patient has urinary incontinence, you should regularly change diapers or homemade cotton pads and make a perineal toilet, for men it is better to use the urinary system. At a high temperature, or when the patient sweats profusely for other reasons, it is better to wipe the sweat with a weak solution of table vinegar - 1 tbsp. spoon for 250 ml. water than soap and water.
Local treatment of bedsores that form
This event requires a competent approach, since incorrect actions can provoke the further development of necrosis.
Previously, the treatment of bedsores in bedridden patients was mistakenly carried out with ion-exchange drugs such as chlorhexidine, iodinol, etc. However, these drugs change the permeability of cell membranes, kill white blood cells and reduce cellular resistance to bacteria.
The modern scheme of local treatment of bedsores includes:
- Skin toilet using saline or preparations that do not have ion-exchange properties - camphor alcohol.
- Drying of the skin and treatment with drugs that improve local blood circulation in tissues (, Solcoseryl).
- Powder Xeroform helps with bedsores.
- Applying a polyurethane film bandage. This modern dressing material is produced in the form of a transparent film with an adhesive surface and provides protection against bacteria, oxygen access to the tissues and moisture evaporation, and also provides visual control of the skin condition. When sticking such bandages, excessive tension should be avoided, since when the patient moves, small folds form, which aggravates the condition.
- A technique such as washing the skin with cold water also shows itself well. The contraction of blood vessels and their subsequent compensatory expansion leads to an improvement in local blood flow and increased tissue nutrition.
How to treat bedsores stage 2?
This stage is a transitional state of the skin, when small superficial lesions are already visualized. At this stage, minimal surgical intervention and measures are carried out that stop tissue necrosis and promote the regeneration of damaged areas:
- Toilet of the formed wound with removal of the dead epidermis from the blisters. Ideally, it is carried out in a dressing room: cutting the dead epithelium with surgical scissors, washing the wound with saline, hydrogen peroxide.
- Observation of pressure sores in dynamics with an assessment of the development of the process.
- Antibacterial therapy in case of progression of bedsores and the onset of an inflammatory reaction.
- Applying antiseptic dressings to bedsores devoid of epidermis, after consulting with a doctor, which of the dressings is best used to treat this wound surface, taking into account the stage (presence, absence of necrosis), the area of the lesion:
Treatment of bedsores 3 and 4 degrees
At the 3rd stage of the development of the bedsore, necrosis of the dermis and subcutaneous fatty tissue to the fascia occurs. Treatment of pressure sores of the 3rd degree is aimed at surgical cleansing of the wound from necrosis and purulent exudate and further absorption of the wound discharge with protection from drying out.
The peculiarity of the necrotic change in bedsores is the rapid spread of the pathological process to neighboring tissues with poor blood supply. An erroneous tactic in this case is to expect independent rejection of dead tissues and cleansing of the wound. Necrectomy with opening of purulent cavities is recommended before the appearance of capillary bleeding.
After necrectomy, the decubitus ulcer is sanitized with the use of antibiotic therapy, local antiseptics and other drugs. Groups of drugs used in the treatment of pressure ulcers:
Comprehensive treatment allows you to stop the septic condition and achieve cleansing of the ulcer. Local treatment is carried out using the following popular drugs of choice:
Argosulfan cream
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Ointment Iruksol
It is applied to a wound cleaned or moistened with saline twice a day until the wound is completely cleansed and tissues are granulated. Iruksol ointment, the price is about 1300 rubles. for 30 gr. |
Ointment Levosin
It is applied daily to the cleaned surface, which is loosely filled with ointment and covered with a dressing. Perhaps the introduction into the purulent cavities through a syringe. Price Levosin for 40 gr. 80 rub. |
Levomekol
Levomekol (price 80-100 rubles) |
Metronidazole gel 0.75%
Metrogyl gel price 100-120 rubles. |
Hydrogel Intrasite - for cleaning the skin from necrotic tissues
Price: INTRASITE gel 2100 rub. (Great Britain) |
action, as well as inhibit the growth of bacterial flora.
Formed bedsores, the treatment of Argosulfan ointment can be carried out in an open way or used with an occlusive dressing. The drug is applied to the entire surface of the cleaned wound with a thickness of 2-3 mm twice or thrice a day. Applies up to 2 months.
The active composition of the ointment contains: collagenase, chloramphenicol and related enzymes. This enzymatic preparation provides cleansing of bedsores, disintegration of anesthetized tissues, which deprives bacteria of a nutrient medium, as well as a bacteriostatic effect. The use of Iruxol on cleaned tissues ensures their speedy granulation.
The drug is based on the antimicrobial substances levomycetin and sulfadimethoxine, the wound healing component methyluracil and the local anesthetic trimecaine. The ointment has a high hydration activity, thereby providing a rapid therapeutic effect. The use of the ointment leads to the cleansing of the decubitus wound from pus and necrotic masses and the subsequent healing of the wound.
- in addition to methyluracil, the composition includes chloramphenicol. This drug improves tissue regeneration and has antibacterial properties. It is used for infected bedsores in the purulent-necrotic phase of the wound process.
Metgil is based on the antimicrobial substance metronidazole. The gel is used with dressings and provides relief from the stench of pressure ulcers and inhibition of microbial growth. For bedsores with abundant discharge, foam dressings with metronidazole are used, for dry bedsores or with a slight discharge, hydrogel dressings with metronidazole are used.
For gentle cleansing of necrotic skin tissues in case of bedsores. The hydrogel is recommended to be used with an external dressing, the frequency of which change and the choice of dressing depend on the condition of the pressure ulcer. It provides soft, fast cleaning of the wound from necrotic tissues, as it adsorbs excess exudate and wound detritus. Intrasite is a pure amorphous hydrogel containing water, propylene glycol and a modified carboxymethylcellulose polymer.At the 4th stage of the formation of a bedsore, deep necrosis occurs with the involvement of muscles, tendons of the articular capsules and bones in the pathological process. Treatment includes excision of the necrosis, absorption of the pressure ulcer, and moistening of the healing ulcer.
With conservative treatment, if the size of a deep pressure ulcer does not decrease by 30% in 14 days, then the degree and severity of the patient's condition should be re-evaluated and the method of treatment should be changed. After stopping the acute phase of the ulcer process, the issue of surgical treatment is decided.
Complete surgical excision of all dead tissues is impossible and impractical (it is rather difficult to accurately determine the border of necrosis). Surgical cleansing of the wound is carried out with the maximum possible preservation of living tissues in the areas of articular bags of the neurovascular bundles.
Drug therapy is similar to that used in the treatment of grade 3 bedsores.
During surgical treatment and to stimulate tissue repair, physiotherapeutic treatment of bedsores is performed:
- Reducing the microbial contamination of the ulcer - ultrasound, UHF in a thermal dose, phonophoresis of antiseptics.
- Stimulation of reparative processes - darsonval of healthy tissues surrounding the bedsore (see), low-intensity laser, mud applications, direct current, electroacupuncture.
- Stimulation of blood supply and microcirculation - massage of healthy tissues bordering on bedsores.
Surgery
Surgical treatment is carried out according to strict indications, since with incorrect and inappropriate intervention, an increase in the area of the bedsore is likely. The effectiveness of surgical methods of treatment is evaluated in order to avoid further complications.
Free skin plasty (autodermoplasty), decubitus excision with matching of wound edges, plasty with local tissues are used. Unfortunately, this treatment is not always effective, since the transplanted tissue does not take root well in a place with insufficient blood supply, and a decubitus ulcer is a priori non-sterile.
Early surgical complications are the accumulation of exudate under the skin flap, suture divergence, marginal necrosis of the skin flap, wound necrosis, and bleeding. In the future, a fistula may form, forming a purulent cavity and leading to a recurrence of the bedsore.
Treatment of bedsores at home
Treatment of bedsores in bedridden patients at home is very important and presents certain difficulties. At home, it is difficult to carry out a complete cleaning of a purulent wound and ensure good gas exchange to dry the surface and repair the tissue. The modern industry produces convenient disposable antiseptic self-adhesive dressings made of innovative materials and applicable at different stages of bedsores, infected or not, which must be taken into account when choosing them.
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Used to treat infected bedsores in the last stages. |
Treatment of bedsores with and without slight exudation, infected and not, 1 and 2 degrees. Exposure time for 1 dressing (10x10cm) 24-48 hours (price 180 rubles) |
Treatment of bedsores with an extensive weeping surface, infected. The course of treatment is 1-10 dressings, the frequency of changing dressings is once every 1-7 days (as far as soaking). Price 950 rubles. |
Treatment of large pressure sores with little or no exudation, uninfected. (price 140 rubles) |
Alternative treatment of bedsores
When bedsores have formed, treatment with folk remedies is an auxiliary measure that helps cleanse wounds and form new tissues. It should be remembered that almost all folk methods involve the use of medicinal plants, which can cause an allergic reaction in case of hypersensitivity in a patient, and also depend on the stage of the process, therefore, before using them, you should consult a doctor about the advisability of such treatment. Do not use herbal remedies with a tanning effect - willow bark, green walnut infusion, oak bark, acorn oil, etc.
- Freshly squeezed juice from the leaves of the lungwort lubricate the area of the bedsore several times a day.
- The leaves of Kalanchoe officinalis, cut in half, fit with a cut to the bedsore and fix with a bandage for the night.
- Young leaves of black elderberry, scalded with boiling milk, are applied to the surface of the bedsore 2 times a day.
- Ointment from calendula flowers (1 tbsp of crushed flowers mixed with 50 grams of petroleum jelly) is applied to bedsores 2 times a day.
- Lotions from fresh chopped potatoes, mixed with honey in a ratio of 1: 1, are applied to places prone to the formation of bedsores.
- Tea tree oil or several times a day lubricate places with bedsores (stage 1-2).
- and, mixed with honey in a ratio of 2:2:1, applied to areas with bedsores 2 r / day.
- A compress of sterile fish oil based on a sterile napkin is left overnight.
- Sprinkling bedsores with starch.
Complications of bedsores
Bedsores can lead to purulent arthritis, phlegmon, wound myiasis (when adult tumbu flies lay eggs on the wound surface),. When corroding the walls of blood vessels, arrosive bleeding can occur, and with prolonged non-healing bedsores, the risk of skin cancer increases.
The most severe complication of bedsores is sepsis, when the infection from the wound with the blood flow spreads throughout the body, this leads to multiple organ failure and death.
Prevention of bedsores
In the prevention of bedsores, it is worth considering the provoking factors and risk factors for their occurrence:
- Dirty leather, crumbs and other particles, folds, buttons, rough seams on bedding
- Incontinence of feces and urine, allergic manifestations in a patient to hygiene products care
- obesity, diabetes,
- Poor nutrition, malnutrition, insufficient drinking
- Smoking, diseases of blood vessels and heart, brain and spinal cord
- Fecal and urinary incontinence
- Continuous pressure, moisture, friction
- Men are more likely to suffer from pressure ulcers
- Age - over 70 years old
- Immobility or broken bones
- Low blood pressure, anemia, cancer, stroke
- Dry skin, swelling
Prevention of bedsores should be carried out from the first day of the disease, with special perseverance and thoroughness. As practice shows, if a pressure sore has already begun to form, it is rather difficult to prevent its progression, and each subsequent stage of the pressure sore increasingly reduces the chance of a spontaneous resolution of the pathological process.
Prevention includes the following activities:
- Thorough skin care - cleansing, non-contact drying and disinfection.
- Regular change of bed linen, even stretching of the sheet without folds.
- The use of special mattresses (water, pneumatic, vibration), circles and pads.
- Constant change of position of the patient (after 2 hours).
- Rational nutrition in compliance with the drinking regimen.
- Imitation of muscle work - massage, special electric underwear.
Bedsores are very painful lesions of the skin, the appearance of which is caused by prolonged squeezing of tissues, accompanied by their displacement. In medicine, such violations of the integrity of the epidermis are called ulcers. Despite the fact that bedsores often occur in bedridden patients, no one is safe from them, and even small children.
The fact is that this is not a simple skin injury, but a serious complication caused by a number of different diseases. However, it does not go away after the complete cure of the underlying pathology, therefore, such wounds must be dealt with separately.
What drugs will help get rid of bedsores quickly and for a long time, only a doctor can decide after a thorough examination. However, there are some tools that you can use on your own. But in order for therapy to give positive results, it must be prescribed depending on the severity of the pathology.
Definition of severity
It is better if the medicines for bedsores for bedridden patients are selected individually, and only after a thorough examination by a doctor. After all, it is worth remembering that drugs do not always help with bedsores. If necessary, the patient may even need emergency surgery. However, these are extreme measures that a doctor can take only when medications for the treatment of bedsores could not help improve the patient's condition.
Conservative therapy is aimed at achieving certain goals, namely:
Now we should more carefully consider the principles of treatment of bedsores, namely, what can and should not be done with such skin lesions.
It is better if therapy for bedsores is carried out under the supervision of the attending physician. Do not try to treat severe injuries on your own - this can lead to infection of the ulcers, and this can have dangerous consequences, up to the development of sepsis.
For the treatment of pressure sores of the 1st stage, the following are used:
Wet wipes with antiseptic properties should not be used - bedsores that are just beginning to form should always remain dry. This will prevent tissue death and the formation of necrotic masses. Also, do not massage damaged areas, so as not to aggravate the situation.
The second stage of the development of bedsores requires the use of medications. So, you need to fight ulcers with the help of:
- antiseptics (Chlorhexidine);
- ointments (Levomekol and others);
- hydrogel dressings, which include a special gel that does not allow pathogenic bacteria to penetrate into the wound;
- wound healing applications.
Note! Hydrogel wipes and applications are not cheap medicines, but they can be used to achieve faster healing of bedsores. Accordingly, the risk of complications is significantly reduced.
The last stages of the development of bedsores are dangerous because the pathological process can move to healthy areas of the skin. To prevent this from happening, at the 3rd and 4th stages of the disease, it is recommended to carry out surgical intervention, during which the wound is cleared of necrotic masses. Only after that you can proceed to procedures aimed at healing ulcers and wounds.
Medicines used at stages 3-4 of the development of pathology can be divided into 4 groups:
What kind of means should be used to treat the patient, the surgeon decides. To develop an effective therapy scheme, the patient's state of health, the individual characteristics of his body, as well as the possibility of developing serious complications are taken into account.
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The most effective drugs
As noted earlier, drugs from different pharmacological groups are used to treat bedsores in bedridden patients. The choice of a particular drug depends on many factors. Next, we describe the most effective drugs from different groups, which are most often used to treat pressure ulcers.
Chlorhexidine can be used to treat bedsores without direct contact with them. For this purpose, the bottle has a special thin “nose”, with which you can absolutely safely apply a few drops of the product to the wound.
Antiseptic can be used in the last stages of the development of bedsores, but it should be used with caution in pregnant women. At the very least, you should consult with your doctor before doing so. Also, this drug is safe for children and debilitated patients.
The ointment is applied not to the skin, but to a dry paper towel, which is then applied to the wound and fixed. Such dressings are carried out 2-3 times a day. Contraindication to the use of Levosin is individual intolerance to levomycetin. For this reason, before using the drug, it is necessary to test for sensitivity to the substances that make up its composition.
Levosin has a powerful wound-healing effect, therefore, as a rule, even neglected abscesses can be cured in 10-14 days. Only in extremely severe cases, therapy can be delayed for a longer period. Cases of drug overdose have not been recorded, however, with individual intolerance to levomycetin, the patient may experience burning, itching and a feeling of heat in the area of the treated surface.
It has Dexamethasone and a number of contraindications for use, which you need to know about. These include:
- hypersensitivity to the active components of the drug;
- chronic mycotic diseases;
- serious damage to the joints and tissues around them;
- antiviral prophylactic vaccinations;
- glaucoma, etc.
Dexamethasone is used with caution in pregnant women and nursing mothers.
The benefit of this medication for a woman, her risk of developing complications in the fetus, can only be judged by the attending physician.
Treatment of bedsores in bedridden patients with Dexamethasone has its own characteristics. So, with damage to soft tissues, the drug should be injected at a dose of 2 to 6 mg. This is the daily dosage, which is strictly not recommended to exceed. The course of therapy is also adjusted by the doctor. The effectiveness of treatment depends on the severity of the pathology and the ability of tissues to regenerate.
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Metronidazole
It is an antibacterial drug with a narrow spectrum of action. It is used to treat bedsores at the stage of suppuration, accompanied by sepsis, or if there is a risk of its development. The drug is released in tablets and powder for the preparation of a solution for intramuscular injection. However, since these forms may not be prescribed to every patient, they can be replaced by an analogue in the form of a gel - Metrogyl.
With the help of this drug, you can quickly stop the reproduction of pathogenic bacteria, as well as remove the unpleasant odor emanating from pressure ulcers. Apply the drug in a thin layer 2-3 times a day. Before this, the skin should be well cleansed.
The medicine has only one contraindication - it is hypersensitivity to metronidazole. It is allowed to be used for bedsores and any other wounds during pregnancy and lactation. The effect of therapy can be achieved within 3-5 days after applying the gel, although it all depends on the severity of the disease and the individual characteristics of the patient's body.
Indications for the use of balm are:
Among the contraindications to the use of this balm, it is important to note:
- hypersensitivity to the substances which are a part of means;
- the period of pregnancy and breastfeeding;
- problems with carbohydrate metabolism;
- taking heavy antibiotics or other aggressive medications.
Other means
Pyricarbate is a drug designed to stimulate blood circulation in tissues affected by decubitus wounds. Its use is also justified when:
It is impossible to use the drug for hepatic diseases and individual intolerance to the components that make up its composition. With external use, side effects almost never occur. However, if they do occur, the patient may experience hives or a common allergic skin rash.
Vinylin is a medicinal preparation produced in the form of an ointment, 20% solution, capsules, balm. The drug is intended for the speedy restoration of tissues in decubitus wounds, which, in turn, accelerates the process of their healing. An oily solution or ointment (at the discretion of the attending physician) should be applied to damaged areas of the skin 3 times a day. If necessary, the dose can be increased. The wound healing process takes 18 to 20 days.
In order for the ulcers on the body to pass as quickly as possible, you can treat them with a pressure sore spray - Panthenol. Upon contact with the skin, it turns into a thick foam covering the damaged area of the skin. Thus, reliable protection of the abscess from the ingress of pathogenic bacteria is ensured, and the process of tissue regeneration is also accelerated.
Treatment of bedsores is a long and complex process. Its success largely depends on the correct choice of drugs corresponding to a certain degree of damage. Focusing on the rules for choosing the means outlined above, you can properly organize the treatment process, which will lead to a successful cure.
Folk remedies for bedsores for bedridden patients
Bedsores are a serious and common complication of diseases associated with limited patient mobility. Due to prolonged pressure on soft tissues with forced inactivity, blood supply and nutrition are disturbed in them, which leads to necrosis (death). Manifestations and symptoms depend on the stage of the disease. At the initial stage, there is local hyperemia of the skin, minor damage. Then, if no measures are taken, non-healing ulcers appear on the skin, deeper layers are gradually involved in the process - subcutaneous fat, muscles and even bone tissue.
The general condition of the patient also suffers - the body temperature rises, a general weakening of the body's defenses is observed, signs of intoxication appear. A serious complication of the necrotic process is sepsis, which can lead to the death of the patient. It is important to diagnose the process at the initial stage, in this case it is enough to remove the cause and use antibacterial agents to treat pressure sores. In this case, folk remedies give a good effect. If necrotic ulcers appear, it is necessary to undergo a course of antibiotics, and sometimes surgery is required, which is performed in a hospital.
Home treatment for bedsores
It should be noted that at any stage of treatment it is important to eliminate the compressive factor. Therefore, it is recommended to use a functional bed and an anti-decubitus mattress for the prevention of necrotic changes and during the treatment of bedsores. It is selected individually, depending on the weight of the patient. Such a special anti-decubitus mattress stimulates blood circulation in the tissues, due to the constantly changing pressure in it. This redistribution of pressure plays the role of a massage and significantly reduces the development of necrosis. For maximum convenience, special rollers and pillows are used, thanks to which the patient can take the most comfortable position of the body.
Taking care of the cleanliness of the patient's underwear and skin is an important factor in the treatment of necrotic changes. Skin treatment should be done with sterile dressings, and with gloves, in order to prevent re-infection of the wound.
In the treatment of bedsores at home, folk remedies are widely used. These methods give the maximum effect in the initial stages of necrosis, but in the treatment of deep ulcers in complex therapy, traditional medicine recipes are used. Most herbs and natural elements have a pronounced wound healing, drying or antibacterial effect, which has a good effect and significantly accelerates tissue regeneration.
The following folk remedies are most often used to treat bedsores:
- honey and bee products,
- essential oils,
- camphor alcohol,
- soda,
- laundry soap,
- onion,
- starch,
- medicinal herbs.
Honey and bee products
In the folk treatment of bedsores, various waste products of bees are widely used.
| Product | Properties | Application |
| Honey |
| Treatment of eczema, bedsores, burns, wounds, psoriasis, furunculosis. Treatment and prevention of infectious diseases. As a general tonic. |
| Propolis |
| Treatment of skin tuberculosis, diseases of the gastrointestinal tract, teeth. Treatment of eczema, hyperkeratosis, fungal diseases. |
| Wax |
| Treatment of burns, wounds, bedsores, strengthening of teeth and gums. |
| royal jelly |
| General tonic. Treatment of purulent-inflammatory skin diseases, eczema, neurodermatitis, focal alopecia. |
Ointment from bedsores with wax
Ignite vegetable oil in the amount of 1 tablespoon, then cool to 70 degrees. Add 2 tablespoons of animal fat (you can use ghee or butter), 100 grams of beeswax and 10 grams of pine resin. Stir until the consistency of the ointment, store the resulting product in a cool place, and heat it in a water bath before use until the wax melts.
Before applying the ointment, the wound is cleaned of necrotic plaque with swabs soaked in hydrogen peroxide and dried. The ointment is applied, covered with cling film and wrapped with a warm cloth on top. A day later, the compress is removed, the wound is cleaned (if necessary) and the ointment is reapplied. At the first signs of ulcer healing, young skin is lubricated with emollients, and treatment with ointment is stopped.
Remedy for honey
Shredded fresh potatoes and honey should be mixed in a ratio of 1:1. Soak a gauze bandage with the resulting composition and make a lotion for the night. This mixture relieves pain and hyperemia, softens the skin, promotes tissue regeneration.
Propolis against bedsores
Melt propolis 10-15 grams and add 30 grams of vegetable oil. Mix the mixture, cool and store in a cool place. Ulcers should be wiped with a cooled mixture at least three times a day. This helps to remove pus and plaque, well stimulates tissue repair.
Onion remedy
Thanks to volatile substances - phytoncides, which are part of it, onions have antimicrobial and anti-inflammatory effects. This property is successfully used in the treatment of bedsores in folk medicine.
For the manufacture of the composition will require:
- 2 medium sized onions;
- 40 grams of vegetable oil;
- ¼ part of a church candle.
Finely chop the onion, simmer in vegetable oil for 20 minutes, until golden yellow. Dishes must be enamelled. Then strain the resulting mixture and mix with melted candle wax. Store the resulting mixture in a cool place.
Means to lubricate necrosis 2 times a day. The ointment should be used to treat shallow wounds that have not been aggravated by fungal, viral or bacterial infections.
Starch in the treatment of skin lesions
Bedsore starch is used for prophylactic purposes, as well as to eliminate the first signs of the disease. After hygiene procedures, the skin is dried, hyperemic areas are sprinkled with starch and wrapped with a tissue bandage.
This allows you to quickly remove inflammation and does not allow the process to progress.
Use of laundry soap
Simple laundry soap has a strong antibacterial, decongestant and drying effect. It has long been noticed that its use can reduce pain, swelling, accelerate the healing of wounds and cracks in the skin.
To prepare a medicinal paste, the soap must be crushed (rubbed on a grater). Then mix 150 grams of dry matter with triple cologne so that a homogeneous mixture is obtained, resembling an ointment in consistency.
soda for ulcers
An affordable and well-known product - soda - can be successfully used in the treatment of bedsores with folk remedies.
It is necessary to dissolve a teaspoon of soda in a glass of boiling water and soak a cloth (preferably linen) napkin in the resulting solution. Allow the product to cool slightly, squeeze the fabric a little and apply to the wound. Such a compress draws pus from the wound and removes necrotic plaque. It is better to soak several napkins at once and change them as they cool. This method allows you to quickly clean the wound, which contributes to its healing.
Calendula flower remedies
Calendula flowers are considered one of the most effective folk remedies used to treat pressure sores.
The plant has an antimicrobial effect, neutralizes inflammation, accelerates the healing of ulcers. Fresh calendula leaves for severe skin lesions are applied directly to the areas of necrosis, the leaves should be crushed first.
In the treatment of necrotic skin lesions, various dosage forms based on calendula flowers are used:
- Ointments and lotions;
- Decoctions and infusions;
- Alcohol tincture;
- Applications and compresses.
Ointment from calendula flowers
Dry flowers (heaped tablespoon) chop and mix with vaseline, 50 grams. Store the resulting ointment in a cool place. Apply to a previously cleaned ulcer, 2 times a day. Treatment can be continued after the start of epithelization of the wound.
Calendula tincture
Dried flowers insist 14 days on vodka, in a ratio of 1:2. Strain the resulting product and store in a cold place. Before use, dilute the tincture with water - 1 tablespoon of tincture in ½ cup of boiled water. Wipe areas of hyperemia with the resulting agent. Can be used as a lotion up to three times a day for 20 minutes.
Herbal infusions and decoctions
Treatment of bedsores with folk remedies is not complete without the use of the power of medicinal herbs. Using proven recipes, you can not only prevent the development of necrotic changes, but also cure superficial ulcers.
| Composition | How to cook | How to apply |
| Chamomile 50 grams Medicinal sweet clover 50 grams Boiling water ½ cup | Mix chamomile and sweet clover, pour boiling water over and leave for 30 minutes. | Wrap the resulting slurry in gauze, apply to the changed areas of the skin 2-3 times a day. Used in the early stages. |
| Field horsetail 30 grams Chamomile 30 grams St. John's wort 40 grams Water 0.25 liters | Pour a mixture of herbs with boiling water, heat in a water bath for 15 minutes and strain. | Infusion to wipe the wounds, use in the form of lotions, as well as take orally 1/3 cup 3 times a day. Has a general strengthening effect. |
| Oak bark crushed dry 40 grams Water 0.2 liters | Pour hot water over oak bark. Bring to a boil and keep for 20-30 minutes on low heat, then cool and strain. | Napkins moistened with a decoction of the bark are applied to the wound 3 times a day for 10 minutes. |
| Lungwort officinalis (all except the root) 2 tablespoons Water 0.5 liters | Pour the crushed dry matter with boiling water, heat in a water bath for 15 minutes. Cool and strain. | Wash purulent and necrotic wounds and ulcers 2-3 times a day. |
Camphor
In folk medicine, camphor alcohol and camphor oil from bedsores are often used. Its source is the wood of the Japanese laurel. Pharmacies offer dosage forms:
- Camphor ointment;
- Oil solution;
- Alcohol solution.
When applied topically, camphor oil gives the following effect:
- Bactericidal and bacteriostatic;
- Relieves itching and irritation;
- Reduces tissue inflammation;
- Enhances regeneration.
The most effective use of the chamber as a prophylaxis of skin necrosis, when the areas subject to the greatest pressure are rubbed with camphor oil - the sacral region, back, shoulder blades, heels. However, if the process is already beginning, the remedy can also be used as a treatment for stage 1 and 2 bedsores. It must be remembered that camphor is not used for deep ulcers, when the process has affected the subcutaneous fat, muscles, and bone. In this case, the use of the drug can only worsen the situation by provoking tissue burns.
There are several effective recipes for treating bedsores using camphor alcohol.
Chatterbox
Camphor alcohol, medical alcohol or vodka and shampoo (preferably for children) mix 100 ml each, lubricate areas of hyperemia with a prepared product. Such a talker is applied at night, in the morning the skin must be wiped with a clean, damp sponge. Effective at the initial stage of the disease.
Oil lotions
If bubbles have not yet appeared on the skin, the following procedure will give a good result: treat the skin with a sterile swab dipped in an oily camphor solution, do not wipe the skin. Apply sea buckthorn oil or rosehip oil on top.
Camphor with yarrow
With minor damage to the skin, with the formation of blisters on the skin, the following remedy helps: pour 20 grams of dry matter of yarrow herb with 1 liter of boiling water, leave for an hour, then strain. In the resulting broth, add alcohol tincture of calendula, 20 drops. Lubricate the bubbles formed on the skin with camphor oil, put gauze moistened with medicinal infusion on top. Leave the bandage until the product is completely absorbed. The procedure should be carried out 5 times a day for 10 days.
Plant sap products
In folk medicine, not only decoctions and infusions of dried herbs are used to combat pressure sores. The juice of some plants has good wound healing properties.
Aloe
Freshly chopped leaves of aloe, which is rightfully considered a medicinal plant and is used in the treatment of many diseases, help cleanse ulcers from pus and necrotic decay products. It is the leaves that should be applied to the wound, since cloth napkins soaked in juice do not have such a pronounced effect.
Kalanchoe
Kalanchoe has a pronounced wound healing effect. The leaves of the plant should be cut with a knife and applied to the ulcers, having previously cleaned them with sterile swabs with hydrogen peroxide. The milk of Kalanchoe, getting into the wound, contributes to its epithelization.
Millet therapy
Steamed millet helps relieve pain and reduce signs of inflammation. To do this, take 50 grams of millet, steam it in a water bath to a mushy state. Put the resulting mass in a tissue bag, which should be applied to the bedsore for 2-4 hours. Continue the procedure for a week.
Features of home treatment
In folk medicine, it is important not only to treat, but also to prevent pressure sores. It should be remembered that this disease can be treated independently only at stages 1 and 2, until necrotic ulcers have formed. When the process goes into stages 3 and 4, it is necessary to urgently consult a doctor.
In the treatment of necrotic wounds, folk remedies are used as an addition to complex therapy and surgical excision of necrosis, help strengthen the patient's immunity and accelerate the healing process on the skin. But it is the doctor who must prescribe the correct treatment and decide on the hospitalization of the patient.
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at home
Treatment of bedsores in bedridden patients is a complex task, the solution of which requires huge labor costs and a lot of time. Defects heal slowly, often suppurate. They may develop necrotic areas. Deep bedsores form fistulas. The main problem that does not allow damage to heal quickly and easily is the fact that the patient continues to remain motionless. So, what do you need to know in order for tissues to recover without surgery? How to treat pathology at home?
Treatment and prevention of bedsores in bedridden patients: general recommendations
Both treatment and prevention of bedsores should be aimed at eliminating the factors that caused the disease. All possible measures should be taken to restore blood circulation in the affected areas.
Preventive measures include:
- Changing the position of the patient's body every 1.5-2 hours - this measure avoids prolonged squeezing of the same part of the body, which is the main cause of bedsores. If in any area there are already signs of the initial stage of ulceration (red, persistent spot, maceration), the patient should not be placed on this area.
- Protein-rich nutrition - protein is the main building material of animal tissues. Its deficiency leads to disruption of many processes, including regenerative and immune ones. Affected tissues are not restored, resulting in bedsores.
- Compliance with hygiene measures - the skin, constantly in a humid environment, gets wet. Macerations occur. To avoid this, it is necessary to wash the patient immediately after defecation or urination. It is also necessary to wipe the patient's body several times a day with his excessive sweating.
Above were three fundamental principles, without which it is impossible to treat pressure ulcers at home or prevent them. However, this is not enough for recovery in severe trophic disorders. In such situations, drugs are used to stimulate regenerative processes and fight the infection that has joined.
How to treat bedsores in bedridden patients and the elderly at home
For the treatment of bedsores in a bedridden patient, both traditional remedies (creams, ointments, drugs for systemic therapy) and some folk recipes can be used. The best results can be achieved if all available methods are combined within reasonable limits.
Folk remedies for bedsores
Treatment of bedsores with folk remedies is possible only at the initial stage of the disease, while there are no ulcers. In the future, such techniques can only be used as ancillary. The choice of method and evaluation of its effectiveness should be carried out by the district therapist who arrived on the call.
The most effective are the following folk recipes.
- Sea buckthorn oil is an excellent regenerating agent, which, however, does not have antiseptic properties. In the initial stages of a bedsore, it can be used as the only treatment. To do this, the surface of the focus is treated with the drug twice a day. With deep bedsores, their tamponade with napkins soaked in sea buckthorn oil is possible. Dressing and replacement of napkins is made 1 time in 1-2 days. Oil is not suitable for the treatment of purulent processes.
- Infusion of oak bark - used at the stain stage. To prepare the product, you need to take a tablespoon of raw materials, pour it with a glass (200-250 ml) of boiling water and leave for 2-3 hours. After that, the medicine is filtered, poured onto a sponge and wiped with the location of the bedsore during the general hygienic treatment of the body. The drug has a tanning effect, forms a tannin film on the surface of the wound, and reduces the intensity of inflammation.
- Infusion of chamomile field - prepared and applied in the same way as a decoction of oak bark. It has a pronounced anti-inflammatory and antibacterial action. It is used to treat the skin and wash wound surfaces. It can be used indefinitely, however, the average frequency of treatment of bedsores is 2 times per day.
Folk recipes do an excellent job with the initial stages of bedsores. However, with neglected and purulent processes, preference should be given to traditional medicines.
Treatment of bedsores with ointment
The use of ointments is usually resorted to with deep bedsores. The purpose of using this dosage form is to stimulate the body's regenerative capabilities and combat local infectious complications.
Patients are prescribed the following formulations:
- Vishnevsky's ointment is a unique development of Soviet surgeons. It has a wide spectrum of antimicrobial activity. It is used for the treatment and prevention of bacterial processes. For the treatment of bedsores, it is applied to the wound surface 1-2 times a day. A gauze bandage is used to fix the ointment.
- Levomikol is a drug based on chloramphenicol. It has a dehydrating and antimicrobial effect. It is applied to the bedsore 1 time per day. After application, the treated area is covered with a gauze cloth.
- Solcoseryl is a regenerative drug based on extracts from calf blood. Stimulates recovery processes, improves blood microcirculation, is a source of vitamins and nutrients. Apply the ointment twice a day. After applying the medicine, the surface of the bedsore is covered with gauze.
The duration of the course of treatment with ointments is equal to the time required for the complete healing of the defect. However, if the drug does not lead to an improvement in the patient's condition, it is canceled or combined with a drug from another group (solcoseryl + levomikol).
Note: the drug of choice for purulent defects is levomikol. Vishnevsky's liniment, contrary to popular belief, is not recommended to be applied to purulent wounds. It is more suitable for the prevention of infection.
Diaper rash cream
Diaper rash creams (desitin, weleda, bepanthen) are mainly used to prevent bedsores. They do not have a therapeutic effect, therefore it is pointless to apply such compounds to an existing defect. For the purpose of prevention, the cream is used while washing the patient, applying them to areas that are subjected to pressure, or stay wet for a long time. At the same time, the skin dries up, macerations disappear, and the turgor of the integument rises.
medicine
Treatment of serious wounds is not complete without the use of systemic drugs. Bedsores are no exception.
As prescribed by the doctor at home, the patient can take:
- means that improve microcirculation (trental, 1 pill twice a day);
- antithrombotic drugs (aspirin-cardio 1 tablet at bedtime);
- antibiotics (Ceftriaxone in the form of a solution for injection, 1 gram 2 times a day in / m);
- anti-inflammatory and painkillers (analgin 1 tablet 3 times a day).
The duration of the course of treatment for each of the drugs is determined by the doctor. As a rule, the patient takes antiplatelet agents and trental for life or until the bedsores are completely healed. Antibiotics are used for 7-10 days. Non-steroidal anti-inflammatory drugs should not be taken for more than 2 months without a break.
It is interesting to know: Solcoseryl can also be used in the form of a solution for injection. Injections are combined with the use of ointment. Refusal of parenteral forms is made after the beginning of the epithelization of the bedsore. The ointment is applied until it is completely healed.
Features of the treatment of bedsores
Trophic defects can occur in different parts of the body. The localization of the pathological focus depends on the position in which the patient is predominantly located, as well as on the presence of vascular disorders (atherosclerosis). Treatment of bedsores in different areas has its own characteristics.
Intertrigo under the mammary glands
Diaper rash under the mammary glands rarely turns into deep bedsores. Therefore, they do not need drug therapy. Problem areas should be washed daily and sprinkled with baby powder several (2-3) times a day. This will avoid moisture and maceration. It is also possible to use drying creams.
Tailbone
Bedsores on the coccyx are usually the most voluminous. Tissue necrosis often occurs here, and wound pockets form. It is possible to prevent or delay such an advanced stage of pathology if special anti-decubitus circles are placed under the patient's coccyx.
The device is a hollow inside circle of medium-density material. The patient is placed on it so that the problem area is inside the circle. The periods of lying on the circle and without it should be alternated. This allows you to evenly distribute the time of tissue compression between different parts of the body.
On the heels
In order for pressure sores on the heels to heal successfully, they should be protected from contact with the bed. To do this, soft wide rollers are placed under the patient's shins. This must be done in such a way that the heels remain on weight. Rolled sheets or duvet covers can be used as rollers.
In the groin
Ulcers and infected bedsores in the groin are extremely dangerous in terms of generalization of infection. There are many blood vessels through which the pathogen can spread throughout the body. To prevent this and reduce the rate of development of trophic disorders, the legs of a lying patient should be laid so that the inguinal region is well ventilated. The “frog” position is optimal - the person’s legs are bent at the knees and spread apart.
Between the toes
For bedsores between the fingers, one should adhere to the general rules of treatment - keep the feet clean, dry, and also not allow the fingers to fit too tightly together. To do this, hanks of a bandage or small fabric rollers are inserted between them.
On the buttocks
Treatment of bedsores on the buttocks at home requires a constant stay of the patient on the sides and on the stomach. It is forbidden to lay such people on their backs, since such actions lead to an increase in the area and depth of the bedsore. As mentioned above, it is necessary to change the position of the patient every two hours.
How to prevent bedsores
Despite the claims of people far from practical medicine, it is almost impossible to prevent the formation of pressure ulcers in immobile patients. Sooner or later, trophic disorders appear in everyone. To delay this moment, it is necessary to follow all the rules described above and examine the patient daily for the presence of maceration, persistent local hyperemia and other signs of damage.
A prerequisite for avoiding the occurrence of bedsores is the early activation of patients after injuries and major operations. As a rule, defects do not develop even when the patient independently turns over from one side to the other and performs other active actions within the bed. It is not necessary to walk.
The main rule in the formation of a diet for a patient with bedsores is a high protein content in food. Its amount should be 120-150 grams per day. About 60% of this amount of protein is taken from animal sources (boiled grated meat, fish, meat broths). In case of insufficient intake of protein molecules from ordinary food, therapeutic nutrition should be used - nutrisonprotison 1000-1500 ml per day (80 grams of protein / liter), nutrison energy in a similar amount (60 grams of protein / liter), nutridrink (7 grams of protein / 100 ml ).
Treatment of bedsores is a complex and complex task that requires great patience and professional skills close to the level of a qualified nurse from carers. In the format of one article, it is impossible to talk about all the intricacies of anti-decubitus therapy (the use of special mattresses, necrectomy, the use of various drugs depending on the stage of healing, etc.). To help a bedridden patient, it is necessary to constantly improve their skills, study specialized sources, learn about new methods of treatment and, of course, gain their own experience based on the results of the work done.
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How to treat bedsores in bedridden patients
Treatment of bedsores
Prolonged forced stay in bed, weakening of the body and insufficient skin care lead to the fact that bedsores occur in bedridden patients.
How to treat the resulting tissue damage, and what methods are there to prevent bedsores?
Where and why do bedsores occur?
Most often, bedsores form in the area of the protrusion of the bones, where a significant body weight of a person puts pressure on a small area of \u200b\u200bthe skin, thereby disrupting its blood supply. The nutrition of tissues is disturbed and their death occurs - a bedsore. Congestive changes can be prevented by the subcutaneous fat layer, but in bedridden patients it gradually becomes thinner.
The formation of pressure sores are subject to those parts of the body that are in contact with the surface. If the patient lies on his back - these are the shoulder blades, elbows, sacrum, heels. Prolonged position on the stomach leads to the formation of bedsores in the pubis, ilium, cheekbones. With prolonged lying on your side - on the hips, sides of the knees and ankles.
Formation of bedsores
Most often, bedsores occur in elderly malnourished people, their appearance is also facilitated by excess weight or, conversely, excessive thinness. Uncontrolled defecation and urination, diabetes mellitus, heart disease, unbalanced nutrition of the patient are additional risk factors.
In some cases, the formation of a bedsore occurs in just a couple of days. Therefore, potentially dangerous areas must be inspected daily and, if changes are detected, urgent action should be taken.
Pressure ulcer classification
A patient who is conscious and whose sensitivity of certain parts of the body is not impaired, even before the formation of a bedsore, may complain of tingling and numbness in places where the development of the disease is most likely.
Bedsores in bedridden patients have 4 stages of development:
- I stage. Persistent reddening of the skin, thickening is possible, sometimes swelling is present, while the skin is not broken. This stage is successfully treated with antibacterial and wound healing drugs.
- II stage. The upper layer of the epidermis is affected, its integrity is violated, delamination and erosion occur. The process extends to the subcutaneous tissue.
- III stage. Deep damage to the subcutaneous layer, which is accompanied by irreversible necrosis (death) of the tissue, sometimes with liquid discharge from the wound. Poorly treatable.
- IV stage. Excessive damage and necrotic changes in soft tissues (tendons and bone tissues are visible in the resulting cavities), which can lead to severe intoxication of the body and blood poisoning.
Pressure ulcer classification
Treatment of bedsores in bedridden patients
Methods of treatment, as well as the choice of drugs, will vary depending on the severity and severity of the pathological process. Severe bedsores are practically not amenable to conservative treatment and require surgical intervention.
The main therapy is aimed at restoring normal blood circulation at the site of injury, removing necrotic masses and wound healing.
Principles of treatment:
- At any stage, they try as much as possible to prevent the progression of the bedsore.
- Do not use deaf bandages and softening ointments that prevent the access of oxygen.
- In dry necrosis, the application of wet dressings can provoke wet necrosis and tissue death.
- With purulent weeping wounds, apply antibacterial ointments.
- Additional antibacterial therapy is carried out taking into account individual characteristics and sensitivity of pathogenic microflora.
Treatment of bedsores in bedridden patients
In the first stage of bedsores, when there is only redness and thickening of the patient's skin, it is recommended to turn it over at least once every 2 hours. It is necessary to eliminate the continuous pressure on the skin or reduce its strength. To do this, use rubber circles, special (or self-made) pillows and mattresses. Along the way, they treat diseases that contribute to the formation of bedsores.
When damage is already visible on the skin and the second stage begins, measures are needed to promote the regeneration of the epidermis. If the bedsore progresses and there are signs of inflammation, it is advisable to use antibacterial agents. The wound must be regularly washed with hydrogen peroxide or saline and cleaned of dead epithelium with scissors. After consulting a doctor, special antiseptic dressings can be applied to the bedsore.
Pressure sores of the 3rd degree require surgical cleansing of the wound from purulent contents and necrosis. It cannot be hoped that the rejection of dead tissues will occur on its own. In this case, in a very short time, the process spreads to neighboring tissues. After the surgeon cuts off the areas of necrosis and opens the purulent cavities, complex therapy is prescribed using local antiseptics, antibacterial drugs, decubitus ulcer sanitation.
Treatment of bedsores in bedridden patients
The fourth stage is characterized by the presence of deep necrosis, muscles, tendons, joints and bones are already involved in the process. Treatment involves excising the necrosis, absorbing the discharge, and preventing the healing ulcer from drying out.
Ointment from bedsores for bedridden patients
- Levomekol. The active basis of the ointment is the antibiotic chloramphenicol and the wound healing component - methyluracil. The ointment has antibacterial properties and promotes wound healing. Levomekol is used for bedsores in the purulent-necrotic phase.
- Levosin. In addition to chloramphenicol and methyluracil, the composition includes sulfadimethoxine and a local anesthetic trimekain. Due to which the ointment has a high hydration activity, cleanses the formed ulcers from pus, necrotic masses and heals. The drug is used daily, loosely filling the affected surface with it, followed by dressing.
- The cream from bedsores Argosulfan, thanks to the antibiotic sulfathiazole and silver ions, inhibits the growth and reproduction of the bacterial flora. The cream rarely causes allergic reactions, has an analgesic effect, moisturizes the wound and accelerates its healing. Argosulfan is applied to the entire surface of the cleaned wound three times a day, the course of treatment can last up to two months. Cream Dermazin and Sulfargin have a similar effect.
- Ointment from bedsores Iruksol helps to cleanse the wound and prevents infection from entering it. Before application, exfoliated necrotic masses must be removed from the wound with tweezers or by washing with saline, while drying the surface is not necessary. Applications with ointment are done 1 time (less often 2 times) a day for 6-10 days until the wound becomes clean.
Ointment from bedsores Iruksol
Another remedy for bedsores
Before using the ointment, pre-treatment of bedsores with saline or camphor alcohol is mandatory. Previously, ion-exchange drugs were often used for these purposes: chlorhexidine, iodinol, and others. Recently, there is an opinion that they kill leukocytes and reduce the resistance of cells to bacteria.
As a drying remedy for bedsores for bedridden patients, Xeroform powder is used. A lot of good reviews about Vinylin (otherwise Shestakovsky's Balm). Before use, the bottle with Vinylin is heated under running hot water, and then applied to the wound surface. A sterile gauze pad must be applied over the wound.
Actovegin ointment and its analogue Solcoseryl help to improve local blood circulation and oxygen supply to tissues. These ointments significantly increase the energy resources of cells and accelerate the healing of ulcers. The regenerative effect is also exerted by ointments, which include panthenol (Bepanten, D-panthenol).
Actovegin for bedsores
Spray from bedsores Olazol, the active basis of which is sea buckthorn oil, levomycetin, boric acid and benzocaine, can even be applied to purulent wounds washed with hydrogen peroxide. A significant drawback - it stains things too much, like sea buckthorn oil.
Rules for caring for bedridden patients
- The patient's skin must always be kept clean. It should not be wet or dry; air baths are organized for this.
- When using the toilet, do not rub your skin or use antibacterial soap. It is best to use plain soap and a natural sponge.
- If the skin is overdried, it is moisturized with a baby cream.
- Too wet skin is dried with a weak solution of potassium permanganate, a solution of brilliant green or zinc ointment. Zinc ointment is relevant only in the first stage of the disease.
- If redness appears, massage with a dry towel or terry mittens. Just do it without affecting the damaged skin.
- With increased sweating, as well as at a temperature, instead of water, it is better to use a weak solution of vinegar to wipe the patient.
Prevention of bedsores in bedridden patients.
The formation of bedsores occurs quite quickly, the death of cells can begin in just a few days. Despite the continuous search for new means to combat this disease, treatment causes many problems and is not always effective. Therefore, the prevention of the occurrence of bedsores is of great importance and should be carried out constantly.
Prevention of bedsores
Preventive actions:
- If the patient's condition allows, it is necessary to turn it several times a day.
- It is necessary to ensure that there are no folds, buttons and crumbs on the patient's personal and bed linen, as they represent a potential hazard.
- Bed linen should be clean; if dirty, it cannot let air through and allow the skin to breathe.
- For bedridden patients, it is recommended to place a rubber circle against bedsores under the sacrum, so that the sacrum is above the opening of the circle.
- The skin in places of constant contact with the bed should be wiped daily with camphor alcohol, vodka or other disinfectant solution.
- Wash the places of softening and maceration with cold water, wipe with alcohol, and then powder.
Bedsore mattresses and pillows
It is very difficult to care for bedridden and disabled people, and if the patient cannot roll over on his own, it is also physically difficult. It greatly facilitates the care of a patient with a bed sore mattress, which you can buy in an online store or, after ordering, in a pharmacy. It not only prevents the appearance of bedsores, but also provides the patient with the most comfortable conditions.
The anti-decubitus mattress helps to activate blood circulation in areas of possible necrosis, providing a massage effect on the tissues due to the alternating change of pressure points. It can be balloon and cellular. The principle of operation for both types is the same - air is alternately injected into cells or tubes (cylinders), with an interval of approximately 6 minutes, into even and odd elements.
bed sore mattress
Cellular mattresses are designed for patients with low weight, no more than 120 kg. They are more suitable for the prevention of pressure sores and the treatment of the first and second stages of the process. If the body weight of a bedridden patient exceeds 100 kg, and pressure sores have already reached 3-4 degrees, it is better to choose a balloon anti-decubitus system. The unique laser microperforation of the surface of the balloon mattress provides additional air flow and prevents body sweating.
A balloon mattress from bedsores will cost more. However, comparing the cost of the mattress with the possible material costs of medical and surgical treatment, you will come to the conclusion that the amount is quite acceptable.
A bed sore pillow also helps to reduce pressure on the body of a bedridden patient. She may be:
- foam rubber is the most economical option, but over time it loses its elasticity and the level of protection against bedsores is significantly reduced;
- gel - used for prevention, at low temperatures it can harden;
- air - suitable for both prevention and treatment of bedsores.
To combat bedsores in the pharmacy assortment, there are special patches with a specific hydrocolloid structure. The pressure sore patch accelerates healing several times and promotes cell regeneration. The gel mass absorbs exudate, provides moist healing and, depending on the composition, relieves pain, and the semi-impermeable protective film regulates evaporation.
Plaster from bedsores
The patch is applied to a wound previously treated with saline or chlorhexidine for a period of two to four days. It will take approximately three to four patches to completely heal a medium-sized pressure sore. If there is pus, necrosis and other signs in the wound that indicate the attachment of an infection, the patch is not used.
Folk remedies for bedsores
- Weeping wounds can be dried with potato starch, which has an advantage over regular powder, as it does not form dense crusts, and the skin breathes better.
- A small pillowcase is filled with millet or flax seeds and placed under areas where pressure sores may form.
- Refined vegetable or olive oil is added to beeswax melted in a water bath, and problem areas are lubricated with the resulting soft mass, which looks like petroleum jelly.
olive oil for bedsores
- A bandage with Kalanchoe juice or a leaf cut lengthwise is applied to the affected area overnight.
- Bedsores of the 1st and 2nd stages are lubricated several times a day with tea tree oil, fir or sea buckthorn oil.
- Freshly picked elderberry leaves are scalded with boiling water or milk and applied twice a day to the surface of the bedsore.
- Calendula ointment for treating wounds twice a day can be prepared independently. For this, crushed flowers in the amount of 1 tbsp. l. mixed with 50 grams of vaseline.
If bed sores appear in bedridden patients, you don’t know how to treat the photo, or you doubt how to treat bedsores, call a specialist at home. He will be able to determine the degree of damage and give appropriate recommendations for treatment. So you prevent the development of complications in the patient, which in some cases can cost him his life.
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