Tlhokomelo ea letlalo le ho se laolehe
Motho ea nang le boits'oaro ha a khone ho thibela moroto le setulo ho tsoa. Sena se ka lebisa mathateng a letlalo haufi le letheka, letheka, litho tsa botona le botšehali, le lipakeng tsa noka le puru (perineum).
Batho ba nang le mathata a ho laola moroto oa bona kapa mala (ba bitsoa incontinence) ba kotsing ea mathata a letlalo. Libaka tsa letlalo tse amehileng haholo li haufi le matheka, letheka, litho tsa botona le botšehali, le lipakeng tsa noka le rectum (perineum).
Mongobo o fetelletseng libakeng tsena o baka mathata a letlalo joalo ka bofubelu, ho ebola, ho teneha le tšoaetso ea tomoso.
Bedsores (khatello ea liso) e kanna ea hlaha haeba motho:
- Ha a e-ja hantle (ha a na phepo e nepahetseng)
- O fumane kalafo ea radiation sebakeng seo
- O qeta boholo ba nako kapa letsatsi lohle a le setulong sa likooa, setulong se tloaelehileng, kapa betheng a sa fetole boemo
HO HLOKOMELA LEBITLA
Ho sebelisa maleiri le lihlahisoa tse ling ho ka mpefatsa mathata a letlalo. Leha e ka boloka mealo le liaparo li hloekile, lihlahisoa tsena li lumella moroto kapa setuloana hore se kopane le letlalo khafetsa. Ha nako e ntse e ea, letlalo lea senyeha. Tlhokomelo e khethehileng e tlameha ho nkuoa ho boloka letlalo le hloekile ebile le omme. Sena se ka etsoa ka:
- Ho hloekisa le ho omisa sebaka hanghang kamora ho rota kapa ho tsuba.
- Ho hloekisa letlalo ka sesepa se bobebe, se hlapollang metsi ebe o a hlatsoa hantle 'me ka bonolo o phaphatha o omme.
Sebelisa lisebelisoa tse hloekisang letlalo tse se nang sesepa tse sa bakeng ho oma kapa ho teneha. Latela litaelo tsa sehlahisoa. Lihlahisoa tse ling ha li hloke ho hlatsoa.
Litlolo tse nosetsang mongobo li ka thusa ho boloka letlalo le le mongobo. Qoba lihlahisoa tse nang le joala, tse ka halefisang letlalo. Haeba u fumana kalafo ea radiation, botsa mofani oa tlhokomelo ea bophelo hore na ho nepahetse ho sebelisa litlolo kapa litlolo.
Nahana ka ho sebelisa sekoaelo sa letlalo kapa mokoallo oa mongobo. Li-cream kapa mafura a nang le zinc oxide, lanolin, kapa petrolatum li theha tšitiso letlalong. Lihlahisoa tse ling tsa tlhokomelo ea letlalo, hangata e le sefafatsa kapa thapo, li etsa filimi e hlakileng le e sireletsang letlalong. Mofani oa thepa a ka khothaletsa litlolo tse thibelang letlalo ho thusa ho sireletsa letlalo.
Le ha lihlahisoa tsena li sebelisoa, letlalo le ntse le lokela ho hloekisoa nako le nako kamora ho feta moroto kapa setuloana. Sebelisa tranelate kapa setlolo kamora ho hloekisa le ho omisa letlalo.
Mathata a ho hloka taolo a ka baka tšoaetso ea tomoso letlalong. Ena ke ho hlohlona, ho khubelu, ho tšoana le makhopho. Letlalo le ka utloa le le tala. Lihlahisoa lia fumaneha ho alafa tšoaetso ea tomoso:
- Haeba letlalo le na le mongobo boholo ba nako, sebelisa phofo e nang le moriana o thibelang mafu, joalo ka nystatin kapa miconazole. Se ke oa sebelisa phofo ea lesea.
- Thibelo ea mongobo kapa letlalo e ka sebelisoa holim'a phofo.
- Haeba ho halefa ho matla ha letlalo ho qala, bona mofani oa hau.
- Haeba tšoaetso ea baktheria e hlaha, lithibela-mafu tse sebelisitsoeng letlalong kapa tse nkuoeng ka molomo li ka thusa.
Mokhatlo oa Naha oa Kontinente (NAFC) o na le tlhaiso-leseling e thusang ho www.nafc.org.
HAEBA U SEBETSE KAPA U SEBELISA SEKOLO
Lekola letlalo bakeng sa liso tsa khatello letsatsi le leng le le leng. Batla libaka tse khubelu tse sa soeufetseng ha li hatelloa. Hape sheba li-blisters, liso, kapa liso tse bulehileng. Bolella mofani oa thepa haeba ho na le drainage e nkhang hampe.
Lijo tse phetseng hantle, tse leka-lekaneng tse nang le lik'hilojule le liprotheine tse lekaneng li u thusa ho boloka 'mele oa hao le letlalo le phetse hantle.
Bakeng sa batho ba tlamehang ho lula betheng:
- Fetola boemo ba hau khafetsa, bonyane lihora tse ling le tse ling tse peli
- Fetola maqephe le liaparo hang hang ha li silafetse
- Sebelisa lintho tse ka u thusang ho fokotsa khatello, joalo ka mesamo kapa marulelo a foam
Bakeng sa batho ba nang le setulo sa likooa:
- Etsa bonnete ba hore setulo sa hau se lekana hantle
- Fokotsa boima ba hao metsotso e meng le e meng e 15 ho isa ho e 20
- Sebelisa lintho tse ka u thusang ho fokotsa khatello, joalo ka mesamo kapa marulelo a foam
Ho tsuba ho ama pholiso ea letlalo, kahoo ho emisa ho tsuba ho bohlokoa.
Incontinence - tlhokomelo ea letlalo; Incontinence - khatello ea bohloko; Incontinence - khatello ea seso; Incontinence - bethe e bohloko
- Ho thibela liso tsa khatello
Bliss DZ, Mathiason MA, Gurvich O, et al, Liketsahalo le litlhahiso tsa ho hloka taolo ho amanang le ts'enyo ea letlalo ho baahi ba malapa a maqheku a nang le ts'oaetso e ncha. Mooki oa Continental Ostomy Continence. 2017; 44 (2): 165-171. PMID: 28267124 e fetotsoe.ncbi.nlm.nih.gov/28267124/.
TV ea Boyko, Longaker MT, Yang GP. Tlhahlobo ea tsamaiso ea hajoale ea liso tsa khatello. Tsoelo-pele tlhokomelong ea maqeba (New Rochelle). 2018; 7 (2): 57-67. PMID: 29392094 e fetotsoe.ncbi.nlm.nih.gov/29392094/.
Kwon R, Rendon JL, Janis JE. Liso tsa khatello. Ka: Pina ea DH, Neligan PC, eds. Ho Buuoa ka polasetiki: Buka ea 4: Boholo bo Tlaase, Kutu le Burns. La 4 ed.Philadelphia, PA: Elsevier; 2018: khaolo ea 16.
Paige DG, Wakelin SH. Lefu la letlalo. Ka: Kumar P, Clark M, bahlophisi. Bongaka ba Kumar le Clark's Clinical. La 9th. Philadelphia, PA: Elsevier Saunders; 2017: khaolo ea 31.