How To Treat Decubitus Ulcers On The Back?
Hello Doctor … r nAssalamualaikum … r n r nMy wife is a DECUBITUS sufferer in her back and buttocks. R nBoth legs, although still unable to move, can feel the feeling of being pinched or tickled. r n r nAlhamdulillaah is now undergoing treatment at home. r nAlhamdulillaah, her wounds have started to shrink. r nThe drugs consumed include: r n- Sanmol Forte 650mg (100S) r n- Alpentin 150mg r n- Mecobalamin 500mg r n- Inbumin 250mg r n- Levofloxacin 500mg r nAnd Celebrex 200mg which we only use when he is in a lot of pain or is very sick. r n r n My question is: r n1. How to treat wounds on the back, where some white membranes are still there ??? r n2. How to properly treat a wound to keep the wound sterile ??? r n3. How to overcome fatigue when he has to be treated (such as tilted to the right and left every 2 hours) ??? r n4. And is a suggestion for us what kind of Diapers or Pampers we can use ??? r n5. How do you keep your vagina and rectum clean apart from changing diapers or pampers ???
Walaikumsalaam, good morning Aleewijaya83.
Decubitus ulcers are conditions of damage to the skin and tissue under the skin due to light pressure for a long time or strong pressure for a short time. This pressure causes disruption of blood flow in the skin and oxygen supply to the skin tissue, so that the skin becomes damaged and forms ulcers (ulcers). Decubitus ulcers are often experienced in patients who have been in bed for a long time, have diseases that cause mobility limitations, are wheelchair users, etc. Decubitus ulcers are also often experienced by patients who have a history of diabetes. The locations of these pressure ulcers are generally on the back and buttocks, but they can also appear in other parts of the body that are subject to pressure.
1. To treat decubitus on the back, which can be done include:
take care of the wound / clean the wound every day. This wound cleaning can be done by medical personnel (doctors / nurses) and families at home (of course, with guidance first)
do body movements, both actively and passively (assisted by others). This will reduce the pressure on the skin. do this position shift every 2 hours
use anti-decubitus mattress mattresses that you can find in medical equipment stores
use creams / ointments prescribed by the surgeon / neurologist who treats your wife, which can accelerate tissue healing and prevent further damage
taking antibiotics (in your case, an antibioic has been given, namely levofloxacin)
consumption of foods high in vitamins A, C, protein, and zinc, which can speed up the healing of pressure sores (giving dietary supplements or vitamins can be considered)
taking pain relievers (in case you have been given)
If the decubitus ulcer that occurs is already severe (there is damage to the fatty tissue so that it forms a hole in the skin, or until the muscles and bones are visible or damaged) then surgery is necessary to remove the damaged tissue for stitches or for tissue grafting
2. To keep the wound sterile, clean the wound in a sterile way too. From the start of using sterile gloves, the tools used must also be sterile (can be done using a medical device sterilizer or boiled in clean water with high temperature. When the work is done in a sterile way, you can consult this or you can ask. to the surgeon / neurologist who treats your wife for an example so that you can do it right at home.
3. To prevent fatigue, can be done by eating and drinking enough and high in vitamins. Lack of drinking can cause dehydration (lack of fluids), causing fatigue. In addition, also provide mental support to your wife to keep up the spirit and avoid stress. Stress or depression can cause a person to feel tired easily.
4. There are no rules regarding the type of diapers / special diapers that should be used, the important thing is to change them whenever it feels damp / wet.
5. For feminine hygiene, clean with clean water after every BAK or BAB and every time you change diapers / diapers. Pat dry with a clean, dry towel after each cleaning. Avoid using special soap or even powder in the intimate area.
I hope this helps.
Greetings, dr. Denisa