[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/www.adif.cz\/prevence-dekubitu\/#Article","mainEntityOfPage":"https:\/\/www.adif.cz\/prevence-dekubitu\/","headline":"Prevence dekubit\u016f","name":"Prevence dekubit\u016f","description":"Dekubity neboli prole\u017eeniny jsou z\u00e1va\u017enou poruchou ko\u017en\u00ed integrity. Mnoho lid\u00ed se domn\u00edv\u00e1, \u017ee vznikaj\u00ed pouze na povrchu k\u016f\u017ee, ale mohou se objevit i pod povrchem k\u016f\u017ee. Jedn\u00e1 se vlastn\u011b o ohrani\u010denou od\u00famr\u0165 tk\u00e1n\u011b. Vlivem tlaku doch\u00e1z\u00ed k odum\u0159en\u00ed bun\u011bk, jeliko\u017e nedoch\u00e1z\u00ed ke spr\u00e1vn\u00e9 mikrocirkulaci krve. Dekubity nejprve zasahuj\u00ed k\u016f\u017e\u00ed. Pokud se nel\u00e9\u010d\u00ed, pokra\u010duj\u00ed do podko\u017e\u00ed, […]","datePublished":"2023-07-21","dateModified":"2023-09-15","author":{"@type":"Person","@id":"https:\/\/www.adif.cz\/author\/#Person","name":"","url":"https:\/\/www.adif.cz\/author\/","identifier":1,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/40308b9402d145b1dc164f447b6506e9dadca8c8362c3ffb52df95e789c0fd10?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/40308b9402d145b1dc164f447b6506e9dadca8c8362c3ffb52df95e789c0fd10?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"adif.cz","logo":{"@type":"ImageObject","@id":"\/logo.png","url":"\/logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/www.adif.cz\/wp-content\/uploads\/alexander-grey-7PZ8Gb-pmaA-unsplash.jpg","url":"https:\/\/www.adif.cz\/wp-content\/uploads\/alexander-grey-7PZ8Gb-pmaA-unsplash.jpg","height":0,"width":0},"url":"https:\/\/www.adif.cz\/prevence-dekubitu\/","about":["Nakupov\u00e1n\u00ed"],"wordCount":399,"articleBody":"        Dekubity neboli prole\u017eeniny jsou z\u00e1va\u017enou poruchou ko\u017en\u00ed integrity. Mnoho lid\u00ed se domn\u00edv\u00e1, \u017ee vznikaj\u00ed pouze na povrchu k\u016f\u017ee, ale mohou se objevit i pod povrchem k\u016f\u017ee. Jedn\u00e1 se vlastn\u011b o ohrani\u010denou od\u00famr\u0165 tk\u00e1n\u011b. Vlivem tlaku doch\u00e1z\u00ed k odum\u0159en\u00ed bun\u011bk, jeliko\u017e nedoch\u00e1z\u00ed ke spr\u00e1vn\u00e9 mikrocirkulaci krve. Dekubity nejprve zasahuj\u00ed k\u016f\u017e\u00ed. Pokud se nel\u00e9\u010d\u00ed, pokra\u010duj\u00ed do podko\u017e\u00ed, sval\u016f a mohou dos\u00e1hnout a\u017e na kost.Dekubity se d\u011bl\u00e1 do \u010dty\u0159ech stup\u0148\u016f:I. Stupe\u0148 \u2013 k\u016f\u017ee je za\u010dervenal\u00e1, nemocn\u00fd poci\u0165uje sv\u011bd\u011bn\u00ed a\u017e p\u00e1len\u00edII. Stupe\u0148 \u2013 doch\u00e1z\u00ed k poru\u0161en\u00ed integrity k\u016f\u017ee a jej\u00edmu po\u0161kozen\u00ed. Dekubit se \u0161\u00ed\u0159\u00ed do podko\u017e\u00ed a nemocn\u00fd c\u00edt\u00ed p\u00e1len\u00ed a bolest.III. Stupe\u0148 \u2013 doch\u00e1z\u00ed k roz\u0161\u00ed\u0159en\u00ed dekubitu. Dosahuje a\u017e do podko\u017e\u00ed k tukov\u00e9 vrstv\u011b. Obvykle je p\u0159\u00edtomna i bakteri\u00e1ln\u00ed infekce. R\u00e1na je otev\u0159en\u00e1.IV. Stupe\u0148 – Doch\u00e1z\u00ed k \u00fapln\u00e9mu rozpadu tk\u00e1n\u011b a nekr\u00f3ze. P\u0159\u00edtomna je i gangr\u00e9na. R\u00e1na siln\u011b zap\u00e1ch\u00e1 a je napln\u011bna hnisem. Bakterie se mohou v tomto p\u0159\u00edpad\u011b \u0161\u00ed\u0159it snadno do krve, \u010d\u00edm\u017e hroz\u00ed celkov\u00e1 sepse.Jak vid\u00edte, dekubity nejsou \u017e\u00e1dn\u00e1 legrace a je nutn\u00e9 jim p\u0159edch\u00e1zet. V p\u0159\u00edpad\u011b, kdy u\u017e vzniknou, je nutn\u00e9 je podchytit hned na za\u010d\u00e1tku, aby nedoch\u00e1zelo ke zhor\u0161en\u00ed stavu.Jak\u00e9 je prevence dekubit\u016f?Pohyblivost – nejv\u00edce ohro\u017eenou skupinou jsou imobiln\u00ed pacienti, kte\u0159\u00ed jsou upout\u00e1ni na l\u016f\u017eko, nebo maj\u00ed sn\u00ed\u017eenou pohyblivost. Polohov\u00e1n\u00ed \u2013 pokud je pacient imobiln\u00ed, mus\u00edme zm\u011bnu jeho polohy za\u0159\u00eddit my. Mus\u00edme p\u0159itom respektovat jeho p\u0159\u00e1n\u00ed, pohodl\u00ed a db\u00e1t i na o, aby pod n\u00edm nebyly \u0161patn\u011b upraven\u00e9 l\u016f\u017ekoviny. I to m\u016f\u017ee vyvolat dekubity.Antidekubitn\u00ed pom\u016fcky \u2013 u klient\u016f se \u0161patnou pohyblivost\u00ed se b\u011b\u017en\u011b vyu\u017e\u00edvaj\u00ed antidekubitn\u00ed pom\u016fcky, kter\u00e9 slou\u017e\u00ed jako prevence proti dekubit\u016fm a usnad\u0148uj\u00ed polohov\u00e1n\u00ed. A nejsou jen do postele, existuje t\u0159eba i antidekubitn\u00ed podlo\u017eka do voz\u00edku Libella design. Zdrav\u00e1 v\u00e1ha \u2013 pokud je nemocn\u00fd podvy\u017eiven\u00fd, kost je bl\u00ed\u017ee k\u016f\u017ei a t\u00edm vznik\u00e1 v\u011bt\u0161\u00ed riziko dekubit\u016f. Stejn\u011b ale tak obezita je rizikov\u00fdm faktorem v p\u0159\u00edpad\u011b dekubit\u016f. Proto je nejlep\u0161\u00ed prevenc\u00ed, udr\u017eovat si optim\u00e1ln\u00ed v\u00e1hu.                                                                                                                                                                                                                                                                                                                                                                                           5\/5 - (1 vote)        "},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Prevence dekubit\u016f","item":"https:\/\/www.adif.cz\/prevence-dekubitu\/#breadcrumbitem"}]}]