INSTRUCTIONS FOR THE RIGHT ULTRA CARE INSTRUCTIONS
The care of ulcers should note a number of important factors:
Adequate nutrition and attention must be paid to avoid systemic (or local) infection. Long-term ulcers cause pain, guilt and inconvenience a lot in daily activities.
What are wounds and ulcers?
Wounds can be mechanical, burn or chemical. Ulcers can be caused by a number of diseases, when lying down for a long time, there is little change in position, common location on the buttocks, shoulder blades, heels, ankles and ulcers due to neuropathy.
Ulcers caused by lying down for a long time, lying still in a position causes prolonged pressure on the skin, causing ischemia. Leg ulcers are caused by venous insufficiency or ischemic, peripheral nervous system disease, such as in patients with diabetes mellitus or leprosy. Most of the wounds are sores that take a long time to heal, causing nuisance and difficulty in care and treatment.
Wound ulcers can be caused by mechanical causes, burns or chemical causes
Treatment can be divided into 3 phases:
- Haemostasis phase immediately after the wound.
- The stage of granulation and re-epithelialization.
- Skin remodelling and reshaping phase.
Haemostasis of platelets and fibrin clots, granulation, and re-epithelialization follow and persist for about 21 days from the time of injury, depending on the extent of the wound and the location of the wound. The growth factor produced by platelets stimulates fibroblasts to form granulomatous tissue consisting of a collagen matrix with capillaries and epidermal cells to regenerate and regenerate the epithelium on the surface of the wound.
The collagen matrix strengthens during skin remodeling and reshaping and is accompanied by a reduction in capillaries. This stage can last up to 2 years from the time of injury.
when taking care of ulcers
The care of ulcers needs to pay attention to a number of important factors: adequate nutrition, especially vitamin C and zinc, which requires sufficient oxygen and good perfusion. Care of ulcers must be taken to avoid systemic (or local) infection.
Ulcer care requires a number of cellular and non-cellular factors such as platelets and growth factors: the lack of these factors also slows wound healing. Thus, age, systemic conditions, medications, nutrition, birth defects all affect the speed of wound healing.
Local ulcer care:
Wash, remove inflammatory fluid and prevent infection. Wound treatment and the selection of these preparations should be based on the size of the wound, the location of the wound, the type of wound, whether it is shallow or deep, and the cause, the infection, and the stage of the wound.
Ulcer care usually uses 0.9% sodium chloride solution, hypo chloride, hydrogen peroxide, podicipedid, and chlorhexidine. Hypochlorite’s can slow wound healing with long-term use because they slow collagen production and cause inflammation.
Sodium chloride solution is suitable for daily cleaning of non-infected wounds. There are many washing solutions that allow removing scum such as dextran Omer, hydrogel, and hydrocolloid. Software ablation is effective in removing necrotic tissue.
Wounds can produce large amounts of exudate due to inflammation, especially during the first few days. Therefore, when caring for ulcers, hydrochloride and alginate preparations are commonly used as effective desiccants.
All wounds more or less harbor bacteria. Infection with Pseudomonas aeruginosa can delay wound healing and silver sulfadiazine is used in this case, especially in burns. When caring for ulcers, it is necessary to treat systemic infections when clinically present, such as sudden pain, cellulitis, and increased discharge.
In addition, dressing the wound is necessary. Some bandages absorb inflammatory fluids. Cotton, wool, gauze cannot be used for deep wounds because there may be fibbers that separate and stick to the wound, causing dehydration.
Hydrogels, hydrocolloids, polysaccharides, cadexomer-oid, alginate and foam dressings are suitable items for deep, cavernous, and porous wounds. For stench-smelling wounds, activated charcoal is very effective. Metronidazole is active against anaerobic bacteria, which produce a pungent odour and is used topically to deodorize tumors (but not in wounds because of the potential for resistance).
There are also other ways to treat wounds or take care of special ulcers such as draining fluid from the legs, hanging the legs high, flexing the ankles, or using bandages to bind and squeeze are all helpful in the treatment. ulcers caused by venous insufficiency.
Bio flavonoids, oral prettifying improve venous insufficiency, leg ulcers, and accelerate wound healing. Topical or systemic Ketan Erin has been used and shown to be useful for wounds or ulcers where blood flow is inadequate or vascular surgery is needed. Ulcers caused by lying in one position for a long time, it is very important to reduce compression. There are some wounds that need a skin graft.