{"id":7457,"date":"2022-09-02T18:50:58","date_gmt":"2022-09-02T18:50:58","guid":{"rendered":"https:\/\/taissis.ro\/?p=7457"},"modified":"2022-09-02T18:52:16","modified_gmt":"2022-09-02T18:52:16","slug":"7457-2","status":"publish","type":"post","link":"https:\/\/taissis.ro\/en\/7457-2\/","title":{"rendered":"Evaluarea pacientului \u0219i a pl\u0103gii"},"content":{"rendered":"

\u00a0<\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Evaluarea pacientului \u0219i a pl\u0103gii \u2013 aspecte generale<\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Vindecarea pl\u0103gilor este influen\u021bat\u0103 de mul\u021bi factori, \u00eencep\u00e2nd de la oxigenarea inadecvat\u0103 a \u021besuturilor, p\u00e2n\u0103 la factori psiho-sociali; astfel, este important\u0103 nu numai evaluarea pl\u0103gii, ci \u0219i evaluarea st\u0103rii pacientului. \u00cen func\u021bie de gravitatea pl\u0103gii, este recomandat ca, at\u00e2t evaluarea pacientului, c\u00e2t \u0219i a pl\u0103gii s\u0103 fie efectuat\u0103 de personal cu preg\u0103tire medical\u0103.<\/p>\n\n\n\n

1. Evaluarea pacientului<\/strong><\/p>\n\n\n

\n
\"\"<\/figure><\/div>\n\n\n

Ca regul\u0103 general\u0103, urm\u0103toarele evalu\u0103ri ale st\u0103rii pacientului ar trebui efectuate:<\/p>\n\n\n\n

  • Hipertensiunea: este un factor care predispune la afec\u021biuni ale inimii \u0219i afec\u021biuni ale vasculariz\u0103rii periferice<\/li>
  • Pulsul<\/li>
  • Identificarea cauzelor apari\u021biei infec\u021biei<\/li>
  • Evaluarea st\u0103rii respiratorii care afecteaz\u0103 oxigenarea \u021besuturilor.<\/li><\/ul>\n\n\n\n

    De asemenea, exist\u0103 o multitudine de al\u021bi factori care \u00eent\u00e2rzie vindecarea pl\u0103gii, cum ar fi diabetul, afec\u021biunile renale sau hepatice, deshidratarea, etc.<\/p>\n\n\n\n

    2. Evaluarea pl\u0103gii<\/strong><\/p>\n\n\n\n

    Plaga poate fi evaluat\u0103 prin aprecierea urm\u0103torilor factori:<\/p>\n\n\n\n

    • Aspect<\/strong> \u2013 at\u00e2t aspectul pl\u0103gii propriu-zise, c\u00e2t \u0219i aspectul pielii peri-lezionale (din jurul pl\u0103gii)<\/li>
    • Cauzele apari\u021biei pl\u0103gii<\/strong> \u2013 de exemplu: arsur\u0103, t\u0103ietur\u0103, etc.<\/li>
    • Localizare<\/strong> \u2013 poate ajuta la determinarea cauzei \u0219i a complica\u021biilor poten\u021biale, cum ar fi riscul contamin\u0103rii \u00een regiunea sacral\u0103. Totodat\u0103, zona \u00een care este prezent\u0103 plaga ajut\u0103 la stabilirea pansamentului corespunz\u0103tor sau a tratamentului care trebuie urmat<\/li>
    • Suprafa\u021ba \u0219i profunzimea<\/strong> \u2013 influen\u021beaz\u0103 timpului necesar p\u00e2n\u0103 la vindecarea pl\u0103gii<\/li>
    • Tipurile de \u021besuturi prezente \u00een plag\u0103<\/strong> \u2013 o plag\u0103 const\u0103 \u00een mai multe tipuri de \u021besuturi, \u00een func\u021bie de stadiul vindec\u0103rii. Adeseori, aceste tipuri de \u021besuturi sunt apreciate colorimetric: negru, galben, ro\u0219u \u0219i roz. Astfel:<\/li><\/ul>\n\n\n
      \n
      \"\"<\/figure><\/div>\n\n\n
      • Negrul semnific\u0103 necroza (\u021besut mort). Acesta trebuie \u00eendep\u0103rtat; vindecarea pl\u0103gii este \u00eent\u00e2rziat\u0103 de prezen\u021ba \u021besutului necrozat care ac\u021bioneaz\u0103 ca un mediu de cultur\u0103 favorabil dezvolt\u0103rii bacteriilor<\/li>
      • Galbenul semnific\u0103 prezen\u021ba fibrinei (o substan\u021b\u0103 fibroas\u0103). Aceasta trebuie \u00eendep\u0103rtat\u0103 din plaga pentru ca vindecarea sa se produc\u0103<\/li>
      • Ro\u0219ul semnific\u0103 \u021besutul de granula\u021bie care umple plaga \u00een timpul vindec\u0103rii. Acesta nu trebuie traumatizat \u00een timpul tratamentului<\/li>
      • Rozul semnific\u0103 epitelizarea. Se formeaz\u0103 \u00een stadiul final al vindec\u0103rii pl\u0103gii \u0219i formeaz\u0103 noua epiderm\u0103; nici acesta nu trebuie traumatizat \u00een timpul tratamentului. \u00cen cazul pl\u0103gilor cu suprafa\u021b\u0103 mare, se pot observa \u201dinsule\u201d de \u021besuturi de epitelizare<\/li><\/ul>\n\n\n\n

        Trecerea de la negru spre ro\u0219u (roz), se traduce printr-o ameliorare a st\u0103rii pl\u0103gii, \u00een timp ce trecerea de la ro\u0219u (roz) sau galben spre negru, se traduce printr-o agravare a st\u0103rii pl\u0103gii.<\/p>\n\n\n\n

        • Infec\u021bia<\/strong> \u2013 o plag\u0103 infectat\u0103 va prezenta o \u00eent\u00e2rziere a vindec\u0103rii. Semnele clinice ale infec\u021biei sunt:<\/li>
        • Cre\u0219terea intensit\u0103\u021bii durerii<\/li>
        • Eritemul (\u00eenro\u0219irea)<\/li>
        • Cre\u0219terea cantit\u0103\u021bii de exudat<\/li>
        • Formarea abceselor<\/li>
        • Febra<\/li>
        • Starea pielii peri-lezionale \u2013 <\/strong>poate stabili care produs este potrivit; de exemplu, pielea fragil\u0103 nu tolereaz\u0103 produsele adezive. Pielea peri-lezional\u0103 furnizeaz\u0103 informa\u021bii despre eficacitatea produselor care au fost utilizate asupra controlului exudatului. Daca exudatul nu este controlat corespunz\u0103tor, poate apare macerarea pielii peri-lezionale, iar dac\u0103 aceasta situa\u021bie persist\u0103, pot ap\u0103rea dermatitele de contact<\/li>
        • Exudatul<\/strong> \u2013 este un fluid care este produs de plag\u0103 \u00een timpul procesului de vindecare \u0219i trebuie s\u0103 fie controlat pentru a men\u021bine plaga \u00een mediu umed care favorizeaz\u0103 vindecarea<\/li><\/ul>","protected":false},"excerpt":{"rendered":"

          \u00a0 Evaluarea pacientului \u0219i a pl\u0103gii \u2013 aspecte generale Vindecarea pl\u0103gilor este influen\u021bat\u0103 de mul\u021bi factori, \u00eencep\u00e2nd de…<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"yoast_head":"\nEvaluarea pacientului \u0219i a pl\u0103gii - Taissis Concept - Pansamente ingrijirea plagii, comprese bloc operator<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/taissis.ro\/en\/7457-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluarea pacientului \u0219i a pl\u0103gii - Taissis Concept - Pansamente ingrijirea plagii, comprese bloc operator\" \/>\n<meta property=\"og:description\" content=\"\u00a0 Evaluarea pacientului \u0219i a pl\u0103gii \u2013 aspecte generale Vindecarea pl\u0103gilor este influen\u021bat\u0103 de mul\u021bi factori, \u00eencep\u00e2nd de...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/taissis.ro\/en\/7457-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Taissis Concept - 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