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هنگامی ارائه ی کمک های اولیه، مهم است که خود و مصدوم را در برابر عفونت حفظ کنید. اقداماتی برای جلوگیری از عفونت متقاطع– انتقال میکروب یا عفونت از امدادگر  به مصدوم یا سرایت آن از مصدوم به امدادگر انجام دهید.

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کمک های اولیه به مجموعه اقداماتی گفته می شود که در پاسخ به نیازهای فرد مجروح یا کسی که ناگهان دچار بیماری شده است ارایه می گردد. و امدادگر به کسی گفته می شود که این اقدامات را انجام می دهد در حالی که مراقبت می کند تا همه کسانی که در گیر سانحه هستند ایمن بمانند و درضمن به فرد مصدوم آسیب بیشتری نرسد.

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زخم‌های پوستی که نمی‌توانند بهبودی پیدا کنند، یا به آرامی بهبود می‌یابند و یا در زمان بسیار طولانی بهبود یافته و مداوا می‌شوند، به عنوان یک زخم مزمن شناخته شده است. برخی از علل بسیاری از زخم‌های مزمن (مداوم) پوست شامل تروما، سوختگی، سرطان پوست، عفونت و یا بیماری‌های دیگر مانند دیابت باشند. اینگونه زخم‌ها، زخم‌هایی هستند که برای درمانشان مدت طولانی باید بگذرد و نیاز به مراقبت ویژه دارند.

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زخم‎های عروقی در مناطق انتهایی بدن، خصوصا در افراد با سن بالاتر از 65 سال، دلیل شایعی برای مراجعات پزشکی به متخصصین پا، کارشناسان ترمیم زخم، پزشکان عمومی، جراحان عروق و متخصصین پوست است.بیشتر این زخم‎ها مزمن و راجعه هستند، منجر به آسیبها و ناتوانی های قابل توجه‎ای در بیماران می‎‎شوند و بیمار را در انجام کارهایش ناتوان می‎سازند. از طرف دیگر، این بیماران با خطر بالایی از آمپوتاسیون‌های اندام تحتانی مواجهند.علاوه بر این، اقدامات درمانی، هزینه‎های بسیاری به بیمار و سیستم سلامت تحمیل می‎کنند. بستری شدن در بیمارستان می‎تواند به این بیماران در بهبود زخم‎شان کمک کند اما کمبود تخت‎های بیمارستانها، بالابودن هزینه‎ های مراقبتی و نیاز روحی به مستقل بودن در میان جمعیت مسن نشان می‎دهد که ماندن در بیمارستان روش قابل اجرایی نخواهد بود و سیستم های مراقبتی سرپایی مقرون به صرفه ‎تر و مناسبت تر است.
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بیماری دیابت یک بیماری مزمن است که به دلیل نقص در تولید انسولین یا كاهش اثر انسولين در سوخت و ساز مواد قندي پديد مي ‏آيد. در این بیماران افزایش قند خون منجر به آسیب به ارگان‎های بدن بویژه عروق خونی و اعصاب می‎شود. طبق جدیدترین آمارهای سازمان جهانی بهداشت، نزدیک به 150 میلیون نفر در جهان به دیابت ملیتوس مبتلا هستند که طبق پیشبینی‎ها تا سال 2025 این میزان دو برابر خوهد شد. از میان آسیب‎هایی که دیابت به بیماران تحمیل می‎کند، یکی از جدی‎ترین مشکلات زخم پای دیابتی است که به دلیل اختلالات اعصاب و عروق رخ می‎دهد و گاهی می‎تواند منجر به عفونت، آمپوتاسیون اندام و کاهش طول عمر شود. این عارضه به عنوان پرهزینه ترین عارضه دیابت شناخته شده است.1
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زخم فشاریزخم‎های فشاری که در گذشته به آن‎ها زخم‎های بستر می‎گفتند یک تهدید مهم در مراقبت‎های بهداشتی به خصوص در بیماران با محدودیت‎های حرکتی، بیماری‎های مزمن و در سنین بالا محسوب می‎شوند. این زخم‎ها در بیماران بخصوص بیماران با سنین بالا یا آسیب‎های نخاعی به دلیل افزایش احتمال عفونت یا نیاز به مراقبت‎های خاص، عاملی برای بستری کردن بیمار در بیمارستان می‎باشند و علاوه بر اینکه هزینه ‎های درمانی زیادی را به بیمار تحمیل می‎کنند، می‎توانند منجر به طولانی شدن روند بهبود بیمار و افزایش احتمال بروز عوارض دیگر شوند. عواقب حاصل از زخم‎های فشاری (زخم‎های بستر) که گریبانگیر بیماران می‎شود و هزینه درمان مربوط به آنان، تلاش گسترده در جهت کاهش این مشکل را توجیه می‎کند.
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ترمیم زخم به روش مرطوبامکان ایجاد ترمیم به روش مرطوب به وسیله پانسمان‎های بسته و نیمه بسته ایجاد می‎شود.
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عفونت زخمعفونت یکی از مشکلات شایع زخم‎هایی است که درمان نمی شوند. این عامل می تواند خطری برای به تاخیر افتادن پروسه ترمیم، طولانی شدن مدت درمان و افزایش هزینه های درمانی باشد.
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ارزیابی بیمار مبتلا به زخمدر مبحث ارزیابی بمار مبتلا به زخم به دو موضوع باید پرداخت، ارزیابی بیمار و ارزیابی زخم.
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فاکتورهای موثر در ترمیم زخمترمیم زخم ممکن است تحت تاثیر یک سری عوامل قرار گیرد. این عوامل بر دو نوعند:
  • عوامل مرتبط با وضعیت عمومی بیمار، عوامل سیستمیک
  • عوامل مرتبط با زخم، عوامل موضعی
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0.0001428127 SELECT * FROM banners WHERE banners_group = :group AND status = '1' ORDER BY sort_order ASC LIMIT 1
Total: 0.0147845745 Query count: 176