{"id":4867,"date":"2023-08-22T08:49:16","date_gmt":"2023-08-22T06:49:16","guid":{"rendered":"https:\/\/nudch.eu\/?p=4867"},"modified":"2023-08-22T08:49:16","modified_gmt":"2023-08-22T06:49:16","slug":"liecba-ran-u-najmensich-pacientov-z-pohladu-sestry","status":"publish","type":"post","link":"https:\/\/nudch.eu\/en\/liecba-ran-u-najmensich-pacientov-z-pohladu-sestry","title":{"rendered":"Lie\u010dba r\u00e1n u najmen\u0161\u00edch pacientov z poh\u013eadu sestry"},"content":{"rendered":"
Lie\u010dba r\u00e1n u\u00a0najmen\u0161\u00edch pacientov \u00a0z\u00a0poh\u013eadu sestry<\/strong><\/p>\n V Bratislave 22. augusta 2023<\/u> \u2013 Na Neonatologickej klinike intenz\u00edvnej medic\u00edny LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b zhruba dve deti mesa\u010dne potrebuj\u00fa intenz\u00edvnu lie\u010dbu r\u00e1n. Lek\u00e1ri a\u00a0sestry na klinike s\u00a0lie\u010dbou r\u00e1n u\u00a0novorodencov dosahuj\u00fa ve\u013emi dobr\u00e9 v\u00fdsledky, hoci je to, obrazne povedan\u00e9,\u00a0 beh na dlh\u00e9 trate. <\/strong><\/p>\n \u00a0,,U na\u0161ich pacientov je to dlhodob\u00fd proces u\u017e len t\u00fdm, \u017ee prich\u00e1dzaj\u00fa na svet s\u00a0v\u00e1\u017enym zdravotn\u00fdm probl\u00e9mom, niekedy aj pred\u010dasne naroden\u00ed a\u00a0sami so sebou maj\u00fa ve\u013ek\u00fd zdravotn\u00fd probl\u00e9m, ktor\u00fd musia zvl\u00e1dnu\u0165. N\u00e1ro\u010dn\u00e9 opera\u010dn\u00e9 v\u00fdkony im pom\u00e1haj\u00fa zvl\u00e1dnu\u0165 tento boj, ale prin\u00e1\u0161aj\u00fa so sebou aj rany. Lie\u010dba r\u00e1n je individu\u00e1lna a\u00a0vy\u017eaduje si neskuto\u010dn\u00fa trpezlivos\u0165 v\u0161etk\u00fdch z\u00fa\u010dastnen\u00fdch str\u00e1n, preto\u017ee pr\u00eddu obdobia, kedy sa kr\u00e1sne na\u0161tartuje hojaci proces, ale potom m\u00f4\u017ee pr\u00eds\u0165 f\u00e1za, ke\u010f \u00a0aj nieko\u013eko dn\u00ed lie\u010dba stagnuje. Vo v\u0161eobecnosti v\u0161ak v\u00a0lie\u010dbe r\u00e1n dosahujeme ve\u013emi dobr\u00e9 v\u00fdsledky a\u00a0v\u00e4\u010d\u0161ina det\u00ed sa vyhne resut\u00faram v\u00a0celkovej anest\u00e9zii vr\u00e1tane det\u00ed napr\u00edklad s\u00a0r\u00e1z\u0161tepmi chrbtice, \u010di rozsiahlymi ranami na in\u00fdch ve\u013emi nam\u00e1han\u00fdch \u010dastiach tel\u00ed\u010dka,\u201c <\/em>hovor\u00ed Mgr. Ren\u00e1ta Jan\u010dovi\u010dov\u00e1,<\/strong> ved\u00faca sestra Neonatologickej kliniky LF UK a\u00a0N\u00daDCH a\u00a0\u010falej hovor\u00ed: ,,Ak chceme, aby sa rany novorodencov pekne hojili, mus\u00edme dba\u0165 aj na vn\u00fatorn\u00e9 prostredie die\u0165a\u0165a, krvn\u00fd obraz a\u00a0v\u00a0neposlednom rade aj o\u0161etrovanie samotnej rany.\u201c <\/em><\/p>\n Ranov\u00e9 t\u00edmy v\u00a0nemocnici maj\u00fa k\u00a0dispoz\u00edcii viacer\u00e9 krytia r\u00e1n u\u00a0novorodencov a\u00a0ich v\u00fdber\u00a0 ovplyv\u0148uj\u00fa viacer\u00e9 faktory predov\u0161etk\u00fdm na strane pacienta. Ka\u017ed\u00e1 rana je individu\u00e1lna a\u00a0jej hojenie ovplyv\u0148uje celkov\u00fd zdravotn\u00fd stav pacienta. Tie\u017e pod\u013ea toho, o\u00a0ak\u00fd typ rany ide, jej ve\u013ekos\u0165, h\u013abku, os\u00eddlenie a\u00a0in\u00e9 ovplyv\u0148uj\u00face faktory. Napr\u00edklad hydrofiln\u00e9 krytia zvlh\u010duj\u00fa ranu. Svoje miesto v\u00a0starostlivosti o\u00a0novorodencov maj\u00fa aj krytia na b\u00e1ze ionizovan\u00e9ho striebra s\u00a0vysok\u00fdm protiz\u00e1palov\u00fdm a\u00a0analgetick\u00fdm \u00fa\u010dinkom. V\u00a0starostlivosti o\u00a0rany sa vyu\u017e\u00edvaj\u00fa tie\u017e krytia na b\u00e1ze kyseliny hyalur\u00f3novej v\u00a0tekutej aj penovej forme. ,,Kyselina hyalur\u00f3nov\u00e1 je \u013eudsk\u00e9mu telu ve\u013emi bl\u00edzka a\u00a0aj na\u0161i novorodenci ju zn\u00e1\u0161aj\u00fa ve\u013emi dobre,\u201c <\/em>hovor\u00ed ved\u00faca sestra s\u00a0t\u00fdm, \u017ee asi naj\u010dastej\u0161ie vyu\u017e\u00edvaj\u00fa absorb\u010dn\u00e9 krytia, ktor\u00e9 z\u00a0rany absorbuj\u00fa\/nas\u00e1vaj\u00fa\/ \u00a0exud\u00e1t alebo v\u00fdpotok. ,,Vysok\u00fa absorb\u010dn\u00fa schopnos\u0165 maj\u00fa napr\u00edklad biokeramick\u00e9 krytia.\u00a0 V\u010faka vysokej absorp\u010dnej schopnosti dok\u00e1\u017eu ranu nielen vy\u010disti\u0165 od bakt\u00e9ri\u00ed v\u00a0r\u00e1mci biofilmu, ale z\u00e1rove\u0148 na\u0161tartuj\u00fa aj hojaci proces. Niekedy bio keramiku pou\u017eijeme aj prevent\u00edvne pred n\u00e1sledn\u00fdm\u00a0 opeara\u010dn\u00fdm\u00a0 v\u00fdkonom, kedy v\u00a0rane prebiehal z\u00e1palov\u00fd\u00a0 proces a\u00a0po p\u00e1r d\u0148och m\u00e1me \u010dist\u00e9 stery a\u00a0rana je pripraven\u00e1 na resut\u00faru a \u010fal\u0161iu kontrolu,\u201c <\/em>hovor\u00ed Ren\u00e1ta Jan\u010dovi\u010dov\u00e1.<\/p>\n Ako si laik m\u00f4\u017ee predstavi\u0165 biokeramick\u00e9 krytia? ,,Predstavi\u0165 si ich m\u00f4\u017eeme ako vank\u00fa\u0161iky r\u00f4znych ve\u013ekost\u00ed, v\u00a0ktor\u00fdch s\u00fa drobn\u00e9 gu\u013e\u00f4\u010dky. Mne osobne pripom\u00ednaj\u00fa zmen\u0161eninu polystyr\u00e9nov\u00fdch guli\u010diek, ale s\u00fa tvrd\u00e9 a\u00a0r\u00f4zne tvarovan\u00e9 \u2013 s\u00a0otvorom, bez otvoru, s\u00a0prierezom a\u00a0in\u00e9. V\u00e4\u010d\u0161ie krytia obsahuj\u00fa t\u00fdchto vank\u00fa\u0161ikov viac a\u00a0s\u00fa za\u017eehlen\u00e9 v\u00a0mrie\u017eke. Jednu stranu maj\u00fa matn\u00fa, druh\u00fa leskl\u00fa, ktorou sa prikladaj\u00fa priamo na ranu,\u201c <\/em>hovor\u00ed sk\u00fasen\u00e1 sestra.<\/p>\n","protected":false},"excerpt":{"rendered":" Lie\u010dba r\u00e1n u\u00a0najmen\u0161\u00edch pacientov \u00a0z\u00a0poh\u013eadu sestry V Bratislave 22. augusta 2023 \u2013 Na Neonatologickej klinike intenz\u00edvnej medic\u00edny LF UK a\u00a0N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b zhruba dve deti mesa\u010dne potrebuj\u00fa intenz\u00edvnu lie\u010dbu r\u00e1n. Lek\u00e1ri a\u00a0sestry na klinike s\u00a0lie\u010dbou r\u00e1n u\u00a0novorodencov dosahuj\u00fa ve\u013emi dobr\u00e9 v\u00fdsledky, hoci je to, obrazne povedan\u00e9,\u00a0 beh na dlh\u00e9 trate. \u00a0,,U na\u0161ich pacientov je […]<\/p>\n","protected":false},"author":8,"featured_media":4868,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[78],"tags":[],"yoast_head":"\n