Health Worlds

Public forum the night sunrise wonderful self-human counterparts of Rehabilitation Medicine will commemorate the disabled driving club sunset the wind China Disabled People's Forum Network Forum Fei Liya love old mountain house more self-Lan Ou Forum Forum Hua Ziqiang strong geological survey who love music network Amidst the vast South Sea Garden, "Chinese Journal of Clinical Rehabilitation" magazine Forum of psychological abjection Forum Inn Blue Ridge Music Hall of cedar products forum too awkward Mengyin Life Network Forum Dating Forum Road, the China Disabled Persons Association for the Handicapped to the spine - China spina bifida calls to Forum
Moderator: This is the training method of the rectum, you speak of these are different situations, especially in the early spinal cord injury done some special targeted some of the rehabilitation training is really beneficial. So, there will be paralyzed after spinal cord injury, patients requiring long-term bed rest, as far as I know, there will be a lot of pressure sore patients, is it? It is how it formed, what kind of harm?
Action Director: Yes. Pressure sores, in the past, and many of our medical staff people called bedsores, that will happen is lying in bed, and now to change it to pressure sores, in fact, is not necessarily lying in bed, sitting for too long there will be the same, it fundamentally The reason is pressure, pressure pressure on the skin for too long, the skin ischemia, this part of the skin will p


roduce avascular necrosis, the formation of a wound, the wound can be very deep, all together if the skin and muscle necrosis, and can to the bone. Pressure sore is a very serious problem, when World War I, pressure ulcers is the most important cause of death, because it infects, then there is no good antibiotics to control infection, so that when mortality is very high, until after World War II this was the first cause of death to make way for urinary tract infections, so we speak in front of the bladder treatment is also very important, because to avoid urinary tract infections. But the pressure sore is still a big problem, because in the event, and our rehabilitation will be limited.
Moderator: Well, now there is not a good measure to prevent or cure it?
Action Officer: The most important measure is to remove the incentive to not let it continue to be oppressed, of course, also includes nutritional state incentives, such as weight loss, malnutrition, low blood pressure, are also important incentive, followed by treatment of the wound, in the past have is coated with a lot of drugs, but now commonly used internationally is very simple way, people can use, that is, to the wet-dry saline dressings, is to put a piece of gauze and 0.9% saline, attached to the wounds , until it is wet, when torn off, put the following together torn off the secretions, and back to one, to a certain time and then replaced, and this is the easiest way, and sometimes according to some of the light, infrared ultraviolet rays, but also be very effective.
Moderator: There are some people, will use a number of films, the same as the plastic sheets attached to the above, this effective?
Action Director: Algoplaque this trade name, is a very expensive dressings, this film is a breathable, of course, can be, is more expensive, but the effects are not bad saline gauze, as is the international standard the rehabilitation of pressure ulcers to introduce the content.
Moderator: So we talked about the spinal cord injury patients with paralysis of some of the most prominent problem, leading to the feeling of movement disorder to identify themselves and their families to bring a relatively heavy burden, then the one hand, these people suffer from physical the pain, the psychological pressure is relatively large, while during our rehabilitation, is not have to look at their mental state?
Action Officer: Of course. Psychotherapy is extremely large proportion, or even may be the most important part, because the patient can not overcome the dysfunction of their confidence in overcoming disabilities, not with words, all the treatment impossible. And we do have a lot of patients with mental disorders is not achieved because the function should be implemented, he gave up, not hard, the impact is enormous, and our ward there are such patients, as a doctor I often keep up patients say is this: Everyone always wants to maintain a hope that one day I hope I can have any progress, that progress may not be the original recovery of neurological function of paralysis, but life can not do the original, and now could have done This is progress, and should always keep this hope.
Moderator: Well, we have to carry out any way through a number of psychological treatment?
Action Director: Psychological treatment is most important is to make patients aware of his ability in the future may have, a doctor must be restored to the potential of the patient told him well, giving him hope, and the second, we will advocates in the rehabilitation treatment of patients every week to see progress, in fact, see a little progress, the patient is a great psychological comfort. In addition, we have medical staff and patients have enough to share, you must have a good attitude, let them feel that they, like us, without any discrimination, are all equal, we are seldom used in patients with spinal cord injury drug psychological treatment, mostly in this way of communicating.
Moderator: So we want to talk about the more important part, is not it should be the rehabilitation of motor function, how to proceed? This is the problem we are more concerned about it.
Li Director: motor function of the training is all spinal cord injury patients are most concerned about the content, if possible, we can watch a video, sports features, including physical activities, walking, walking is the patient is first to mention the requirement, how Cesuo , dress, shoes, how to resume work in the future, and so on.
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