Bedsores they are created in places where the bones are covered with a thin layer of skin. These are the outbreaks of dead tissue, going into skin ulcer, then subcutaneous tissue and even muscle and in the final phase – bones. The recourse is mostly – secondary. This is due to the long-lasting pressure causing tissue hypoxia. The most common pressure ulcers are formed in the region of: the sacrum, buttocks, ankles and on the heels. The cause of a pressure ulcer can be eg .: cerebral palsy, after accidents and other, causing difficulties in moving in bed or unconscious. They can also arise within the mucous membrane.
- fading redness – after slight pressure,
- non-blanching redness – after slight pressure,
- bedsheet covers the full thickness of the skin,
- bedsheet covers the skin, subcutaneous tissue, possibly also the fascia and muscles, on the bottom there are necrotic tissues – black.
Photo-1: right leg, wound around the ankle on the front side approx. 1.5 x 3 cm. higher bladder 5x3cm,
Photo-2: enlargement of the wound – which maintains for several months.
Photo-3: the same wound seen from the side, – dark skin color – the patient is diabetic,
Photo-4: the wound seen straight …
Starting treatment with the aid of a tamp . Tubulex :
Photo-5: after 1 week of use Tubulex : reduction of the wound and flattening of the bladder.
Photo-6: enlargement of the flat bladder,
Photo-7: enlarging the image of the wound ..,
Photo-8: similar photo after 2 days later during use Tubulex
Photo-9: after 2 weeks of use Tubulex
Photo-10: the same wound seen from the front,
Photo-11: wound in the same on the day enlarged: cleansing of the epidermis, brightening and its growing inside the wound ..,
After 1 month of using the tamp . Tubulex :
Photo-12: – healed wound, the bladder can not be seen ..,
Photo-13: – enlargement of the healed wound, and clean epidermis,
Photo-14: – healed wound, in its place visible only depression, healthy and strong skin.
Wound at the beginning of treatment – it had the dimensions: 10×15 cm.
Photo.1- a decubitus in the area sacrum bone – before starting using tamp. Tubulex ..,
Photo.2- wound after 5 days application Tubulex ,
Foto.3- wound after 10 days application Tubulex . there is a depression in soft tissues on 4-5cm, going … in towards the sciatic nerve.
There is also visible spontaneous cleansing of the wound and growing of the “island” of the new epidermis.
Foto.4– ulcers after 2 weeks of use Tubulex.
Foto.5- bedsore after 3 weeks of use Tubulex.
Photo-6: decubitus after 4 weeks of use Tubulex ,
Photo-7: bedsore after 5 weeks of wound healing,
Photo. 8 – gradual cleansing of the wound bottom – but the recess towards the sciatic nerve keeps continue.
Up to this point , it can be observed that:
- The wound color from intensely red has changed – light-red,
- on the vertical walls of the depression – you can see the signs of a young growing epithelium ..,
- “embankment ” pressure ulcer has become less hard – means more flexible,
- slowly gives way to pain and numbness of the right leg …
Photo.9- a decubitus ulcer after 6-7 weeks – it has smaller dimensions: 6×6 cm
Photo.10- decubitus ulcer after 8-9 weeks – it is much shallower, light pink, no pain,
Photo.11- decubitus ulcer after 10-11 weeks from the beginning of treatment,
Photo.12- decubitus after 12-13 weeks
- no more depression, the bottom is raised,
- it approaches the surface of the skin and is visible on its walls oblique growing new epidermis ..,
- size: 5x5cm. – round shape,
Scheme: for large areas of wounds or pressure ulcers (np.10x15cm) we recommend the establishment of a tamp . Tubulex according to the scheme: put on the bottom 3 tamp . completely unfolded and then have 10×8,5cm, and 2 ~ 3 on the sides, so as to cover it the whole circuit pressure sores, then a thin foil (pairing ) and bandage:
Photo-13: further healing of bedsores, 14 wk.
Note – the treatment continues … the new documentation will be gradually supplemented.