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Чаще всего пролежни появляются у лежачих больных, которые не могут самостоятельно менять положение тела [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n\n**Симптомы**: покраснение кожи, не исчезающее при надавливании, локальное повышение температуры, отёк или уплотнение кожи, появление трещин, шелушения, развитие язвенных дефектов [1](https://doct.ru/diseases/prolezhen.html). \n\n**Места локализации**: пролежни могут образовываться в любой части тела, где кожа и подлежащие ткани подвергаются продолжительному давлению, но есть определённые места, которые особенно уязвимы из-за анатомических особенностей тела пациента [2](https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/). Например: копчик и область вокруг него, лопатки и плечевые суставы, бёдра и боковая сторона таза, пятки и лодыжки, локтевые и коленные суставы [2](https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/).\n\n\n\n## Причины\nОсновная причина — **сдавление тканей между костью и твёрдой поверхностью** (кровать, кресло) [2](https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/)[6](https://www.KrasotaiMedicina.ru/diseases/traumatology/bedsore). Это нарушает кровообращение в тканях, что приводит к их гибели и образованию ран [2](https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/). \n\n**Дополнительные факторы**: \n* трение о постельное бельё или одежду [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/); \n* влажность кожи (пот, моча или другие жидкости) [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/); \n* недостаточное питание и обезвоживание [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/); \n* заболевания, которые ухудшают кровообращение (диабет, сосудистые патологии) [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/).\n\n## Стадии\nВыделяют несколько стадий развития пролежней [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/): \n1. **Первая** — целостность кожных покровов не нарушена, но появляется покраснение, которое не исчезает при надавливании [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). Может возникать боль, зуд или изменение температуры кожи [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n2. **Вторая** — поверхностное повреждение кожи с образованием язвы или волдыря [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). Рана неглубокая, может выглядеть как открытая язва с розовым дном [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n3. **Третья** — поражение всех слоёв кожи, рана углубляется, образуется некротическая ткань [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). Может быть виден подкожный жир, но не мышцы, кости или сухожилия [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n4. **Четвёртая** — глубокое повреждение тканей, включая мышцы, сухожилия и кости [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). Рана может быть покрыта некротической тканью и сопровождаться инфекцией [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n5. **Пятая** — полное разрушение тканей, при котором глубина поражения не может быть определена из-за наличия струпа или некротической ткани [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/).\n\n## Лечение\nКонкретная схема лечения зависит от стадии, наличия инфекции, сопутствующих болезней и индивидуальных особенностей пациента [1](https://doct.ru/diseases/prolezhen.html). **Некоторые методы**: \n* устранение давления — подбор специального противопролежневого матраса [1](https://doct.ru/diseases/prolezhen.html); \n* местная обработка антисептиками и заживляющими средствами [1](https://doct.ru/diseases/prolezhen.html); \n* наложение повязок, ускоряющих регенерацию [1](https://doct.ru/diseases/prolezhen.html); \n* антибиотики при инфицированных язвах [1](https://doct.ru/diseases/prolezhen.html); \n* восстановление питания и водного баланса [1](https://doct.ru/diseases/prolezhen.html); \n* физиотерапия — лазер, магнит, ультразвук [1](https://doct.ru/diseases/prolezhen.html); \n* в сложных случаях — хирургическое лечение, включая удаление некроза и кожную пластику [1](https://doct.ru/diseases/prolezhen.html). \n\n**Важно**: лечение пролежней необходимо проводить под наблюдением врача [13](https://x-medica.ru/blog/obrabotka-prolezhnej-rekomendacii-po-ispolzovaniyu-prisposoblenij-i-medikamentov).\n\n## Профилактика\n**Некоторые меры профилактики**: \n* **Регулярная смена положения** — примерно каждые 2 часа рекомендуется перемещать пациента, чтобы уменьшить давление на одни и те же участки кожи [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n* **Использование специальных матрасов и подушек** — антипролежневые матрасы и подушки равномерно распределяют давление по поверхности тела [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/). \n* **Уход за кожей** — кожа должна быть чистой и сухой, нужно использовать щадящие моющие средства и регулярно увлажнять её, чтобы предотвратить сухость, шелушение и появление микротрещин [3](https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/prolezhen.html","shownUrl":"https://doct.ru/diseases/prolezhen.html","title":"Пролежень - причины, симптомы, диагностика и лечение","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":2,"url":"https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/","shownUrl":"https://www.Renewal.ru/voprosy-zdorovya/prolezhni-u-lezhachikh-bolnykh-ukhod-profilaktika/","title":"Пролежни: почему появляются, симптомы и лечение","shortUrl":"Renewal.ru","isTranslated":false,"description":"","greenUrl":"Renewal.ru"},{"sourceId":3,"url":"https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/","shownUrl":"https://www.blagorc.ru/articles/profilaktika-obrazovaniya-prolezhney-u-lezhachikh-bolnykh/","title":"Профилактика образования пролежней у лежачих больных - Медицинская статья от специалистов центра реабилитации Благополучие.","shortUrl":"blagorc.ru","isTranslated":false,"description":"","greenUrl":"blagorc.ru"},{"sourceId":4,"url":"https://klinikabudzdorov.ru/diseases/prolezhni/","shownUrl":"https://klinikabudzdorov.ru/diseases/prolezhni/","title":"Пролежни – причины, симптомы, стадии, диагностика и лечение заболевания у взрослых | Клиника «Будь Здоров»","shortUrl":"klinikabudzdorov.ru","isTranslated":false,"description":"","greenUrl":"klinikabudzdorov.ru"},{"sourceId":5,"url":"https://www.fdoctor.ru/bolezn/prolezhen/","shownUrl":"https://www.fdoctor.ru/bolezn/prolezhen/","title":"Пролежень: как избежать появления пролежней у лежачего больного","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":6,"url":"https://www.KrasotaiMedicina.ru/diseases/traumatology/bedsore","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/traumatology/bedsore","title":"Пролежень - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":7,"url":"https://caritas-ps.ru/materials/actual/prolezhni/","shownUrl":"https://caritas-ps.ru/materials/actual/prolezhni/","title":"Пролежни у пожилых и тяжелобольных людей: профилактика и лечение | Каритас. 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