Doctors of each separate medical institution use only those methods that they themselves consider to be the most effective.
The complexity of treatment of decubitus is that when the patient is still lying for a long time, the skin and muscle tissue atrophy, the nerve fibers and blood vessels are nipped.
The cause of the formation of pressure sores is the strong protrusion of the human skeleton, which comes in direct contact with the hardest part of the bed.
As a result, the skin and blood vessels are squeezed.
The normal state of sleep prevents dangerous, stagnant changes in the blood: the subcutaneous fat layer( fat pad) easily breaks down with them.
But what should we do when the reserve capacity of the body is exhausted?
The whole point is that when a person does not move for a long time, the reserve cells of his fat pad begin to resolve, and in some, certain parts of the skin, stagnant changes occur.
Hazardous areas where decubitus edema is localized: 
- lying on the back( elbows, nape, buttocks, shoulder blades, rump, heels);
- lying on his stomach( pubis, cheekbones);
- lying on its side( ankles, knees, hips).
It is generally accepted that pressure ulcers occur as a result of excessive drying or moistening of the skin.
Exfoliation of the corneal layers of the skin, which have certain protective properties.
It is in these areas is the most vulnerable and tender dermis.
Wet skin favors the infection of decubitus with bacteria.
In the following time, the process of skin damage only worsens, due to blood flow disorders.
Treatment
For successful treatment and prevention of pressure sores, various special creams and patches are used, which maintain the necessary level of acid-base balance of the skin.
They prevent excessive drying of the skin, and eliminate its excessive moisture.
There are pharmaceutical films specially designed for application to the skin in places of squeezing.
These films are adapted for bedridden patients, whose skin is well "breathing" and successfully copes with the removal of excess moisture.
Usually, these films contain alcohol compounds that prevent skin infection.
In addition, such a film-dressing facilitates the successful removal of various liquids from the contents of the wound.
Doctors, before applying a protective film, recommend a thorough treatment of decubitis with antifungal ointments( clotrimazole, nystatin ).
Dermatovenerologists avoid treatment of decubitus with iodine or zelenok.
These coloring preparations are good at healing the upper surface of the wound, but in the lower layers of the dermis only activate the decay processes.
It should be noted that at the last stage of healing of pressure sores, a specific white coating appears on the skin, which should be removed by alcohol, hydrogen peroxide or decoctions of anti-inflammatory medicinal herbs( chamomile, St. John's wort).
Purulent contents( if any) should be removed using compresses with saline.
Plaster for treatment of pressure sores
A patch is an effective remedy for the permanent protection of an ulcer or wound. 
Daily use of the patch promotes rapid healing of cracks in the skin, and when cleaning the wound - successfully remove pus.
Plaster, before use, it is useful to warm up in hands( about half an hour).
This can achieve its increased elasticity.
Replacement of the patch is required after a few days( two to three), when its working surface is clogged with particles of depleted epithelium.
Dry bedsores require a slightly different process of applying a patch:
before it is placed on the wound, the skin surface is carefully treated with paste or gel with zinc oxide.
As you know, zinc oxide helps to quickly heal the skin and prevents the appearance of microcracks on the skin.
The plaster can be used for a long time, until a large amount of liquid content begins to accumulate under its surface.
All this liquid must be immediately and efficiently discharged outside.
For this purpose, a pharmaceutical gel and fir oil are used.
Principles for the treatment of pressure sores
There are three basic principles for the effective treatment of pressure sores, which must be strictly observed:
- to remove dead tissue;
- to restore the blood supply to the affected area;
- to conduct wound healing( healing).
Restoring blood supply to a recumbent patient( and even more so, to a motionless patient) is a rather difficult task, but it must be done.
The patient should be turned over several times during the day and shifted to a variety of positions( from side to side, back, abdomen).
If conservative methods( compresses, ointments, patches) are not effective, then the removal of dead tissue can only be carried out by surgery.
The essence of the surgical operation is:
- procedure for opening purulent lesions;
- antiseptic wound treatment;
- ensuring normal access to blood supply.
At home for rejection of dead tissue, you can use ointment IRUSKOL .
Not bad help in the treatment of bedsores various folk remedies.
For example, a cognac-saline solution.
It can be prepared, as the name implies, from salt( 30 g) and cognac( 150 g).
Mix these ingredients, and the cognac-salt solution can be used to prepare bandages that help to remove necrosis.
For the treatment of pressure ulcers, it is possible to recommend the use of various wound healing, antiexudative, antibacterial drugs.
The best antibacterial agent, according to most experts, is the cream Fusikutan .
Within one day, it should be applied to the zone of a pressure sore wound three times.
The excellent means for excreting from the wound of exudate is the preparation Dalaskin .
Compresses impregnated with Dalaskin should be used several times within one week.
Of course, the application of all the above methods should be carried out under the close supervision of a dermatologist.
Otherwise, there may be a variety of problems with the patient, up to complete necrosis of the tissues and death of the patient.
Take care of yourself.
Stay healthy!
Video: Treatment of pressure sores
Unfortunately, for today, physicians do not have any 100% means for treating decubitus.
