{"id":1358,"date":"2026-01-09T16:17:05","date_gmt":"2026-01-09T15:17:05","guid":{"rendered":"https:\/\/jannu-ferides.org\/?post_type=proyectos&#038;p=1358"},"modified":"2026-01-09T16:22:10","modified_gmt":"2026-01-09T15:22:10","slug":"cura-dun-pacient-amb-ferides-complexes-al-nepal-sinwa-taplejung","status":"publish","type":"proyectos","link":"https:\/\/jannu-ferides.org\/ca\/proyecto\/cura-dun-pacient-amb-ferides-complexes-al-nepal-sinwa-taplejung\/","title":{"rendered":"Cura d&#8217;un pacient amb ferides complexes al Nepal (Sinwa-Taplejung)"},"content":{"rendered":"\n<p>El 13 de maig de 2025 vam tenir el primer contacte amb el nostre pacient al Nepal a trav\u00e9s de Bisan. Santa, el nostre primer pacient, \u00e9s un parapl\u00e8gic amb una lesi\u00f3 per pressi\u00f3 de categoria IV a la zona glutia.<\/p>\n\n\n\n<p><br>Aquest pacient es troba a la zona de Kanchenjunga-Jannu, d&#8217;aqu\u00ed ve el nom de la nostra organitzaci\u00f3. Sinwa \u00e9s a quatre hores en cotxe de la capital regional, Taplejung, a l&#8217;extrema est de Nepal.<br>Despr\u00e9s d&#8217;una avaluaci\u00f3 inicial, vam definir un pla de cures preliminar mentre esper\u00e0vem obtenir productes per a la cura d&#8217;aquesta lesi\u00f3 per pressi\u00f3 profunda (LPP).<\/p>\n\n\n\n<p><br>El 14 de juny vam obtenir material de cura (alginats, hidrofibres i ap\u00f2sits d&#8217;escuma multiestratificats), aix\u00ed com \u00e0cids grassos hiper\u00f2xids en oli i crema barrera per a la cura de la pell peri-lesional, ferides cicatritzades i per prevenir lesions d&#8217;incontin\u00e8ncia, i un coix\u00ed per a la prevenci\u00f3 de les PPI i per millorar l&#8217;estabilitat del pacient.<\/p>\n\n\n\n<p><br>Despr\u00e9s de moltes vicissituds i gr\u00e0cies a l&#8217;ajuda de Smith &amp; Nephew Espanya i a la nostra determinaci\u00f3 i entusiasme, aix\u00ed com als del nostre soci local Nature Trek, el paquet amb els materials va arribar a Sinwa al setembre.<\/p>\n\n\n\n<p><br>El pacient est\u00e0 sent tractat per en Bisan, un t\u00e8cnic d&#8217;infermeria del centre d&#8217;atenci\u00f3 prim\u00e0ria local, amb el suport de Jannu Ferides.Actualment, el LPP est\u00e0 millorant, no han aparegut noves lesions i estem a l&#8217;espera d&#8217;enviar un matal\u00e0s d&#8217;aire alternatiu per millorar l&#8217;atenci\u00f3 preventiva.<\/p>\n\n\n\n<p><br><strong>Jannu Ferides, Nature Explore Treks, Smith &amp; Nephew Spain, Vermeiren Spain, Biotelier Labs i Fheriwounds Solutions<\/strong> col\u00b7laboren en aquest projecte.<\/p>\n\n\n\n<p>..I una curiositat:<\/p>\n\n\n\n<p><br>La imatge que incloem correspon a <strong>Silam Sakma<\/strong>, un s\u00edmbol associat al poble Limbu, un grup ind\u00edgena de la regi\u00f3 de l&#8217;Him\u00e0laia que \u00e9s predominant a la zona de Sinwa.  <\/p>\n\n\n\n<div class=\"wp-block-uagb-image alignleft uagb-block-083d54bf wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-left\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-1.jpeg ,https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-1.jpeg 780w, https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-1.jpeg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-1.jpeg\" alt=\"\" class=\"uag-image-1193\" width=\"225\" height=\"225\" title=\"Sinwa 1\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><br>Pel que fa al seu significat,<strong> &#8216;Si&#8217;<\/strong> significa &#8216;mort&#8217;, &#8216;<strong>lam<\/strong>&#8216; es tradueix com a &#8216;cam\u00ed&#8217; i <strong>&#8216;sakma<\/strong>&#8216; significa &#8216;aturar&#8217;, de manera que<strong> Silam Sakma<\/strong> es considera un escut protector que &#8216;atura el cam\u00ed de la mort&#8217;. <\/p>\n\n\n\n<p>Hi ha diverses hist\u00f2ries sobre els or\u00edgens del <strong>Silam Sakma<\/strong>. La hist\u00f2ria que s&#8217;ha transm\u00e9s a la fam\u00edlia de Kumari explica com el <strong>Silam Sakm<\/strong>a va comen\u00e7ar com una manera perqu\u00e8 un jove gui\u00e9s formalment l&#8217;esperit de la seva mare difunta fora del regne dels vius i cap a l&#8217;al m\u00e9s enll\u00e0. Avui dia, quan es veu un <strong>Silam Sakma<\/strong> en un espai, indica la pres\u00e8ncia d&#8217;una persona limbu en aquell lloc.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-uagb-image alignleft uagb-block-ad0f4d1b wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-left\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-2-897x1024.jpeg ,https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-2.jpeg 780w, https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-2.jpeg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-2-897x1024.jpeg\" alt=\"\" class=\"uag-image-1194\" width=\"897\" height=\"1024\" title=\"Sinwa 2\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><\/div><\/div>\n<\/div><\/div>\n","protected":false},"featured_media":1357,"menu_order":0,"template":"","class_list":["post-1358","proyectos","type-proyectos","status-publish","has-post-thumbnail","hentry"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-e1763561337420.jpg",1463,488,false],"thumbnail":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-e1763561337420-150x150.jpg",150,150,true],"medium":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-e1763561337420-300x100.jpg",300,100,true],"medium_large":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-e1763561337420-768x256.jpg",768,256,true],"large":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-e1763561337420-1024x342.jpg",1024,342,true],"1536x1536":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-1342x1536.jpg",1342,1536,true],"2048x2048":["https:\/\/jannu-ferides.org\/wp-content\/uploads\/2025\/11\/Sinwa-8-1789x2048.jpg",1789,2048,true]},"uagb_author_info":{"display_name":"admin-jannu","author_link":"https:\/\/jannu-ferides.org\/ca\/author\/"},"uagb_comment_info":0,"uagb_excerpt":"El 13 de maig de 2025 vam tenir el primer contacte amb el nostre pacient al Nepal a trav\u00e9s de Bisan. Santa, el nostre primer pacient, \u00e9s un parapl\u00e8gic amb una lesi\u00f3 per pressi\u00f3 de categoria IV a la zona glutia. Aquest pacient es troba a la zona de Kanchenjunga-Jannu, d&#8217;aqu\u00ed ve el nom de&hellip;","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jannu-ferides.org\/ca\/wp-json\/wp\/v2\/proyectos\/1358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jannu-ferides.org\/ca\/wp-json\/wp\/v2\/proyectos"}],"about":[{"href":"https:\/\/jannu-ferides.org\/ca\/wp-json\/wp\/v2\/types\/proyectos"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jannu-ferides.org\/ca\/wp-json\/wp\/v2\/media\/1357"}],"wp:attachment":[{"href":"https:\/\/jannu-ferides.org\/ca\/wp-json\/wp\/v2\/media?parent=1358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}