Enzymatic desloughing kosten This consists in using proteolytic enzymes to compensate for the concentration of our own enzymes. This method is indicated for local adjuvant treatment of wounds, skin ulcers and pressure sores during the desloughing phase. Epidermis The outermost layer of the skin, the epidermis forms the bodys external barrier, providing the functions of protection and waterproofing. The thickness of the layer varies depending on the area of the body concerned. On average it.5mm thick but can be as much as 5 mm thick on the soles of the feet. The epidermis is composed of: stratum corneum or horny layer stratum germinativum basal layer (basement membrane) Epidermolysis Bullosa Epidermolysis Bullosa is a rare hereditary disease affecting 500 000 people worldwide. It is the result of a failure of connection between the epidermis and the dermis. Epidermolysis Bullosa is characterised by the fragility of the epithelium leading to the formation of blisters at the slightest knock or rub. Epithelisation Epithelialisation is the last phase of the healing process. Once granulation is complete and lost dermis has been replaced, terminal epithelialisation can begin. There is no longer a basement membrane so epithelialisation will take place from skin edge to skin edge. Marginally, the basal cells slide over the surface of the granulation buds through multiplication and generate a neo-epidermis on the surface of the healed wound.
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This lack of insulin mellitus is responsible for serious hyperglycaemia and will have a fatal outcome if not treated by frequent insulin injections. Type 2 diabetes (90 of cases) This form of diabetes is characterised by insulin resistance, frequently accompanied with obesity. Sometimes during a long period of time there is no need for insulin treatment if diet is controlled and glucose lowering drugs such as metformin are used. Unfortunately, insulin becomes necessary after several years of evolution. In both types of diabetes, chronic hyperglycaemia is responsible for long-term complications that explain the high morbidity and mortality associated with the disease. Enke-arm-index of brachial pressure index (abpi) measures the arterial blood supply to the lower limb it is used to help determine the aetiology of a leg ulcer: This measurement easily performed as an ambulatory recept test using a continuous Doppler probe or Doppler ultrasound blood flow. If the abpi is between.9 and.3 : there is no arterial disease: If an ulcer is present, it is of purely venous origin. If the abpi is between.7 and.9 : there is concurrent arterial disease. However the ulcer is predominantly venous in origin. If the abpi is less than.7 : the ulcer is of predominantly arterial origin. In the event of an abpi greater than.3, the measurement is not significant since this reflects an artery incompressibility problem.
: provide respectively the strength of the skin and its movement. Fibroblasts: these cells are the major cell type in the dermis producing and secreting procollagen and elastic fibres to form the skins structure. Nerves: enable the sensory role of the skin, reacting to heat, cold and pain etc. Macrophages: phagocytic white blood cells that form part of the innate immune system, form part of the bodys primary defence to infection. Diabetes diabetes is a state of hyperglycaemia (high blood glucose) resulting from both genetic and environmental factors. There are two main types of diabetes: Type i diabetes (10 of diabetics). This form of diabetes is characterised by the complete or almost complete disappearance of insulin secretion by the pancreas.
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The wound will be left slightly open to allow the free drainage of pus. After a few days the wound will be closed and then allowed to heal by primary closure. Sometimes wound drains are used to assist the drainage of fluid from the wound. Cavity dressings may be appropriate to pack this type of wound,. Alginate rope for absorbency. When dressing this type of cavity wound it is important to manage any exudate and also keep the wound bed moist to protect and aid the process of granulation and healing. Dermabrasions These lesions result from scraping the surface layer of the skin, generally this is the result of a fall onto a hard surface and are common sports injuries. Dermis The dermis is the living layer of the skin. Highly vascularised, its role koolhydraatarme is as supporting connective tissue. It is rich in fibres that make the skin elastic and strong. In this living layer there are: Blood and lymph vessels: ensure the movement of the nutrition and oxygen needed by living cells, removal of waste and migration of antibodies.
Once this elimination phase is complete, tissue reconstruction can begin. In a chronic wound, the desloughing phase is often the healing phase that obstructs tissue reconstruction. The term desloughing covers 2 concepts: natural desloughing, which is achieved thanks to our own cells. This is the cleaning process performed by the body itself thanks to our white blood cells or proteolytic enzymes produced by our white blood cells. Assisted desloughing is essential when the bodys own cleaning capacities are unable to cope with the quantity of tissue damage (exudate, slough). Dehisced wounds Dehiscence means the breaking down, or splitting open of all or part of a wound healing by first intention. This can be caused by systemic factors or local factors. Wound closure technique (e.g. Suturing too tightly so affecting the vascularity of the skin edges causing necrosis) or infection. The management of any infection in dehisced wounds is vital and the wound is often allowed to heal by secondary intention. Delayed primary closure This method of wound closing is used when there has been bacterial contamination.
When in contact with wound exudate, urgotul dressings gel and create a moist environment. This stimulates fibroblast proliferation, ensures non-adherence and pain-free dressing changes which promotes the healing process. The key benefits of the close range dressing are: Optimises wound healing Ensures pain-free and atraumatic dressing change Promotes fibroblasts proliferation This range is indicated for wounds in the epithelialization stage (burns, abrasions, traumatic wounds, post-operative wounds, leg ulcers, pressure ulcers, diabetic foot ulcers, epidermolysis. Colonisation Colonisation is the presence of bacteria within a wound without this leading to an inflammatory response. Most colonisation of acute wounds is by bacteria such as streptococci and staphylococci which are already present on normal healthy skin (commensal organisms). The bacterial population in chronic wounds is much more varied, including commensal skin bacteria such as Staphylococcus (. Aureus, coagulase-negative staphylococc i corynebacteria and α-haemolytic streptococci. Following multiplication of microorganisms within the wound and adherence to epithelial cells, an equilibrium is set up between the patient and their microbial flora. The microorganisms remain at the surface of the wound and can form a biofilm. Contact layers Interfaces composed of a tight mesh of a synthetic material, coated with a special substance, recommended for use at the end of the granulation and epithelialisation phases. Debridement/Desloughing The desloughing phase is the phase that occurs after wound cleaning and once bleeding has stopped. It eliminates all foreign waste and/or necrotic tissue.
14 Producten waar vreemd genoegChronic wounds A chronic wound is one that does not heal in the expected time frame (21 days to a month). An almost permanently inflammatory environment established in the lesion does not allow healing to follow the normal staged procedure. They include: Ulcers Pressure ulcers diabetic foot ulcers Longstanding acute wounds Clean range de procedure van het reinigen van wonden kan erg moeilijk zijn voor de behandelaar (het pijnloos verwijderen van debris en het voorkomen van bloedingen) en ook ongemakkelijk en pijnlijk voor de patient (manuele. Daarom heeft Urgo medical UrgoClean ontwikeld, een innovatieve oplossing die ervoor zorgt dat debris en exsudaat effectief wordt verwijderd en de wondgenezing stimuleert. In contact met wondexsudaat geleren de hydro-actieve reinigende vezels en, absorbeert en draineert afval het debris in het verband bind het in het verband zodat het niet terug kan vloeien in de wond (autolytisch debridement). De gellaag die in het verband ontstaat zorgt voor een vochtig wondmilieu, wat weer de genezing van het gereinigd gebied bevordert. . Urgoclean zorgt ook voor een vertikale absorptie en het vasthouden van het exsudaat in het verband. De belangrijkste voordelen van de reinigende range verbanden zijn: Absorberen en draineren van vocht, debris en bacteriën In 1 keer in zijn geheel te verwijderen Zorgt voor een pijnloze en atraumatische verbandwisselingen De reinigende range is geïndiceerd voor exsuderende wonden met debris (Ulcus cruris, decubitus diabetische voetwonden. It combines efficacy, tolerance and acceptability for the optimal healing of wounds regardless of exudate level. The overall objective being to optimise wound healing.
A biofilm can be described as bacteria embedded in eten a thick, slimy barrier of sugars and proteins. A typical example of a biofilm is the yellow slimy film that can be seen on the teeth if left unbrushed. The biofilm barrier protects the microorganisms from external threats. Biofilms can be found in wounds and are suspected to delay healing in some cases. (adapted from : biological desloughing, this method results from the observation that some maggots only feed on necrotic tissue. In addition, their movements on the wound are thought to mechanically stimulate healing. This method can be used on both dry and moist necrosis. Burns A burn is an injury to the skin, and sometimes to underlying tissues, caused by contact with heat, electricity, chemicals, light, radiation or friction. Severe loss of skin can lead to infection and loss of the skins functions such as thermoregulation and immunity. Charcoal dressings Charcoal dressings are odour-absorbing, deodorising the wound by absorbing bacteria and bacterial spores away from the wound.
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Autolytic desloughing, autolytic desloughing consists in promoting the elimination of waste by softening necrotic tissue and/or absorbing exudate and slough using dressings. Its indications differ depending on the type of necrosis encountered: dry necrosis: hydrogels moist necrosis: alginates, hydrofibres and hydrodesloughing fibres. Each one of these dressings has its own specific action depending on the type of necrosis. Average 40mmHg, the recommended treatment for venous leg ulcers requires the application of effective compression therapy. Research has shown that graduated pressure, with a high sub-bandage pressure of 40 mmHg at the ankle is necessary to achieve optimum results (ewma 2003). Biofilm, biofilms are complex microbial communities containing bacteria paradijs and fungi. The microorganisms synthesise and secrete a protective matrix that attaches the biofilm firmly to a living (e.g. Wound) or non-living surface. Biofilms are dynamic heterogeneous communities that are continuously changing. They may consist of a single bacterial or fungal species, or may be contain multiple diverse species.
De nieuwe generatie hydro-reinigende vezels zijn samengesteld uit polyacrylaat polymeren met in het midden een acryl kern voor het in in 1 keer in zijn geheel te verwijderen van het verband. Arterial ulcer, arterial ulcers occur less frequently than venous ulcers, they arise distally (below) an area of external damage (knock, scrape or other injury) that often goes unnoticed by the patient: On the foot, away from the ankle, heel or ball of the foot. Other pressure points, they occur in patients with: peripheral arterial disease, arteriosclerosis, diabetes etc. As a result of poor arterial circulation. Main clinical characteristics are: round, smooth edges deep punched out appearance with necrotic tissue no odour the foot often turns to a pale white/yellow colour when the leg dieet is elevated painful, especially at night exacerbated by raising the limb to a horizontal position (e.g. When in bed) exposure of underlying structures, assisted desloughing by negative pressure. Assisted desloughing using negative pressure therapy is a method to eliminate exudate and organic waste using pressure lower than atmospheric pressure. This continuous or discontinuous aspiration pressure is exerted through a polyurethane foam or a pad. It is performed using an aspirating motor. The pressure can be adjusted on the basis of wound type: from 50 mm Hg for burns to up to 175 mm Hg for surgical wounds. It is indicated in the desloughing of difficult-to-heal wounds and to speed up granulation.
Urgo medical » Glossary
Please select from the licht menu above. Accelerate range, leg ulcers, pressure ulcers and diabetic foot ulcers are common wound types and part of the day-to-day reality for healthcare professionals. In response to this problem, Urgo has developed the Accelerate range which is warm clinically proven to accelerate the wound-healing process, once the wound is clean and prepared for healing. The tlc-nosf neutralises the excess proteases present in chronic wounds. This rebalances the wound equilibrium and promotes faster healing. Tlc (Technology lipido-colloid) creates a moist environment, promotes fibroblast proliferation and ensures non-adherence and pain-free dressing change. The key benefits of the accelerate range dressing are: Promotes faster healing, is cost-effective, improves patients quality of life. This range is indicated in leg ulcers, pressure ulcers, diabetic foot ulcers and longstanding acute wounds. Acute wonden, acute wonden zijn te beschrijven als wonden die plotseling ontstaan en kortdurend zijn. Hieronder vallen ook chirurgische wonden en traumatische wonden zoals: Brandwonden, schaafwonden, bijt en krabwonden, alginaten hydrofibres hydro-reinigende dressings. Dit zijn sterk absorberende dressings voor het reinigen van wonden met vochtig debris en necrose.