Owrzodzenia podudzi to poważne schorzenie, które wymaga długotrwałego i intensywnego leczenia. Niezależnie od etiopatogenezy owrzodzeń kluczową rolę w ich terapii odgrywa leczenie miejscowe zgodnie ze strategią TIME, w tym przede wszystkim stosowanie odpowiednich opatrunków specjalistycznych, takich jak Mepilex Ag.
Owrzodzenia kończyn dolnych mają charakter ubytków obejmujących naskórek i część skóry właściwej, które trudno i długotrwale się goją i w przypadku niestosowania odpowiedniej profilaktyki mają tendencję do nawracania. Owrzodzenia te często charakteryzują się obfitym wysiękiem i dolegliwościami bólowymi. Tego rodzaju rany są również podatne na zakażenia, co dodatkowo wydłuża i utrudnia proces leczenia.
Skuteczne leczenie owrzodzeń kończyn dolnych na tle niewydolności żylnej powinno się opierać na dwóch podstawowych elementach: skutecznej terapii miejscowej z użyciem specjalistycznych opatrunków oraz kompresjoterapii, która zapobiega rozwojowi i nawracaniu zmian chorobowych.
Leczenie miejscowe – strategia TIME
Terapia ran trudno gojących się, w tym również owrzodzeń kończyn dolnych, według zaleceń ekspertów powinna przebiegać według schematu TIME. Strategia ta uwzględnia cztery najistotniejsze w procesie leczenia ran aspekty: opracowanie rany, kontrolę infekcji i zapalenia, równowagę wilgotności rany oraz stymulację naskórkowania. Odpowiednio dobrany opatrunek powinien aktywnie wspierać proces gojenia rany na wszystkich wymienionych etapach. Opatrunkiem, który spełnia te wymagania, jest Mepilex Ag firmy Mölnlycke.
Opatrunek Mepilex Ag to wszechstronny przeciwbakteryjny opatrunek piankowy, przeznaczony do trudno gojących się ran z małym i średnim wysiękiem. Opatrunek ten wykazuje skuteczność na wszystkich etapach schematu TIME.
Oczyszczanie
Mepilex Ag wspiera oczyszczanie owrzodzenia z pozostałości martwych tkanek poprzez utrzymywanie wilgotnego środowiska rany, które wspiera działanie enzymów i komórek odpornościowych. Dzięki temu dochodzi do stymulacji oczyszczania autolitycznego, czyli naturalnej zdolności organizmu do upłynniania i eliminowania tkanki martwiczej.
Kontrola infekcji
Dzięki zawartości cząsteczek siarczanu srebra opatrunek Mepilex Ag pozwala na skuteczną kontrolę infekcji i stanu zapalnego w łożysku rany. Badania in vitro wykazały, że opatrunek działa bójczo wobec szerokiego spektrum drobnoustrojów, nawet opornych na antybiotyki, już w 30 minucie, a jednocześnie chroni przed reinfekcją. Dzięki zawartemu w opatrunku węglowi aktywnemu, skutecznie pochłania nieprzyjemny zapach.
Równowaga wilgotności
Opatrunek Mepilex Ag skutecznie wchłania wysięk z rany, a jednocześnie umożliwia bezpieczne zarządzanie nim, np. poprzez odparowywanie. W łożysku rany zachowana jest optymalna wilgotność, co sprzyja sprawnemu gojeniu. Ponadto dzięki specjalnej warstwie kontaktowej z miękkiego silikonu Safetac, rana i brzegi rany są skutecznie chronione przed wysiękiem i maceracją.
Stymulacja naskórkowania
Opatrunek Mepilex Ag może pozostawać na ranie do 7 dni. Podczas zmiany opatrunku dzięki zastosowaniu delikatnego silikonowego przylepca nie ma ryzyka, że opatrunek przyklei się do rany i spowoduje uszkodzenie gojących się tkanek, co ma duże znaczenie dla poprawnego procesu leczenia, w tym naskórkowania.
Kompresjoterapia
Kompresjoterapia ma duże znaczenie zwłaszcza w przypadku leczenia owrzodzeń kończyn dolnych na tle zaburzeń układu żylnego. Terapia uciskowa wpływa na zmniejszenie obrzęku i poprawę przepływu krwi w kończynie, dzięki czemu wykazuje dużą skuteczność zarówno w profilaktyce, jak i leczeniu owrzodzeń. Co istotne, opatrunek Mepilex Ag może być stosowany również podczas kompresjoterapii.
Artykuł powstał we współpracy z firmą Mölnlycke.
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Tylko kogo na te opatrunki stać? Lekarz nie chce przepisać na ubezpieczenie, bo boi się, że zostanie ukarany przez NFZ. Lekarze rodzinni w ogóle nie mają pojęcia o leczeniu ran przewlekłych! Odsyłają chorego do szpitala, a w szpitalu – o ironio – też nie potrafią ran przewlekłych leczyć. Mam mamę z nawracającym wieloletnim owrzodzeniem podudzi. Mama ma zaawansowaną demencję. Odmówiłam oddania jej do szpitala, bo wiem, że wróci w gorszym stanie, niż tam trafi, jeszcze teraz, kiedy nie ma odwiedzin. I kółko się zamyka, odmowa leczenia szpitalnego zwalnia lekarza rodzinnego z poczucia odpowiedzialności za leczenie ha ha ha. Kupiłabym opatrunki i leczyła sama ( co i tak robię od dawna), ale mnie nie stać na te opatrunki. Mama cierpi, ale kogo to obchodzi.
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