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HydroTac® – hydroaktywny opatrunek piankowy z warstwą hydrożelu

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HydroTac® to hydroaktywny (HRWD™) opatrunek piankowy z warstwą hydrożelu, przyspieszający zamykanie rany. Zapewnia wilgotne środowisko dla procesów gojenia dzięki warstwie hydrożelu z AquaClear Gel Technology. Technologia opatrunku powoduje uwolnienie aż do trzech razy więcej czynników wzrostu, przyspieszając tym samym proces gojenia rany. Warstwa pianki poliuretanowej wchłania nadmiar wydzieliny i zatrzymuje ją w swojej strukturze nawet pod wpływem terapii uciskowej.

HydroTac® comfort to wersja samoprzylepna opatrunku HydroTac®.

Zapraszamy do zapoznania się z badaniem, które potwierdza skuteczność opatrunku HydroTac®.

Ocena kliniczna zastosowania opatrunku piankowego zawierającego uwodniony poliuretan stymulujący czynnik wzrostu naskórka GF

BOOST-CLOSURE STUDY to wieloośrodkowa ocena kliniczna z udziałem ponad stu pacjentów. Badanie opublikowane w czasopiśmie „Journal of Wound Care”, wrzesień 2018.

Wyniki badania:

Rany przewlekłe i ich upośledzone gojenie stanowią poważne obciążenie dla pacjentów, klinicystów i systemów opieki zdrowotnej.[1] Najczęstszymi ranami, z jakimi spotykają się profesjonaliści medyczni, są żylne owrzodzenia kończyn dolnych. Prawidłowe rozpoznanie i leczenie VLU, a także wczesny dostęp do specjalistycznych, interdyscyplinarnych ośrodków leczenia ran mogą poprawić wyniki leczenia. [1]

Konsensus ekspertów określił, że opatrunki powinny mieć za zadanie utrzymanie środowiska rany sprzyjającego gojeniu, w szczególności w kontekście zapewnienia odpowiedniej wilgotności. [1]

Wyniki badania BOOST-CLOSURE potwierdzają, że wpływ na poprawę gojenia się rany ma zwiększenie aktywności endogennych czynników wzrostu GF. [1]

Ocena kliniczna BOOST-CLOSURE (w której brali udział również klinicyści z Polski) demonstruje, że rana leczona opatrunkiem zawierającym uwodniony poliuretan, pozwala na uzyskanie szybszego zamknięcia rany u pacjentów z VLU. [1]

Taką budowę i właściwości posiada hydroaktywny opatrunek piankowy HydroTac®.

Dzięki temu, że HydroTac® zawiera uwodniony poliuretan: poprawia redukcję powierzchni rany i czasu gojenia, znacząco zmniejsza ból, poprawiając jakość życia pacjenta i jest wysoko oceniany przez lekarzy pod względem właściwości użytkowych i tolerancji. [1]

Co ważniejsze, średni czas wyleczenia za pomocą specjalistycznego opatrunku HydroTac® może być zredukowany do zaledwie 90 dni. [**1]

Link do badania: tutaj.

Jak działa opatrunek?

HydroTac® to hydroaktywny opatrunek wspomagający kumulację czynników wzrostu, które stymulują proliferację i migrację keratynocytów, przyczyniając się do przyspieszenia procesu gojenia rany.

Opatrunek HydroTac® to połączenie opatrunku piankowego z hydrożelem. Składa się on z trzech warstw: kontaktowej uwodnionej warstwy hydrożelu, warstwy chłonnej pianki poliuretanowej oraz wierzchniej warstwy membrany poliuretanowej.

Hydrofilowa pianka poliuretanowa, która stanowi podstawę opatrunku, ma za zadanie wchłaniać i zabezpieczać nadmiar wysięku, co jest szczególnie istotne w przypadku ran trudno gojących się, ponieważ zbyt duża ilość wydzieliny z rany może prowadzić do zakażenia lub maceracji otaczających tkanek.

Od zewnątrz opatrunek jest chroniony przez warstwę wodoodpornej folii poliuretanowej. Zapobiega ona wnikaniu do środowiska rany patogennych drobnoustrojów, a zarazem jest na tyle przepuszczalna, by nie utrudniać przepływu powietrza i pary wodnej. Dzięki temu ilość wchłanianego przez ranę wysięku jest dostosowana do indywidualnych potrzeb pacjenta.

Siatka hydrożelu, która znajduje się od strony rany, została oparta na technologii AquaClear, dzięki czemu zapewnia ranie wilgotne środowisko, a jednocześnie odprowadza nadmiar wysięku do warstwy piankowej. Zastosowanie hydrożelu, który daje efekt początkowej przylepności „Initial Tack”, zapobiega przyklejeniu się opatrunku do rany, co sprawia, że zmiany opatrunku przebiegają w sposób komfortowy dla pacjenta i nie stwarzają ryzyka uszkodzenia rany.

HydroTac® – hydroaktywny opatrunek piankowy z warstwą hydrożelu

Na jakie rany można stosować opatrunek HydroTac®?

HydroTac® nadaje się do opatrywania ran w fazie ziarninowania i epitelializacji.

Dzięki swoim właściwościom opatrunek HydroTac® może być stosowany na:

  • rany z problemem nadmiernego wysięku,
  • rany suche, które potrzebują zapewnienia wilgotnego środowiska,
  • owrzodzenia podudzi pochodzenia żylnego,
  • rany powstające w przebiegu pęcherzowego oddzielania naskórka,
  • oparzenia do stopnia II.

Opinia eksperta – mgr Anna Mirosz, pielęgniarka, Członek Zarządu Stowarzyszenia Naukowego Leczenia Ran

– HydroTac® to opatrunek piankowy z warstwą hydrożelu, który stymuluje gromadzenie się i kumulację czynników wzrostu w łożysku rany, osłania ranę przed czynnikami zewnętrznymi i wchłania niewielki wysięk – wyjaśniła mgr Anna Mirosz, pielęgniarka, specjalistka leczenia ran. Opatrunek zawiera technologię AquaClear, która pozwala na nawet trzykrotne zwiększenie koncentracji czynników wzrostu. Ponadto stosowanie opatrunku HydroTac® niweluje ból oraz dyskomfort u pacjenta.

Czy opatrunek można przycinać?

W razie potrzeby opatrunek HydroTac® można przyciąć, używając w tym celu wyjałowionych nożyczek.

Jak założyć opatrunek HydroTac®?

Na rynku dostępne są dwie wersje opatrunku HydroTac®.

HydroTac®: Folię ochronną należy oderwać zgodnie z numeracją (1 i 2), przykładając opatrunek do rany stroną pokrytą żelem. Warstwa hydrożelu zapewnia opatrunkowi wstępną przylepność podczas mocowania, co znacznie ułatwia jego aplikację. Opatrunek wymaga przymocowania do rany np. za pomocą przylepca Omnifix® elastic, opaski o właściwościach kohezyjnych Peha-haft® lub rękawa opatrunkowego Stulpa® fix.

Opatrunek HydroTac® nie wymaga zakładania opatrunku wtórnego.

HydroTac® comfort: Folię ochronną należy oderwać zgodnie z numeracją (1 i 2), przykładając opatrunek do rany stroną pokrytą żelem i należycie dociskając brzeg z klejem. Następnie zdjąć folię wierzchnią zgodnie z numeracją (3 i 4). Zawsze należy upewnić się, że opatrunek bezpośrednio przylega do rany. Przy opatrywaniu ran głębokich lub popękanych należy sięgnąć po inne odpowiednie produkty (np. Hydrosorb® Gel lub Sorbalgon®).

Wersja HydroTac® comfort jest wyposażona w folię samoprzylepną, dzięki czemu nie wymaga dodatkowego zewnętrznego mocowania.

Należy wybrać taką wielkość opatrunku HydroTac®/HydroTac® comfort, by opatrunek wystawał o 1-2 centymetry poza brzeg rany.

Jak często należy zmieniać opatrunek?

W zależności od ilości wysięku oraz rodzaju rany HydroTac®/ HydroTac® comfort może pozostać na ranie maksymalnie do 7 dni.

Skuteczność HydroTherapy – case study

Pacjent z raną przewlekłą – owrzodzenie żylne podudzi

Autor pracy: Barbara Mickiewicz, specjalista chirurg, Szpital Wojewódzki im. Stefana Kardynała Wyszyńskiego w Łomży

Opis przypadku

Kobieta, lat 75, spadła ze schodów, doznając urazu prawego podudzia. Do poradni chirurgicznej trafiła po 7 dniach od urazu. Stwierdzono nieregularną ranę tłuczoną. W dnie rany miejscowo włóknik, ogniska martwicy, przyśrodkowo kieszeń z wyciekiem ropnym. Pacjentka bez wywiadu chorobowego, do tej pory nieleczona.

  1. Dzień (0)

Nieregularna rana tłuczona w obrębie przednio-przyśrodkowej powierzchni prawego podudzia, otoczona zmienioną zapalnie skórą. Powyżej rany punktowe ogniska martwiczych zmian skóry. W dnie rany widoczne tkanki martwicze, włóknik, przyśrodkowo kieszeń z wyciekiem treści ropnej, którą pobrano do badania mikrobiologicznego. Tkanki martwicze i włóknik częściowo usunięto łyżeczką chirurgiczną. Zastosowano opatrunek hydroaktywny HydroClean® plus (7,5 cm x 7,5 cm). Zalecono zmianę co 3 dni i kontrole w poradni chirurgicznej co 7 dni.

  1. Po 7 dniach leczenia

Po tygodniu leczenia opatrunkiem z mechanizmem płucząco-absorpcyjnym HydroClean® plus (7,5 cm x 7,5 cm) nastąpiło pozorne powiększenie się rany. Chirurgicznie usunięto martwicze, zmienione tkanki otaczające ranę. Zastosowano antybiotyk zgodny z posiewem. Rana w dalszym ciągu otoczona odczynem zapalnym.

  1. Po miesiącu leczenia

Po miesiącu terapii opatrunkiem HydroClean® plus (7,5 cm x 7,5 cm) oraz zastosowaniu antybiotykoterapii celowanej uzyskano ustąpienie odczynu zapalnego otoczenia rany oraz wysięku treści ropnej. Powierzchnia rany uległa zmniejszeniu, a dno spłyceniu. Brzegi rany wyraźnie naskórkowały. Ranę pokryła żywoczerwona ziarnina. Brzeżnie utrzymywał się włóknik, który oczyszczono łyżeczką chirurgiczną. Zdecydowano o zastosowaniu opatrunku z hydrożelem HydroTac® (10 cm x 10 cm).

  1. Po 1,5 miesiąca leczenia

Kontrola leczenia opatrunkiem hydroaktywnym HydroTac® w rozmiarze 10 cm x 10 cm.

  1. Po 2 miesiącach leczenia

Rana wyraźnie mniejsza, naskórkująca. W dnie widoczna żywoczerwona ziarnina. Zalecono kontynuację leczenia opatrunkiem utrzymującym wilgotne środowisko rany dzięki warstwie hydrożelu – HydroTac® (10 cm x 10 cm).

  1. Po 3 miesiącach leczenia

Po 3 miesiącach gojenia rany przy użyciu dwóch kroków HydroTherapy uzyskano całkowite wygojenie. Zalecono natłuszczanie nowopowstałego naskórka i skóry otaczającej.

Wnioski z leczenia:

W efekcie zastosowanego leczenia, w tym specjalistycznych opatrunków, po 3 miesiącach uzyskano wygojenie głębokiej rany tłuczonej prawego podudzia. Zdaniem pacjentki dużą zaletą stosowanych opatrunków było nieodczuwanie dolegliwości bólowych podczas ich zmiany. Ze strony lekarza dużym udogodnieniem jest możliwość cięcia opatrunku piankowego z warstwą hydrożelu HydroTac® celem dostosowania go do wielkości rany przewlekłej.

Jakie rodzaje opatrunków z grupy HydroTac® są dostępne?

OPATRUNKI REFUNDOWANE
Nazwa opatrunku Opis Rozmiar (cm) Numer BLOZ 1 sztuka
HydroTac® Hydroaktywny opatrunek piankowy z warstwa hydrożelu 10 x 10 9055086
10 x 20 9052400
15 x 15 9052410
20 x 20 9052420
HydroTac® comfort Wersja samoprzylepna opatrunku HydroTac® 12,5 x 12,5 9052340
15 x 15 9055083
20 x 20 9052390

Czy na opatrunki HydroTac® przysługuje refundacja?

Opatrunki z grupy HydroTac®/HydroTac® comfort podlegają refundacji. Zależnie od wskazania obowiązuje inny poziom odpłatności. We wskazaniu do leczenia pęcherzowego oddzielania naskórka (EB) obowiązuje pełna refundacja. W leczeniu przewlekłych owrzodzeń opatrunki z grupy HydroTac®/HydroTac® comfort są dostępne z odpłatnością 30%. W pozostałych przypadkach obowiązuje odpłatność 100%.

Gdzie można kupić opatrunek HydroTac®/HydroTac® comfort?

Hydroaktywne opatrunki piankowe z warstwą hydrożelu HydroTac®/HydroTac® comfort dostępne są w niemalże każdej aptece na terenie całej Polski oraz w sklepie internetowym firmy Hartmann:
HydroTac®
HydroTac® comfort

HydroTac® – hydroaktywny opatrunek piankowy z warstwą hydrożelu

[**] When using extrapolation method to calculate the median time to healing; subpopulation of 100 patients, patients selected by experts with wound having ≥ 45 % granulation tissue. [1] J. Mikosiński i in., Ocena kliniczna opatrunku piankowego zawierającego uwodniony poliuretan stymulujący działanie czynników wzrostu, [w:] „Journal of Wound Care 2018”, vol. 27, nr 9.

98 thoughts on “HydroTac® – hydroaktywny opatrunek piankowy z warstwą hydrożelu

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