Jak wskazują eksperci, prawidłowa higiena rany jest niezbędna w procesie gojenia. Ważnym elementem higieny rany jest dobór odpowiedniego opatrunku. W części przypadków może się jednak okazać, że do uzyskania najlepszego efektu terapeutycznego potrzeba więcej niż jednego opatrunku. Jakie to przypadki?
Jak wskazują autorzy międzynarodowego konsensusu „Postępowanie z trudno gojącymi się ranami z wykorzystaniem strategii wczesnego zapobiegania tworzeniu się biofilmu: higiena rany”, biofilm jest uważany za podstawową barierę w gojeniu ran. Prawidłowa, wieloetapowa higiena rany może skutecznie mu przeciwdziałać. W procesie higieny rany eksperci wyróżnili cztery podstawowe etapy: mycie, opracowanie rany, zadbanie o brzegi rany oraz dobór opatrunku. Ostatni etap jest szczególnie istotny, ponieważ domyka cały proces terapeutyczny i decyduje o jego skuteczności.
Mgr Zuzanna Konrady, członek Zarządu Stowarzyszenia Naukowego Leczenia Ran, pielęgniarka z wieloletnim doświadczeniem w leczeniu ran, szczegółowo omówiła wszystkie etapy higieny rany w wykładzie pt. „ABC higieny rany” podczas ogólnopolskiej konferencji IV Forum Leczenia Ran BEFORE.
Obejrzyj wykład mgr Zuzanny Konrady „ABC higieny rany”:
Jak prawidłowo dobrać opatrunek do rany?
Jak wskazują eksperci, dobór odpowiedniego opatrunku do rany wymaga uwzględnienia różnorodnych czynników, takich jak ilość wysięku, głębokość rany, obecność zakażenia, stan mikrobiologiczny rany, a także czynników zewnętrznych, takich jak dostępność opatrunku, możliwości ekonomiczne pacjenta, a także jego indywidualne potrzeby.
W szczególnie trudnych przypadkach konieczne może się okazać połączenie dwóch opatrunków, których właściwości dobrze się uzupełniają. Dzięki temu możliwe jest zapewnienie lepszych efektów leczenia i większego komfortu pacjenta niż w przypadku zastosowania pojedynczego opatrunku.
Przykładem skutecznego połączenia dwóch opatrunków, które pozwala na ulepszenie efektów terapeutycznych, jest zestawienie opatrunków AQUACEL® Ag+ Extra™ oraz AQUACEL® Foam.
W jakich przypadkach to połączenie znajdzie zastosowanie?
- rany głębokie
- rany silnie sączące
- rany zakażone
Rany głębokie
Rany głębokie wymagają wypełnienia opatrunkiem 80 proc. powierzchni łożyska rany. Opatrunek AQUACEL® Ag+ Extra w kontakcie z wysiękiem zmienia się w miękki, elastyczny żel, idealnie dopasowujący się do łożyska rany, dzięki czemu nie dochodzi do powstawania martwych przestrzeni, w których mogłyby namnażać się bakterie.
Zastosowanie AQUACEL® Foam jako opatrunku wtórnego pozwoli w takim przypadku na dodatkowe zabezpieczenie rany przed czynnikami zewnętrznymi, zwiększy chłonność, a dzięki zamykaniu wysięku w strukturze opatrunku, zabezpieczy skórę przed maceracją.
Na te właściwości opatrunków zwróciła uwagę mgr Sylwia Rogowska w swoim wykładzie podczas największej konferencji o leczeniu ran – IV Forum Leczenia Ran BEFORE.
Obejrzyj wykład mgr Sylwii Rogowskiej „Postępowanie z raną krok po kroku – pramtyczne wskazówki”:
Rany silnie sączące
Duża ilość wysięku z rany może stanowić wyzwanie w procesie terapeutycznym. Zbyt wilgotne środowisko może opóźniać regenerację tkanek, a ponadto powodować dodatkowe uszkodzenia, takie jak maceracja skóry wokół rany.
Opatrunek AQUACEL® Ag+ Extra™ pozwala skutecznie zarządzać wysiękiem. Pochłania wydzielinę z rany, a jednocześnie sekwestruje drobnoustroje i zatrzymuje je w swojej strukturze, co sprawia, że nie dochodzi do maceracji i nadkażania. W przypadku bardzo obfitego wysięku, aby nie doszło do przesiąkania – jako opatrunek wtórny można zastosować AQUACEL® Foam. Opatrunek ten dzięki technologii Hydrofiber® skutecznie pochłonie pozostały nadmiar wysięku i szczelnie zabezpieczy ranę.
Rany zakażone
Zwalczanie i profilaktyka zakażeń w ranach to jeden z najistotniejszych elementów procesu terapeutycznego. Opatrunek specjalistyczny powinien eliminować pozostałości po biofilmie z łożyska rany oraz zapobiegać zanieczyszczeniom i rekolonizacji. Takie właściwości ma opatrunek AQUACEL® Ag+ Extra™. Dzięki technologii Więcej niż srebro™ przerywa i narusza strukturę biofilmu. Opatrunek wykazuje skuteczność przeciwko szerokiemu spektrum bakterii, co pozwala skutecznie walczyć z zakażeniem. Dzięki technologii Hydrofiber® zamyka resztki biofilmu w strukturze opatrunku, zapobiegając ich odnawianiu.
Opatrunek AQUACEL® Foam stanowi idealne przykrycie dla ran zakażonych. Dzięki zewnętrznej warstwie wodoodpornej zapewnia dodatkową barierę ochronną przed wirusami i bakteriami znajdującymi się na zewnątrz rany.
Dobór opatrunku a efekty leczenia
Prawidłowa higiena rany, w tym dobór odpowiednich do rany opatrunków, zapewnia poprawę efektów leczenia: skrócenie czasu gojenia, ograniczenie ilości podawanych antybiotyków, poprawę jakości życia pacjenta oraz zmniejszenie kosztów leczenia.
Co istotne, higiena rany może być bezpiecznie wdrożona we wszystkich wskazaniach i miejscach opieki nad pacjentem z raną, począwszy od szpitala, przez opiekę domową i pooperacyjną, aż po leczenie ambulatoryjne.
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