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Rana w kontakcie z wilgocią – jak ją zabezpieczyć?

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Nadmiernie wilgotne środowisko może stanowić czynnik utrudniający gojenie ran. Działanie wilgoci może również doprowadzić do uszkodzenia tkanek otaczających ranę w wyniku maceracji. W zapewnieniu optymalnej wilgotności w łożysku rany i wokół niej mogą pomóc specjalistyczne opatrunki takie jak AQUACEL® Foam.

Nadmierna ilość wysięku z rany może prowadzić do uszkodzenia tkanki ziarninowej tworzącej się w łożysku rany oraz maceracji skóry wokół rany. Gojenie ran obficie sączących jest utrudnione, a w części przypadków może ulec całkowitemu zahamowaniu. Z tego powodu w terapii ran ze znacznym wysiękiem należy stosować produkty, które pomogą przywrócić optymalną wilgotność i będą stymulowały procesy regeneracyjne w tkankach.

Jak mówi mgr Anna Mirosz, pielęgniarka z wieloletnim doświadczeniem w leczeniu ran, dobór odpowiedniego opatrunku ma duże znaczenie dla procesu gojenia rany:

– Jako pielęgniarka opatrunkowa stosuję u swoich pacjentów różne opatrunki, dopasowując je indywidualnie do potrzeb danej rany i pacjenta. Jednym z opatrunków, z których korzystam w codziennej praktyce, jest AQUACEL® Foam. Jest to opatrunek, który może być stosowany zarówno na rany płytkie jako opatrunek pierwotny, jak i do ran głębokich jako opatrunek wtórny. Dzięki swoim właściwościom opatrunek ten zapewnia ranie wilgotne środowisko i sprzyja procesowi gojenia.

Właściwości absorpcyjne i retencyjne

Najważniejszą cechą, jaką powinien posiadać opatrunek stosowany na rany obficie sączące, jest wysoka absorpcja i retencja. Nadmierna ilość wydzieliny powinna być przez opatrunek wchłaniana i zatrzymywana w jego strukturze, tak by nie dochodziło do przeciekania wysięku przez opatrunek, a jednocześnie by w środowisku rany była zachowana odpowiednia wilgotność.

Takim opatrunkiem jest AQUACEL® Foam. O zaletach stosowania tego opatrunku na rany z obfitym wysiękiem mówi mgr Anna Mirosz:

– Dzięki wykorzystaniu technologii Hydrofiber™ opatrunek skutecznie absorbuje nadmiar wysięku i zatrzymuje go w swojej strukturze. W kontakcie z wydzieliną opatrunek przybiera formę spoistego żelu, dzięki czemu utrzymuje optymalnie wilgotne środowisko w ranie, a jednocześnie pomaga chronić delikatne tkanki w łożysku rany i zapobiegać maceracji. Zewnętrzna poliuretanowa błona opatrunku charakteryzuje się wysoką paroprzepuszczalnością, co umożliwia odprowadzanie wilgoci na zewnątrz – tłumaczy ekspertka i dodaje: – AQUACEL® Foam zatrzymuje wydzielinę nawet pod uciskiem, dzięki czemu może być stosowany również podczas kompresjoterapii.

Przyspieszenie procesów regeneracyjnych

Opatrunek stosowany na rany obficie sączące powinien stymulować procesy naprawcze w tkankach i aktywnie wspierać gojenie rany. Opatrunek AQUACEL® Foam dzięki technologii Hydrofiber™ zmniejsza poziom aktywnych metaloproteinaz w łożysku rany, a jednocześnie stymuluje angiogenezę, co bardzo korzystnie wpływa na proces gojenia ran.

Opatrunek AQUACEL® Foam wspiera również oczyszczanie autolityczne rany, nie uszkadzając przy tym zdrowych tkanek. Dzięki wodoodpornej warstwie zewnętrznej opatrunek zapewnia ochronę przed zakażeniem rany wirusami i bakteriami.

Komfort stosowania

W przypadku ran silnie sączących konieczne mogą być częste zmiany opatrunku. Z tego powodu ważne jest, by opatrunek zapewniał pacjentowi komfort i nie powodował bólu przy zdejmowaniu. Jak zwraca uwagę mgr Anna Mirosz:

– Opatrunek AQUACEL® Foam posiada delikatny silikonowy przylepiec, dzięki czemu jest łatwy do usunięcia i może być stosowany również w przypadku skóry delikatnej, podatnej na uszkodzenie. W większości przypadków opatrunek nie powoduje wystąpienia podrażnień lub reakcji alergicznych. Dzięki wykorzystaniu technologii Hydrofiber™ opatrunek w postaci zżelowanej nie przywiera do łożyska rany, co zapobiega uszkadzaniu młodej, zdrowej ziarniny. Jest to bardzo ważne dla naszych pacjentów, ponieważ skraca czas gojenia – podkreśla ekspertka.

Przedstawiamy case study z zastosowaniem opatrunku AQUACEL® Foam:

Rana po nacięciu krwiaka pourazowego ze znaczną ilością wysięku i cechami infekcji. Opatrunek AQUACEL® Foam w wersji przylepnej stosowano na ranę jako opatrunek wtórny w połączeniu z opatrunkiem AQUACEL® Ag+ Extra zamiast założonego wcześniej zbyt ciasno bandaża.

Na kończynie widoczne ślady ucisku po zbyt ciasno założonym bandażu.

Stan rany po opracowaniu.

Ze względu na obfite sączenie z rany opatrunek AQUACEL® Foam był dwukrotnie zmieniany co 24 godziny. Przy każdej zmianie opatrunku wykonywano mycie i oczyszczanie rany oraz pielęgnację otaczającej skóry zgodnie z zasadami konsensusu higieny rany.

Wygląd opatrunku świeżo po założeniu.

Wygląd opatrunku po 24 godzinach od założenia.

Czas utrzymania opatrunku stopniowo wydłużano ze względu na zmniejszanie się ilości wysięku. W miarę upływu terapii opatrunek był utrzymywany na ranie najpierw do 4 dni, a następnie przez 7 dni. Proces leczenia rany trwał łącznie 5 tygodni.

Stan rany w końcowym etapie terapii.

Artykuł powstał we współpracy z firmą ConvaTec.

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