Yara Yönetiminde Yenilikçi Yaklaşımlar

Year 2019, Volume: 8 Issue: 4, 481 - 494, 31.12.2019

Senan Mutlu Emel Yılmaz

Abstract

Yara herhangi bir fiziksel hasar
sonucunda doku bütünlüğünün bozulmasıdır. Toplumda diyabet, periferik damar
hastalıkları gibi kronik hastalıkların artmasıyla birlikte deri bütünlüğünü
bozan akut ya da kronik yaraların görülme sıklığı da yükselmiştir. Bu durum
yeni yara tedavi yöntemleri ve seçeneklerini çoğaltmıştır. Yara tedavisinde son
yıllarda gazlı bezin yerine geçen modern yara örtüleri tedavi seyrini olumlu
yönde değiştirmiştir. Yara tedavisinde yapışmayan, nemi koruyan, kokuyu önleyen
ve toksik olmayan yara örtüleri idealdir. Son yıllarda gelişen tıp ve
teknolojiye paralel olarak yara tedavisinde de çeşitlilik artmıştır. Negatif
basınçlı yara tedavisi, hiperbarik oksijen tedavisi, elektrik stimülasyonu ve ultrason
gibi uygulamalar sık olarak kullanılmaktadır. Uzmanlık gerektiren bu uygulamalar
ile kronik yara tedavisinde olumlu sonuçlar elde edilmiştir. Yara iyileşmesi
sistemik ve lokal faktörlerden etkilenmektedir. Bu nedenle etkili yara tedavisi
için hasta tüm yönleriyle değerlendirilmeli ve tedavinin planlanması da bireye
özgü yapılmalıdır. İdeal tedavi yöntemi için hücre yenilenmesine olanak
sağlayan, hastaya ağrı ve zarar vermeyen ve en kısa sürede iyileşmeyi sağlayan
uygulamalar seçilmelidir. 

Keywords

Yara Bakımı, Yara Örtüleri, Yenilikçi Yaklaşımlar

Innovative Approaches in Wound Management

Abstract

Wound is the deterioration of
tissue integrity as a result of any physical damage. With the increase of
chronic diseases such as diabetes and peripheral vascular diseases, there is an
increase in the incidence of acute or chronic wounds that disrupt the skin
integrity. This situation has increased the number of new wound treatment
methods and options. In recent years, modern dressings that replaced the gauze
in the treatment of wounds changed the course of treatment positively. Non-adherent,
moisture-proof, odor-free and non-toxic dressings are ideal for wound
treatment. In parallel with the developing medicine and technology, wound
treatment has increased in recent years. Applications such as negative pressure
wound therapy, hyperbaric oxygen therapy, electrical stimulation and ultrasound
are frequently used. With these applications that require
expertise, positive results have been obtained in chronic wound treatment.
Wound healing is affected by systemic and local factors. Therefore, patients
should be evaluated for all aspects of wound healing and effective treatment
planning should be made specific to the individual. Ideal
treatment method allows cell renewal, not pain and do not harm to patient and
provide recovery as soon as possible.

Keywords

Wound Theraphy, Wound Dressing, Innovative Approaches

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