Year 2018, Volume 4 , Issue 1, Pages 1 - 7 2018-05-14

PAİNLESS APPROACH TO MAGGOT DEBRİDEMENT THERAPY IN PATİENT WİTH DİABETİC FOOT ULCER: A CASE REPORT
DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU

Nehir UÇAR [1] , Fatma Selcan KUŞ [2] , Tüzün FIRAT [3]


Diabetic foot ulcers (DPU) are one of the serious complications of diabetes in terms of rates of morbidity, mortality and amputation. DPU develop from underlying neuropathy, peripheral arterial disease and trauma. Conventional wound care, antibiotherapy, hyperglycaemia treatment, debridement and reconstructive surgery are used for treatment. In cases where these are inadequate, Maggot Debridement Therapy (MDT) can be used as a complementary treatment option. MDT is a method of treatment for biodegradation of the larvae of Lucilia sericata, which are called green bottle glass strains. Larvae found necrotic tissue with the help of hooks in their mouths and they allow small particles to carve wound debridement of necrotic material melted by the salivary enzymes secreted. They have antimicrobial and blood circulation enhancing properties. So they accelerate recovery. Known side effects are tickling, bleeding and pain. In some cases, pain can reach unbearable levels and the treatment may have to be terminated. Treatment modalities such as oral analgesics, epidural anesthesia, peripheral nerve blockade for the treatment of pain are used. In this case report, MDT was planned to be done in a patient with grade 2 diabetic foot wound resistant to conventional wound healing and it was aimed to evaluate and present pain levels by applying Conventional TENS to the treatment of pain.

Diyabetik ayak ülserleri, morbidite, mortalite ve ampütasyonla sonuçlanma oranları açısından diyabetin ciddi komplikasyonlarından biridir. Nöropati, periferik arter hastalığı ve travma gibi nedenlerle oluşabilmektedir. Tedavisinde; konvansiyonel yara bakımı, antibiyoterapi hiperglisemi tedavisi, debridman ve rekonstrüktif cerrahi girişimleri uygulanırken, bunların yetersiz kaldığı durumlarda Maggot Debridman Tedavisi (MDT) tamamlayıcı tedavi seçeneği olarak kullanılabilmektedir. MDT, yeşil şişe camı sineği olarak adlandırılan Lucilia sericata larvalarının biyodebridman amaçlı kullanıldığı bir tedavi yöntemidir. Larvalar ağızlarında bulunan çengeller yardımıyla nekrotik dokuları küçük partiküllere ayırırlar ve yaraya nekroze materyali eriten tükrük enzimleri salgılayarak debridman sağlarlar. Antimikrobiyal ve kan dolaşımını artırma özellikleriyle iyileşmeyi hızlandırıcı etkiler sağlarlar. Bilinen yan etkileri gıdıklanma hissi, kanama ve ağrıdır. Bazı durumlarda ağrı, tedaviyi sonlandırma durumunda kalınacak kadar dayanılmaz düzeylere ulaşabilmektedir. Ağrının sağaltımına yönelik oral analjezikler, epidural anestezi, periferik sinir blokajı gibi tedavi modaliteleri kullanılmaktadır. Bu olgu sunumunda konvansiyonel yara tedavisine dirençli grade 2 diyabetik ayak yarası olan hastada MDT yapılması planlanmış ve oluşan ağrının sağaltımında Konvansiyonel TENS uygulaması yapılarak ağrı düzeylerinin değerlendirilmesi ve sunulması amaçlanmıştır.

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Primary Language tr
Subjects Health Care Sciences and Services
Journal Section Case Report
Authors

Author: Nehir UÇAR (Primary Author)
Institution: MEHMET AKİF ERSOY ÜNİVERSİTESİ

Author: Fatma Selcan KUŞ
Institution: MEHMET AKİF ERSOY ÜNİVERSİTESİ

Author: Tüzün FIRAT
Institution: HACETTEPE ÜNİVERSİTESİ

Dates

Publication Date : May 14, 2018

Bibtex @case report { iaaojh423245, journal = {International Anatolia Academic Online Journal Health Sciences}, issn = {}, eissn = {2148-3159}, address = {Hürriyet Mahallesi Dolu Sokak Elam KOnakları A Blok Daire 15 Süleymanpaşa Tekirdağ}, publisher = {Abdülkadir IŞIK}, year = {2018}, volume = {4}, pages = {1 - 7}, doi = {}, title = {DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU}, key = {cite}, author = {UÇAR, Nehir and KUŞ, Fatma Selcan and FIRAT, Tüzün} }
APA UÇAR, N , KUŞ, F , FIRAT, T . (2018). DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU. International Anatolia Academic Online Journal Health Sciences , 4 (1) , 1-7 . Retrieved from https://dergipark.org.tr/en/pub/iaaojh/issue/36622/423245
MLA UÇAR, N , KUŞ, F , FIRAT, T . "DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU". International Anatolia Academic Online Journal Health Sciences 4 (2018 ): 1-7 <https://dergipark.org.tr/en/pub/iaaojh/issue/36622/423245>
Chicago UÇAR, N , KUŞ, F , FIRAT, T . "DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU". International Anatolia Academic Online Journal Health Sciences 4 (2018 ): 1-7
RIS TY - JOUR T1 - DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU AU - Nehir UÇAR , Fatma Selcan KUŞ , Tüzün FIRAT Y1 - 2018 PY - 2018 N1 - DO - T2 - International Anatolia Academic Online Journal Health Sciences JF - Journal JO - JOR SP - 1 EP - 7 VL - 4 IS - 1 SN - -2148-3159 M3 - UR - Y2 - 2018 ER -
EndNote %0 International Anatolia Academic Online Journal Health Sciences DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU %A Nehir UÇAR , Fatma Selcan KUŞ , Tüzün FIRAT %T DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU %D 2018 %J International Anatolia Academic Online Journal Health Sciences %P -2148-3159 %V 4 %N 1 %R %U
ISNAD UÇAR, Nehir , KUŞ, Fatma Selcan , FIRAT, Tüzün . "DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU". International Anatolia Academic Online Journal Health Sciences 4 / 1 (May 2018): 1-7 .
AMA UÇAR N , KUŞ F , FIRAT T . DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU. IAAOJH. 2018; 4(1): 1-7.
Vancouver UÇAR N , KUŞ F , FIRAT T . DİABETİK AYAK ÜLSERLİ HASTADA MAGGOT DEBRİDMAN TEDAVİSİNE AĞRISIZ YAKLAŞIM: OLGU SUNUMU. International Anatolia Academic Online Journal Health Sciences. 2018; 4(1): 7-1.