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Abnormale vormen van
wondheling
chronische wonde
wat?
open wonde: trage heling
gehecht: dehiscentie
ulcus
wat?
oppervlakkige trage heling
symptomen
geen epithelisatie/smalle losse epitheelrand
purulente ontsteking
atonisch of breiden uit
behandeling
oorzaak wegnemen!
+ chemische stof vb joodtinctuur of fenol ( ☑inflammatie)
debrideren → per primam sluiten
fistel
wat?
niet helende fibrotisch buisvormig kanaal
uitwendige → inwendige orgaan of holte
oorzaken
Abnormale vormen van wondheling 1
, congenitaal (urachuskanaal)
aflijning: mucosa of huid
verworven (traumatisch)
aflijning: granulatieweefsel of pseudomucosa
traumatisch
infectieus/inflammatoir
draineert
secretie (speeksel, melk)
excretie (urine, etter, ..)
symptomen
opening met drainage
geen haar of klevende haar
intermitterend sluiten
id diepte : vocht producerend
diagnose
palpatie (beknopte sonde)
beeldvorming
prognose
slechte prognose
grillig patroon
diep
geen etiologisch
moeilijk helend
darm of urinewegen
nek of schoft
kraakbeen
perianaal
Abnormale vormen van wondheling 2
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