Summary
Huidtherapie samenvatting blok 2.2 Kennis week 4 tm 8
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Dit is al het toetsstof besproken tijdens hoorcolleges van blok 2.2 week 4 tm 8
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By: shamila_zarei • 4 year ago
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Week 4:Cronisch veneus insufficientie(CVI) zijn de verschijnselen t.g.v. een chronische belemmering
van de afvloed van het veneuze bloed vanuit de benen resulterend in veneuze hypertensie
Oorzaak:
defect kleppensysteem b.v. na een trombosebeen
afvloedbelemmering diepe veneuze systeem
insufficiënte spierpomp: dependency
Pathogenese:
Retrograde bloedstroom
Toename veneuze druk
Veranderingen in capillairen (trombi, microangiopathie)
Hypoxie=
Gevolgen:
Ontwikkelen zich geleidelijk in jaren
Klachten van de benen (loom, zwaar, restless legs, enkeloedeem)
Moeheid, zwaar gevoel in de benen, nachtelijke krampen, rusteloze benen
Pitting oedeem (high output insufficiëntie)
Varices
Blow-out
Corona flebectatica paraplantaris
Hemosiderose = Hyperpigmentatie vd huid t.g.v. lekken erytrocyten door vaatwand;
“roestplekken”
Eczema cruris = eczema hypostaticum = stasis dermatitis (Erythematosquameuze, nattende
eruptie aan onderbenen)
, Atrofie blanche:
Lipodermatosclerose:
“In this condition, there is an increased amount of fibrous tissue both within the dermis and the
underlying fat. The extremities appear tense and shiny, and they feel woody and hard to the
touch.”
hypodermitis = acute lipodermatosclerose
hyperkeratosis, klauwnagels, verkleurde nagels
Ulcus cruris
-Eindstadium
-Pijnlijk en lastig te genezen
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