Huid en Wonden
Inhoud
Wonden ................................................................................................................................................... 2
Definitie ............................................................................................................................................... 2
Indeling van wonden ........................................................................................................................... 2
Oorzaak............................................................................................................................................ 2
Uiterlijk ............................................................................................................................................ 3
Onderzoek ....................................................................................................................................... 3
Wondbehandeling ............................................................................................................................... 4
Zwarte wonden ............................................................................................................................... 4
Gele wonden ................................................................................................................................... 4
Rode wonden .................................................................................................................................. 4
Wondgenezing..................................................................................................................................... 4
Behandeling observatie-instrument................................................................................................ 4
Factoren die de wondgenezing beïnvloeden .................................................................................. 4
Fasen van de wondheling ................................................................................................................ 5
Verschillende typen van wondgenezing .......................................................................................... 6
, Wonden
Definitie
‘’ Een verbreking van de anatomische en functionele samenhang van het levende weefsel’’.
Indeling van wonden
Oorzaak
Traumatische wonden
• Mechanische wonden
o Beet
o Schotwond
o Blaar
• Thermale wonden
o Brandwond en vrieswonden
▪ Eerstegraads → schade tot epitheel
• Erytheem (roodheid, welke verdwijnt
wanneer er druk uitgeoefend wordt),
roodheid en (matig) pijn.
• Reactie op overmatige hitte,
vaatverwijding vlak onder epitheel
• Intacte huid, de basale laag van epitheel
leeft nog.
• Snel en spontaal genezen
▪ Tweedegraads → schade tot in dermis
• Roodheid
• Blaren, vochtaspect
• Veel pijn
• Doorbloeding van de haarvaten
• Intact vrije zenuwuiteinden
• Spontane genezing → duurt een paar
weken
▪ Derdegraads → lederhuid totaal verbrand
• Witte, bruine en/of zwarte verkleuring
• Weinig tot geen pijn, door de
beschadigde zenuwen.
• Omringende tweedegraads
verbrandingen
• Dermis volledig verbrand
• Droog
• Geen doorbloeding van de haarvaten
• Transplantatie nodig
2
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