مدیریت زخم در اندامهای حرکتی اسب
محورهای موضوعی : زخم و عوارض آن ، شامل تولید، درمان جراحی، دارویی
عباس رئیسی
1
(عضو هیئت علمی)
خسرو صفری
2
(دانشجو)
کلید واژه: اسب, مدیریت زخم, التیام, اندام حرکتی, جراحی,
چکیده مقاله :
کنترل و درمان زخمهای موجود در اندامهای حرکتی اسبها به دلیل گردش خون ضعیف، حرکات مفصلی و حداقل بافت نرم بین پوست و استخوان، میتواند بسیار دشوار باشد و همواره خطر آلودگی از محیط نیز وجود دارد. زخمهای اندامهای حرکتی به طور معمول در اسبها اتفاق میافتد و درمان میتواند برای اسبداران و دامپزشکان مشکل ساز باشد. همچنین مراقبت از این زخمها معمولا هزینه بر، سخت و زمانبر است. در این مقاله با مروری مختصر بر زخمها، ارزیابی زخم و شیوههای درمان تلاش میشود تا اثربخشی شیوههای مدیریت درمانی زخمها به حداکثر ممکن افزایش یابد.
The two phenomena of wound contraction and reepithelialization which occur as stages of the repair phase in healing of the wound play an important role in closing the damaged site. Contraction is formed by the transformation of the modified fibroblast cells called myofibroblasts, and these cells, through their tensile properties, pierce the wound's environment and cut the edges together, and after contacting the two healthy regions, this process stops. Epithelialization also covers the damaged area by migrating epithelial cells at the wound surface. These cells, by secretion of the enzymes, open their path of movement on the wound surface and, after reaching the same cells, stop and thus the location of the ulcer is covered and problems such as fluid loss and the entry of microbial objects to the body will be disappeared.
1. Provost P. Wound healing. In: Auer JA, Stick
JA, (eds). Equine Surgery, 4th ed. Saunders,
St Louis; 2012. p. 48.
2. Waldron DR, Zimmerman-Pope N. In: Slatter
DH, (ed), Textbook of Small Animal Surgery,
3rd ed. Saunders, Philadelphia; 2003. p.
259.
3. Brown PW. The prevention of infection in
open wounds. Clin Orthop Relat Res 1973;
96: 42-50.
4. Waite A, Gilliver SC, Masterson GR, et al.
Clinically relevant doses of lidocaine and
bupivacaine do not impair cutaneous
wound healing in mice. Br J Anaesth 2010;
104 (6): 768-173.
5. Badia JM, Torres JM, Tur C and Sitges-Serra
A. Saline wound irrigation reduces the
postoperative infection rate in guinea pigs. J
Surg Res 1996; 63 (2): 457-459.
6. Jones G and Wall R. Maggot-therapy in
veterinary medicine. Res Vet Sci 2008; 85
(2): 394-398.
7. Franz MG, Steed DL and Robson MC.
Optimizing healing of the acute wound by
minimizing complications. Curr Probl Surg
2007; 44 (11): 691-763.
8. Hunter JE, Teot L, Horch R and Banwell PE.
Evidence-based medicine: Vacuum assisted
closure in wound care management. Int
Wound J 2007; 4 (3): 256-269.
9. De Holl D, Rodeheaver G, Edgerton MT,
Edlich RF. Potentiation of infection by
suture closure of dead space. Am J Surg
1974; 127(6): 716-720.
10. Boothe HW. Suture materials, tissue
adhesives, staplers and ligating clips. In:
Slatter DH (ed), Textbook of Small Animal
Surgery, 3rd ed. Saunders, Philadelphia;
2003. p. 235.
11. Gilman T. Partial thickness loss excised
wounds. In: Healing of cutaneous wounds,
Greenford, Glaxo Laboratories, 1968; p. 16-
20.
12. Fessler JF. Hoof injuries. Vet Clin N. Am.
Equine Pract 1989; 5: 643-664.
13. Gomez J, Stashak T. Bandaging and casting
techniques for wound management. In:
Stashak TS, Theoret CL, (eds). Equine wound
management, 2nd ed. Ames, IA: Wiley-
Blackwell; 2008.
14. Hogan P. How to make a bandage cast and
indications and indications for its use. Proc
Am Assoc Equine Pract 2000; 150-152.
