Pentingnya Proses Penyembuhan Luka Lembab daripada Proses Kering

Oleh :

dr. Novianti Rizky Reza, Sp.KK

Proses penyembuhan luka lembab atau moist wound healing telah terbukti lebih memberikan hasil yang baik daripada proses penyembuhan luka kering. Berbagai penelitian menunjukkan bahwa keadaan luka dengan kelembaban yang baik akan menunjang perkembangan seluler dan proliferasi matriks nonseluler.[1]

Proses penyembuhan luka meliputi 3 fase yang kompleks, yaitu inflamasi, proliferasi, dan remodeling, yang dapat berlangsung secara tumpang tindih. Proses penyembuhan luka dengan lingkungan optimal akan memberikan manfaat. Oleh karena itu, penatalaksanaan luka harus tepat dan sesuai dengan fasenya.[1,2]

Keseimbangan kelembaban pada luka merupakan hal yang penting dalam proses penyembuhan luka. Penggunaan produk untuk menjaga kelembaban pada luka dapat membantu penyembuhan luka, misalnya produk hidrogel, hidrokoloid, alginates, foam, dan film.[1]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Weller C, Weller C, Team V. Interactive dressings and their role in moist wound management. In: Advanced Textiles for Wound Care [Internet]. Elsevier; 2019 [cited 2023 May 29]. p. 105–34. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780081021927000047
2. Baron JM, Glatz M, Proksch E. Optimal Support of Wound Healing: New Insights. Dermatology. 2020;236(6):593–600.
3. Tan ST, Dosan R. Lessons from Epithelialization: The Reason Behind Moist Wound Environment. TODJ. 2019 Jul 31;13(1):34–40.
4. Addor FAS, de Souza MC, Trapp S, Peltier E, Canosa JM. Efficacy and Safety of Topical Dexpanthenol-Containing Spray and Cream in the Recovery of the Skin Integrity Compared with Petroleum Jelly after Dermatologic Aesthetic Procedures. Cosmetics. 2021 Sep 10;8(3):87.
5. Baltz JO, Franciosi EB, Wiss K. Petroleum jelly baths: A tip for easy emollient application. Pediatr Dermatol. 2020 Sep;37(5):964–5.
6. Czarnowicki T, Malajian D, Khattri S, Correa da Rosa J, Dutt R, Finney R, et al. Petrolatum: Barrier repair and antimicrobial responses underlying this “inert” moisturizer. Journal of Allergy and Clinical Immunology. 2016 Apr;137(4):1091-1102.e7.
7. Ebner F, Heller A, Rippke F, Tausch I. Topical Use of Dexpanthenol in Skin Disorders: American Journal of Clinical Dermatology. 2002;3(6):427–33.
8. Zhu J, Wang YF, Song SS, Wu LL, Chen Y, Li XY, et al. Alleviating Skin Barrier Disruption, Skin Inflammation, and Pruritus: A Moisturizing Spray Containing β-Glucan and Panthenol. International Journal of Dermatology and Venereology. 2023;6(01):1–8.
9. Gorski J, Proksch E, Baron JM, Schmid D, Zhang L. Dexpanthenol in Wound Healing after Medical and Cosmetic Interventions (Postprocedure Wound Healing). Pharmaceuticals. 2020 Jun 29;13(7):138.
10. Lumbers M. Understanding and addressing dryness during wound healing. British Journal of Community Nursing. 2019;24(Sup6):11–4.
11. Kuhlmann M, Wigger-Alberti W, Mackensen Y v., Ebbinghaus M, Williams R, Krause-Kyora F, et al. Wound healing characteristics of a novel wound healing ointment in an abrasive wound model: A randomised, intra-individual clinical investigation. Wound Medicine. 2019 Mar;24(1):24–32.
12. Wang ZC, Zhao WY, Cao Y, Liu YQ, Sun Q, Shi P, et al. The Roles of Inflammation in Keloid and Hypertrophic Scars. Front Immunol. 2020 Dec 4;11:603187.
13. Mabvuure NT, Brewer CF, Gervin K, Duffy S. The use of moist exposed burn ointment (MEBO) for the treatment of burn wounds: a systematic review. Journal of Plastic Surgery and Hand Surgery. 2020 Dec 1;54(6):337–43.
14. Lee Peng G, Kerolus JL. Management of Surgical Scars. Facial Plastic Surgery Clinics of North America. 2019 Nov;27(4):513–7.