Metastasierender Morbus Crohn vielleicht häufiger als bisher angenommen

2020 ◽  
pp. 1-2
Author(s):  
Irina Blumenstein
Keyword(s):  
Wound Healing ◽  
Perineal Wound ◽  
Skin Lesions ◽  
Complete Healing ◽  
High Rate ◽  
Consecutive Series ◽  
Perineal Wound Healing ◽  
Wound Healing Problems ◽  
Initial Improvement ◽  
Perineal Wounds

<b>Background:</b> Metastatic Crohn’s disease (CD) is a rare manifestation of CD. It involves inflammatory skin lesions with histopathological findings (granulomas) similar to CD, without connection to the gastrointestinal tract. Hyperbaric oxygen therapy (HBO) has been suggested as a possible treatment option. <b>Objective:</b> This study aimed to identify and treat a consecutive series of patients with biopsy-proven metastatic CD and monitor wound healing using prospectively acquired outcomes. <b>Methods:</b> Pathology results of all patients with ongoing perineal wound-healing problems after proctectomy between 2005 and 2018 at the Amsterdam University Medical Centre were assessed for metastatic CD. Patients with a biopsy-proven diagnosis of perineal metastatic CD were offered HBO (40 daily sessions of 100% oxygen at 2.4 atmosphere absolute). Wound healing was monitored using photographs and standardised questionnaires (the Inflammatory Bowel Disease Questionnaire, EuroQol Visual Analogue Scale and the Female Sexual Function Index) at baseline and 1 and 3 months after HBO. <b>Results:</b> Out of 13 patients in the cohort with persisting perineal wounds after proctectomy, six (46%) had biopsy results consistent with metastatic CD. Of these, three accepted treatment with HBO. All three patients were female. One patient had complete healing of her perineal wound; another patient showed initial improvement but had a flare of luminal and perineal disease at the 3-month follow-up. The third patient showed improvement solely in the questionnaires, with higher scores on all three questionnaires. <b>Conclusion:</b> A high rate of metastatic CD was found in patients with ongoing wound-healing problems after proctectomy, implying that the disease might not be as rare in these selected patients as previously thought. HBO might be beneficial in the treatment of metastatic CD.

scholarly journals Hubungan Vulva Hygiene Dengan Kecepatan Penyembuhan Luka Perineum Ibu Nifas Di BPM Yuliani S.ST

2019 ◽  
Vol 11 (2) ◽  
pp. 149
Author(s):  
Lilik Darwati
Keyword(s):  
Wound Healing ◽  
Health Workers ◽  
Perineal Wound ◽  
Perineal Wound Healing ◽  
Perineal Tears ◽  
Initial Survey ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
Relationship Of

ABSTRAKKejadian robekan perineum pada ibu nifas saat bersalin setiap tahunnya semakin meningkat dan mengalami penyembuhan luka yang lama. Hal ini dipengaruhi beberapa faktor salah satunya yaitu vulva hygiene. Berdasarkan survey awal yang dilakukan diBPM Yuliani S.ST di lakukan secara wawancara dan obserfasi dari 10 (100%) ibu nifas didapatkan 7 (70%) ibu nifas yang penyembuhan luka perineumnya lebih dari 7 hari, wawancara lebih lanjut diketahui ibu yang tidak melakukan vulva hygiene dengan benar karena takut akan menyentuh luka jahitan dan takut apabila terlalu sering terkena air jahitan akan sembuh semakin lama.Desain penelitian Analitik Korelasional dengan metode Cohort. Populasi seluruh ibu nifas yang mengalami luka jahitan perineum di BPM Yuliani S.ST sebesar 35 ibu nifas. Metode sampling menggunakan Consecutive Sampling.Variabel independen vulva hygiene dan variabel dependen kecepatan penyembuhan luka perineum pada ibu nifas. Data penelitian diperoleh melalui kuesioner tertutup dan lembar observasi luka perineum. Data ditabulasi dan dianalisis menggunakan uji Fisher’s Exact Test.Hasil penelitian menunjukkan p=0,000, α = 0,05 p < α dimana H1 diterima artinya ada hubungan vulva hygiene dengan kecepatan penyembuhan luka perineum pada ibu nifas ada hubungan yang signifikan. Diharapkan penelitian ini  meningkatkan peran tenaga kesehatan memberikan KIE tentang vulva hygiene sehingga penyembuhan luka perineum ibu nifas.     ABSTRACTThe incidence of perineal tears in postpartum mothers during childbirth is increasing every year and has a long wound healing. This is influenced by several factors, one of which is vulva hygiene. Based on the initial survey conducted at BPM Yuliani S.ST conducted by interview and observation of 10 (100%) puerperal mothers found 7 (70%) puerperal mothers who healing perineal wounds more than 7 days, further interviews known to mothers who did not do vulva hygiene correctly for fear of touching the suture wound and afraid that if it is too often exposed to water the stitches will heal for longer.Correlational Analytic research design with the Cohort method. The population of all postpartum mothers who suffered perineal suture injuries in BPM Yuliani S.ST was 35 postpartum mothers. The sampling method uses consecutive sampling. Valuable independent variables are hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. The research data were obtained through a closed questionnaire and perineum wound observation sheet. Data were tabulated and analyzed using the Fisher's Exact Test.The results showed p = 0,000, α = 0.05 p <α where H1 was accepted meaning there was a relationship of vulva hygiene with the speed of healing of perineal wounds in postpartum mothers there was a significant relationship. It is hoped that this research will increase the role of health workers in providing IEC about vulva hygiene so that the healing of puerperal perineal wounds.  

scholarly journals Factor Affecting Perineal Wound Healing

2020 ◽  
Vol 2 (2) ◽  
pp. 38-42
Author(s):  
Esti Handayani ◽  
Herlina Tri Damailia ◽  
Wahyu Pujiastuti
Keyword(s):  
Wound Healing ◽  
Wound Care ◽  
Perineal Wound ◽  
Hemoglobin Level ◽  
Rank Test ◽  
Formula Milk ◽  
Perineal Wound Healing ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
Perineal Care

Perineal wound cause many problems, likea as many as 70% of postpartum mothers have difficulty defecating, 60% of postpartum mothers have difficulty with mictie, 30% of postpartum mothers complain of UTI signs, 60% of breast milk is substandard so that formula milk is added and 10% of mothers with subinvolution uteri. Perineal wound can heal immediately if the postpartum mother has a good hemoglobin level, to get enough hemoglobin, one of them is by consuming Fe tablets and vitamin C. It was found that as many as 60% of postpartum women with perineal wound healing 8 to 14 days. The goals of this research is to find factors that affecting perineal wound healing.This type of research is correlational analytic with cross sectional time approach. The population is postpartum mothers in the working area of Kedu Public Health Center, Temanggung Regency, from September to November 2018. The samples were obtained using quota sampling sampling with 40 postpartum mothers. Spearman rank test showed results of haemoglobin level and perineal wound care related to the speed of healing of perineal wounds (pvalue of hb level 0.00 and pvalue perineal wound care 0.027), multivariat test using linear regression where there is influence of hemoglobin level and perineal care to the speed of perineal wound healing (pvalue 0,021).Midwives are expected to screen haemoglobin levels and monitor perineal wound care performed by the mother to prevent delays in healing perineal wounds Keywords: BMI, age, hemoglobin level, perineal care,perineal wound healing 

scholarly journals The Effect of Betel Leaf Water Decoction on Perineal Wound Healing among Post Partum Women

2021 ◽  
Vol 1 (2) ◽  
pp. 130-135
Author(s):  
Nursupma Oktavia Darulis ◽  
Rini Kundaryanti ◽  
Shinta Novelia
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Leaf Water ◽  
Control Group ◽  
Independent Practice ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Perineal Wounds ◽  
Perineal Injuries

The prevalence of maternity women with perineal injuries in Indonesia in the 25-30 year age group waa 24%, while the 32-39 year old was 62%. Perineal wounds are the cause of postpartum maternal bleeding. Postpartum causes are the main cause of 40% of maternal deaths in Indonesia. This study aimed to determine the effect of betel leaf water decoction on post partum women perineal wound healing at the Independent Practice of midwife R. Agustina in West Bandung in 2021. This research used the Quasi Experimental Design method, with the Post Only Control Group approach. The population in this study were all postpartum women who had grade I and II perineal injuries at PMB R. Agustina in July 2021 which consisted of 30 respondents. The location of this research was carried out at the Independent Practice of the midwife R. Agustina West Bandung in July 2021. The variables of this study were betel leaf boiled water and perineal wounds. The research instrument was the REEDA Scale. The results showed that the average perineal wound healing before intervention in the experimental group was 10.60 and after intervention was 5.87, while the average perineal wound healing before test was 10.87 and after the test was 6.93. There were differences in perineal wound healing between the experimental and control groups at PMB R. Agustina West Bandung (p-value = 0.012). This intervention is expected to be used by the community as a method in overcoming the problem of perineal wound healing among post partum women.

PENGARUH SITZ BATH AIR HANGAT TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM DI PMB PONIRAH KOTA METRO

2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini Martini ◽  
Yetti Anggraini
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Perineal Pain ◽  
Sitz Bath ◽  
Perineal Wound Healing ◽  
Accelerate Wound Healing ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
The Impact

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective:  The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain.   Keywords: Perineal pain, Perineal wound healing,Sitz bath

scholarly journals Nutritional Pattern And Healing Of Perineum Wound On Postpartum Period

2020 ◽  
Vol 3 (2) ◽  
pp. 172-180
Author(s):  
Heni Frilasari ◽  
Noer Saudah ◽  
Veryudha Eka Prameswari ◽  
Yeni Nur Azizah ◽  
Byba Melda Suhita
Keyword(s):  
Wound Healing ◽  
Postpartum Period ◽  
Maternal Nutrition ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Cross Sectional ◽  
Perineal Wound Healing ◽  
Good Nutrition ◽  
Perineal Wounds ◽  
Postpartum Mothers

Background: Postpartum period was the return of uterine implants such as before pregnancy which takes 6 weeks after born. Good nutrition patterns would speed healing wound perineum. The high nutritional content of calories, protein, fluids, and vitamins needed for speed up perineal wound closure.Purpose: This study aimed to determine the relationship of postnatal maternal nutritional patterns with the healing of perineal wounds in Puri community health center Mojokerto.Methods: Analytical research design with Cross-Sectional. The population used postpartum mothers with perineal injuries. The sampling technique was through consecutive. The sample size was 90 respondents.  The independent variable was nutrition pattern and the dependent variable was perineal wound healing. The instrument used was a questionnaire sheet postpartum maternal nutrition pattern and observation sheets for perineal wound healing.Results: The results showed 56 respondents (63.3%) had good nutrition patterns and good perineal wound healing, 27 respondents (30%) had poor nutrition patterns and moderate perineal wound healing, as many as 7 respondents (6.7%) had nutritional patterns less and bad perineal wound healing. Chi-Square statistical test results showed ρ (0,000) <α 0.05.Conclusion: It could concluded that there was a relationship between the nutritional pattern of the puerperal mother with the healing of perineal wounds. High caloric, protein, fluid and mineral intake and vitamins in the puerperium mother will accelerate the process of new cell regeneration so that the puerperal perineal wound heals faster. Postpartum mothers are expected to maintain a nutritional pattern for healing the perineal wound and not do certain food restrictions during the puerperium

scholarly journals PENGARUH SITZ BATH AIR HANGAT TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM DI PMB PONIRAH KOTA METRO

2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini ◽  
Yetti Anggraini
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Perineal Pain ◽  
Sitz Bath ◽  
Perineal Wound Healing ◽  
Accelerate Wound Healing ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
The Impact

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective: The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain. Keywords: Perineal pain, Perineal wound healing,Sitz bath

FACTORS INFLUENCING THE PROCESS OF PERINEAL WOUND HEALING IN POSTPARTUM WOMEN IN SERUI HOSPITAL, PAPUA

2021 ◽  
Vol 5 (4) ◽  
pp. 398
Author(s):  
Yuli Triyani ◽  
Ivon Diah Wittiarika ◽  
Gatut Hardianto
Keyword(s):  
Wound Healing ◽  
Statistical Tests ◽  
Healing Process ◽  
Perineal Wound ◽  
Observational Research ◽  
Personal Hygiene ◽  
Postpartum Woman ◽  
Wound Healing Process ◽  
Perineal Wound Healing ◽  
Perineal Wounds

 Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound  

scholarly journals Vulva Hygiene Analysis Using Betel Leaf Decoction in Puerperal Period with Healing of Perineal Wounds in BPS Ria Mulya p, sst., M .kes in Katerungan village, Krian Sidoarjo

2019 ◽  
Vol 2 (03) ◽  
pp. 259-265
Author(s):  
Isty Isty Istianah ◽  
FENTI DWI FIBRIANA
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Chi Square ◽  
Birth Canal ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Chi Square Test ◽  
Perineal Wounds ◽  
Postpartum Mothers

Vulva hygiene in the treatment of birth canal injuries consist of 2 types, there were using antiseptics and not using antiseptics, which is used traditional treatments that use betel leaves. Treatment of birth canal injuries using betel leaves by boiling and using the water for vulva hygiene or cleaning the wound of the birth canal. Based on the survey conducted in March 2018 on 10 post partum mothers who visited the BPS Ria Mulya P, SST., M.Kes. on Katerungan Krian Sidoarjo the researchers observed and filled out observation sheets on 10 respondents that 10 postpartum mothers who used stew betel leaves, 7 postpartum mothers (70%) Healing wounds quickly and 3 postpartum mothers (30%) Healing of his wounds slowly. This condition that the number of postpartum mothers who heal their wounds quickly using betel leaf decoction.                      The method of this study is used longitudional analytic. The population was 30 postpartum mothers who visited clinic. Samples were taken were 30 respondents (postpartum mothers with perineal suture wounds using betel leaf decoction) using the Proposive sample technique. Data collection using observation sheets then the data tabulated and analyzed by chi square test. Based on the results of the calculation of the chi square test, the result of the Pvalue <α is 0.007 <0.005. This shows that there is an effect of vulva hygiene using betel leaf decoction during childbirth with perineal wound healing.                    The conclusion of this study is the decoction of betel leaf able to accelerate the process of healing perineal wounds during childbirth. The results of this study are still not perfect, and the ability of research is limited, for the next researcher more numbers of respondents are prepared so that the generalization can be expanded.      Keywords: Vulva Hygiene, betel leaf decoction, Perineum Wound Healing.

scholarly journals Vulva Hygiene Analysis Using Betel Leaf Decoction in Puerperal Period with Healing of Perineal Wounds in BPS Ria Mulya p, sst., M .kes in Katerungan village, Krian Sidoarjo

2019 ◽  
Vol 2 (03) ◽  
pp. 259-265
Author(s):  
Isty Isty Istianah ◽  
FENTI DWI FIBRIANA
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Chi Square ◽  
Birth Canal ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Chi Square Test ◽  
Perineal Wounds ◽  
Postpartum Mothers

Vulva hygiene in the treatment of birth canal injuries consist of 2 types, there were using antiseptics and not using antiseptics, which is used traditional treatments that use betel leaves. Treatment of birth canal injuries using betel leaves by boiling and using the water for vulva hygiene or cleaning the wound of the birth canal. Based on the survey conducted in March 2018 on 10 post partum mothers who visited the BPS Ria Mulya P, SST., M.Kes. on Katerungan Krian Sidoarjo the researchers observed and filled out observation sheets on 10 respondents that 10 postpartum mothers who used stew betel leaves, 7 postpartum mothers (70%) Healing wounds quickly and 3 postpartum mothers (30%) Healing of his wounds slowly. This condition that the number of postpartum mothers who heal their wounds quickly using betel leaf decoction.                      The method of this study is used longitudional analytic. The population was 30 postpartum mothers who visited clinic. Samples were taken were 30 respondents (postpartum mothers with perineal suture wounds using betel leaf decoction) using the Proposive sample technique. Data collection using observation sheets then the data tabulated and analyzed by chi square test. Based on the results of the calculation of the chi square test, the result of the Pvalue <α is 0.007 <0.005. This shows that there is an effect of vulva hygiene using betel leaf decoction during childbirth with perineal wound healing.                    The conclusion of this study is the decoction of betel leaf able to accelerate the process of healing perineal wounds during childbirth. The results of this study are still not perfect, and the ability of research is limited, for the next researcher more numbers of respondents are prepared so that the generalization can be expanded.      Keywords: Vulva Hygiene, betel leaf decoction, Perineum Wound Healing.

scholarly journals USIA DAN BUDAYA PANTANGMAKANAN MEMPENGARUHI PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS HARI KE 7

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar
Keyword(s):  
Wound Healing ◽  
Wound Care ◽  
Healing Process ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Wound Healing Process ◽  
Birth Canal ◽  
Perineal Wound Healing ◽  
Health Officer ◽  
Long Time

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.

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