Zusammenfassung
Die Wundheilung ist ein komplexer Vorgang, bei welchem nicht nur verschiedenste Matrixproteine sondern auch eine Reihe von Zellen miteinander interagieren müssen. Die Wundheilung läuft in verschiedenen Phasen ab, die sich überlappen und deren Steuerung von einer Reihe von Mediatoren und Wachstumsfaktoren abhängig ist. Die Phasen der Wundheilung gliedern sich in eine Entzündungsphase, in eine Proliferationsphase und in eine Phase der Gewebsumbildung (tissue remodelling). Wundheilungsstörungen, als chronisch nicht heilende Wunden, treten bei immunsupprimierten Patienten in der Onkologie, bei Sepsis und Stoffwechselerkrankungen wie Diabetes mellitus oder nach Organtransplantationen auf. Medikamente wie Kortikosteroide, nichtsteroidale Antiphlogistika, Calzineurininhibitoren wie Tacrolimus und andere Immsunsuppressiva wie Myophenolatmofetil können in die Wundheilung eingreifen und zu Wundheilungsstörungen führen.
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Sepp, N. (2007). Wundheilung und Immunologie: Einfluss von immunsuppressiver Therapie. In: Wild, T., Auböck, J. (eds) Manual der Wundheilung. Springer, Vienna. https://doi.org/10.1007/978-3-211-69454-1_24
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