Proceso de cicatrización de heridas de piel, campos endógenos y su relación con las heridas crónicas

Publicado

2013-10-01

Proceso de cicatrización de heridas de piel, campos endógenos y su relación con las heridas crónicas

Wound healing process of skin, endogenous fields related and chronic wounds

Palabras clave:

Cicatrización de Heridas, Úlcera por Presión, Electrofisiología, Estimulación Eléctrica, Piel (es)
Wound Healing, Pressure Ulcer, Electrophysiology, Electric Stimulation, Skin (en)

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Autores/as

Claribeth Guarín-Corredor Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.
Paola Quiroga-Santamaría Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.
Nancy Stella Landinez-Parra Departamento del Movimiento Corporal Humano, Facultad de Medicina, Universidad Nacional de Colombia. Bogotá, Colombia.

Resumen (es)
Resumen (en)

Antecedentes. La cicatrización de heridas en piel es un proceso de alta complejidad orientado a recuperar la integridad del tejido, permitiendo su regeneración y restaurando sus funciones.

Objetivo. Revisar los procesos de cicatrización normal y de heridas crónicas en la piel y su relación con las corrientes endógenas.

Materiales y métodos. Se realizó una búsqueda de artículos en diferentes bases de datos, la cual se hizo con base en los títulos de términos médicos (Medical Subjects Headings) MESH, con la utilización de los vocablos "Wound Healing", "Pressure Ulcer" y el subencabezado "Electrophysiology", "Electric Stimulation" and "Skin".

Resultados. La alteración de factores intrínsecos o extrínsecos puede conducir a heridas crónicas, lo que se evidencia en cambios en el comportamiento bioeléctrico de la piel y sus características dieléctricas. La activación de la migración celular y, con esta, el proceso de cicatrización, mediante la generación de un estimulo eléctrico exógeno es posible en presencia de alteraciones de los campos endógenos.

Conclusión. El proceso de cicatrización depende de múltiples factores tanto intrínsecos como extrínsecos, los cuales son fácilmente alterables. Para esto, es fundamental comprender a cabalidad el comportamiento de la piel ante una lesión y cuáles son los mecanismos que se alteran cuando se instaura una lesión crónica.

Background. The skin wound healing is a highly complex process that can recover tissue integrity allowing regeneration and restoring its functions.

Objective. To review literature about normal healing processes and altered.

Materials and methods. Research of articles in different databases, which was based on the titles of medical terms (Medical Subject Headings) MESH, with the use of the terms "Wound Healing", "Pressure Ulcer" and the subheader "Electrical Physiology", "Electric Stimulation" and "Skin".

Results. The alter of intrinsic or extrinsic factors can lead to chronic wounds, as is evidenced in changes of the skin bioelectrical behavior and its dielectric properties. Activation of cell migration and wound healing this by generating an electrical stimulus exogenous, it's possible in presence of alterated endogenous fields.

Conclusion. The healing process depends on many extrinsic and intrinsic factors, which are easily alterable. For this, it's essential to fully understand the behavior of the skin to injury and what the mechanisms are altered when it establishes a chronic injury.

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