{"id":1964,"date":"2022-12-01T14:50:07","date_gmt":"2022-12-01T07:50:07","guid":{"rendered":"https:\/\/oneonco.co.id\/blog\/?p=1964"},"modified":"2023-02-03T15:29:27","modified_gmt":"2023-02-03T08:29:27","slug":"kenali-malignant-wound","status":"publish","type":"post","link":"https:\/\/www.oneonco.co.id\/blog\/kenali-malignant-wound\/","title":{"rendered":"Kenali Malignant Wound"},"content":{"rendered":"\n

Luka yang berhubungan dengan keganasan disebut malignant wound<\/em>. Proses maupun hasil penyembuhan malignant wound<\/em> tidak terduga walaupun terapi standar telah diberikan dan sumber keganasan telah ditangani karena dipengaruhi oleh faktor sistemik dan lokal.<\/p>\n\n\n\n

Malignant wound<\/em>\u00a0dibagi luka yang dapat disembuhkan (healable<\/em>), dapat di kontrol (maintenance<\/em>), dan tidak dapat disembuhkan (nonhealable<\/em>). Pada\u00a0malignant wound<\/em>\u00a0yang\u00a0nonhealable<\/em>, perawat paliatif tetap diberikan untuk mengatasi gejala yang muncul walaupun sumber keganasan tidak dapat ditangani.\u00a0<\/p>\n\n\n\n


Curiga\u00a0Malignant Wound<\/em><\/strong><\/h2>\n\n\n\n

Sumber sel keganasan yang terdapat pada malignant wound <\/em>dapat berasal dari jaringan kulit sekitar yang mengalami keganasan maupun dari jaringan\/ organ tubuh yang berbeda dan tidak terletak berdekatan (metastasis). Luka perlu dicurigai sebagai malignant wound <\/em>bila<\/em><\/p>\n\n\n\n

\u00b7       Luka dihasilkan oleh jaringan keganasan setempat yang telah ada<\/p>\n\n\n\n

\u00b7     Luka yang timbul pada penderita dengan riwayat keganasan karena dicurigai terjadi metastasis. Lokasi tersering malignant wound<\/em> ini adalah area dada, payudara, kepala, leher dan perut<\/p>\n\n\n\n

\u00b7        Luka yang tidak kunjung sembuh dalam waktu yang lama karena terjadi peradangan kronik dan memicu pembentukan sel keganasan.<\/p>\n\n\n\n

\u00b7        Luka kronik pada pasien yang mengkonsumsi obat penekan imun jangka panjang atau memiliki penyakit Human Immunodeficiency Virus<\/em><\/p>\n\n\n\n

\u00b7    Luka yang muncul selama terapi keganasan, namun biasanya berhubungan dengan terapi yang terlambat atau telah terjadi pembentukan keganasan lebih lanjut<\/p>\n\n\n\n

Bentuk Malignant Wound<\/em><\/strong><\/h2>\n\n\n\n

Malignant wound <\/em>biasanya tampak berupa peninggian kulit ( atau luka bergaung (ulkus). Fungating <\/em>berkembang lebih cepat dan umumnya berbentuk seperti kol\/ jamur. Ulkus justru berbentuk luka dalam dengan tepi yang meninggi.<\/p>\n\n\n\n

Penanganan Malignant Wound<\/em><\/strong><\/h2>\n\n\n\n

Selain mengatasi sumber keganasan, terapi lokal pada luka diberikan secara paliatif untuk memaksimalkan kondisi terbaik penderita dengan skema HOPES.<\/strong><\/p>\n\n\n\n

H : <\/strong>Hemorrhage<\/em>\/ perdarahan<\/p>\n\n\n\n

O : <\/strong>Odor<\/em>\/ bau<\/strong><\/em><\/p>\n\n\n\n

P : <\/strong>Pain<\/em>\/ nyeri<\/p>\n\n\n\n

E : <\/strong>Exudate<\/em>\/ nanah<\/p>\n\n\n\n

S : <\/strong>Superficial infection\/ <\/em>infeksi pada permukaan luka<\/em><\/p>\n\n\n\n

Hemorrhage<\/em><\/strong><\/h3>\n\n\n\n

Malignant wound<\/em> sangat mudah berdarah sehingga penggunaan terapi anti perdarahan diberikan langsung pada luka. Pada kasus perdarahan yang berat, terkadang perlu diberikan tindakan penjahitan pada luka. <\/p>\n\n\n\n

Odor<\/em><\/strong><\/h3>\n\n\n\n

Bau yang timbul pada luka juga dapat diatasi dengan penggunaan obat Metronidazole\/ dressing mengandung arang serta luka harus tertutup sepenuhnya dalam keadaan kering. Pemberian zat penyerap bau seperti kitty litter<\/em> atau baking soda juga dapat dipertimbangkan. <\/p>\n\n\n\n

Pain<\/em><\/strong><\/h3>\n\n\n\n

Nyeri dapat mempengaruhi kualitas hidup penderita malignant wound<\/em>. Nyeri juga sering kali dirasakan pada saat penggantian dressing<\/em> akibat perekat pada dressing menempel pada kulit malignant wound<\/em> yang rapuh dan dapat menimbulkan luka baru yang semakin menimbulkan rasa nyeri pada pasien. Sehingga pilihlah dressing<\/em> yang dapat merekat baik namun mudah saat dilepaskan seperti Silicone<\/em>. Proses penggantian dressing<\/em> harus dilakukan secara hati \u2013 hati.<\/p>\n\n\n\n

Exudate<\/em><\/strong><\/h3>\n\n\n\n

Nanah pada malignant wound <\/em>berhubungan dengan inflamasi akibat infeksi. Kelembaban berlebih pada luka dapat memicu pertumbuhan bakteri terutama bila penderita memiliki masalah imun. Pada malignant wound nonhealable<\/em>,  pelembab tidak boleh diberikan dalam bentuk apapun. Dressing <\/em>yang dapat menyerap eksudat diberikan untuk mengatasi nanah yang berlebih.<\/p>\n\n\n\n

Superficial infection<\/em><\/strong><\/h3>\n\n\n\n

Luka kronik umumnya mengalami infeksi mengandung bakteri yang telah menempel, berkembang biak dan berkoloni pada luka. infeksi pada penderita malignant wound <\/em>dengan masalah imun akan berisiko lebih tinggi mengalami dampak pada lukanya mulai dari infeksi pada permukaan luka hingga menyebar ke jaringan lebih dalam. Infeksi diatasi dengan pemberian antimikroba dan disarankan menggunakan Ion Silver. Antimikroba lain seperti Gentamisin, Metronidazole, Mupirocin dan Polymyxin B Sulphate juga dapat menjadi pilihan. <\/p>\n\n\n\n

Penanganan malignant wound <\/em>membutuhkan kerjasama yang baik antara penderita dan tenaga kesehatan karena penanganannya sangat menantang. Selain sumber keganasan dan penanganan malignant wound<\/em> sesuai skema HOPES<\/strong>, hal lain yang perlu diperhatikan adalah masalah psikologis, tingkat kemandirian penderita dan memaksimalkan kualitas hidup dalam kehidupan sehari – hari.<\/p>\n","protected":false},"excerpt":{"rendered":"

Luka yang berhubungan dengan keganasan disebut malignant wound. Proses maupun hasil penyembuhan malignant wound tidak terduga walaupun terapi standar telah diberikan dan sumber keganasan telah ditangani karena dipengaruhi oleh faktor sistemik dan lokal. […]<\/p>\n","protected":false},"author":1,"featured_media":1967,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"breadcrumbs_single_post":"","page_title_panel":"","breadcrumbs_single_page":"","single_page_alignment":"","single_page_margin":"","page_structure_type":"","content_style_source":"","content_style":"","blog_post_streched_ed":"","blog_page_streched_ed":"","has_transparent_header":"","disable_transparent_header":"","vertical_spacing_source":"","content_area_spacing":"","single_post_content_background":"","single_page_content_background":"","single_post_boxed_content_spacing":"","single_page_boxed_content_spacing":"","single_post_content_boxed_radius":"","single_page_content_boxed_radius":"","disable_featured_image":"","disable_post_tags":"","disable_author_box":"","disable_posts_navigation":"","disable_comments":"","disable_related_posts":"","disable_header":"","disable_footer":"","footnotes":"","_rishi_post_view_count":2881},"categories":[36],"tags":[40],"class_list":["post-1964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artikel-kanker","tag-kanker","rishi-post"],"acf":[],"yoast_head":"\nKenali Malignant Wound - Oneonco<\/title>\n<meta name=\"description\" content=\"Luka yang berhubungan dengan keganasan disebut malignant wound. 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