Ispol'zovanie pitatel'nykh veshchestv v protsesse zazhivleniia ran.

Translated title of the contribution: The utilization of nutrient substances during wound healing

N. A. Mayer, M. J. Muller, David Herndon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The process of wound healing represents a series of complex physicochemical reactions requiring different nutritional microcomponents at each stage. In patients with extremely grave diseases and injuries the course of wound healing is impaired because of a hypermetabolic reaction to stress, leading to protein catabolism. The hypothalamus responds to cytokine stimulation by changes of thermoregulation (increase of heat production) and increased production of stress hormones (catecholamines, hydrocortisone, and glucagon). In turn, stress hormones trigger the thermogenous (unproductive) metabolic cycle and the lipolysis and proteolysis processes. Hyperproduction of glucose at the expense of skeletal muscle tissue degradation leads to the formation of amino acid substrate for liver glyconeogenesis. Additional nutrients are obligatory for wound healing in such patients. Protein catabolism cannot be arrested by amino, acids alone partly because amino acid transport is impaired; it can be normalized by anabolics, such as growth hormone and insulin-like growth factor 1. Treatment with growth hormone yields a dramatic positive effect in severely burned children. Proteins and vitamins, specifically arginine and vitamins A, B, and C provide the optimal nutritive support during wound treatment.

Original languageUndefined
Pages (from-to)29-39
Number of pages11
JournalAnesteziologiia i reanimatologiia
Issue number5
StatePublished - Sep 1996
Externally publishedYes

Fingerprint

Wound Healing
Amino Acids
Food
Growth Hormone
Hormones
Proteins
Thermogenesis
Body Temperature Regulation
Lipolysis
Graves Disease
Wounds and Injuries
Somatomedins
Glucagon
Vitamin A
Vitamins
Proteolysis
Hypothalamus
Ascorbic Acid
Catecholamines
Arginine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Ispol'zovanie pitatel'nykh veshchestv v protsesse zazhivleniia ran. / Mayer, N. A.; Muller, M. J.; Herndon, David.

In: Anesteziologiia i reanimatologiia, No. 5, 09.1996, p. 29-39.

Research output: Contribution to journalArticle

Mayer, N. A. ; Muller, M. J. ; Herndon, David. / Ispol'zovanie pitatel'nykh veshchestv v protsesse zazhivleniia ran. In: Anesteziologiia i reanimatologiia. 1996 ; No. 5. pp. 29-39.
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