Pressure sores (decubitis)

Micronutrient therapy

Supports the healing process
Oral proteolytic enzyme supplements are used as therapeutic diet measures to promote wound healing processes in acute and chronic wounds. The natural biocatalysts are used for enzymatic wound cleansing, without attacking the intact epithelial, granulation and muscle tissue. 
Supplies adequate micronutrients 
The supply of essential minerals (such as calcium,  potassium,  magnesium) and trace elements (suchas iron,  zinc,  selenium,  copper,  iodine,  manganese,  molybdenum,  silicon) is essential, particularly for prolonged illness and for patients who are bedridden and prone to pressure sores. The body’s repair processes for  pressure sores is supported by certain micronutrients. If these are deficient, the wound healing process is impacted.  Malnourished patients can develop decubitus, infections and delayed wound healing.. The targeted supply of relevant nutrients can improve and accelerate wound healing.
Improve antioxidant status of skin
Free radicals are formed in inflammatory processes and by external factors such as medication. OPCs  from  grape seed  extract are particularly suitable as effective antioxidants for the prevention of decubital skin lesions. OPCs play an essential role in wound healing and in the formation of collagen tissue, as they promote the proliferation and migration of fibroblasts and thus the formation of the collagen matrix. 

Carotenoids  and the polyphenols and catechins (EGCG) of  green tea  are suitable for maintaining the skin properties and skin functions. They are essential antioxidants for the epidermis and the underlying tissue structures.
Positively influence inflammatory processes
Inflammatory processes are supported by inflammation-promoting and immunosuppressive inflammation mediators. Omega-3 fatty acid EPA can inhibit the development of these highly inflammatory tissue hormones and modulate their effect by forming favorable eicosanoids.
Support skin healing processes
During wound healing, the formation and storage of collagen on the skin lesion is necessary. Iron  and  zinc  as cofactors are essential components of matrix metalloproteinases and enable the formation of new tissue and wound closure. 

Vitamin Cis required in collagen synthesis. It is involved in the hydroxylation of proline and lysine into hydroxyproline and hydroxylysine, which are characteristic components of connective tissue and essential for its structural stability. Vitamin C also acts as an antioxidant and has anti-inflammatory properties. Patients with wound healing disorders, decubitus, leg ulcer, burns and after surgery benefit from a vitamin C supplement. 

Pantothenic acid is a component of coenzyme A, which plays a role in the synthesis and functionality of the skin layers and in cell renewal. Coenzyme A acts as an energy source and stimulates metabolic processes necessary for cell division, cell maturation and the synthesis of dermal lipids. Pantothenic acid is essential for rapid wound healing and efficient healing processes. It stimulates the formation of collagen-synthesizing fibroblasts and the production of hexosamine-containing acidic mucopolysaccharides, which are important for the stability of granulation tissue. 

L-arginine  is a component of wound healing as it forms the precursor of polyamines, which are essential for cell division and protein synthesis and therefore have a protein anabolic effect. Clinical studies have shown that the therapeutic use of arginine can promote wound healing processes and thus shorten the healing phase.
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