“After the divorce I feel lonely. especially on weekends.” The case with my other patient Oksana is typical. After her divorce from her husband, she began to experience bouts of depression. It began to seem to her that “there was no further road for her.” Started to “feel lonely, especially in

It is known that people with diabetes often develop various skin lesions, difficult-to-heal wounds after cuts, punctures or insulin injections, and cracks on the feet. Unfortunately, any damage to the foot with diabetes can lead to the development of ulcers, and if left untreated, to more severe complications: gangrene and amputations. In addition, one of the complications of diabetes is diabetic foot syndrome.

One of the reasons diabetic foot syndrome is that high blood glucose levels cause damage to the walls of blood vessels. This complication, in turn, causes inadequate blood supply, that is, the supply of oxygen and nutrients to the tissues. Subsequently, more serious complications occur, such as inflammation and tissue damage, and wound infection. All this can lead to chronic ulcers and, finally, tissue necrosis. The only effective way to heal a wound in such a situation is to partially restore the capillaries.

To prevent complications with the feet, comprehensive prevention of the disease is necessary.

Well, if there are already complications, manifested by decreased sensitivity of the limbs, dryness and cracking of the skin of the feet, the appearance of ischemic ulcers and other wound surfaces, then it is necessary to use special means that promote natural tissue regeneration.

In all cases: for prevention and to increase efficiency in the treatment of difficult-to-heal wounds, we recommend using the new generation of professional regenerating products from the series "Diabetegen".

Cream Diabetegen (for prevention) And Diabetegen Forte (for special care in the treatment of difficult-to-heal wounds)– developed together with doctors Diabetes Society(Poland) and, according to the results of studies, have shown their high efficiency.

Diabetegen has a unique rich natural composition, the basis of which is biologically active colostrum(colostrum).

High-quality and valuable colostrum, which is the base of the composition dermacosmeticsDiabetegen:

• firstly, it contains all growth factors existing in nature;
• secondly, it helps restore the walls of blood vessels;
• thirdly, it helps to reduce inflammatory processes, and as a result, enhance wound healing;
• fourthly, it helps to increase local skin immunity due to the content of natural immunoglobulins and colloidal silver.

Thus, with daily skin care products "Diabetegen" There is an increase in tissue regeneration, an improvement in the process of epithelization, cleansing of the wound and the creation of all conditions for the speedy healing of a diabetic ulcer.

Already in the first days of use, you can notice how the wound is better cleaned, enhanced regeneration of soft and muscle tissue occurs, and the epidermis is restored.

Statistics on the treatment of wounds and diabetic ulcers using care products Diabetegen showed that there is a significant reduction in healing time from 2 to 4 weeks depending on the severity of the lesion.

Regenerating cream Diabetegen over the 6 years of its existence, it received 12 awards and diplomas, including a very high degree of recognition of its effectiveness from Diabetes Society(Poland). Has a distinctive sign of recommendation on its packaging.

Diabetegen annually receives awards for 1st place as the best cosmetic product for diabetics at a prestigious medical exhibition and forum Diabetics Expo in Europe.

What is important is that the impressive ability of the series of creams "Diabetegen" tissue regeneration allows its use at home and for other purposes, such as:
- elimination of dryness and irritation of the skin, minor cuts, household burns, as well as cracks on the foot.

Diabetegen Forte cream has proven to be in demand in cosmetology, and is also widely used to treat skin with acne and acne, and has a pronounced rejuvenating effect on the skin.

HEAL, I’ll heal, you’ll heal, absolutely. (to heal). 1. what. Eliminate, heal (some damage on the body) with treatment. Heal the wound. 2. what. Eliminate external signs of some disease (colloquial). Quickly cure venereal disease. 3.… … Ushakov's Explanatory Dictionary

Treat, cure, heal Dictionary of Russian synonyms. heal heal (colloquial) Dictionary of synonyms of the Russian language. Practical guide. M.: Russian language. Z. E. Alexandrova. 2011… Synonym dictionary

HEAL, eat, eat; scarred; Sovereign 1. what. When treating, let something heal. Z. wound. 2. whom (what). Cause harm to someone through inept treatment. (colloquial). Z. until death. | imperfect heal, oh, oh. Ozhegov's explanatory dictionary. S.I. Ozhegov, N.Yu. Shvedova... ... Ozhegov's Explanatory Dictionary

heal- HEAL / HEAL HEAL / HEAL, decomposed. heal/heal HEAL/HEAL, decomposition. heal/heal... Dictionary-thesaurus of synonyms of Russian speech

Sov. trans. see heal Efremova's Explanatory Dictionary. T. F. Efremova. 2000... Modern explanatory dictionary of the Russian language by Efremova

Heal, heal, heal, heal, heal, heal, heal, healed, healed, healed, healed, healed, heal, heal, healed, healed, healed, healed, healed, healed, healed, healed, healed,... ... Forms of words

heal- lie down, fuck, fuck... Russian spelling dictionary

heal- (II), I’ll heal/(s), le/chish(s), chat(s) ... Spelling dictionary of the Russian language

heal- C/A chapter see Appendix II 246, 253 cm... Dictionary of Russian accents

I am treating, healing; healed; chen, a, o; St. 1. what. Heal through treatment. Z. ulcers. 2. whom. Razg. Treatment to exhaust, to kill. Z. half to death. ◁ Heal, oh, oh; nsv. To heal, it seems; suffering Healing, I; Wed... encyclopedic Dictionary

Books

• Live. How to heal the wounds of the past, cope with the present and create a better future, Hanson Rick, Hanson Forrest. Neuropsychologist Rick Hanson is sure: the quality of life of each person depends on how he copes with difficulties, protects his vulnerabilities and builds personal resources. All this depends on...
• After the betrayal. How to Heal the Pain and Rebuild Trust When Your Partner Cheated on You, Spring Janice Abrams, Spring Michael. Treason is one of the most terrible words in the language. It is saturated with bitterness, behind it is the pain of parting and the ghost of loneliness, it pushes us to the abyss of eternal separation. But is it? What…

Every person in the course of daily activities receives minor cuts, cracks, abrasions, minor burns or other superficial wounds of the skin. These small wounds are often very annoying, without being serious enough injuries to warrant a visit to the doctor. Typically, these changes are not dangerous, but can cause great discomfort. This is why it is very important to speed up the healing process. So how can you heal a wound quickly?

Acute and chronic wounds

Wounds are divided into acute and chronic. Acute ones occur after cuts or operations. These wounds heal quickly (2-7 days) and, if properly cared for, are not a serious problem. Chronic wounds, those that do not heal within a week, even despite maintaining hygiene. In this situation, it becomes necessary not only to treat wounds, but, above all, to find the reasons for this. Wounds that do not heal may indicate a serious illness in the body.

Chronic wounds more often affect older people. There may be several reasons. Worse tissue regeneration, the inability of the elderly to treat a wound, serious illnesses, for example, wounds that are difficult to treat in diabetes (persistently elevated blood sugar levels lead to damage to the arteries, a process that ends in injuries and even amputation of the foot) or venous insufficiency, where wounds are the result nutritional disorders of leg tissues.
A wound that does not heal within two weeks should be cause for concern. Especially when there are additional symptoms - redness, swelling or pain - that indicate infection or inflammation. You should then immediately go to the doctor to determine the cause. The earlier treatment is carried out, the greater the chance for rapid healing.

• 1. Formation of wounds

In order to understand what are the possibilities for accelerating the process and what substances can affect the healing process, it is worth referring to the individual stages of the process. Damage to the skin triggers an inflammatory response, which leads to the accumulation of fluid on the surface, which contains, among other things, growth factors, and whose main function is to stimulate the proliferation and migration of immune cells to the wound area. These substances work best in a moist environment, and drying an open wound will significantly prolong the healing process. Under the influence of the above factors, epithelial cells and intact hair follicles grow to cover the site of injury and lead to the formation of new epithelium covering the wound. In this case, the wound heals without scars.

• 2. Stages of wound healing

As we can see, the healing process is complex and involves many of our body's defense and regeneration mechanisms.

First of all, proper cleansing of the wound is very important for the healing process. The skin should be cleansed under running cold water or an inert liquid such as saline. The use of substances containing alcohol, iodine to clean damaged skin is not advisable, and the use of such compositions can further irritate the skin and cause large wounds. In addition, such opening of the wound causes drying, which delays the regeneration process of the epidermis and makes it an easy target for microbes. To speed up the healing process, keeping the wound surface moist is important. This environment delays crust formation. After cleaning the wound, it is worth applying a substance that provides a moist environment in the area of ​​damaged skin.

Several types of bacteria always live on human skin, which usually do not pose a danger to the body, but when the skin is damaged, there is a risk of infection. In addition, in the case of wounds, abrasions and burns, we are exposed to a number of bacteria in the external environment. That is why the drug applied to the wound surface must have antibacterial properties.

• 3. Accelerate wound healing

A good choice for these minor skin lesions is a combination product that comes in the form of an ointment for topical application to the skin. The dosage form provides sufficient moisture to the wound so that the healing process continues as quickly as possible. It is desirable that such a composition has a composition of active substances with antibacterial activity. The influence of antibiotics reduces the risk of the emergence of resistant strains.

Stages of healing

Wounds, scratches, cuts happen every day. To make it easier to understand first aid in such cases, you should know the four stages of treatment:

1. Inflammation

The body's immediate defense response to any injury is to dilate the blood vessels to speed up the transport of blood to the injured tissue - the blood vessels become more permeable, allowing fluids and white blood cells (leukocytes) to be transferred from the blood to the tissues. Increased blood flow causes unpleasant but transient symptoms:

• - increase in tissue temperature due to increased blood circulation;
• - redness due to vasodilation (dilation of blood vessels);
• - swelling caused by exudation of blood to the tissues;
• - pain due to increased tension and excess fluid in the tissues.

2. Thrombus

After a wound, for at least 10 minutes, depending on the extent of the injury, the body forms a clot (thrombus) that connects the edges of the wound to prevent excessive blood loss.

3. Removal of dead tissue.

White blood cells begin the process of absorbing microorganisms, dead cells and foreign substances, after cleaning the wound area. The damaged cells then release chemicals to stimulate blood flow and attract more white blood cells to the site of damage. Dead white blood cells containing excess microorganisms and decomposition products are partially removed through the lymphatic system and partially form purulent discharge.

4. Wound healing.

In the following days, general tissue and epithelium grow to replace the damaged skin surface. In case of extensive injuries, a scar forms over the entire surface of the wound. The immune system and white blood cells play another important role - they produce antibodies that help the body fight infection. Therefore, the healing process proceeds smoothly if the patient's general health is good. A weakened immune system significantly reduces the body's ability to fight infections and impairs wound healing. Fever, which occurs with extensive injuries from infection, is part of a protective mechanism - it helps fight infection (increased body temperature does not encourage the growth of harmful microorganisms) and speeds up the healing process (fever increases the flow of blood and nutrients to the area of ​​injury).

First aid

• - Stop the bleeding

A bleeding wound requires immediate application of direct pressure. Place a piece of clean material that absorbs moisture, such as gauze bandages, towels or a napkin, over the wound site and press firmly. If possible, the victim himself should clamp the wound, because he knows better with what force to do this. In general, pressure stops bleeding within 1-2 minutes. If blood leaks out, apply another layer of material and continue applying pressure. It is safe to apply a sterile compress to open wounds. Very heavy bleeding can be quickly controlled by using a hemostatic agent.

• – Reduced pressure in damaged blood vessels

Wounds should be treated as soon as possible to prevent infection and skin trauma. The entire area around the injury site is washed with soap and water, hydrogen peroxide, antiseptic or water. This reduces the number of bacteria, foreign objects and dead tissue fragments that threaten the wound. The wound (wound surface) should be carefully washed with water and gauze or a cotton swab 2 times a day, from the wound outward, to avoid infection by skin bacteria. Then apply the patch and leave it overnight. The patch should only be applied when the wound is wet.

• — Wound dressings

Exposure to air causes crusting to form, which slows down the process of growing new cells. Therefore, a sterile bandage with plastic or gauze coated with Vaseline is applied to the wound. This prevents the wound from drying out and allows a small amount of air to flow in. Cell regeneration is faster in moist tissues.
After the bleeding stops, wrap the wound with an elastic bandage in the right direction - the blood should flow freely. The bandage must be controlled; it should not interfere with blood circulation.

Ways to accelerate wound healing

In modern restorative medicine, hygiene without the use of chemicals is preferred. The method of maintaining hygiene affects the rate of healing of all skin lesions. Chemical cleaning of the wound with products (soaps, gels, shampoos, etc.) can irritate the wound and delay the healing process, but cleaning is necessary to prevent the development of secondary infection.
Therefore, the original solution is to maintain daily hygiene using the natural air-water sterilizing effect. Thanks to this, the healing process proceeds without interference, is enhanced and occurs much faster. In addition, microbubbles perform a unique micro-massage that stimulates blood flow within the wound. For these reasons, consistent use of microbubbles in daily hygiene significantly reduces the appearance of scars.
Japanese water nanotechnology experts have developed and patented home generators of medicinal bubbles in the form of shower heads and systems, bath faucets.

Traditional medicine for healing

Herbal infusions and oils can be added to the bath to further enhance the therapeutic effect.

Wound healing herbs.
The compress is soaked in a cooled and strained herbal solution and then applied to the wound. Recommended tinctures: nettle, sage, yarrow and St. John's wort.
Ointment for wounds.
The best are ointments containing broad-spectrum antibiotics, for example, Fenistil or Bipanten. People using antibacterial ointments show 30% faster healing and less scarring. Popular ointments containing preservatives can cause allergies - redness and itching around the wound, which can cause a secondary infection. Preparations containing components are the best alternative for local treatment of wounds with pharmaceuticals. Recommended: green clay, honey, echinacea, arnica, calendula and oregano ointments, broom oil, coconut oil, argan oil and essential oils to support wound healing:

• rosemary oil;
• bergamot essential oil;
• patchouli oil;
• rose oil;
• geranium oil

Allantoin facilitates the separation of necrotic tissue and wound cleansing, stimulates the epidermal mucous membranes and skin. Hyaluronic acid as a skin component plays a key role in all stages of wound healing: it accelerates wound scarring and clot formation (at least 3 times faster). Promotes epidermis renewal. Hyaluronate containing preparations are recommended as a supplement for the healing of all types of wounds.

You should contact a DOCTOR in the following cases::

• - the blood from the wound is pulsating and its color is light red - this may be due to damage to the artery;
• - it is not possible to remove all foreign bodies from the wound;
• - injury to a place where there should not be a scar, for example, the face;
• — there is pus around the wound or redness at the edges of the wound wider than a finger;
• - a large wound in which the bottom is visible - it needs to be stitched up!
• - the wound is deep and can cause damage to blood vessels, nerves, tendons, ligaments and/or muscles (for example, puncture wounds.)
• - wound caused by a bullet - gunshot wound;
• - any wound on the head, serious wounds to the abdomen and chest;
• - the injury does not begin to heal within 24 hours;
• - Anti-tetanus injections are needed. A large surface of the wound and its contamination with earth, objects that were in the ground, and dust are indications for the administration of anti-tetanus serum. If you don't remember the last time you received a vaccine dose, be sure to see a doctor on the day of your injury!

If the wound does not heal - reasons

It is true that chronic wounds are difficult to heal, especially in older people. However, problems with the wound are often associated with non-compliance with the rules of behavior - the wrong choice of hygiene, medication or neglect of them. Very often, therapeutic measures are aimed only at the wound, and not at removing the cause. And this is a mistake! Wound healing depends primarily on the underlying disease.

The most common mistakes that prevent wounds from healing are changing dressings too often.

The rule is this: the dressing should be changed as often as necessary and as little as possible. In the case of chronic wounds, it is changed once a week, and in case of heavy discharge from the wound - every 2-3 days. Frequent changes damage new, soft tissue and destroy reparative processes.

The second mistake is pouring disinfectant liquids into the wound (for example, hydrogen peroxide or salicylic alcohol, as well as iodine).

Wounds are also not treated with antibiotics. These disinfectants and antibiotics cause damage to healthy cells and slow wound healing.

The safest wound environment is normal saline and medications that prevent the entry of pathogens and infections from outside without damaging the wound environment. Vaseline or zinc-based ointment also cannot be classified as a good solution. They are used only to protect the skin around the wound.

• 1. Wounds are washed with saline, 0.9% or Ringer's solution. You should not use disinfectants - alcohol, iodine or hydrogen peroxide, because they destroy the newly formed, very delicate skin and granulation tissues that are newly formed.
• 2. Avoid frequent and excessive application of ointments, creams and gels to the wound (without consulting a doctor).
• 3. The wound should be kept in a moist environment, thanks to modern dressings. They do not stick to the wound surface and therefore do not cause tissue damage or pain.
• 4. The skin around the wound is nourished with preparations with a slightly acidic pH, which inhibits the growth of harmful bacteria.
• 5. The wound should not have any contact with clothing and the dressing should be placed so as to prevent contamination.
• 6. Depending on the stage of healing, the doctor indicates the frequency of changing the dressings, preferably once a week.

Preparations for rapid wound healing

There are hundreds of different types of drugs. They can be divided into the following types:

• hydrogels (for example Intrasitegel, aquagel) - capable of absorbing exudate, maintaining high humidity, and also having cleansing properties, which leads to hydration of necrotic tissues;
• hydrocolloids (for example Granuflex, Tegasorb), which are in the form of layered plates and upon contact with exudate form a gel, which occurs during the granulation process;
• dextromers (for example, Acudex, Debrisan) - dressing materials consisting of polysaccharide grains that form a gel upon contact with wound exudate; used to treat large, deep and infected bedsores;
• alginates dressings (for example, Kaltrostat, Tegagel.) - Dressings, natural polysaccharides obtained from seaweed with very high absorbent properties;
• semi-permeable polyurethane film (for example, Opsite, Tegaderm.) - Capable of ensuring free evaporation of wound exudate from the surface, but not permeable to water and bacteria from the outside.

How to speed up wound healing?

1. Medicines applied locally

The classic patch or bandage has now been replaced by so-called hydrocolloid dressings. Preparations of this type Fenistil for wounds. Hydrocolloid acid creates optimal conditions for wound healing. Provides sufficient moisture to dry wounds, absorbs excess exudate from the wound, and protects against external factors. As a result, the dressing hydrocolloid accelerates tissue repair and reduces scar formation. Such a dressing can be applied to the wound surface, such as minor abrasions, cuts and wounds - bedsores. They should not, however, be applied to purulent wounds. The drugs are applied directly to the wound. In addition, you can apply a regular bandage or plaster on top.

To speed up the healing of serious wounds, Solcoseryl is prescribed in the form of a gel on a wet wound and Solcoseryl ointment on a dry wound and Curiosin gel. The drugs are applied to the cleaned wound 2 times a day. The active ingredient of Solcoseryl is dialysate from the blood of calves, which facilitates access of oxygen and nutrients to the cells inside the wound. In Curiosin, the active component is zinc hyaluronate, which ensures adequate hydration and an appropriate response of inflammatory cells.

For slow-healing, purulent wounds, medications can be used to speed up cleaning. Ichthyol ointment has an anti-inflammatory effect, slightly astringent. It can be used for boils, 2-3 times a day. Medicines may temporarily irritate the skin.

The new skin that forms must be properly hydrated and nourished from the outside. It is necessary to use ointments or moisturizing creams with allantoin (Alantan), dexpanthenol (Bephanten, Dermopanten), vitamin ointments. The creams are safe and can be used several times a day for adults and children.

2. Diet and nutritional supplements to speed up healing

For large cuts, surgical wounds, it is important to supplement the amount of vitamin C in the body. It participates, together with the amino acids lysine and proline, in the formation of collagen, which is a kind of scaffolding for cells. The body cannot synthesize vitamin C and lysine, so it must be obtained through diet. Lysine-rich foods include hard cheeses, legumes, fish, and meat. Take vitamin C supplements with a high content - 1 g, preferably of natural origin.

Before operations, as well as to promote skin regeneration, it is worth enriching your diet with omega-3 preparations, taking flaxseed oil, B vitamins, especially vitamin B5, vitamin A and E.

What can you eat to speed up healing?

Carnosine.
One thing to keep in mind is that the wound healing process is supported by carnosine. Typically, the main source of carnosine is beef and pork. If, however, for various reasons, the patient cannot eat meat, drugs containing carnosine must be taken. Carnosine is thought to aid in the healing of bedsores (and prevent the formation of new bedsores), but it actually helps in the healing of all wounds. Colostrum, or the first milk that is produced after childbirth, is a unique immune support system. Colostrum accelerates the healing of all types of wounds.