Why wounds on the body do not heal well. What vitamins are missing from skin wounds that don't heal well? Therapy at home

Scratches and wounds occur due to disruption of the anatomical integrity of the skin and mucous membranes as a result of mechanical stress. The most common occurrence of abrasions, scratches and wounds is careless handling of piercing and cutting objects at home and at work.

– the cause of long-term non-healing wounds

If it does not stop within 15 minutes, the cut is very deep or has ragged edges, you should immediately consult a doctor.

The influence of infections and diseases of internal organs on wound healing

First aid for cuts is to remove foreign bodies, treat the wound surface with an antiseptic, and apply a sterile bandage.

Sometimes wounds and scratches do not heal for a long time despite correct treatment. The reason in this case can be determined by the therapist, focusing on the results of clinical studies. There are the following pathological conditions in which wounds and scratches do not heal well:
- diabetes;
- oncological processes;
- anemia;
- lack of vitamins and microelements;
- disturbances in the functioning of the immune system.

In a person with these diseases, metabolic processes in cells are disrupted, which impairs the ability of tissues to regenerate. Sometimes prolonged healing of damage is a temporary phenomenon, which can be observed due to decreased immunity after ARVI and other infectious diseases. If the problem of recovery from injuries is systematic, you need to consult a doctor for a full examination and a correct diagnosis.

Abrasions, cuts, scratches, burns of varying degrees or any other damage to the skin - there is no person who has not personally, or through the example of his loved ones, encountered such wounds.

If serious injuries are treated by a doctor, then minor wounds are treated independently or simply ignored.

But the body does not always manage to cope and often the wounds do not heal or the healing process takes a long time.

There are also cases of suppuration.

So what is the reason for the long healing time? What to do if the wound does not heal?

Or what to do if the wound festers? When should you go to the surgeon? Let's try to figure it all out.

The wound does not heal - reasons

The healing process largely depends not only on the severity of the damage. There are many factors and reasons that directly influence this. In addition, not all wounds heal equally, and this depends on the specific type. Wounds are usually divided according to the nature of the damage:

1. Cut– such damage usually has smooth edges and insignificant depth. They are easy to apply with any sharp object. For example, with a razor, knife, glass, etc. The healing time of such a wound lasts no more than a week and depends on its depth.

2. Stabbed– arise as a result of exposure to a sharp piercing object (nail, awl, splinter, etc.). The healing of such wounds largely depends on its depth and is complicated by the lack of oxygen access inside the wound itself.

3. Chopped– can be applied with any sharp instrument (axe, scythe, rotating elements of production equipment, etc.). It is impossible to cure such wounds on your own, since they are very deep and are often accompanied by bone damage.

4. Torn– the edges of the wound in this case are uneven “torn”. Such damage can easily occur when injured by a saw. They take a very long time to heal (up to a month). Usually complicated by necrosis and suppuration.

5. Scalped– when the skin hangs like a “rag”. If the wound is not infected and has an insignificant surface of damage, then its healing will take no more time than for an incised wound;

6. Bitten– wounds that do not heal for months. They are applied by both domestic and wild animals.

7. Bruised– such a wound can easily be obtained when hit with a stick or club. Healing is complicated by softening of the tissue and thrombosis of its vessels, and they can take up to several weeks to heal.

8. Burns can also be classified as wounds and their healing time depends not only on the type of damage (chemical or thermal), but also on their severity.

From the above, one can draw the incorrect conclusion that the healing time of wounds is stable. But in reality this is far from the case. The nature of the origin of the wound, incorrectly provided first aid, or infection due to poor-quality treatment can have a great influence on the duration of healing.

Age and concomitant diseases that lead to metabolic disorders and decreased immunity can also slow down this process. In people with diabetes, AIDS and HIV carriers, wounds may not heal for years.

Wound treatment or what to do if the wound does not heal - medications

Definitely the best recommendation, if the wound does not heal for a long time, is to seek qualified help in a timely manner. The treated wound will heal much faster. The specialist will give recommendations on proper care for her and, if necessary, prescribe medications for treatment. But if for some reason this is impossible to do, then try to follow the following mandatory rules:

1. If the wound is fresh, try to stop the bleeding - rinse the wound with 3% hydrogen peroxide. Do not cauterize the damaged area with iodine. It causes severe tissue burns, thereby complicating healing. They can only treat the skin around the injury.

2. After you have stopped the bleeding and during subsequent care, treat the skin around the wound before dressing it to prevent infection. Medical alcohol is best suited for these purposes. As a last resort, something containing alcohol, if possible, without essential oils.

3. After this, treat the wound itself with peroxide and blot it with a bandage or gauze. Make sure that no threads remain on damaged fabrics. Carefully inspect the wound and remove the foreign body, if any (splinters, remains of wood from splinters, etc.).

4. Then wash the wound with any aseptic solution - Chlorhexidine, Furacillin or a weak solution of potassium permanganate.

5. ARGOSULFAN® cream helps speed up the healing of abrasions and small wounds. The combination of the antibacterial component silver sulfathiazole and silver ions provides a wide range of antibacterial effects of the cream. The drug can be applied not only to wounds located on open areas of the body, but also under bandages. The product has not only a wound healing, but also an antimicrobial effect, and in addition, promotes wound healing without a rough scar 1

You need to read the instructions or consult a specialist.

Until now, out of ignorance, wounds are sprinkled with Streptocide. But experts do not recommend doing this. When reacting with the released transparent serous exudate, its powder covers the wound with a “crust” that is difficult to wash off. Underneath it, when wounds become wet, exudate accumulates, which can lead to long healing or suppuration.

What to do if the wound festers - possible consequences

The first sign of suppuration is the release of viscous, cloudy, slightly yellowish exudate (pus) from the wound. When it appears, the wound surface should be disinfected immediately. But before you wash it, you must first carefully remove the pus from the wound with a dry gauze cloth and only then treat the edges and the wound surface itself.

If it is possible to immediately contact a surgeon, purulent discharge should not be removed. Their characteristic features will help the doctor determine the degree of neglect of the wound.

If the wound festers and is not treated correctly, serious complications, both local and general, can occur. In the best case, an abscess can form at the site of suppuration - when pus collects at the site of infection and does not disperse to other tissues (has clear boundaries). Such an abscess is opened, and it may take up to a month to heal. At worst - phlegmon. In this case, the pus can spread to other tissues and lead to more severe complications, including amputation of limbs, sepsis and death.

What to do if the wound festers - folk remedies

There are many traditional medicine recipes that allow you to cleanse a wound of pus and speed up the healing process of purulent wounds.

The most common is the juice of the aloe plant. They should irrigate the purulent wound generously after washing, before applying a bandage.

The fastest resorption of infiltrates and abscesses is facilitated by lotions from the herb sweet clover.

A wonderful remedy for purulent wounds, especially cuts, is the juice of wormwood. They, like aloe juice, need to irrigate a washed purulent wound, and apply mint leaves along its edges.

A widely popular method is the folk method of treating purulent wounds with nettle. Well-dried and ground nettle leaves are sprinkled on a wound that has been cleared of pus, and after half an hour, it is washed off with a decoction of the same nettle. To prepare such a decoction, you need to pour 100 grams of nettle with half a liter of boiled water and bring to a boil. Then add 50 grams of honey, stir well and cool. Before use, the decoction must be filtered.

We should not forget that not every remedy may be suitable for a particular person, and in some cases it may worsen the condition of the wound. Therefore, you should consult a specialist before using them.

What to do if the wound does not heal - when should you go to the surgeon?

If even a minor wound does not heal for a long time (more than a week). If after 2-3 days purulent discharge appears from it, and the edges become red and inflamed. If you experience throbbing pain in the area of ​​the injury, your body temperature rises sharply to 38 degrees, you need to immediately go to the surgeon. The specialist will perform initial treatment of the wound, conduct an examination and prescribe appropriate treatment.

Also, if a wound that does not heal for a long time occurs against the background of chronic diseases of the cardiovascular system, which impede blood circulation. If a person has diabetes, has cancer or chronic infectious diseases, he should not delay his visit to the doctor, he should immediately visit a specialist.

1 E.I. Tretyakova. Complex treatment of long-term non-healing wounds of various etiologies. Clinical dermatology and venereology. — 2013.- No. 3

One of the varieties of this pathology are bedsores. Several processes may underlie slow wound healing:

• the presence of a sluggish infectious-inflammatory process;
• poor blood supply to the skin in the wound area;
• the presence of severe diseases such as diabetes mellitus, malignant tumors, malnutrition, immunodeficiencies, vitamin deficiencies, etc.
• improper surgical treatment of the wound.

For normal wound healing, several conditions are necessary: ​​sterility of the wound surface, proximity of healthy skin edges of the wound to each other, good ability of the skin to regenerate. In the absence of these conditions, the healing process is delayed. Small wounds usually heal without leaving a skin scar. Large wounds require significant efforts by the body to “grow” new tissue to replace the existing defect, which is why scars form. Scars, by the way, are more pronounced the more intense the healing process is. So, everything is good in moderation.

Inflammation of the wound caused by infection prevents the synthesis of new skin cells, so until it is removed, the wound will remain open. Therefore, it is so important to initially treat any wound with an antiseptic solution (see below) and if the defect is large in size (more than 1 cm), then it must be covered with a sterile bandage in the first days. At the same time, it is not worth keeping the wound under a bandage for a long time, since high humidity does not contribute to rapid healing.

The diseases listed above significantly impair blood supply to the area of ​​the wound defect and suppress the immune system, which fights infection in the wound. Therefore, treatment of wounds in these cases requires careful treatment of the underlying disease against which the injury occurs.

1st method:

It is necessary to prepare a medicinal product from the following composition: 100 g of coniferous resin-resin (grind or crush), 100 g of lard (preferably fresh), 100 g of beeswax. Mix all the ingredients, put on low heat and bring to a boil, remembering to stir occasionally. Let simmer for 10 minutes. Remove from heat, wait to cool, and transfer while warm to a glass container.

Before using this remedy, the wound should be treated with lime water. It is prepared as follows: 1 tbsp. quench a spoonful of quicklime with 1 liter of water. Let it sit for 5-6 hours. Carefully drain the water and rinse the wound with it. Then take the remedy, smear it on a clean cloth and apply it to the wound. Dress the wound so that the bandage does not fall off. The bandage with the applied treatment should be changed after 1-2 days.

With this method, the wound heals faster. The resulting mixture has an analgesic effect and does not cause irritation.

2nd method:

Prepare a medicinal ointment according to the following recipe, mixing: 80 g of natural bee honey, 20 g of fish oil, 20 g of xeroform. The product is ready. Apply a clean cloth to the surface and wrap the wound as a bandage. It is necessary to change the bandage after 1-2 days. The medicinal ointment must be stored in the refrigerator.

If everything is done correctly and hygienically, but the wound still does not heal and a purulent process develops, you need to seek help from a specialist. The doctor will examine the sore spot, recommend a medicine for its treatment and help take additional measures for effective treatment.

Why does the wound take so long to heal?

The reason for the wound not healing for a long time may be inside the body and be associated with internal problems. The most common of them are:

• skin diseases (eczema);
• failure of the immune system;
• oncological diseases;
• lack of vitamins and microelements in the body;
• exhaustion of the body;
• lack of hemoglobin ().

If wounds do not heal for a long time, you should consult a doctor. You may have to treat not only the wound, but also the serious reason why it is not healing for a long time.

Poorly healing wounds are a serious problem. They may indicate the presence of a pathological process in the human body. There are many reasons for this condition. Skin restoration after damage occurs in several stages, which can be influenced by various factors.

An important role in the healing process is played by the state of immunity, the presence of chronic diseases, and timely provision of first aid.

If wounds do not heal well, something is missing in the body, or some process is affecting the skin. The main factors that can affect the healing of injuries are:

• infections. After an injury or during wound treatment, pathogenic microorganisms can enter the wound. This condition is characterized by increased body temperature, the appearance of suppuration, red stripes on the skin, swelling and severe pain. Treatment consists of cleansing, killing bacteria and suturing. In advanced cases, a blood transfusion may be necessary;
• diabetes. In diabetes mellitus, skin lesions heal very poorly. This occurs due to swelling of the extremities and poor circulation, which subsequently limits the nutrition of cells and contributes to the weakening of the immune system. In this case, a scratch can develop into a large wound. First, the lesions crack and dry out, then purulent processes begin, the wound turns red and hurts. This problem can only be eliminated by starting treatment of the underlying disease. Such wounds must be treated with antiseptic agents and special ointments with antibacterial properties;
• age. Older people experience many health problems that negatively affect tissue repair. In such cases, treatment consists of cleansing, irrigating the wound and antibiotic therapy;
• lack of vitamins in the body. Poorly healing wounds may be a consequence of vitamin deficiency. Most often, the problem of vitamin deficiency occurs in children. With such a problem, any abrasion will heal poorly. This condition can occur due to a lack of calcium, zinc, vitamin A or B vitamins. These vitamins and microelements are actively involved in skin regeneration; if there are enough of them in the body, then any damage will heal quickly. Vitamin deficiency also causes hair loss, nails to break, and the condition of teeth and bones to deteriorate. Treatment should only be carried out by a specialist after a thorough examination. The doctor selects a complex of vitamins that the child lacks. Only eliminating the cause can speed up the healing process;
• injuries after tooth extraction. This operation negatively affects the condition of the entire body. Injuries to the gums or bones may occur, and inflammation may develop. If inflammation begins at the site of tooth extraction, the wound does not heal, the temperature rises, severe pain appears that cannot be eliminated with the help of painkillers, the gums swell, and there is a putrid odor from the mouth. If such symptoms appear, you must visit a doctor and begin treatment for inflammation immediately. In such cases, anti-inflammatory drugs, rinses with antiseptic solutions, vitamins, analgesics, and in some cases antibiotics are prescribed.

Other factors

The skin also heals poorly if there are circulatory problems at the site of injury, if there is inflammation in the body, with malignant processes, obesity or exhaustion of the body. The human immunodeficiency virus can also cause this problem. These problems affect tissue regeneration processes in the following ways:

1. With poor blood circulation, the damaged area does not receive enough oxygen and nutrients that it needs for normal scarring.
2. Weak immune system. HIV, hepatitis, stress - these factors negatively affect the functioning of the immune system, and the body becomes defenseless against bacteria.
3. Improper wound care. Those who are wondering why a wound will not heal should know that caring for the injury also plays an important role in this process. If you do not treat the wound with an antiseptic and apply a bandage, you may encounter an infection.
4. Some types of injuries may not heal quickly. These include lacerated or deep wounds with a large distance between the edges.
5. Certain medications can slow down the skin's recovery process. Aspirin and glucocorticoids have these properties.

Therefore, in order for the tissues to begin to recover normally, it is necessary to determine the cause of the problem and eliminate it.

Treatment methods

To avoid problems with wound healing, you need to know how to properly care for the damaged area. How quickly the tissues recover depends on proper treatment.

In case of damage to the skin, you must:

• apply an antiseptic to the wound and the skin around it. Iodine and hydrogen peroxide perfectly eliminate the risk of infection. They should be in every person's home medicine cabinet. Before applying such products, you must wash your hands well with soap or wear sterile gloves, if available;
• in some cases, it is necessary to use antibacterial agents for several hours after injury. Only a specialist should prescribe such drugs;
• a bandage must be applied to the wound. It is advisable to use materials that allow the skin to breathe. Experts recommend applying wet dressings and changing them twice a day;
• if purulent processes begin, it is necessary to use an ointment that has pulling properties. Dressings are done at least three times a day. Vishnevsky ointment is popular for such situations;
• in the absence of an inflammatory process, a drying gel can be applied to the damaged area to accelerate tissue regeneration;
• It is important to eat properly so that the body gets all the necessary vitamins and microelements that affect wound healing processes.

Ointments for scar tissue

The entire healing process consists of several stages. These are: inflammation, regeneration and scar formation. Therefore, for recovery to be successful, it is enough to know which remedy and when to use:

1. At the stage of inflammation, it is necessary to prevent infection. Ointments Levomekol, Levosin, Betadine, Nitacid, and miramistin ointment are suitable for this.
2. At the second stage, discharge from the wound decreases and regeneration processes accelerate. At the same time, you can help the body with the help of such products as D-Panthenol, Bepanten, Actovegin.
3. At the second and third stages, Rescuer ointment helps a lot. It consists of natural components and is approved for the treatment of children, pregnant and lactating women.

It should be remembered that if a purulent-inflammatory process develops, no ointments should be applied for several days. They may slow down the healing of the wound.

Streptolaven helps with burns and trophic ulcers. It is advisable to consult a doctor with such problems, since putrefactive processes in wounds can have serious consequences for the entire body.

Treatment of most open wounds, including weeping wounds, is based on the ability of the body's cells to repair. Before healthy tissue in the wound begins to gradually recover, it is necessary to ensure that no necrotic areas remain in the cavity. The reparative abilities of tissues begin to manifest themselves only in “clean” areas.

Weeping wounds on the legs become a consequence of trophic disorders due to varicose veins, thrombosis and thrombophlebitis, and erysipelas. Diabetes mellitus is a provoking factor. With the disease, trophic ulcers often form on the legs.

Trophic ulcer on the leg

Contents [Show]

Stages of treatment for weeping wounds and ulcers

Treatment of weeping open wounds on the legs is divided into several stages that coincide with the stages of the wound process. The course of the physiological process of healing of any wound directly depends on the biological reactions in the cells. Modern surgical science considers three main stages of the wound process:

1. Primary self-cleaning of the wound surface.
2. Inflammatory reaction of adjacent areas.
3. Formation of granulations.

Especially often, such wounds appear on the legs. At the first stage, reflex compression of the lumens of blood vessels occurs. This is necessary for the formation of an accumulation of platelets, the formation of a blood clot that will clog the lumen of the damaged vessel and stop the hemorrhage.

Then the lumen of the vessel expands, and the neurohumoral regulation of vascular tone is blocked. As a result, blood flow in the wounded area slows down, the permeability of the vessel walls increases and the release of fluid from the vascular bed into the soft tissues with the formation of edema. Excess fluid begins to be released from the soft tissues, as a result the wound begins to get wet. The described process helps to cleanse dead areas. The main treatment at this stage is aimed at eliminating pathogenetic mechanisms and improving tissue cleansing.

Treatment of trophic ulcers

The second stage of the wound process is characterized by the development of clinical and pathogenetic signs of inflammation. Swelling will increase, leading to increased weeping of the wound. The affected area becomes hyperemic, red, and hot to the touch. In injured tissues, there is an intensive accumulation of breakdown products that have an acidic environment, leading to local metabolic acidosis. To remove damaged cells from the body, a large number of leukocytes rush to the wound, and antibodies are released. At this stage, emphasis is placed on anti-inflammatory treatment

The third stage usually coincides with the second. There is an increased proliferation of new young granulation tissue cells. It begins to fill the wound cavity. When a weeping wound is formed, granulation proceeds sluggishly and slowly.

Primary treatment of weeping wounds

Often weeping in the wound is caused by the addition of an infectious process and increased inflammation. In such a case, primary treatment at the first aid stage includes thorough washing of the wound from pus, exudate and dirt. The most effective means for treating the surface of a weeping wound are antiseptic solutions. Choose a solution of hydrogen peroxide, aqueous solutions of potassium permanganate or furatsilin, chlorhexidine. The skin around the wound must be treated with an alcohol solution of iodine or brilliant green. The wound is covered with a sterile bandage, protecting it from dust and pathogenic microorganisms.

Further treatment depends on the cleanliness of the wound; relieving swelling and removing necrotic particles becomes the principle that ensures quick and effective treatment

Treatment of a wound on the leg

If the ulcer on the leg is deep, surgical treatment is sometimes used in the form of excision of the damaged areas. The method ensures rapid cleaning of the wound from pieces of dead tissue, which, according to surgeons, becomes an integral component that speeds up treatment.

Under general anesthesia or local anesthesia, the surgeon removes pieces of dead tissue, blood clots, and excises the affected tissue. Sutures are sometimes not applied immediately - the decision depends on the nature and condition of the surrounding soft tissues. In some cases, it is advisable to leave the wound open. The next step is to apply a sterile aseptic dressing.

The described measures make it possible to prevent serious complications: sepsis, tetanus or gangrene. The earlier the treatment is performed, the more favorable the process in prognostic terms.

Principles of treatment

Weeping wounds on the legs are often caused by excessive secretion of serous or fibrous exudative fluid from soft tissues. Caused by an increase in pressure in the affected tissue areas, reduced osmotic pressure in the blood plasma. The reason for the decrease is low plasma protein concentration. These secretions have a physiological meaning and are needed for the healing process to proceed faster. However, excess exudate can be harmful to the wound and requires removal.

In this situation, the most reasonable approach would be to frequently change wet dressings. They must be changed immediately when they get wet. After each change of dressing, the surface of the wound must be treated with an antiseptic solution, for example, an aqueous solution of Furacilin. An alternative solution would be Miramistin, Betadine or aqueous preparations based on iodine.

To reduce the amount of exudate, conditions can be created for the fluid to drain along an osmotic pressure gradient. For a similar purpose, bandages that are moistened in a hypertonic solution are used on open injuries.

The combined effect of ions in the solution leads to normalization of the pressure of interstitial fluids and helps to effectively treat swelling of soft tissues. The bandage with the solution is changed at least every 5 hours.

To reduce swelling and prevent infection, use Fuzidin gel, streptocide-based ointment, Nitacid. It is permissible to treat locally with sulfonamide drugs.

Levomekol ointment is considered an indispensable remedy for treating a weeping ulcer. Popular among practicing surgeons, it perfectly promotes tissue dehydration and accelerates healing. The composition includes an antibacterial and anabolic substance that promotes reparative processes. The ointment is usually applied on napkins or injected directly into the wound cavity.

To dry excess liquid, use Xeroform or Baneocin powder, which has an antibacterial effect.

Antibacterial powder

How to cure a purulent, weeping wound

The main task that the treatment of an open purulent weeping wound is aimed at is creating conditions for the constant outflow of purulent contents. If there is an accumulation of purulent masses, this is fraught with the spread of inflammation to neighboring tissues, the formation of extensive purulent processes, or even sepsis. Treating the conditions described will be more difficult.

Purulent, weeping wounds necessarily expand and drain. Local rinsing of the wound cavities with antibacterial solutions is carried out. For example, dioxidin. Since the ulcer can be extremely painful, it is permissible to treat it using local anesthetics: Lidocaine Spray or Xylocaine in aerosol form.

Proteolytic enzymes are widely used to enhance the rejection of necrotic masses. Trypsin or Chemotrypsin powders are dissolved in physiological solution, sterile wipes are moistened with it, and then applied to the wound. For deep damage, the napkin is placed deep into the cavity. The tampon is changed every two days. You can treat deep cavities with proteolytic enzymes in dry form - poured into the wound in powder form.

Preventing complications

To prevent the spread of pathogenic microorganisms and the development of secondary infection, a patient in a surgical hospital receives parenteral antibiotics.

A combined ointment is injected into the wound, which contains antibacterial and wound-healing substances. For example, Levosin effectively kills pathogens, eliminates the inflammatory process, and has an analgesic effect. Occlusive dressings with Synthomycin emulsion or Levomekol are used. In order for the treatment of open, weeping wounds to be effective, surgeons recommend not using Vaseline ointments.

Therapy at home

If the size of the lesion is small and shallow, treatment at home is possible. It is allowed to treat with salicylic ointment, applying the product to the surface of the wound, covering it with a sterile bandage. It is possible to use ichthyol ointment in a similar way. Grind the streptocide tablet to a powder and sprinkle on the wound until complete healing.

You can use Rescue Balm, which contains various essential oils, beeswax, and vitamins. It should be remembered that the balm forms a protective film on the wound surface. Before application, it is recommended to thoroughly treat the surface with hydrogen peroxide.

Solcoseryl ointment can be used to treat open, weeping wounds on the legs. It has an excellent regenerating effect and relieves pain well. The drug belongs to the group of reparation stimulants.

All people are familiar with various injuries and wounds. For some, wounds heal quite quickly. Some people have to put in a lot of effort to get well. Why does a non-healing wound occur? There may be several reasons. We will consider them further.

Causes

A wound that does not heal for a long time is a reason to seek medical help. Only there you will receive appropriate treatment. The question arises, what time of wound healing is considered normal? Normal healing occurs within no more than three weeks. If complications arise or there are deviations, this process may drag on for one and a half months. The reasons that a wound does not heal for a long time are divided into external and internal, as well as their combination.

Internal factors: chronic diseases of the endocrine system, such as diabetes, exhaustion, vitamin deficiency, excess weight, circulatory disorders, varicose veins, infectious diseases, cancer.
All these diseases lead to decreased immunity. As a consequence of this, the wounds do not heal.

Getting infected

If a person is injured with a sharp object, infection may occur directly from the injury. Although this can happen in other ways. For example, infection getting into a wound during dressing. If the wound is not treated promptly with disinfectants, infection may spread. Then you will need long-term treatment.

Symptoms of a wound infection: body temperature rises, swelling appears in the affected area, the skin becomes red and hot, and suppuration appears.
Infection is the reason why the wound site does not heal for a long time. Treatment will require antibiotics. It will also require special treatment, removal of suppuration and suturing if necessary. In some cases, the doctor may prescribe blood transfusions and vitamin therapy.

Treatment of non-healing wounds in diabetes mellitus

With this disease, any minor cut becomes a real challenge. High blood sugar has a detrimental effect on blood vessels, destroying them. Blood supply is impaired, especially in the lower legs. In addition, the sensitivity of nerve endings decreases. As a result, a person does not feel that he was injured because of this. An ordinary callus, a small cut not treated in a timely manner, can become a non-healing wound, and later turn into an ulcer.

You should be extremely careful and try to avoid injuries or cuts, and carefully check the condition of your legs. At the slightest disturbance of the skin, you should consult a doctor. Wound suppuration in diabetes mellitus often leads to amputation of the affected parts of the limbs.

Rapid healing is facilitated by: timely treatment with antiseptics, prescription of ointments with antibiotics, proper nutrition, foods rich in vitamins B and C, additional administration of vitamins, proper care of the affected area of ​​the body, treatment, dressing.

ethnoscience

When treating a non-healing wound on the leg, you can combine drug therapy and traditional methods. This combination will speed up healing.

Fresh cucumber juice has an antimicrobial effect. They need to lubricate the wounds and apply compresses for several hours.

Celandine leaves have a healing effect. Can be used for treatment both fresh and dry. Dry leaves should be steamed before use. Bandages are made with celandine leaves, applying them to the wound.

A mixture of burdock and celandine roots, boiled in sunflower oil, will also help. How to make it? Now we'll tell you. To do this you will need 100 ml of sunflower oil, crushed burdock roots 30 g, celandine roots 20 g. Cook over low heat for 15 minutes. Then cool and strain. Apply the resulting mixture to the affected area two to three times a day for a week.

Diabetic wounds

If a person has diabetes, how to treat non-healing wounds? Now we'll tell you.
When treating a non-healing wound in diabetes, you need to remember how to properly treat the affected area and bandage it:

1. The wound should be clean. To do this, change the bandage as often as possible. When doing this, use disposable sterile gloves. Treat a non-healing wound with a disinfectant. For treatment use Chlorhexidine solution.
2. Clean the wound from accumulation of dead tissue and pus. For this, hydrogen peroxide and cotton wool are used. Water the affected area and the area around it generously with peroxide. This will make it easier to remove the necrosis. The procedure is quite painful, but necessary. After this, you need to dry the wound. Cotton balls should be formed according to the size of the affected area. Afterwards, carefully, but penetrating deeply into the wound, remove the liquid.
3. Using ointment. If the wound festers, using Vishnevsky and hydrocortisone ointment will help. If there is no pus and the wound is healing, oil-based products containing plant extracts are suitable.
4. If there is an infection in the wound, ointments with antibiotics (Levomekol, Levosil) are used. For healing, products with anti-inflammatory components (Levomisol, Romazulon) are suitable. If the wound heals poorly, the doctor may prescribe medications with antibiotics and a course of vitamins.

It is worth following the prescriptions of your doctor and consulting if you want to use traditional medicine recipes. Self-medication and the wrong choice of medications can significantly worsen the condition of the wound and slow down healing.

Ointments

Effective ointments for non-healing wounds:

1. "Solcoseryl". Used for dry wounds. Accelerates tissue regeneration, promotes effective healing.
2. "Actovegin". To heal deep wounds, a gel is released, and after the wound has begun to heal, an ointment is applied. Analogue of "Solcoseryl".
3. "Levomekol". Antibiotic drug. It is used to treat purulent wounds, burns, bedsores, and trophic ulcers.

4. "Baneotsin". A drug containing antibiotics that protect the skin from infection. Available in ointment and powder form.

Non-healing weeping wounds

A weeping wound is accompanied by the release of ichor in large quantities. This happens if a person is injured due to a burn (electrical, chemical, solar), there is inflammation of the skin, bacterial or fungal infections, the skin is torn off, there are diaper rashes, abrasions and calluses.

In order to avoid infection in such a wound, an antiseptic bandage is needed. If there are foreign objects in the affected area, the damaged skin is separated by more than one centimeter, or severe bleeding is observed, then you should urgently go to the emergency room. If all this is missing, you can treat the wound and apply a bandage yourself.

Do not use iodine or brilliant green to wash an open, weeping wound. These products will burn the tissue and the fluid will not drain. And this can cause inflammation and suppuration. It is better to use hydrogen peroxide. It can be treated with a solution of Chlorhexidine, Unisept, Decasan or Miramistin. For subsequent cleansing and treatment of the wound, you can use a furatsilin solution or an isotonic solution (boiled water with table salt, 5 grams per glass of water). These products can be used to remove dried bandages and to treat the surface of the affected area.

Weeping wounds. Treatment

How to treat non-healing wounds that get wet? Until a crust has formed on the affected area, you should avoid ointments. For treatment, use solutions or powders with a drying effect. In this case, a saline solution works simply and effectively. How to cook it? Dilute salt in water in a ratio of 1x10.

To speed up tissue regeneration and eliminate infection, you should use antibiotic powder. For this, the following drugs are prescribed: “Streptocide”, “Penicillin”, “Levomycetin”.

Combined-action drugs aimed at suppressing bacteria and fungi, such as Baneocin, are also used.
A thin layer of powder is applied to the treated surface of the wound using a cotton swab. Then it is covered with a sterile gauze pad and bandaged. After 4-5 hours, the bandage should be moistened with saline solution. Afterwards it is worth replacing it. If the wound is healing, there is no pus or there is very little of it, you can not rinse with saline solution, but limit yourself to only treating the affected area.

If the pain does not go away, the edges of the wound darken, the inflammation spreads to nearby areas of the skin, you should urgently visit a doctor. In this case, the doctor will prescribe antibiotics and antibacterial drugs to avoid infection and sepsis. In addition, vitamins are necessary to maintain the body’s resistant functions.

Conclusion

Correct and timely treatment will give a positive result within one to two weeks. In some severe cases, therapy will be required for a month using physiotherapy: heating, quartz treatment, laser treatment, massage. Wounds that take a long time to heal lead to damage to adjacent areas of the skin and the formation of keloid scars, which can remain forever. You need to be attentive to your health.

Diabetes mellitus is considered an insidious disease, as it carries many complications. One of them is poor wound healing, which makes life especially difficult for a diabetic. Therefore, it is important to know why wounds heal poorly, how to prevent this condition and, most importantly, how to treat it correctly.

Why do wounds heal poorly in diabetes?

In diabetes mellitus, the lower extremities are most often affected. This is due to the fact that blood circulation is significantly impaired not only in large vessels, but also in small capillaries. This in turn leads to the destruction of nerve endings, resulting in decreased sensitivity. Therefore, diabetics do not always notice wounds on the skin. A person can accidentally cut himself while walking barefoot, step on a pebble, or simply rub a callus. This leads to cracking of the skin and further suppuration. Consequently, proper treatment is not carried out and first aid is not provided. Damage is subject to infection and suppuration. It is quite difficult to heal a wound. The consequence is the development of ulcers, diabetic foot and neuropathy. Reasons for poor healing:

• weakened immunity;
• poor circulation and damage to nerve endings;
• swelling of the lower extremities;
• infection;
• inability to immobilize the leg for the period of treatment;
• lack of nutrition of cells and tissues with useful substances;
• untimely treatment.

Wounds in an advanced stage can lead to the development of gangrene, which is almost impossible to get rid of. The disease progresses rapidly. As a result, the diabetic's lower limbs undergo amputation. Therefore, it is important to examine your feet daily for all kinds of wounds, cuts, corns and calluses.

Basics of wound treatment for diabetes mellitus

In order to improve the epithelization of wounds, it is necessary to create optimal conditions for this:

1. Mandatory treatment of wounds with antiseptic agents. If there is swelling and redness, use antibiotic ointments.
2. Vitamin therapy will also be useful, thanks to which you can significantly strengthen the immune system.
3. It is very important to cleanse the skin of harmful microorganisms, foreign bodies and dead cells.
4. Wounds are washed with saline solutions.
5. In some cases, it is recommended to make local baths with turbulent water movement.
6. Treatment of wounds should only be comprehensive and under the supervision of a doctor.

Treatment of non-healing purulent wounds on the legs: what and how to treat, treat

Treatment of non-healing wounds on the lower extremities should begin with treatment of the affected area. Alcohol-based antiseptics are strictly contraindicated, as they excessively dry out the epidermis. Therefore, every diabetic should have gentle saline solutions at home. This could be Chlorhexidine, Furacilin or manganese (potassium permanganate). Before washing the wound, wear rubber gloves to prevent infection. Use only sterile cotton wool and bandages. Next, for disinfection, you can apply a special ointment based on silver, metronidazole and other antimicrobial substances. During the inflammatory process, it is advisable to use antibiotic-based ointments (Levosin, Levomekol). When the wound begins to heal, excessive tightening should not be allowed, so moisturizing ointments are used. This may be Trofodermin or Methyluracil ointment. Dressings and treatment with the solution should be done 2-4 times a day. If the wound contains a large amount of pus and does not heal for a long time, the doctor may prescribe surgery. It includes careful treatment and suturing, as well as drainage of the wound. Typically, stitches can be removed after 10 days.

Neuropathic complications: features

In diabetic neuropathy, nerve endings die, leading to loss of sensation. This is a fairly common occurrence in diabetes mellitus, which is accompanied by the formation of purulent ulcers. The patient never feels microtrauma. To avoid this condition, it is important to constantly monitor your blood glucose levels and watch for surges in blood pressure. Because these factors contribute to the weakening of the walls of blood vessels and damage to nerve fibers. With neuropathy, the foot is most often affected, since it bears the main load. As a result, deep, non-healing ulcers are observed that reach the tendons and skeletal system. Camphor oil is considered the most effective treatment.

Diabetic foot: features

The diabetic foot is characterized by the formation of very deep ulcers, which lead to complete destruction of blood vessels and necrotic skin damage. This complication is almost impossible to cure with medications, so surgery is used. It is the diabetic foot that leads to the development of gangrene and further amputation of the limb. Therefore, try not to overload your feet and wear the most comfortable shoes possible. After the first signs appear, immediately consult a doctor, since in the initial stages it is still possible to get rid of the complication without surgery.

Find out more information about diabetic foot here:

Video about the treatment of wounds and ulcers in diabetic feet

From the video you can find out details of the methods of treating diabetic foot using antiseptics, collagen and traditional medicine recipes:

Wound healing ointments for diabetes mellitus

Wound healing ointments are a subjective concept, because they are all classified into types, depending on the cause (etiology) of the wound and the stage of development. For example, for ordinary inflammation of the injury, it is enough to use an antiseptic ointment, for deep wounds - an antibacterial one, and in the last phase of therapy - a regenerating one. Ointments for trophic ulcers The most popular and effective remedies for the treatment of trophic ulcers:

• "Fusicutan" It is produced on the basis of fusidic acid and is classified as an antibiotic.
• "Delaxin" consists of synthetic tannin, has a comprehensive effect - dries, regenerates, eliminates inflammation and itching.
• "Solcoseryl" accelerates metabolic processes, heals the skin.
• "Vulnostimulin" consists of natural components.
• "Algofin" refers to antibacterial agents. Consists of carotenoids, chlorophyll and other natural substances.

Ointments for open wounds Ointments from this category are applied to a slightly dried wound to heal and remove moisture:

• "Levomekol" regenerates tissue in a short time.
• "Baneotsin" consists of bacitracin and neomycin, therefore it is a powerful antibiotic. Can also be used for burns.
• Zinc ointment promotes drying.
• "Dioxysol".

Preparations for purulent wounds

• Ointment "Ichthyol" has comprehensive properties - draws out pus, anesthetizes, disinfects. It should be applied to a cotton swab and inserted into the wound, secured with a sterile bandage.
• Ointment“Streptocide” destroys bacteria and draws out purulent fluid.
• Vishnevsky ointment" used as a means for lotions and compresses.
• Ointment "Synthomycin" refers to antibiotics.

Treatment of wounds with folk remedies

1. Freshly cut celandine leaves are applied directly to the affected area.
2. You can make an ointment from the root part of celandine and burdock in a ratio of 2:3. Add a little vegetable oil and boil over heat for 10-15 minutes. Lubricate wounds three times a day.
3. Juice from fresh cucumbers is used as an antiseptic in the form of a compress or lotion.
4. Yogurt will help relieve inflammation. To do this, gauze is soaked in fermented milk product and applied to the wound. Do it 4 times a day.
5. Make juice from burdock leaves and apply several times a day.
6. Take 2 tbsp. l. calendula and 200 ml boiling water. Make baths.

Traditional medicine recipes are used along with drug therapy. Before using them, you must consult with your treating endocrinologist and strictly follow all his instructions. Only in this case can positive results be achieved.

Prevention of non-healing wounds

To prevent complications due to non-healing wounds, it is necessary to take preventive measures in a timely manner:

• inspect the lower extremities and skin in general daily;
• to prevent damage to blood vessels and nerve endings, periodically take antioxidants (for example, Glucoberry);
• do not walk barefoot, and always check your shoes before going out for sand and other objects;
• be sure to carry out water procedures every day;
• lubricate the skin with moisturizing and softening products;
• get rid of bad habits (smoking, drinking alcohol), as they disrupt microcirculation;
• do not stay for a long time near heating devices that dry out the air;
• do not sit close to the radiator, as there is a risk of getting burned;
• change socks and tights more often;
• buy underwear made from natural fabrics;
• do not use sharp objects to cut calluses;
• shoes should be as comfortable as possible (ideally wear shoes for diabetics);
• socks should not have tight elastic bands;
• do not keep your feet in water for a long time, this leads to looseness of the skin;
• do not use petroleum jelly or products containing mineral oils (the skin does not absorb them);
• Hydrogen peroxide and iodine should not be used to treat wounds.

And, of course, do not forget about proper foot care if you have diabetes.

How to prevent diabetic foot development and amputation (video)

You can additionally learn about preventive measures against the development of diabetic foot and the formation of ulcers from the video provided to your attention: Always seek advice from your treating endocrinologist and do not use the advice of friends, since individual therapy is necessary in each specific case. Remember, only a specialist can objectively assess the current situation, taking into account the characteristics of the course of the disease and the body.

Some people may experience that their skin wounds take a long time and do not heal well; The reasons for this problem can be completely different. After damage, tissues are restored in several stages, the course of each of which can be influenced by many different factors. Some of these factors help speed up the process of cell repair, while others can slow down this process. The state of the person’s immune system, the presence or absence of chronic diseases, as well as whether first aid was provided and whether everything was done correctly also matters.

1 Factors influencing the recovery process

Let's look at the main reasons why wounds heal poorly. The most common reason why wounds take a long time to heal is infection. Infection can occur not only during damage (although this is mostly the case), but also after it, when dressing is done. There may be another option, when foreign bodies and bacteria enter the wound with surrounding objects. If the wound is infected, the following symptoms appear:

• temperature rises;
• red stripes appear;
• the damaged area of ​​the skin festers and swells;
• there is severe pain.

To normalize the healing process, you need to properly treat the wound, clearing it of germs and foreign bodies. If necessary, stitches are applied. For the initial dressing of the wound, a sterile bandage must be used, and in the future, for better cell regeneration, it is necessary to regularly treat the wound with an antiseptic and use ointments for healing. If infection does occur and it is not detected in time, a blood transfusion or vitamin intake may be necessary. Another answer to the question of why wounds take a long time to heal may be diabetes. One of the symptoms of this disease is that even minor scratches and small wounds do not heal for a long time. Moreover, at first they may even dry out, as it should be, but then suddenly they may begin to fester and burst. This occurs due to improper blood circulation, which results in insufficient saturation of cells with oxygen and other necessary substances. People with diabetes often have swelling in their legs, which can cause a leg wound to take a very long time to heal. In this case, first of all, you need to take measures to treat the underlying disease, that is, diabetes, and maintain a healthy diet. Wounds should be immediately treated with an antiseptic and healing ointments with antibiotics should be used. Old age is also characterized by a slower regeneration process. This is especially aggravated if an elderly person is overweight, has diseases of the cardiovascular system or other chronic diseases, poor blood clotting and various other pathologies. As you age, you need to take more careful care of your skin. If injuries or minor scratches occur, the wounds should be thoroughly washed and treated as soon as possible. If they do not take too long to heal even with proper care, the person may need to see an oncologist. The third potential cause is vitamin deficiency. It most often causes scarring to take longer in children because they are less likely to have other health problems. But this does not mean that vitamin deficiency cannot be the cause of delayed skin restoration in adults. If a growing body lacks important vitamins and minerals, such as calcium or vitamins A and C, wounds will heal much more slowly. Vitamin deficiency can also manifest itself as brittle bones, brittle nails, dull hair and other problems of a similar nature.

2 Etiology of the disease

The wound does not heal: what else, besides the options already described, could be the reason for this? Poor or Unhealthy Diet: The body needs all the nutrients, vitamins and minerals to produce new cells.

1. Weakened immunity. The cause of weakening can be various diseases, such as HIV or viral hepatitis, or stressful situations can lead to this.
2. Incorrect wound care. If you apply or select a bandage incorrectly, treat the wound poorly with an antiseptic, or do not do it at all, you may encounter serious and unpleasant consequences in the form of suppuration or swelling.
3. Features of the wound itself. Some types of wounds inherently cannot heal quickly, this applies to lacerations with a large distance between the edges and deep injuries. The same applies to extraction, that is, tooth removal; during this procedure, gums and bones can be injured. In this case, there is a high risk of inflammation caused by infection, then you should not hope for a quick recovery. After tooth extraction, swelling, pain that cannot be relieved by painkillers, increased body temperature, and enlarged lymph nodes may appear - all these are signs of an inflammatory process in the body.
4. Medicines. Some drugs slow down tissue regeneration, these include anti-inflammatory drugs, such as aspirin, and also glucocorticoids.
5. Poor blood supply. If the damaged area is not sufficiently supplied with blood, this reduces the supply of oxygen to the wound, which is necessary for proper scarring.

3 Medical therapy

What needs to be done to make the wound heal faster? In most cases, it is enough to follow a few simple rules:

1. First of all, in case of tissue damage, it is necessary to treat the wound and the area around it with an antiseptic. Every first aid kit contains iodine or hydrogen peroxide, which do an excellent job of eliminating infection. Naturally, the hands of the person treating the wound must be dry and clean, preferably gloved or disinfected.
2. If necessary, you can use an antibiotic during the first few hours after the skin injury. Baneocin is considered one of the most popular.
3. It is very important to choose the right bandage correctly. Doctors advise using wet bandages made of materials that allow air to pass through. It is advisable to do dressings twice a day.
4. If pus begins to form in the wound, then special ointments that have “pulling” properties will help you get rid of it. But in this case, you need to bandage the wound at least three times a day.
5. If the damaged area of ​​the skin is not inflamed, you can use drying gels; they promote rapid tissue restoration.
6. If a crust has formed on the surface of the wound, it is better to use ointments that create a special film that prevents damage.
7. It is necessary to monitor the nutritional value and the presence of vitamins and minerals necessary for wound healing.

When a wound heals, it may itch; this is a completely natural process. Typically, prolonged healing of damaged skin areas is temporary. But don't underestimate the seriousness of the problem. If prolonged healing becomes permanent, you should immediately consult a doctor for advice.

And a little about secrets...

Have you ever had problems with Itching and irritation? Judging by the fact that you are reading this article, you have a lot of experience. And of course you know firsthand what it is:

• scratch irritation
• wake up in the morning with another itchy plaque in a new place
• constant unbearable itching
• severe dietary restrictions, diets
• inflamed, bumpy skin, spots….

Now answer the question: Are you satisfied with this? Is it possible to endure? How much money have you already wasted on ineffective treatment? That's right - it's time to end them! Do you agree? That is why we decided to publish an interview with Elena Malysheva, in which she reveals in detail the secret why itchy skin and how to deal with it. Read the article...

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