Ulcers do not heal for a long time. How to treat non-healing wounds. Why wounds don't heal well

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

• the presence of a sluggish infectious inflammatory process;
• poor blood supply to the skin in the wound area;
• Availability serious illnesses 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 skin for regeneration. 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 lard(preferably fresh), 100 g 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 you use 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. Change the applied bandage remedy follows in 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 fish oil, 20 g 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. Healing ointment Be sure to store 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 to treat it and help you take action. 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. It may be necessary to treat not only the wound, but also serious reason, due to which it does not heal for a long time.

Treatment for most open wounds, including weeping, is based on the ability of the body’s cells to recover. 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 when varicose veins, thrombosis and thrombophlebitis, 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. Flow physiological process The 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 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 vascular bed V soft fabrics 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, it rushes to the wound. a large number of leukocytes, 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 attachment infectious process and increased inflammation. IN such a case primary processing at the stage of first aid 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 needs to be treated alcohol solution 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 particles 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 decline is low concentration plasma protein. 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 the situation the most reasonable approach will become frequent change wet bandages. They must be changed immediately when they get wet. After each dressing change, the wound surface must be treated antiseptic solution, For example, aqueous solution Furacilina. 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 and moistened with it sterile wipes, 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.

Injected into the wound combination ointment, 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, 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, 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. Reasons why the wound long time does not heal, they are divided into external and internal, as well as their combination.

Internal factors: chronic diseases endocrine system, such as diabetes mellitus, exhaustion of the body, vitamin deficiency, excess weight, circulatory disorders, varicose veins, infectious diseases, cancer diseases.
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 causes the wound site to for a long time doesn't heal. 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

Anyone with this disease 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, sensitivity decreases nerve endings. As a result, a person does not feel that he was injured because of this. Common callus small cut If not treated in a timely manner, it 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 violation 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 promoted by: timely treatment with antiseptics, prescription of ointments with antibiotics, proper nutrition, foods rich in vitamins B and C, additional 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. This will require 100 ml 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. Used to treat purulent wounds, burns, bedsores, 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, damaged skin diverges by more than one centimeter, observed heavy bleeding, 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 solution of furatsilin or 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”.

Drugs are also used combined action, aimed at suppressing bacteria and fungal environments, such as Baneocin.
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 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 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?

Diabetes mellitus most often affects lower limbs. 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. 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 surgical intervention. 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 blood glucose levels and watch for spikes. blood pressure. Because these factors contribute to the weakening of the walls of blood vessels and damage 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, consult a doctor immediately, 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, with normal inflammation of the injury, it is enough to apply an antiseptic ointment; deep wounds– antibacterial, and in the last phase of therapy – regenerating. 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. Should be applied to cotton swab and insert into the wound, securing 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 in the form of a compress or lotion.
4. Yogurt will help relieve inflammation. To do this, the gauze is soaked 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, don't forget about proper care for the feet, for 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 in each specific case it is necessary individual therapy. 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 them can be influenced by many various factors. Some of these factors help speed up the process of cell repair, while others can slow down this process. Condition also matters immune system person, the presence or absence of chronic diseases, as well as whether first aid was provided and whether everything was done correctly.

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 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 old man has excess weight, 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. Third potential cause considered 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 an organism that is growing 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: in order to form new cells, the body needs to receive everything nutrients, vitamins and minerals.

1. Weakened immunity. The reason for the weakening may 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 and pain that cannot be relieved with painkillers may appear. elevated temperature body, the lymph nodes become enlarged - 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 help rapid recovery fabrics.
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.

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If wounds heal slowly, there may be several explanations for this: infections, weakened immunity, diabetes, elderly age and vitamin deficiency. If you have some chronic diseases, you need to carefully monitor your wounds.

Wound infections are the most common cause of delayed healing. Infection can occur when foreign bodies, microscopic particles carrying pathogenic bacteria, enter the body. Often the infection occurs due to untimely or inadequate treatment. When present in the wound, collagen formation slows down, which impairs wound regeneration.

Weak immunity

The speed of wound healing largely depends on the state of the immune system. Insufficient body defenses contribute to the development of an infectious process in the wound, which can slow down the process of skin restoration.

Diabetes

Wounds also heal poorly in patients diabetes mellitus. At first, the wounds may dry out, then crack and fester.

Swelling of the extremities, which often occurs, interferes with rapid regeneration when the skin is damaged. This process is also hampered by poor blood circulation and insufficient tissue nutrition.

In order to solve the problem of slow wound healing in diabetes mellitus, measures aimed at solving the underlying disease are first necessary. Patients with diabetes need to carefully monitor the condition of the lower extremities.

Elderly age

A person’s age is one of the main factors affecting the rate of regeneration. Accumulated chronic diseases in old age. Non-healing wounds in old age are often accompanied by symptoms such as pain, high body temperature, swelling, redness and suppuration.

In old age, you should monitor your skin condition more carefully. If injuries occur, the wounds should be washed and antibacterial and antiseptic treatment carried out (echinacea tincture, hydrogen peroxide, etc.

Lack of vitamins

Poor wound healing in children and young people often indicates a deficiency of vitamins and minerals in the body. Especially when it comes to group B, vitamins A and K, as well as calcium and zinc. As a rule, a lack of these vitamins and microelements is also accompanied by brittle hair, nails and poor condition teeth.

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 clinical trials. 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.