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

If with serious damage If they consult a doctor, they treat minor wounds on their own or simply ignore them.

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 caused by a blow 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, concomitant diseases leading to impairment metabolic processes 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 best recommendation, if the wound does not heal for a long time, seek medical attention in a timely manner qualified help. The treated wound will heal much faster. The specialist will give recommendations on proper care monitor 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. Blot again and apply a bandage with one of these solutions, except potassium permanganate.

To avoid infection from your hands, before dressing them, you should wash them thoroughly with soap and treat them with alcohol. Disinfection of the wound surface should be carried out even if a dry wound does not heal for a long time, at least twice a day. But if the wound begins to get wet, you can use other pharmaceutical drugs: “Bepanten”, “Eplan” or liquid products containing the component methyluracil. It is recommended to initially treat burns with Panthenol. Such drugs help fast healing and regeneration (restoration) of damaged tissues.

Using ointments to treat clean wounds can slow down the healing process. The wound will become wet or, as people say, “sour.”

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, 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, there may be serious complications How local character, and general. At the site of suppuration best case scenario an abscess may form - 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, up to amputation of limbs, the occurrence of 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 folk technique treatment of purulent wounds with nettle. Well-dried and powdered 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 into half a liter 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 there is a throbbing pain in the area of ​​the injury, the 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 long-term non-healing wound occurs against the background chronic diseases cardiovascular system, obstructing blood circulation. If a person has diabetes, has cancer or chronic infectious diseases– you should not delay your visit to the doctor, you should immediately visit a specialist.

In order for the wound to heal normally, certain conditions must be met: good performance capabilities skin regenerate, proximity of healthy skin wound edges to each other, maintaining absolute sterility of the wound surface. The patient has common diseases, worsening regeneration processes (vitaminosis, diabetes mellitus, cachexia with malignant tumors, syphilis, etc.), also often leads to secondary healing of not only accidental, but also surgical wounds.

Wound healing may be slow due to certain processes stated below: - Surgical actions for the treatment of purulent wounds and not only purulent ones were carried out incorrectly. - Vitamin deficiencies, immunodeficiencies, malnutrition. - Malignant neoplasms, diabetes mellitus and some other severe diseases. - There is poor blood supply in the wound area. - The presence of an inflammatory-infectious process characterized by a sluggish course. Wound inflammation caused by infection prevents the synthesis of new skin cells. In this regard, until the inflammation is eliminated, the wound will open view. To eliminate inflammation, that is why an antiseptic is used, which must be used to treat every wound (even the most minor one). If a defect is large enough in size (more than 10 millimeters), then a sterile bandage should be used in the first stages to cover it. At the same time, it is undesirable to keep the wound under a bandage for a long period of time (increased humidity interferes with wound healing and delays this process). Similar diseases significantly impair the blood supply to the wound area and also inhibit the immune system, normal functioning which is the most important factor fighting infection that has entered the wound. In this regard, wound therapy in such situations should be accompanied by quality treatment the main disease against which the wound progresses. The healing process is much longer if the above conditions do not exist. Without the formation of a skin scar, as a rule, healing of small wounds occurs. If the wound is large, then “growing” new tissue requires significantly greater efforts from the body aimed at replacing the defect that has formed. In this regard, the formation of a scar on the skin is observed. It is worth noting that the severity of scars directly depends on the activity of the healing process - the more intense the healing, the more pronounced the scar will be. Thus, it turns out that everything should be in moderation. A distinction is made between primary healing, when with close, touching edges and walls of the wound, healing processes proceed quickly, without complications, and secondary healing, when there is a large wound cavity, many dead tissues, a purulent infection has developed and regeneration processes proceed slowly, through the formation of granulations. Healing of purulent wounds, as a rule, occurs by secondary intention. Unsutured wounds with divergence of edges and walls, wounds filled with blood clots, and the presence of foreign bodies or necrotic tissue, also heal by secondary intention. The healing processes of purulent wounds occur in the following sequence. First, the wound is cleaned of necrotic tissue, cells, blood clots, etc. Then, in certain areas of the walls purulent cavity cell proliferations appear in the form of red nodules, which, gradually increasing in number and size, cover all the walls and bottom of the wound. One type of such pathology can be bedsores.

Surgery's View

Depending on the nature of the wound, the size of the wound, its infection, the characteristics of the body’s reactivity, etc., healing of the wound defect can occur by primary intention, under a scab, or secondary intention (through suppuration). If the wound defect is small (for example, with a linear tissue incision), the wound does not gape, its edges seem to stick together, the thin fibrin film formed between them quickly grows with fibroblasts and blood vessels and heals with the formation of a narrow, often barely noticeable scar. In these cases, they talk about wound healing by primary intention. When healing under a scab, the scab formed on the surface of small wounds, abrasions and scratches is a dried protein mass of blood, lymph, and dead tissue. Epithelization of the wound surface occurs under the scab, which, upon completion, disappears. In some cases, large scabs form with extensive scalp wounds and burns. However, healing occurs under the scab by secondary intention - through suppuration and granulation. Preservation of a scab in such cases often leads to the accumulation of purulent discharge under it and the development of severe perifocal inflammation. Treatment of purulent wounds under the scab should be general principles supervision of purulent wounds. Healing by secondary intention is typical for wounds with a large area of ​​damage (if the edges of the wound are far apart), when there is non-viable tissue in the wound, a hematoma, or when an infection develops in it. In this case, wound cleansing through suppuration due to the proteolytic action of cellular and microbial enzymes, significant development of granulation tissue and its organization, subsequent scarring and epithelization with the formation of a rough scar are observed. The duration of the phases of the wound process during healing by secondary intention varies significantly depending on the size of the wound, the amount of dead tissue, the degree of bacterial contamination, the general condition of the body, etc.

What to do

For the speedy healing of wounds it is necessary certain vitamins, which actively participate in regenerative processes. These vitamins are considered to be B vitamins (B5, B2, B1) and vitamin A. As you can see, the effectiveness of treating wounds that heal poorly depends on how well the skin stimulation is carried out, on how well the blood circulation in the wound area has improved and on whether appropriate sterile conditions have been created. Actively use wound healing agents. Therapeutic measures should improve regeneration processes and create unfavorable conditions for the development of microorganisms in the wound. To the complex therapeutic measures include agents that act locally on the wound, and general ones that act on the entire body. Both should help improve conditions natural course wound process. They should be different for fresh and treatment of purulent wounds, in different phases the course of the wound process, as well as with different severity of the process (hypoergic, normergic and hyperergic type of body response). The general objectives of wound care are: 1) the ability to anticipate and prevent wound hazards; 2) reducing the number and virulence of the infection; 3) removal of dead tissue; 4) strengthening of regeneration processes.

Features of wounds

Wound after radiation therapy not uncommon. Needs processing medicinal ointments such as solcoseryl, iruksol for wound cleaning with subsequent use wound healing ointments(such as Actovegin). Wounds do not heal for a long time due to anemia or latent iron deficiency. To exclude them, you must pass general analysis blood, serum iron, THC, ferritin.

A clean ulcer does not heal

If the trophic ulcer is not inflamed and there is no pus or necrosis, exudation is weak or moderate, you should use agents that have a stimulating wound-healing effect and support optimal level moisture in the wound. Trophic wounds on the leg are especially dangerous. Wounds should not be dried out; the appearance of a crust on the surface of the wound should be avoided. For effective treatment use chitosan-based products, hydrocolloid or hydrogel binders.

The wound does not heal after tooth extraction

Process after tooth extraction normal healing the wound lasts approximately 4 months. The edges of the gums come closer together, and at the same time, blood clot in the hole, which is replaced by granulation, then osteoid (bone) tissue. The process of normal healing of the hole is painless. On the 3rd day after removal, the first signs of wound epithelization appear. At the 4th month, new bone forms in the upper part of the socket, which over time acquires a normal spongy structure. With education bone tissue the edges of the socket and alveoli are absorbed by approximately 1/3 of the length of the root. Over time, the alveolar ridge in the area of ​​the extracted teeth becomes lower and thinner. Above the mouth of the hole it has a concave or wavy shape. In the absence of a blood clot, the socket heals as a result of the formation of granulation tissue from the bone walls of the socket. Gradually, the edges of the gum above it come closer together, the hole is filled with granulation, then osteoid tissue. Subsequently, the process of bone formation occurs in the same way as described above. In cases where the socket is infected or the bone or edge of the gum is injured during surgery, regenerative processes proceed more slowly. In these cases, an inflammatory process develops in the tissues surrounding the wound, so the onset of bone regeneration and epithelization of the wound is delayed. Very often, tooth extraction is resorted to when inflammatory phenomena in the hole, so wound healing after the removal of such a tooth occurs in more late dates than when removing non-inflamed teeth, instead of 3-5 days the process takes 10-14 days. The first signs of bone formation appear on the 15th day. The resulting osteoid beams are layered on the walls of the socket. Epithelization of the wound is often completed only on the 30-50th day. As the wound is cleansed of dead tissue, the hole grows from the walls and bottom of the hole. granulation tissue. Only after 1.5-2 months. Most of the socket is filled with osteoid tissue, which will gradually turn into mature bone. A more significant delay in bone formation and wound epithelization occurs during traumatic tooth extraction with gum rupture and damage to the walls of the socket. In these cases, the edges of the gums do not come together for a long time.

Diabetes does not heal the wound

Trophic ulcers (long-term non-healing wounds) are the most common form diabetic foot syndrome. Of fundamental importance is that diabetic ulcers are divided into neuropathic (in patients with normal blood flow to the legs, and neuro-ischemic (or ischemic) - arising against the background of impaired blood flow. A small proportion of patients with diabetes suffer from leg ulcers - such ulcers are usually are a consequence of venous diseases ( venous insufficiency). Correct local treatment. Treatment of the wound with the application of a new therapeutic dressing is carried out daily or once every 2-4 days (depending on the condition of the wound and the type of treatment used). The use of modern dressings (which do not stick to the wound, unlike gauze). Available today large number such materials belonging to various classes - alginates, hydrophilic fiber, atraumatic meshes, polyurethane foam dressings, hydrogels, hydrocolloids, etc. The choice of dressing is carried out medical worker(by a doctor or nurse in a specialized office) based on examination of the wound, X-ray data, etc. Washing the wound antimicrobial agents, which do not damage growing tissues - such as a solution of miramistin, chlorhexidine, etc. We remind you that iodine, alcohol, brilliant green and potassium permanganate are contraindicated for diabetes, because slow down healing Regular treatment of the wound by a doctor or nurse (removal of non-viable tissue, callus around the wound (often formed with neuropathic ulcers)). Usually carried out every 3-15 days. Protecting the ulcer from the stress of walking. While the patient is stepping on the wound, whatever expensive medicines or dressings no matter how they are used, the wound will not heal.

Amputation wound

The fate of the limb, indeed, depends mainly on the possibility of restoring arterial blood flow. Roughly speaking, the blood flow in the vessels is sharply reduced, and if it is not increased, the amputation stump will not heal.

Complications during wound healing

Usually manifested by divergence of the edges or its suppuration. Dehiscence of wound edges (R.) without signs of suppuration is rarely observed and develops as a result of disturbances in the general condition of the body (vitaminosis, dystrophy, cachexia, etc.) or defects in surgical technique. Suppuration of R. more often occurs with extensive trauma to surrounding tissues, the presence in R. of areas of necrosis, hematoma, foreign bodies, inadequate comparison of the edges of the wound, microbial contamination above a critical level (105 microbial bodies per 1 g of tissue), general violation state of the body ( traumatic shock, large blood loss, etc.). Required correct tactics how to treat purulent wounds. When purulent R. heals by secondary intention, purulent streaks, phlegmon, lymphadenitis, erysipelas, thrombophlebitis, and gangrene caused by a secondary anaerobic or putrefactive infection are possible.

Wound healing with folk remedies

1. Boil three sprigs of comfrey (Symphytum officinale L.) in a liter of water until the water boils by half. Strain and rinse with this decoction.
2. Take one sweet pomegranate, boil it with tart wine and apply a bandage from this mixture to the wound.
3. Vanga believed that healing medicines are used first in liquid form, and then, as healing progresses, they move on to dry and bulk products. Healing agents include cypress tree bast with rose oil wax ointment, burnt aristocholia, alum, and fig leaves.
4. To prepare a healing linen plaster, Vanga advised taking washed linen cloth and pounding it until it turns into powder. Then add highly astringent olive oil or sea buckthorn oil and prepare a plaster.
5. For older people, this plaster is good: burn the barley and prepare a wax ointment from it with rose oil or myrtle oil and white lead.
6. To prepare the powder, take equal quantities of rose flowers, white lead, and pomegranate flowers.
7. The rapid maturation of abscesses is facilitated by the application of wheat or rye bread crumbs soaked in hot milk, gruel from fresh leaves coltsfoot, bird cherry, fresh buckwheat leaves stacked on top of each other.
8. Wounds are well cleaned of pus and healed by grated onions, carrots and steam of freshly grated onions applied to the wound (treatment for 8 - 10 minutes).
9. Vanga recommended using fresh aloe tree juice, soaking a gauze bandage with it and irrigating wounds, as well as fresh knotweed grass in the form of a gruel or juice for lotions.
10. 40 grams of dried celery root pour 120 milliliters olive oil. Apply to the wound.
11. Infuse the flower tops of dead nettles in a warm place with linseed oil in a ratio of 1:5, and then apply to the wound.
12. Pour 75 grams of chopped fresh burdock root into one glass of water. Infuse for a day in a warm place. Then boil for 15 minutes, strain. Apply as compresses.
13. Pour 10 grams of wormwood paniculata herb into one glass of boiling water. Infuse, strain. Apply in the form of compresses, lotions
14. Pour one tablespoon of fresh or dry colza herb into one glass of boiling water. Leave for 2 - 3 hours, strain. Take one quarter glass four times a day for a month.
15. In case of severe wounds and heavy blood loss, apply very thick layer clay directly onto the damaged area. It is better to first sprinkle the wound with dry clay powder, and then apply clay, pressing it well, thus eliminating blood loss. If there is any concern that there is some foreign body left in the wound, then there is no need to take additional measures to remove it, because the clay will do that. You will see this for yourself when after several procedures you see a foreign body on the lotion.
16. If it is difficult to apply a lotion (eyes, ears, etc.), you can do wraps. To do this, take a semi-liquid clay mass, thoroughly soak the fabric with it, apply it to the diseased part of the body and cover with a woolen blanket.
17. Change the canvas soaked in clay mass more often. Use such procedures when you need to expose a large surface of the skin to clay.
18. You can use small dressings made from a mixture of glycerin and clay (2:1).
19. In Bulgarian folk medicine Beeswax has long been used in combination with other components to treat poorly healing wounds. To prepare wound healing mixtures, you can use the following recipes. Take 100 g olive oil, 13 g wax, 20 g pine resin(rosin) and one tablespoon butter. Mix everything in an enamel pan, put on low heat and heat for 10 minutes, stirring constantly and removing the foam that appears on the surface. Transfer the prepared mixture into a glass jar. Apply the mixture to gauze and apply to the wound.
20. Boil two parts olive oil and one part pure beeswax over low heat. Cool the resulting ointment and transfer it to a glass jar. After washing the wound with hydrogen peroxide, apply a bandage with the prepared preparation.
21. Wash the wound and apply a compress of nettle leaves: fill the bottle to the top with fresh nettle leaves, then fill it to the top with grape vodka, plug it with a stopper and leave in the sun for two weeks.
22. Take a tablespoon of goat or sheep fat and half a tablespoon of salt; add a tablespoon of well-chopped onion (the onion should be old), put everything in a strong bowl and grind almost into powder. Take this ointment for about walnut(this is for a fairly large wound) and put it inside and outside the wound. Then apply a bandage and keep it on for 24 hours. After the first use of this remedy, the patient will feel very severe pain, because the medicine will “eat” into the wound and draw out dirt. The pain will decrease after the second and third application, and with the fourth or fifth it will stop altogether.
23. The wounds are simply smeared with honey and a light sterile bandage is applied on top.
24. Infuse half a glass of fresh crushed flowers and leaves of St. John's wort with a glass of almond, sunflower, olive or linseed oil within three weeks. Squeeze, strain. Store in a cool place. Lubricate poorly healing wounds with this oil.
25. The juice of fresh fern leaves heals wounds well.
26. Prepare a decoction of fenugreek (Greek hay), and apply the remaining pulp to the wound.
27. Apply the pulp of the puffball mushroom to the wound.
28. Pour into a bottle birch buds, pour in grape vodka and leave. Lubricate the wound with tincture.
29. Dissolve cow butter over the fire, grind fresh birch buds in it, spread it on a cloth and apply.
30. Boiled and mashed white beans are used to cleanse festering wounds.
31. Honeycombs along with wax are used to treat non-healing wounds. The honeycomb is boiled and applied warm to the wound.

My mother has always had problems with veins. Of course, the hairdresser spends almost the entire working day on his feet. A varicose veins In general, it is their occupational disease. One evening she complained that the wound on her leg was not healing for a long time, and in the morning we had an appointment with a phlebologist.

It turns out that this situation is a sign of poor circulation in the lower extremities. Simply put, mommy “neglected” her leg, and if she didn’t go to the clinic in a timely manner, the wound promised to turn into a trophic ulcer.

Reasons.

Let's consider the main reasons when a leg wound does not heal for a long time:

Infection. If the initial treatment of the wound was carried out incorrectly, there are still areas of contamination with microbes, then by multiplying, they will lead to suppuration of the wound surface. The degree of contamination will depend on the size of the wound received, its nature (torn edges, bite) and depth. Sometimes an infection can appear due to untimely or improper processing, with non-compliance with antiseptic rules, for example, unwashed hands.

Clinically, such a wound is characterized by the presence of inflammation, the appearance of pus, and redness of the skin. When strong enough infectious process Body temperature may rise.

Diabetes mellitus. A condition where a wound on the leg does not heal for a long time in a patient with such an endocrine pathology is called diabetic foot. It appears due to metabolic disorders in the elderly, as well as those who do not control blood glucose levels. The vessels become fragile, microtraumas appear, which often become infected. IN advanced cases Gangrene may develop.

Varicose veins. Due to varicose veins and blood stagnation, the skin and tissues do not receive enough oxygen and nutrients, and disruption of blood outflow leads to the accumulation of decay products and carbon dioxide. As a result, a trophic ulcer of the leg is formed.

Violation of innervation and nutrition of tissues of the lower limb. This occurs in individuals who complain of lower back pain. Most often they have osteochondrosis, a herniated disc. They compress the nerve roots and blood vessels that nourish the skin, which leads to poor regeneration.

Immunity problems. It can be weakened by stress, an unbalanced diet, or the presence of HIV infection or cancer.

Constant use of glucocorticosteroids and aspirin leads to inhibition of inflammation and slower healing of wounds.

A wound with wide edges may take a long time to heal if primary surgical treatment has not been performed and sutures have not been applied.

Who to contact.

If a wound on your leg does not heal for a long time, first contact your local physician. Having found out the details of the wound, having studied your outpatient card and concomitant diseases, the therapist will make a primary diagnosis and refer you to a specialist:

• surgeon,
• phlebologist,
• infectious disease specialist
• endocrinologist,
• neurologist.

Wound healing products.

If a wound on the leg does not heal for a long time, adequate treatment is necessary. Universal remedy does not exist. As you can see, the reasons presented above are very diverse, and therefore the approach to therapy will differ. The doctor may recommend one of the remedies listed below, but we urge you not to self-medicate, but first consult a specialist.

Baneocin- an antibiotic in powder form, which is used for infected wounds, relieves inflammation, destroys pathogenic bacteria.

Curiosin– Curiosin solution is used to treat wounds. It not only washes trophic ulcers, but also have a profound effect on the skin.

Levomekol – antibacterial ointment, anti-inflammatory and wound healing agent. Chloramphenicol, which is part of the composition, fights staphylococcus, Escherichia coli and Pseudomonas aeruginosa.

Solcoseryl. It is used in the form of jelly in the initial stages, and in the form of an ointment during the healing stage. It is a drug based on the plasma of dairy calves, is an analogue of a bandage that prevents germs from entering the wound, relieves pain, and also accelerates metabolism and tissue regeneration. Given the natural origin of the medicine, individual reactions are possible.

Every person faces from time to time various disorders skin integrity - scratches, abrasions and even serious wounds. Of course, you want them to heal faster and cause minimal disturbance. However, the body is not always able to fully cope with this task. Let's try to figure out how to behave if the wound does not heal, what to do in such a situation, and also find out the reasons why healing does not occur for a long time.

What can I do to make the wound heal faster?

Treatment of the wound

How should you behave so that the wounds you receive heal properly? It is advisable to properly treat the wound surface immediately after receiving damage. It is extremely important to eliminate it foreign bodies if available, then process antiseptics throughout the affected area and the area around it. This will help avoid infection and suppuration of the sore spot.

For the initial dressing of the resulting wound, it is best to use a special sterile dressing. Further, in order for wound surfaces to heal faster, it is extremely important to carry out systematic dressings and regularly carry out antiseptic treatment.

In addition, experts advise stimulating the healing process by using special medicinal compounds that can create a protective film on the wound.

How to process purulent wounds?

Purulent lesions require especially careful treatment and dressing. Such procedures should be carried out only with clean and dry hands, having treated them with a disinfectant composition. Perform dressings in the morning and evening, affecting not only the wound itself, but also the skin around it.

To clean the wound from pus, you should use special ointment compositions that have “pulling properties” or contain antibiotics. The bandage with the medicine must be changed at least three times a day.

If the wound does not become inflamed, it makes sense to use drying compounds. Such products are produced in the form of gels; they activate regenerative processes and promote rapid and effective recovery. If the wound becomes covered with crusts, it is better to give preference to ointments. They form a special film that can prevent additional damage.

The most common means for accelerating wound healing are considered to be pharmaceutical compositions Bepanten, Eplan and Solcoseryl. They do not contain antibiotics and can be used without a doctor's prescription.

Why do wounds take a long time to heal?

Most often, problems with wound healing are explained by their infection, which can occur immediately upon injury or shortly after it. For example, dangerous organisms can penetrate the wound at the dressing stage or be transmitted with surrounding objects.

When a wound becomes infected, the victim experiences an increase in body temperature, red stripes and subcutaneous suppuration. In addition, pathological processes are accompanied by strong painful sensations and swelling.

Therapy involves special processing under doctor's supervision. The victim may receive stitches, clean the wound, and debride it to kill germs. In particular difficult cases a blood transfusion may be needed.

Quite often, poor wound healing is observed in patients with weakened various reasons body. Similar situation is also typical for patients with diabetes. In such people, the wounds may first dry out, after which they crack and fester. The wounds on the legs of these patients heal especially difficult, which is explained poor circulation, increased swelling and other factors.

Treatment of wounds with diabetes mellitus can only be carried out under the supervision of a specialist who can prevent the development of gangrene. The patient needs to take measures to correct the underlying disease, eat right and systematically treat the affected areas. Treatment can be carried out using an antiseptic or antibiotic ointment.

Quite often, wounds do not heal for a long time in people old age. This trend is explained by the presence of cardiovascular diseases in such patients, excess weight, insufficient blood clotting, etc. Therapy for injuries in this case involves systematic cleaning of the wound, combating aggressive microorganisms, removing purulent accumulations, as well as washing the wound and, if necessary, antibacterial therapy.

Doctors also say that poor wound healing can be explained by a lack of various vitamins and minerals in the patient’s body. minerals, for example, calcium, zinc, B vitamins and provitamin A. Most often, this situation occurs in children.

Other reasons

Sometimes patients experience long wound healing after tooth extraction, which develops when the socket becomes infected. Also, when wounds do not heal for a long time, the reasons for this may lie in the body being infected with HIV, obesity or exhaustion, or the patient having oncological diseases And various kinds inflammatory processes in the body. In addition, natural healing is usually significantly slower if there is insufficient blood circulation at the site of the lesion.

If wounds that take a long time to heal appear, it is better not to waste time and consult a doctor as soon as possible. It may well be that such a phenomenon is just a symptom of a more complex diseases.

Ekaterina, www.site

P.S. The text uses some forms characteristic of oral speech.

Many people have encountered this problem when wounds do not heal for a long time. But only a few know why this happens. In fact, open wounds pose a huge threat because they make it easier for various bacteria and viruses, which can cause serious health problems. That is why it is important to know how to properly treat injuries on the body so that they heal as quickly as possible.

Wounds on the skin do not heal well: reasons

The wound does not heal for a long time as a result of infection, and this can happen not only during the injury, but also after it. When infected, an increase in temperature, the appearance of redness, subcutaneous suppuration, pain and swelling are observed.

Why skin wounds do not heal:

Other reasons for long-term non-union of wounds: inflammatory processes in the body, cancer, the presence of extra pounds, HIV, etc.

What to do if skin wounds do not heal?

It is best to seek qualified help if you have such a problem to avoid complications. The doctor will give all recommendations for proper care and also treat the damage.

If for some reason you cannot contact a specialist and the wound is not healing well, use the following tips:

• To avoid infection during dressing, first wash your hands with soap and treat them with alcohol. It is important to choose a bandage correctly - it is advisable to use materials that allow air to pass through, and it is better if they are damp. Dressings should be done twice a day;
• Disinfection of damaged surfaces that are dry should be carried out at least twice a day. In this case, you should use ointments that create a special film on the surface that prevents the penetration of microorganisms;
• If the wound begins to get wet, then use pharmaceutical products– Bepanten, Eplan or liquid drugs containing methyluracil. These products promote rapid regeneration;
• If the damaged area of ​​the skin is not inflamed, then it is recommended to use drying gels, as they promote rapid regeneration;
• The use of ointments on wet wounds can cause a slowdown in the healing process, since the wound will get wet, that is, as they say, “ turn sour»;
• Many people still use Streptocide, which they sprinkle on damaged areas. Doctors do not recommend doing this, since a crust will form on top, under which the exudate will heat up, which will lead to prolonged healing;
• In addition to local treatment, you should help the body from the inside, giving preference proper nutrition. To help the regeneration processes, consume plenty of protein and fortified foods.

If wound treatment is carried out incorrectly and infection enters the damaged area, suppuration is observed, as evidenced by the release of viscous and cloudy exudate from the injured area. At the first manifestations, be sure to carry out disinfection by first blotting the discharge with a napkin. In this case, you should consult a doctor, since there is high risk development of complications.

In folk medicine there is different means, the action of which is aimed at the healing process. For example, take 70 g of burdock roots, chop and pour 200 ml of them sunflower oil. Leave for 24 hours, then put on low heat and simmer for 15-20 minutes. After time, strain and store in the refrigerator. The resulting ointment should be used to treat problem areas of the skin 2 times a day. In addition, it is recommended to drink 1 tbsp of root decoction. spoon 3 times a day.

Preventive measures

To prevent complications, after an injury it is important to properly treat the injury site, this is what will allow the tissue to heal quickly.

How to properly treat wounds:

• If the injury is fresh, then try to stop the bleeding. For this purpose, use 3% hydrogen peroxide. It is forbidden to use iodine, as it causes severe tissue burns, which will only worsen the healing process. Iodine is only allowed to treat the skin around the lesions;
• To prevent infection, it is recommended to treat the surrounding skin with medical alcohol. Carry out this procedure with each dressing. If there is no medical alcohol, use other alcohol-containing products that do not contain essential oils;
• If there are any foreign bodies, such as splinters or broken glass, then be sure to remove them. After this, treat the damaged area again and blot it with a bandage or gauze;
• Then use an aseptic solution, such as Chlorhexidine or Furacilin. Apply the bandage with the same product.

We have presented to your attention a list of the main reasons that lead to the skin being restored for a long time. Use the recommendations provided to avoid complications.