How long does a deep wound heal. The course of the wound process (phases, types of healing). Oral preparations

From this article you will learn:

• how the gum heals after tooth extraction: photo,
• why is white plaque formed,
• how to speed up wound healing after tooth extraction.

Immediately after the extraction of the tooth, the hole is filled with blood, which normally immediately folds, forming a blood clot. The latter protects the socket from infection from the oral cavity, and is also the basis for the formation of gums and bone in place. extracted tooth. Over time, the surface of the clot epithelializes, becoming indistinguishable from the gingival mucosa.

As a rule, it can be difficult for patients to understand whether they have normal wound healing after tooth extraction or if there is inflammation. The latter can sometimes develop almost asymptomatically, and a white plaque that forms on the surface of a clot or gum after tooth extraction can indicate both normal healing and inflammation.

How does the gum heal after tooth extraction: photo
(dates are indicated in the photo)

Remember that the gums heal properly - immediately after removal, the patient must adhere to those regulating rinsing, oral hygiene and nutritional habits in the first days after removal.

How long does the gum heal after tooth extraction - terms

How much the gum heals after tooth extraction depends on many factors: on the degree of traumatic removal, whether sutures were applied, on possible attachment infectious inflammation wells, depending on the age of the patient. Healing of the hole after tooth extraction can be divided into partial and complete.

Partial epithelialization of the wound occurs on average in 12 days (Fig. 5), but complete epithelialization of the clot surface is observed in 20 to 25 days (Fig. 6). However, if inflammation of the hole occurs or after, which is usually accompanied by a large bone injury, the healing time may increase by several days.

Reasons for slow healing –

• significant trauma to the bone and gums during removal (both due to the indifference of the doctor, and due to the sawing of the bone around the tooth with a drill during difficult removal),
• when a clot falls out of the hole (empty hole),
• development ,
• the doctor left fragments or inactive fragments in the hole bone tissue,
• if sharp bone fragments stick out through the mucous membrane,
• if the gum mucosa around the hole is highly mobile, and the doctor has not stitched,
• antibiotics were not prescribed after complex removal,
• patient's age.

How to speed up wound healing after tooth extraction -

Most the best remedy, which can accelerate the healing of the gums after tooth extraction is the suturing of the socket of the extracted tooth by the surgeon immediately after the extraction of the tooth. Moreover, it is necessary that the edges of the mucous membrane of the gums be as close as possible to each other. This will speed up healing and reduce the risk of developing inflammation of the socket of the extracted tooth. But if you've already had a tooth removed without stitches, then topical oral agents can help (see below).

Additional topical agents –
often patients ask if there is an ointment for healing wounds after tooth extraction ... If you are not satisfied with how long the gum heals after tooth extraction, then this process can really be accelerated. Fast healing wounds in the oral cavity is possible with the use of agents that accelerate the epithelization of wounds on the mucous membrane. These funds include -

It should be noted that these drugs also have a good analgesic effect. You can read about the features of their use after tooth extraction using the links above, but if you are a fan folk remedies, then you may also need the usual sea ​​buckthorn oil(although its effect will be noticeably more modest).

What does white plaque mean after tooth extraction -

Some patients notice that their gums have turned white after tooth extraction. At normal course of events, a whitish plaque is nothing more than an “effusion” of fibrin from the blood, and indicates the beginning of wound epithelialization. white bloom after tooth extraction usually occurs on the surface blood clot(Fig. 8), as well as on the surface of a severely injured mucous membrane.

White plaque on the gum after tooth extraction -

At the same time, the gum surrounding the hole has a pale pink color, when pressing on the gum, there should be no purulent discharge (as in the video below), there should not be an unpleasant smell from the hole, constant aching pain or pain in cold and hot water.

When whitening of the gums indicates inflammation -

The photos above show what a white or yellowish coating can be like in normal conditions. However, very often, necrotic disintegration of a blood clot, or fragments of bone tissue protruding along the edges of the hole or in its depth, covered with a whitish or yellowish coating, can also be taken for such a raid.

White gum after tooth extraction with inflammation (Fig. 10-12) -

Such conditions of the hole after removal are always accompanied by discomfort, permanent or intermittent. aching pains, bad smell from the hole, sometimes suppuration from the hole. In the presence of areas of the bone not covered with a clot, there are almost always pains when cold or hot water. In all these situations, an urgent visit to the surgeon for (alveolitis) is necessary.

It is not possible to cure alveolitis at home, because. if there is a breakdown of a blood clot, it must first be cleaned out of the well, washed with antiseptics, after which the doctor during periodic examinations will initially put anti-inflammatory drugs in the well, and only after the inflammation subsides, means are already laid in the well to accelerate epithelization (such as Solcoseryl).

In video 1 below, you can see that the hole is filled in depth with necrotic disintegration of a white blood clot. In video 2, the patient was removed 8 teeth from both sides, and when you press the gum, you can see how thick pus comes out of the holes.

In the case of the development of alveolitis, the healing of the hole will last much longer, because. the hole after cleaning it from the necrotic disintegration of the blood clot will epithelialize very slowly, and the terms of partial epithelization can even reach 1 month (this will depend both on the timeliness of the treatment started and on the size of the extracted tooth). We hope that our article on the topic: How long does the gum heal after tooth extraction turned out to be useful to you!

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Injuries, often with severe damage to the skin and tissues, are fortunately not an everyday situation, but, alas, not excluded.

Inflammation of the wound, the causes of which can be very diverse, is a natural process with severe injuries.

If you do not respond in time to wound inflammation, the symptoms can increase significantly and go into a critical phase, leading to serious complications. We suggest that you familiarize yourself with the main signs characterizing the inflammation of the wound, the treatment of which, subject to simple rules, can be fast and efficient.

Inflammation of the wound: the causes of the inflammatory process at various stages of healing

Healing any wound surface proceeds in three physiological stages, each of which is characterized by certain visual and symptomatic manifestations. It should be noted that the healing of damaged tissues is always accompanied by an inflammatory process, the signs of which decrease as the wound heals. In order to timely identify and prevent atypical inflammation, you need to know well what characterizes each stage of healing.

Stages of healing and external manifestations of wound inflammation

Exudation – local reaction vessels and tissues. It is characterized by a slight edema, as well as a slight reddening of the tissues surrounding the wound and the release of a specific exudate from it (the liquid part of the blood). wound exudate on this stage represents clear liquid. Often there are blood clots in it. The surface of the wound eventually becomes covered with a whitish film - fibrinous plaque. Duration given period depends on the area and depth of the wound surface and can last up to seven days from the moment of injury. If at this stage the wound becomes infected, the amount of exudate discharge increases dramatically. It becomes cloudy and acquires a characteristic odor.

Regeneration (proliferation)- Restoration of damaged tissues. At this stage, tissue granulation occurs. Fibrinous plaque comes off, the tissues are covered with new cells, forming small bumps of bright red color (granulations) on the wound surface. Exudate from the wound is practically not released, it is still transparent and may contain only a small amount of blood. At the slightest injury, the exudate becomes bloody. A change in the color of granular areas, blanching, indicates re-infection.

epithelialization- complete healing and scar formation. Exudate is not released, the surface of the wound is dry. Inflammation at this stage can only occur due to damage or secondary infection.

With extensive wounds, healing can proceed unevenly. Often central part the wound surface is cleaned faster and the edges of the wound do not have time to heal, which slows down its healing.

Sometimes the inflammation of the wound surface increases dramatically or its healing proceeds too slowly. There are a number of reasons that can affect the inflammatory process.

Inflammation of the wound: causes affecting the slowdown in healing and the newly emerged inflammatory process

1. Primary or secondary infection of the wound surface.

Primary - infection directly upon injury;

Secondary - may occur as a result of improperly performed, in violation of the rules of asepsis, primary processing wounds. As a result of infection with repeated mechanical trauma to the wound surface or improper local treatment.

2. Weakened immunity and general exhaustion of the body. Chronic infectious diseases(HIV, AIDS, tuberculosis and hepatitis). Availability chronic diseases that can impair blood circulation: varicose veins veins, diabetes, chronic pathologies kidneys, liver, as well as disorders and malfunctions of cardio-vascular system.

3. Deterioration or violation of diet and rest.

Often the exacerbation of inflammation in the wound is associated with improper treatment, or rather, with self-medication.

Inflammation of the wound: symptoms of inflammation of the wound and nearby tissues. Possible Complications

In case of primary or secondary infection, wounds can get into the cavity anaerobic bacteria, fungi and microorganisms of various origins, which are the root cause of the resulting inflammation.

The main symptoms of wound inflammation and their signs:

Temperature increase in the area of ​​the wound surface;

Sharp hyperemia (redness) of nearby tissues and their swelling;

The secreted exudate becomes cloudy and viscous - purulent;

Pulsating pains in the area of ​​the wound;

General malaise: an increase in body temperature, dizziness, weakness, and in some cases nausea.

wound healing- a complex process and not only the speed of healing, but also the absence of complications depends on the correctness of the appointment and the accuracy of the treatment. Wrong treatment can contribute to the occurrence of sepsis, tetanus, gas gangrene, rabies. The appearance of purulent and infectious inflammatory processes in the wound area: abscesses, infiltrates, phlegmon or erysipelas.

Wound inflammation: treatment and prevention of possible complications

Wound treatment is a rather lengthy process. The healing rate depends on the nature of the damage, the degree of infection, the depth and area of ​​the lesion, as well as the general condition of the body. Therefore, first of all, local treatment is carried out, aimed at reducing inflammation.

Perform daily sanitation of the wound using aseptic solutions, anti-inflammatory and antibacterial medications topical application: solutions and ointments, drugs that clean the wound and protect it from secondary infection. On the early stages healing and further treatment of the wound using aseptic solutions: 3% hydrogen peroxide; ready solutions"Chlorhexidine", "Furacillin", "Fukartsin"; a weak solution of potassium permanganate, etc. They treat the edges and wash the wound cavity, cleaning its surface from contamination, specific secretions and foreign bodies caught in the wound (splinters, splinters, debris, etc.). Also, bandages are applied with aseptic solutions in the first few days. The use of ointments at this stage is not recommended. Ointment dressings are applied later, depending on the condition of the wound.

Parallel to local treatment hold a common drug therapy aimed at suppressing the infection - a course of antibiotics is prescribed, drugs that increase immunity and help reduce the inflammatory process. In more severe cases infusion therapy (droppers) may be prescribed to reduce intoxication. Along with this, they carry out symptomatic therapy aimed at suppressing adverse symptoms and treatment of chronic diseases.

In the granulation stage, inflammation is treated with ointments, gels or special powders that inhibit the growth of granulations and prevent the wound surface from drying out, and can protect the wound from re-infection. In no case at this stage should Vishnevsky ointment be applied to the wound. It enhances blood flow and circulation in the wound area, thereby stimulating the intensive growth of granulations. The contraction of the edges of the wound during healing may not keep pace with the growth of tissues in the center of the extensive wound surface. The epidermis will not have time to cover the new tissues, and they will remain open, rising significantly above the level of the skin. vernacular name this unpleasant education- "wild meat".

After complete healing and during the scarring period, the wound site should be properly treated for several days (3-4 days) with a solution of brilliant green (brilliant green) or dressings with an alcohol solution of calendula should be applied. This will help relieve the inflammation that accompanies the scarring process and speed it up.

The removal of inflammation of the wound and its treatment are directly related. If inflammation is not reduced, wound healing will be delayed, and if the wound is not treated correctly, inflammation will increase.

Speed ​​up the healing of abrasions and small wounds cream "ARGOSULFAN®" helps. The combination of the antibacterial component of silver sulfathiazole and silver ions provides wide range antibacterial action cream. You can apply the drug not only on wounds located in open areas of the body, but also under bandages. The tool has not only wound healing, but also antimicrobial action, and in addition, promotes wound healing without a rough scar 1
It is necessary to read the instructions or consult with a specialist.

To relieve inflammation and treat a wound, in parallel with drug treatment, means and methods of traditional medicine can be used. Consultation is highly recommended prior to use. professional doctor, since many means involve tight closure of the wound surface medicinal herbs and the imposition of lotions on its surface with infusions and decoctions of herbs.

In order for the wound not to become inflamed and heal quickly, its surface must “breathe”. Tight covering of the wound surface contributes to the accumulation of exudate in it and, accordingly, additional inflammation. And this is fraught with serious complications.

1 - E.I. Tretyakova. Complex treatment for a long time non-healing wounds different etiology. Clinical dermatology and venereology. — 2013.- №3

The process of wound healing is a reaction of the whole organism to injury, and the state of nervous trophism is of great importance in wound healing.

Depending on the reaction of the body, the state of nervous trophism, infection and other conditions, the process of wound healing is different. There are two types of healing. In some cases, the adjacent edges of the wound stick together with the subsequent formation of a linear scar and without the release of pus, and the entire healing process ends in a few days. Such a wound is called clean, and its healing is called healing by primary intention. If the edges of the wound gape or parted due to the presence of an infection, its cavity is gradually filled with a special newly formed tissue and pus is released, then such a wound is called purulent, and its healing is called healing. secondary tension; Wounds by secondary intention heal longer.

Cream "ARGOSULFAN®" helps to accelerate the healing of abrasions and small wounds. The combination of the antibacterial component of silver sulfathiazole and silver ions provides a wide range of antibacterial action of the cream. You can apply the drug not only on wounds located in open areas of the body, but also under bandages. The agent has not only a wound healing, but also an antimicrobial effect, and in addition, it promotes wound healing without a rough scar (1). It is necessary to read the instructions or consult with a specialist.

All surgical patients, depending on the course of the wound process, are divided into two large groups. Patients who undergo operations under aseptic conditions, who do not have purulent processes and wound healing occurs by primary intention, make up the first group - the group of clean surgical patients. The same group includes patients with accidental wounds, in whom wound healing after primary surgical treatment occurs without suppuration. A huge number of patients in modern surgical departments belongs to this group. Patients with purulent processes, with accidental wounds, usually infected and healing by secondary intention, as well as those postoperative patients in whom healing proceeds with wound suppuration, belong to the second group - the group of patients with purulent surgical diseases.

Healing by primary intention. Wound healing is a very complex process in which a general and local reaction of the body and tissues to damage is manifested. Healing by primary intention is possible only when the edges of the wound are adjacent to each other, being brought together by sutures, or simply touching. Infection of the wound prevents healing by primary intention in the same way that necrosis of the wound edges (contusion wounds) also prevents it.

Wound healing by primary intention begins almost immediately after the wound, at least from the moment the bleeding stops. No matter how exactly the edges of the wound touch, there is always a gap between them, filled with blood and lymph, which soon coagulate. In the tissues of the edges of the wound there is a greater or lesser number of damaged and dead tissue cells, they also include red blood globules that have left the vessels and blood clots in the cut vessels. In the future, healing follows the path of dissolution and resorption of dead cells and restoration of tissues at the incision site. It occurs mainly by the reproduction of local connective tissue cells and the release of white blood cells from the vessels. Due to this, already during the first day, the primary gluing of the wound occurs, so that some effort is already needed to separate its edges. Along with the formation of new cells, there is a resorption and dissolution of damaged blood cells, fibrin clots and bacteria that have entered the wound.

Following the formation of cells, a new formation of connective tissue fibers also occurs, which ultimately leads to the construction of a new tissue of a connective tissue nature at the site of the wound, and there is also a new formation of vessels (capillaries) connecting the edges of the wound. As a result, a young cicatricial connective tissue is formed at the site of the wound; at the same time, epithelial cells (skin, mucosa) are growing, and after 3-5-7 days the epithelial cover is restored. In general, within 5-8 days, the healing process by primary intention is basically completed, and then there is a decrease cellular elements, the development of connective tissue fibers and the partial desolation of blood vessels, due to which the scar turns from pink to white. In general, any tissue, be it muscles, skin, internal organ, etc., heals almost exclusively through the formation of a connective tissue scar.

Certainly affects wound healing general state organism. exhaustion chronic diseases clearly affect the course of the healing process, creating conditions that slow it down or do not favor it at all.

Removal of stitches. When healing by primary intention, it is believed that the tissues grow together quite firmly already on the 7th-8th day, which makes it possible to remove skin sutures. Only in very weakened and emaciated people with cancer, in which the healing processes are slowed down, or in cases where the sutures were applied with great tension, they are removed on the 10-15th day. The removal of sutures must be carried out in compliance with all asepsis rules. Carefully remove the dressing, avoiding pulling on the sutures if they are stuck to the dressing. When healing by primary intention, there is no swelling and redness of the edges, soreness with pressure is insignificant, no compaction is felt in depth, which is characteristic of the inflammatory process.

After removing the bandage and lubricating the sutures with iodine tincture, carefully pull the free tip of the suture near the knot with anatomical tweezers, lift it up and, pulling the knot to the other side of the incision line, remove the thread from a depth of several millimeters, which is noticeable by the color of the thread, dry and dark outside, white and moist, deep in the skin. Then this whitened section of the thread, which was in the skin, is cut with scissors, and the thread is easily removed by pulling. So the seam is removed so as not to pull the dirty outer part him, having dark color. After removing the stitches, the injection sites are smeared with iodine tincture and the wound is covered with a bandage for several days.

Healing by secondary intention. Where there is a wound cavity where the edges are not close together (for example, after excision of tissues), where there is dead tissue or a voluminous blood clot in the wound, or foreign bodies(e.g. tampons and drains), healing will proceed by secondary intention. In addition, any wound complicated by an inflammatory purulent process also heals by secondary intention, and it should be noted that this complication purulent infection does not occur in all wounds that heal by secondary intention.

During healing by secondary intention, a complex process occurs, most feature which is the filling of the wound cavity with a special newly formed granulation tissue, so named because of its granular appearance (granula - grain).

Soon after the injury, the vessels of the edges of the wound expand, causing their redness; the edges of the wound become swollen, wet, there is a smoothing of the boundaries between the tissues, and by the end of the second day, the newly formed tissue is noticed. In this case, there is an energetic release of white blood cells, the appearance of young connective tissue cells, the formation of offspring of capillary vessels. Small ramifications of capillaries with surrounding connective tissue cells, white blood cells and other cells make up individual grains connective tissue.Usually, during the 3rd and 4th days, the granulation tissue lines the entire wound cavity, forming a red granular mass, making the individual tissues of the wound and the boundaries between them indistinguishable.

Granulation tissue, therefore, forms a temporary cover that somewhat protects the tissues from any external damage: it delays the absorption of toxins and other toxic substances from the wound. Therefore, a careful attitude to granulations and careful handling of them is necessary, since any mechanical (when dressing) or chemical (antiseptic substances) damage to easily vulnerable granulation tissue opens an unprotected surface of deeper tissues and contributes to the spread of infection.

On the outer surface In the granulation tissue, fluid is exuded, cells come out, new vascular offspring appear and, thus, the tissue layer grows and enlarges and fills the wound cavity with it.

Simultaneously with the filling of the wound cavity, its surface is covered with epithelium (epithelization). From the edges, from neighboring areas, from the remains excretory ducts glands, from randomly preserved groups of epithelial cells, they multiply, not only by growing from the edges of continuous layers of the epithelium, but also by forming separate islands on the granulation tissue, which then merge with the epithelium coming from the edges of the wound. The healing process generally ends when the epithelium covers the surface of the wound. Only with very large surfaces of the wounds, their epithelium may not be closed, and it becomes necessary to transplant the skin from another part of the body.

At the same time, cicatricial wrinkling of the tissue occurs in the deeper layers, the release of white blood cells decreases, capillaries become empty, connective tissue fibers are formed, which leads to a decrease in tissue in volume and contraction of the entire wound cavity, accelerating the healing process. At the same time, any lack of tissue is compensated by a scar, which first has a pink, then - when the vessels are empty - White color.

The duration of wound healing depends on a number of conditions, especially on its size, and sometimes reaches many months. Also, the subsequent wrinkling of the scar continues for weeks and even months, and it can lead to disfigurement and restriction of movement.

Healing under the scab. At superficial damage skin, especially with small abrasions, blood and lymph appear on the surface; they curl up, dry up and look like a dark brown crust - a scab. When the scab falls off, a surface lined with fresh epithelium is visible. This healing is called healing under the scab.

Wound infection. All accidental wounds, no matter how they are caused, are infected, and the primary is the infection that is introduced into the tissues by the injuring body. In case of wounds, pieces of clothing and dirty skin get into the depth of the wound, which cause the primary infection of the wound. Secondary is an infection that enters the wound not at the time of injury, but after that - for the second time - from the surrounding areas of the skin and mucous membranes, from bandages, clothing, from infected body cavities (esophagus, intestines), during dressings, etc. Even with infected wound and in the presence of suppuration, this secondary infection dangerous, as the body's response to a new infection is usually weakened.

In addition to infection with purulent cocci, infection of wounds with bacteria that develop in the absence of air (anaerobes) can occur. This infection greatly complicates the course of the wound.

The question of whether an infection will develop or not is usually clarified within a few hours or days. As already mentioned, in addition to the virulence of microbes, the nature of the wound and the reaction of the body are of great importance. The clinical manifestation of the infection, the course of the inflammatory process, its spread, the transition to a general infection of the body, depends not only on the nature of the infection and the type of wound, but also on the state of the body of the wounded.

Initially, the wound contains only a small amount of microbes. During the first 6-8 hours, microbes, finding favorable conditions in the wound, multiply rapidly, but do not yet spread through the interstitial spaces. In the following hours, the rapid spread of microbes through the lymphatic crevices, into the lymphatic vessels and nodes begins. In the period before the spread of infection, it is necessary to take all measures to limit the development of microbes by eliminating the conditions conducive to their reproduction.

Suppuration of the wound. With the development of an infection in the wound, an inflammatory process usually occurs, expressed locally in redness and swelling around the wound, pain, inability to move the diseased part of the body, local (in the wound area) and a general increase in temperature. Soon, pus begins to stand out from the wound and the walls of the wound become covered with granulation tissue. The entry of bacteria into a sutured, for example postoperative, wound causes characteristic picture diseases. The patient has a fever and is febrile. The patient feels pain in the area of ​​the wound, its edges swell, redness appears and sometimes pus accumulates in depth. The fusion of the edges of the wound usually does not occur, and pus is either released spontaneously between the seams, or such a wound has to be opened.

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

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. Recovery of the skin after damage takes place in several stages, which can be affected by various factors.

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

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

• infections. After an injury or during the treatment of a wound, pathogenic microorganisms can enter it. This condition is characterized by an increase in body temperature, the occurrence of suppuration, red stripes on the skin, swelling and severe pain. Treatment consists of cleansing, killing bacteria, and stitching. AT advanced cases may need a blood transfusion;
• diabetes. At diabetes skin lesions heal very poorly. This is due to swelling of the limbs, circulatory disorders, which subsequently limits the nutrition of cells and contributes to a weakening of the immune system. In this case, a large wound can develop from a scratch. First, the damage cracks, dries up, then purulent processes begin, the wound turns red and hurts. This problem can be eliminated only by starting the treatment of the underlying disease. Such wounds must be treated with antiseptics and special ointments with antibacterial properties;
• age. Older people have many health problems that negatively affect the process of tissue repair. In such cases, treatment consists of cleansing, washing the wound, and antibiotic therapy;
• lack of vitamins in the body. Poorly healing wounds can be a consequence of beriberi. Most often, the problem of vitamin deficiency occurs in children. With such a problem, any abrasion will not heal well. This condition can occur due to a lack of calcium, zinc, vitamin A or B vitamins. These vitamins and minerals are actively involved in skin regeneration, if there are enough of them in the body, then any damage heals quickly. With beriberi, hair also falls out, nails break, the condition of teeth and bones worsens. Treatment should be carried out only by a specialist after a thorough examination. The doctor selects a complex of vitamins that the child lacks. Only the elimination of the cause can speed up the healing process;
• trauma after tooth extraction. This operation negatively affects the state of the whole organism. Injuries to the gums or bones may occur, inflammation develops. If inflammation has begun at the site of tooth extraction, then the wound does not heal, the temperature rises, strong pain, which cannot be eliminated with the help of painkillers, the gum swells, it is felt putrid smell from mouth. If such symptoms appear, it is necessary to visit a doctor and begin treatment of inflammation immediately. In such cases, prescribe anti-inflammatory drugs, rinses antiseptic solutions, vitamins, analgesics, and in some cases antibiotics.

Other factors

The skin also does not heal well in case of circulatory disorders at the site of damage, in the presence of inflammation in the body, with malignant processes, obesity or malnutrition. The human immunodeficiency virus can also cause such a problem. These problems affect tissue regeneration processes in the following ways:

1. At poor circulation the damaged place does not receive enough oxygen and useful substances, which are necessary for him for normal scarring.
2. Weak the 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 wonder why the wound won't heal should know that important role damage care also plays a part in this process. If the wound is not treated antiseptic, do not apply a bandage, then you may encounter an infection.
4. Some types of damage cannot heal quickly. These include lacerations or deep wounds with long distance between the edges.
5. Certain medications can slow down the healing process of the skin. Aspirin and glucocorticoids have such properties.

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

Treatment Methods

In order to avoid problems with wound healing, you need to know how to properly care for the damaged area. From correct processing depends on how quickly the tissues recover.

In case of damage skin necessary:

• apply an antiseptic to the wound and the skin around it. Perfectly eliminate the risk of infection iodine and hydrogen peroxide. They must be in home first aid kit each person. Before applying such products, wash your hands well with soap and water or wear sterile gloves, if available;
• in some cases, within a few hours after injury, it is necessary to consume antibacterial agents. Only a specialist should prescribe such drugs;
• bandages should 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 have begun, it is necessary to use an ointment with stretching properties. Dressings are done at least three times a day. Vishnevsky's 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 right so that everything gets into the body essential vitamins and trace elements that affect wound healing processes.

Ointments for tissue scarring

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

1. At the stage of inflammation, it is necessary to carry out the prevention of infection. For this, ointments Levomekol, Levosin, Betadine, Nitacid, miramistin ointment are suitable.
2. At the second stage, the discharge from the wound is reduced, and the regeneration processes are accelerated. At the same time, you can help the body with the help of such means as D-Panthenol, Bepanten, Actovegin.
3. At the second and third stages, the Rescuer ointment helps well. It consists of natural ingredients and approved for the treatment of children, pregnant and lactating women.

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

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

Weeping wounds are damage to soft tissue structures. The skin is a natural barrier of the body that performs many functions.

The superficial skin is exposed to the aggressive effects of the external environment.

Orthopedist-traumatologist: Azaliya Solntseva ✓ Article checked by Dr.

Treatment

Exist various degrees defeat. Localization: skin, blood vessels, bones, sometimes internal organs.

With a non-healing wet injury, inflammation occurs. Scars form during the healing process. Treatment consists of regular dressings, antibiotics and disinfectants. medicines.

Ointments for drying

Treating with drying agents means using ointments and gels.

Means that protect the skin from infection:

1. Levomekol. Disinfecting, drying ointment has an antibacterial effect, prevents the formation of pus. Improves the functioning of the immune system, actively fights against pathogenic microorganisms. Usage: for weeping injuries, suppuration, the agent is applied with a syringe, directly into the lesion.
2. Solcoseryl. Regenerating, drying ointment composition. Promotes the production of new cell fibers, stops the process of fluid formation. Application: apply the ointment to the affected area, no more than 2 times a day. Apply to semi-closed dressings. The course of treatment is 2 weeks. There are no contraindications.
3. Povidone-iodine. Gel medication with a regenerating, anti-inflammatory, drying effect. The gel penetrates deep into the dermis, neutralizes the lesion, restores the skin structure, prevents the formation of scars and scars. Application: rubbed on the wound surface, washed off after 25 minutes. Contraindications: renal pathology, allergic reactions on iodine, it is not recommended for children whose age has not exceeded six years.

These drugs have antimicrobial, drying properties. Before use, consult a doctor.

Means for healing

When the dermis is traumatized, a person experiences pain, discomfort.

To avoid negative consequences and complications used wound healing agents that prevent the development pathogenic bacteria and accelerate the regeneration of the skin:

1. Bepanten. Wound healing cream, effectively cares for damaged skin that separates exudate. The components of the cream normalize tissue metabolism, enhance the healing process.
2. Eplan. Regenerative, wound healing medicine, has analgesic, bactericidal effect. Apply directly to the lesion, several times a day. Can be used as a compress.
3. Argosulfan. Healing cream in the base, which includes salt (silver). The drug heals the dermis, has an antibacterial effect. It is used for the treatment of weeping wounds, purulent lesions, trophic ulcers, burns.

The choice will depend on the location, area and severity of the lesion.

Antibacterial drugs

During the treatment of a weeping wound, sterile dressings are used.

• Furacilin solution;
• sodium hypochlorite;
• Miramistin;
• Okomistin.

Antiseptics reduce the release of exudate.

If the wound continues to get wet and does not heal for a long time, antibacterial drugs are prescribed.

Treatment is carried out:

• Streptocid ointment;
• Mafenides;
• Streptonitol;
• Fudisin (gel).

Means are applied to the wound surface, a sterile dressing or tampon is applied on top. Often, Xeroform or Baneocin powder is used to treat the skin layers.

healing process

If the injury oozes, doesn't heal long time, there is a possibility of secondary infection. As a result, a wetting surface is formed.

The immune system tries to fight the inflammation on its own, while the production of excess blood plasma increases.

On the foot

Damage to the skin on the leg with the release of fluid occurs as a result of trauma, varicose or erysipelas, thrombosis, thrombophlebitis, diabetes.

The main task of treatment is to create a systematic outflow of fluid. With the accumulation of purulent fluid, inflammation spreads to nearby tissues.

In a hospital setting:

• treatment with antibacterial solutions (Dioxidin);
• at pain symptoms painkillers are used (spray Lidocaine, Xylocaine);
• to cleanse from necrotic masses, powdered medicine Trypsin is used (a napkin is wetted in the preparation, applied directly to the affected area).

With shallow weeping injuries on the legs, therapy is carried out at home. Salicylic or Ichthyol ointment is used.

Streptocide (tablets or powder) is used as an antiseptic. Before applying the ointment compositions, the skin is treated with hydrogen peroxide.

Reasons for a long delay

Weeping wounds that do not heal for a long time indicate the presence of a pathology in the body and the addition of an infection.

Why skin abrasions do not heal:

1. Incorrect treatment of wound surfaces.
2. Diabetes. With the disease, limbs swell, blood circulation is disturbed, and the activity of the immune system decreases. The cells of the dermis are undernourished.
3. Age criteria. The immune system of the elderly is weakened. Therefore, the body is not able to fight on its own. inflammatory processes regeneration slows down.
4. Lack of vitamins in the body. The wound does not heal with beriberi.

Cell regeneration slows down in people diagnosed with cancer, obesity, malnutrition, HIV.

Oozing liquid

The fluid that oozes from the wound is lymph. Its release is a normal, natural phenomenon. It removes salt impurities, proteins, toxins, water from tissue structures. Then returns them to the circulatory system.

If the ichor is not abundant, there is no cause for concern. It is recommended to carry out the prescribed course of treatment.

The abundant flow of lymph from the wound surface is affected by:

• Poor processing of the dermis;
• polluted ecology;
• alcohol and nicotine;
• the presence of vascular and dermatological pathologies;
• excessive physical activity.

Process and dry

Any wound, regardless of location or origin, needs to be treated.

• provide free access to the damaged area of ​​the skin;
• touching the wound surface is allowed with gloves or tweezers;
• should be cleaned of contamination, rinse the damaged area with clean water;
• apply an antiseptic (initially treat with hydrogen peroxide, then brilliant green or iodine);
• cover the area with sterile gauze;
• stop bleeding (if any).

Forbidden independent use medicines (gels, ointments, powders). The doctor examines the injury. Then a course of treatment is prescribed.

Burn

Any weeping wound, including a burn, is accompanied bacterial infection. Wetness occurs when the immune system is unable to deal with inflammation.

Treatment of weeping burns consists of systematic dressings, taking antiseptics and wound healing drugs. .

It is they who are able to ensure the outflow of fluid, tissue regeneration, and prevent the development of inflammatory processes.

Step-by-step therapy of weeping lesions:

1. Antiseptic treatment. These include Miramistin, Furacilin.
2. A hygroscopic dressing is used, which is changed every 2-3 hours.
3. When changing the dressing material, the damage is treated with an antiseptic. Then superimposed antibacterial drug Betadine. It can dry out the skin.
4. In the presence of pain, painkillers (tablets, aerosols, injections) are used.
5. In case of purulent injuries, ointment compositions Levomekol, Levosin are applied under the bandage.

After the elimination of inflammation, the use of a patch from burns is recommended. At the stage of recovery and scarring of the skin, Solcoseryl ointment is applied under the bandage, at least 4-6 times a day. Vitamins of groups A, C, E are taken in combination with the main therapy.

Folk recipes

Together with pharmaceutical preparations used to treat weeping injuries traditional medicine that are prepared at home:

1. Potato juice. Fresh potatoes are rubbed with a grater. Juice is squeezed out. A sterile napkin is wetted in the liquid, applied to the wound, bandaged. The compress is applied before going to bed. The medicine draws out bacterial exudate.
2. Onion. Vegetable (1 large head) is grated. The gruel is laid out on a gauze fabric, applied to the damage (20 - 30 minutes), 4-5 times a day. The drug reduces puffiness and cleans the surface.
3. St. John's wort oil. The leaf and inflorescence (100 grams) of St. John's wort are finely chopped, a golden mustache (50 grams) is added. The mixture is poured olive oil(250 ml). The medicine container is covered with paper, infused for 15-20 days in a warm place. The product is filtered, stored in the refrigerator. The napkin is wetted in medicinal product and applied to the wound 2-3 times a day.

Folk remedies are used after consultation with the attending physician.

Open festering wound

The therapy is carried out:

• antibacterial drugs;
• detoxification measures (toxins are removed from the body);
• drugs that stimulate the immune system.

The goal of treatment in the formation of a purulent focus is to clear open wound, reduce inflammation, eliminate pathogenic bacteria.


For accelerated process skin regeneration is prescribed:

• Vishnevsky ointment;
• Synthomycin liniment;
• Ointment composition of Tetracycline.

Medicines are applied to the bandage. Use once a day, preferably at bedtime. Drainage is installed to eliminate pus from extensive wounds.

What is prohibited

For effective treatment weeping abrasions are recommended to observe certain rules processing. If the wound does not heal for a long time, you need to seek the advice of a surgeon.

What to do is prohibited for weeping injuries:

1. Interrupt treatment. Dressing is carried out every day, in some cases 2-3 times a day.
2. Treat injury with contaminated materials. Bandages, gauze bandages, nets for fasteners must be sterile.
3. Do the dressing with clean hands. If there are no sterile gloves, the palms of the hands are washed with soap and treated with an antiseptic.
4. Rip off dried bandages. They soak with water.
5. Use expired medicines, violate the rules of the instructions.

If during therapy the amount of fluid discharged increased, the wound grew, throbbing pain, swelling or redness appeared, all parts of the body ache, it is recommended that the injury be examined by an experienced surgeon.

Complications

With improper therapy, weeping ulcers and wounds spread, affecting large areas of the skin and nearby tissues.

Treatment and healing of weeping wounds