Basic principles of treatment of open wounds at home. Wound granulation. Prevention of the development of complications at the stage of healing of damaged tissues



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A wound means an injury in which the skin, muscles, tendons, internal organs, bones are damaged. Usually, healing occurs in several stages, but not everyone knows what wound granulation is.

The wound healing process includes the stages of inflammation, granulation and epithelialization. In addition, healing can be with primary and secondary intention, as well as under the scab. It depends on how complex the damage is and how all the phases go, how quickly the victim will be cured.

Stages of wound healing

When healing, any wound goes through several stages:

  1. Inflammation. The body first reacts to a wound by producing substances that clot the blood. Blood clots form that clog blood vessels. They prevent the development of severe bleeding. Further, cellular reactions occur, leading to an inflammatory process, a new tissue begins to grow - granulation, which is impossible without the participation of fibroblasts. In cases where the treatment of a wound requires suturing, they are removed after a week, but if there is tension under the suture, this can lead to a divergence of the edges of the wound. This happens because a scar has formed on the edges of the wound, and not granulation. The inflammatory stage lasts an average of 5-7 days.
  2. Granulation wounds. With a favorable course of the healing process, a week after the injury, the stage of wound granulation begins. During the month, the damaged area continues to be filled with maturing granulation tissue, which includes inflammatory cells, connective tissue, and newly formed vessels. Successful granulation is not possible without cytokines and sufficient oxygen. Toward the end of this phase, new epithelial cells grow on the granulation tissue, and the edges of the wound are connected by a bright red scar.

Granulation tissue has a different appearance depending on the stage of its development. Normal tissue initially looks like soft-grained tissue, covered with a cloudy, gray-greenish coating, juicy, rich in thin-walled vessels, which bleeds easily. In later periods, the tissue becomes paler, denser, the granularity disappears, turning into a whitish dense scar.

The granulation tissue consists of six layers that gradually merge into each other:

  • superficial leukocyte-necrotic layer
  • superficial layer of vascular loops
  • layer of vertical vessels
  • maturing layer
  • layer of horizontal fibroblasts
  • fibrous layer
  1. epithelialization. This stage of healing begins immediately after granulation is completed. This phase lasts for almost a year. The epithelium and connective tissue completely fills the damage space. The scar becomes brighter, because the vessels in it become much smaller than initially. As a result, the healed wound is covered with a scar, the strength of which is approximately 85% compared to healthy skin.

All these stages of wound healing are purely individual, their duration depends on many factors, including the general condition of the patient and the care of the injury.

The role of the granulation stage

Leukocytes will play not the last role in wound granulation.

So, wound granulation is a complex process in which the following types of cells take part:

  • leukocytes;
  • mast cells;
  • plasmacytes;
  • histiocytes;
  • fibroblasts.

A special role is played by fibroblasts, which produce the supply of collagen after the granulation reaches the edges of the wound. Пpи нaличии oбшиpных гeмaтoм, пpи бoльшoм cкoплeнии экccyдaтa или нeкpoтизaции ткaни в oблacти pacпoлoжeния paны пpoцecc пepeмeщeния фибpoблacтoв к кpaям пoвpeждeния зaмeдляeтcя, чтo yвeличивaeт вpeмя, нeoбхoдимoe для зaживлeния.

Important! The most pronounced activity of fibroblasts is observed on the 6th day after the formation of the lesion. And the granulation process itself continues for a month.

Granulations are a temporary tissue, which, after performing its function, undergoes regression and is replaced by a scaly tissue. The morphological basis of granulation is the glomeruli of newly formed cells. The tissue growing in the process of healing of injuries envelops these vessels, increasing in volume. Outwardly, granulation looks like a delicate fabric of pink color.

The granulations formed during the healing process also perform a sanitary function, separating non-viable tissues. Similar ischemic areas of the tissue, as the wound heals, independently regress by lysing. When treating a wound surgically, non-viable tissues are removed mechanically.

Wound care at the initial stage of healing

The optimal solution for the speedy recovery of damaged tissue is the regular use of dressings. Disinfection here is carried out with solutions of potassium permanganate and hydrogen peroxide. These substances are applied in a warm form on a gauze swab. Next, a careful impregnation of the wound is performed, in which touching the damage with the hands is excluded - this can lead to the development of infections.

Treatment of injured areas in the granulation phase

Granulation tissue has a delicate, loose structure. It is easy to damage it by touching carelessly or carelessly changing the bandage. When treating a wound, you should be as careful as possible.

It is not allowed to wipe the surface of the damaged area with cotton pads, swabs.

Only irrigation of the wound with warm bactericidal solutions is permissible.

There are several types of treatment for injured tissue:

  • Physiotherapy;
  • medication;
  • Treatment at home;

When choosing a method of treatment, it is necessary to take into account the nature of the wound, as well as the characteristics of its healing.

Physiotherapy treatment method

Of the specific ways to accelerate regeneration, the method of ultraviolet irradiation should be distinguished. When it is used, the surface of the damaged area is cleansed of pathogenic microflora, and the regeneration processes are significantly accelerated. This method will be especially relevant for slowly forming, sluggishly granulating tissue.

Indications for the use of radiation:

  • wound infection;
  • Profuse purulent discharge;
  • Weakened immunity and, as a result, a violation of the mechanisms of reparation;

However, other methods of treatment are used to speed up the healing of the injury. Most often resort to medical methods of treating the surface of the wound.

The use of drugs at the granulation stage

Properly selected medication promotes faster epithelialization of the wound. As a rule, with hypergranulation, doctors recommend using gel forms of drugs. Whereas with excessively rapid drying of the surface of the damaged area, ointments are used.

Main drugs used in the granulation stage

One of the most popular drugs prescribed at this stage is Solcoseryl. Granulation of sutures, healing of damaged areas after burns and other injuries of the skin are accompanied by the appearance of unaesthetic scars. Solcoseryl contributes to the formation of a more homogeneous connective tissue, which looks much more natural.

Home treatment of a wound in the granulation phase

In the presence of a simple injury, in which only the superficial extreme layers of the epithelium are affected, alternative methods of treatment can be resorted to for recovery. A good solution here is the imposition of gauze bandages soaked in St. John's wort oil.

The presented method contributes to the early completion of the granulation phase and active tissue renewal. To prepare the above remedy, it is enough to take about 300 ml of refined vegetable oil and about 30-40 grams of dried St. John's wort. After mixing the ingredients, the composition should be boiled over low heat for about an hour. The cooled mass must be filtered through gauze. Then it can be used to apply bandages.

It is also possible to heal wounds at the granulation stage with the help of pine resin. The latter is taken in its pure form, rinsed with water and, if necessary, softened by gentle heating. After such preparation, the substance is applied to the damaged tissue area and fixed with a bandage.

Options for further development of the granulation stage

If the first and second stages of wound healing passed without complications, then gradually the damaged area is completely covered with dense scar tissue and the regeneration process is successfully completed.

However, sometimes the mechanisms of tissue repair fail. For example, there is necrotization of areas adjacent to the wound.

This condition is extremely dangerous for the patient and requires immediate surgical intervention.

A necrectomy is an operation to remove dead tissue. If the wound is infected with pathogenic microflora, the healing process can be delayed for a long time. Antibiotics are used to restore normal tissue regeneration .

The granulation stage of healing of the damaged area is a complex adaptive mechanism aimed at the speedy separation of the internal environment of the body from adverse external influences. It provides the formation of new layers of tissue to replace the damaged ones. Thanks to the granulation stage, the trophism of the injured area is restored and other, deeper tissues are protected.

Surgical intervention

With a delay in the processes of granulation, the formation of deep wound passages is possible, in which an accumulation of purulent streaks is observed. In such cases, it is difficult to clean the wound due to the use of ointments and gels. The elimination of unpleasant complications most often occurs through surgical intervention. In this case, the specialist performs an incision, removes purulent accumulations, disinfects the wound, and then applies counter-openings.

Finally

So we figured it out, wound granulation - what is it? As practice shows, one of the determining conditions for accelerating the healing process is differentiated treatment. The correct selection of medications is also important. All this contributes to the speedy granulation of the damaged area and the formation of a new, healthy tissue.

Wounds (syn.: open injuries) are injuries to tissues and organs with a violation of the integrity of their cover (skin, mucous membrane) caused by mechanical action (including operating ones). Wound healing depends on the degree of violation of the integrity of organs and tissues. You can cure an injury with drugs, physiotherapy methods and folk remedies, read further in the article.

Features of wound healing after surgery - stages of the phenomenon

The wound process is a complex of local cellular and humoral changes, general body reactions that ensure wound healing. According to the classification of M.N. Kuzin (1977), the following phases are distinguished during the wound healing process after surgery:

the first - inflammation, consisting of two periods: vascular changes and cleansing the wound from necrotic tissues;

the second - regeneration;

the third - scar reorganization and epithelialization.

During vascular changes during wound healing, a short-term vasospasm is replaced by their expansion, slowing of blood flow and stasis; increases the permeability of the vascular wall with an increase in traumatic edema. The latter is aggravated under the influence of local metabolic disorders (acidosis, increased osmotic pressure, decreased surface tension). Edema contributes to the primary cleansing of the wound from torn tissue, blood clots, small foreign bodies, but at the same time exacerbates microcirculation disorders and hypoxia.

In the second phase of wound healing after surgery, purulent-demarcation inflammation with abundant exudation of plasma proteins, an increase in proteolytic activity, and abundant migration of leukocytes contributes to the melting and rejection of the dead substrate (secondary purification). In the first phase, the role of factors of the blood coagulation system and fibrinolysis is especially significant, not only triggering the hemostasis system and activation of fibrinolysis of thrombi, but also participating in the regulation of various aspects of the course of the wound process as mediators. The development of pain in this phase of wound healing after surgery is associated with both wound tissue damage and edema and the action of inflammatory products.

In the regeneration phase granulation tissue develops, consisting mainly of capillaries and fibroblasts, forming collagen fibers and glycosaminoglycans (a component of the interstitial substance of the connective tissue). The physiotherapist should pay attention to the fact that in the initial stages of the formation of granulation tissue, it “responds” to a small injury with necrosis, which requires a sparing attitude towards the wound. Granulation tissue is transformed into connective scar tissue.

In the third period there is a cessation of the formation of new granulations, a decrease in the number of vessels and cellular elements, the replacement of granulation tissue with horizontally located collagen fibers (usually transverse to the length of the wound) and fibroblasts. In parallel with this process, epithelialization develops (from the cells of the basal layer of the skin of the mucous membranes).

Duration of wound healing after surgery

The duration of healing depends on the type of wound healing - primary or secondary intention. In both cases, the same cellular elements with the same dynamics of the course (inflammation with proliferation of connective tissue, epithelialization) are involved in the wound process.

When healing by primary intention, inflammation is not accompanied by suppuration; due to the minimal amount of dead substrate (which may not be present), fibroblasts and vessels germinate it without the formation of granulation tissue. In this case, the wound process is completed within 7-10 days. A variety of wound healing by primary intention is healing under a scab, consisting of dried masses of blood, lymph, dead tissues and creating favorable conditions for the healing of small wounds.

When healing the wound process by secondary intention (after suppuration), the duration of the phases of the wound process varies widely (from several days to months) depending on many factors - the size of the wound, the degree of bacterial contamination, the amount of necrotic tissue, etc. With a favorable course, the first period of the first phase of the wound process lasts from several hours to 2-3 days, the second period of this phase - an average of about 2 weeks.

Along with morphological changes after surgery, there are changes in microcirculation, metabolism, the development of acidosis, the accumulation of metabolic products, the activation of numerous substances from the group of chemical mediators of the wound process, and the development of an immune response.

Regardless of the nature of the soft tissue wound, the following syndromes can be distinguished: inflammation (local and general of varying severity), pain. In the second phase of healing, the development of a syndrome of metabolic and trophic disorders with sluggish development of granulation tissue or hypergranulation is possible.

How can a wound be healed?

The main method of healing the wound process is operational (primary and secondary surgical treatment, various methods of closing the wound defect). Along with it, they use:

antibiotic therapy,

wound drainage,

drugs of necrolytic action (proteolytic enzymes),

stimulants of reparative regeneration (vitamins, hormones - anabolic steroids, mineralocorticoid, sexual, etc.)

and immunotherapy.

Healing of the wound process after surgery by physical methods

Tasks of physiotherapy used in all phases of wound healing:

suppression of pathogenic microflora,

prevention or elimination of undesirable manifestations of the course of inflammation in the wound (excessive hydration,

delayed rejection of non-viable tissues,

pain relief,

stimulation of regenerative and reparative processes - maturation of granulations, epithelialization;

formation of minimal scars, restoration of changes in microcirculation, activation of nonspecific factors of immunological resistance).

Physical methods are used in accordance with the phase of the wound process. With uninfected wounds in the first phase, and depending on the nature of the course of damage and in the second, physical factors are used to fight infection (bactericidal methods of wound treatment), stimulate immunity (immunostimulating methods of wound treatment), limit edema and inflammation (anti-inflammatory methods), reduce pain (analgesic methods). In the second phase, reparative-regenerative, trophostimulating and vasodilating methods are used to induce the formation of granulations. In the third phase, physical methods are used to form a structurally ordered scar (fibromodulating wound healing methods).

Features of the course of aseptic wounds healing by primary intention (a small amount of necrotic masses, the absence of granulation tissue) explain the difference between their treatment and the treatment of purulent wounds. In their treatment, methods of bactericidal action with a necrolytic effect are not used. With such wounds in the first phase of the wound process, methods are used that are not used in the treatment of purulent wounds.

The methods of physiotherapy of the inflammatory syndrome are used mainly in the first and second phases of the wound process, because the pathomorphological and other changes in the tissues characteristic of them correspond to the phases of the course of inflammation, culminating in the process of reparative regeneration.

Trophic disorders in the wound process occur when, in the second and third phases, there is a delay in the growth and maturation of granulations, the timing of epithelialization, or their accelerated development. If the optimal rate of wound healing is observed, treatment aimed at improving tissue trophism in the wound area (mainly due to the effect on metabolism and local blood flow), including physical methods, is associated with the treatment of the inflammatory syndrome, in which there are naturally trophic disorders. In violation of the growth and maturation of granulations, reparative-regenerative and vasodilating methods of treating wounds are used, and in order to prevent the formation of rough scars, fibromodulating methods are used.

Physiotherapy begins on the 2nd day after surgical treatment of the wound. Before carrying out procedures in the first phase (if necessary, in the second phase) on an open wound (not through a bandage), it should be cleaned of purulent masses. In the first phase of the wound process, bactericidal, anti-inflammatory, necrolytic and immunostimulating methods of wound treatment are used to treat the inflammatory syndrome; in the second phase, the same methods are used, with the exception of necrolytic ones. Analgesic methods of wound treatment are used mainly during the first, less often the second phase of the wound process. Reparative-regenerative and vasodilating methods of wound healing, aimed at treating the syndrome of metabolic and trophic disorders, are prescribed in the second and third phases, and fibromodulating - in the third.

How to quickly heal a wound with medical means?

Of the medical preparations, preparations with vitamins, such as Dexpanthenol, a provitamin B5, are most often used for wound healing. They are available in the form of lotions, ointments and creams. Suitable only for the treatment of dry wounds.

A good tool to quickly heal burns, dermatitis and ulcers is the drug "Eplan". Treat fresh wounds with it, but in no case apply it to bleeding ones, as the drug can reduce blood clotting. The preparation does not contain toxins, antibiotics and hormones, it also does not interfere with the supply of oxygen to the wound and protects it from infection. It is available both in the form of a cream and in the form of a solution.

Solcoseryl (Switzerland) is also an excellent solution. It heals any wound very well. It is produced in the form of jelly and ointment. The drug accelerates the regeneration process, does not let microbes into it and speeds up metabolism, use it 2-3 times a day and wound healing will be significantly accelerated.

Bepanthen ointment will also help you quickly heal the wound. It performs an anti-inflammatory effect and is quickly absorbed by the skin.

How to heal wounds at home?

Modern life is impossible without all sorts of cuts and wounds, somewhere caught, scratched or "bitten" by a neighbor's cat. All these situations are very well known to all of us, therefore it would also be good to know how to quickly heal a wound. There are many ways to do this at home, choose the method that is convenient for you, and you will forget about your wounds.

For better healing of shallow wounds, it is necessary:

Rinse it with boiled water or a disinfectant solution;

Wash the skin around the wound with soap;

Lubricate the edges of the wound with alcohol, alcohol tincture or iodine solution.

How to quickly heal the wound process with folk remedies?

Swamp cranberry. It has healing bactericidal properties. As compresses, you need to use juice or a homogeneous mass of ground berries. It has long been believed that cranberries have a natural antibiotic, which, without the intervention of traditional medicine, promotes rapid healing.

Aloe. Aloe juice can quickly kill germs, and create new cells necessary for rapid healing.

Lilac leaves will help to quickly heal the wound It has long been known that lilac leaves have healing properties. Using a blender, the leaves are crushed until a homogeneous mass is formed. Then juice is squeezed out of it and applied several times a day to the affected area. It is important to understand that lilac leaves must be fresh.

Grape leaves. Few people know that the structure of grape leaves helps to stop bleeding and has strong antibacterial properties. Using a blender, you need to make a homogeneous mass from the leaves, which must be applied to the sore spot for several hours two to three times a day. The approximate course of treatment should last until the wound is completely healed.

Since ancient times, skin damage has been treated with gruel from the crushed leaves of this unique berry, which helps a person recover in record time. Put exactly as much slurry on the gauze pad as is necessary to cover the entire surface of the lesion and bandage it well. After a while, there will be no trace of her.

Sauerkraut will help to quickly heal the wound. With an open wound, malignant bacteria can enter the bloodstream, which contribute to the formation of pus. You can remove it, as well as frozen blood, with sauerkraut lotions. They will help to tighten it quickly enough, as they have bactericidal properties. You can get rid of pollution and wash the affected area with the help of cabbage brine, which has strong wound healing properties.

For a cut or wound, try using lotions made from juice or finely chopped onions, they have strong bactericidal properties that prevent pus from forming. Onions will help remove pathogenic bacteria, and the epicenter of pain will heal quickly enough.

Plum leaves are designed to quickly heal the wound. With the help of them, you can very successfully get rid of purulent wounds. If you promptly respond to the problem that has arisen, then a compress from crushed slurry of plum leaves will improve your condition in a matter of hours.

Compresses from crushed buckwheat leaves contribute to the rapid healing of cuts and purulent wounds. They need to be used until complete recovery and normal health.

Carrot. Lotions from crushed leaves or grated carrots contribute to the rapid healing of wounds, this is a great way to quickly heal a wound, which is used by many people.

Melilot root. Crushed sweet clover leaves help soften a purulent wound. You need to make a compress, which should be applied for 2-3 hours, after which you can treat with antibacterial lotions.

It has a unique, bactericidal property that helps to clean and heal a wound that has characteristic purulent signs.

Coffee is a very effective remedy to quickly heal a wound. You need to take finely ground, pure coffee and cover your wound with it, coffee will also help stop the bleeding if it comes from the wound.

Nettle powder will also help heal skin and muscle wounds. To resist it, take the stems and leaves of the nettle, then fill them with alcohol. Leave to brew for five days. After taking out the stems and leaves, they should be saturated with alcohol, then dry them. To quickly heal a wound, crush the dried stems and leaves into a powder and pour into the wound.

If you accidentally contaminated the wound, then you need to attach grated carrots to the wound and fix it with a bandage.

If you have wounds that heal for a long time, this recipe will be a real find for you. The basis of this recipe is the preparation of an ointment from burdock and celandine. Take the roots of burdock and celandine, grind them, you will need 20 g of celandine and 30 g of burdock. Mix and fill this mixture with 100 ml of sunflower oil. Then boil the resulting mixture over low heat, strain, cool, let cool. Apply to wounds several times a day.

What do you need to remember when trying to heal a wound on your own?

Be careful when trying to heal a wound yourself, you need to remember that different types of wounds need to be dealt with in a certain way. In no case do not stop the bleeding with small stab or cut wounds, the wound should thus be cleared of bacteria. If the wound is deep, the bleeding must be stopped.

Also try not to touch the wound with your hands, if you get an infection, it will heal and fester for a long time, blood poisoning can also occur, which is very dangerous for your entire body and in some cases for life!

Use the above methods, but if the wound is large and serious, it is better to consult a doctor. Only shallow wounds without heavy bleeding can be healed at home. In all other situations, the victim should be hospitalized.

Everyone in the course of daily activities receives minor cuts, cracks, abrasions, minor burns or other superficial skin wounds. These small wounds are often very annoying and not serious enough to warrant a visit to the doctor. Typically, these changes are not dangerous, but can cause great discomfort. That is why it is very important to speed up the healing process. So how do you heal a wound quickly?

Acute and chronic wounds

Wounds are divided into acute and chronic. Acute ones occur after cuts or operations. These wounds heal quickly (2-7 days) and, if properly cared for, are not a major problem. Chronic wounds, those that do not heal within a week, even though hygiene is maintained. In this situation, not only the treatment of wounds becomes a necessity, but, above all, to find the reasons for this. Non-healing wounds may indicate a serious illness of the body.

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

  • 1. Formation of wounds

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

  • 2. Stages of wound healing

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

First of all, it is very important for the healing process to properly clean the wound. The skin should be cleaned under running cold water or an inert liquid such as saline. The use of substances containing alcohol, iodine, to cleanse damaged skin is not desirable, and the use of such compositions can additionally irritate the skin and cause large wounds. In addition, this opening of the wound causes desiccation, which delays the regeneration of the epidermis and makes it an easy target for microbes. In order to speed up the healing process, keeping the wound surface moist is essential. Such an environment delays the formation of a crust. It is worth after cleaning the wound, apply a substance that provides a moist environment in the area of ​​\u200b\u200bdamaged skin.

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

  • 3. Speed ​​up wound healing

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

Healing stages

Wounds, scratches, cuts, happen every day. To facilitate understanding of first aid in such cases, you should know the four stages of treatment:

1. Inflammation

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

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

2. Thrombus

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

3. Removal of dead tissue.

White blood cells begin the process of absorption of microorganisms, dead cells and foreign substances, having previously cleaned the wound site. The damaged cells then release chemicals to stimulate blood flow and attract more white blood cells to the site of injury. Dead white blood cells containing excess microorganisms and decomposition products are partially removed through the lymphatic system and partially form a purulent discharge.

4. Wound healing.

In the following days, common tissues and epithelium grow, replacing the damaged surface of the skin. In the case of extensive injuries, a scar forms over the entire surface of the wound. The immune system and white blood cells play another important role, producing antibodies that help the body fight infection. Therefore, the healing process proceeds smoothly if the general health of the patient is good. A weakened immune system greatly reduces the body's ability to fight infections and impairs wound healing. The fever that occurs with extensive injury from an infection is part of a defense mechanism that helps fight infection (an increase in body temperature does not encourage the development of harmful microorganisms) and speeds up the healing process (fever increases the flow of blood and nutrients to the area of ​​​​injury).

First aid

  • - Stop the bleeding

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

  • – Reduced pressure in damaged blood vessels

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

  • - Wound dressing

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

Ways to accelerate wound healing


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

Traditional medicine for healing

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

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

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

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

A DOCTOR should be contacted in the following cases:

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

If the wound does not heal - the reasons

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

The most common mistake that prevents wounds from healing is changing dressings too often.

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

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

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

The safest environment for a wound is normal saline and preparations that prevent the entry of pathogens and infections from outside, but do not damage the wound environment. Vaseline or zinc-based ointment also cannot be classified as a good solution. They are only used to protect the skin around the wound.

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

Preparations for rapid wound healing

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

  • hydrogels (For example, Intrasitegel, aquagel) - capable of absorbing exudate, maintaining high humidity, and also having cleansing properties, which leads to hydration of necrotic tissues;
  • hydrocolloids (eg Granuflex, Tegasorb), which are in the form of layered plates and form a gel upon contact with the exudate, which occurs during the granulation process;
  • dextromers (For example, Acudex, Debrisan) - dressings consisting of polysaccharide grains form a gel upon contact with wound exudate; used to treat large, deep, and infected bedsores;
  • alginates dressings (eg Kaltrostat, Tegagel.) - dressings, natural polysaccharides derived from seaweed with very high absorbent properties;
  • semi-permeable polyurethane film (eg Opsite, Tegaderm.) - Able to allow free evaporation from the surface of the wound exudate, but impermeable to water and bacteria from the outside.

How to speed up wound healing?

1. Medicines applied topically

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

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

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

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

2. Diet and nutritional supplements to speed up healing

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

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

What to eat to speed up healing?

Carnosine.
It should be borne in mind that the wound healing process is supported by carnosine. As a rule, the main source of carnosine is beef and pork. If, however, for various reasons, the patient cannot eat meat, preparations containing carnosine should be taken. Carnosine is thought to help heal pressure sores (and prevent new ones from forming), but it actually helps heal all wounds. Colostrum, or the first milk that is produced after childbirth, is a unique immune support system. Colostrum accelerates the healing of all types of wounds.

In response to injury to body tissues, a complex mechanism is launched to restore the previous functioning and integrity of organ systems. This process is called tissue regeneration. There are three stages in the development of this mechanism. Their duration is individual for each person and directly depends on his age and the state of the immune system.

The prognosis of the healing time of a particular injury is also made on the basis of observations of the nature of the injury and depends on its severity. All types of wounds are divided into two types according to the depth of damage:

  • Simple - the integrity of the skin, adipose tissue, as well as the structure of adjacent muscles is violated.
  • Complex wounds are characterized by damage to internal organs, large veins and arteries, and bone fractures.

The stages of regeneration are the same for any damage, regardless of its origin and type.

Shulepin Ivan Vladimirovich, traumatologist-orthopedist, highest qualification category

The total work experience is more than 25 years. In 1994 he graduated from the Moscow Institute of Medical and Social Rehabilitology, in 1997 he completed residency in the specialty "Traumatology and Orthopedics" at the Central Research Institute of Traumatology and Orthopedics named after I.I. N.N. Prifova.


All systems of human organs have the ability to restore the structure. However, the rate of their regeneration is different. In case of damage, the skin is especially quickly restored. Reparative changes in other systems take much longer.

Interesting fact! Until recently, scientists were sure that nerve endings do not have the ability to recover. But modern research has proven that the CNS produces new neurons, albeit extremely slowly.

The following phases of reparative regeneration of damaged tissues are distinguished:


  • Inflammatory stage;
  • granulation stage;
  • Stage of scar formation;

Each of these phases has pronounced external manifestations, gradually replacing each other as the wound heals.

Features of the course of the stage of inflammation

Immediately after the violation of the integrity of the tissues, a complex enzymatic mechanism is launched, leading to blood clotting and cessation of bleeding. There are two stages in this process:

  1. Primary hemostasis It is characterized by a sharp narrowing of the vessels in the damaged area and mechanical clogging of the torn capillary walls by platelet aggregates, which form a kind of plug. The average time for this phase is 3 minutes.
  2. Secondary hemostasis proceeds with the participation of the fibrin protein, which forms blood clots and thickens the blood. As a result of its formation, the blood will change its consistency, becoming curdled, and lose its fluidity. The process of fibrin clot formation takes 10-12 minutes.

Depending on the depth of the damage and the nature of the bleeding, I put stitches on the wound or are limited to a bandage. If the injured area was not infected with pathogenic microflora, after the bleeding stops, gradual tissue regeneration begins.

External manifestations of the stage of inflammation:

  • Puffiness. It arises as a result of increased release of plasma of destroyed cells into the intercellular space.
  • Local rise in temperature. Injury to tissues leads to a sharp violation of blood circulation, which leads to a change in the temperature balance.
  • Redness of the damaged area. This phenomenon is also explained by changes in microcirculation and an increase in the permeability of capillary walls.

Usually the phase of inflammation proceeds within 5-7 days.

All sutures are removed after it is completed, if there are no purulent discharges and there are clear signs of healing of the injured area. Gradually, the formation of new tissues begins, and the recovery process flows into the granulation stage.

Characteristics of the granulation stage

The inflammatory reaction characteristic of the damaged area is replaced by the processes of wound cleansing and exfoliation of dead cells. At the same time, granulation tissue is formed. Its formation begins at the periphery of the wound, and only then does the neoplasm reach the center of the injured area.

Restorative processes are actively going on in the young tissue, primarily the growth of new capillaries. They reach the wound surface, and then, forming loops, return deep into the tissue. The damaged surface becomes grainy, bright red. Due to its appearance, the tissue was called granulation tissue.

The appearance of the granulation cover may vary depending on the location of the injury. On the skin and mucous membranes, it looks like a soft-grained, red area, the surface of which is often covered with plaque. In the thickness of the internal organs, granulation tissue is easily recognizable by its rich color and larger structure.

The newly formed tissue is very delicate, with a careless touch, bleeding can be easily caused due to the large number of capillaries that form.

Interesting! There are no nerve endings in the thickness of the granulation formation, so touching it does not cause pain.

The granulation tissue lining the wound consists of six distinct layers:

  1. Leukocyte-necrotic layer. Formed from sloughing cells. Covers the wound for a long time until the scar is completely formed.
  2. layer of blood vessels and capillaries. If wound healing is delayed, thick collagen fibers are formed in this layer, which are parallel to the surface of the damaged area.
  3. Layer of vertical vessels. The capillaries of this layer are surrounded by amorphous tissue. Fibroblasts are actively synthesized in it - cells that form connective tissue fibers.
  4. maturation layer. It develops cells that form the basis of the surface layers. Here, the fibroblasts formed in the deep layers take their final shape.
  5. The layer of horizontal fibroblasts increases as the wound heals. Consists of young fibroblasts and a large number of collagen fibers.
  6. The fibrous layer is a barrier that protects the internal environment of the body from external factors. It has pronounced bactericidal properties, blocks the effects of pathogens.

The main role in the formation of granulation formation belongs to fibroblasts - cells involved in the synthesis of collagen. With sufficient accumulation, the granulation stage passes into a new phase - the formation of a scar.

Stages of wound healing. Visual picture. Daily photo report for two weeks

Scar formation stage

The longest phase of the wound healing process.

It takes about a year to form a dense scar.

Initially, it retains a rich red color, but then acquires a skin color. This is due to a decrease in the number of blood vessels in the connective tissue after the completion of the wound granulation stage.

Interesting! The density of scar tissue is very high. It makes up more than 80% of the density of healthy skin.

However, the newly formed tissue does not have the ability to stretch. Formed on the skin in the area of ​​the joints, it can interfere with the normal flexion of the limbs, leading to limited mobility of the individual.

The duration of each phase of healing depends on many factors. The age of the patient has the greatest influence. Observations have shown that the stage of formation of the cicatricial phase passes much faster in children of the prepubertal period.

Infection of the wound leads to an increase in the healing time. Weak immunity, disease patients also have a negative impact on the regeneration process.

Importance of the granulation phase for tissue repair

The granulation stage of new tissue formation is a complex process in which several groups of cells take part. It consists of:

  • Plasma cells are cells that synthesize antibodies, which, in turn, are responsible for the body's immune response.
  • Histiocytes. They perform a protective function, inactivating foreign objects that enter the newly formed tissue layer.
  • Fibroblasts responsible for secreting the collagen precursor protein.
  • Leukocytes - protect the body from any pathogenic agents.
  • Mast cells are one of the components of the formed connective tissue.

The entire cycle of maturation of granulation tissue takes 20-30 days.

It should be remembered that this is a temporary formation that will be replaced by dense scar tissue. Most of it is made up of newly formed capillaries. Over time, the thin walls of the vessels are covered with new cells, which continue to divide, forming a dense layer that tightens the site of damage.

Treatment of injured areas in the granulation phase

Granulation tissue has a delicate, loose structure. It is easy to damage it by touching carelessly or carelessly changing the bandage. When treating a wound, you should be as careful as possible.

It is not allowed to wipe the surface of the damaged area with cotton pads, swabs.

Only irrigation of the wound with warm bactericidal solutions is permissible. There are several types of treatment for injured tissue:

  • Physiotherapy;
  • medication;
  • Treatment at home;

When choosing a method of treatment, it is necessary to take into account the nature of the wound, as well as the characteristics of its healing.

Physiotherapy treatment method


Of the specific ways to accelerate regeneration, one should single out the method ultraviolet irradiation. When it is used, the surface of the damaged area is cleansed of pathogenic microflora, and the regeneration processes are significantly accelerated. This method will be especially relevant for slowly forming, sluggishly granulating tissue. Indications for the use of radiation:

  • wound infection;
  • Profuse purulent discharge;
  • Weakened immunity and, as a result, a violation of the mechanisms of reparation;

However, other methods of treatment are used to speed up the healing of the injury. Most often resort to medical methods wound surface treatment.

The use of drugs at the granulation stage

Properly selected medication promotes faster epithelialization of the wound. As a rule, with hypergranulation, doctors recommend using gel forms of drugs. Whereas with excessively rapid drying of the surface of the damaged area, ointments are used.

The main drugs used at the granulation stage:


One of the most popular drugs prescribed at this stage is Solcoseryl. Granulation of sutures, healing of damaged areas after burns and other injuries of the skin are accompanied by the appearance of unaesthetic scars. Solcoseryl contributes to the formation of a more homogeneous connective tissue, which looks much more natural.

Home treatment of a wound in the granulation phase


It is worth resorting to folk methods of treating injuries only with minor damage to the skin (minor cuts on the fingers, first-degree burns, slight frostbite).

St. John's wort oil has long been the most well-known agent that promotes cell regeneration.

To prepare the oil, 300 ml of sunflower oil are mixed with 30-50 grams of dried St. John's wort. The resulting mixture is boiled in a water bath for no more than 30 minutes.

Cooled St. John's wort oil is soaked in gauze bandages and applied to the damaged area.

Options for further development of the granulation stage

If the first and second stages of wound healing passed without complications, then gradually the damaged area is completely covered with dense scar tissue and the regeneration process is successfully completed.

However, sometimes the mechanisms of tissue repair fail. For example, there is necrosis of areas adjacent to the wound.

This condition is extremely dangerous for the patient and requires immediate surgical intervention.

A necrectomy is an operation to remove dead tissue.

If the wound is infected with pathogenic microflora, the healing process can be delayed for a long time. Antibiotics are used to restore normal tissue regeneration.

The granulation stage of healing of the damaged area is a complex adaptive mechanism aimed at the speedy separation of the internal environment of the body from adverse external influences. It provides the formation of new layers of tissue to replace the damaged ones. Thanks to the granulation stage, the trophism of the injured area is restored and other, deeper tissues are protected.

The wound healing system of our body. The most important stage of granulation.

Quite a lot of people get various injuries and wounds. Everyone is subject to this and no one is immune from accidents that bring abrasions, wounds, etc. most often wounds are received by children, adolescents, and, of course, people who are actively involved in sports. The reasons for this may be different, so everyone should know what means contribute to the rapid healing of wounds.

Wound healing is a rather complex and often long process that demonstrates the ability of the human body to regenerate and restore. Fortunately, there are many different means by which the healing process of wounds can be accelerated and at the same time complications can be prevented. Of course, not a single wound will heal in a couple of days, since the process of its healing proceeds directly according to the laws of our body and, depending on what happens in it, wounds will also heal.

The time of wound healing largely depends on the state of the human body, immunity, the presence of diseases and much more. For our part, we can only assist our body in passing through all stages of wound healing as quickly as possible. But for this you need to know what affects the speed of wound healing.

External factors affecting wound healing

If the wound is treated immediately and done correctly, and in the future to choose the right treatment, then perhaps the recovery will go faster. It is necessary to treat the wound immediately after its appearance, but this must be done very carefully. Dirt and dead tissue should be immediately removed from it, while the wound itself should not be touched.

It is advisable to immediately consult a doctor after treatment, and if the wound is deep, then this is simply necessary. It will be better if first aid is provided by a specialist, since suturing may be necessary, and it is strictly forbidden to do this on your own.

If you see that the wound is not deep and not serious, and you think that you can handle the treatment yourself, treat the skin around the wound with any antiseptic, apply a sterile bandage for the first time, and after a couple of hours, be sure to bandage it. Make sure that you have bandages, tweezers and scissors at home that need to be constantly treated with alcohol, wound healing drugs and antiseptic solutions.

Keep bandages and plasters in your first aid kit in case of wounds.

Important to know about wound healing

Wound healing directly depends on factors such as the state of the body as a whole and the presence of diseases. The wound will heal quickly if the body has enough resources for this, including high immunity. But everyone's body is different, so the immune system can be weakened for various reasons. If you have chronic diseases that slow down the healing process of wounds, you should not expect a quick effect.

Even if you are completely healthy and have good immunity, if the wound and the skin around it are not properly treated, it will still heal more slowly.

Intrinsic Factors Delaying Wound Healing

There are a number of diseases in which wounds will heal slowly:

    diabetes;

  • obesity;

    dermatitis, eczema, psoriasis;

    liver and kidney failure;

    depletion of the body (including those caused by diets);

    hypovitaminosis;

    immunodeficiency;

    oncological diseases.

Also, internal factors include the state of the body after chemotherapy, and the body of a smoker. Therefore, when healing is slow, it is necessary to undergo an examination in order to identify the reasons for this. The disease must be treated or taken into account in the treatment of wounds, otherwise they will heal for a long time.

Other Factors Affecting Wound Healing

The following factors also have an important effect on the rate of wound healing:

    regularity of dressings (it is necessary to carry out once or twice a day, depending on what kind of wound and what remedy is used to heal it);

    regular treatment of the skin around the wound (to prevent infection);

    sterility of dressing materials, cleanliness of the instruments used (infection prevention);

    a correctly chosen agent that accelerates healing (should include an active substance that stimulates healing and improves tissue nutrition in the wound area);

    when choosing a drug, the correct consideration of the state of damage (use jelly products while the wound is still wet, but when the wound begins to dry out, use ointment products).

Pharmaceuticals that accelerate wound healing

Ointment "Eplan"

This is a universal remedy that is used to treat dermatitis, burns, ulcers and wounds. The tool has microbicidal properties, thanks to which it actively fights infection. Therefore, this ointment is simply necessary to treat a fresh wound that has been contaminated. In addition, it has regenerating properties.

Pharmacies sell effective wound care products

It is worth noting that this ointment cannot be used to treat wounds that bleed. The ointment has an anticoagulant effect, which means a deterioration in blood clotting. Eplan can be used to treat wounds in children, since the ointment does not contain antibiotics, toxins or hormones.

Solcoseryl

This remedy is well suited for the treatment of any wounds. Its use is especially effective on clean wounds that require rapid healing. The ointment must be applied to the wound several times a day in a small amount. It will protect the wound from getting bacteria and microbes into it, has an analgesic effect, accelerates the processes of regeneration and metabolism.

Levomikol

Such an ointment is applied to a non-sterile wound with inflammation, and covered with a bandage. The tool kills the infection, quickly penetrating to the focus of inflammation.

Baneocin

The ointment has an excellent wound healing and bactericidal effect. It quickly relieves inflammation, so its use is necessary in the treatment of wounds and burns of varying degrees. The composition of this tool contains two antibiotics - bacitran and neomycin.

Means for quick healing of wounds from traditional medicine recipes

As well as pharmacy ointments, there are also a lot of traditional medicine that can be prepared at home. At home, you can prepare an ointment that can heal even festering wounds.

You can make your own wound healing ointment

Recipe #1

It is necessary to take one tablespoon of goose cinquefoil juice, add sixty grams of melted pork fat to it. The mixture must be mixed, allowed to stand warm for a while, then mixed again to obtain a homogeneous mass. Add a teaspoon of beeswax (natural) and a little propolis to the mixture. Put the mixture on the fire, bring to a boil and cook for five minutes. Leave the mixture in a warm place for two hours, and then place it in the refrigerator so that the ointment becomes thick. Every hour it must be mixed well, then the mixture will thicken evenly. The ointment is applied to the wound under a bandage. You need to store it in the refrigerator.

Recipe number 2

Take fresh shoots of St. John's wort, cut them and fill a half-liter jar with them by a third. Add olive oil there and heat the jar in a pot of water for half an hour. The tool must be infused for three days, then drain the oil and carefully squeeze the grass. Store the oil in the refrigerator, and just wet the wound with it several times a day.

Recipe number 3

Peel a large onion and hold it over an open fire until the top layer is too black. Then remove this layer, and put the middle of the bulb on the open wound, fix it with a tight bandage. The bandage must be kept for a day and, if necessary, repeat the procedure several more times.

This method is quite effective, since the onion cleans wounds well and restores tissues. For small cuts, you can use the onion film, which is located between its layers. Peel off the thin film and apply to the wound. This will stop the bleeding, have a disinfecting effect and quickly heal the wound.

Recipe #4

Take one tablespoon of the following herbs: yarrow, St. John's wort, sweet clover. Mix the herbs, pour a small amount of water and put on fire. Bring the mixture to a boil, then simmer for about half an hour over low heat, then cool. Spread boiled herbs on gauze and apply to the wound in the form of a compress. Keep the lotion on the wound for an hour. Such lotions contribute to the extremely rapid tightening of wounds.

Recipe number 5

Soak one tablespoon of calamus root in alcohol. Put to thaw for two weeks in a dark place. Soak a cotton swab in the tincture and apply to the wound. This tool speeds up healing and prevents infection.

Recipe number 6

You will need pine tree resin, some beeswax and butter. Pound the resin of coniferous trees into powder and freeze. Melt the wax in a water bath, and as soon as it begins to thicken, add butter to it and mix well. Add resin to this mixture. You need to store such an ointment in the freezer.

There are many more ways to prepare traditional medicine that contribute to the speedy healing of wounds. For example:

    Hydrogen peroxide and aloe. If the wound is not deep and not too dangerous, immediately after its appearance, rinse the edges with hydrogen peroxide and apply a fresh, freshly cut and cut lengthwise aloe leaf. Put a bandage on top and leave overnight. This plant covers the wound with a thin film, previously disinfecting it and pulling out purulent formations. Promotes rapid healing.

    White lily tincture. Place white lily flowers in a dark glass jar, fill with vodka and leave to infuse in a dark place for ten days. Apply to the wound as a compress.

    Tincture based on birch buds. This tool is effectively used for abscesses, long-term non-healing wounds. Fill a third of the bottle with birch buds, fill with vodka to the top and insist for ten days. Lubricate the wounds with the resulting tincture.

It is worth remembering that no matter how effective pharmacy ointments and folk remedies are, a visit to the doctor when wounds appear is necessary.

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