If it doesn't heal well. Why do diabetics do not heal wounds on the skin? How to properly treat wounds

All people are familiar with various injuries, wounds. Some wounds heal fairly quickly. Some people have to work hard to get well. Why does a non-healing wound occur? There may be several reasons. We will consider them further.

The reasons

A wound that does not heal for a long time is a reason to seek medical help. Only there you will receive the appropriate treatment. The question arises, what time of wound healing is considered normal? Normal healing proceeds within no more than three weeks. In the event of complications or deviations, this process can be delayed for a month and a half. The reasons that the wound does not heal for a long time are divided into external and internal, as well as their combination.

Internal factors: chronic diseases of the endocrine system, such as diabetes mellitus, exhaustion of the body, beriberi, overweight, circulatory disorders, varicose veins, infectious diseases, oncological diseases. All these diseases lead to a decrease in immunity. Like wounds don't heal.

Infection

If a person is injured with a sharp object, it is possible to get an infection directly upon injury. Although it can happen in other ways. For example, infection in the wound during dressing. If the wound is not treated in a timely manner with disinfectants, infection may spread. Then a long-term treatment is needed.

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

Treatment of a non-healing wound in diabetes mellitus

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

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

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

ethnoscience

In the treatment of a non-healing wound on the leg, it is possible to combine drug therapy and alternative methods. This combination will speed up healing.

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

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

A mixture of burdock roots and celandine boiled in sunflower oil will also help. How to make it? Now we'll tell you. To do this, you need 100 ml of sunflower oil, chopped burdock roots 30 g, celandine roots 20 g. It is worth cooking on low heat for 15 minutes. After cool and strain. Lubricate the affected area with the resulting mixture two to three times a day for a week.

Wounds in diabetes

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

It is worth following the prescriptions of the attending physician, consulting if you wish to use traditional medicine recipes. Self-medication, the wrong choice of drugs can significantly worsen the condition of the wound and slow down healing.

Ointments

Effective ointments for non-healing wounds:

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

4. "Baneocin". A drug that contains antibiotics that protect the skin from infection. Available in the form of ointment and powder.

Non-healing weeping wounds

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

In order to avoid infection in such a wound, an antiseptic dressing is needed. If there are foreign objects in the affected area, the damaged skin diverges by more than one centimeter, there is severe bleeding, then you should immediately go to the emergency room. If all this is not there, you can treat the wound and apply a bandage yourself.

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

Weeping wounds. Treatment

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

To speed up tissue regeneration and eliminate the infection, an antibiotic powder should be used. For this, the following agents are prescribed: "Streptocid", "Penicillin", "Levomycetin".

Combined drugs are also used to suppress bacteria and fungal environments, such as Baneocin. A thin layer of powder is applied to the treated surface of the wound with a cotton swab. Then it is covered with a sterile gauze and bandaged. After 4-5 hours, the bandage should be moistened with saline. After that it should be replaced. If the wound heals, there is no pus or there is very little of it, you can not wash it with saline, but limit yourself only to treating the affected area.

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

Conclusion

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

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.

Main reasons

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. In advanced cases, a blood transfusion may be needed;
diabetes. In diabetes mellitus, 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 antiseptic agents 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 begins at the site of tooth extraction, the wound does not heal, the temperature rises, severe pain appears, which cannot be eliminated with painkillers, the gums swell, and there is a putrid smell from the mouth. If such symptoms appear, it is necessary to visit a doctor and begin treatment of inflammation immediately. In such cases, anti-inflammatory drugs, rinsing with antiseptic solutions, vitamins, analgesics, and in some cases antibiotics are prescribed.

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, in malignant processes, obesity or exhaustion of the body. The human immunodeficiency virus can also cause such a problem. These problems affect tissue regeneration processes in the following ways:

With poor blood circulation, the damaged area does not receive enough oxygen and nutrients that it needs for normal scarring.
Weak immune system. HIV, hepatitis, stress - these factors negatively affect the functioning of the immune system, and the body becomes defenseless against bacteria.
Improper wound care. Those who are wondering why a wound won't heal should know that caring for the injury also plays an important role in this process. If you do not treat the wound with an antiseptic, do not apply a bandage, then you may encounter an infection.
Some types of damage cannot heal quickly. These include lacerated or deep wounds with a large distance between the edges.
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. How quickly the tissues recover depends on proper processing.

In case of damage to the skin, it is necessary:

apply an antiseptic to the wound and the skin around it. Perfectly eliminate the risk of infection iodine and hydrogen peroxide. They should be in everyone's first aid kit. 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 the injury, it is necessary to use 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 all the necessary vitamins and minerals that affect the wound healing process get into the body.

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:

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.
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.
At the second and third stages, the Rescuer ointment helps well. It consists of natural ingredients and is 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.

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

Why do wounds heal poorly?

Everyone is familiar with injuries and wounds. On some people, wounds heal quickly, while others have to fight for their recovery for a long time. What is the reason for poor wound healing?

Wounds on the skin do not heal well if they become infected. Microbes can get into the wound not only during damage (although this is most often the case), but also after. This can happen when the wound is bandaged. Or the infection is transmitted with surrounding objects.

Wound infection is characterized by:

elevated body temperature;
the appearance of red stripes;
subcutaneous suppuration;
severe pain;
swelling.

Treatment consists in special treatment, suturing, cleansing, and destruction of microbes. In more serious cases, they may additionally prescribe a blood transfusion, vitamin preparations.

In the pharmacy, you can ask for a suitable ointment, they are now a wide choice and they are quite effective.

Diabetes

Skin lesions do not heal well in people with weakened body forces. With such a common disease as diabetes, wounds heal for a long time. At first, they can dry out, then crack, fester. Rapid healing of wounds on the legs is hindered by swelling of the lower extremities, which often accompany diabetics.

Poor circulation and, as a result, insufficient nutrition of skin cells do not allow wounds to heal quickly.

Symptoms:

increased body temperature;
swelling, redness;
pain;
pus.

Treatment of skin lesions in diabetes mellitus consists in taking measures to combat the underlying disease, proper nutrition, treating wounds with an antiseptic, and applying antibiotic ointments.

old age

The age of a person affects the duration of wound healing. Older people often have diseases of the cardiovascular system, overweight, poor blood clotting, and other pathologies.

Non-healing wounds in old age are characterized by the following symptoms:

pain;
edema;
increased body temperature;
pus;
hot and reddened skin.

Treatment of skin lesions in this case consists in cleansing the wound, fighting microorganisms, removing purulent accumulations, washing the wound, and antibiotic therapy.

Avitaminosis

Although such a problem can occur at any age and cause wounds to heal for a longer time, it is in the first place in children, because they are less likely to develop other health problems.

Wounds in a child do not heal well if the growing body lacks the necessary vitamins and minerals. These can be calcium, zinc, vitamin A and B vitamins.

This condition is manifested not only by prolonged healing of wounds, but also by brittle nails, hair, poor condition of teeth, bones.

Treatment of beriberi in a child involves an immediate appeal to a specialist who will select a complex of vitamins. By eliminating the cause, you can count on the rapid healing of wounds.

Injury to the gums and bones after tooth extraction

Tooth extraction (extraction) is a serious test for the human body. It can be accompanied by trauma to the gums and bones. In this case, there is a risk of an inflammatory process. Then you can not count on the rapid healing of the wound.

The reason why the wound does not heal well after tooth extraction may be infection of the hole.

Some time after extraction, pain appears at the site of the extracted tooth and in the gum. It is not stopped by painkillers. The body temperature rises, swelling occurs. The patient has a general malaise, a putrid smell, lymph nodes increase. Such symptoms indicate the presence of an inflammatory process.

With these signs, you need to urgently seek help from a specialist. To quickly heal the wound, the doctor will begin to treat the inflammation. In this case, the wound is washed with an antiseptic solution, a medical swab is introduced into the hole.

Additionally, rinsing, taking anti-inflammatory drugs, vitamins, analgesics are used. In some cases, antibiotic therapy is prescribed.

Other reasons

Poor wound healing is present with such health problems:

Lack of blood supply at the site of skin injury.
Inflammatory processes in the body.
Oncological diseases.
Obesity or malnutrition.

These diseases are accompanied by a significant decrease in immunity. Therefore, for the rapid healing of skin lesions, treatment of the underlying disease is required.

Vitamins A and group B are actively involved in skin regeneration. Their sufficient amount stimulates wound healing. Stress, chronic fatigue, as well as bad habits such as alcohol and smoking can cause prolonged healing of damaged skin.

The process of tightening the wound depends on its nature. Puncture, purulent wounds require more careful care than injuries with sharp edges. The closer the wound is to the heart, the faster it heals.

In order for the wound to heal quickly, it is necessary to properly care for it, treat chronic diseases and seek help from a specialist in a timely manner.

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Wounds do not heal well: causes

If wounds heal slowly, there may be several explanations for this: infections, weakened immunity, diabetes, advanced age, and vitamin deficiencies. In the presence of some chronic diseases, you need to carefully monitor the wounds.

Wound infections

Wound infections are the most common cause of delayed healing. Infection can occur when foreign bodies, microscopic particles that carry pathogenic bacteria, enter. Often the infection gets due to untimely or inadequate treatment. In the presence of an infectious process in the wound, the formation of collagen slows down, which impairs wound regeneration.

Weak immunity

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

Diabetes

Wounds heal poorly in patients with diabetes mellitus. Initially, the wounds may dry out, then crack and fester.

Edema of the extremities, which are often found in diabetes mellitus, interferes with rapid regeneration when the skin is damaged. Also, this process is hindered by poor blood circulation and insufficient nutrition of tissues.

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

Elderly age

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

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

Vitamin deficiency

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

Wound healing depends on many factors, taking into account the state and immune system of the human body, the presence of chronic diseases, as well as competent provision of first aid. Local problems

Often the reason for the long healing of wounds is infection of the wound, leading to the formation of purulent processes. To prevent this, you should know how to properly disinfect and how to treat a purulent wound in order to speed up the healing process as much as possible.

Immediately after damage, the following manipulations must be carried out:

Remove foreign bodies from the wound, if any;

Treat the wound surface and the skin around it with an antiseptic to prevent infection;

Use a sterile dressing for the initial dressing. In the future, in order for the wound surface to heal faster, simple rules should be followed: do dressing more often; . perform antiseptic treatment, even if there is no infection - do not allow when the wound does not heal for a long time;

Stimulate healing with special drugs that can create a protective film on the surface.

If you follow all the rules, the wound surface will begin to dry out, which is an important factor for rapid healing. Help her with this. For this, there are wound healing agents. If the development of a purulent process has begun, then, without delay, it is necessary to consult a doctor who will advise how to treat a purulent wound and what other measures to take for effective treatment. The problem lies inside the body. If even the smallest wounds and scratches heal for a long time, then this may be due to internal problems of the body.

The most common of them:

Diabetes;

Skin diseases (psoriasis, eczema);

oncological diseases;

Failure of the immune system;

exhaustion;

Lack of vitamins and microelements.

If there is a prolonged healing of wounds, even with proper primary treatment, it is urgent to contact a therapist who will conduct all the necessary tests and identify the cause. In some cases, for example, with diabetes, even a small scratch often leads to suppuration. If the wound on the leg does not heal, the cause is probably a disturbed trophic.

It is important to know how to treat a purulent wound, since not all drugs have a positive effect on diabetes. How to quickly heal a wound at home?

Rule 1. Careful processing and dressing. The procedure is carried out only with clean and dry hands. It is best if your hands are pre-treated with any disinfectant. Dressing is recommended to be carried out in the morning and in the evening, treating both the wound surface and the skin around it.

Rule 2. Elimination of purulent inflammation. Special ointments with a "pulling" effect or antibiotics will help to clear the wound of pus. The main rule is that the dressing with the medicine should be changed at least three times a day.

Rule 3. Drying. If there is no inflammation, then drying gels are used, which promote rapid cell regeneration and lead to rapid recovery. If crusts have formed on the wound, then ointments will be effective. They create a special film that prevents additional damage.

The problem of long healing of various wounds is often a temporary phenomenon. For example, a person has recently had an acute respiratory viral infection, as a result of which disturbances have occurred in the immune system. However, if the problem of a long recovery begins to take on a systematic character, then this can be considered a “wake-up call” for immediate medical attention.

Often people, through their negligence or during active physical activities, get wounds that can become inflamed and fester over time. There are times when wounds do not heal for a long time. The healing process often depends on the nature of the wound.

What are the types of wounds?

When the integral cover of tissues or mucous surfaces are damaged, they form. They may have a different nature of education:

torn;
cut;
bitten;
firearms;
chipped;
chopped;
bruised.

Depending on the origin, each type of wound has its own healing specifics.

The healing process is influenced by many internal and external factors, such as:

whether it is correctly rendered when receiving a wound;
the state of a person and the ability of his immune system to withstand pain loads and cope with an infection that has entered the wound;
current chronic illness.

The problem of a long process of non-healing of wounds can be temporary. For example, a person has recently had a cold, which affected the failure of the immune system. As soon as the patient has recovered, the wounds begin to dry out and heal faster. The weakened body needs help in this.

How to properly treat a wound

It happens that some wounds heal quickly, and some do not heal for a very long time. Especially painful are infected wounds, the result of which are purulent processes. In order to prevent the formation of purulent inflammation, it is necessary to know how to properly treat the wound and how to disinfect it. Knowing these rules will ensure the speedy healing of the wound. To do this, you need to do the following:

remove foreign bodies from the wound (if any). This should be done to eliminate the source of infection;
in order to avoid purulent processes, treat the wound and the nearby surface with an antiseptic. Additionally, disinfect your hands with an antiseptic;
treat the wound with special medicines that dry the wound and create a protective film. For this purpose, you can use drugs with a "pulling" effect;
apply a sterile bandage and change it periodically. The bandage should be changed at least 3 times a day.

There are many wound healing drugs on the market. And you can apply folk methods of treating wounds.

Folk ways of wound healing

There are several ways of traditional medicine to eliminate pain and promote rapid healing of wounds.

1st way:

It is necessary to prepare a remedy from the following composition: 100 g of coniferous gum resin (grind or crush), 100 g of lard (preferably fresh), 100 g of beeswax. Mix all the ingredients, put on a slow fire and bring to a boil, stirring occasionally. Let it boil for 10 minutes. Take away from the fire, wait for it to cool, and transfer it warm to a glass container.

Before applying this remedy, the wound should be treated with lime water. It is prepared as follows: 1st. extinguish a spoonful of quicklime with 1 liter of water. Let it stand for 5-6 hours. Gently drain the water and rinse the wound with it. Then take a remedy, smear it with a clean cloth and apply to the wound. Bandage the wound so that the bandage does not fall off. The bandage with the applied therapeutic agent should be changed after 1-2 days.

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

2nd way:

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

This folk remedy quickly and effectively helps wound healing. It can be used for long non-healing wounds.

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

Why doesn't the wound heal for a long time?

The reason for the long non-healing of the wound may be inside the body and be associated with internal problems. The most common of them are:

skin diseases (eczema,);
failure in the immune system;
oncological diseases;
lack of vitamins and minerals in the body;
depletion of the body;
lack of hemoglobin ().

In case of prolonged non-healing of wounds, a doctor should be consulted. You may have to treat not only the wound, but also a serious reason why it does not heal for a long time.