Purulent cut. The wound on the leg does not heal. Synthomycin ointment ®

In the treatment of festering wounds, proper treatment is very important. In order not to aggravate the situation, you need to know what is better to process festering wound.

The process of treating festering wounds should be carried out twice a day. After such a procedure, a dressing is necessarily done. For processing, antiseptic agents should be used.

Can purulent wounds be treated with Chlorhexidine?

Chlorhexidine is very popular among doctors. This disinfectant solution is used to disinfect the operating room, as well as washing open wounds, including festering ones.

Active substances this drug effectively fight against fungi, bacteria and viruses. Due to the fact that it is commercially available in the form of a solution, gel or even a patch, the treatment of a festering wound is greatly facilitated.

Is it possible to treat purulent wounds with hydrogen peroxide?

Hydrogen peroxide has proved to be excellent. To treat damaged skin surfaces it is preferable to use a 3% solution, since a 6% solution can burn the skin. The wound must be treated with a pulsating jet, while washing out all the pus that has accumulated here.

Is it possible to treat a purulent wound with brilliant green?

Brilliant green solution is an antiseptic for alcohol based. When injected into an open wound, this antiseptic causes chemical burn tissues (protein coagulation occurs). That's why this remedy best used to disinfect the edge of the wound.

There are many more medicines that can be used to treat damaged skin surfaces, including purulent ones. But before applying them, you must definitely read the annotation to the drug, which describes the mechanism of action of the drug and the features of the application.

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Purulent wound is characterized by the development of local inflammatory process with secretions purulent nature. Any clean wound can fester when various microorganisms or particles of dirt enter it. In this situation, it is necessary to correct handling a purulent wound, otherwise the condition will worsen, and numerous and rather serious complications will arise.

In this article, you will learn how to treat festering wounds, how to properly wash the wound, and you will also find an algorithm for processing and dressing a festering injury.

Washing a festering wound

To improve the regenerative properties (healing) of the soft tissues of a purulent wound, it is necessary to ensure its full cleansing. For this purpose, the wound cavity is washed. And this procedure carried out both during primary and subsequent treatments.

It should be remembered that if there is an extensive wound with large quantity secretions, it is necessary to first remove the main volume of pus. It can be pulled out with a rubber bulb or an aspirator. After that, proceed to washing.

The sequence of washing a festering injury:

Treatment of purulent wounds

Wound treatment is carried out daily, with each dressing. For this purpose, various antiseptic agents are used, as well as ointments and solutions with antibiotics and enzymes.

Treatment in the hospital is carried out under sterile conditions. If this manipulation is carried out at home (the wound is not large, and the discharge is not abundant), then you must thoroughly wash your hands, use sterile bandages and napkins, disinfect the scissors (treat alcohol solution or medical alcohol).

Purulent wound treatment algorithm:

Remove the bandage, if any;
Wash the wound with hydrogen peroxide;
Dry the cavity with a sterile cloth;
Irrigate the surface with an antiseptic solution;
The edges of the injury must also be treated with alcohol solutions (iodine, brilliant green);
Inserted into the cavity antibacterial agent . In the first phase (inflammation), solutions are widely used, and in the second - ointments;
The dressing is being done.

Solutions that are used in the treatment:

Antiseptics help cleanse the wound and prevent the development of the decomposition process. These funds are used in the phase of inflammation, when there is an intense release of pus. Most often in the hospital, Chlorhexidine and Hydrogen Peroxide are used. They prevent the development of infection and have a detrimental effect on some microbes (especially anaerobic ones) and fungi. Modern drugs this group are Yodpiron and Miramistin;
hypertonic solutions used to improve the outflow of purulent secretions and remove bacteria from the wound. They improve the effect of passive drainage. In surgery, a 10% sodium chloride solution is preferably used. Boric acid also cleans the wound well;
Antibacterial solutions used to kill microbes and relieve inflammation. The drug Dioxidin is widely used, which has a bactericidal effect, that is, it kills bacteria.
Dimexide solution renders complex impact. It works as an antiseptic, analgesic, anti-inflammatory and antihistamine. This solution prepares soft tissues to the assimilation of other dosage forms.

Ointments that are used in the treatment:

: Tetracycline, Methyluracil, Levomekol, Baneocin, Levosin and others. Currently, surgeons prefer water-soluble ointments, such as Baneocin, Levosin and. They are well absorbed and do not interfere with the outflow of pus;
still does not lose its popularity and is used in the treatment of open injuries;
Ointments with enzymes eg Iruxol. Drugs containing enzymes such as trypsin and chymotrypsin improve the regeneration of damaged tissues.

dressing rules

Bandaging of a purulent wound is carried out daily. If the discharge is abundant, then the bandage is changed 2 times a day.

Extra dressing can be carried out in the following case:

Significant contamination of the dressing in a short time;
Increased pain or its sudden onset;
The appearance of bleeding.

This procedure is carried out under sterile conditions in a special room - the dressing room. Extensive wounds require treatment in the operating room, under anesthesia.

Bandaging algorithm:

All instruments must be processed and disinfected, and the used dressing material must be immersed in a disinfectant solution and then disposed of.

Folk remedies for the treatment of purulent-type injuries

There are many recipes traditional medicine, which help the healing of festering wounds. However, it should be remembered that before starting treatment with these drugs, it is necessary to consult with your doctor.

Folk remedies must be approved by a specialist, otherwise they may aggravate pathological process. Consideration should also be given to the presence allergic reactions to natural ingredients.

How to treat a purulent wound at home? Indoor plant Aloe has long been used to treat this kind of pathology. The pulp and juice of Aloe have a bactericidal, wound-healing and draining (pus-pulling) effect.

Treatment with Aloe leaves:

It is necessary to squeeze the juice from this plant. Soak a sterile gauze cloth with this juice and apply to the damaged surface. Change the bandage every 3 hours;
The leaf of the plant must be washed well, and then cut lengthwise. It is applied with pulp to the wound and securely fixed. The duration of exposure is 2 hours, after which the sheet must be changed;
You can make a slurry from the pulp of the plant and apply it to the damage.

You can wash a purulent wound at home with a decoction of chamomile flowers. To prepare it, you need to take 2 tablespoons of dry chamomile and 200 milliliters of boiling water. The decoction is prepared in a water bath. After that, it is cooled and filtered.

gruel from onion helps to remove pus and promotes healing. It is applied to the injury itself and left for 5 hours.

Solutions of salt and soda are used to rinse the cavity, they help to cleanse it:

Cooking soda solution: 2 parts soda and 10 parts water;
Cooking saline solution: 1 part salt and 10 parts water.

Before using all of the above funds in the form of compresses, it is necessary to treat the wound.

The basic principle of the treatment of open wounds is to restore the regenerative function skin- nature is so arranged that skin cells are capable of certain conditions self-repair. But this is possible only if there are no dead cells- this is the essence of the treatment of open wounds.

Stages of treatment of open wounds

Treatment of open wounds in any case involves the passage of three stages - primary self-cleaning, inflammation and granulation tissue repair.

Primary self-cleaning

As soon as a wound occurs and bleeding opens, the vessels begin to narrow sharply - this allows the formation of a platelet clot, which will stop the bleeding. Then the narrowed vessels expand sharply. The result of this "work" blood vessels there will be a slowdown in blood flow, an increase in the permeability of the walls of blood vessels and a progressive swelling of soft tissues.

It was found that such a vascular reaction leads to the cleansing of damaged soft tissues without the use of any antiseptic agents.

Inflammatory process

This is the second stage wound process, which is characterized by increased swelling of soft tissues, the skin becomes red. Together, bleeding and inflammation provoke a significant increase in the number of leukocytes in the blood.

Tissue repair by granulation

This stage of the wound process can also begin against the background of inflammation - there is nothing pathological in this. The formation of granulation tissue begins directly in the open wound, as well as along the edges of the open wound and along the surface of the closely located epithelium.

With time granulation tissue is reborn into a connective one, and this stage will be considered completed only after a stable scar forms at the site of the open wound.

Distinguish between the healing of an open wound by primary and secondary intention. The first option for the development of the process is possible only if the wound is not extensive, its edges are brought close to each other and there is no pronounced inflammation at the site of injury. BUT secondary tension occurs in all other cases, including with purulent wounds.

Features of the treatment of open wounds depend only on how intensively the inflammatory process develops, how badly the tissues are damaged. The task of doctors is to stimulate and control all the above stages of the wound process.

Primary treatment in the treatment of open wounds

Before the victim seeks professional medical care, it is necessary for him to thoroughly wash the wound antiseptics- this will be a complete disinfection of an open wound. To minimize the risk of wound infection during treatment, hydrogen peroxide, furatsilin, a solution of potassium permanganate or chlorhexidine should be used. Around the wound, the skin is treated with brilliant green or iodine - this will prevent the spread of infection and inflammation. A sterile dressing is applied on top of the open wound after the described treatment.

It is on how correctly the initial cleaning of the open wound was carried out that the speed of its healing depends. If a patient comes to the surgeon with stab, incised, lacerated open wounds, then in without fail he undergoes specific surgical treatment. Such a deep cleaning of the wound from dead tissues and cells will accelerate the healing process.

As part of primary processing open wound surgeon removes foreign bodies, blood clots, excised uneven edges and crushed tissue. Only after that, the doctor will suture, which will bring the edges of the open wound closer, but if the gaping wound is too large, then the sutures are applied a little later, when the edges begin to recover and the wound heals. After such treatment, a sterile bandage is applied to the injury site.

Note:in most cases, a patient with an open wound is given anti-tetanus serum, and if the wound was formed after an animal bite, a vaccine against.

The entire described process of treating an open wound reduces the risk of infection and the development of complications (gangrene, suppuration), and accelerates the healing process. If the treatment was carried out on the first day after the injury, then no complications and severe consequences not expected.

How to treat a weeping open wound

If there is an open wound excess amount serous-fibrous exudate, then surgeons will take measures to treat an open weeping wound. In general, such copious discharge have a beneficial effect on the healing rate - they additionally clean the open wound, but at the same time, the task of specialists is to reduce the amount of exudate secretion - this will improve blood circulation in the most small vessels(capillaries).

When treating weeping open wounds, it is important to change sterile dressings frequently. And during this procedure, it is important to use a solution of furacilin or sodium hypochlorite, or treat the wound with liquid antiseptics (miramistin, okomistin and others).

To reduce the amount of secreted sero-fibrous exudate, surgeons use dressings with 10% aqueous solution sodium chloride. With this treatment, the bandage must be changed at least 1 time in 4-5 hours.

A weeping open wound is also treated with the use of antimicrobial ointments - the most effective will be streptocid ointment, Mafenide, Streptonitol, Fudisin gel. They are applied either under a sterile dressing or on a swab, which is used to treat an open weeping wound.

Xeroform or Baneocin powder is used as a drying agent - they have antimicrobial, antibacterial, and anti-inflammatory properties.

How to treat an open festering wound

It is an open purulent wound that is most difficult to treat - it is impossible to prevent the spread purulent exudate to healthy tissues. To do this, the usual dressing turns into a mini-operation - it is necessary to remove the accumulated pus from the wound with each treatment, most often drainage systems are installed so that the pus is provided with a constant outflow. Each treatment, except for the indicated additional measures, is accompanied by the introduction into the wound antibacterial solutions - for example, Dimexide. To stop the necrotic process in an open wound and remove pus from it, specific agents are used in surgery - Trypsin or Chymopsin powders. A suspension is prepared from these powders by mixing them with novocaine and / or sodium chloride, and then sterile wipes are impregnated with the resulting agent and filled directly into the cavity of an open purulent wound. In this case, the bandage changes once a day, in some cases, medical wipes can be left in the wound for two days. If a purulent open wound is characterized by a deep and wide cavity, then these powders are poured directly into the wound, without the use of sterile wipes.

In addition to such a thorough surgical treatment of an open purulent wound, the patient must be prescribed antibacterial drugs () orally or by injection.

Features of the treatment of purulent open wounds:

After cleaning the open wound from pus, Levosin ointment is injected directly into the cavity. it medicine It has antibacterial, anti-inflammatory and analgesic effects.
For medicinal dressings in the treatment of an open wound with purulent contents, Levomikol ointment and Synthomycin liniment can be used.
Ointment Baneocin will be most effective in the treatment of open wounds with identified, Nitacid ointment - in the treatment of wounds with diagnosed anaerobic bacteria, Dioxidine ointment generally refers to universal remedy- effective in most types of infections, including against and pathogens of gangrene.
Most often, in the treatment of open purulent wounds, surgeons use ointments based on polyethylene oxide, from vaseline / lanolin modern medicine refuses in this case.
Vishnevsky's ointment helps to get rid of pus in an open wound - it dissolves infiltrates, and increases blood flow in the wound. This drug is applied directly to the wound cavity 1-2 times a day.
When treating a patient with an open purulent wound in medical institution Detoxification therapy must be prescribed and carried out.
Ultrasound or liquid nitrogen may be used to speed up the wound healing process in the hospital.

Creams and ointments for treating wounds at home

If the damage is minor, there is no large cavity, then such open wounds can be treated at home with the help of various ointments. What experts recommend to use:

Folk remedies for open wounds

If the wound is not wide and deep, then some folk remedies can be used to speed up its healing. The most popular, safe and effective include:

aqueous solution - it helps with weeping open wounds;
a decoction based on flowers, eucalyptus leaves, garden raspberry sprigs, calendula flowers, St. John's wort, heather, elecampane, yarrow, calamus root and comfrey;
aloe juice remedy sea buckthorn oil and rosehip oil (everything is mixed in equal proportions) - effective in the treatment of shallow open and dry wounds.

Note:before using folk remedies in the treatment of open wounds, you must make sure that the victim is not allergic to any of these medicinal plants.

The treatment of open wounds is best left to professionals - surgeons will be able to determine the onset of development in time infectious process, pick up effective treatment. If a decision is made to dispense with therapy at home, then it is necessary to carefully monitor the condition of the victim. In case of appearance elevated temperature body, pain at the site of injury of unknown etiology, you must urgently seek professional medical help - it is quite possible that a dangerous infectious process is progressing in the wound.

Various injuries of the skin are called wounds. Most often they are harmless and are treated at home. But sometimes even slight damage skin leads to inflammation. Often suppuration occurs on the arms or legs, especially in warm time of the year. Various skin lesions can become inflamed due to poor hygiene, reduced immunity, or the presence of chronic diseases. In some cases self-treatment purulent wounds on the legs does not help, and you have to spend it in a hospital. It is very important to notice the appearance of pus in time and use the drugs necessary to remove it. If this is not done, inflammation can lead to the development various complications.

wound?

This is damage to the skin, accompanied by the development in it pathogenic microorganisms. Pus begins to form in the wound, swelling and redness are observed around it. The tissues are painful and often hot to the touch. There is a dull throbbing pain, often severe. In severe cases to local symptoms common ones join: fever, intoxication of the body, headache.

Causes of purulent wounds

The inflammatory process may develop due to infection of the wound. This happens due to getting into. Very often this happens in the summer, especially if the skin on the legs is damaged. The appearance of a purulent process can also happen after surgical intervention. Therefore, it is recommended to perform operations in the cold season and observe sterility in patient care. Such purulent wounds are called secondary. But there are also primary wounds. They are characterized by rupture of the internal abscess without external damage to the skin. It can be an abscess, phlegmon or a common boil.

Such wounds are treated mainly by surgical opening and antibiotics. The appearance of a purulent process is influenced by the age and state of the patient's immunity, the presence of chronic diseases, especially diabetes mellitus, in which suppuration often develops. Most often, purulent wounds appear in the elderly, full and weakened by diseases. Treatment at home will be difficult in this case.

Phases of development of the wound process

Features of the treatment of a purulent wound depend on the stage of its healing. Most often, two phases of the wound process are distinguished:

At the first stage, it is necessary to eliminate edema, remove dead tissues, and also eliminate hemorrhage and inflammation;

At the second stage, tissue regeneration and scar formation occur. The healing of purulent wounds at this time can be accelerated by the use of special preparations. Modern medicines help to regenerate tissues faster without the formation of a highly visible scar.

Purulent wound - treatment

Ointments for fast healing are now available to everyone. Therefore, treatment can take place at home. But if the inflammation is not dealt with in time, serious complications can appear. Proper Treatment purulent wounds on the legs includes several areas:

Wound treatment - removal of pus, dirt and dead skin.

Removal of inflammation, swelling and soreness of the skin.

Fight bacteria.

Acceleration of wound healing and stimulation of tissue scarring.

General treatment aimed at increasing immunity and combating intoxication. It consists in taking immunomodulatory and vitamin preparations.

In severe cases, the treatment of purulent wounds on the legs may require surgical intervention: opening and cleansing the focus of inflammation, and sometimes amputation.

How to properly treat a wound?

For faster healing and prevention of complications, it is very important proper care over the affected area of the skin. In mild cases, you can do it yourself. Treatment of purulent wounds is carried out 1-2 times a day and includes:

Thorough disinfection of hands and tools used for this, most often done with alcohol.

Removing the old bandage. Moreover, this must be done very carefully, and when the bandage dries, it must be soaked with "Chlorhexidine" or hydrogen peroxide.

Careful removal of pus from the inside of the wound, treatment of its edges with an antiseptic in the direction from it to the edges and drainage with a sterile swab. Sometimes it is recommended to lubricate the edges of the wound with brilliant green or iodine.

Application medicinal product or napkins moistened with it. If the wound is very deep, tampons or drainage are introduced into it for a better outflow of pus.

Closing the wound with sterile gauze in several layers and fixing it with adhesive plaster or bandage. It is necessary to ensure that there is air access to the wound, otherwise an anaerobic infection may develop.

At serious condition the patient's open purulent wounds are treated 3-4 times a day, each time leaving them in the air for 20-30 minutes.

Physical Therapies

Previously, an open method of healing purulent wounds was practiced. It was believed that under the influence of air and sunlight microorganisms die faster. AT last years refused this, and a bandage is necessarily applied to the wound. From physical methods treatments are now used quartzization, ultrasonic cavitation, UHF and laser irradiation.

Antibiotics for purulent wounds

In severe cases, to prevent development general infection blood and more rapid release of the wound from infection, antibacterial drugs are used. If their use is required at the first stage, when the pathogen is still unknown, they are prescribed. They can be used in the form of tablets, injections and local solutions or ointments. Assign antibacterial drug only a doctor should, after taking an analysis for the causative agent of the infection. After all, the inflammatory process can be caused not only by common staphylococci or streptococci, but also by xybells, proteus, coli and even shigella and salmonella. Most often, sulfanilamide antibiotics are used for purulent wounds, an emulsion of streptocide and sulfidine is applied externally. The best known antibacterial drug is penicillin.

External means to relieve inflammation

At the first stage of the development of the purulent process, it is recommended to use water-soluble products and ointments, it is better if they contain antibiotics. The most commonly used are Levomekol, Levosin and others.

Treatment of purulent wounds on the legs can be complicated by the fact that inflammation is caused by many microorganisms, often even a fungus joins. Therefore, it is advisable to use complex means, for example, "Iruxola". Antiseptic solutions are often used to treat the wound. The most famous of them are "Furacilin", hydrogen peroxide and sometimes turn out to be ineffective due to the appearance of microorganisms resistant to their action. Now new drugs are being produced: Dioxidin, Iodopyron, Sodium Hydrochloride and others.

Folk remedies

The healing of purulent wounds at the stage of regeneration can be accelerated various herbs and other home remedies. They are used both to treat the affected surface, and to strengthen the immune system. Most often there are frivolous purulent wounds. Treatment at home is possible if the focus of inflammation is small and not general intoxication. Often folk remedies are used in medical institutions, due to the fact that many bacteria have developed resistance to drugs, they are also safer. But their use is permissible only in mild cases, with a small area of damage. What can be done to treat a wound?

Most commonly used alcohol tincture or calendula.

Treat the wound fresh juice aloe, plantain leaves or burdock.

For lotions, you can use gruel from grated carrots, radishes, beets or a cut onion.

You can prepare an ointment for the healing of purulent wounds: mix the powder from the herb of caustic stonecrop with petroleum jelly or honey with lard and xeroform. Well cleans the wound from pus mixture goat fat, salt and grated onions.

To improve tissue regeneration in the process of wound healing, it is used fish fat and sea buckthorn oil.

Complications from purulent wounds

If you do not start treatment on time or treat the affected area incorrectly, complications may develop, or the purulent process becomes chronic. Why are festering wounds dangerous?

Lymphangitis or lymphadenitis, that is, inflammation of the lymph nodes, may develop.

Sometimes thrombophlebitis appears, especially with purulent wounds on the legs.

The pus may spread and cause periostatitis, osteomelitis, abscess, or phlegmon.

In the most severe cases, sepsis develops, which can be fatal.

Prevention of inflammation

To prevent the appearance of purulent wounds, you must carefully observe the rules of personal hygiene, especially if the skin is damaged. If you treat minor abrasions and scratches in time, you can protect them from infection. In addition, it is necessary to strengthen the immune system so that the body can independently fight bacteria that have got under the skin.

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

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

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

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

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

Stages of healing and external manifestations of wound inflammation

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

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

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

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

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

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

1. Primary or secondary infection of the wound surface.

Primary - infection directly upon injury;

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

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

3. Deterioration or violation of diet and rest.

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

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

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

The main symptoms of wound inflammation and their signs:

Temperature increase in the area of the wound surface;

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

The secreted exudate becomes cloudy and viscous - purulent;

Pulsating pains in the area of the wound;

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

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

Wound inflammation: treatment and prevention of possible complications

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

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

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

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

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

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

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

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

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

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