Ointment for the rapid healing of wounds on the face. Ointments and creams for quick healing of wounds in the home first aid kit

The most common types of injuries are abrasions and scratches, especially on the knees and elbows. These are superficial skin lesions that are not dangerous to human health. But there is always a risk of dust particles or small foreign elements getting into the wound, so first wash with soap and water, then treat with hydrogen peroxide and then apply a healing ointment.

Which ointment to choose

The range of means to accelerate tissue regeneration is incredibly large, so it is difficult to immediately navigate. In order to understand which ointment will best help against abrasions and scratches, consider the most popular:

Most shallow skin lesions can be treated at home. A deep wound will not go away from treatment with ointments. You will need to take a multivitamin complex, which will eliminate the risk of complications. In such cases, you can not do without qualified medical care.

When to go to the doctor:

profuse bleeding that cannot be stopped for a long time;
the appearance of pus and a feeling of warmth in the injured area;
it is not possible to remove or wash a foreign object from the wound;
redness and severe swelling of the edges of the damage;
Increased body temperature.

Can scars be avoided?

There are two stages of wound healing: wet and dry. And knowing which drugs to use in each of them, it is possible to avoid scars. Wet wounds are cleansing and moisturizing, and dried crusts should never be plucked. We conclude that it makes sense to use wound healing ointments at the dry stage. Did it heal up two weeks after the injury? You are lucky - there will be no scar. And if not, then Solcoseryl will help. In principle, they are allowed to treat the wound immediately after its appearance and until the moment of complete healing. Didn't start doing it right away? It is not too late to try this at the stage of scarring.

Any damage to the skin causes the risk of infection through it. Tetanus poses the greatest danger to the human body. If help is not provided in a timely manner, then with 90% certainty the outcome is one - death. Preventive measures include regular vaccinations. It is carried out three times with five-year intervals. Didn't plan? So, as an ambulance, get a special subcutaneous dose of tetanus immunoglobulin. But you can learn more about this from your doctor. The main thing is not to miss the moment and consult a doctor in time.

Minor cuts, burns, abrasions and scratches do not need inpatient treatment under the supervision of a doctor, but they cannot be ignored either. Using the right ointment for wound healing, you can heal them correctly and safely for health. There are a great many such products in pharmacies, and in order to know which ones to use in which situations, you need to understand their properties and effects.

Indications for the use of healing drugs

Ointments for healing wounds on the skin have been used for a long time. Most of them perform several functions at once: they kill microbes and bacteria, create a protective film, and promote tissue regeneration. Depending on the depth of the cut or burn, healing takes a different time - from several days to several weeks. The medicinal cream helps speed up this process and eliminate the remaining traces of the wound.

Ointment for healing wounds and cracks is used for such injuries:

open cuts and scratches;
cracks caused by dry skin;
some skin diseases;
minor burns;
small ulcerative lesions.

It is important to understand in which cases self-treatment is acceptable, and when you need to see a doctor. Wound healing cream must be applied correctly and not used for serious injuries. To avoid complications and infection, a sterile dressing is required after its application.

Varieties of healing agents

Despite the fact that any antibacterial wound ointment is used to disinfect, dry, protect and speed up the regeneration process after injuries, they differ in their composition and basic principle of action. Therefore, before buying any remedy in a pharmacy, you need to understand their features and differences. Healing drugs are:

based on zinc or silver - for additional disinfection;
drying - usually used for application to open skin lesions;
with antibiotics in the composition - used to treat bedsores or patients with diabetes;
for the healing of purulent wounds - they are able to stop the inflammatory and purulent process, preventing the further development of infection;
for treatment after surgery.

In addition, such drugs are sold in the form of various forms: ointments, creams, gels, pasty emulsions. Choosing the right option is not so easy, so before you go to the pharmacy, you need to know exactly which drug you should buy.

Damage to the skin and mucous membranes must be treated with medicinal formulations, because this prevents the penetration of infections into the body, and accelerates regeneration. Wound healing ointment can have both antimicrobial and antibacterial properties. Many drugs are also used as antiseptic, anti-inflammatory, regenerating agents.

What are wound healing ointments

When buying ointments for wound healing, it is important to consider their classification. Means are selected depending on the etiology (cause) and the phase of the wound process. If the wound is deep, an antibacterial drug will be required, with an anesthetic effect. The damage has become inflamed - you will need an antiseptic, antimicrobial ointment. When the wound process is at the last stage, you need a remedy for skin regeneration.

In composition, they differ in:

Antimicrobials, antibiotics.
Enzyme preparations based on amino acids, protease, chymotrypsin and others. They are used in combination with other gels and ointments.
Medicines with plant extracts: with aloe juice, Kalanchoe, sea buckthorn oil, calendula, propolis. Relieve inflammation and restore the skin.

Pharmacy preparations

Before applying the remedy, you need to wash the wound, treat the scratches with hydrogen peroxide. Cream "ARGOSULFAN®" helps to accelerate the healing of small wounds. The combination of the antibacterial component of silver sulfathiazole and silver ions provides a wide range of antibacterial action of the cream. You can apply the drug not only on wounds located in open areas of the body, but also under bandages. The tool has not only a wound healing, but also an antimicrobial effect, and in addition, it promotes wound healing without a rough scar.

For open wounds

An open wound begins to be treated with ointments when the tissues dry out. The funds are applied in a thin layer. Use ointments for wound healing:

Postoperative sutures

The sutures are removed 7-14 days after the operation, treated with an antiseptic. Removal can occur gradually: a few days before the complete removal of the sutures, they are removed after one. It is important to process the seams daily, Levomekol is used (this bactericidal ointment is almost universal), Dioxyzol, Bepanten-cream is a drug based on deskpanthenol. A good effect gives "Baneocin".

burns

The choice of remedy depends on the degree of the burn. If it is mild (grade 1 or 2), local anesthetics, regenerating drugs are used. For more severe lesions, with blisters and blisters, an antimicrobial ointment for burns is used - Fusiderm, Fusimet. Helps restore tissue after a burn - including a chemical one - actovegin ointment.

abrasions

A popular remedy that smears minor burns and abrasions on adults and children is the Rescuer balm (or its equivalent, the Guardian), they can treat a fresh cut on the finger, after washing off the dirt. In second place is the "maternal ambulance" - "Bepanten": the drug is safe for newborns, helps with diaper rash, it is also used to relieve symptoms of children's skin allergies. The advantages of the product are that it is safe, can be used for a long time even during pregnancy, lubricate cracked nipples during lactation.

pressure sores

The danger of this condition is a violation of blood circulation, the possibility of infection of the wound and the beginning of the process of decay. To avoid such consequences, "Solcoseryl" / "Actovegin" is prescribed, at the beginning of treatment 25% gels, and when it gets better, after about 5-10 days they switch to 5% cream. At the final stage, 5% ointment is used. Another ointment for bedsores is Algofin, it contains chlorophyll. Silver-based products showed themselves well - Sulfargin, Agrosulfan.

Purulent wounds

Fat-based ointments, vaseline-lanolin, antibiotic formulations are used in the treatment of purulent wounds. Known drugs:

"Ichthyol ointment" - anesthetizes, has a bactericidal effect. A cotton swab is impregnated with the agent, applied to the wound, covered with a sterile napkin or parchment on top, fixed with a plaster or bandage.
Vishnevsky's ointment - draws pus from the wound. It is used in the form of lotions and compresses.
Synthomycin ointment - contains an antibiotic, used in the treatment of infected wounds.
Streptocid ointment - effective for purulent scratches, abrasions, small abscessing wounds. Streptocide draws out pus, disinfects.

In the mouth

Gum damage can be cured with dental ointments such as Cholisal, Metragil Denta, Kalgel, and so on. The drugs are used for stomatitis, gingivitis, diseases during which wounds form on the gums. These gels have a slight anesthetic effect, often contain lidocaine, act as antiseptics, and eliminate inflammation.

With diabetes

The wounds of diabetics do not heal well, as the immune system is reduced in patients, cracks appear in already treated wounds. Damage should be treated immediately with an antiseptic. If the wound is not healing, festering, they are treated with antibiotics: Levosin, Levomekol. When healing tissues, methyluracil ointment, fatty-based products, such as Trofodermin, are used. When choosing a drug for a diabetic, carefully read the instructions for contraindications.

Regenerating agents

At the last stage of wound healing, its epithelialization occurs, new tissue matures, and turns into a connective tissue scar. The skin grows, thin, pink. In this phase, it is important to use regeneration products to avoid the formation of rough permanent scars and scars. Regenerative drugs include:

Means based on despanthenol ("Bepanthen", "Panthenol"), they soften the skin, accelerate the recovery processes.
Sea buckthorn oil is a natural product that promotes the regeneration of skin cells.
"Actovegin" - in any form.
"Aekol" is a vitamin preparation containing retinol, menadione, betacarotene and vitamin E.
"Methyluracil" - improves tissue trophism, accelerates regeneration. It is used in the healing of wounds in intimate places, in gynecology.
Aloe-based products - have anti-inflammatory, antibacterial effect, stimulate tissue repair.

Video: aloe ointment for inflamed wounds

Our skin serves as protection for the body and prevents a lot of various infectious infections. An open wound is always a target for infections, so it's important to keep your skin in top, healthy condition.

Quite often, situations arise when wounds and abrasions occur on the skin, special wound healing ointments, presented in pharmacies in a wide range, can help in such a situation. They have an antimicrobial and anti-inflammatory effect, in addition, they have a regenerating function for abrasions wounds that have arisen on the skin.

In this article, we will try to determine the best and most budgetary ointments for quickly getting rid of various skin lesions, whether it be abrasions and scratches, or deep purulent wounds, and we will try to answer the question - which ointment is better to use in which specific cases?

The best ointment for wounds and cuts, according to pharmacists, is Solcoseryl. The composition of this medicinal product includes calf blood dialysate, which provides maximum wound regeneration. It is characteristic that this substance does not cause allergic reactions, therefore, Solcoseryl, given the large spectrum of action, is recommended not only for cuts and cracks, but also for the healing of open wounds.

Due to the fact that the ointment, due to its unique composition, prevents the appearance of the so-called "wet wound effect" due to the release of fluid on the surface of damaged skin, it is advised to use it to heal a purulent wound, as well as when pressure sores appear. Of the shortcomings of this drug, only one can be distinguished, and it is again associated with the composition of the product.

Despite the fact that calf blood dialysate, before mixing it with the bulk of the ointment, undergoes a special treatment that purifies this component from impurities that can be allergens, pharmacists say that dialysate is a product of natural origin and, therefore, in an extremely in rare cases, it can still cause an allergic reaction in a certain category of people prone to this disease.

Eplan can be used to heal wounds on the face and even treat damaged lips. This remedy contains panthenol, which is excellent for treating burns, cuts and chemical damage to the skin. Panthenol helps the wound heal, while it has an anti-inflammatory effect, reduces pain and swelling in the affected area.

In general, Eplan, in addition to healing, has an analgesic and disinfectant effect. It can be used primarily when receiving small abrasions, or the occurrence of sores that are not associated with external effects on the skin, such as boils or acne. In addition, this ointment is perfect for facial skin, and even for healing wounds and cracks on the lips.

Eplan ointment also works great for insect bites, allergies and inflammation on the skin, burns, frostbite, and even psoriasis. The indisputable advantage of this drug is that it can be used during pregnancy and during lactation. The obvious disadvantages of this antiseptic include the poor absorption of the ointment, as well as the fact that it dries the skin unnecessarily.

It is difficult to overestimate the role of various ointments for those who have diabetes. The fact is that in the presence of this disease, a thorough and daily examination of the legs is necessary, because with diabetes in a person, blood circulation is disturbed, as a result of the formation of microcracks on the leg, ulcers can occur, which, if ignored, will lead to gangrene and limb amputation.

For reference! One of the best effective remedies for this disease are creams and ointments, which include urea.

For example, Diaultradem can be used to moisturize dry skin of the feet and during massage, to improve blood circulation. The use of this tool accelerates wound healing, prevents the appearance of cracks and reduces pain in the foot. It is characteristic that there are no side effects and disadvantages when using Diultradem, since it was developed specifically for patients with diabetes, and, accordingly, all the difficulties that could arise when using it were taken into account.

The best antibiotic ointments

In the postoperative period, for the treatment of sutures, it is also important to choose the right ointment, which allows you to maximize the rapid healing of the skin, as well as protecting against suppuration and inflammation, which often occurs due to infection on the wound. According to experts, after the operation it is better to use several ointments in combination, since their action can complement each other, having a beneficial effect on the seams.

For the treatment of seams, you can also use the Solcoseryl already indicated by us above, however, there is also its budget analogue - Actovegin, which also contains calf's blood. Actovegin is available in the form of a gel and ointment. And if the gel is advised to be used to treat deep wounds, then the ointment is mainly used for already healing wounds.

Of the main disadvantages of this drug, we can say that the drug is strictly prohibited for use during pregnancy and lactation. In addition, before using the drug, you need to consult a doctor, because the composition of Actovegin can provoke allergic reactions.

Probably one of the most popular remedies for the treatment of wounds and cuts is Levomekol antibiotic ointment, which is often used both in the postoperative period and for the treatment of purulent wounds. Ointment, thanks to the antibiotic contained in the composition, prevents suppuration. Also one of the advantages of Levomekol is its availability and budget, but, nevertheless, there are certain risk factors that must be taken into account when using the ointment:

With prolonged use of the ointment, excessive accumulation of the antibiotic on the skin and under the skin may occur, which can cause intoxication.
Pregnant women are strictly forbidden to use the drug even in the most microscopic doses.
The drug can cause allergies, skin rashes and even swelling of the skin, in which case treatment with Levomekol is strictly canceled.

Popular remedies for treating wounds and cuts include drugs that contain silver ions. So ointment with silver Dermazin perfectly dries and disinfects deep cuts and burns, thanks to silver sulfadiazine, which is part of it.

The action of silver is as follows: its microparticles are introduced into the DNA of dangerous bacteria and stop their growth and reproduction. Side effects of Dermazin are associated with the possible appearance of itching and a decrease in the number of platelets in the blood, so the use of this drug for children is contraindicated.

However, there is another silver-based remedy recommended for both adults and children. Argosulfan is recommended by leading pediatricians for children from two months and is completely safe. The ointment has an analgesic and anti-inflammatory effect and does not contain contraindications.

The best ointments for wounds on the mucous

The mouth, nose and eyes need constant attention to avoid the entry of harmful bacteria. Of course, we do not always succeed in this and sometimes the infection wins, but if you use special ointments, then many problems can be avoided.

For reference! For the human body, the mucous membranes are extremely vulnerable to all kinds of infections and damage when in contact with the external environment.

A completely ordinary runny nose can lead to serious health problems, so most mothers know the best ointment that protects against attacks of viral infections and, of course, recommend it for use not only for children, but also for adults. We are talking about Oksolin, which is applied inside the nasal passages several times a day, because its use is completely safe and the main drawback can only be that it is sold out extremely quickly in pharmacies during the cold season.

Another common disease is herpes, which appears on the lips due to weakened immunity, as a result of taking antibiotics, or even from hypothermia. With this problem, it is important to choose the right remedy, because if it gets on the lips, the ointment can also get into the mouth, and if the remedy is used without a doctor's prescription, poisoning may also occur.

Safe to use means is Viferon, which, having a bactericidal effect, also stimulates the immune system. A positive point in the treatment of this remedy is the fact that it has no side effects and can be used even by newborns.

Nystatin ointment is also recommended for the treatment of the oral cavity. The use of this ointment for stomatitis, firstly, is available, since the ointment is relatively inexpensive, and secondly, it is also suitable for treating wounds in the mouth due to the fact that the substances included in its composition are excellent and in a short time (from 2 to 5 days) cope with pathogens by penetrating the cells of harmful bacteria. However, when using nystatin ointment, it should be remembered that doses must be carefully observed, using only very little to apply to the wound with a cotton swab. Otherwise, an overdose of the drug may occur.

Using an ointment based on folk remedies

You may be surprised, but our grandmothers and great-grandmothers, not being able to purchase ointment in a pharmacy, made the ointment themselves. The basis for it was lard, which was heated in a water bath and then various compositions of herbs, berries, honey or beeswax were added to it.

For example, for tumors and redness, as well as for the occurrence of bruises, the following ointment was prepared: 100 grams of fat, 100 grams of butter, a tablespoon of honey, mix a tablespoon of string and celandine and put in a water bath. The ointment will be ready in half an hour, it is filtered, cooled and it is completely ready for use. The disadvantage of such an ointment is only that the product is stored very little, due to its natural components.

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 response, 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, such opening of the wound causes drying, 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, marigold 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 not permeable 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 flaxseed 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.