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Wundheilung
Skin

Wound healing

Wound healing is a natural process in which the body repairs damaged tissue. It includes phases of cleansing, tissue regeneration and wound closure. Appropriate care, such as cleaning the wound and applying suitable dressings, supports this process and prevents infection.
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    BAYER VITAL

    Method of application: Rub in conjunctival sac/nostril, massage Duration of use: depending on symptoms/duration of the disease Overdose: none know...

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  • Bepanthen WOUND AND HEALING Ointment 50mg/g

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    BAYER VITAL

    Method of application: Apply to affected skin areas Duration of use: As directed by the doctor/pharmacist Overdose: No known side effects Storage:...

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  • Tyrosur wound healing gel

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    ENGELHARD ARZNEIMITTEL

    Apply the medicine to the affected skin area(s) Cover the treated areas with a bandage Do not use for longer than 1 week If in doubt, consult a do...

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  • Rivanol ointment

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    DERMAPHARM AG

    Antiseptic ointment with ethacridine lactate to reduce germs. Used for wound infections and skin diseases. Inhibits the build-up of the bacterial ...

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  • Bepanthen® scar gel with massage roller, 20g

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    BAYER VITAL

    Effective treatment for fresh and older scars Makes scars paler, flatter and softer Reduces redness, tightness and itching Combination of active i...

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  • Medice® burn and wound gel, 25g

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    MEDICE ARZNEIMITTEL PüTTER GMB

    Effective solution for the treatment of burns, sunburn, abrasions and insect bites Easy to use with clean, dry fingers or a clean cotton swab Gel ...

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  • PVP iodine AL

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    ALIUD PHARMA GMBH

    PVP-Iodine AL is applied to affected skin areas and can be covered with a bandage The application should be continued until the symptoms subside C...

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  • Betaisodona solution

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    ACA MüLLER/ADAG PHARMA AG

    Method of application: Use diluted or undiluted Duration of use: Until the symptoms have subsided Overdose: Contact a doctor immediately in case o...

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  • Linola sept Antiseptic skin cream with clioquinol

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    DR. AUGUST WOLFF GMBH & CO.KG

    Antiseptic skin cream Unique active ingredient Clioquinol Treatment of bacterial and fungal infections Recommended for external use Not suitable f...

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  • Calendula wound ointment

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    WELEDA AG

    Method of application: Apply to affected areas of skin Duration of use: No longer than 1 week for acute conditions Overdose: None known if used co...

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  • Bepanthen® solution 50mg/ml

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    BAYER VITAL

    Method of application: Application to the affected skin, rinsing or compresses Duration of use: Consult a doctor/pharmacist Overdose: No known sig...

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  • ReAm® Panthenol skin spray, 150ml

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    AXISIS GMBH

    ReAm® Panthenol skin spray Cares for and soothes stressed and irritated skin Contains anti-inflammatory and skin-caring panthenol Provides the ski...

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  • octenisept® wound gel, 20ml

    Original price 7,44 € - Original price 7,44 €
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    SCHÜLKE & MAYR GMBH

    octenisept® Gel: Quick help for abrasions, scratches and cuts as well as minor burns such as sunburn. Forms a protective layer on the wound within...

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  • Bombastus Zinc Ointment BW

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    BOMBASTUS-WERKE AG

    Bombastus Zinc Ointment BW supports wound healing. Contains 100 mg zinc oxide. For use on weeping or itchy wounds. Apply once or several times a d...

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  • Hametum® wound and healing ointment

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    DR.WILLMAR SCHWABE

    Hametum® Wound and Healing Ointment supports the healing of minor skin injuries. Contains 62.5 mg witch hazel fresh distillate. Ideal for sensitiv...

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  • Prontosan® acute wound gel, 30g

    Original price 12,76 € - Original price 12,76 €
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    B. Braun

    Hydrogel for the treatment of wounds Cleans, moisturizes and cools Promotes wound healing with a moist environment Suitable for abrasions, cuts an...

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  • Polysept® Ointment

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    DERMAPHARM AG

    Antiseptic ointment for skin treatment. Contains povidone-iodine for disinfection. Treats infected and superinfected skin conditions. Effective ag...

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  • Braunovidone 10%

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    B. Braun

    Suitable for disinfection and wound healing on the skin Do not use for longer than 5 days without medical advice If an overdose is suspected, cons...

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  • Prontosan® Wound Gel, 30ml

    Original price 28,08 € - Original price 28,08 €
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    B. Braun

    Effective cleansing and moisturizing of wounds Fills cavities and pockets Moisturizes wound dressings and absorbent materials Can be left on the w...

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  • Askina® Stick, 1 pc.

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    B. Braun

    Shaving stick to relax the skin Specially developed for relief after shaving Astringent effect for soothing skin Skin feels relaxed and refreshed ...

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  • DERMASENCE BarrioPro wound and scar care emulsion, 30ml

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    MEDICOS KOSMETIK GMBH & CO. KG

    Improves scar structures Regulates wound healing Reduces itching and tightness Promotes the formation of collagen and elastin Free from declarable...

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    URGO GMBH

    Treatment of hand diseases, cracks and fissures Forms a transparent protective film Relieves pain Protects and prevents re-opening of the tear Pro...

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  • Panthenol Wound and Healing Cream JENAPHARM 50mg/g

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    MIBE GMBH ARZNEIMITTEL

    Method of application: Apply to affected skin area(s) Duration of application: Individually according to the doctor's instructions Overdose: No kn...

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    HEUMANN PHARMA

    Method of application: Apply the medicine to the affected skin area(s). Duration of use: Depends on the nature of the symptoms and/or the course o...

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Definition of wound healing

Wound healing is a natural process that supports the body to repair damaged tissue and restore the functions. A wound arises from a violation of the skin, be it due to a cut, a grazing wound or a crack. As soon as this happens, the body immediately begins with wound healing to fix the damage and minimize the risk of infection. Wound healing consists of different phases that run sequentially to ensure effective repair.

The first phase is the inflammatory phase in which the blood vessels expand to enable increased blood flow to the affected area. This leads to the formation of a blood clot to stop bleeding, and the presence of inflammatory cells such as macrophages, remove foreign bodies and damaged cells. The subsequent proliferation phase is characterized by the production of new tissue, including collagen that reinforces the wound and the wound edges together. Finally, a redesign of the newly formed tissue takes place in the remodeling phase in order to restore the final fabric degree.

This complex process of wound healing depends on various factors, such as the type and size of the wound, health and age of the individual. Optimal wound healing requires good blood circulation, sufficient nutrient supply and an intact immune system. In some cases, disturbed wound healing can occur, which can lead to complications such as infections or scarring. Therefore, adequate management and the correct care of wounds is crucial to ensure efficient wound healing.

Meaning of wound healing in the body

Wound healing plays a crucial role in the body because it serves to repair injuries and restore the integrity of the tissue. It is not just about the external closure of a wound, but above all about the complex process of body repair at the cellular level.

The body is able to close wounds by activating a variety of mechanisms. First of all, there is blood clotting to stop bleeding and to enable scab formation. Then fibroblasts are activated to produce new tissue and close the wound from the inside. The growth of blood vessels, the so -called angiogenesis, is also crucial for the supply of wounds with nutrients.

The immune system plays an important role in wound healing. It combats possible infections by removing pathogens and dead cells. It also stimulates the production of inflammatory molecules to support the healing process.

Wound healing runs in different phases: inflammation, proliferation (tissue structure) and remodeling (restructuring). Each phase is of great importance for the healing process and the regeneration of the tissue.

Adequate wound care, for example by cleaning and covering the wound, is crucial for optimal wound healing. Considering risk factors such as diabetes or malnutrition is also important to avoid complications.

Overall, wound healing is a complex process in which various factors interact in order to restore the functionality of the body. Understanding the meaning and expiry of wound healing enables suitable measures to take a quick and effective healing.

Types of wounds

Introduction:

Wound healing is a complex biological process that enables the body to repair and restore injured tissue. Depending on the type and extent of the wound, the healing can take different lengths and require different treatment approaches. There are different types of wounds, from superficial cuts to deeper injuries such as bite wounds or surgical interventions. Each kind of wound represents a challenge for the body and requires adapted treatment to ensure optimal healing. In the following sections, some of the most common types of wounds are explained in more detail and the corresponding treatment approaches are discussed.

Acute wounds

Acute wounds are injuries to the skin caused by external influences such as cuts, grazes or burns. They represent a disturbance of the normal structure and function of the epidermis. The formation of a wound means that skin cells and connective tissue are damaged, which triggers a reaction of the body to heal the wound.

In the case of acute wounds, some characteristics must be observed. First, the wound is usually fresh and not yet older than six weeks. Second, there is an interruption of the integrity of the skin, which represents an entrance point for pathogens. Third, there can be blood exit. Fourth, the protective mechanism of the skin is affected against the environment, which means that infections can be favored. Finally, the goal of treating an acute wound is to heal the wound and restore the protective function of the skin.

Summary: Acute wounds are injuries to the skin that represent a disturbance of the normal structure and function of the epidermis. They are fresh injuries, show an interruption of skin integrity and can lead to blood exit. The treatment aims to heal the wound and restore the protective function of the skin.

Keywords: acute wounds, violation of the skin, disturbance of the normal structure and function of the epidermis, healing of wounds, protective function of the skin.

Chronic wounds

The treatment of chronic wounds requires comprehensive wound management to promote healing and avoid complications. Wound management measures include careful wound cleaning, the removal of dead tissue, the use of suitable wound associations and the control of infections.

Chronic wounds often arise from various causes such as vein insufficiency, diabetes, pressure ulcers or circulatory disorders. In order to obtain further information on chronic wounds, it is advisable to visit the health pages of the respective federal state. There you can find detailed information on symptoms, causes and treatment options of chronic wounds.

Overall, professional wound care and consistent wound management are crucial to promote the healing of chronic wounds and to improve the quality of life of those affected.

Superficial wounds

Superficial wounds are injuries to the skin that plays an important role in our body functions. Healing such wounds is of central importance to restore the protective function of the skin.

In this section, the author should explain how superficial wounds should be treated. It is important to ensure that the wound edges remain as tension -free as possible. This means that the wound must not be pulled too much apart, as this can affect healing. To ensure this, suitable wound closures, such as pavement or sterile wound drafts, can be used.

Furthermore, the author should point out that direct sunlight should be avoided. The ultraviolets rays of the sun can delay wound healing and increase the risk of scarring. It is therefore advisable to cover the wound with a bandage or clothing to protect it from the sun.

Overall, it is important to pay attention to adequate treatment and care for superficial wounds. A tension -free wound edge design and the protection against direct sunlight are decisive factors to ensure quick and uncomplicated healing.

Deep wounds

Deep wounds can be a challenge in treatment. The healing process of these wounds requires special attention and an appropriate nutrition plays an important role.

Treatment of deep wounds begins with thorough cleaning to avoid possible infections. After that, a sterile wound association material can be used to protect the wound and get moisture. This promotes the formation of granulation tissue and accelerates the healing process. Pain relievers can also be prescribed to relieve pain and support the patient during healing.

A reasonable nutrition plays a crucial role in wound healing. Proteins are essential for the formation of collagen and tissue repair. Iron, vitamin C and zinc are also important because they strengthen the immune system and promote wound healing. A balanced diet with fresh fruit, vegetables, lean meat and whole grains provides the necessary nutrients to support the healing process.

The healing process of deep wounds depends on various factors, such as the size and depth of the wound, the general state of health of the patient and compliance with medical instructions. Compliance with the treatment steps and an appropriate nutrition promotes wound healing and reduces the risk of complications such as infections or scarring.

Wound healing is of great importance because it enables the tissue to restore and avoid complications. A reasonable nutrition and the correct treatment of deep wounds play an important role in a successful healing process.

Factors that influence wound healing

Wound healing is a complex process that supports the body to repair and regenerate injured tissue. Various factors can influence wound healing and influence the course and the end result. A large part of the factors lies in the control of the individual, while others are dependent on external factors. It is important to understand these factors to improve wounds and prevent possible complications. This article examines the factors that influence wound healing and how to optimize it.

Factors that can influence wound healing:

- Nutrition: A balanced diet with sufficient proteins, vitamins and minerals is important for the formation of new cells and the production of collagen, a decisive part of the wound healing process.

- Smoking: Smoking can reduce blood circulation and hinder the oxygen and nutrient transport to the wound area, which can delay healing.

- Infection: An infection can slow down the healing or even lead to failure. It is important to keep wounds clean and avoid possible sources of infection.

- Age: With increasing age, the natural ability of the body decreases wound healing. Older people may need longer healing times and additional treatments.

There are many other factors that can influence wound healing. By considering these factors, the healing of wounds can be improved and possible complications can be minimized.

Diabetes mellitus

Diabetes mellitus is a chronic metabolic disease in which the body is unable to adequately control the blood sugar level. This happens due to a lack of insulin, the hormone that usually transports the sugar in the blood into the body cells.

The main cause of diabetes mellitus is a disturbance in insulin production or effect. Type 1 diabetes occurs when the pancreas does not produce enough insulin because the immune system attacks the insulin-producing cells. Type-2 diabetes, on the other hand, develop if the body cannot use insulin effectively or does not produce sufficiently.

The symptoms of diabetes mellitus include increased thirst and frequent urination, constant tiredness, weight loss, blurred visibility and slow wound healing. If the blood sugar level is not checked, serious complications such as cardiovascular diseases, kidney problems and damage to nerves or blood vessels can occur.

The treatment of diabetes mellitus usually includes a combination of healthy eating, regular physical activity, weight control and medication or insulin to regulate blood sugar levels. In the case of type 1 diabetes, insulin therapy is essential, while with type 2 diabetes a lifestyle change is often recommended.

In addition to type 1 and type 2 diabetes, there are other types such as pregnancy diabetes and rare forms such as mody (Maturity-ONESET DIABETES OF THE YOUNG) or Lada (latent autoimmune diabetes in adults). Every type of diabetes has its own specific features and requires individual treatment. The correct control of blood sugar levels is crucial to avoid complications and to ensure good wound healing.

infection

Infections are a common risk of wound healing and can delay the healing process considerably or even lead to complications. In order to reduce the risk of infection, there are various measures that can be taken.

An important method for infection prevention is the thorough cleaning of the wound. The thorough removal of dirt, foreign bodies and germs significantly reduces the risk of infection. In addition, antibacterial plasters or wound pads that contain silver ions can also be used. Silver ions have an antibacterial effect and can further reduce the risk of infection.

It is also important to keep the wound dry. Moisture offers an ideal breeding ground for bacteria, which increases the risk of infection. The use of water -repellent associations or special wound drafts can create a dry environment that supports wound healing and at the same time minimizes the risk of infection.

Keywords: infection prevention, wound infection, antibacterial pavement, silver ions, infection risk.

Bad wound healing

Poor wound healing can be favored by various causes. These include infections, insufficient blood circulation, diabetes, weakened immune defense or certain medications such as corticosteroids.

The symptoms of poor wound healing are diverse. Delayed wound healing can occur, in which the wound does not close as usual or even opens again. Further indications of poor wound healing are redness, swelling, pain and increased leakage exit.

Poor wound healing has a negative impact on the healing process. Complications such as infections or scarring can occur. Sometimes a chronic wound stove can develop from a poorly healing wound that exists over a long period of time and is difficult to treat.

The most common wound healing disorders are the formation of Wundschorf, in which a crust forms on the wound that can hinder healing, as well as the formation of celoids and hypertrophic scars that arise due to a disturbed collagen synthesis. Furthermore, wound infections, wound dehiscences (reopening of the wound) and ulcers (ulcers) can occur.

Good wound healing is important to avoid complications and to ensure a quick and complete regeneration of the tissue.

Destroyed tissue

Destroyed tissue arises when physical injuries or diseases lead to damage to the cells and tissues. This damage can have different causes, such as accidents, burns, infections or chronic diseases.

The effects of destroyed tissue can vary depending on the severity of the damage. In general, the main effect is that the normal function of the affected tissue is impaired. This can lead to pain, restricted movement and other functional disorders. In addition, destroyed tissue can make healing and regeneration difficult because the body needs an increased amount of energy and nutrients to repair the damaged cells.

It is important to treat destroyed tissue as soon as possible to avoid further complications. Wound healing is a complex process in which damaged tissue is removed and replaced by new tissue. This process consists of different phases such as inflammation, proliferation and remodeling.

In summary, destroyed tissue is a consequence of injuries or diseases that causes an impairment of the normal tissue function. The effects can be painful and hinder healing. Early treatment and support for wound healing are therefore important to prevent long -term damage.

Wound healing phases

Wound healing is a remarkable process in which the body repairs damaged tissue and restores the skin. In the event of a violation of cuts, burns or other trauma, wound healing begins immediately to protect the body from infections and restore functionality. This process consists of different phases that build on each other and run coordinated. The first phase of wound healing is the inflammatory phase. When tissue is injured, bleeding occurs and a blood clot forms to close the wound. At the same time, immune cells hike into the wound to combat infections and clean the injured tissue. In the next phase, the proliferation phase, the tissue begins to heal and new tissue is formed. Blood vessels grow into the wound and cells multiply to repair the injured tissue. In the final phase, the remodeling phase, the newly formed tissue is redesigned and improved. The collagen, which was formed during the proliferation phase, is reorganized and the wound is becoming increasingly firmer and more resistant. Wound healing is a complex process that leads to a complete repair and regeneration of the injured tissue, and can take different lengths of time depending on the severity of the injury and individual factors.

Bloodstilling

Blood till is an important step in wound healing. There are various ways to stop bleeding.

A common method is to put on a pressure on the wound. Either is pressed directly to the bleeding area or a compress is placed in order to increase the pressure and stop the bleeding. Association material such as sterile compresses or gauze bandages are helpful to cover the wound and exert the necessary pressure.

There are also some home remedies that can be used for bloodstilling. A proven home remedy is to apply lemon juice to the bleeding area. This contains acid that helps to promote blood clotting and stop bleeding. It can also be helpful to put on chilled chamomile bags on the wound, since chamomile has anti -inflammatory properties.

In the event of heavy bleeding that does not stop on their own, it is important to immediately use medical help. In such cases, one should not try to stop the bleeding itself, but to contact the emergency services or a doctor.

Overall, there are various methods for stopping bleeding, including creating pressure, using association material and also home remedies such as lemon juice or chamomile tea. With heavy bleeding, however, professional help should always be sought immediately.

What are the causes of wounds? What are the causes of wounds?

Wound healing is a complex process in which the body repairs damaged tissue and restores the integrity of the skin. There are various causes of wounds that can range from external injuries to internal diseases. Common causes of external wounds are cuts, stab wounds, burns, bruises and abrasions. These injuries can be caused by accidents, sharp objects, hot surfaces or falls. Internal diseases such as diabetes, circulatory disorders, circulatory problems and certain skin diseases can also lead to wounds. In addition, wound healing is also influenced by other factors such as smoking, poor nutrition, immune disorders and certain medication. A better understanding of the causes of wounds is important to find suitable treatment approaches and promote healing.

Causes of chronic wounds

Chronic wounds are long -lasting injuries that can arise due to various causes. One of the main causes of chronic wounds is a disturbed wound healing. This can be caused by underlying diseases such as diabetes mellitus, peripheral arterial closure disease or venous insufficiency. But other factors such as smoking, disturbed immune defense or a lack of blood circulation can also favor chronic wounds.

Holistic wound management is decisive in order to successfully treat chronic wounds. In addition to the actual wound treatment, this also includes the treatment of the underlying disease. Various measures play an important role, such as wound cleaning, removing dead tissue (debridation) and the use of modern wound associations.

In addition, targeted therapy of the underlying disease can help promote wound healing. For example, drug therapies or physical measures such as compression therapy are used here.

Overall, the treatment of chronic wounds is a complex task in which both wound healing and the treatment of the underlying disease must be taken into account. Individual wound management that is tailored to the patient's needs can help to successfully treat chronic wounds.

Wound management measures Measure of wound management

Wound healing is a complex process that supports the body to repair and regenerate injured tissue. There are various wound management measures that can help to promote and optimize this process. These measures include the right wound care, the use of suitable associations, the treatment of infections and the promotion of a healthy wound environment.

Correct wound care is crucial for wound healing. This includes the thorough cleaning of the wound to remove dirt, germs and dead tissue. The wound can then be covered as required to protect it from further contamination and create an optimal wound milieu.

The choice of the appropriate association is also important to enable optimal healing. There are different types of associations, such as wound topics that store moisture and thus support moist wound healing.

Furthermore, the treatment of infections is of great importance because they can make the healing process difficult. In such cases, antibiotics or other antimicrobial means can be used to combat the infection and clean the wound.

In addition to these measures, it is important to maintain a healthy wound environment. This includes, for example, a balanced diet, sufficient fluid intake and good blood circulation to support the healing process.

Wound cleaning

Wound cleaning is an important step in the treatment of wounds to support wound healing and avoid complications. There are various methods of wound cleaning that can be used depending on the type and severity of the wound.

One method is the surgical debridement, in which dead tissue and contamination are removed with the help of a scalpel or scissors. This method is usually used in heavily dirty or infected wounds.

In the mechanical debridement, the fabric is removed with the help of water rays, a water vacuum system or special wound rinses. This method is well suited for cleaning superficial wounds.

The autolytic debridement uses the natural healing mechanisms of the body. A moist wound association material is used, which holds the liquid in the wound bed and thus promotes the breakdown of dead tissue through the body's own enzymes. This method is particularly gentle and is suitable for clean, slightly dirty wounds.

At the bio -surgical debridement, special fly larvae are placed on the wound that feed on dead tissue. The larvae also excrete digestive enzymes that further reduce the tissue. This method is used primarily in poorly healing and infected wounds.

The enzymatic debridement takes place by using special enzyme preparations that dissolve the dead tissue. This procedure is suitable for clean and infected wounds.

Overall, the various methods of wound cleaning offer a selection of ways to effectively support wound healing and reduce the risk of complications.

Wound associations and wound drafts

Wound associations and wound topics play a crucial role in wound healing. They serve to protect the wound from external influences and enable an optimal healing process.

There are different types of wound associations and wounds, each with different functions and uses. Mull bandages are often used to cover wounds and create an association. They have a high absorbency and absorb wound fluid while keeping the wound warm and moist at the same time.

Foil associations are mostly used in superficial wounds. They protect the wound from external influences such as dirt and germs while still leaving air on the wound. This creates an ideal wound climate and the risk of infection is minimized.

Gaze is another common wound cover. It consists of a loose tissue that can absorb wound fluid. Gauze is often used in combination with other bandages to support the wound to upholstery and the healing process.

Hydrocolloid and foam associations are particularly suitable for strongly exuding wounds because they absorb moisture and promote optimal wound healing. They also offer protection against germs and prevent wound infections.

Some wound topics contain additional active ingredients such as silver or activated carbon. Silver has an antimicrobial effect and can reduce the germ load in the wound, while activated carbon binds smell and excess moisture.

Overall, the right wound associations and wound topics contribute significantly to the successful wound healing by enabling the absorption of wound fluid, keeping the wound warm and moist and reducing the risk of germs and wound infections.

Applicant active ingredients to the wound

In the case of wound healing, various active ingredients can be applied to the wound to prevent infections and support healing. Antiseptic and antimicrobial active ingredients are known to reduce germ growth. However, they do not actively promote wound healing. Your main purpose is to prevent infections.

An example of such an active ingredient is iodine. It is often used in the form of iodine tincture or iodine ointment. In addition to its antiseptic effect, iodine keeps the wound moist, which can favor wound healing.

However, there are also active ingredients such as silver or honey, the effects of which are still scientifically controversial. Silver has antimicrobial properties and is therefore often used in the form of silver associations. There are indications that silver can have a positive impact on wound healing, but further studies are required to confirm this.

Honey has long been used to treat wounds. It has antimicrobial properties and can promote healing. However, further studies are necessary to understand the exact mechanisms and effects.

Overall, there are different active ingredients that can be applied to the wound to prevent infections and promote wound healing. Antiseptic and antimicrobial active ingredients reduce germ growth, while active ingredients such as iodine keep the wound moist and thus support healing. The effects of silver and honey on wound healing have not yet been finally clarified.

Antibiotics

Depending on the individual case and type of injury, antibiotics are used in the treatment of wounds. Antibiotics are mainly used in inflamed wounds to combat any bacterial infections. However, they should also be administered in a preventive extent in heavily dirty wounds, bite wounds or deep stab wounds.

The goal of using antibiotics is to inhibit or stop the growth of bacteria and thus promote wound healing. The targeted use of antibiotics can reduce the risk of infection and the recovery of the affected tissue can be accelerated.

It is important to note that antibiotics are not necessary for all wounds. In the case of superficial, non -infected wounds, it can be sufficient to clean the wound thoroughly and use wound paving or ointments to promote healing.

In order to maximize the effectiveness of the antibiotics and prevent possible resistance developments, they should only be used in the above cases. Overdosing or unnecessary use of antibiotics can lead to undesirable side effects and promote the development of resistant bacteria.

All in all, antibiotics represent a targeted treatment method to treat inflamed or polluted wounds and to support wound healing. Adequate use of these drugs enables faster recovery and minimizes the risk of complications.

How is chronic wounds treated? How is chronic wounds treated?

Introduction:

Wound healing is a fascinating and complex process in which the body repairs and restores injured tissue. Wounds can be both acute and chronic, the latter being wounds that do not heal within a normal period of a few weeks to a few months. Chronic wounds can represent a significant burden for those affected and therefore require special treatment.

How is chronic wounds treated?

The treatment of chronic wounds usually requires a multidisciplinary approach in which various medical specialists work together. The first step in the treatment of this type of wounds is to identify and treat the underlying cause. For example, this can be an infection, a circulatory problem or a chronic illness such as diabetes.

In addition, regular wound cleaning and disinfection are carried out to keep the wound bed clean and reduce the risk of infection. Depending on the individual situation, wound debricing therapy can also be carried out in which dead tissue is removed to promote healing. The permanent supply of special wound bonds and associations is also important in order to create an optimal environment for wound healing.

In addition to these measures, the support of wound healing can also be improved by using modern therapeutic methods such as the use of growth factors, skin replacement materials or special pressure or moisture therapies. Regular monitoring and aftercare of the wounds by experienced doctors is also crucial to assess the progress of healing and, if necessary, adapt the treatment.

Conclusion:

The treatment of chronic wounds requires a comprehensive approach to treat the underlying causes and optimize the wound healing potential. Multidisciplinary cooperation and the use of the latest therapeutic methods can support the body's capacity to heal and to reduce the symptoms for those affected.

Vacuum/vacuum therapy

The vacuum or vacuum therapy is an innovative method to improve wound healing. With the help of a special vacuum association, a continuous negative pressure is exercised on the wound. This effectively sucked off the wound fluid that can damage the tissue. This liquid also contains harmful microorganisms that are removed. At the same time, the blood circulation of the wound edges is improved, which leads to an increased oxygen and nutrient supply that is important for healing.

Vacuum therapy can have various positive effects on wound healing. The continuous negative pressure promotes granulation, i.e. the formation of new tissue, and the contraction of the wound. This leads to faster wound closure and overall improved wound healing. The formation of excess scars is also reduced by vacuum therapy, which improves the aesthetic appearance of the wound.

Sub -pressure therapy for chronic wounds that do not respond to conventional treatment methods is particularly effective. These can arise, for example, from diabetes, circulatory disorders or pressure ulcers. Vacuum therapy can lead to a significant acceleration of the healing processes and significantly improve the quality of life of the patients concerned.

Hyperable oxygen therapy

The hyperable oxygen therapy is a medical treatment method in which the patient breathe in 100% pure oxygen in a special pressure chamber. The increased pressure supports the solubility of the oxygen in the blood, which leads to an increased oxygen supply to the body tissue. This effect is particularly advantageous for wound healing.

The increased oxygen concentration promotes the formation of new blood vessels (angiogenesis) and improves the metabolism in the wound area. This accelerates the regeneration of the tissue and promotes the new formation of healthy tissue. In addition, hyperly oxygen therapy supports the immune system by stimulating the bacterial killing and the formation of new defense cells.

Scientifically confirmed areas of use of hyperly oxygen therapy include the treatment of pressure ulcers (pressure ulcers), bone infections, burns, radiation injuries and problematic wounds. However, the effect in patients with diabetic foot syndrome is unclear. Although some studies show positive results, there is still no clear evidence of the effectiveness of hyperly oxygen therapy in this special indication.

Overall, hyperable oxygen therapy offers a promising treatment option to support wound healing. Due to its stimulating effect on blood circulation and metabolism, it can help accelerate the healing processes and reduce the risk of complications.

Keywords: hyperable oxygen therapy, wound healing, radiation therapy, diabetic foot syndrome.

Skin transplantation

The skin transplantation is a surgical process that is used in wound healing if the natural wound closure is not sufficient. It is usually used for burns, chronic ulcers or operations with great loss of skin.

In the case of a skin transplant, healthy skin is transferred from a donor area to an injured or sick point. This can be autologous - i.e. your own - skin or allogeneic skin from a foreign donor.

The decision as to the type of skin graft depends on various factors. Autologist skin grafts are preferred because they come from your own body and thus cause fewer rejection reactions. They also have a higher success rate in healing and better cosmetic results. However, there are cases in which external transplants are necessary, for example in the case of large -scale burns, in which there are not enough of your own skin.

A skin transplant is usually carried out under local anesthesia. The affected area is cleaned and the graft is carefully set up. Then skin seams or special adhesive tabages are used to fix the graft and ensure good blood circulation.

Finally, the skin transplantation is an effective process for wound healing for burns, chronic ulcers and operations with great loss of skin. The choice between autologists and external transplants depends on individual factors, whereby autologous transplants are often the preferred choice.

How does wound healing work?

Wound healing is a complex biological process that enables the body to repair and restore injured tissue. It is an essential and natural process that is necessary to protect the body from infections and to restore the function and structure of the tissue. Wound healing typically begins immediately after an injury and goes through different phases that are closely connected.

1. Inflammation phase: This phase occurs immediately after an injury and is characterized by an inflammatory reaction. Blood vessels expand to transport blood and nutrients into the injured area. Inflammatory cells, such as macrophages and neutrophils, infiltrate the tissue and eliminate harmful bacteria or foreign body.

2. Proliferation phase: In this phase, cells multiply to form new tissue. Fibroblasts produce collagen that plays a structural role in wound healing. Capillars are new to supply the injured area with oxygen and nutrients. Epitheline cells multiply and cover the wound from top to bottom.

3. Maturation phase: In this last phase, the newly formed tissue is converted and strengthened. Collagen fibers reorganize themselves to ensure the strength of the wound. Excess cells die and are repelled by networking. The healing can take several weeks or months, depending on the size and depth of the wound.

Wound healing is a fascinating process that successfully runs with various cell types and molecules. Optimal healing can be supported by adequate wound care, good blood circulation and healthy eating.

Primary wound healing

Primary wound healing is a natural process that starts after an injury. The wound edges are connected directly and optimally closed immediately. This usually happens for small cuts that can be sewn carefully and exactly. The advantages of primary wound healing lie in the faster and more effective regeneration of the skin. Due to the direct connection of the wound edges, the connective tissue is less scarred and the healing is quick.

A moist milieu in a fresh wound favors wound healing. It ensures that the injured area is kept moist, which promotes the formation of protective tissue and prevents the wound from drying out. Moisture also favors the mobility of the blood vessels and thus improved blood circulation, which is essential for healing. By maintaining a damp milieus, the wound is protected from infections and the formation of new tissue is promoted.

Cleaning a fresh wound is of great importance and should be thoroughly. It is important to clean the wound with clear water or a mild antiseptic solution to remove dirt, germs and other contaminants. Then the wound should be carefully covered with a sterile bandage or a patch to protect it from further contamination. A disinfection of the fresh wound is usually not necessary, as this can also delay natural healing. In the event of larger or deep wounds, however, a doctor should be consulted to carry out adequate cleaning and disinfection. In any case, it is important to check the wound regularly and to obtain medical advice when signed.

Secondary wound healing

Secondary wound healing is a natural process that takes place if a wound cannot be closed or the wound edges cannot be brought directly together. This type of healing is necessary if the wound is large, deep or contaminated.

Features of wounds in which secondary wound healing takes place are the formation of granulation tissue and the healing of the wound from the inside out. Granulation tissue is a new fabric consisting of small blood vessels, connective tissue and fibroblasts. It fills up the wound and forms the basis for the formation of a scar.

Secondary wound healing often occurs in chronic wounds. Examples of such wounds are diabetic foot ulcers, pressure ulcers (pressureitus) and venous ulcers. Chronic wounds have difficulties in healing due to various factors such as circulatory disorders, infections and a disturbed wound milieu.

Overall, secondary wound healing is an important process to ensure healing wounds if direct wound closure is not possible. In chronic wounds, especially with diabetes -related ulcers and pressure ulcers, careful wound treatment and surveillance is required to enable effective secondary wound healing.

How can wound healing be accelerated?

Wound healing can be accelerated by taking certain measures. First of all, it is important to identify and remedy the cause of the wound. This could be done, for example, by examining and treating infections or removing foreign bodies. This supports the body in wound healing and possible complications are avoided.

Modern wound care also plays a crucial role. Moist wound drafts are used that maintain the wound milieu and support optimal healing. These requirements protect the wound from drying out, prevent infections and promote cell regeneration.

A real diet is also of great importance. The body needs sufficient proteins to form new tissue and close the wound. Micronutrients such as vitamins and minerals support metabolism and promote regeneration. It is important to pay attention to a balanced diet and, if necessary, take dietary supplements.

Overall, wound healing can be accelerated by the identification and treatment of the cause of the wound, a modern wound supply with damp pads and a correct diet with sufficient proteins and micronutrients. It is important to consider these measures in order to enable quick and effective wound healing.

What are the phases of wound healing?

Wound healing is a complex process in which the body repairs damaged tissue and closes the wound. The wound goes through different phases, each with specific tasks. The phases of wound healing ensure effective and controlled regeneration of the tissue.

In the first phase, the so -called inflammatory phase, the wound is cleaned and inflammation is combated. Blood coagulation and the release of messenger substances activate the immune cells that free the wound of foreign substances and dead tissue. In addition, the formation of new tissue is stimulated in this phase.

After the inflammatory phase, the second phase follows the proliferation phase. This is where the formation of a new tissue cover begins that closes the wound. Fibroblasts produce collagen that surrounds the wound and offers the necessary stability. At the same time, new blood vessels ensure improved blood flow to the wound area.

Finally, the third phase, the remodellation phase, occurs. In this phase, the newly formed fabric is converted and strengthened. Unnecessary collagen is broken down and the scarring begins. This process can take several months, depending on the size and location of the wound.

Exudation or cleaning phase

The exudation or cleaning phase is an important step in wound healing. In this phase there is an exudation in which wound fluid is formed and the wound is cleaned.

During this phase, the body actively cleans the wound to prevent possible infections. Different immune cells play an important role here. The most important cells are the macrophages that act as feed cells and phagocytiors potential pathogens, dead cells and foreign bodies.

The various cells of the immune system that are active in this phase include neutrophil granulocytes, mast cells and fibroblasts. The neutrophil granulocytes are responsible for phagocytosis, while the mast cells support blood clotting and the activation of the immune system. The fibroblasts in turn form collagen that is important for wound healing.

The macrophages have diverse tasks in the wound. They remove dead cells, fight bacteria and stimulate the formation of new blood vessels. Under certain conditions, this cleaning phase can be extended, for example if the wound is contaminated or there is a disturbed healing process.

In the exudation or cleaning phase, wounds are effectively cleaned in order to create an optimal prerequisite for the following stages of wound healing. Macrophages play a central role in this process by freeing the wound of dirt and pathogens.

Granulation or proliferation phase

The granulation or proliferation phase is an important step in wound healing. This phase usually lasts a few weeks and begins about 24 to 48 hours after the injury. During this time, blood vessels grow into the wound and connective tissue cells such as fibroblasts are settling.

The growing in of blood vessels into the wound is crucial for the supply of nutrients and oxygen that is required for healing. At the same time, the connective tissue cells ensure the formation of the granulation tissue. This fabric consists of a jelly -like substance and forms the basis for further wound healing.

In the granulation or proliferation phase, the fibroblasts also produce collagen precursors. Collagen is an important part of the tissue and ensures its strength and elasticity. The wound is consolidated and stabilized by the production of collagen preliminary stages.

The shrinkage process of the wound also begins during this phase. This is caused by pulling the wound edges and contraction of the surrounding muscles. This makes the wound smaller and the healing accelerates.

The granulation or proliferation phase is therefore an essential part of the wound healing in which the growing in blood vessels and connective tissue cells, the formation of the granulation tissue, the production of collagen precursors and the shrinking process of the wound take place.

Regeneration phase

The regeneration phase is an important part of the wound healing process in which the scar tissue is formed and the epithelial cells cover the wound surface. During this phase, various cells work together to repair and regenerate the injured skin.

At the beginning of the regeneration phase, granulation tissue and blood vessels form in the wound. This fabric consists of collagen that stabilizes the wound and supports healing. The epithelial cells then begin to cover the wound surface and form a protective layer. These cells slowly grow over the wound to close them.

The regeneration phase can take several weeks to months. During this time, the scar tissue matures, making the wound stronger and firmer. The wound heals from the inside out, which means that the surface does not heal as quickly as the tissue below. It is important to give the wound enough time to heal properly and regenerate.

The maximum resilience of the scar is reached about three months after wound healing. During this time, the stability of the scar improves, so that it can gradually withstand normal loads. However, it is important to protect the scar from excessive stress during the healing phase.

Overall, the regeneration phase is an essential part of the wound healing in which the scar tissue is formed and the epithelial cells cover the wound surface. It is important to be patient and give the wound enough time to heal and regenerate properly.

Medical advice

Dr. Daniel Pehböck will be happy to advise you!