Acute wounds normally tend to heal efficiently through 4 phases: Hemostasis, Inflammation, Proliferation and Remodeling. The deficiency in any of these 4 phases added to other chronic diseases, infections, age or obesity, could perpetuate a wound which will never be able to heal or heal if the problems or pathologies that affect these 4 phases are not treated properly.
The treatment of each wound is different and depends on its location, concomitant diseases that the patient has, infection or colonization of the wound, time of evolution and other factors. At Proviquer we carry out a comprehensive analysis where we seek the best therapeutic plan for each patient according to their individual needs to improve and accelerate their healing and scarring.
Diabetes can lead to the appearance of skin lesions and ulcers in 25% of patients. This is due to the involvement of diabetic disease on vessels, nerves and epithelial tissue. On the other hand, they are patients who, due to their own underlying pathology, have a high risk of infection, causing important general or local complications. There are also some conditioning factors such as:
– Alterations in the microcirculation, that is, in the vessels of large, medium and small caliber, as well as alterations in the microcirculation that affect the capillaries.
– Infections of the feet, generally due to fungi, due to lack of hygiene, constant humidity in the feet, contagion, etc.
– Maceration of the interdigital spaces between the fourth and fifth fingers.
– Bone alterations of the feet, due to bone malformations and/or conditioned by motor neuropathy.
– Decrease in skin flexibility and the consequent increase in the risk of its deterioration.
– Decreased sensitivity and thus decreased pain perception.
For this reason, it will be essential to work on the prevention of the appearance of these lesions, educating the patient to recognize not only the risks but, more importantly, the preventive measures that he or she can put into practice in order to avoid the appearance of these lesions, which are difficult to cure and that often have a great facility to develop complications.
If your wound has not started to heal by 2 weeks.
If your wound has not fully healed by 6 weeks.
. Pus or bleeding from the wound
. The pain gets worse
. Shaking chills
. Pressure sores
. Surgical wounds
. Pressure wounds
. Radiation ulcers
. Ulcers caused by diabetes, poor circulation, diabetic foot
. Chronic bone infection (osteomyelitis)
. Hard-to-heal wounds can take months to heal. The sooner a correct treatment is carried out, the better and faster results you will obtain.
. Wound review and measurement
. Assess circulation around the wound
. Diagnosis and treatment plan
. Preventing and/or curing infections
. Preventing the loss of a limb
. Wound debridement
. Compression stockings
. Negative pressure therapy
. Growth factor
. Use of dressings