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Chronic Wounds

A chronic wound is that which has experienced a disruption of the healing process and does not show recovery improvement within a reasonable time. Faster wound recovery may be negatively affected by the following elements:

  • Unsuitable treatment
  • Rise in bacterial burden
  • Pressure injuries on lower limbs (hips, knees, thighs, ankle joints, feet, and toes)
  • Immoderate amount of proteases
  • Anomalous and aged cells

Chronicity in wounds may have various symptoms and signs which may include the edges being higher than the wound base and inflammation around the wound setting.

There are different types of chronic wounds but the following are considered to be the primary ones:

  • Bedsores and decubitus ulcers
  • Vascular ulcers
  • Ulcers originating from diabetes

Bed-bound patients and those with mobility problems are more likely to develop bedsores and decubitus ulcers. Blood circulation is greatly impacted since there is a continuous friction, shear, and pressure. The pressure on the skin tissue exceeds that of the blood vessels. The following parts of the body are in greater jeopardy of developing bedsores or decubitus ulcers: The sacral region, scapulae (shoulder blades) and the heels.

Vascular ulcers are very common among the elderly population. These are caused due to the improper functioning of venous valves, hence causing problems with blood flow.

Even a harmless scrape or contusion can cause serious problems to a person who suffers from diabetes. It is often difficult for an individual suffering from this condition to become aware of skin problems since diabetes causes nerve impairment and lack of sensitivity.

But these apparently harmless injuries caused by poor blood flow and jeopardized immune systems, may become harmfully infected and carry negative consequences.

It is of utmost importance to isolate the main grounds for developing ulcers to seek the best medical assistance and obtain the appropriate treatment.

According to specialists, the following are some contributors to a delayed wound recovery:

  • Death of cells in living tissue
  • Status of the covering of the wound with epithelial tissue
  • Degree of wetness or humidity of the wound (dry or softened)

Depending on the type of wound and its severity level, treatments may be diverse. It is imperative for patients to determine the subjacent condition before opting for a specific treatment. Vascular ulcers can be treated with the restoration of blood circulation (revascularization) and/or compression therapy. When it comes to persons with diabetes, nutrition plays an important role in their lives. They should improve the way they eat and opt for healthier alternatives as directed by their doctors. Offloading of the affected part will need to be applied to bedsores and diabetic ulcers.

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