How to care for fresh wounds, chronic wounds, and prevent scarring.

How to care for fresh wounds, chronic wounds, and prevent scarring.

Correct wound care must take into account the type, characteristics, size, and depth of the wound in order for the wound to heal quickly and reduce the chances of complications such as infection and scarring. Fresh wounds should focus on cleanliness and prevent infection, while slow-healing wounds or chronic wounds should focus on preventing scarring. The first thing that should not be overlooked is cleaning the wound properly.

Correct steps for wound cleaning

Proper wound cleaning plays a major role in helping the wound heal well, heal quickly, and not easily become infected. The steps are as follows:

• Wash your hands thoroughly with soap and water or use an alcohol gel with a concentration of at least 60%.
• Prepare equipment such as gauze, saline solution for cleaning the wound (9% Normal Saline), cleaning kit, and sanitary gloves.
• Wear sanitary gloves to prevent direct contact with the wound to reduce the risk of infection.
• Clean around the wound using a gauze soaked in saline solution and use 70% alcohol to wipe around the wound. Do not wipe directly on the wound as this may damage the tissue.
• Use saline solution by pouring or using a soaked gauze to wipe or gently wash, starting from the inside of the wound and working หากคุณสนใจเล่นพนันออนไลน์ที่ดีที่สุด สามารถสมัครสมาชิก UFABET ได้ที่นี่ พร้อมรับโปรโมชั่นพิเศษสำหรับสมาชิกใหม่ outward to prevent germs from the skin from coming into contact with the wound.
• Use gauze or a clean, lint-free cloth to gently wipe the wound dry.
• If you need to use a wound ointment, such as an antiseptic or a scar-reducing medication, follow your doctor’s instructions.
• Use gauze or a bandage to cover the wound tightly. Do not use cotton to cover the wound because it may be difficult to remove, the wound may be affected, and the wound may be painful when removed.
• After cleaning the wound, the used equipment should be discarded in a tightly closed trash can and the hands should be washed again thoroughly.

Selection of disinfectants

The selection of antibiotics should be based on the characteristics and type of wound to ensure the most effective treatment, as follows:

• For fresh wounds and abrasions, use red medicine (mercurochrome) or povidone-iodine (povidone-iodine), but be careful when using it on wounds with soft skin as it can irritate the skin.
• Chronic or ulcerated wounds can use acriflavine, but it may be less effective at killing germs and has a slower action.
• Abscess or dead tissue: Use 3% hydrogen peroxide to clean the wound and help remove dead tissue. It should only be used during the initial stages of wound care to dissolve dead tissue, but should not be used continuously as it can damage new tissue that is being formed.
• Wounds at risk of infection: Use 70% alcohol to wipe around the wound to prevent infection. Currently, there are effective and non-destructive antiseptics such as Octenidine, Polihexanide, Povidone-Iodine, Sodium Hypochlorite, and Nanosilver.

How to choose the right equipment and dressings for each type of wound

To help the wound heal quickly and reduce the risk of infection, the following equipment and wound dressings should be selected:

1. Exudating wounds : Use dressings that can absorb fluid well, such as:

• Alginate Dressing, which absorbs lymph well, helps maintain moisture.
• Hydrofiber Dressing absorbs a lot of lymph and prevents rotting at the wound edges.
• Foam Dressing helps absorb fluid and reduce irritation.

2. Infected or high risk of infection wounds use wound dressings containing antimicrobial agents, such as:

• Silver Dressings that have antibacterial properties, such as Silver Foam Dressing or Aquacel Ag.
• Hydrocolloid Dressing helps retain moisture in the wound and prevents bacterial growth, reducing the chance of infection.

3. Wounds with damaged tissue or requiring debridement (Necrotic or needing debridement) should be used.

• Hydrogel Dressing helps stimulate the breakdown of dead tissue.
• Hydrocolloid Dressing helps retain moisture and promote wound healing.

4. Wounds that require protection from irritation, such as surgical wounds or wounds that have recently healed from surgery, wounds from rubbing or pressure, should use a non-stick dressing, such as Silicone Foam Dressing, to reduce irritation and make changing the dressing easier.
5. Wounds with weak or near-healing skin should choose non-irritating dressings, such as silicone foam dressings that do not stick to the wound, and non-adherent dressings such as Mepitel or Urgotul, which are suitable for wounds nearing healing and do not cause the wound to stick or fray during dressing changes.