The wound is difficult to heal: surgical dressing change is the fundamental reason, and physical weakness needs attention.
There are many factors affecting wound healing, such as inadequate postoperative care, careless diet, old age, infection and so on. , but long-term nonunion may be the following three situations:
1. Improper operation
Surgical incision of the external mouth caused infection, but the internal mouth of the source of the disease was not removed or the removal was not clean, resulting in the root of the disease still existing and the wound was difficult to heal; Wound suture is too tight or suture tension is too high, which leads to prolonged course of disease and poor healing; There is a foreign body in the wound, which is wrapped by granulation tissue, affecting the normal healing of the wound.
2. dressing change is wrong.
After hemorrhoid surgery, dressing change should first clean the wound surface to prevent pollution, then use gauze to drain smoothly, and pay attention to timely treatment of excessive granulation tissue. If these three key steps are not done well, or the number of dressing changes is small, the wound healing time will be prolonged, which will lead to more serious problems.
The operation failed.
Become weak
Hemorrhoids surgery's injury to anal sphincter is serious, and the patient's weak constitution will affect the wound healing. In addition to anemia,
The healing time of patients with chronic diseases such as diabetes is also slower than that of other people. Therefore, strengthening physical fitness after surgery has become an adjuvant therapy.
The wound caused by improper operation and improper dressing change is difficult to heal. Bian Xiao said that there was nothing he could do, but he could suggest several small ways to strengthen his physique to speed up wound healing.
Promoting wound healing: Chinese medicine has more advantages than western medicine.
Promoting wound healing, reducing scar formation and improving healing quality are common problems faced by anorectal doctors at present.
▲ Western medicine, most studies on promoting granulation tissue growth, analgesia and exudation can effectively relieve the pain of wound healing and reduce the probability of infection, but the healing speed is not ideal.
▲ Chinese medicine generally uses convergence, cooling blood to stop bleeding, reducing swelling and promoting granulation on wounds.
Traditional Chinese medicine can enhance physical fitness, improve resistance and promote wound healing. Generally speaking, the overall concept of Chinese medicine is better than the local treatment of western medicine. Among them, medication after medical skill is divided into internal treatment and external treatment.
Nachi:
For those who bet on damp heat, add Cenlian Weiping Powder; For patients with qi stagnation and blood deficiency, Fuyuan Huoxue decoction is modified; For patients with deficiency of both qi and blood, Shiquan Dabu decoction is used to add and subtract.
External treatment:
Chinese medicine fumigation and washing → Atractylodes lancea 25g,
25g of phellodendron amurense, 25g of scutellaria baicalensis,
25g of Sophora flavescens, 30g of Smilax glabra, 5g of peach kernel15g, and 30g of alum are decocted in water of about1000ml, and then bathed after the water temperature is suitable.
External application of traditional Chinese medicine → Gypsum Fibrosum, Calomelas and Halloysitum rubrum 30g each, Huang Dan 6g, Os Draxonis, Olibanum 9g each, and external application with cotton cloth decoction15 ~ 20min.
Experts remind: beware of false cure!
Patients often have questions in clinic. The skin of the wound has healed. Why will there be swollen pustules in a few days? This is fake therapy. Self-judgment basis: superficial skin heals, but the surface is black and bruised, and the hands are tender, and the local area will fester for a while, forming pustules. In case of false healing, you must go to the hospital as soon as possible.