Wounds and gangrene, general principle of management of wounds, wounds classification

Wounds and gangrene, general principle of management of wounds, wounds classification in nepali

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steps of wound healing
steps of wound healing

Introduction

A wound is an injury to the body's tissue, often involving a break in the skin or damage to underlying structures.

A wound is an injury to the body's tissue, often involving a break in the skin or damage to underlying structures. 

Wounds can result from various causes, including cuts, burns, or accidents. 

Proper care and hygiene are essential for promoting healing and preventing infection, which can complicate recovery. 
types of wounds
types of wounds

Depending on the severity, wounds may require medical treatment, such as stitches or antibiotics, to aid the healing process.

Types of wound

Various types of wound can be listed as below
  1. Abrasion
  2. Laceration
  3. Incision
  4. Puncture
  5. Avulsion
  6. Contusion (bruise)
  7. Penetrating wound
  8. Gunshot wound
types of wounds
types of wounds

Types of surgical wound 

types of surgical wounds
types of surgical wounds
  1. Clean wound
  2. Clean-contaminated wound
  3. Contaminated wound
  4. Dirty or infected wound

Steps of wound healing 

  1. Hemostasis
  2. Inflammation
  3. Proliferation
  4. Maturation (or Remodeling)

Signs of wound infection

  1. Redness
  2. Swelling
  3. Warmth
  4. Pain or tenderness
  5. Pus or discharge
  6. Foul odor
  7. Fever
  8. Delayed healing

Role of antibiotics in wound healing

Antibiotics help prevent or treat infections in wounds. They kill or stop the growth of bacteria, which can slow down healing.

By keeping the wound free from infection, antibiotics allow the body to repair the tissue more effectively and reduce the risk of complications.

Factors affecting wound healing

  1. Age
  2. Nutrition
  3. Oxygen supply
  4. Infection
  5. Chronic diseases (e.g., diabetes)
  6. Medications (e.g., steroids)
  7. Moisture balance
  8. Blood flow
  9. Wound size and depth
  10. Presence of foreign bodies
  11. Stress
  12. Smoking

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