wound healing

estimate wound healing

with in three week wound should heal at least 30% not grow further

about 4 week can made decision about continue same treament plan or not

factor effect wound healing

• oxygenation prevent wound infection , increase angiogenesis cause by impair vascular flow which is sequence of diabetic and old age, hyperbaric oxygentherapy can be effective

• infection => elongate inflammatory phrase =>delay wound healing , decrease sex hormone which effect wound healing

• age > 60 yrs , altered inflammatory response

• stress => disrupt neuroendocrine hormone

• diabetic

• vascular disease => artery insufficiency , venous insufficiency

• medication : interfere platelet function or inflammatory response such as steroid , NSAID, chemo

• obesity

• alcohol consumption

• smoking

• nutrition