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чите","retina":false,"avatarId":"0","isMacOS":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Гнойная рана: что это?","markdown":"**Гнойная рана** — это повреждение кожи или глубжележащих тканей, осложнённое бактериальным воспалением [2](https://BestClinic.ru/diseases/gnoynaya-rana/). В отличие от обычной травмы, здесь присутствует **гнойный экссудат** — желтовато-зеленоватая жидкость, состоящая из погибших лейкоцитов, бактерий и продуктов распада тканей [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n\nГнойная рана может возникнуть после травмы, ожога, укуса, операции или даже укола [1](https://mcavicenna.ru/diseases/gnojnaya-rana/). Особенно часто такие осложнения развиваются у людей с хроническими заболеваниями, диабетом, нарушением кровообращения [1](https://mcavicenna.ru/diseases/gnojnaya-rana/).\n\n## Причины\nОсновная причина гнойного воспаления — **проникновение патогенных микроорганизмов в раневую полость** [2](https://BestClinic.ru/diseases/gnoynaya-rana/). Это может произойти: \n* при первичном инфицировании (грязный порез, укус животного) [2](https://BestClinic.ru/diseases/gnoynaya-rana/); \n* из-за вторичного инфицирования (неправильная обработка повреждения кожи) [2](https://BestClinic.ru/diseases/gnoynaya-rana/); \n* на фоне хронических заболеваний (диабет, иммунодефицит) [2](https://BestClinic.ru/diseases/gnoynaya-rana/).\n\n## Симптомы\nКлинические проявления гнойных ран разделяют на местные и общие [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/). **Местные симптомы** — проявления воспалительного процесса в области повреждения [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/): \n* покраснение и отёк кожи [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* болезненность при надавливании [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* давящие, распирающие, пульсирующие боли в области раны или даже во всей конечности [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* нарушение функции конечности — например, человек не может поднять руку или согнуть ногу [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* выделение из раны гноя, характеристики которого зависят от вида бактерии — жидкий или густой, зеленоватый или жёлтый, с неприятным или зловонным запахом [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/). \n\n**Общие симптомы** обусловлены распространением бактериальной инфекции по организму, влиянием воспаления и боли на самочувствие человека [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/): \n* повышение температуры тела до 38 °C и выше [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* недомогание, слабость, ломота в теле [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* нарушение сна, прежде всего, из-за интенсивной боли [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* головная боль [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/); \n* потеря аппетита [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/).\n\n## Диагностика\nДиагностика гнойной раны проводится врачом — хирургом или травматологом [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/)[12](https://klinikabudzdorov.ru/diseases/gnoynye-rany/). Некоторые методы: \n* **Осмотр и сбор анамнеза** (как давно появилась рана, чем обрабатывали) [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n* **Бактериологический посев** — определение возбудителя и его чувствительности [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n* **Анализ крови** (лейкоцитоз, повышение СОЭ) [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n* **УЗИ мягких тканей** (при подозрении на абсцесс или флегмону) [2](https://BestClinic.ru/diseases/gnoynaya-rana/).\n\n## Лечение\n**Лечение гнойной раны направлено на решение задач**: очищение повреждённых тканей от гноя, борьба с инфекцией, подавление воспалительного процесса и ускорение заживления [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/). Некоторые методы: \n* **Первичная хирургическая обработка раны** — удаление гноя и нежизнеспособных тканей, промывание повреждённого участка, выявление и удаление гнойных затёков [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/). \n* **Дренирование** — если гнойная рана глубокая, но без выраженного некроза, устанавливают пассивный дренаж (резиновый выпускник или силиконовую трубку) [2](https://BestClinic.ru/diseases/gnoynaya-rana/). Это помогает оттоку гноя и предотвращает повторное нагноение [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n* **Перевязки с адсорбирующими материалами** — современные раневые покрытия (альгинаты, гидрогелевые повязки) ускоряют очищение [2](https://BestClinic.ru/diseases/gnoynaya-rana/). \n\n**Швы на инфицированную рану накладывать нельзя**, так как это ухудшает процесс заживления [9](https://www.furacilin-avexima.ru/novosti-i-stati/kak-i-chem-obrabatyvat-gnoynuyu-ranu/). \n\n**Прогноз**: при своевременном лечении небольшие гнойные раны очищаются за 5–7 дней [2](https://BestClinic.ru/diseases/gnoynaya-rana/). 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