Trophic ulcer - this is not an independent disease, but a complication of venous insufficiency chronic. It is a defect in the skin or mucous membrane, which develops due to the destruction of the surface tissue. The fabric is destroyed due to changes in blood flow in the microvasculature and violations at the scene of an ulcer innervation. The disease is aggravated by ingestion of ongoing infection and pathological processes in the bloodstream.
Sores on the legs differ recurrent duration of treatment, poor healing, breach of many aspects of quality of life of ill and often lead to disability.
The causes of venous ulcers
Most often sores develop because of:
- Chronic venous disease in the lower extremities - varicose veins, thrombophlebitis with its consequences;
- Obliterating atherosclerosis of the lower limbs of all sizes;
- Anatomical and inflammatory diseases of the lymphatic vessels - acute and chronic lymphostasis;
- Diabetes and its complications;
- Thermal injury - burns or frostbite;
- Chronic dermatitis, including allergic;
- Injuries of nerve trunks with a further violation of their integrity;
- Autoimmune connective tissue diseases, which are accompanied by systematic violation of blood flow in the venous, arterial and microvasculature.
Symptoms of venous leg ulcers
At the beginning of the skin on the lower third of the leg (front, inner surface) begins to thin, it becomes hard, dry and acquires luster. On a typical skin appear spots, then there is a little sore, which eventually increases gradually. The edges of the sores are thick, the bottom is covered with ulcers and bleeding bloom dirty color. In this state, any small injury contributes to connecting infection and ulcers of the expansion.
The main complaint with trophic ulcers on the feet is a pain. Because ulcer patient is difficult to choose the right shoes and observe good personal hygiene.
In identifying venous leg ulcers main task of the doctor - to determine the cause of the disease. The wire radiopaque venography, Doppler blood vessels of the lower extremities, transcutaneous measurement of oxygen levels and other studies of blood flow in the lower extremities.
From laboratory tests appointed urinalysis and blood, immunological and biochemical studies, bacteriological tests of discharge from an ulcer for the selection of antibiotic treatment.
Complications during the trophic ulcer
Progressive ulcer will inevitably lead to an increase in the depth and area of skin defect and ingestion infections provoke the development of lymphangitis, erysipelas skin inflammation, septic complications and lymphadenitis. Contact with ulcer anaerobic flora and tissue necrosis causing gas gangrene, which requires urgent surgical treatment. Sometimes, especially for the treatment of non-healing ulcers long use aggressive agents (salicylic acid, tar, birch, etc.), may develop skin cancers.
Treatment of venous ulcers
Treatment of venous ulcers of the lower extremities should be comprehensive and aimed at both the local manifestations of disease, and the elimination of the disease, which led to the necrotic defect.
The most common treatment for venous leg ulcers ulcer closed with conservative measures, and then perform the surgery on the venous system. Treatment can be carried out both in hospital and at home, depending on the condition of the patient. As a topical treatment of ulcer every day cleaned with a sponge and wipes impregnated with an antiseptic solution, bandage with the healing salve and wear elastic bandage. After ulcer healing scar remaining to be protected against any possible injury.
Prescription ointments for the treatment of venous ulcers of the lower limbs: it is necessary to pour into an enamel mug of one tablespoon of fresh sunflower oil (crude, preferably a village). The oil is boiled in a water bath for twenty minutes. Further, it adds one tablespoon pharmaceutical fish oil and heated on a steam bath for an additional twenty minutes. Then you need to take twenty-five pills streptotsida, grind them and pass through a sieve. The resulting powder is poured into the cup with oil and fish oil, and it all boiled for thirty minutes. The resulting ointment should be applied to sores and perebintovyvat. The dressing should be changed every day. Two weeks of application of such an ointment to help get rid of trophic ulcer.