A trophic ulcer in medical science is called a defect in the lower leg skin that does not heal for more than six weeks. This pathology is a complication of diseases associated with irregular circulation. It significantly worsens the quality of life, often leading to disability. Treatment of trophic ulcers of the lower extremities must be carried out under strict medical supervision.
In this article, we will consider the most important issues related to this pathology.
Description
Ulcers can be both multiple and single. As a rule, they have an oval, round or irregular shape. The edges of the inflamed area are densified and swollen. The skin around the ulcer is purple or brown. Purulent-serous fluid may be released from the wound. According to statistics, more than 1 million people worldwide are diagnosed with trophic ulcer of the lower extremities.
Causes
A variety of diseases can cause this skin defect. Most often, a similar symptom appears as a result of chronic venous insufficiency. This is due to the fact that the stagnation of blood formed during this pathology disrupts the general blood flow. As a result, due to a lack of oxygen, tissue nutrition is stopped. This leads to the fact that there is a trophic disorder (darkening, tightening, dry skin). And after some time - and chronic inflammation of the tissues. So trophic ulcers are formed.
They also occur with
varicose veins, arterial pathology, diabetes mellitus, hypertension, with nerve damage and after injuries. Treatment of trophic ulcers of the lower extremities is a rather complicated process, both for the doctor and for the patient. For this disease, it is very important to establish the true cause of skin defects. This will allow you to choose effective means and methods of combating the disease.
Trophic ulcers of the lower extremities. Treatment
At the first stage, the doctor prescribes drugs that reduce venous pressure. During this period, compression knitwear (3 classes) should be worn. It will not only contribute to the rapid healing of wounds, but also reduce pressure, improving the functioning of venous valves. Without special compression, treatment of trophic ulcers of the lower extremities will not give positive results. In some cases, the patient can only be saved using surgical intervention that helps to eliminate pathological venous refluxes. In addition, local wound healing, antibacterial and pain medications are prescribed, as well as drugs aimed at improving blood microcirculation. Rifampicin has good properties. The powder contained in the capsules of the drug, it is necessary to sprinkle the moist sections of the ulcer, and wrap the wound itself with clean gauze. Change the bandage only once a day. After two days, the affected area should be washed with warm water. Fluorocort ointment or castor oil can be applied to the wound surface in the same way. Today, laser coagulation is very popular . Its essence lies in the “burning out” of a vein located under the affected area. In the case when the treatment of trophic ulcers of the lower extremities does not give positive results, a skin transplant is performed .
Folk remedies
Use the comfrey and celandine settings to flush the wound.
Put one tablespoon of these herbs in a container and pour everything with a glass of boiling water. Insist remedy for fifteen minutes. Then strain, cool and rinse the affected areas three times a day. The following remedy helps: mix five grams of
ichthyol ointment, three vials of castor oil and a crushed tablet of streptocide. Stew the resulting composition in a water bath until the mass becomes liquid. Wrap the ulcer with a soft dressing lubricated with this ointment. Change the compress once a day.