Ointments for trophic ulcer: list of names and methods of application

The article discusses ointments for healing trophic ulcers.

When it comes to trophic ulcers, it should be said that this is not so much a separate disease, but damage caused by a prolonged loss of regenerative ability, which is a result of defects in the supply of blood to the skin area and tissue rejection. Ulcers can appear on different parts of the body, which depends on the diagnosis made to the patient. They are characterized by long healing (over 1-2 months) and regular exacerbations. The formation of trophic ulcers is characteristic of the lower extremities (especially the ankles), however, they can also appear in other places of the skin integument and on the mucous membrane. The main unpleasant symptom is the inability of the inflamed tissue to regenerate.

Ointments for trophic ulcers come to the rescue.

With varicose veins, skin defects form that do not heal for a long time and develop against a background of blood stasis with the expansion of venous walls. They are quite dangerous, since such injuries on the lower extremities are noted in fifteen percent of people who suffer from this disease. The appearance of such ulcers is due to the level of development of varicose veins, when there is a complete destruction of the valves of the deep and saphenous veins. Eliminate this ulcer forever with a laser. Therapy of damaged epidermis should be combined with getting rid of varicose veins. Specially created therapeutic ointments and dressings help the ulcer disappear only with varicose syndrome. With varicose venous expansion, ulcers respond fairly well to treatment. A more severe case is ulcers in post-thrombosis, since it is more difficult to eliminate them, but it is still possible.

The article will talk about the most popular and effective ointments for trophic ulcers, as well as folk treatment methods. Stagnation in the veins, which is formed by the discharge of blood into the superficial vessels from the deep, is the main reason for this manifestation of varicose expansion. Blood that stagnates in the skin and is saturated with toxins causes discoloration, as well as ulceration. Those associated with varicose veins are most often located on the lower part of the lower leg and on the ankles. If there is no competent medical intervention, then relapses, as well as ulcers of the epithelized type, can occur.

The causes of the disease

In most cases, the source of the disease are such pathologies:

• sudden venous insufficiency (with thrombophlebitis due to varicose veins);
• narrowing of the arterial lumen due to diabetes mellitus, atherosclerosis, hypertension;
• defects of lymph outflow;
• violation of tissue innervation (with some diseases and injuries);
• against the background of chronic skin diseases and injuries.

There are many reasons for the appearance of ulcers, and diagnostic results must be taken into account, since subsequent therapy depends on this. Against the backdrop of diseases such as varicose veins, diabetes mellitus, heart failure, obesity, small defects in the integrity of the skin cover can lead to trophic ulcers on the leg. Ointment treatment should be comprehensive and timely.

Features of trophic ulcer

Trophic ulcers do not heal for a long time, and this greatly exhausts the patient. Pathology rarely occurs unexpectedly, usually it is preceded by symptoms such as swelling, pain, heaviness, a little later there is a prolonged burning sensation and itching, and convulsions may appear at night. The skin after a while acquires a purple or purple color, palpation felt engorgement and pain. Due to venous blood stasis, tissue trophism worsens (the ability to receive oxygen and nutrients). Decay products accumulate as tissues die without food.

Why do I need ointments for trophic ulcers?

The feasibility of using ointments

Since pathology in all cases is a consequence of defects in the body, you need to focus on eliminating the root cause. Self-diagnosis and self-medication are excluded. Ulcers heal after they are cleansed, turn red and bleed on palpation.

Used gel dressings and ointments for trophic ulcers. The number of dressings is about once a day, and washing is not so necessary. To improve the outflow of blood, a damaged leg is raised twenty degrees at night, and compression during the day. Along with the treatment of the main diagnosis of trophic ulcers, local treatment and physiotherapeutic procedures with bactericidal and anti-inflammatory measures are effectively performed.

Sclerotherapy is also widely used, in some cases simultaneous plastic surgery is used. In difficult situations, amputation helps, preserving the patient's viability and leg function, prosthetics are performed. The best therapeutic tactics are conservative procedures combined with surgical measures. Against a secondary infection, ointments from trophic ulcers on the legs, which have antibiotics in their composition, are required.

In what cases are applied?

Ointment treatment is used at any stage of the disease. When choosing medicines and prescribing a therapeutic course, specialists are based on the root causes of the disease and possible provoking sources.

The course application of ointments helps:

• avoid in some cases surgical intervention;
• perfect trophy;
• nourish the skin and tissues;
• normalize material metabolism, blood circulation and venous outflow;
• stimulates the appearance of new normal cells;
• cleanse wounds from necrosis, contribute to speedy healing;
• fill cells with nutrients and collagen.

You need to know that the greatest effectiveness is noted at an early stage. In advanced situations, treatment only with ointments from trophic ulcers on the legs will not be enough to recover.

A trophic ulcer with varicose veins differs in the following stages: the appearance, further progress, purification, granulation in the ulcer core and peripheral scarring, granulation and subsequent scarring of the pathology.

Let us consider in more detail the use of ointments at various stages of the disease.

First phase

It differs in the appearance of “patent” skin and redness in the patient, determined by severe puffiness. After this, liquid begins to appear in drops, pale spots form, that is, dead epidermis. If skin is not treated at this stage, scabs form under the spots, which deepen and form ulcers. The stage can last from several hours to several weeks, which is determined by the stage of varicose veins, prevention and treatment. Typical signs of the first stage: difficulty in movement, pain, high fever. Disinfectants that cleanse and improve nutrition of the ointment are used in the treatment of trophic ulcers on the leg.

We recommend such products as Actovegin and Solcoseryl in various forms: first, 20% gel (1-4th day) is applied, then 5% cream (4-11th day), 5% ointment -and I. No less effective is Algofin ointment, which contains antibacterial components of a wide spectrum of influence - chlorophyll derivatives. The healing and antimicrobial effects are exerted by Levomekol and Levosin.

Second phase

At this stage, as at the end of the first, the secret and appearance of the ulcer is determined by the effectiveness of therapy and the attachment of infection. A typical trophic ulcer has rounded edges, fibrinous, bloody, purulent and mucous discharge. The central value is given to wound cleaning (up to one and a half months). In the second phase after the occurrence of granulations, Etonia, Thiotriazolin, Methyluracil-D, Vundehil and Betadine are used. The latter due to iodine in the composition perfectly copes with viruses and fungi, and also contributes to granulation. Ointment with trophic ulcer of the lower extremities “Vundekhil” restores tissues, eliminates purulent formations and necrosis, “Etonia”, in addition, anesthetizes.

Phase 3 effective

Regarding the third phase, it must be said that its duration is determined by the size of the ulcer, general treatment and the quality of the procedures performed. Without active therapy, scarring will not be completed, everything will start again. At this stage, epithelization is formed, that is, a “new” epidermis appears. At the third stage, ointments are used, which heal trophic ulcers and are distinguished by a pronounced ability to activate recovery - “Alantan Plus”, “Mefenat”, “Curiosin”, “Bepanten”. In the last ointment there is panthenol, which is also used for various inflammation of the mucous membrane and skin.

Fourth stage drugs

At the fourth stage, the size of the ulcer decreases, its scarring is completed. The phase continues until complete recovery. At this time, it is recommended to use ointment of calendula, comfrey, St. John's wort (10%) and other means to get rid of the disease. There are also folk recipes for the treatment of trophic ulcers. Which ointment is most effective?

Oil-vegetable ointment

This ointment is used for trophic ulcers in diabetes, and other forms of pathology.

It includes: one carrot, one onion, half a glass of unrefined sunflower oil. The onion must be peeled, cut into small cubes, grate the carrots and add to the onion. The mixture is fried over low heat in the entire amount of oil. The golden mixture obtained in the end must be wrung out and applied to ulcers, like lotions. The procedure is repeated at least three times a day.

What other ointment for the treatment of trophic ulcers can you make yourself?

Yolk ointment

Through its use, chronic ulcers are also treated, the main thing is proportions. Fresh chicken yolks are placed in the container, a five percent solution of iodine is added in a one to one ratio. The ointment is mixed until dark yellow. It must be stored at room temperature in a dark place. Pour a teaspoon onto the wound, make sure that it does not get on healthy skin. Then a clean napkin is applied, the wound is bandaged. It should be changed every twelve hours.

Ointments for trophic ulcers in diabetes

Drugs that are used to treat affected areas:

• "Streptolaven."
• Levomekol.
• Vishnevsky ointment.

Means used after the weeping wound heals:

• Ointment with tocopherol.
• "Curiosin."
• "Actovegin."
• Algimaf.
• "Solcoseryl."

Reviews of ointments for trophic ulcer

There are a large number of reviews about these tools. Mostly they are positive. But, the effectiveness of a particular ointment depends on the timeliness of therapy, the stage of the disease and other individual characteristics.

An ulcer is an unaesthetic and unpleasant phenomenon that is dangerous with complications. Like any pathological process, it is very important to be treated on time and pay special attention to existing diseases and tendencies.

According to reviews, ointments are the most effective and affordable means of help, the advantage of which patients consider ease of use and a variety of choices. In this case, it is necessary to remember that after a complete cure you need to monitor your lifestyle.

Contraindications

Almost all ointments used for trophic ulcers have their own contraindications. When choosing them, you must familiarize yourself with the instructions, but it is even better to consult a specialist.

• Such drugs as Levomekol and Levosin are distinguished by high sensitivity of patients to their composition.
• "Solcoseryl", "Chloramphenicol" can not be used with excessive granulation of wounds and hypersensitivity to their components ;.
• The drug Ofloxacin is not used during pregnancy, as there is no evidence of its safe use and lack of exposure to the fetus ;.
• During breastfeeding, women can not use Mefenat, it is prescribed only for medical reasons. An allergic reaction also becomes a side effect.
• “Streptotinol” cannot be prescribed for patients with excessive sensitivity to active components and strong purulent discharge.

Side effects

With trophic ulcers, ointments sometimes cause allergic side effects, for example:

• "Levomekol", "Streptonitol", "Solcoseryl" can cause itching, burning and redness.
• Erythromycin ointment and “Methyluracil” - to pain in the affected areas.

If unpleasant side effects appear, the use of ointments must be stopped and other analogues selected with the attending physician.

It is hard to imagine what kind of disease trophic ulcers can form on the legs. Often the reason lies in the usual infection with bacteria and microbes, the introduction of pathogenic microflora under the skin, which can cause inflammation.

However, it happens that trophic ulcers are a complication of such serious diseases as hypertension, varicose veins, diabetes mellitus, in which degenerative processes occur in the hematopoiesis system.

Trophic ulcers are treated for a long time and is difficult. They get wet, heal poorly, are able to necrotic for several years. The degree of the underlying disease and the age of the patient are also affected.

For prophylaxis

With the help of an ointment, blood circulation processes and inhibition of inflammation processes should be activated. Otherwise, osteomyelitis and gangrene begin.

As a prophylaxis, it is recommended:

• prevent purulent discharge from wounds;
• treat timely cracks and affected areas with antiseptics;
• avoid hypothermia of the legs;
• wear shoes in size and comfortable;
• protect your skin from cuts and injuries, infectious lesions, the effects of ultraviolet radiation.

When choosing drugs, it is necessary to adequately analyze the condition of ulcers, the degree and stage of the disease, symptoms, in order to achieve the desired effect.

The article discusses effective ointments for healing trophic ulcers on the legs.