- Trophic ulcer - can you handle it?
- Venous trophic ulcers
Trophic (from the Greek trophe - «power») ulcers - unhealed damage to the skin and tissue underneath it caused by poor nutrition of tissues and characterized by longer duration and an increased likelihood of relapse.
The most common cause of venous ulcers is a violation of blood flow in the blood vessels of the legs, their blockage (thrombosis). An ulcer occurs when the tissue does not get enough nutrients and oxygen. This usually occurs in diseases of the blood vessels of the lower limbs: varicose veins
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, Occlusive disease.
Trophic ulcers occur in patients with diabetes
Diabetes - threatening and incurable disease
. This is due to the fact that diabetic patients blood flow to tissues is sufficient, but the incoming blood nutrients are poorly absorbed by tissue. The cause of ulcers can become nerve damage and burns or frostbite lower extremities. In the majority of cases the lesions are located in the lower part of the leg. The fact that at least this region of muscles, therefore impact or tensile skin easily damaged. Moreover, at this site favorable for blood stagnation.
The size and shape of the ulcer can be very different. The edges of the sores are usually sloppy, saped, towering above the skin; the skin at the site of damage, pale with a bluish tint, and a grayish bloom, smooth bottom. In most cases of ulcer bleeding or oozing pus, often scarce, at least - abundant, foul putrid odor. The skin around the ulcer becomes inflamed and eventually becomes brown. In connection with blood circulation, the patient feels cold in the legs, the foot becomes cyanotic and swollen.
Diagnose trophic ulcer may therapist at the examination. To investigate the vessels of the extremities (superficial and deep veins, arteries) used functional (rheovasography, reopletizmografiya), ultrasound (Doppler) metodyissledovaniya and infrared thermography and angiography. In addition, determine the sugar content of the blood test is conducted Wasserman, as well as cytological and bacteriological examination.
Treatment and prevention
Treatment of venous ulcers take a long time and requires a lot of patience on the part of the patient and by the physician. Particular attention should be paid to diet: it should include plenty of fruits and vegetables, the consumption of carbohydrates, sweets and confectionery products should be limited or avoided. It should also be excluded from the diet mustard, ketchup, pepper, vinegar and various spices.
During an exacerbation of the disease the patient requires bed rest, but there is no need of complete immobility. Recommended special exercises: during the day should bend and unbend legs at the knee, lift and lower legs straightened position, to make the rotational movement of the hips. This physiotherapy promotes metabolism
Metabolism: The basis of life of all living things
and blood circulation in the tissue of the lower limbs.
If the ulcer is located on the foot, you need to wear orthopedic shoes
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To reduce the load on the damaged tissue and achieve rapid ulcer healing.
To combat the microbial flora of venous ulcers are taking material from several sites for biopsy. This allows you to determine which antibiotics will be most effective action. After a specified period of checking efficacy of drugs used as eventually microbial sensitivity to them is reduced, and the ulcer can get other microbes.
Experts have established a link between education and lack of venous ulcers in the body of ribonucleic acid (RNA), so RNA preparations should be included in a comprehensive treatment. When trophic ulcers due to violation of venous circulation need to wear special stockings and socks, as well as the compressive bandage.
Methods of treatment of venous ulcers can choose a doctor. Do not self-medicate, because what is useful one, can only bring harm to another. Moreover, the funds contributed to the improvement of a month ago, may exacerbate the disease.
In cases where the stability achieved by drugs or other agents could not be used surgery. To prevent recurrence of trophic ulcer is important to remember that the slightest abrasion can turn into ulcers that tuck you into bed for a few weeks or even months.