- Trophic ulcer - can you handle it?
- Venous trophic ulcers
Trophic ulcer - a defect of the skin or mucosa, occurring after the rejection of necrotic tissue due to violation of its blood supply and innervation. These ulcers have a long course with constant relapses, they are difficult to treat.
Most venous ulcers are a complication of acquired or congenital diseases, damage to blood vessels, nerves, soft tissues and bones. Causes of venous ulcers are venous insufficiency (eg, thrombophlebitis on the background of varicose veins), a sharp narrowing of the arteries (eg due to atherosclerosis, diabetes, hypertension, etc.), Violation of lymphatic drainage (elephantiasis), violation of the innervation of tissues ( trauma, certain diseases), on the background of chronic skin diseases (such as eczema), injuries (burns, frostbite).
The investigation of venous insufficiency
Sores that occur on the background of varicose veins
Varicose veins - the operation is inevitable?
and thrombosis (blockage and inflammation of the veins) are the most common type of venous ulcers. There are such ulcers usually on the inner and outer surface of the lower third of the leg. At the same time due to the stagnation of venous blood is disturbed nutrition of the tissue, there is its destruction with the formation of ulcers, later joined by the infection.
The first signs of the disease are swelling of the lower leg, heaviness and cramps in the calf muscles, itching, burning and the heat on the surface of the skin. Condition improving, unless of course give an elevated position. This skin can be seen meandering network of thin veins, spots of blue-purple, the skin thickens, becomes painful, hard, shiny and inactive. It violated the outflow of lymph (lymph begins to seep through the skin in the form of droplets of dew). After that gradually comes death of tissue and the ulcer is formed. Discharge trophic ulcers can be bloody or purulent (if the infection is now).
The investigation artery disease
Sores may appear on the background of diseases such as atherosclerosis, arterial occlusive disease, hypertension due to the persistent narrowing of the arteries and chronic underfunding of the tissues of nutrients and oxygen. All this leads to disintegration of cells and necrosis of tissue and the formation of ulcers. The immediate cause (starting torque) may be hypothermia, various injuries wearing compressive leg shoes and so on
These ulcers are usually formed in the heel, on the foot and big toe. They are small, with thick rough edges. These ulcers are very painful, as the constantly injured while walking. Unlike ulcers in venous insufficiency
Venous insufficiency - rapidly Youthful disease
pain persists after giving leg elevated position.
The typical form of sores are caused against the background of essential hypertension. They are located generally symmetrically on both sides of the front or rear, the outer surfaces of the leg and have high morbidity.
The cause of ulcers in diabetes is an inflammation of the walls of the small blood vessels, causing the metabolism
Improves metabolism and losing weight without dieting
and decomposition of tissue. These ulcers are usually located at the ends of the toes, their peculiarity is that they are not very painful, since diabetes is usually disturbed innervation.
Since the treatment of trophic ulcer depends on its causes, this cause can be established using a number of studies. Particular attention is paid to the state of the veins, arteries, lymphatic vessels and bones of the patient limb, the wire rheovasography (pulse volume method for studying the functional state of organs and peripheral vascular disease), ultrasound and X-ray examination of the blood vessels.
Treatment of venous ulcers
For the treatment of venous ulcers apply conservative and operative methods. First of all, about treatment of the underlying disease, cause complications in the form of a trophic ulcer - are treated by venous insufficiency, arterial disease, diabetes
Diabetes - threatening and incurable disease
Simultaneously, the treatment of ulcers. The patient is attached to the limbs elevated position, for the rejection of necrotic tissue and wound cleansing are used enzymes that dissolve them. Once the plague purified, ointments, promotes healing (e.g., Solcoseryl, aktovegin). Improved blood flow is achieved through special preparations - vazoprotektorov. Appointed as various physiotherapy.
Surgical treatment of venous ulcers more effectively, as during surgery is usually eliminated cause of the trophic ulcer. When venous insufficiency removed impassable sections extended veins, obstruction of the arteries bypass grafting is performed (the creation of new communications between vessels).
Trophic ulcer will not occur by itself, out of nowhere, she must be a reason, and that should be found first.