Trophic ulcer of lower extremities
Trophic ulcers of the lower extremities can notarise independently. The onset of the disease is the result of a variety of different pathologies. What are the causes of ulceration? What methods of treatment exist?
Places of defeat and the main causes of the disease
Trophic ulcer of the lower extremities appears inthe result of a violation of the blood supply to the skin area, which leads to a lack of nutrients and oxygen, the development of microcirculation disorder and metabolic disorders in the tissues. The affected area is necrotized and becomes sensitive to infection.
The causes of the manifestation of the disease can serve as:
- chronic arterial insufficiency (nonspecific aort arteritis, obliterating thromboangiitis, atherosclerosis);
- high blood sugar (diabetes mellitus);
- chronic venous disorders (thrombophlebitis of the extremities, varicose dilatation);
- trauma and skin lesions after surgery.
The disease can be located on any part of the body. For example, trophic ulcers of the lower leg occur as a result of chronic venous disturbances, and ulcers on the skin of the feet are the result of diabetes mellitus.
Symptoms of the disease
How does the trophic ulcer manifest? Symptoms of the disease are as follows:
1. The skin in the lesion becomes thin, tense and dry, has a mirror-shiny appearance with characteristic pigment spots.
2. An ulcer appears, gradually increasing in size. Over time, the edges of the ulcer thicken, the bottom bleeds and becomes covered with a dirty coating.
Any injury in the future leads toinfection and increased ulcerative effect. Pain is the main complaint of patients. Violation of the skin prevents patients from observing hygiene, pick up clothes and shoes.
The main task of the attending physician at detectionThe trophic ulcer in the patient is the identification of the main cause of its occurrence. To do this, ultrasound dopplerography of vessels, radiopaque phlebography, measurement of oxygen level and examination of limb blood flow.
Trophic ulcer of lower extremities is treatedonly in stationary conditions. In parallel, the cause of its occurrence should also be treated. For example, if the trophic ulcer appears against a background of venous disorders, then it is necessary to treat not only the site of ulcerative lesions, but also varicose veins.
Treatment has two directions: general and local. At the general or common treatment appoint application of the preparations improving venous outflow. For example, injections of Solcoseryl, the course of treatment which is 20 - 30 days. In severe forms of the disease, treatment should be increased.
Local treatment consists of the following:
- compliance with bed rest;
- Daily treatment and cleaning the wound with antiseptics;
- dry bandages with the use of ointments and gels (zinc ointment, Solcoseryl, Gepatrombil and others);
- wearing elastic stockings or golf or fixing limbs with elastic bandages.
The appointment of a course of laser therapy will have a beneficial effect on the effectiveness of treatment.
During the treatment, special attention should be paid to the patient's nutrition. At this time, it is better to exclude from the diet sharp and fatty dishes.
Trophic ulcers respond to treatment quite badlyand long. The healing of the tissues proceeds very slowly or does not occur at all. Restoration of affected tissues begins on 30-40 days after the initiation of therapy.
In the case where the healing process is nothappens, make a skin graft. Take the skin from the hip area or buttocks and transplant to the lesion site. The accustomed sites of the transplanted skin serve as additional healing sites, stimulating regenerative processes around them.
If there was a trophic ulcer of the lower extremities, the treatment should be carried out immediately and under the full control of the doctor.</ p>>