Disease
Disease
Disease
Skin, Hair, Nails

Trophic ulcer: Causes, Diagnosis, Treatment

click fraud protection

Trophic ulcer - a skin or mucosa defect resulting from nutritional disorders of tissues.

Causes

Development trophic ulcers may promote extensive skin damage (wound, bedsores), Burns, frostbite, chemical, and radiation damage.

Metabolic diseases (scurvy, diabetes diabetesDiffuse connective tissue diseases, blood diseases, nonspecific (e.g., erysipelas) or specific infection (tuberculosis, syphilis, leprosy) May be complicated by the formation of venous ulcers.

Diagnostics

The diagnosis is made of a therapist. Particular attention is paid to research vessels of the extremities (superficial and deep veins, arteries) using functional (Rheovasography, reopletizmografiya), ultrasound (Doppler) research methods, infrared thermography, angiography (phlebo- and arteriography).

spend determination of blood sugar, Wasserman reaction, as well as cytological and bacteriological examination. An important place in the diagnosis given to the edges of the biopsy and the ulcer. The material is taken from several sites, often repeatedly.

insta story viewer

Treatment of venous ulcers

therapy program is based on the principle of phasing. Realizing therapeutic approaches should follow the principles of:

  • From simple to complex.
  • From cheap to more expensive.

Soak phase is characterized by abundant wound discharge. In this phase, the main tasks of topical treatment is the removal of necrotic tissue and cleansing sores from pathogenic microbes.

  • Elastic compression - daily replaceable multilayer bandage of elastic bandages.
  • Drug treatment - broad-spectrum antibiotics, nonsteroidal anti-inflammatories (diclofenac, ketoprofen), intravenous antiplatelet agents (reopoligljukin pentoxifylline), antiallergic therapy (suprastin, tavegil).
  • Local treatment - two or three times daily toilet ulcers antiseptic solution (Eplan, dioxidine, chlorhexidine, tsiteal, weak liquor potassium permanganate or furatsilina, camomile teas or series), ointment bandages (Levosin, levomekol, dioksikol et al.), special sorbing bandages (Karbonet).
  • Hemosorbtion (blood purification).

The cell division phase, characterized by the beginning of the healing of trophic ulcers and maturation connective tissue scar, scar securely protect against possible external mechanical damage.

  • Elastic compression - daily replaceable multilayer bandage of elastic bandages.
  • Drug treatment - antioxidants (tocopherol, etc.), Healing agents (aktovegin, Solcoseryl).
  • Local treatment - Kuriozin, wound coverings (allevin, algipor, algimaf, geshispon, sviderm).
  • UV or laser irradiation of autologous blood.

To promote healing (especially in large ulcers) are highly diverse biological film (allokozha, ksenokozha).

  • Elastic compression - the permanent elastic bandage of elastic bandage (changed every 5-7 days) or knitted medical compression II-III class.
  • Drug treatment - according to disease reasons.
  • Local treatment - wound coverings.

After healing trophic ulcers

  • Elastic compression - Medical knitwear II-III class compression.
  • Drug treatment - long course venotoniziruyuschi (detraleks for 6 months or more).
  • Surgical treatment (if indicated).
  • Physiotherapy.
  • Spa treatment.

The prognosis of the absence of adequate treatment is almost always unfavorable. Prognosis is significantly improved by correction of the arterial and venous circulation limb.

prevention

Trophic ulcer prophylaxis is early treatment of diseases that are the cause of its formation (chronic venous and arterial failure), the prevention of injuries, especially in areas with poor circulation, wearing special shoes, elastic bandage (patients from varicose veins), Management Employment patients.

complications

  • Eczema
  • cellulitis
  • Suppuration
  • fungal infection
  • Erysipelas
  • swelling of the skin and subcutaneous adipose tissue shin
  • thrombophlebitis
  • inflammation of the periosteum
  • arthrosis ankle.
  • Share
Water shortage: causes and treatment implications
DiseaseDiseaseDisease

Water shortage: causes and treatment implications

The author - Sozinova AV practicing obstetrician-gynecologist. Experience in the specialty since 2001.Oligohydramnios (oligohydramnios) is a pathol...

Cervicitis: symptoms, diagnosis, treatment
DiseaseDiseaseDiseaseFemale Diseases

Cervicitis: symptoms, diagnosis, treatment

Cervicitis - is inflammation of the cervix. Currently, the term "ekzotservitsit" refers to inflammation of the outer (vaginal) of the cervix.endoce...

Intervertebral hernia: symptoms, diagnosis, treatment
DiseaseDiseaseDiseaseJoints And Bones

Intervertebral hernia: symptoms, diagnosis, treatment

Herniated - or protrusion of an intervertebral disc prolapse into the spinal canal fragments resulting from of osteochondrosis, Injury and leads to...