- Category: Complications of varicose veins
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Trophic ulcer is a rather unpleasant and dangerous disease requiring qualified treatment. In this article we will tell you about the causes of ulcers, symptoms, diagnosis and will try to discuss in detail the treatment of trophic ulcers.
Trophic ulcer - what is it?
Trophic ulcer is a long-lasting non-healing defect of the skin surface, which arises from the violation of local innervation, lympho- and blood flow. The disease is protracted (usually more than 1 months and up to several years), with periods of exacerbation.
Trophic ulcer, causes
The trophic ulcer always accompanies another serious disease. Diseases that contribute to the appearance of trophic ulcers:
- advanced stage of varicose veins
- hypertonic disease
- burns, frostbites
- arsenic poisoning
- radiation exposure
- заболевания спинного мозга и периферических нервов
- complicated tuberculosis and syphilis
- blood diseases
- prolonged immobility due to trauma (bedsores)
- complicated skin diseases, including allergic conditions
Трофическая язва — это плохо
More often ulcers occur on the lower limbs, but they may appear on other parts of the body and even on the mucous membrane. From the usual wound the trophic ulcer distinguishes the following:
- long, recurrent;
- inability of damaged tissues to regenerate (heal);
- loss of tissue;
- healing with the formation of deep scar.
If there was a trophic ulcer of the lower extremities, treatment should be rapid.
Trophic ulcer, symptoms
Трофические язвы не образуются спонтанно. Вначале появляется отечность, сопровождающаяся сильным зудом. Кожа истончается. Появляется пигментация или синюшность. Появление трофической язвы зачастую сопровождается ознобом и ночными судорогами икроножных мышц. Из-за застоя в лимфатических сосудах на остекленевшей поверхности кожи начинают появляться капельки жидкости. Далее очаги отслоившегося эпидермиса сливаются, и образуется язва с рваными уплотненными краями, вызывающая сильную боль при малейшем прикосновении. Как правило, язвенная поверхность быстро заселяется бактериями, кровоточащая язва начинает гноиться.
Trophic ulcer of lower extremities
Нижние конечности более всего подвержены появлению трофических язв. Это обусловлено замедленным кровотоком в сосудах ног. Лимфостаз и неполноценное питание тканей приводит к появлению обширных язв с грязным гнойным налетом. Это и есть трофическая язва нижних конечностей. Фото, симптомы, диета, профилактика – все этим вопросы стоит детально рассмотреть. Стоит отметить, что при сахарном диабете язвы появляются на большом пальце стоп и пятках.
Trophic ulcer with varicose veins
More than 70% of cases of trophic ulcers are due to severe cases of varicose veins. Even slight damage to the integrity of the skin in varicose veins can lead to the formation of ulcers on the ankles and legs.
Trophic ulcers on the shins
Trophic ulcers located on the tibia indicate serious changes in larger venous vessels and the spread of the area with impaired innervation and poor blood supply. Trophic ulcers usually cause severe pain.
Trophic ulcer, stages or variants of the course
The size of the trophic ulcer depends directly on the insufficiency of the blood supply and the duration of the pathological process. Usually the ulcer surface takes no more than 35 cm2. In the absence of treatment, it can cover the entire shin and reach 100 cm2 trophic ulcer. Methods of treatment here should be qualified: no poultices and tinctures!
The initial stage (bleeding ulcer of small size) is complicated by the attachment of bacterial and fungal infection. From the ulcer begins to separate purulent contents with an unpleasant odor. The longer the process, the deeper layers are exposed to inflammation and putrefaction. The ulcerative lesion extends to the gastrocnemius muscles, involving the ankle joint in the inflammatory process. In advanced cases, it is possible to develop pyoderma, phlegmon and sepsis.
It is necessary to distinguish between venous and arterial trophic ulcers. The former are found in patients of any age, whereas arterial ulcers are an ailment that occurs exclusively in the elderly due to atherosclerosis of the artery walls.
Trophic ulcer, diagnosis
When diagnosing a trophic ulcer and identifying the causes of its occurrence, the following laboratory tests are used:
- determination of blood sugar level
- Wasserman reaction
- cytological analysis
- bacteriological study
Also, the therapist appoints a number of necessary studies:
- ultrasound examination of blood vessels
- angiography (X-ray examination of vessels with contrast substance)
- infrared thermography
- spiral computed tomography
For the choice of effective treatment, consultation of a phlebologist surgeon specializing in diseases of the lower extremities is needed.
Trophic ulcer - Wikipedia warns!
The main point in the treatment of trophic ulcers is the identification of the underlying disease that caused ulcerative skin defect. This approach will ensure effective treatment of ulcers and prevention of relapse. The danger of trophic ulcers is that, in the absence of proper treatment, damaged cells are capable of malignant degeneration and the appearance of squamous cell carcinoma, in rare cases, skin sarcomas. Therefore, even if the trophic ulcer has left, treatment after the operation should continue.
Trophic ulcer, treatment
Do you have a trophic ulcer? Treatment in Moscow or in any other city is quite long and represents a whole complex of measures so that the trophic ulcer disappears. The treatment is conservative, as well as (a trophic ulcer is dangerous!), The drug treatment is aimed at reducing the symptoms of the underlying disease that caused the trophism of the tissues, the treatment of the ulcerative lesion itself and the fight against secondary infection.
Depending on the stage, the trophic ulcer is removed in different ways. Treatment (Moscow offers a variety of methods) depends on the stage of trophic ulcer development and is conducted in the following areas:
- local treatment;
- эластическая компрессия;
- drug treatment;
- hemosorption - removal from the blood of toxic products of tissue decay;
- auto-irradiation of blood with laser or ultraviolet rays;
- surgical intervention in the presence of indications;
- visiting sanatoriums.
What if you have deep trophic ulcers of the lower extremities? What to do if a large trophic ulcer, treatment (photo, results you have already evaluated) which you did not spend, increases?
Trophic ulcer - treatment at home
On the possibility of treating the disease in the home is decided by the attending physician. With a prescribed set of medications, the patient can make dressings at home, regularly visiting the doctor at the same time.
Trophic ulcer - treatment without surgery
A great help in home treatment of the initial stages of ulcerative skin lesions with a size of up to 50 cm2 is a portable laser machine. The laser inserted into the vein, helps to reduce blood viscosity, significantly reduces the risk of thrombosis, increases blood flow in problem areas. In addition, the laser beam effectively reduces pain, the trophic ulcer decreases. Laser treatment (feedback is below) in combination with conservative treatment allows to avoid surgical intervention.
Laser therapy is carried out in courses in 10-15 procedures. With the correct individual selection of exposure parameters, this method of treatment does not give complications, patients note good tolerability of procedures, a trophic ulcer is quickly eliminated. Laser treatment, the price of which is not too high, is very popular.
Trophic ulcer - treatment with folk remedies
Если у вас трофическая язва, лечение народными средствами может только усугубить ситуацию. Лучше сразу записаться на прием к врачу, чтобы не стала глубже трофическая язва. Лечение (операция) – не так сложно, как может показаться.
Trophic ulcer - laser treatment
A more radical method is surgery using laser coagulation. This method of treatment consists in "burning out" the vein, which is where the trophic ulcer is.
Laser treatment in Moscow has several advantages:
- small traumatism - the phlebologist does not make additional incisions in the ulcerated area;
- the possibility of avoiding prolonged conservative treatment before surgery;
- high efficiency - cicatrization of the ulcer passes quite quickly;
- positive cosmetic effect - small traumatism of tissues excludes the formation of gross scars, when the trophic ulcer disappears. Laser treatment, the cost of which can be discussed upon admission, will help you.
Trophic ulcer - radio frequency treatment
The radio frequency method of treatment is considered the most modern and safe if you have a trophic ulcer. Treatment of RFA in Moscow consists in heating the walls of the vein with microwaves, it "closes", the trophic ulcer is gradually contracted. Treatment of RFO - and a few months later, the problematic vein is a connective tissue, and all the load is transferred to the neighboring vessels. So the trophic ulcer leaves. Treatment of RFO in Moscow is fast enough, after a couple of hours the patient goes home. The radio frequency method offers the following advantages:
- short-term procedure - 30-40 minutes;
- the parameters of the exposure are selected automatically and without the involvement of a physician;
- cosmetic effect - the absence of additional traumatism contributes to the formation of a less coarse rumen, where there was a trophic ulcer. Treatment of RFA in this regard is very positive.
- процедура совершенно безболезненная и легко переносимая;
- there is no need for hospitalization, the patient can lead a normal life, limiting activity only after the procedure.
Trophic ulcer, diet
What should be avoided if there is a trophic ulcer? Photo complications will help you keep yourself in the hands of a diet. Nutrition for trophic ulceration excludes salty foods and spices. It is necessary to saturate the body with nutrients, vitamins and Omega-3 acids. Especially useful vegetables (carrots, tomatoes, cabbage), fruits, nuts, milk, cheese, vegetable and butter, fish. Eat small meals in order to avoid a sharp increase in sugar in the blood. No cardinal change in the diet is required, a slight correction of it will have a favorable effect on the recovery process.
Trophic ulcer - prevention
That the trophic ulcer has not returned, treatment has not passed by a gift (which cost can be learned only after consultation), take care of prophylaxis. Measures to prevent the occurrence of trophic ulcers and relapses:
- early detection and treatment of diseases that cause the appearance of trophic ulcers;
- moderate physical activity (daily walking 2-3 km.);
- use of compression jersey;
- ignoring baths and saunas, hardening procedures for the feet;
- refusal of flour and sweets, prevalence of fruits and vegetables in the diet;
- 2 medical examination once a year.
Trophic ulcer - treatment. Feedback from our patients.
The patient recalled the treatment of a trophic ulcer in our center.
Victor Petrovich, 65 years.
I'm a pensioner with a whole bunch of sores. My legs hurt and swelled for a long time, but I, like many, postponed going to the doctor for later. I took some pills on the advice of a neighbor-nurse, although I did not notice any special improvement. In general, I lived to see that I had a huge ulcer on my leg. God bless your doctors, I already thought that I would be without a foot. They treated me with a laser. Especially in the nuances of this matter, I did not penetrate, the doctors guaranteed a good result. Everything went without pain, just a few days later my trophic ulcer began to disappear before my eyes, and within two weeks only a small scar remained. Of course, various medications were prescribed, then he went to a sanatorium and forgot about this terrible illness. Thanks to all the doctors of the phlebology center.