Thus, the disease is most commonlyIt occurs in people who have problems with the nerves, blood arterial injury, soft tissue or bone pathology. Ulcerations can appear almost anywhere on the body, but most often they are formed on the legs, namely, on the feet, ankles and the knees. In rare cases, trophic ulcer appears on the mucous membranes. The disease is dangerous because the affected area of the skin, which formed an ulcer, due to lack of normal blood flow is not able to heal and therefore it is difficult to treat. At the same time the skin in this area is vulnerable to malicious bacteria.
Trophic ulcer usually appears becausecirculatory disorders that cause problems with microcirculation and tissue metabolism malfunction and deficiency of certain nutrients. As a result, skin ulcer becomes too sensitive to other traumatic factors.
Trophic ulcer is usually characterized by a fairlyprolonged recurrent course. And if you do not treat the underlying disease and nothing to do with venous stasis in the tissues of the lower extremities, the ulcer appears again and again. For this reason, the best option of treatment of trophic ulcers is to conduct conservative treatment followed by surgery on the veins.
Depending on the patient, the treatment ofan outpatient in a hospital or at home. During each day of treatment, the processing of the defective portion using wipes or sponges with antiseptic solutions, after which ulcer bandage with the healing ointment. Top dressing is fixed with an elastic bandage. To ulcer can heal, it must be securely protected from possible injury.
In the treatment of trophic ulcers, first and foremost, you need totreat the underlying disease, ie. e. disease, a complication which was the appearance of this pathology. In particular, the treated venous insufficiency, diabetes and vascular disease. Medical evidence shows that surgical treatment of trophic ulcers more effectively. This is due to the fact that the reason itself is eliminated in the course of surgical intervention, which led to the emergence of this disease. Sometimes after cleansing ulcers, to close the defect is carried out free plastic skin. Plastic, of course, is done with the patient's consent.
In the immediate treatment of trophiculcers, primarily eliminates inflammation. For this ulcer should be cleaned of dead tissue, which should prevent the development of infections and further damage the skin, muscles and bones. To this end, a variety of modern antiseptic agents are used mainly. This also applies drugs which are composed of silver. In order for treatment to be effective, the patient must wear special orthopedic shoes or special compression stockings.
In acute disease the patient is assumed to bed. But even when assigned bed rest, the patient needs to perform simple physical exercises.
When the ulcer is cleared, usually appointedtherapy for scar formation. At the same time out of the wound must cease discharge. In addition, the wound should be dry and scarlet. In that case, if the size of the ulcer is small and it does not hurt the tendons, bone and muscle, that are normally appointed special ointments and creams, as well as ozone therapy. Such treatment is often sufficient in this case.
If the ulcer is much deeper,necessary to resort to plastic surgery. For this pathological skin area treated, and then it is transplanted piece of healthy skin. After such an operation, the patient must wear a special compression garment and follow some other doctor's recommendations. Then traces disappear rather quickly. In the most severe cases, when the trophic ulcer led to gangrene of the foot or toes, the question about the necessity of amputation of the affected part of the body. MirSovetov notes that in this case the only way to restore normal blood flow and more importantly, to save the patient's life.