Trophic ulcer is not an independent disease. It occurs as a complication of diseases such as chronic arterial insufficiency (atherosclerosis, thromboangiitis obliterans, nonspecific aortoarteriit), diabetes, chronic venous insufficiency (varicose veins, post-thrombotic disease), peripheral polyneuropathy limbs, etc. Ulcers can be located in various parts of the body. For example, trophic ulcers in diabetes develop mainly in the skin of the feet. Leg sores in most cases occurs on the background of chronic venous insufficiency.
Abnormal perfusion of the skin leads to the development of microcirculatory disorders, lack of oxygen and nutrients, and gross metabolic disturbances in the tissues. Necrotic skin lesion, becomes sensitive to any traumatic agents and the accession of infection.
Symptoms of trophic ulcers
First, leather front-inside of the lower third of the leg becomes thin, dry, hard, mirror-shiny. And shows the typical spots, then, there is a small ulcer, which gradually increases. Its edges are sealed, the bottom is covered with dirty coating, bleeding. In the future, any, even minimal trauma leads to expansion of the ulcer and the accession of infection. The main complaint is pain. The presence of a defect of the skin prevents the patient to choose the right shoes and clothes, personal hygiene.
If there is a trophic ulcer is the main task of the doctor to determine the cause of the disease. To do this, hold Doppler ultrasound of the lower extremities, radiopaque venography, transcutaneous measurement of oxygen and other studies of blood flow of the lower limbs.
Treatment of venous ulcers
To venous trophic ulcers characterized by a long relapsing course. In the absence of adequate treatment of the underlying disease, while maintaining venous stasis leg ulcers in the tissues occurs over and over again. Therefore, the optimal treatment strategy includes the closing of trophic ulcers with conservative measures and then performing surgery on the venous system. Depending on the patient treatment can be performed in a hospital, at home or in an outpatient setting. Local treatment includes daily toilet ulcer surface with napkins or sponges with antiseptic solutions, dressing with the healing ointment and wearing elastic bandage (elastic bandage bandage from).