home Drugs Or you can wash the trophic ulcer with washing powder. Treatment with strong moisture release. How does healing occur?

Or you can wash the trophic ulcer with washing powder. Treatment with strong moisture release. How does healing occur?

Trophic ulcers are called violations of the integrity of the skin or mucous membrane, arising due to insufficient blood circulation of epithelial cells and their gradual death. They are located mainly on the legs (in lower parts), but are also found in other places.

The main difference between such wounds on the legs is long-term healing, which in most cases is impossible without drug intervention. Often ulcers do not heal for more than 60 days, inflammation and swelling of the skin intensify every now and then and require speedy treatment. This material will tell you how to treat trophic ulcers lower limbs, about their types and features.

What it is?

A trophic ulcer of the lower extremity is a defect of the skin and mucous surface that appears after the destruction of surface tissues. Intense destruction can be triggered by impaired blood flow, infection and other factors. After which the patient develops a disease in the vessels that spreads, and as a result, treatment becomes difficult.

What distinguishes a trophic ulcer from other diseases is:

long-term (up to 1 month or more) recurrent nature;
the spread of the lesion not only over the surface of the skin, but also deep into the tissues down to the bones;
loss of the ability to regenerate in the damaged area;
healing occurs with the formation of a rough scar.

Timely treatment of a trophic ulcer leads to its scarring. However, no patient is immune from reappearance trophic ulcerations on the legs in the future.

Causes

According to statistics, symptoms of a trophic ulcer most often occur with a complicated course or. In this case, the cause of the disease is a violation of the outflow venous blood from the underlying parts of the lower extremities - blood stagnation gradually develops in small-caliber veins, the regulation of the tone of the capillaries of the microvasculature is disrupted, and the arterial link is the last to be affected vascular system. With atherosclerosis of the arteries, blood flow and, accordingly, the supply of oxygen and nutrients to the tissues below the location of the atherosclerotic plaque deteriorate.

The most common causes of trophic ulcers:

Thermal injuries - frostbite or burns;
Diabetes mellitus and its complications;
Chronic, including allergic;
arteries of various calibers in the lower extremities;
Chronic diseases of the veins of the lower extremities - varicose veins, thrombophlebitis and its consequences;
Anatomical and inflammatory diseases lymphatic vessels - acute and chronic;
Injuries to nerve trunks with subsequent violation of integrity;
Autoimmune diseases connective tissue, accompanied by systemic disturbances of blood flow in the arterial, microcirculatory and venous beds, including antiphospholipid syndrome.

Usually in the formation of a trophic ulcer same value have two processes - the formation of pathological phenomena that affect the blood supply and innervation of a certain area of the skin and subcutaneous tissue(most often on the lower extremities) and trauma provoking primary damage at the site of formation of the future ulcerative defect.

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Symptoms

The danger of the disease is that the symptoms that help diagnose a trophic ulcer appear suddenly. Nevertheless, there are signs in the form of swelling, heaviness and pain in the extremities, against the background of which symptoms arise, which determine the onset of the development of a trophic ulcer.

The list of signs that indicate the possibility of the onset of the development of a trophic ulcer includes the main ones:

Itching, heat and burning in areas of the skin.
Cramps that occur during sleep.
The appearance of the epidermis, which is accompanied by pain.
The presence of purple spots that can reunite during growth.
External changes in the skin: rough areas with a glossy surface appear.

The listed signs appear in the area where the veins are located, on the inside of the lower leg. This is due to the fact that the development of the disease begins precisely from the areas where the veins are located, where it manifests itself in the form of the formation of small ulcers. The shape of the ulcer resembles a volcano crater, with torn edges along the entire roundness, with possible suppuration at the ends, as a result of inflammatory processes. Damage to the arteries, namely they are primarily subject to inflammatory processes and destruction of integrity, is determined by the following signs:

The appearance of small ulcers on the toes.
Paleness of the epidermis.

Neurotrophic ulcers appearance resemble bedsores that have a round shape. Their location is most often the heel area or the sole of the foot. Inflammatory processes are sluggish and do not cause any particular pain. Autoimmune lesions are expressed in a symmetrical location on both limbs, with diabetes mellitus ulcers appear on the heel and one of the toes.

Classification

Characteristic features of development different types trophic ulcers:

Neurotrophic ulcers - have the shape of a deep crater;
Pyogenic ulcers are shallow and oval in shape;
Venous ulcers - night cramps, swelling and heaviness of the legs, violet/purple spots along the veins;
Hypertensive ulcers (Martorella) - quite rare, symmetrical compactions slowly form on a red-bluish background;
Diabetic ulcer - loss of sensitivity, night pain, no symptom of “intermittent claudication”, very deep wounds of a large area rapidly develop;
Atherosclerotic ulcers - preceded by “intermittent claudication” (difficulty climbing stairs), constant coldness of the legs, increased pain at night.

Stages of ulcer development

Trophic ulcers are formed in several stages:

The first stage of pathology formation. The patient has initial symptoms - red spots on the lower extremities, which intensively peel off. Gradually, the spots begin to provoke itching and discomfort.
The second stage of pathology progression. Instead of red spots, the patient develops wounds that have a dark tint. On the surface of the wounds, ichor is visible, which slows down healing. The patient begins to complain of deterioration in health, elevated temperature body and fever. Intoxication can also be diagnosed.
Third stage of defeat. The wounds begin to intensively secrete pus. The lesion increases in size and becomes correct form. Ulcers also progress deeper into the leg, causing severe pain. The patient experiences the emergence of new lesions.

If treatment is not started, this situation can provoke sepsis.

What does a trophic ulcer look like: photo

The photo below shows how the disease manifests itself in the initial and advanced stages.

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How to treat a trophic ulcer?

The sooner full (both local and systemic) treatment is started, the better the result will be achieved, and the body will be at less risk. Shallow ulcerative skin defects in initial stage are treated conservatively; surgical intervention in this case is not advisable.

How to treat trophic ulcers and what medications to use is decided only by a phlebologist. Self-administered local treatment can result in the healing of a single ulcer, but does not exclude the appearance of new wounds. Only a local effect prescribed by a doctor and systemic therapy for the underlying disease will prevent the deepening of the ulcerative process and minimize the chances of relapse.

For an open, non-scarring wound, the following remedies are used:

NSAIDs to relieve inflammation and soreness;
Antibiotics - capsules, tablets, and in case of severe disease - intramuscular injections;
Antihistamines - Suprastin, Xizal, Tavegil - to eliminate an allergic reaction;
Drugs that reduce blood viscosity - antiplatelet agents - to prevent the formation of blood clots;
Antiseptic solutions or medicinal herbs for daily washing of the ulcer.

When treating ulcers, Unna's bandage is often used. To do this, you need a gelatin-glycerin mixture with the addition of zinc and an elastic bandage.

The bandage should be applied to the lower leg from the foot to the knee.
Apply to the skin ready mixture, then wrap it with 1 layer of bandage, and re-cover it with the mixture on top of the bandage. Do the same with other layers.
After 10 minutes, the bandage should be lubricated with formaldehyde to remove stickiness.
You can walk in 3 hours. After 1.5 months, the ulcers heal.

Among the ointments for treatment, it is necessary to use antiseptics, proteolytics and venotonics.

The first include: Bioptin, Miramistin, Levomekol.
To the second group: Iruksol and Protex - TM.
The group of venotonics includes: Lawton, Hepatrombin and Hepton.

Gels are used to treat trophic ulcers local application based on heparin. The enzymes included in the gels are insignificant, so they do not cause allergies or side effects. The more heparin in the gel, the better the effect. Such gels include:

Lyoton;
Trombless;
Thrombophobe.

To start treatment with a patch, you need to prepare it:

20 g of combustible sulfur;
two medium onions;
80 g wax;
20g spruce resin;
60 g butter.

Mix everything thoroughly to get one thick mass. Apply the mixture to linen fabric and apply to the sore spot, secure with a bandage. Remove after 2 days.

In addition, physiotherapeutic procedures will significantly increase the rate of healing of ulcers:

Exposure to magnets dilates blood vessels and increases blood flow;
Sunbathing (ultraviolet lamp);
Method of treating ulcers ultrasonic cavitation, working on low frequencies, has an antiseptic effect;
Procedures in a pressure chamber give an excellent effect in the treatment of arterial wounds;
Laser treatment of ulcers is relative new method which can significantly reduce pain;
Ozone therapy cleanses the wound of bacteria and dead cells, saturates living tissues with oxygen, and is well tolerated by all patients.
For full recovery Balneotherapy and mud therapy are recommended.

Compression bandages in the treatment of trophic ulcers

Elastic compression must be performed at all stages of treatment. Most often, this is a bandage made of several layers of elastic bandages of limited extensibility, which must be changed daily. This type of compression is used for open ulcers of venous origin. Compression significantly reduces swelling and vein diameter, improves blood circulation in the lower extremities and the functioning of the lymphatic drainage system.

One of the progressive compression systems for the treatment of venous trophic ulcers is Saphena Med UCV. It uses a pair of elastic stockings instead of bandages. For the treatment of ulcers with varicose veins, permanent elastic compression using medical knitwear “Sigvaris” or “Medi”, compression class II or III, is recommended. To carry out intermittent compression for pyogenic, congestive and other types, you can use special compression bandages called “Unna boot” on a zinc-gelatin base or “Air Cast boot”.

Dressing and applying a compression bandage

Folk remedies

A list of some folk recipes that can additionally help in treating ulcers at home:

Treatment of diseases of the lower extremities with folk remedies is a long and labor-intensive process. Recovery occurs only with regular treatment of the affected areas of the skin, following a diet, the right image life. The folk remedies used must also be prescribed by the attending physician. Self-medication can lead to complications.

Surgery

If the condition is advanced or it is not possible to slow down the development of the ulcer, surgical interventions. In each case, a individual plan operations. But general meaning intervention is:

Remove dead tissue;
Provide maximum quick removal separated;
Activate and create conditions for natural healing.
In case of deep trophic ulcers on the toes and feet, they are amputated to prevent the development of gangrene and blood poisoning.

A separate group of interventions is the elimination of cosmetic defects remaining after trophic ulcers. Healthy skin transplantation (for example, from the patient’s buttocks) and scar polishing can be performed.

Complications of trophic ulcers

As already mentioned, the ulcer itself is not terrible. Its complications are much worse. Among which:

Gangrene.
Sepsis (blood poisoning).
Osteomyelitis (purulent lesion of the periosteum and bone).
Death.

To prevent this from happening, trophic ulcers should be treated in a timely manner.

Prevention

It is easier to prevent any disease than to cure it; this is especially true for trophic ulcers. For prevention, it is recommended to closely monitor the condition of the veins, periodically apply gels and ointments that improve blood circulation, and avoid prolonged standing or sitting.

If circulatory problems are detected, you need to regularly perform physical therapy exercises and not neglect examinations by a doctor. It is also important to remember that self-medication can be harmful.

For many patients who have developed trophic ulcers of the lower extremities, treatment at home is a dire necessity due to the duration of therapy.

Treatment of trophic ulcers requires perseverance, pedantry and courage from the patient, art, experience and knowledge from the attending physician. The Russian doctor S. Spasokukotsky said at the dawn of the 20th century that “leg ulcers represent the true cross of surgeons due to their enormous persistence and difficulty of healing.” Since that time, a lot has changed - but a trophic ulcer is just as difficult to treat as it was 100 years ago.

Is it possible to treat trophic ulcers at home?

Damage to the skin or mucous membranes, during development, penetrating deep into the subcutaneous layers and muscles, lasting more than 6 weeks without a tendency to heal, is designated as a trophic ulcer. It arises as a complication and is evidence of the depth and, in many cases, neglect of the patient’s underlying illness.

If you imagine a pyramid, at the top of which there is a trophic ulcer with its deep damage to the limb, then below will be the main disease that triggered its appearance, and at the very bottom there will be a large set of various congenital and acquired diseases that have caused and maintain disorders in tissues, blood vessels, blood and cells that do not allow the body to independently cope with the wound and the infection located in it.

It is pointless to treat a trophic ulcer in isolation from the disease that caused it, and since it is caused by severe, sometimes incurable diseases, the patient needs to be patient and courageous.

Therapy for such lesions is long-term and the patient is better treated on an outpatient basis. Treatment of trophic ulcers of the lower extremities at home will include:

treatment of the underlying disease according to medical prescriptions;
daily dressing of trophic ulcers;
wound care;
use of drugs for treatment;
monitoring the occurrence of new lesions;
preventive measures to prevent the appearance of ulcers.

Unfortunately, for many patients, constantly visiting a doctor and buying medicines with a tiny pension is an expensive pleasure, so home treatment and remedies traditional medicine they consider the most acceptable for themselves. With proper implementation of the received instructions, proper bandaging of the lower extremities at home, correct use folk recipes for recovery are quite possible.

Some patients, faced with incompetence or inattention on the part of doctors, decide to take independent action. They use the most unexpected means to treat trophic ulcers, and such experiments may not always end well.

Every person suffering from a trophic ulcer must remember that this is a serious and dangerous condition, and incorrect or untimely treatment can lead to the loss of parts of a limb or an irreparable outcome.

What does a trophic ulcer look like and why does it appear?

The most common causes of trophic ulcers are circulatory disorders in the vessels and prolonged tissue starvation, loss of sensation in the legs and feet due to pathology nerve endings. In 9 cases out of 10 such severe damage is caused by:

varicose veins and the consequences of thrombophlebitis;
diabetes mellitus;
damage to the arteries of the lower extremities;
the combined influence of various diseases.

Most often, such ulcers form on the feet and legs. In some cases, they may appear on the arms and torso, and head. They are mainly caused by trauma rather than vascular disorders.

With each disease, a certain type of ulcer is formed, and an experienced doctor will be able to distinguish the lesion by their appearance alone.

Ulcer caused by varicose veins:

deep;
occupies most of the lower third of the leg;
placed on its front or side surface;
oval or round, can have a diameter of up to 100 mm;
the edges of the wound are uneven, with indentations;
at the bottom of the wound there is pus and small areas of new tissue;
accompanied by pain;
often aggravated by erysipelas or ulcers;
around the wound there is a dense, shiny, swollen area, often pigmented.

For arterial ulcer:

the wound is round with evenly defined steep edges;
bottom gray or black;
at the bottom there is usually a dry scab that follows the contours of the tendons;
the skin on the lower leg is shiny, there is no hair on it;
leather regular color, not painted;
on palpation the leg is painful, cold, it is very difficult to feel the pulse;
placed directly on the fingers, in the lower third of the leg.

For diabetes:

the leg is warm but insensitive;
ulcers are located on the feet and bone protrusions;
the wounds are deep, with edges surrounded by calluses;
the bottom is dry, black, rarely gray;
the main location is the zone of greatest pressure when walking.

How can a patient with a “dangerous” disease that causes vascular disorders recognize dangerous symptoms the appearance of an ulcer?

When a venous ulcer appears:

The patient complains of swelling, discomfort and heaviness in the legs.
Unusual seizures appear.
The limbs begin to itch and a burning sensation appears.
A network of blood vessels begins to appear on the skin, becoming denser every day.
Purple-purple spots begin to appear on the skin in the area of the venous network.
The skin becomes dense, shiny, and in the affected area rises above the surface of the lower leg.
The surface of the skin in the affected area is colored more dark color and becomes painful.
Lymph seeps out and appears in drops on the affected skin.
A white spot with flakes of dead skin appears in the center of the affected area.
After some time, a wound will appear (it can be provoked by injury, burn, bite, blow, abrasion).
As the wound grows, it will begin to occupy an increasingly larger area, begin to hurt, and go deeper into the subcutaneous layer, reaching the layer of muscles, tendons and bone.
As the infection progresses, purulent discharge will appear, an unpleasant odor will appear, and the pain will become unbearable.
The area around the ulcer becomes inflamed and is often affected by fungi.

For diabetic ulcers:

The patient suffers from a gradual loss of sensation in the foot.
The gait changes.
At night there is pain and burning in the feet and legs.
In areas of the greatest load when walking, a dry small wound appears on the bony protrusions.
Over time, the ulcer grows and becomes complicated by infection.
If treatment is started late or is ineffective, gangrene develops.
To save the patient's life, the surgeon is forced to remove the toes or part of the foot.

For arterial ulcer:

The patient begins to limp when walking or climbing stairs for a long time.
My leg hurts and is cold.
On the heel or thumb wounds appear.
The wounds grow and acquire a semicircular shape.
The edges of the ulcers have dense yellow edges, the surface oozes pus.
When advanced, ulcers cover the entire area of the foot.

If you notice at least one symptom of skin lesions, treatment must be started immediately to prevent the appearance of a trophic ulcer.

How is a trophic ulcer treated?

After the doctor examines the ulcer and determines its type, treatment will be prescribed. It will include:

drug treatment;
wound care;
diet prescription;
wearing a compress or orthopedic shoes;
limb immobilization.

For a purulent trophic ulcer the following will be prescribed:

broad-spectrum antibiotics;
nonsteroidal anti-inflammatory drugs (Ketoprofen, Diclofenac);
a medication that prevents the formation of blood clots (Pentoxifylline, Reopoglyukin);
sedative drugs Suprastin;
painkillers.

For the treatment of the underlying disease (diabetes, varicose veins veins, etc.) treatment with medications familiar to the patient is used. If blood sugar is unstable or its level is atypically high, then the attending physician will take measures to stabilize it.

In case of diabetes mellitus, a strict diet prescribed to the patient must be followed; in case of varicose veins, adherence to the diet is also mandatory.

Such a patient should be excluded from the menu:

all spicy, fried, canned foods, sausages and sausages;
salted, pickled foods, spices;
sweets and baked goods;
pasta, White bread and yeast baking;
sweet carbonated waters;
alcohol and nicotine;
strong tea and coffee.

Displaced foods should be replaced with vegetables, fruits and dairy products. For faster wound healing, the patient’s menu, if possible, should contain a sufficient amount of protein products, yolks, cottage cheese, honey, nuts, and poultry.

The patient is not prescribed bed rest, but restriction of mobility and load on the leg is mandatory. It is advisable to use simple physical exercise, which help the outflow of venous blood and improve arterial blood flow. These exercises are performed while lying in bed:

bend the legs at the knees, pull them to the chest, return to their original position;
legs bend and straighten at the knees;
raise the outstretched legs upward, make scissoring movements;
raise their outstretched legs up and make circular movements with their feet.

It is mandatory for the patient to wear compression stockings or elastic bandages, for patients with diabetes - orthopedic shoes to relieve the load on the foot.

Wound care

Treatment of a trophic ulcer on the leg should be aimed at creating optimal conditions for its healing and protection from infection from the external environment.

For this use:

washing the wound to cleanse and eliminate it pathogens;
applying ointment to the wound;
application of a special coating that accelerates healing;
correct bandaging.

Dressing a wound at home

When treating trophic ulcers on the legs, treating and dressing the wound is extremely important. Without correct application bandages, its treatment is impossible. Correct dressing:

protects the wound from infection;
promotes the destruction of microorganisms in the wound;
retains wound moisture, allows you to create best conditions for the formation of new tissues;
removes excess fluid and pus from the wound without drying out the wound;
allows air to freely penetrate the wound;
should be quickly and easily removed.

Modern doctors believe that drying wounds, especially trophic ulcers, is harmful. They are not created in a dry wound necessary conditions to supply oxygen to tissues and create new tissues. By maintaining a moist microclimate in the wound during healing, a smaller and more durable scar is formed.

What do you need to bandage a wound on your leg at home? For this:

prepare the surface for dressing (a coffee table or a large chair with a flat surface is ideal for the leg);
cover the work area with a folded clean cloth, ironed several times with a hot iron;
lay out materials - sterile bandage and cotton wool, sterile cotton swabs, cotton buds, a clean cotton or linen towel;
scissors pre-treated with alcohol, a plaster, and medications (peroxide, chlorhexidine) are placed on the fabric.

Dressing is carried out daily, at the same time. If the wounds are purulent and the bandage gets wet quickly, it needs to be changed as soon as it gets dirty. A bandage that has become loose or dirty must be replaced.

Wound treatment always follows the same algorithm:

Carefully remove the old bandage, carefully cut it, pick up the edge of the bandage and remove it. The skin is held with your hand so as not to cause pain.
If the gauze does not come off, then it is moistened disinfectant or a decoction of medicinal herbs and wait until it goes away. Remove the covering along the surface of the wound.
If bleeding begins when removing the bandage, a sterile cotton ball is pressed firmly to the wound to stop the bleeding.
The skin around the ulcer should be carefully cleaned with gauze pads, which are moistened in saline solution, peroxide, chlorhexidine, water and baby soap. You can’t get the ulcer wet! Cleaning of the skin begins from the edge of the ulcer.
Careful preparation of wound edges is important for diabetic ulcers which are often affected by fungal infections.
To heal a wound that is actively festering, it needs to be cleaned several times a day. To do this, the wound is washed under a stream of infusion of medicinal herbs, soap solution, antiseptic and slightly dried. The edges of the wound are treated with baby cream, zinc oxide, and Diprosalik ointment is applied.
After cleansing, the wound is carefully examined to determine changes in its condition.
The wound surface is treated with prescribed agents. If ointment is used for treatment, it is not applied to the wound, but to a sterile napkin, which is pressed against the wound. The medicine in powder form is applied directly to the wound. Gauze pads are applied on top of the wound in several layers. If wet wipes are prescribed for treatment, they are placed directly on the wound, then dry wipes are placed on top.
It is best to use an adhesive plaster to secure the bandage. To do this on gauze bandage A long adhesive plaster is applied in several layers, forming ends of 10 centimeters for easy fastening of the bandage. For convenience, it is better to shave the hair in the dressing area.

If the trophic ulcer is dry and the bottom of the wound is covered with a black scab, the wound needs to be moistened to clean it. There are special dressings for this; you can use infusions of medicinal herbs or homemade ointments.

Varicose trophic ulcers of the lower extremities, and their treatment at home, require a mandatory compression bandage - this way the trophic ulcers heal more easily.

The leg is bandaged, after covering the trophic ulcer with a sterile bandage or securing a gauze pad, and a rubber sponge is placed on top. They apply a compression bandage with a special elastic bandage, which provides good compression in the morning without getting out of bed.

You need to start from the toes, gradually moving up. Each top layer of bandage should not overlap the bottom ball by ½. The height of the bandage is up to the knee. When applying a bandage to the lower leg, the bandage must be turned over to ensure even application.

As the bandage moves up, it should become less tight to make walking easier. When bandaged, the foot is fixed at a right angle to the leg. The bandage should not be applied to the knee and thigh, as this does not have the desired effect. therapeutic effect. The bandage under the knee should not be too tight - the lymph will flow poorly, making it difficult to treat the ulcer.

The bandage on the foot must be applied taking into account the shoes; sometimes two rounds of the bandage will be enough. If the skin on your leg is sensitive, you can bandage your leg with a cotton stocking. The bandage must be removed at night.

Some folk recipes

To treat trophic ulcers at home you can use:

Treating ulcers at home requires pedantry and accuracy from the patient and giving up bad habits. Modern medicines in combination with traditional methods treatment and therapy of the underlying disease make it possible to treat previously hopeless patients.

It should be immediately mentioned that a trophic ulcer on the leg will not disappear in a couple of days. Treatment at home is quite tedious and requires persistence. In today's material we will study everything related to this.

Is it possible to cure a trophic ulcer without surgery?

Yes. But we should warn you that all actions must be carried out under the supervision of a specialist. Wounds are washed with antiseptics, and targeted ointments are used. Antitrophic dressings are also made by hand. For rinsing purposes, it is advisable to use peroxide or decoctions.

Important!

After eliminating the symptoms, you should not overload your legs with long walking. Rest and special light exercises (gymnastics) are required.

Rules for treating trophic ulcers on the legs at home

1. A detected trophic ulcer on the leg requires a complete review of nutrition. Treatment at home depends on this. Therefore, exclude all fatty, peppery, salty, sugary-sweet foods. Lean on steamed and boiled foods, increase your consumption of fruits and vegetables.

2. To prevent soft tissues from being injured and not receiving more load than expected, purchase orthopedic insoles. They are sold in medical or shoe stores.

3. Provide yourself with peace by periodically resting during the day. Of course, you should not lie in bed all the time; there should be minimal mobility.

4. While lying down, do gymnastics: bending/extending your knees, rotating your feet, crossing and stretching your legs up, etc. This will help disperse the blood and prevent stagnation.

Treatment of trophic ulcers with medications

A trophic ulcer on the leg requires a multifaceted approach, so treatment is selected accordingly. At home, targeted medications are used to alleviate the condition and eliminate the problem completely.

No. 1. Pills

The following drugs are used internally:

"Endothelon". Take 1 unit of the drug twice a day. Course – 3 weeks. Contraindicated for pregnant/breastfeeding persons.

"Detralex." Helps cure ulcers that are formed due to varicose veins. There is an analogue - “Venarus”. It is necessary to take 1 unit of the drug twice a day for 2 months. Course – 2 times a year (every six months).

"Antistax." Expectant and new mothers should not take the product. For everyone else, take 2 capsules after waking up in the morning. Duration of therapy is 2 months.

"Troxevasin". The drug is taken after meals three times a day, 1 unit. Side effects include allergies and difficulties in the gastrointestinal tract.

No. 2. Compression bandages

1. Throughout the therapy, it is important to provide compression to the legs. This can be a bandage of 3-4 layers elastic bandage, which changes every day. This technique is used if the ulcers are of venous origin and are open (!). Compression bandages are designed to reduce swelling and reduce the diameter of veins. In general, the functioning of the lymphatic system is improved.

2. A trophic ulcer on the leg, which is venous in nature, requires a more serious approach; progressive compression systems are involved in the treatment. Saphena Med UCV stockings are suitable for use at home.

3. If the ulcers appear due to varicose veins, then it makes sense to use medical elastic compression “Medi” or “Sigvaris” with class 2 or 3.

4. If it is necessary to provide intermittent compression (congestive, pyogenic and other types), it makes sense to take a closer look at the Unia Boot bandages, consisting of gelatin and zinc. As an alternative to the Unia Boot, you can buy the Air Cast Boot.

No. 3. Heparin-based gels

1. Ointments containing heparin are used. The more of this substance, the better and faster the result.

2. Gels are applied at the final stage of recovery, as well as to prevent the re-formation of ulcers. They accelerate the blood and can be used continuously with short breaks.

3. So, among the suitable options we highlight “Thrombophob”, “Lioton”, “Trombless”. Use them according to the instructions and do not violate the recommendations.

No. 4. Patch

1. A trophic ulcer on the leg requires a variety of treatment. The patches cannot be purchased; you will have to make them yourself at home. The recipe is old, you can be sure of its effectiveness.

2. Take 20 g. spruce resin and flammable sulfur. Mix 60 gr. soft butter, 75 gr. wax, 2 chopped onions. Stir until thick and smooth.

3. Take a clean piece of linen or cotton fabric. Apply this ointment, press it to your leg and wrap it with a bandage. After 2 days, change the bandage. It is important to know, home remedy Use only after doctor's approval!

No. 5. Ointments

1. For a trophic ulcer on the leg, treatment is carried out with ointments, which should be venotonics, antiseptics or proteolytics.

2. They are often taken at home antiseptic drugs in the form of "Levomekol", "Bioptin" and "Miramistin".

3. Among the proteolytics, Iruksol performed well. Venotonics include Normoven and Detralex.

Folk remedies for the treatment of trophic ulcers

As for folk remedies, they showed themselves only with the best side. The recipes presented below have been tested more than once. Consider them all.

No. 1. Tatarnik

Dry the leaves of the plant and turn them into flour, sift. Pour into a jar and leave in a dark room. After a couple of days, lubricate the affected area with Rivanol. Sprinkle the previously prepared powder onto the ulcer. Secure with a bandage. Carry out the procedure at night. After waking up, wash the wound, pat dry and repeat the process.

No. 2. Streptomycin

Crush 3-4 Streptomycin tablets in a mortar. Sprinkle the powder onto dry and clean wounds. The drug quickly eliminates pain. Coming off inflammatory process, are dying pathogenic bacteria. Systematic use of the powder promotes rapid healing of wounds.

No. 3. Serum

Make from 0.5 l. homemade milk curdled milk. Move fermented milk product in a gauze bag and hang. Every time before going to bed, treat the affected area with serum. Also apply a compress of cottage cheese through gauze. Secure with a bandage and leave overnight.

No. 4. Ash

Trophic ulcer on the leg is a rather serious ailment, it is required urgent treatment. If you want to get rid of the problem at home, then pour boiling water over wood ash and let it sit for 2 hours. Water the affected areas. After this, treat the wounds with sterile cotton wool and calendula tincture. Then sprinkle a little Streptomycin powder on the dried areas.

No. 5. Peroxide

If the wounds are in a neglected state, you can try to correct the situation with hydrogen peroxide. Pour a little Streptomycin powder into the bottle with the solution. Clean the wound and apply a sterile wipe. Wrap in polyethylene, then with a warm cloth. Visible results occur after 8-10 days.

No. 6. Tar

Buy tar at any pharmacy. Soak cotton pads in it. Use the product as compresses. Replace the lotion with a new one every day. Visible results are achieved no earlier than a week later.

No. 7. Onion oil

Chop the onion and fry in oil until golden. Filter the oil into a convenient container. The composition is used up to 3 times a day. Apply onion oil to the affected areas. Important - traditional medicine do not recognize this method and considers it harmful.

No. 8. Flaxseeds

If a trophic ulcer on the leg does not go away, it can be treated with flaxseeds. At home, simmer 100 gr. raw materials in 3 l. water over low heat. Pour the broth into a thick plastic bag. When the liquid reaches an acceptable temperature, treat the wound with an antiseptic and immerse your foot in it. Wait for it to cool completely. Wipe dry.

No. 9. Salt

Dilute in 1 liter. warm water 35 gr. table and sea salt. Dampen a piece of gauze. Apply to the wound and secure with a bandage. You need to keep the lotion for about 3 hours. 2 procedures should be performed per day.

No. 10. Boric alcohol

Fill a small bowl with warm water. Crumble a third of a bar of grated household soap. Steam and wash the ulcer. Treat it with Miramistin. Soak gauze in boric alcohol and apply to the wound. Secure with a bandage. The compress is kept overnight.

It is best to treat a trophic ulcer on the leg after a full consultation with a specialist. He will tell you exactly what medications you will need to purchase at the pharmacy. The doctor will also advise you on what can help at home. There are a lot of proven folk remedies.

Trophic ulcers on the legs are a serious complication of many vascular diseases, but most often their appearance is caused by venous insufficiency of the vessels of the lower extremities. Trophic ulcers of the lower extremities do not heal quickly, so even if the initial period of treatment is carried out inpatiently, most of the therapy is carried out at home. Therefore, it is important for a person to understand for himself which treatment of trophic ulcers at home is most productive and leads to a speedy recovery.

The approach of official medicine

Treatment of trophic ulcers of the lower extremities, including at home, is a multidisciplinary task. Often, one medicine is not enough to finally cope with the pathology and restore health. Therefore, it is necessary to treat a leg ulcer comprehensively, combining several remedies at once. In addition, treatment of any trophic ulcer of the lower extremities must begin with an impact on the cause of its occurrence. If the cause is not treated or the influence of provoking factors is not eliminated, then the formation on the leg will not be completely cured.

To treat trophic ulcers on the legs at home, systemic and local medications can be used. One of the most frequently prescribed groups is antibiotics wide range actions. According to most doctors, it is not worthwhile to immediately treat trophic disorders in the legs with oral antibiotics - this is not the safest group of medications. It is better to use local forms of antibiotics, as well as antiseptics that have a similar effect.

The high effectiveness of therapy was noted by patients who tried to treat trophic ulcers of the lower extremities with the following drugs:

Iodopyrone.
Dioxidine.
Miramistin.
Preparations with a high content of silver ions.

For example, Iodopirone in the form of an aerosol or a 1% solution of the substance will help treat trophic ulcers on the legs. To apply the medicine in the form of an aerosol, you need to shake the container, put on a special nozzle and gently press its head. One press releases up to 100 ml of foam, which corresponds to 1.0 g of pure substance. The foam should be evenly distributed with a clean object over the surface of the trophic ulcer on the leg in a layer 1–1.5 cm thick.

Doctors recommend starting treatment with a topical drug.

Iodopirone solution is also applied topically, but gauze swabs soaked in the solution and placed directly into the wound will help cure trophic ulcers of the lower extremities faster. If you want to use this method for the first time, then your attending physician should show you exactly how to treat the pathology. Side effects of treatment: allergic reactions, burning sensation that goes away quickly after application. There are no special contraindications to treatment.

Another commonly used antiseptic that helps treat trophic ulcers on the legs is Argosulfone. The medicine not only serves as a local antiseptic, but also has analgesic properties due to its hydrophilic properties. Argosulfone is available in the form of ointment and cream. Used as open method, and under occlusive (closed) dressings. Contraindications for use: individual intolerance to any component of the drug, pregnancy and prematurity. Rare side effects of treatment may include irritation and allergic skin reactions that occur on the lower extremities. Leukopenia develops less frequently (with long-term treatment large doses).

It is recommended to treat trophic disorders on the legs, in particular ulcers, with antiplatelet agents. This group of drugs improves rheological properties blood, blood circulation in the lower extremities, and is also used to prevent thrombosis. Frequently used medications are Pentoxifylline, Reopoliglucin, and acetylsalicylic acid derivatives. Dosages, frequency and how long the process on the legs should be treated with antiplatelet agents is discussed on an individual basis.

Antiplatelet drugs improve the rheological properties of blood.

Often a trophic ulcer formed on the leg is accompanied by excruciating pain. Non-steroidal anti-inflammatory drugs will help relieve pain and improve a person’s condition in this situation. Medicines are used at home, mainly internally, but ointments or gels can be prescribed. An example of non-steroidal anti-inflammatory drugs for local treatment trophic ulcers on the lower extremities is Diclofenac (also known as Voltaren, Diclobene). The drug is applied to the affected area on the leg 3 – 4 times a day.

In case of ineffectiveness of anti-inflammatory drugs and large skin defects of the lower extremities, medications with a hormonal component may be prescribed. They help to quickly and effectively cure ulcers at home, but have a number of side effects. It should also be remembered that long-term and frequent treatment hormonal drugs can lead to addiction, so you can’t use only one drug. It is better to combine and treat each new case of trophic ulcers on the legs with different means.

Akortin, hydrocortisone.
Advantan.
Beloderm (used in case of advanced process).
Lorinden.

As a symptomatic treatment at home, histamine receptor blockers or antiallergic drugs can be added to the treatment of trophic leg ulcers. The drugs have an antipruritic effect, reduce capillary permeability, which in some way helps reduce swelling. A frequently prescribed remedy is Fenistil (applied to the legs 2–3 times a day).

To speed up the regeneration of affected areas, ointments and gels are used.

Drugs whose action is aimed at accelerating the regeneration processes of the affected area can help the body in the fight against trophic ulcers of the lower extremities. For example, ointments and gels obtained in a special way from the blood of young animals, Actovegin and Solcoseryl. The drugs improve cellular metabolism (metabolism), accelerate energy metabolism, and also have antioxidant properties. The average course of treatment is 12–14 days when applying the ointment at least 2 times a day. A rare side effect of drugs is allergic reactions, and contraindications to applying drugs to trophic leg ulcers are exclusively individual intolerance.

Popular and effective way treatment of trophic ulcers at home is wearing compression hosiery. The method of compression has been known for a long time - even grandmothers, in order to get rid of pathology, tightly bandaged their legs. Now bandaging does not make sense: in many pharmacies you can find specialized knitwear suitable for wearing on skin with trophic ulcers. More often, leg stockings of 2–3 compression classes from Sigvaris, Safena, and Med are used for this purpose.

Many people try to cure trophic ulcers using folk recipes. Indeed, herbs and other substances have healing effect, moreover, they have a relatively low risk of side effects and a small number of contraindications.

At home, you can use herbal compresses.

Traditional healers recommend the following recipes for treatment at home:

Applying powder of crushed tartar leaves. The plant must be collected in a clean place and dried according to the rules, or it is better to purchase ready-made plant materials at the pharmacy. According to the recommendations, in order to achieve the desired effect of treatment, before application it is necessary to clean the surface of the trophic ulcer from tissue decay products and only then apply the powder. Afterwards you need to make a bandage and leave it overnight.
It is often recommended to make golden mustache juice yourself at home. The plant is unpretentious and is a frequent inhabitant of apartments. To obtain juice, you must use thoroughly washed young leaves. The juice itself is applied to a cotton pad, which is applied to the surface of the defect.

There are also more complex folk recipes. For example, you can treat trophic ulcers by making your own propolis ointment with goose fat at home. It requires 3 g to prepare it. pure propolis and 100 g of high-quality goose fat. The ingredients are mixed and boiled in a water bath for about 15 minutes. After which the cooled fresh mixture is applied to the bottom of the trophic ulcer on the leg, covered with waterproof paper for compresses, bandaged and left for several hours.

Whatever method of treatment at home you choose, the main thing is that it turns out to be effective and does not harm your health. more harm. Therefore, the choice of drugs, as well as the use of folk advice, is best done under the guidance experienced doctor who has an understanding of the specifics of drug interactions with each other, side effects and the presence of contraindications to drug treatment. Only such an approach will help achieve get well soon and prevent the formation of new trophic ulcers.

A trophic ulcer is a disease characterized by the formation of defects in the skin or mucous membrane, which occurs after the rejection of necrotic tissue and is characterized by a sluggish course, a low tendency to heal and a tendency to recur.

As a rule, they develop against the background of various diseases, are characterized by a persistent long-term course and are difficult to treat. Recovery directly depends on the course of the underlying disease and the possibility of compensating for the disorders that led to the occurrence of pathology.

Such ulcers do not heal for a long time - more than 3 months. Most often, a trophic ulcer affects the lower extremities, so treatment should begin when the first signs are detected at the initial stage.

Causes

Impaired blood supply to the skin area leads to the development of microcirculation disorders, lack of oxygen and nutrients, and gross metabolic disorders in tissues. The affected area of the skin becomes necrotic and becomes sensitive to any traumatic agents and infection.

Provoke the occurrence The following risk factors can cause a trophic ulcer on the leg:

Problems of venous circulation:, and so on (both diseases contribute to stagnation of blood in the veins, disrupting the nutrition of the tissue and causing necrosis) - ulcers appear on the lower third of the leg;
Deterioration arterial circulation(in particular, for , );
Some systemic diseases ();
Any types mechanical damage skin. It can be not only ordinary, domestic injury, but also burns and frostbite. This area also includes ulcers that form in drug addicts after injections, as well as the consequences of radiation;
Poisoning with toxic substances (chromium, arsenic);
Skin diseases, for example, chronic;
Impairment of local blood circulation during prolonged immobility due to injury or illness (bedsores form).

When making a diagnosis, the disease that caused the formation is very important, since the treatment tactics for a trophic ulcer on the leg and the prognosis largely depend on the nature of the underlying venous pathology.

Symptoms of trophic ulcers

The formation of an ulcer on the leg, as a rule, is preceded by a whole complex of objective and subjective symptoms indicating a progressive disorder of venous circulation in the extremities.

Patients note increased swelling and heaviness in the calves, increased frequency, especially at night, the appearance of a burning sensation, “heat,” and sometimes itching of the skin of the lower leg. During this period, a network of soft bluish veins of small diameter increases in the lower third of the leg. Violet or purple spots appear on the skin dark spots, which, merging, form an extensive zone of hyperpigmentation.

In the initial stage, the trophic ulcer is located superficially, has a moist dark red surface covered with a scab. Subsequently, the ulcer expands and deepens.

Individual ulcers can merge with each other, forming extensive defects. Multiple advanced trophic ulcers in some cases can form a single wound surface along the entire circumference of the leg. The process extends not only in breadth, but also in depth.

Complications

Trophic ulcers are very dangerous due to their complications, which are very serious and have poor prospects. If you do not pay attention to trophic ulcers of the extremities in time and do not begin the treatment process, the following unpleasant processes may subsequently develop:

lymphadenitis, lymphangitis;
gas gangrene;
skin cancer.

It is imperative that the treatment of trophic ulcers on the legs should be carried out under the supervision of the attending physician without any amateur activity, only in this case can the consequences be minimized.

Prevention

The main preventative measure to prevent the occurrence of a trophic ulcer is immediate treatment primary diseases(circulation and lymph outflow disorders).

It is necessary not only to use medications internally, but also to apply them externally. Local influence will help stop pathological processes, heal an existing ulcer and prevent subsequent tissue destruction.

How dangerous is the disease?

A progressive trophic ulcer can over time occupy significant areas of the skin and increase the depth of the necrotic effect. A pyogenic infection that gets inside can provoke the appearance of erysipelas, lymphadenitis, lymphangitis, and septic complications.

In the future, advanced stages of trophic ulcers can develop into gas gangrene, and this becomes a reason for urgent surgical intervention. Long-term non-healing wounds, exposed to aggressive substances - salicylic acid, tar, can develop into malignant degeneration - skin cancer.

Treatment of trophic ulcers on the leg

If there is a trophic ulcer on the leg, one of the main stages of treatment is to identify the cause of the disease. For this purpose, it is necessary to consult doctors such as phlebologist, dermatologist, endocrinologist, cardiologist, vascular surgeon or general practitioner.

Late stages of the disease are usually treated in surgical hospitals. However, in addition to identifying and eliminating the cause of a trophic ulcer, it is also necessary not to forget about daily care behind the affected area.

How to treat a trophic ulcer of the lower extremities? Several options are used, depending on the severity of the pathological process.

Conservative therapy when the patient is prescribed drugs such as phlebotonics, antibiotics, antiplatelet agents. They will help cure most of the symptoms of the disease. Patients are often prescribed the following medications: Tocopherol, Solcoseryl, Actovegil. Such drug treatment can only be prescribed by a doctor.
Local therapy, with which you can cure tissue and skin damage. For diabetes, ointments containing antiseptics and enzymes are used. These agents heal wounds and provide local anesthesia. Ointments that increase blood circulation are prohibited from being applied to the open surface of a trophic ulcer. Ointments such as Dioxikol, Levomekol, Kuriosin, Levosin have a wound-healing effect. The ointment is applied to the compress or special bandages are made.
Surgical intervention, which is produced after the ulcers have healed. During it, blood flow in the veins in the affected area is restored. This operation includes bypass surgery and phlebectomy.

The following drugs are used to treat wounds: Chlorhexidine, Dioxidine, Eplan. At home, you can use a solution of furatsilin or potassium permanganate.

Surgery

Surgical treatment of trophic ulcers of the lower extremities is indicated for extensive and severe lesions skin.

The operation consists of removing the ulcer with surrounding non-viable tissues, and further closing the ulcerative defect; at the second stage, surgery is performed on the veins.

There are a few various surgical methods:

Vacuum therapy, which allows you to quickly remove pus and reduce swelling, as well as create a moist environment in the wound, which will greatly interfere with the development of bacteria.
Catheterization – suitable for ulcers that do not heal for a very long time.
Percutaneous stitching – suitable for the treatment of hypertensive ulcers. Its essence is the separation of venous-arterial fistulas.
Virtual amputation. Cut off metatarsal and metatarsophalangeal joint, but the anatomical integrity of the foot is not violated - but foci of bone infection are removed, which makes it possible to effectively combat neurotrophic ulcers.

If the size of the ulcer is less than 10 cm², the wound is closed with its own tissues, tightening the skin by 2-3 mm per day, gradually bringing the edges together and completely closing it in 35–40 days. A scar remains at the wound site, which must be protected from any possible injuries. If the affected area is more than 10 cm², skin grafting is used using the patient’s healthy skin.

Drug therapy

A course of drug treatment necessarily accompanies any operation. Treatment with medications is divided into several stages, depending on the stage of the pathological process.

At the first stage (wetting ulcer stage), the course of drug therapy includes the following drugs:

Broad-spectrum antibiotics;
, which include ketoprofen, diclofenac, etc.;
Antiplatelet agents for intravenous injections: pentoxifylline and reopoglukin;
: tavegil, suprastin, etc.

Local treatment at this stage is aimed at cleansing the ulcer of dead epithelium and pathogens. It includes the following procedures:

Washing the wound with antiseptic solutions: potassium permanganate, furatsilin, chlorhexidine, decoctions of celandine, string or chamomile;
The use of dressings with medicinal ointments (dioxicol, levomikol, streptolaven, etc.) and carbonet (a special dressing for sorption).

At the next stage, which is characterized by the initial phase of healing and the formation of scars, healing ointments for trophic ulcers - solcoseryl, actevigin, ebermin, etc., as well as antioxidant drugs, for example, tolcoferon, are used in treatment.

Also at this stage, specially developed wound coverings, Swiderm, Geshispon, Algimaf, Algipor, Allevin, etc., are used. Treatment of the ulcerated surface is carried out with curiosin. At the final stages, drug treatment is aimed at eliminating the underlying disease that provoked the appearance of a trophic ulcer.

How to treat a trophic ulcer on the leg at home

When starting to treat a trophic ulcer using traditional recipes, you must always consult with your doctor.

At home you can use:

Remember that in the absence of timely and proper therapy complications may develop such as: microbial eczema, erysipelas, periostitis, pyoderma, arthrosis ankle joint etc. Therefore, use only folk remedies, while neglecting traditional treatment not worth it.

Ointments for treatment

To treat this disease you can also use various ointments, both natural and purchased at the pharmacy. Arnica, comfrey, and indoor geranium ointments effectively heal wounds and have an anti-inflammatory effect.

Vishnevsky ointment is also often used. Of the ointments that can be bought at the pharmacy, dioxykol, levomekol, as well as streptolaven and a number of analogues are especially distinguished.