Trophic ulcer - a serious complication of varicose veins. This is a long-term healing of soft tissue defects. Appears in advanced forms of the disease as a result of decompensation of the venous outflow at the bottom of your feet on its inner surface.
Trophic ulcer formation occurs slowly and gradually. As a result of increased permeability of vascular wall outside the bloodstream out red blood cells, they contain hemoglobin undergoes degradation to form hemosiderin, which is deposited in the dermis and paints it in a darker color - on the skin there is part of hyperpigmentation. With progression of the process is against this background appears whitish, as if varnished, seal. This is the predyazvennoe state, when any, even the most minor injury can cause the formation of a significant defect. If the time to treat quickly closes. Otherwise, the area and depth of the lesion will increase progressively, develop perifocal inflammation of soft tissues and, furthermore, may join a secondary infection that threatens the development of local and general septic complications.
Diagnosis of venous ulcers of the food is simple, the main problem - it's treated.
Treatment involves several steps. The first thing is to get scarring already existing defect, and then a prompt intervention to prevent relapse.
Regimen developed taking into account the phase currents ulcerative process. If there is a stage of exudation, characterized by copious amounts of wound, severe inflammatory reaction of the surrounding soft tissues, as well as very often, and bacterial colonization, the patient is assigned polupostelny mode for two weeks, antibiotics broad-spectrum, non-steroidal anti-inflammatory drugs. If necessary - infusion therapy, antimycotics and nitroimidazole derivatives. It is mandatory to local treatment is carried out, which includes daily two-three-time WC ulcerated surface with an antiseptic solution, followed by dressing with a water-soluble osmotically active ointment, a special sorbent compress and elastic bandage. Cleansing the wound surface, the appearance of granulation tissue, reducing the severity of perifocal inflammation and exudation indicate the beginning of the next phase - reparations. Begin to carry out activities aimed at stimulating growth and maturation of connective tissue elements. For this purpose, polyvalent prescribe venotoniki, deproteinized calf blood derivatives by type solkoserila and Actovegin, antioxidants, zinc hyaluronate.
To achieve the therapeutic effect of using a laser and ultraviolet blood irradiation, improving its rheology. Necessarily remain elastic compression. At the stage of epithelization - the main task is to protect the maturing scar from possible external mechanical damage by wearing medical compression hosiery or bandaging the elastic lower extremities. Receive flebotonikov continue. After the complete closure of the tissue defect, the absence of contraindications, proceed to the next stage - implementation of the combined surgery.
It is much easier to prevent the occurrence of venous ulcers than to fight with them, especially taking into account the fact that they often recur.
