Trophic ulcers: causes of occurrence, methods of treatment
Trophic ulcers: causes of occurrence, methods of treatment
янв 09, 2023

In some patients, long-term non-healing wounds appear on the lower extremities, which are called trophic ulcers. Such a defect on the skin also affects the underlying soft tissues. It does not heal on its own for more than six weeks.

This pathological formation is formed due to a disorder of vascular microcirculation, which occurs due to the impact on the body of a variety of external and internal factors. A trophic ulcer does not appear on its own. Its development is caused by various diseases. Let's consider what kind of skin defect it is and how it is treated.

Why does trophic ulcer appear

This pathological formation is unable to heal on its own. Trophic ulcer is formed due to prolonged oxygen starvation of tissues, as well as the accumulation of decay products and inflammation in them. It appears most often on the lower extremities due to the peculiarities of blood supply.

Skin damage occurs due to a disorder of blood flow, deterioration of lymph drainage and a decrease in cell nutrition. The appearance of these factors is caused by the following diseases:

  • venous insufficiency;
  • obliterating atherosclerosis;
  • diabetes;
  • arterial hypertension;
  • infections (syphilis, tuberculosis);
  • immunodeficiency;
  • injuries and diseases of the nervous system.

Trophic ulcer requires mandatory treatment, as it serves as a potential source of infection.

How is this disorder treated

Trophic ulcer is treated by eliminating the causes of its formation, by compensating for the underlying pathology. It is important to sanitize the infection in the area of the skin lesion. In the treatment of the underlying disease, it is necessary to eliminate the reverse blood flow in varicose veins. It is necessary to restore the patency of large arteries.

If the patient has diabetes, it is important to adjust the blood glucose level. The basis of treatment is compression therapy. The patient must wear special knitwear. Inside, the patient needs to take drugs with anti-inflammatory, venotonizing, trophic action.

Drug therapy includes local wound treatment. To do this, drugs are used that stimulate healing, suppress inflammatory reactions and prevent the penetration of infection. With severe inflammation of the wound, when the temperature is elevated and purulent discharge is observed, antibiotics are prescribed.

Modern means of "Hitocol" is actively used for the treatment of trophic ulcers. They clean the wound surface from necrotic tissues and remove exudate. Bandages help maintain normal moisture in the wound and destroy toxins and bacteria.

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