The look of trophic ulcers in varicose veins on the legs — how they can be treated

The main cause of ulcers of varicose veins – circulatory disorders of the skin. It leads to the fact that oxygen and nutrients cannot get to the cells, causing them to die off and inflammation.

Trophic ulcers appear in the last stages of the disease, are formed for a long time and gradually. A blood disorder occurs for the following reasons:

  1. Diabetes.
  2. Venous insufficiency and varicose veins.
  3. Atherosclerosis of the limb.
  4. Hypertension.
  5. Diseases of the skin.
  6. Injury of the limb.
  7. Burns and other lesions of the skin.
Aggravating factor is the violation of the outflow of blood, and the most common cause is venous insufficiency and varicose veins.

The trophic venous ulcer

trophic vomica

Excessive strain on the blood vessels that occurs in some diseases or wrong way of life leads to a stretching of venous walls and valves of weakness.

This results in areas of blood stasis, which are the second and later stages are visible to the naked eye. Trophic tissue in the stasis field is disrupted, the cells begin to die off, and the transfer of inflammatory mediators increases.

For trophic venous ulcers characterized by localized in the lower area of the lower leg or ankles. She begins to form on the inside.

In the earlier stages of the process periodically dies, however, without proper treatment, relapse is inevitable.

On severe stages of venous insufficiency and deep vein thrombosis are observed giant varicose ulcers.

Ulcers varicose veins can cover a limb, or to the deeper layers of the skin.

Conservative treatment is only effective for early start. In severe surgical intervention is required.

You should be alerted to the appearance of the ulcer

The timely detection of pathology makes it possible to prevent an irreversible process in the tissues. Ulcers occur in the last stages of diseases and are the result of existing disorders. Before trophic ulcer of the person concerned are all common symptoms of the disease. When varicose veins is:

  1. Heaviness and fatigue in the legs.
  2. Swelling.
  3. The appearance of vascular pattern and "stars".
  4. Bulging veins.
  5. These symptoms indicate that the veins cannot withstand the load and need help. Such discomfort should be cause for concern and encourage the patient to go to the doctor. In the initial stages of drug treatment is quite effective. Good results also gives the use of therapeutic hosiery.

    Rei Causas

    Species trophic ulcers

    Sores are of different types, depending on what had led to this complication.

    1. Venous ulcers. Reflux of blood from deep veins in superficial and stagnation lead to a deterioration in nutrition of tissue, the lack of oxygen and subsequent cell death. The process begins in the lower leg on the inside, and then grows.
    2. Arterial ulcer. In this case, the nutrition of the skin deteriorates as a result of atherosclerosis. Blockage of the arteries leads to the site of ischemia and circulatory failure. The process of healing and recovery is weak. Ulcer often occurs in the region of the foot, affecting the toes, heel, inner folds . Often such wounds shapeless. This is a rather serious condition which in many cases leads to gangrene or amputation of the limb.
    3. Neuro trophic. Arise from the violation of the trophic nerve endings. The cause is the nerve damage due to injury or certain diseases. In such cases the process is difficult to treat, is prolonged and persistent. Neuro trophic ulcer usually appears under the bone protrusions, often in the heel area. Due to atrophy of nerves it doesn't hurt, despite the fact that may affect the deep layers of the skin. The plague has the form of a crater, inside of which is visible muscle and even bone. From the affected areas pus that has an unpleasant odor.

    Stage of development ulcers

    Pathology is formed gradually. The root cause stands any disease that increases the permeability of the venous wall. Because of this, in the dermis are red blood cells and hemoglobin. At this stage occurs the first symptom is the hyperpigmentation of skin which is externally visible as the plot of purple-brown color.

    Further progression of disease leads to ischemia of skin and the appearance of the seal in white. Such a condition the doctors diagnosed as pre-ulcer. At this stage, the treatment is still quite effective, and the structure of tissues can be restored.

    Further ulcerative process affects deeper and more extensive region, which leads to inflammation of the soft tissues. Very often at this stage observed the accession of secondary infection and abscess.

    To determine trophic ulcer easy enough, the difficulty lies only in the treatment where it is necessary to pay attention not only tissue regeneration, but the elimination of the causes.

    Possible complications

    Trophic ulcer is itself a complication of diseases such as diabetes, varicose veins, venous insufficiency. After the appearance of the ulcer disease process may be exacerbated by the accession of infection and pus. If the face cannot be repaired, there is a high probability of occurrence of gangrene and amputation of the limb.

    The smaller the area of the damaged surface, the easier and faster restores the structure and function of a tissue. Therefore, the treatment of varicose veins should begin with the appearance of the first symptoms of venous insufficiency.

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    Remedies and events

    Treatment of trophic ulcers in varicose veins should begin with a complete examination of the patient.

    This is done to determine the exact root cause that led to the ulcer defect, and also to get results of blood clotting and other important metrics. Treatment can be done in two ways:

    1. Surgery. The specific method of surgical treatment the doctor chooses. It may be a resection of part of the vessel, the plastic correction of the damaged tissue. In modern clinics available such safe procedures as laser ablation and sclerotherapy. To completely cure the damaged region, after surgery is necessary to follow the doctor's recommendations and allow time to restore blood flow.
    2. Conservative treatment. This includes not only medication, but also the use of biological means, physiotherapy procedures, Spa relaxation. All activities are aimed at strengthening of vascular walls, restoration of microcirculation, blood thinners and reduction of the inflammatory process.

    Therapy solutions and ointments

    The advantage of remedies that can be applied directly to the damaged area. The patient must remember that addressing the reasons for this are insufficient and require complex treatment.

    However, solutions and ointments are a good complement to the overall treatment plan. They may contain the following components:

    1. Antiseptics or antibiotics.
    2. Vitamins.
    3. Venotonics.
    4. Early in the healing substance.
    How to treat sores on legs with varicose veins prescribed by a doctor. It is not recommended to self-medicate or use the funds on the advice of friends.

    Pills

    The medication is the basis of conservative treatment. Drugs for systemic use is far more efficient local external funds.

    The main place is given to drugs from the group venotonics, that really helps to eliminate blood stasis, to restore the structure of the vessel and to reduce its permeability. Many venotonics suitable as a prophylactic and can be used without a doctor's prescription.

    In parallel, it is necessary to pay attention to basic disease. If a venous ulcer caused diabetes in the first place should give the patient glucose-lowering drugs.

    Folk remedies

    There are many recipes using folk remedies that help to reduce swelling, relieve inflammation and accelerate wound healing.

    The danger of this approach is that patients are trying to get rid of only the symptom, not affecting the underlying cause.

    Folk remedies and homemade treatments can only be done in addition to the scheme prescribed by the doctor. According to the doctors, at the stage of trophic ulcers folk remedy is ineffective.

    Popular remedies based on chestnut, beeswax, and cabbage.

    Physio treatments

    Physiotherapy treatments aimed at improving the microcirculation and restore structure of the damaged tissue.

    After a session of physio treatments normalized outflow and blood flow, decreases swelling and inflammation, decreasing discomfort.

    Treatment of ulcers on legs with varicose veins may include:

    • UFO;
    • UHF;
    • electrophoresis;
    • darsonvalizations;
    • aeroionotherapy;
    • laser therapy;
    • massage;
    • the air bath.

    Prevention of complications and recurrences

    Ulcers with varicose veins is much easier to prevent than to cure. Understanding the mechanism of disease, the patient can engage in the prevention of sores. To prevent venous ulcer recurrence, or help:

    1. Drugs from the group venotonics, who are allowed to drink for a long time, as well as prevention.
    2. Proper nutrition. For vessels useful low-fat food rich in vitamins. It is also important to keep drinking regime.
    3. utile natantibus, yoga,
    4. Compression underwear. Special medical hosiery provides mechanical support for the vessels, preventing the stretching and the formation of stagnation. The degree of pressure which creates a similar lingerie is selected by the doctor.
    5. Moderately active lifestyle. Need to find a middle ground and be mobile every day. Problems with the veins as a result of excessive stress and a sedentary lifestyle.
    6. Very useful swimming, yoga, pose with raised up legs.

    How to treat trophic ulcers in varicose veins to decide the doctor. It speaks of the neglect of the process and can not be ignored. At earlier stages of venous insufficiency the patient can be treated at home with the help of venotonic creams, pills and gauze dressings. In the initial stages good effect hirudotherapy.

    Varicose ulcer of lower leg, not only look awful, but are really dangerous to human health. To get rid of them will only daily care of the affected area and accurate execution of all medical recommendations.

    08.06.2018