Quite deep wounds that do not heal on their own for more than 6 weeks are called trophic ulcers. They can occur for various reasons, mainly because of venous and arterial lesions, thrombophlebitis. It is very important to choose the right local and systemic therapy if there is a trophic ulcer on the leg - treatment without specialist supervision can provoke a chronization of the process, the spread of purulent inflammation to neighboring sites.
Treatment of trophic ulcers with medicines using modern technologies
Therapy, first of all, is aimed at eliminating the disease, which became the root cause of the symptom in question.
When performing laboratory tests, it is often found that the wound is infected with various coccal bacteria, sometimes fungi. Despite the large number of broad-spectrum antibiotics, such drugs are ineffective, as sensitization (stability) of microorganisms develops. Reception of systemic medications of this type is justified only when the sensitivity of microbes to the active components is detected.
Treatment of a wet trophic ulcer of the lower leg or foot necessarily involves the use of local medicines. As practice shows, the most effective are antiseptic solutions:
- Dioxydin;
- Yodopirone;
- Miramistine;
- Prontosana;
- Lavasept.
After treatment of the wound with the listed means, it is necessary to apply the drug with ions, nitrates or sulfatazole of silver, for example, Argosulfan.
It is worth noting that the proposed scheme of therapy sometimes leads to the occurrence of side effects due to the use of antibiotics, such as:
- allergic, contact dermatitis ;
- eczema.
Previously, the treatment of trophic ulcers with streptocid and ointment containing antimicrobial ingredients (levomecitin, tetracycline) was common, but it turned out that these drugs do not help. Treatment of skin damage with this antiseptic does not eliminate most of the bacteria, and petroleum jelly in the ointment prevents drying of the wetting surface and does not provide tissue healing.
Napkins for the treatment of trophic ulcers are a relatively new technique to prevent surgical intervention. Such adaptations help to quickly clean the wound from pus, accelerate the regeneration of the skin. The most effective:
- Multiferm;
- Proteox-TM;
- Comfil Plus;
- Biathen;
- Hydrosorb.
With frequent relapses of the disease, the use of radical techniques in the form of operations using conservative or laser methods (curettage, evacuation, cessation, fistula piercing) is recommended. In the course of the event, dead tissue and inflammation foci are completely removed, the flow of blood through the veins is normalized.
Treatment of trophic ulcers with folk remedies
As additional therapeutic measures, non-traditional methods are sometimes used.
Curd Compress:
- Independently prepare the cottage cheese.
- Wash with a serum from the product of an ulcer.
- Place on the wound a piece of soft cottage cheese.
- Cover the compress with parchment paper and bandage.
- Leave for an hour, carefully treat the ulcer with an antiseptic.
Treatment with tar:
- Rinse the wound with domestic vodka.
- Impregnate a cotton disc or gauze dressing to the size of a birch sore
tar . - Apply a compress on the affected surface, gently bandage so that it completely adheres to the skin.
- Leave for 2-3 days, then replace the bandage with a new one.
Vishnevsky ointment:
- Cauterize dead tissue with alcohol tincture on propolis.
- Abundantly apply Vishnevsky's ointment on the ulcer.
- Apply on top a sterile bandage, folded 8 times.
- In half an hour, remove the compress.