Treatment of trophic ulcers with streptocide. Treatment of trophic ulcers of the lower extremities at home. Folk remedies for the treatment of trophic ulcers on the legs. Golden mustache cures ulcers

A person is not immune from diseases; they can overtake him at any time and at any age. But you shouldn’t immediately run to the pharmacy at the first symptoms and start taking medications. Sometimes you can try treatment at home. However, I would like to immediately make a reservation that this does not apply to all diseases, and also be sure to listen to your body, and you will understand everything yourself. Now the conversation will be about how trophic ulcers are treated at home.

What is a trophic ulcer

This is a defect of the skin and mucous membrane, which occurs as a result of tissue nutritional disturbances. You should not joke with this disease, as it can lead to:

  • eczema;
  • suppuration;
  • fungal infection;
  • erysipelas;
  • swelling of the skin and subcutaneous tissue;
  • thrombophlebitis;
  • inflammation of the periosteum;
  • arthrosis of the ankle joint.

Ulcers have different shapes and sizes. The edge of the wound is always compacted and protrudes above the surface of the skin. The bottom of the ulcer is shallow and flat. There is almost no discharge, and if there is, it is scanty.

Causes of the disease

Trophic ulcer may occur as a result of pathology in the blood circulation and damage to skin tissue, especially trauma.

Diseases that cause ulcers:

  • atherosclerosis of arteries lower limbs;
  • varicose veins and other leg diseases;
  • inflammation of the lymph nodes;
  • frostbite;
  • burns;
  • diabetes;
  • chronic dermatitis;
  • impaired blood flow in the lower extremities;
  • damage to nerve trunks.

You should not joke with a disease such as a trophic ulcer. Feedback from patients boils down to the fact that only timely treatment can give a positive result. After all, it often appears after complications resulting from diseases such as varicose veins and thrombophlebitis. Deoxygenated blood stagnates in small veins, thereby disrupting the tone of the capillaries. The most severe are ulcers caused by diabetes mellitus. If you scratch yourself a little, pathology may begin.

Symptoms of a trophic ulcer

In order to start or immediately consult a doctor, you should know what symptoms precede this disease:

  • soreness;
  • swelling;
  • constant heaviness in the legs;
  • frequent night cramps;
  • The skin changes, it becomes tense with a purple tint, sometimes purple spots appear, the skin becomes rough and hurts when touched.

These symptoms have a trophic ulcer of the leg; treatment can only be prescribed by a specialist. There are also home recipes, but for faster healing you will have to perform many procedures. Fortunately, it is known a large number of folk remedies that will help cope with the disease. We will return to this topic later.

Venous ulcers

Trophic ulcer of the foot and leg is the result of a complication of neurovascular disease of the lower extremities. Most often it develops on the lower leg. Appears when the venous blood flow of the lower extremities is disrupted and as a complication of varicose veins. Appear following symptoms that precede the appearance of wounds:

  • swelling of the calf parts;
  • heaviness in the legs;
  • convulsions appear at night;
  • Veins appear on the limbs, which become purple over time;
  • the skin thickens;
  • clamps appear that look very similar to flakes.

If you do not start treatment at this moment, you will develop varicose trophic ulcers on your limbs. They have bad smell, and pus is released from them.

Four stages of the disease

The first phase is an ulcer in the progression stage. At this stage it is necessary to stop its development. For this purpose, drugs are used that improve tissue nutrition, which promotes wound healing.

The second phase is the cleansing of the trophic ulcer. Happening debridement ulcers Only after this procedure can local medications be applied to the wound. Thanks to them, the trophic ulcer can move into the next phase.

The third phase is granulation. Scarring of the wound occurs. Local and general treatment drugs are used.

The fourth phase is complete healing. This period is the most dangerous. If something goes wrong, healing can stop and go back to the first phase.

Treatment at home

Treatment of trophic ulcers at home is possible and effective. There are a huge number of healing methods, now we will tell you about some of them. Just remember that the conditions must be sterile so that pathogenic microbes did not hit the wound.

  • Take the same amount of honey and egg white, beat everything well. Using a cotton swab, apply the mixture to the ulcer. Wrap your leg with the back of the burdock, with film, bandage it tightly, and leave it overnight. You complete the procedure from five to ten days.
  • Apply hydrogen peroxide to the ulcer. Wait for it to dry a little. After this, sprinkle with streptocide. Place a napkin soaked in boiled water on top. Wrap your leg in cellophane and apply a warm bandage. Do the dressing two to three times a day. Apply streptocide immediately as soon as the wound becomes wet.
  • You will need a tablespoon and one yolk of a boiled egg. Mix the ingredients and fry in a frying pan. Squeeze out the resulting mass through cotton cloth. Wash the wound with hydrogen peroxide, apply the resulting ointment to it and place a leaf of kalonchoe. Before placing the leaf on the wound, wash it with boiling water and remove the film from it. You bandage your leg. The procedure is done morning and evening for two months.
  • If you can find a plant such as golden mustache, use it to treat ulcers as well. Cut the leaves of the plant, previously washed in boiled water, into small pieces. Mash it until the juice appears. Apply the resulting mixture to the wound, cover with a napkin and secure with a bandage.

Disease prevention

A trophic ulcer is a disease that can “return” to you at any time. To prevent this from happening, you will have to carry out preventive treatment at least twice a year. Be sure to monitor the condition blood vessels. Periodically lubricate the areas where there were ulcers with oil infused with St. John's wort and calendula. Try not to let your feet heavy loads. Perform exercises that increase the elasticity of blood vessels.

Conclusion

Treating trophic ulcers at home will require a lot of patience from you. After all, this disease cannot be cured in one day; you will have to spend a lot of time. Remember, no matter how difficult it is for you, do not interrupt the treatment under any circumstances. Only after the specialist makes a diagnosis can the procedures begin.

You need to immediately prepare for the fact that treating a trophic ulcer on the leg at home is a long and serious process. Traditional medicines, doctors admit, are often quite effective. Many people ask how to quickly cure a trophic ulcer on the leg. Treatment includes a complex in various ways using folk remedies, ointments, various medical supplies, medications, bandages, etc. We will tell you about everything in this article.

Important! Risk factor for the development of trophic ulcers is the appearance varicose veins veins This leads to impaired blood supply and the formation of a non-healing ulcer.

Causes of the disease

Possible causes:

  • sugar (due to impaired blood flow in tissues);
  • complications after frostbite;
  • obliterating atherosclerosis of the lower extremities.

Is it possible to cure a trophic ulcer on the leg without surgery?

Trophic ulcers can be cured without surgery. It is better to do this not on your own, but under the supervision of a doctor and follow all his recommendations. Do not forget to wash the wounds with antiseptic solutions and hydrogen peroxide, use ointments and gels to treat trophic ulcers (Troxevasin, Lyoton, Levomekol, Heparin ointment, Thrombophobe, Trombless). Make homemade patches and wear bandages. Use herbal decoctions to wash wounds. After healing, perform a set of exercises and do not put any strain on your legs.

Treatment of trophic ulcers

The treatment process is lengthy and requires your own efforts at home. But any type of therapy should be carried out under the supervision of a specialist. appear in most cases at the tibia ( Bottom part). The reason is poor circulation, swelling of the legs.

Important! To get rid of a trophic ulcer forever, you need to find out the specific reason for its appearance.

Basic rules for home treatment

  1. Special diet. The amount of carbohydrates needs to be reduced, portions of vegetables and fruits increased. Completely avoid spices and spicy foods.
  2. Bed rest. You shouldn't spend all your free time in bed, but you should have peace every day.
  3. Complex special exercises few times a week. Exercise relieves blood stagnation and improves metabolism. They are performed in a lying position: straighten and bend your legs, rotate your feet, cross your legs upward, having first stretched them out.
  4. Buy special shoes with orthopedic soles. This will prevent soft tissue injuries.

Important! If home treatments recommended by your doctor within long period do not bring results, it will be required surgical intervention. But if you refuse self-medication and follow all doctor’s recommendations, you can get rid of trophic ulcers without surgery.

How to treat a trophic ulcer on the leg with varicose veins

To treat a trophic ulcer, it is necessary to perform daily procedures: treat the lesion with antiseptic agents, use creams and gels to restore tissue, take anti-inflammatory drugs and antibiotics, as well as vitamins and drugs to enhance immunity.

Traditional medicine recommends oils, eggs, honey, herbs and plant juice. Prepare an ointment based on honey: 1 tbsp. l. mix honey with fresh chicken protein and let it brew for 3 hours. Before applying the ointment, it is necessary to treat the wound with hydrogen peroxide and decoction.

What will help from traditional medicine

Tatarnik

Dry leaves of the camel thorn plant (also called “tartar”) should be ground into powder and additionally sifted. Place in a jar and send to a dark place. Then treat the ulcers with rivanol (buy at a pharmacy) and blow the powder on them, secure with a bandage. In the morning, wash the wounds, sprinkle them with powder again and bandage them. If the treatment works, the ulcers will soon dry out and the dry crust will disappear on its own.

Curd whey

You need to take 500 ml of homemade milk and make curdled milk from it. Pour the curdled milk into cheesecloth and hang. Before going to bed to sleep, lubricate the ulcer with the released serum, and apply cottage cheese from gauze to the affected areas. Bandage and leave overnight. Before treatment, you need to consult a doctor; the serum does not replace drug therapy.

Streptomycin

Crush several streptomycin tablets. The powder should be sprinkled onto clean, dry wounds. The product quickly relieves pain, inflammation and bacteria; with regular use, the wounds soon begin to heal.

Wood ash

Pour boiling water over the ash and leave to steep for several hours. In the future, use the infusion to water ulcers and wounds. After the procedure, clean the wounds using sterile cotton wool and rinse with calendula infusion. When the wounds dry out, you need to leave this method of treatment and move on to powdering with powder - for example, streptomycin powder. Doctors do not approve of ash treatment because high risk infection of the damaged surface.

Chicken yolks and hazel

To four hazel kernels, which should be crushed to a powder (you can use a coffee grinder), add three mashed and dried yolks. Grind everything, add 1 tsp. iodoform (powder). Rinse the sore using hydrogen peroxide. Apply a thin layer of the mixture for two hours, bandage it, leave for 2 days.

Hydrogen peroxide

For advanced ulcers, you can try treatment with hydrogen peroxide. Pour streptocide into it, lubricate the ulcers, apply clean napkins to them, bandage with polyethylene, then with a warm scarf. The sores should heal within ten days if this method works.

Tar

Soak sterile cotton swabs in tar (you can buy them at the pharmacy). Change compresses every few days. Doctors consider the effectiveness of this method questionable and do not recommend using it to treat ulcers.

Cabbage leaf

Cut a fresh leaf of white cabbage, grease it and apply it to the ulcer. On the second day, change the sheet and do this until the wounds are completely healed. The product must be used simultaneously with local antiseptics to prevent infection.

Shell film

To begin with, the ulcer should be washed with potassium permanganate and blotted. Then apply a film of raw shell chicken egg. Apply the wet part to the affected skin and tie with a bandage. Apply every day until the wounds are completely healed. Ulcers must be treated with an antiseptic.

Onion oil

Fry the onion, pouring oil into the frying pan until the vegetable turns golden in color. Collect the oil from the frying pan in a glass after frying and lubricate the ulcers with it. This recommendation is often found in reference books of traditional medicine, but doctors consider it harmful and categorically prohibit treating trophic ulcers with this oil.

Sea and table salt

In 1 liter of water, dilute a spoonful of sea salt and table salt. Then soak the gauze in the solution, apply it to the ulcers, and wrap a dry bandage on top. Keep for three hours. Do this twice a day, keeping the ulcers open between treatments.

Flax seeds

To treat a trophic ulcer on the leg at home, you will need to brew 100 grams in 3 liters of water for two hours. Make a vessel out of oilcloth into which to pour the broth. Dip the leg into the broth and hold for as long as possible. Wipe dry. Before starting the procedure, you should treat the damaged surface with an antiseptic.

Boric alcohol

In a basin with warm water dilute soap shavings (baby or laundry soap). Rinse the wound thoroughly and treat with Miramistin solution (sold at the pharmacy). Apply a sterile bandage soaked boric alcohol. Leave the compress overnight.

Drug treatment

For complex treatment for trophic ulcers on the leg, not only folk remedies are used, but also various medications: dressings, ointments, tablets, plasters, etc. Medicines are the basis for the treatment of trophic ulcers.

Bandages for the treatment of trophic ulcers on the legs

When treating ulcers, Unna's bandage is often used. This requires a gelatin-glycerin mixture with the addition of zinc and elastic bandage. Mode of application:

  1. The bandage should be applied to the lower leg from the foot to the knee.
  2. 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.
  3. After 10 minutes, the bandage should be lubricated with formaldehyde to remove stickiness.
  4. You can walk in 3 hours. After 1.5 months, the ulcers heal.

Gel for treatment

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

  • Lyoton;
  • Trombless;
  • Thrombophobe.

These gels can be used to prevent trophic ulcers; they relieve fatigue and heaviness. Can also be used in postoperative period.

Pills

For internal treatment of trophic ulcers, the following drugs are used:

  • Antistax - take 2 capsules per morning dose for 8 weeks. Contraindicated for pregnant women and lactation;
  • Detralex – 1 tablet 2 times a day, course of treatment for 2 months. Contraindicated in the first trimester of pregnancy and breastfeeding;
  • Endotelon – 1 tablet 2 times a day, for 20 days. Prohibited during pregnancy and breastfeeding;
  • Troxevasin - 1 tablet 3 times a day after meals. It has side effects: gastrointestinal problems and allergic reactions.

Plaster for the treatment of trophic ulcers

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

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

Mix everything thoroughly to form one thick mass. Apply the mixture to linen fabric and apply sore spot, secure with a bandage. Remove after 2 days. Use only after consultation with your doctor; when using this product, there is an increased risk of wound infection.

Treatment of ulcers with ointment

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

  1. The first include: Bioptin, Miramistin, Levomekol.
  2. To the second group: Iruksol.
  3. The group of venotonics includes: Detralex, Normoven.

Any home treatment options should be discussed with your doctor. If some recipe does not help, then do not despair: you need to try new methods that will be effective in each specific case.

Treatment of legs after healing of a trophic ulcer

After eliminating trophic ulcers, scars remain on the legs that require treatment. Care is also needed to prevent recurrence of the disease. Feet should be lubricated with oils based on St. John's wort, chamomile and calendula. Do not put stress on your legs: do not carry heavy objects, do not walk long distances. You need to choose a set of exercises to improve blood flow and increase the elasticity of blood vessels.

In medicine, trophic ulcers usually include open wounds on the legs in the area of ​​the lower leg or foot that do not heal for more than a month. Most often the cause of the disease is pathological problems with vessels, including: varicose, arterial and thrombophlebitic.

Often, in case improper treatment or without it at all, the wounds turn into a purulent focus. Then inflammatory process is already exposed not only skin covering, but also muscles, tendons, and sometimes joints. Today, there are an abundance of proposed methods for the treatment of trophic ulcers.

The most significant results of therapy are observed when integrated approach To a question. It should be aimed not only at wound healing, but also at eliminating the causes that led to the disease, as well as at preventing relapses. Effective assistance Folk remedies are used in the treatment of trophic ulcers. These simple and affordable recipes have already helped many people.

1. Camel thorn. This recipe will relieve pain and cure ulcers. You will need camel thorn leaves. They must be well dried so that they can be ground into a fine powder. The finished product is poured into a jar and stored in a dry place.

Every day at night, trophic ulcers are first treated with an antiseptic and then sprinkled with this herbal powder. Next, they bandage the legs with wounds with a sterile bandage, and in the morning they powder them again and bandage them again. The ulcers will soon dry out and heal.

2. Serum. Such a treatment is also known. You will need homemade serum. It must be prepared from sour cow's milk. To do this, sew a small two-layer gauze bag, pour yogurt into it (no more than 100 milliliters), and collect the leaking whey in a separate container. The wound is washed with this folk remedy, and a bag of curd grounds is then placed directly on it.

Such a compress can be tied by first placing parchment paper. As the bag dries, the procedure is repeated with a new portion of yogurt. Gradually open wound heals and no longer bothers you.

3. Strawberries. It is recommended to apply this mixture to a purulent wound. To prepare it, strawberry leaves are passed through a meat grinder, lanolin and medical petroleum jelly are added to the mixture. Ratio: leaves - one glass, lanolin and petroleum jelly - a tablespoon each.

This ointment has anti-inflammatory, wound healing and antimicrobial properties. It should be applied on a napkin to the trophic ulcer, fixed with a bandage and left overnight. After three weeks, the wound will be cleared of pus, dry out, shrink and heal.

4. Flax seed. There are many positive comments about the treatment of non-healing trophic ulcers with flax seed. Healers offer this very effective recipe.

You need to take 100 g of flax seeds and boil them for about two hours over very low heat in 3 liters of water. In this decoction you need to moisten bandages and bandage your feet. And it’s even better if you sew oilcloth boots, pour the broth into them and walk like that for as long as possible. The wound will heal, the pain will go away.

Onion oil against trophic ulcers

Long-term non-healing ulcers on the lower extremities have long been treated at home with onion oil. To do this, you need to take a large onion, chop it and fry it in a frying pan in vegetable oil. When the onion turns a dark golden color, remove the pan from the heat and pour all the liquid into a cup. This remedy is used to lubricate ulcers. The wounds will heal.

To cure trophic ulcers on the legs and prevent relapse, you can use this treatment. You need to purchase Activtex wipes, which are sold at any pharmacy.

Next, prepare furacilin water solution: 2 tablets dissolve in 150 ml of water. Soak a dressing napkin in it and apply it to the ulcer. The compress is secured on top with a sterile bandage. The napkin should be moistened frequently (up to 8 times a day).

One napkin can be used all day. The next day it is replaced with a new one. When the wound dries, you can apply a regular sterile napkin soaked in furatsilin, and then completely dry. Early treatment will help prevent the occurrence of trophic ulcers.

Egg oil

This traditional treatment long, but reliable and will take time to complete cure- 4 months. You should treat the wound with hydrogen peroxide twice a day, and then lubricate it with egg oil, which is prepared as follows:

  • hard boil 6 eggs;
  • remove the yolks and fry them in a heated frying pan;
  • add one tablespoon to the yolks vegetable oil and fry the mixture a little more;
  • squeeze the yolks through 4 layers of gauze and drain the oil into a glass vial.

Will strengthen healing effect this recipe, if you apply Kalanchoe to a lubricated wound with egg oil. (The sheet must be clean and without top film). The top of the Kalanchoe should be lubricated with comfrey ointment, covered with compress paper and bandaged with a sterile bandage.

Expert opinion

The appearance of trophic ulcers on the legs is associated with insufficient blood circulation in this area human body. All tissues (even bone) suffer from this, but first of all, necrotic changes appear on the skin. A characteristic feature Such wounds are considered to last for a long time (more than 1 month). To get rid of such formations, it is necessary to improve the patency of arteries and veins, and this is only possible with adequate drug therapy.

However, to prevent wound infection, it would be useful to use folk remedies. The wound can be washed with a decoction (strained) of chamomile, hypertonic solution table salt, hydrogen peroxide. But remember: before using such substances, be sure to consult your doctor.

Pharmacy drugs: inexpensive and accessible

1. Streptomycin. Almost half a century has passed since people began to use streptomycin at home to treat wounds. This one is affordable natural antibiotic, obtained from some radiant mushrooms, has high bactericidal properties, quickly heals ulcers and relieves pain. For treatment, you only need to take a few tablets of pharmaceutical streptomycin; they need to be crushed into powder and regularly sprinkled on the wounds on the legs. Success in recovery is guaranteed.

2. Potassium permanganate. There will be no trace of ulcers if they are treated with manganese. Every day you need to take twenty-minute baths with a pale pink solution. After this, make a foot bath with trophic ulcers with a calendula solution. One liter of water will require 100 ml of tincture.

The duration of the procedure is half an hour. Next comes a bath with eucalyptus solution. (With the same ratio). After this, you can apply a bandage soaked in the same solution to the ulcer, cover it with cellophane and secure it with an elastic bandage. Such procedures should be done three times a day.

3. Treatment. You can cure trophic ulcers very quickly if you use hydrogen peroxide. To do this, you need to carry out such treatment procedures up to 8 times a day.

  • Peroxide is dripped onto the wound so that it is thoroughly cleansed of pus and blood.
  • Next, the ulcer is sprinkled with streptocide or streptomycin powder, and a napkin soaked in a solution of peroxide and water is placed on top (25 ml of water per 1 teaspoon of peroxide).
  • The compress is covered with polyethylene and tied with a scarf.

This therapy will give good results within a week, and after 10 days the ulcer will heal completely.

Treatment of trophic ulcers with folk remedies can be effective, but it should be remembered that their occurrence must be prevented in time. To do this, you need to prevent blood stagnation in the vessels of the lower extremities. Useful to practice physical exercise, which help normalize blood circulation in the legs. It is also important to maintain a healthy diet and avoid severe hypothermia of the feet.

Trophic ulcer requires long-term treatment and care. It won't disappear on its own, but improper care behind the wound surface will only aggravate the problem and interfere with tissue healing.
That's why proper cleansing trophic ulcers from contamination, pus and dead tissue is an important component of treatment.
An ulcer in the exudation phase (fluid release through vascular wall into inflamed tissue) is inflamed, has foci of necrosis and profuse bloody or serous discharge. Microbes are introduced into the wound and a bacterial infection occurs. The goal of treatment at this stage is to cleanse the ulcer to prevent infection.
Cleaning methods are varied: in addition to washing the wound laundry soap and a soft sponge, there is also:
  • cleaning using vacuum suction,
  • scraping the wound with surgical instruments.

Advantages of treatment at the ISC

In our Clinic, we use wound washing with laundry soap and low-temperature plasma treatment, as well as vacuum therapy as cleansing. This allows you to speed up the healing and cleansing process. Staged necrectomies (surgical treatment of wounds) and treatment with a special water jet from the Versadjet apparatus make it possible to achieve cleansing of the trophic ulcer in the shortest possible time.

Traditional wound cleansing

Cleansing the wound should be done daily.
The first step is to remove any dirt or dead tissue from the ulcer, the second is to apply an appropriate dressing. This provides best conditions for healing.
Use mild soap and water as a cleanser. The method of cleansing with saline solution has also proven itself well.
Antiseptic solutions are also used to wash the ulcer, for example, chlorhexidine, weak solution furatsilina, decoction of chamomile or string.
Avoid using antiseptic cleaning agents such as iodine and hydrogen peroxide, which often damage sensitive skin and may interfere with healing.
Some ulcers improve with the use of moist gauze bandages, which dry out after application to the wound. Dead tissue adheres to the gauze and is removed when you change the dressing.
Daily hot tub or hydrotherapy may also be helpful as a method of cleaning the ulcer and reducing tissue that is dead or dirty.
To better remove dead tissue, chymotrypsin is added to the wound after washing and covered with a napkin. The drug has anti-inflammatory, antiviral and healing effects. This dressing is done twice a day.
To relieve inflammation, hormonal ointments are used (they are used for no more than 5 days and are not rubbed into the wound, but applied in a thin layer under a dry cloth).

Phases of the wound process

Purification stage

If there is copious purulent discharge or the presence of necrosis or an unpleasant odor, the ulcer must be cleansed of infection and dead tissue. This is achieved by washing the ulcer with a sponge soaped with laundry soap. To separate dead tissue, chymotrypsin powder or mesh with enzymes (parapran) is used, which is placed in the ulcer after washing and covered with a napkin. Dressings are repeated 2 times a day before going to bed and after waking up. Before each dressing, the ulcer is washed with a soft sponge and laundry soap. Put on over the bandage in the morning compression stocking or golf 2-3 compression classes, in as a last resort, use a fresh elastic bandage. If the skin around the ulcer is eczematous, then it is necessary to reduce inflammation; if there is redness of the skin around the ulcer, hormonal ointments (Lorinden, fluorocort) are used, which are applied in a thin layer under a dry cloth at night and not rubbed in. Hormonal ointments are used for no more than 5 days.

Healing stage (granulation)

When good granulations appear - the ulcer is bright red, relatively clean, and its depth is reduced, treatment is required to stimulate healing and protect the granulations from damage. We use special wax mesh (voskopran) on top of which we apply ointments that promote healing - olasol, curiosin, gel dressings. The compression rules remain the same. You can wash the ulcer at this time without a sponge and carefully. Dressings once a day. Improving blood flow is achieved by elevating the leg during sleep (15-20 degrees), and mandatory compression with a stocking or bandage while awake. Elastic compression is necessarily used for venous ulcers; for arterial ulcers it is contraindicated, since on the contrary it can cause harm.

Epithelization stage (final covering with new skin)

After the ulcer begins to heal, only light protective coverings like the same mesh are used, and gel dressings such as “hydrocol” can be used. If a small dry crust forms, there is no need to remove it specifically. After the appearance of young skin, it will fall off by itself. For venous ulcers, after elimination venous stagnation(sclerotherapy, laser or surgery) the ulcer surface closes in 2-6 weeks. For arterial ulcers, the situation depends on the degree of restoration of blood circulation. With good blood circulation, ulcers usually heal within 1-3 months.

Vacuum cleaning of wounds


Vacuum therapy or negative pressure therapy is a method of removing serous fluid and dead tissue from a wound or surgical site.
Currently, vacuum ulcer debridement can be used on all types of wounds: acute, subacute or chronic. It helps reduce swelling and promotes fast healing and the formation of young connective tissue.
The essence of the method is that a piece of porous sponge with silver ions is inserted into the wound, then the whole thing is covered with a transparent membrane. A hole is made in it and a drainage tube is inserted, which is connected to a vacuum source. The fluid is drawn from the wound through the sponge into a reservoir for subsequent disposal.
The membrane prevents air from entering and allows a vacuum to form inside the wound, reducing its volume and making it easier to remove fluid.
Before starting the procedure, the ulcer should be washed.
The duration of treatment depends on the size and depth of the wound.
The dressing is changed every 24-48 hours.

Forecast

At proper care the surface of the ulcer closes after 1.5 months.
The use of vacuum therapy speeds up healing:
  • Optimizes blood flow,
  • Reduces swelling of local tissues,
  • Removes excess fluid that can slow down cell growth,
  • Reduces the number of bacteria.
  • In addition, negative pressure changes the structure of cells in the wound layer, causing a cascade of intracellular signals that increase the rate of cell division and formation of granulation tissue.

Trophic ulcers– long-term non-healing tissue defects, prone to sluggish course, relapses and resistance to conservative treatment. The causes of most trophic ulcers are complications of any disease. Most often, ulcers occur with thrombophlebitis (80% of all patients), as well as with diseases such as endarteritis obliterans, atherosclerosis, diabetes mellitus, etc.

In this article we will talk about treating trophic ulcers with medical and folk remedies at home, but home treatment possible only after treatment of the underlying causative disease by a specialist doctor!

Trophic ulcer on the leg: photo

The typical localization of a trophic ulcer is the lower third of the leg. Ulcers can be single or multiple. They are usually round, oval or irregular shape, sizes are different, sometimes the ulcer can cover the entire lower leg circularly.

Trophic ulcer on the leg - lower third of the leg

The edges of the trophic ulcer are swollen and thickened. The surrounding skin becomes brown or cyanotic (bluish) in color, and the structure of the ulcer is infiltrated and dense. The bottom of the ulcer is usually flat, shallow, with serous-purulent discharge.


Stages of development of trophic ulcers on the legs: initial stage– mature

Symptoms of trophic ulcers

In addition to cosmetic defects, patients usually complain of swelling of the lower extremities, constant pain that intensifies after physical activity and long walks.

Treatment of trophic ulcers on the leg

Treatment of a trophic ulcer should be primarily aimed at the disease that caused the ulcer as a complication.

In addition, they appoint bed rest, the diseased limb is given an elevated position.

Medicines are selected in such a way that they affect the entire body and act locally.

Ointments with proteolytic enzymes are prescribed locally - to cleanse the bottom of the ulcer (iruxal, fibrolan), with anti-inflammatory components (romazulon, levovinisol), and then artificial coverings of the trophic ulcer based on collagen (kombutek, etc.).

Treatment of trophic ulcers should always be carried out under the supervision of a doctor.

If ineffective conservative therapy resort to surgical intervention.

IN Lately The so-called “radiation” ulcers resulting from irradiation have become widespread.

The fact that the ulcer is trophic is indicated by such signs as the duration of the disease, violation hairline(compared to the opposite side) and hair fragility, decreased sensitivity in the area ulcerative lesion and some other symptoms.

Trophic ulcers are dangerous because they often malignize (i.e. become malignant), developing into skin cancer.

For trophic ulcers, it is very important to treat the underlying disease that caused the ulcerative process (varicose veins, diabetes mellitus, etc.).

Folk remedies at home for trophic ulcers of the lower extremities

Common lilac. First, steam your feet for 10–15 minutes. hot water, then cover with fresh, washed lilac leaves. This technique is especially good for trophic ulcers that form against the background of varicose veins and thrombophlebitis. The leaves become abundantly covered with discharge from the wounds, and patients experience significant relief. Full recovery occurs in 1–1.5 months. In winter, you can use shavings from small twigs and bark of lilac twigs. The result in all cases is good.

For a balm against trophic ulcers you need to take 100 G juniper tar, 1 tablespoon rose oil, 2 egg yolks. Rub it rose oil and yolks. Add to the resulting composition 100 ml of purified turpentine (1 teaspoon at a time, stirring all the time: with a quick infusion of turpentine, the egg will curdle). When the yolks, oil and turpentine are erased, add 100 g of juniper tar to them. Stir well. Apply the resulting balm to the wounds with a teaspoon. Tie the top with a bandage.

Coniferous resin melt with cow butter in a 1:1 ratio. Lubricate trophic ulcers and long-healing wounds with the resulting composition.

Norway spruce. Take 100 g of spruce resin, lard and wax. Boil everything. Wash the wound with lime water (1 tablespoon of quicklime per liter of water), then apply a bandage with the prepared ointment. The most severe trophic ulcers usually heal after 5–6 dressings.

Lungwort. Apply fresh leaves, crushed into a pulp, to wounds and ulcers that do not heal for a long time, wash them with a strong infusion of the herb. Change the bandage at least twice a day.

Eucalyptus broad. Trophic ulcers and eczema are treated with lotions from eucalyptus infusion: 100 g fresh leaf Brew 1 liter of boiling water. Boil for 5 minutes.

Swamp dry grass. For trophic ulcers, three times a day, drink one-third of a glass of decoction of marsh grass (30 g of herb per glass of boiling water). For the ointment, make a powder from 1 part herb and 3 parts unsalted butter. When treating trophic ulcers, both decoction and ointment are used.

Birch ash. Sift 1 kg of birch ash through a fine sieve and pour 10 liters of boiling water. Leave, wrapped, for 2 hours. Immerse your sore leg in the still warm solution for 30 minutes. If the wound or ulcer is located in an inconvenient place, then make compresses from the resulting solution. To do this, fold the gauze in several layers, soak it in the solution and apply to the wound for 8 hours. Do compresses and baths 2 times a day. Typically, the longest non-healing ulcer goes away within 2-3 weeks after such treatment.

Burdock. Apply juice from the roots or leaves of burdock to wounds and trophic ulcers for their speedy healing.

Willow. Wash the affected areas of the skin with a strong infusion of willow twigs (or leaves) for eczema and trophic ulcers. An ointment is prepared from bark powder and petroleum jelly in a 1:1 ratio.

Burnt alum. 100 ml almost hot boiled water add burnt alum powder (at the tip of a knife). Wash festering wounds, trophic and long-healing wounds and ulcers with the resulting solution. Alum tightens the edges of the wound, dries it, and has an anti-inflammatory effect.

Fern. The juice of the fresh leaf is used in the form of compresses and lotions in the treatment of trophic ulcers.

Ferula. One of the most strong means, used in the treatment of trophic ulcers and skin cancers. Ferula root juice is used to lubricate wounds and ulcers. Prepare an ointment from a strong broth of the root and Vaseline.

Treatment of non-healing trophic ulcer of the toes in diabetes mellitus

Do the procedures in the morning and evening.

First stage of treatment: at 9.00 o'clock

  1. Using a sterile syringe, pour 3% hydrogen peroxide over the ulcer twice. Both after the first and second washing, hold for three minutes, then blot with a sterile swab.
  2. Pour insulin solution over the ulcer and hold for three minutes.
  3. Then use a syringe to pour 10% hypertonic solution onto the ulcer. Apply a sterile napkin soaked in a hypertonic solution, wrap it in a bandage, and place a piece of cellophane film or compress paper on top, but do not wrap it around your finger. Cover tightly with a sterile bandage.

Second stage of treatment: at 12.00 o'clock

After three hours, unwind the bandage (do not touch the napkin with the hypertonic solution) and pour regular vodka onto the napkin from a syringe. Bandage it as before.

The third stage of treatment: at 15.00 hours

Remove the bandage (without touching the napkin) and pour the syringe onto the napkin first with a hypertonic solution (hold for three minutes), then with vodka. Bandage it.

The fourth stage of treatment: at 21.00 hours

Repeat all procedures that were carried out at 9 am. For non-healing ulcers of this type good effect provide daily baths with infusion of marsh marsh grass.

From medications a pronounced effect is obtained by taking tablets orally Sturulina(or its substitute) 1 tablet three times a day half an hour before meals.

The proposed method of treating trophic ulcers has been tested on many patients. The effect was always positive. So this method can be trusted.

Medicines, drugs, procedures: methods of treating trophic ulcers

For the treatment of trophic ulcers, both conservative and surgical methods. First of all, the underlying disease that caused the complication in the form of a trophic ulcer is treated - venous insufficiency, arterial diseases, diabetes mellitus, etc. are treated.

For trophic ulcers, both general and local treatment is used.

Local treatment poses several key tasks for the surgeon - measures aimed at eliminating the infection, clearing the ulcer of necrotic masses and the process of closing the defect.

Elimination of infection is achieved through dressings that are performed every day. When dressings, the skin surfaces around the ulcer are treated with tincture of alcoholic iodine or alcohol, and the surface of the ulcer itself is treated with hydrogen peroxide (3% solution). The dressings are applied with an antiseptic solution (Furacilin, Chlorhexidine, 3% boric acid).

For cleaning the surface of the ulcer from necrotic masses, in addition to antiseptics, they also use a proteolytic enzyme - Iruksol ointment and necroectomy. The use of (local) sorbents is allowed. Additional procedures that provide positive influence, are quartz treatment, magnetic therapy, modulated sinusoidal currents, enzyme electrophoresis and other methods of physiotherapy.

After the surface of the ulcer has been cleaned and the pathogenic microflora has been eliminated, the process should begin closing the wound. If the ulcers are small, then they clear and close on their own (increased growth of granulations, occurrence of epithelization along the edges). In these cases, daily dressings must be continued using antiseptic wet-dry dressings. If the defect is superficial and up to one centimeter in diameter, then it can be treated with potassium permanganate (5% solution) or brilliant green 1% solution, due to which a scab will form, and epithelization will begin to occur under it. Iruksol ointment also promotes epithelization.

Surgical treatment of trophic ulcers is more effective, since during the operation the cause that caused the trophic ulcer is usually eliminated. In case of venous insufficiency, dilated, impassable sections of veins are removed, in case of arterial obstruction, bypass surgery is performed (creation of new connections between vessels), etc.

For the healing of venous ulcers of a non-atherosclerotic nature, it is often used occlusal treatment, which is highly effective: applying a zinc-gelatin bandage to a limb, using Unna paste in its various types.

The bandage is applied as follows: the patient is placed on the table, the leg is raised and “Unna” is applied with a brush (after warming it up) to the area from the upper third of the leg (including the area of ​​the ulcer) to the base of the toes. After this, apply a gauze bandage in one layer, apply the paste again, and the bandage should be saturated with it. In a similar way, several layers of dressing are applied (4–5). At the end of the procedure they are treated upper layer pastes with formaldehyde. The bandage cannot be removed for 30 to 60 days. Trophic ulcers with a diameter of up to five centimeters are epithelialized after removing the bandage (the ulcer surface should first be cleaned before applying the bandage).

In some cases, after cleansing the ulcerative defect, to close it, it is possible to use free skin plasty or perform ulcerative excision followed by plasty with local tissues. But such actions are allowed to be carried out only after purposeful influence on the cause that made the formation of the ulcer possible.

Home treatment for trophic ulcers on the leg: folk recipes

Traditional medicine offers its own methods of treating this serious illness:

  1. 1 tbsp. l. dry marsh cudweed grass, pour 1 glass of boiling water, leave covered for 30 minutes. Strain. Add 1 tbsp. l. honey, stir. This solution can be used externally to wash wounds and ulcers.
  2. Pour 50 g of eucalyptus leaves into 0.5 liters of boiling water, boil for 3-4 minutes, strain, add 2 tbsp. l. honey, mix. Use in the form of lotions and baths to treat ulcers and wounds.
  3. 1 tbsp. l. Brew dried chamomile flowers in 1 cup of boiling water. To cover with a lid. After cooling, strain. Add 1 tsp. honey, stir. Use in the form of lotions and baths to treat ulcers.
  4. Bee honey – 80 g; fish oil – 20 g; xeroform – 3 g. Mix everything thoroughly. Apply the ointment to the cleaned wound as a bandage.
  5. To activate the body's defenses and speedy recovery We recommend one of the following recipes, which include honey and aloe: 100 g of honey; 100 g butter; 100 g lard or goose fat; 15 g aloe juice (agave); 100 g cocoa. Mix everything thoroughly in a hot water bath. Don't boil! Take 1 tbsp. l., dissolved in 1 glass of hot milk, 2 times a day.
  6. Wash aloe leaves, chop and squeeze out the juice: aloe juice – 150 g; honey – 250 g; Cahors - 350 g. Mix everything. Insist on dark place at a temperature of 4-8 degrees for 4-5 days. Take 1 tbsp. l. 3 times a day half an hour before meals.
  7. Keep aloe leaves aged 3-5 years in the dark at a temperature of +4 o C (preferably in the refrigerator) for 12-14 days. Then wash the leaves, chop them, pour boiled water in a ratio of 1:3. Leave for 1.5-2 hours. Squeeze out the resulting juice. Mix 100 g of juice with 500 g of crushed walnuts and 300 g of honey. Take 1 tbsp. l. three times a day.
  8. Chamomile flowers – 2 parts; tricolor violet herb – 1 part; horsetail grass – 1 part; St. John's wort herb - 2 parts; common yarrow herb – 1 part; Calendula officinalis flowers – 2 parts; common oak bark – 1 part. 1 tbsp. l. collection, pour 1 cup of boiling water, leave for half an hour. Prescribed to patients in the form of a compress and (or) for washing trophic ulcers for several days in a row.
  9. Every 4-5 days, the infusion of herbs is alternated with a decoction of plantain leaves. To do this, take: 1 tbsp. l. finely chopped plantain to 1 glass of water. Boil for 5-10 minutes, leave for 1 hour, filter. The surface of the ulcers is generously irrigated with a warm decoction several times during the day. The paste of the decoction is applied to the ulcer in the evening under a compress. The decoction should be prepared fresh daily.
  10. Chamomile flowers – 1 part; coriander fruits – 1 part; St. John's wort herb - 2 parts; tripartite succession grass – 2 parts; marshweed grass - 1 part; toadflax grass – 1 part; sweet clover herb – 1 part; licorice root - 1 part. All components are mixed. 1 tbsp. l. mixture of herbs is poured with 1 cup of boiling water, heated in a boiling water bath for 5-10 minutes. Leave for 45 minutes, strain. Take 1/2 cup 2 times a day after meals for at least 1-2 months.
  11. Large plantain (leaf) – 3 parts; coriander (fruit) – 3 parts; St. John's wort (herb) – 4 parts; tripartite sequence (grass) – 4 parts; marsh cudweed (grass) – 2 parts; naked licorice (root) – 4 parts. 1 tbsp. l. pour 1 cup of boiling water over the herbal mixture and heat in a boiling water bath for 15 minutes. Leave at room temperature for 45 minutes. Strain. Squeeze. Add boiled water to a volume of 250 ml. Take 1/3 cup of infusion 3 times a day after meals for trophic ulcers due to thrombophlebitis.
  12. Chamomile (flowers); sweet clover (herb); Marshmallow (leaves). Take all herbs in equal parts and mix. Pour a small amount of boiling water, heat in a boiling water bath for 5-7 minutes. Apply in the form of a pasty warm mass, wrapped in cloth, to the sore spot as an emollient.
  13. Horsetail (herb) – 3 parts; chamomile (flowers) – 3 parts; St. John's wort (herb) – 4 parts. From the resulting mixture of herbs, prepare a decoction at the rate of 1 tbsp. l. raw materials per 1 glass of water. Take 1/3–1/4 cup orally 3 times a day or use to prepare compresses for the treatment of difficult-to-heal wounds and ulcers.
  14. An alcoholic tincture of calamus, diluted with water (1 part tincture to 3 parts water), is used to wash festering wounds.
  15. 2 tbsp. l. roots, flowers or leaves of marshmallow, pour 2.5 cups of boiling water in a thermos for 2 hours. Strain. Squeeze out the raw materials. Use to wash wounds. Another way: pour marshmallow roots overnight cold water. Strain. Also used.
  16. 3 tsp. Infuse dried mountain arnica flower baskets for 2 hours in 2 cups of boiling water. Use for washing wounds.
  17. Periwinkle. This plant is like remedy have been used since ancient times. In the Middle Ages he was credited miraculous power. It is used in folk medicine many countries as wound healing agent. 1 tbsp. l. Brew dry herb periwinkle in 1 cup of boiling water. Leave for 1/2 hour on the stove, without bringing to a boil. Cool. Strain. Use for washing purulent wounds, ulcers
  18. 1 tbsp. l. Brew budra ivy herb with 1 cup of boiling water. Once it cools down, it can be used to wash purulent ulcers.
  19. A decoction of the herb capitula officinalis is used externally in the form of washes or lotions in the treatment of long-term non-healing purulent wounds and trophic ulcers.
  20. Icelandic lichen decoction. 2 tsp. pour 2 cups of lichen cold water, bring to a boil, strain. Use the cooled decoction to treat purulent wounds and ulcers.
  21. A decoction of the roots of Echinacea purpurea accelerates wound healing and epithelization in burns and severe bedsores. 1 tbsp. l. roots, pour 1 cup of boiling water, heat in a boiling water bath for 30 minutes, leave for 15 minutes, strain. Use for wound dressings.
  22. For ulcers that do not heal for a long time, bandages soaked in fresh juice aloe. To obtain aloe juice, keep it in the refrigerator for 12–14 days, then crush it and squeeze out the juice.
  23. Common ivy has excellent anti-inflammatory, antiseptic and wound-healing effects. 1 tsp. leave ivy for 1 hour in 1 glass of warm boiled water. Strain. Use to wash wounds.
  24. Traditional medicine recommends applying fresh crushed ivy leaves to purulent wounds.

Video on the topic

How to treat trophic ulcers on the legs

Review: Look at the drug Tendervet active. These are pads soaked in ringer solution. I used it myself and was satisfied. The drug is Swiss, not cheap, but I hope it will help your mother.

Treatment of trophic ulcers with a female pad: treatment of varicose veins at home

A case of treating varicose veins at home.

Mazaishvili K.V.: A priest (the priest of the local church) comes to see me once. Priests in general are such a people, quite intelligent, on the one hand, and on the other hand, they, people of God, live by prayers, there is no time to pay attention to their health, and therefore, for the most part, you can often see various advanced diseases, including including varicose veins. So this priest: he came, he had terribly advanced varicose veins, a huge trophic ulcer on his lower leg, which flowed and smelled unpleasant.

The priest did not come alone, he came with some kind of woman of his - I don’t know what it’s called - a servant, but not a wife for sure. Father came, sat down, and unwound the bandage. This means that under the huge bandage there is a stinking, fetid trophic ulcer that flows all with pus. He opened it - the smell was so unpleasant, flies began to fly around, so to speak. After that, I took it, untied this bandage, washed it, and looked.

Considering that he has a very copious discharge (a lot of purulent discharge comes from the ulcer), we need to come up with something, some kind of bandage: cheap, because the priest has no money, and at the same time absorbent, so that it absorbs well This is a wound discharge so that it does not flow and the infection does not set there again.

In such situations, we have been using ordinary feminine pads for quite a long time: they are cheap, absorb very well, and, in fact, they can be changed several times a day. It’s good and convenient that I advised the priest. Father looked at me somewhat strangely, and this woman who came with him looked at me even more strangely, but, nevertheless, they heeded my advice and said with a bow: “Forgive me, Lord!” - and went about their business.

Just a few hours passed. Somewhere in the evening, around eleven o'clock, I received a call mobile phone. This same woman is calling, whose name, as it turned out, was Tatyana. He calls and in a heartbreaking voice tells me that the priest is dying. These notes in the voice unambiguously make me understand that, in fact, the priest is dying, and this particular one is to blame for his death. female pad which I have attached. And I thought: “Or maybe it’s not at all possible to apply such an unambiguous thing as a feminine pad to the priest’s leg? Maybe, according to some church canons unknown to me, this cannot be done at all? But I did, and the priest is now dying because of it.”

In general, there was nowhere to go, I got ready and went to the priest (luckily, this church was not far from my house, in fact). This woman opened the door for me, I unwound my leg, looked - and almost died...

Trophic ulcer on the leg photo and treatment at home

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