The old rotten legs gradually develop ulcers from the initial skin blackening and itching unbearable. Once it has developed to the ulcer stage, it is difficult to close the mouth for a long time, or although it has been closed for a long time, it is easy to recur due to injury. With the rapid expansion of the ulcer area day by day, the pain is strengthened, the sting is unbearable, and the quality of life is seriously affected.
What are the classifications of leg ulcers?
1. Venous congestion ulcer
Due to local malnutrition caused by venous stagnation and circulatory disorders of the lower extremities, and on this basis, skin and soft tissue damage occurs, the ulcers formed are called venous congestion ulcers, accounting for the majority of chronic ulcers in the lower extremities, about 55%.
2. Traumatic ulcer
Traumatic ulcer refers to chronic ulcers of the lower extremities due to mechanical, physical, chemical and other factors, or chronic ulcers that reappear on the basis of traumatic scars, the diagnosis of such ulcers is not difficult, but radioactive ulcers, as a special type of traumatic ulcers, sometimes cause misdiagnosis due to the absence of a significant history of radiation injury.
3. Arterial insufficiency ulcer
Due to arterial dysfunction, arterial blockage or spasm can cause limb ischemia and dry necrotizing ulcers in the lower legs or feet, called arterial insufficiency ulcers.
4. Neurostrophy ulcer
Neurostrophic ulcers are caused by neurological disorders, sensory disorders of the tissues in the innervated area, neurostrophy, and on this basis, affected by external injury factors, ulcers that are difficult to heal can appear locally, which are accompanied by obvious neurological disorders, easy to diagnose, but difficult to treat.
5. Diabetic ulcer
The clinical manifestations of diabetic ulcers are more special, ulcers occur in the plantar weight-bearing area and susceptible to friction, the surface scab shell is thicker, the scab is a sneaky liquefied necrotic cavity, more secondary purulent infection, ulcers are deeper, the treatment includes diabetes treatment and ulcer treatment, control diabetes, enhance the body's immunity, strengthen local care, improve limb blood circulation as much as possible.
6. Infectious ulcers
Infectious ulcers are mostly caused by tuberculosis, syphilis, fungi, etc., such specific infection ulcers, clinically significantly reduced, diagnosis requires pathological examination and laboratory tests, treatment for etiology treatment, anti-infective drugs plus local treatment.
7. Malignant ulcer
Malignant ulcers include cancerous necrotic ulcers and chronic ulcer malignant changes of primary cancer, cancerous ulcers are common in basal cell carcinoma, squamous epithelial carcinoma, etc. The diagnosis of malignant ulcers must be determined by pathological examination.
How to care for old rotten legs?
1. First of all, patients should pay attention to old rotten legs
Early medical treatment, clear diagnosis and treatment, maintenance and improvement of venous return flow, removal of tissue congestion, if there is a history of venous ulcers, deep vein thrombophlebitis and venous valve insufficiency, more should be actively treated to prevent the development and aggravation of the disease.
2. Avoid soaking feet in hot water
For patients with old rotten legs, hot water soaking feet does not play any therapeutic role. Because the hot water will further dilate the varicose veins, aggravate the congestion of the lower limbs, aggravate the condition, aggravate the venous congestion, make the venous blood vessels more convex and dilated, and induce skin ulceration.
3. Avoid standing and sitting in the same posture for a long time
When the human body stands or sits still for a long time, the blood is affected by gravity, so that the pressure on the venous valves of the lower limbs is larger, the calf muscles are in a relatively relaxed state, the blood in the venous lumen is poorly empty, the valves continue to bear greater pressure, when the pressure is greater than the pressure resisted by the valves, the blood in the veins is abnormally refluxed and gradually aggravated, and eventually the local venous congestion is aggravated, so it should avoid standing for a long time and actively.
4. Prevent long-term increase in intra-abdominal pressure
Increased intra-abdominal pressure affects the return of blood from the veins of the lower extremities, causing increased venous pressure in the lower extremities, increasing the destruction of venous valves or increasing the burden on venous valves, so diseases that lead to increased intra-abdominal pressure should be actively treated.
5. Elevate the affected limb
Appropriate rest and elevation of the affected limb, in order to promote the return of blood from the affected limb, can reduce the swelling of the affected limb and prevent calf ulcers, the patient raises the affected limb, 3-5 times a day for half an hour, encourage walking, thereby improving blood circulation.
6. Prevention of trauma
Because the veins are twisted and the walls of the veins are very thin, they are easy to damage and rupture and bleed, so it is necessary to pay attention to protecting the affected limbs and avoiding external frostbite or insect bites.
7. Old rotten legs with eczema
If eczema is concomitant, it should be treated promptly to avoid scratching the infection and causing ulcers or aggravation.
8. The diet of patients with old rotten legs should be light
Avoid high-fat foods, eat less fish, shrimp and crabs, do not smoke, and drink less alcohol.
The daily maintenance of old rotten legs is not equal to treatment, and choosing formal and professional hospital treatment is the best choice to bid farewell to old rotten legs and avoid amputation of rotten legs.
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