Varicose ulcer and vascular ulcer treatment in Isfahan

Varicose ulcer and vascular ulcer treatment in Isfahan

Dr. Mahmoud Hadizadeh
Dr. Mahmoud Hadizadeh Isfahan
کد عضویت: System number: 58353
Phone number 03132242164 is the phone number of Varicose Veins and Vascular Ulcer Treatment Center in Isfahan. This article has been prepared about the treatment of varicose and vascular ulcers in Isfahan, and in it we discuss various topics related to these treatments and introduce the Varis Center of Isfahan to you dear ones, so that you can achieve complete and comprehensive treatment of varicose veins and varicose ulcers.
**List of content titles** Display
1) Treatment of varicose and vascular ulcers in Isfahan
2) The cause of varicose ulcers
3) Symptoms of varicose ulcers
4) Principles Varicose wound treatment
5) Prevention of wound infection:
6) New treatments
7) Home care and lifestyle changes
8) Nutrition in varicose ulcer treatment
9) Prevention of recurrence of varicose ulcer
10) Complications of varicose ulcer
11) Final points of varicose ulcer
Treatment of varicose and vascular ulcer in Isfahan foot ulcer treatment is a very important issue. Varicose ulcer is one of the chronic and common complications of venous leg disease, which is caused by dysfunction of vein valves and abnormal return of blood to the bottom of the leg. These ulcers usually appear on the lower leg, especially around the inner ankle, and are difficult to heal due to insufficient blood flow and accumulation of waste material. Varicose ulcer treatment requires a multifaceted approach including treating the underlying cause, wound care, infection control, and lifestyle modification. The cause of varicose ulcers Normally, the one-way valves in the leg veins direct blood toward the heart. In chronic venous disease, these valves lose their function and blood flows back down (venous reflux). As a result, the pressure in the veins rises, fluid leaks from the capillaries into the surrounding tissue, and oxygen supply to the skin decreases. This process gradually changes the color of the skin, swelling, stiffness of the tissue, and eventually causes a wound. Predisposing factors include a family history of varicose veins, standing or sitting for a long time, and overweight and obesity should also be mentioned. Female gender and female hormones as well as pregnancy should also be included in this list. Deep blood clots and old age as well as trauma or frequent leg injury are other causes of varicose ulcers. Symptoms of varicose veins Varicose veins are usually seen on the inside of the ankle and on the lower leg. The common symptoms are chronic swelling and a feeling of heaviness in the leg, as well as a change in the color of the skin to brown or purple, and in addition, itchiness or dryness of the skin, as well as yellow or green discharge from the wound (in infectious cases) are the complications of this disease. Also, pain or burning in the wound area as well as thickening or stiffness of the skin around the wound (lipodermatosclerosis) and opening of the wound and delayed healing can be considered among the complications and symptoms of this disease. Follow this article about the treatment of varicose veins and vascular ulcers in Isfahan until the end. Principles of varicose ulcer treatment In the treatment of these wounds, treatment of varicose veins and venous insufficiency are extremely important. The treatment of these ulcers includes several main steps, one of the most important parts of varicose ulcer treatment is treating the underlying cause (improving venous blood circulation). In fact, the most important principle in the treatment of varicose ulcers is to reduce venous pressure and improve blood return to the heart. For this purpose, the following methods are used, the first of which is the use of compression stockings and bandages. Using multilayer pressure bandages or varicose stockings with controlled pressure (usually 30 to 40 mmHg) reduces edema, accelerates blood flow and improves tissue oxygenation. The correct and continuous use of these devices plays an essential role in wound healing. The next important thing is to keep the legs up. Placing the foot at a level higher than the heart, several times a day for 15 to 30 minutes, helps to reduce swelling and improve venous return. In addition, regular physical activity should be added to this list because exercise and especially daily walking activates the leg muscle pump and facilitates blood return. Endovascular treatments such as intravascular laser or Araf and the like are the best and in fact the definitive method used in this field. In case of insufficient conservative treatment, invasive methods such as intravenous laser (EVLA), sclerotherapy, radiofrequency or surgery to close and remove the defective vein may be used. These treatments help to address the root cause of the ulcer. The next important thing to pay attention to is wound care. Proper wound care is vital to prevent infection and speed healing. Washing the wound with normal saline or mild antiseptic solutions (such as chlorhexidine) removes secretions, dead tissue, and contamination. In cases where there is necrotic tissue, debridement (removal of dead tissue) is performed by a doctor or nurse. The use of appropriate dressing is also used in many cases. The choice of dressing depends on the amount of wound discharge, which we will mention below. For dry wounds, wet dressings such as hydrogel are usually used, and for exuding wounds, absorbent dressings such as alginate or foam are used, and for infected wounds, antibacterial dressings containing silver or medical honey are used. The dressing should be changed regularly (every 2-3 days or according to the doctor's opinion) to provide a clean and moist environment for tissue repair. Prevention of wound infection: If there are signs of infection (redness, pain, purulent discharge, fever), oral or topical antibiotics may be prescribed. Drug treatment is used in many of these cases. Several drugs may be used in the treatment of varicose ulcers, some of which include pentoxifylline, which improves capillary blood flow and reduces inflammation. Also, sometimes low-dose aspirin is used in some cases to improve blood flow and reduce clots. Also, veinotonic drugs such as diosmin and hesperidin are used, which help to strengthen the walls of the veins and reduce swelling. Also, antibiotics are used in case of bacterial infection of the wound, as well as painkillers to control pain in acute stages. New treatments In recent years, innovative methods have been introduced to accelerate the healing of varicose veins, the most important of which is intravascular laser or intravascular Araf. In addition, negative pressure therapy (VAC therapy) is also used in some cases, which is a device that removes wound secretions by creating negative pressure and stimulates the growth of new tissue. Also, in some cases, the use of growth factors and platelet-rich plasma (PRP) is used. Injections or dressings containing growth factors to accelerate tissue regeneration are also used in some cases. Treatment with stem cells is also one of these new cases. These research methods are being developed to regenerate skin and blood vessels. Surface lasers are also used to reduce inflammation and stimulate tissue repair in some patients. Home care and lifestyle changes In addition to medical treatment, following home recommendations and modifying daily habits play a key role in improving and preventing the recurrence of ulcers, some of which include avoiding standing or sitting for long periods of time and, if forced, moving the ankle frequently to activate the leg muscles, and another important recommendation is to use appropriate shoes and socks that do not restrict blood circulation. Losing weight in the case of obesity is also very important because obesity puts a lot of pressure on the venous system. Sleeping with a pillow under the legs to improve blood return at night and avoiding high heat (sauna, hot bath) because it causes the veins to dilate should also be added to this list. It is also important not to smoke, because nicotine causes narrowing of blood vessels and reduced tissue repair. Finally, it is important to pay special attention to skin hygiene, because it is very important to keep it moist and avoid scratching dry areas. Nutrition in the treatment of varicose ulcers Proper nutrition is necessary for tissue regeneration and strengthening of the vessel wall. Important nutrients are proteins, which are very suitable and necessary for tissue repair. We should also mention vitamin C, which is very suitable for collagen synthesis and improving immunity. Important sources of this type of vitamin include citrus fruits, bell peppers, kiwi, and broccoli. Also, zinc should be mentioned, which is effective in wound healing and cell division, and important sources of zinc include brains, legumes, and red meat. Vitamin A should also be mentioned. This type of vitamin is useful for the growth of skin cells and its main sources include carrots, liver, and dark green vegetables. In addition, omega-3 fatty acids should be added to this list, which have an anti-inflammatory effect, and their main sources include fatty fish, walnuts, and flax seeds. High fiber and sufficient fluids should be taken care of and used because they are very useful to prevent constipation that may increase venous pressure. Prevention of varicose ulcer recurrence Varicose veins have a tendency to recur, so even after complete recovery, it is necessary to follow preventive measures, such as using compression stockings during the day, as well as regular walking and doing light sports. In addition to that, it should be mentioned to keep the legs elevated while resting and to visit a specialist doctor periodically to evaluate the veins and take care of the skin and prevent any damage or severe dryness. Complications of varicose veins If the varicose ulcer is neglected, various complications may occur, such as frequent skin infections (cellulitis) and osteomyelitis (bone infection under the wound). Irreparable chronic wound as well as tissue death (necrosis) and in addition skin cancer type of squamous cell carcinoma in old wounds and some other types of skin cancer may occur. Therefore, varicose ulcer treatment is necessary not only to improve the quality of life but also to prevent dangerous complications. Final points of varicose veins Varicose ulcers are one of the chronic and common problems caused by venous insufficiency, the treatment of which requires the cooperation of the doctor, nurse and the patient himself. The principles of treatment include the root treatment of varicose veins and venous insufficiency by varicose laser and other methods, as well as pressure therapy, wound care, drug therapy, infection control and lifestyle modification. The use of new technologies such as PRP or laser can also speed up the healing process. Above all, prevention of recurrence by following the principles of compression, proper activity and continuous skin care is vitally important.
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