It is very important for the treatment the diferencial diagnosis.
they are current of the sistemic hypertension of the superficial veined
provoking deficiency of the veined return,
accompanies history of intermittent claudication,
It is important to define the dominant factor for we could choose the treatment.
Basically it should improve the drainage and to maintain the bed of the humid wound through the use of appropriate topical products.
1. Rest: It is fundamental the rest and the elevation of the inferior members (position of Trendelenburg). Socioeconomic and family problems can impede this recommendation. The ideal would be to create systems of attendance domiciliar, with the support of the public system of health.
2. Diet: balanced for patients' control with systemic arterial hypertension and accentuated obesity.
3. Veined Ulcers Compression: In the treatment of the veined ulcers the external compression is indicated. This proceeding besides facilitating the veined return reducing the o edema, it tends to balance the inadequacy valvular and to decrease the pain. The compression method will depend on the need, of the acceptance on the part of the customer and of the amount of secretion of the wound.
The objective is to maintain the clean and humid
wound and the wash should be made with physiologic saline solution (0,9%) in
indication of the topical product to be used will depend:
ideal would be that the team interdisciplinary went experienced and it disposed
of several of these resources using them according to the need of the case, as:
It is another resource that can be associated in the treatment of this ulcers. Hyperbaric oxygentherapy (HBO) improves the oxigenated of the extremities of the limbs and consequently of every affected area, accelerating the formation of tissue cicatricial and collaborating in the control of the infection, because potencialition the effect of the antibiotic.
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