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Характеризуется длительным заживлением или невозможностью заживления, часто сопровождается воспалением, отёчностью и изменениями кожи [1](https://yusupovs.com/clinics/tsentr-flebologii/lechenie-troficheskikh-yazv/). \n\nЧаще всего трофические язвы появляются на ногах, особенно в области лодыжек [1](https://yusupovs.com/clinics/tsentr-flebologii/lechenie-troficheskikh-yazv/)[2](https://vitacorclinic.ru/journal/troficheskie-yazvy/).\n\n## Причины\nНекоторые причины трофических язв: \n* **Хроническая венозная недостаточность** — нарушение кровотока в венах нижних конечностей провоцирует застой крови, что приводит к кислородному голоданию тканей [1](https://yusupovs.com/clinics/tsentr-flebologii/lechenie-troficheskikh-yazv/)[8](https://mc21.ru/articles/troficheskie-yazvy/). \n* **Атеросклероз** — сосуды теряют эластичность, сужаются, что ухудшает кровоснабжение тканей [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/). \n* **Сахарный диабет** — может вызывать повреждение сосудов, что ухудшает питание тканей [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/)[8](https://mc21.ru/articles/troficheskie-yazvy/). \n* **Травмы и ожоги** — нарушения заживления тканей после травм, ожогов или хирургических вмешательств [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/). \n* **Нарушение лимфообращения** — при лимфостазе, когда лимфа не может эффективно циркулировать по организму, развивается отёк тканей, что может привести к образованию язв [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/).\n\n## Симптомы\nСимптомы трофической язвы могут варьироваться в зависимости от стадии заболевания [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/): \n* **Начальная стадия** — язва выглядит как маленькое повреждение кожи, которое не заживает, может быть покраснение, отёчность и ощущение тяжести в области поражения [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/). \n* **Средняя стадия** — язва становится глубже, края становятся неровными, наблюдается выделение экссудата или гноя [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/). В этой стадии повышается риск инфекции, рана становится болезненной [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/). \n* **Тяжёлая стадия** — язва может стать большой, с изъязвленными краями, сильно воспалённой и воспалённой тканью вокруг [2](https://vitacorclinic.ru/journal/troficheskie-yazvy/).\n\n## Диагностика\nПри появлении первых симптомов трофической язвы следует обратиться к врачу — флебологу [4](https://www.ckbran.ru/cure/bolezni-ven/troficheskaya-yazva)[11](https://www.smclinic.ru/diseases/troficheskaya-yazva/). Для постановки диагноза могут назначить: \n* **Осмотр раны** — врач оценивает её размер, глубину, наличие гнойного отделяемого, признаки инфекции [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/). \n* **Дополнительные исследования** — дуплексное сканирование сосудов (допплерография), ангиография, УЗИ, биопсия, общий и биохимический анализы крови [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/).\n\n## Лечение\nЛечение трофических язв требует комплексного подхода, направленного на восстановление кровообращения, устранение гнойно-воспалительного процесса и заживление раны [4](https://www.ckbran.ru/cure/bolezni-ven/troficheskaya-yazva). Некоторые методы лечения: \n* **Медикаментозная терапия** — препараты для контроля основного заболевания, антибиотики, противовоспалительные средства [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/). \n* **Компрессионная терапия** — использование специальных чулок и бандажей помогает улучшить кровообращение и снизить отёчность [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/). \n* **Физиотерапевтические процедуры** — электрофорез, магнитная терапия, ультразвуковое воздействие способствуют улучшению регенерации тканей [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/). \n* **Оперативное вмешательство** — в запущенных случаях проводится удаление некротизированных тканей, что позволит остановить дальнейшее распространение инфекции [12](https://www.fdoctor.ru/simptom/troficheskie_yazvy/). \n\n**Самолечение** трофических язв не рекомендуется — оно может привести к ухудшению состояния и серьёзным осложнениям [3](https://www.Renewal.ru/voprosy-zdorovya/troficheskaya-yazva/).","linksData":[{"sourceId":1,"url":"https://yusupovs.com/clinics/tsentr-flebologii/lechenie-troficheskikh-yazv/","shownUrl":"https://yusupovs.com/clinics/tsentr-flebologii/lechenie-troficheskikh-yazv/","title":"Лечение трофических язв нижних конечностей - цена в Москве | Юсуповская больница","shortUrl":"yusupovs.com","isTranslated":false,"description":"","greenUrl":"yusupovs.com"},{"sourceId":2,"url":"https://vitacorclinic.ru/journal/troficheskie-yazvy/","shownUrl":"https://vitacorclinic.ru/journal/troficheskie-yazvy/","title":"Трофические язвы - Медицинский центр \"Витакор\"","shortUrl":"vitacorclinic.ru","isTranslated":false,"description":"","greenUrl":"vitacorclinic.ru"},{"sourceId":3,"url":"https://www.Renewal.ru/voprosy-zdorovya/troficheskaya-yazva/","shownUrl":"https://www.Renewal.ru/voprosy-zdorovya/troficheskaya-yazva/","title":"Что такое трофическая язва и как её лечить?","shortUrl":"Renewal.ru","isTranslated":false,"description":"","greenUrl":"Renewal.ru"},{"sourceId":4,"url":"https://www.ckbran.ru/cure/bolezni-ven/troficheskaya-yazva","shownUrl":"https://www.ckbran.ru/cure/bolezni-ven/troficheskaya-yazva","title":"Трофическая язва на ногах: симптомы, причины, лечение трофических язв нижних конечностей – Отделение флебологии – НКЦ №2 в Москве","shortUrl":"ckbran.ru","isTranslated":false,"description":"","greenUrl":"ckbran.ru"},{"sourceId":5,"url":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/flebologiya/troficheskaya-yazva/","shownUrl":"https://www.gosmed.ru/lechebnaya-deyatelnost/spravochnik-zabolevaniy/flebologiya/troficheskaya-yazva/","title":"Трофическая язва. 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