ANALYSIS PAPER

Analysis Paper

INTRODUCTION

The term leg ulcers refers to medicine a substance defect in the tissue of the distal lower leg area, typically as open, usually oozing wound that does not heal for a long time , impressed. This disease has been described very early on. Colloquially the leg ulcer also known as "open leg". Most affected are elderly, affected by several underlying conditions (polymorbide) people. Often, a leg ulcer occurs as severe form of chronic venous insufficiency (venous leg ulcers on). It shows it, despite optimal therapy within three months no healing tendency and does not heal from within twelve months, it is considered to be resistant to treatment.

Under a leg ulcer is defined as a non-traumatic loss of tissue substance (at least up to the corium reaching), the typically associated with inflammation. Most often it is found in the distal tibia near the ankle joint (venous ulcers). This substance defect presents clinically as infected, often painful wound with the characteristic, very low tendency to heal. Fundamental cause of all forms of venous ulcers is reducing healing tendency for lack of blood flow to the affected tissue ( macro- and microcirculation ). Triggers often minor trauma (small injury) is. An open ulcer is colonized by bacteria in most cases, thus showing signs of inflammation in the area. 

Typically, a venous ulcer appears as a sore and often painful substance defect of the tissue at the distal lower leg in patients with a chronic disease or varicose veins after a thrombosis. Most commonly found in the area of ??the medial malleolus, or more rarely on the outer ankle or lower leg circular comprising (Gamaschenulcus). Before 40 Age, it occurs only in exceptional cases. A peptic ulcers is in the early stages usually relatively flat, the soil typically "greasy-purulent" occupied. In its vicinity there are usually other, caused by chronic venous insufficiency changes as atrophie blanche, hyperpigmentation and dermatosclerosis .

Ultimately, it is the classic leg ulcer is a "visual diagnosis", according to guidelines for their assurance that diagnosis of chronic venous insufficiency is necessary, especially with regard to the identification of possible differential diagnoses one leg ulcers. Groundbreaking for the diagnosis are typical changes in the environment at the same time lack of other risk factors for the development of a leg ulcer and its localization. Apparatus method (for example, Doppler ultrasound) is used to confirm the diagnosis of CVI complementary sense (Persoon, 2004, pp. 341-354).

For documentation of the healing process, the ulcer can be measured or documented photographically. An abnormal healing process in some cases (not routinely) and a biopsy to exclude malignancy or a swab for bacteriological testing indicated. The factors that lead to ulcer-treated sufficiently so by a local treatment of the ulcer, the healing process will be supported. In principle, a suitable local therapy allows undisturbed wound healing. Wound healing (the body's own process) but it can not speed per se. A moist wound treatment is preferable to dry it. Of the industry to various dressings are offered. These include gauze, foams, or Calciumalginatwatten-compresses, hydrogels, hydrocolloids and hydro-active ...