How to get rid of varicose veins on the legs? Varicose veins of the lower limbs are the scourge of modern people.
There are a huge number of people around the world who have been suffering from this malignant disease for a long time. What kind of disease is this and what it "eats" with.
Varicose veins
This vascular pathology, varicose veins, has taken one of the first "privileged places", among all other types of vascular disease, as it is most often diagnosed in the dilated veins of the legs.
With this disease, the walls of the saccular veins expand. From this, the length of the veins increases and we can see with the naked eye their serpentine tortuosity, as well as the spherical extensions (nodes) everywhere.
From 17-25% of all humanity suffer from this disease. And if in youth the frequency of detection of this disease is more or less the same between the two sexes. Then, in adulthood, women become leaders over men, practically surpassing them twice.
There is such a version that hormonal changes during menstruation and during pregnancy lead to a weakening of the tone of the veins, which gives them significant expansion and disrupts venous circulation in women.
Causes of varicose veins
There are many reasons for the appearance of the symptoms of the disease. Below I will list the main ones, read carefully, maybe you have one of these diseases, so varicose veins can become concomitant.
The disease is genetically determined by the immaturity of the valvular function of the veins, aggravated by the underdevelopment of the connective tissue components within the vascular wall.
And now there is an increase in pressure in the vessels themselves, and from early childhood, as soon as the first physical activity appears, varicose veins appear.
This group includes people with congenital factors of hypercoagulability. Which leads to the formation of blood clots, which do not allow free circulation of blood and lead to the expansion of the lumen of the vessels.
About the menstrual cycle and pregnancy in women, I have already outlined above. Menopause is added with age, estrogen decreases, progesterone increases simultaneously, and this is one more reason, because, in general, blood clotting factors increase.
And to this is also added a decrease in the synthesis of collagen, elastic fibers, which lose their functions within the wall and reduce the tone of the walls of the venous vessels. The picture is such that blood flow decreases, valve insufficiency appears, and blood clots form.
Since one of the risks cannot be ignored. Especially with the abdominal type, when obesity is found to have a mechanical effect on the venous walls due to an increase in pressure below the compression zones.
In connection with insulin deficiency, the metabolism as a whole in the body is distorted.
Hyperglycemia leads to a decrease in the elasticity of the walls of blood vessels and there is an expansion of the lumen.
Alcohol has the ability to remove fluids from the body. Dehydration, in turn, leads to increased blood clotting and disrupts blood flow.
If you are constantly exposed to increased physical activity or have to constantly stand up. In these people, the risk of developing the disease increases due to stagnation of blood in the lower limbs and very high intra-abdominal pressure, which does not allow blood to flow to the heart at a sufficient level.
With constipation, intra-abdominal pressure increases the moment a person pushes. Then you can trace the logical development of varicose veins - the expansion of the lumen of the veins.
And in general, due to many factors: wearing shoes with heels, previous abdominal interventions, severe cardiovascular diseases with circulatory failure, chronic inflammatory processes of the pelvic cavity (prostatitis in men, inflammation of the appendages in women) and, of course, smoking.
- Due to heredity. The disease is genetically determined by the immaturity of the valvular function of the veins, aggravated by the underdevelopment of the connective tissue components within the vascular wall.
- Due to the pathology of blood clotting. This group includes people with congenital factors of hypercoagulability.
- Due to hormonal changes. This group includes menstrual cycles and pregnancy, as well as menopause.
- due to weight gain. Especially with the abdominal type, when obesity is found to mechanically affect the venous walls.
- Due to diabetes. In connection with insulin deficiency, the metabolism in the body is distorted. Hyperglycemia leads to a decrease in the elasticity of the blood vessel walls and vasodilation occurs.
- Because of alcoholism. Alcohol has the ability to remove fluids from the body. Dehydration leads to increased blood clotting and impairs blood flow.
Symptoms of varicose veins
There are the first precursors of the symptoms of varicose veins of the lower extremities. It is worth paying close attention to them. The main thing is not to lose them in order to start treatment on time.
- The appearance of varicose veins and meshes, because the small blood vessels have already expanded and have even become visible through the skin
- The second stage, we observe the formation of protruding knots, which wriggle and are arranged in clusters
- Noticeable swelling and fatigue of the legs begin, people begin to suffer from frequent leg cramps (more at night), itching, fever, crawling "goosebumps"
All these symptoms appear depending on the classification of varicose veins.
On the classification of varicose veins
The international scientific community has introduced a systematization of pathological varicose veins using a special CEAP (Clinical Eziology Anatomy Pathology) classifier. This typology involves 6 clinical stages in varicose veins:
- Zero. The patient has subjective complaints without obvious etiology, suspicion of varicose veins, but according to the results of a visual examination and research, no obvious signs have yet been identified
- I graduate. A small vascular network is visible through the skin, minor and rare swelling, appearance of: heaviness, burning, "buzzing" sensation in the legs
- II degree. This is already the starting point that shows true varicose veins. It presents symptoms of a distinct external manifestation of enlarged blood vessels, the formation of venous nodes, which increase after a long stay on the legs or a long static sitting. It is from this stage that the possibility of thrombosis can already be observed
- III degree. Here, the symptoms of the second group are aggravated by regular swelling, most noticeable by the end of the day, and pulling, aching pain in the calves.
- IV degree. Visible trophic changes in the skin. From a large accumulation of pigment in the epidermis, the skin changes from dark brown to black. Small local inflammations appear and develop in the form of erythema or weeping wounds, which over time will cause atrophy of the dermis and ulcers
- V degree. A similar course of symptoms, as in the fifth stage, but with a healed trophic ulcer
- VI degree. Caused by an already severe progression and the formation of unhealed wounds and ulcers
Mandatory treatment of varicose veins is required, otherwise it is possible to get a complication in the form of acute thrombophlebitis and perforation of the nodes (when even the slightest mechanical effect can lead to an elongated and thinned venous turn); bleeding in this case occurs very strong and will lead to a large loss of blood.
Diagnostics
You should go on an appointment with a phlebologist. Who will be able to identify varicose veins at a glance, but still collect an anamnesis, listen to your complaints.
There are special functional tests that the doctor must prescribe.
In addition, there will be instrumental diagnostic methods, including X-ray contrast angiography and ultrasound in duplex Doppler scan mode.
All about the treatment of varicose veins
A few decades ago there was still such a thing going to a phlebologist, there would have been 100% vascular surgery, otherwise the veins would not have been treated then.
But, in the last 10-15 years, little and micro-invasive high-tech techniques have been used, such as:
- Sclerotherapy (artificial obliteration, the venous walls are "glued" with a special solution, is injected with microneedles)
- Application of laser therapy
- Treatment with radiofrequency ablation (the thinnest probe is inserted into the vein and gradually removing it, the walls are "welded")
In these cases, you no longer have to endure a large traumatic operation.
In addition, a powerful therapy with a complex character is also added, which involves the appointment of venotonic drugs, anticoagulants, antiplatelet agents and anti-inflammatory drugs.
Good efficiency allows the use of:
- Elastic bandages and compression stockings
- Hirudotherapy
- Diets
- Therapeutic exercise
- Water procedures
Attention: the use of an elastic bandage or a compression stocking is possible only after consulting a doctor (in particular he will explain in detail the bandaging technique - you have to start from the fingers, with the obligatory grip of the heel and gradually loosen the compression more near the knee)
But we must not completely forget that varicose veins still belong to the category of surgical diseases. And if, according to the advanced stage, according to the indications, a radical effect is needed, then it can only be obtained surgically.
One of the basic operations is phlebectomy. The vein is removed and the dry residue of the functional viability of the vein is only 10% of the norm.
However, it is better to do without taking it to the extreme stage, varicose veins of the lower extremities can be completely cured if, without delay, (however, this applies to any disease), you consult a phlebologist.
It is not absolutely necessary to bring the matter to a "major" surgery: the varicose veins of the lower limbs are now completely healed, but this disease does not go away "by itself".
Conclusion
No wonder they say: "the salvation of man, in the hands of man himself". And although varicose veins are not an easy disease, and they tend to progress rapidly, it will only take 10 years, from the zero degree of varicose veins to the development of the pathology in the 6th degree.
In total - this is what you need, carefully consider the first manifestations of symptoms and consult a doctor - a phlebologist.
Take care of yourself, pay attention to the first news that the body will show you about the onset of pathological changes in the veins. It is always easier to prevent than to cure an advanced stage of any disease. All health.