With varicose veins on the legs, symptoms and treatment are associated with each other.This is a widespread vascular disease, accompanied by a weakening of the valve of the valve.Everyone has heard of the varicose veins and most people have an idea of how dilated ships appear standing.But you have to know the initial signs of the disease and the rules for the prevention of the pathology.
Because it rises
The varicose disease of the lower limbs develops under the influence of several factors.The main causes of the pathology:
- Hereditary predisposition.With the congenital deficiency of the development of the connective tissue, the valves suffer.I am unable to perform their functions - to prevent a reverse flow of blood.Consequently, stagnation develops, the vases are expanded and deformed, the probability of blood clots increases.
- Characteristics of the Constitution.The excess weight leads to an increase in the load on the veins.The walls of the ships become weaker, they lose tone and elasticity.The probability of developing pathology in people with excessive body weight increases by over 33%.
- Life and nature of work.Varicosis appears from a long stay in an upright position, from excessive physical effort.In women - with frequent use of high wheels shoes.The causes of the varicose veins include the use of a narrow linen, including a sock, which leads to the compression of large veins in the groin and the violation of the normal blood circulation of the lower limbs, insufficient physical activity, sitting in the same position.
- Violation of hormonal balance.A change in the number of estrogen and gestagen in human blood can lead to a decrease in the tone of the blood vessels.Prolonged use of hormonal oral contraceptives, the use of drugs during menopause, etc.It can cause a pathology.
- Pregnancy.The growing fruit leads to the compression of the blood vessels, the development of blood stagnation in the pelvic organs and legs.
The establishment of the cause of varicose veins and its elimination will help to avoid the progression of the pathology and the development of complications.
Classification
The varicose disease of the lower limbs is found in women and men.It is characterized by a progressive course in which the following degrees and types of varicose veins on the legs are distinguished:
- Compensation phase.During this period, the patient does not have complaints for a deterioration of well -being.The initial events: on one or on both legs in the legs area, the expanded vessels are displayed.
- Subcospection phase.There are complaints about the pain in the legs, the sensation of bursting, convulsions.The legs become swollen, especially by the end of the working day.
- Decompened phase.The patient's conditions worsen, complications develop: dermatitis, eczema, hyperpigmentation, trophic ulcer.
With varicose veins, the classification includes the following varieties:
- Local defeat.Segmental veins are involved in the pathological process.Reflux (reverse blood) is absent.
- Segmentary defeat.A pathological discharge of blood appears in which the superficial or communicative veins are involved.
- Common damage to the surface veins with reflux.Varicose veins in men manifest themselves for damage to all ships positioned superficially.Very often on both legs at the same time.
- Involvement in the pathological process of the deep veins.
Types of varicose veins of the lower ends according to international classification:
- Class 0. Lack of complaints and visible manifestations of the disease.
- Class 1. A venous shirt appears, vascular stars.The first complaints about the deterioration of well -being.
- Class 2. Extended blood vessels are displayed under the skin.
- Class 3. Due to blood stagnation, the swelling of the ankles and legs appears.
- Class 4. Due to circulatory disorders, signs of lipermatosclerosis develop.
- Class 5. The damage to the epidermis occurs, the skin is easily wounded, bad healing.
- Class 6. Trophical ulcers are formed.
Symptoms and signs
The first signs of varicose veins in women are the aspect of telangectasius or vascular stars.Initially, it is extremely difficult to notice them, since they are single and localized more often on the back of the lower part of the leg or under the knee. After a long living room on the legs or the use of high wheels, severity and small swelling shoes.Varicose veins in men are characterized by the rapid fatigue of the legs.
Gradually, the patient's conditions are aggravated, the symptoms of the varicose vessels are visible to the naked eye.The veins swell, become winding and engraved and the cramps appear.The sensitivity of the skin decreases.At night, convulsions are not excluded.The swelling is more pronounced.
The expansion of the veins leads to circulatory disorders, the tissues suffer a deficiency of oxygen and nutrients.Trophical disorders occur, the skin becomes smooth, shiny, pale.The signs of varicose veins in men - swelling do not pass even after a long holiday.Itchy appears, dermatitis.
With serious varicose veins, the symptoms include the formation of non -hermetic trophic trophies in the ankles area.This threatens the connection of the secondary microflora and the development of the infectious and inflammatory process.On the leg, varicose veins are often complicated by the development of thrombophlebitis - inflammation of the vascular walls.A local increase in temperature is possible in the field of weights, as well as sub -foundation.
Diagnostics
Varicosa disease is established based on the results of the collection of an anamnesis and a visual examination of the patient.To clarify the stage of the disease, the prevalence of the pathological process, the characteristics of the bloodstream, the presence of collaterals, reflux, the condition of the valve system requires further examination of the patient.
With the varicose veins of the lower ends, it is necessary to do:
- Duplex or Angioscan scan in ultrasound.It makes it possible to obtain an image of a blood vessel on its entire length, determine the presence of extensions and the reverse blood flow, the condition of the valves.
- Ultrasound of the veins of the lower ends using a contrast agent.If varicose veins occur, phlebography is necessary to establish obstruction of the surface or deep vessels on the legs.The study is required before the intervention to determine the method and volume of surgery.
- CT or magnetic resonance imaging with contrast.It allows you to obtain a series of images with which the passage of the blood vessels are established, the degree of expansion, the conditions of the valve system, the presence of collaterals, etc.
With varicose veins, laboratory tests are needed to evaluate the retiological properties of the blood and other indicators.To do this, you have to deliver:
- General blood test.In the presence of an inflammatory process, the erythrocyte settlement rate increases, leukocytes increase.
- A coagulogram, a wolf sovicagulant, etc.It allows us to establish a tendency to increase thrombosis, a state of coagulatory and anti - -impoverished blood systems.
How to treat
It is necessary to treat varicose veins in men in the legs completely.The therapeutic scheme is developed taking into account the stadium of the disease, the prevalence of the pathological process, the presence of complications and other factors.
Conservative methods for the treatment of varicose veins without surgery are used in the initial stages of the disease.With their help, you can stop the progression of the pathology, strengthen the walls of the blood vessels, increase the tone and elasticity of the veins, normalize blood circulation and prevent the development of congestive phenomena.
An important role in the treatment of the disease is played by the use of the compression knitwear.Special soil fire products provide alternative pressure to the entire length of the legs, do not allow blood stagnation, support muscles and prevent the development of the Edema.You have to wear them after a night of rest without getting out of bed.The knitwear is selected individually for a person, since each product has a different degree of compression.
Which doctor treats varicose veins
Switch to the doctor with varicose veins on the legs is necessary as soon as possible.To do this, you have to find out which doctor deals with varicose veins.Therefore, first of all, you should go to the local therapist or the family doctor.After the exam, the specialist will provide a postponement for a consultation to the doctor who deals with varicose veins, he is called a phlebologist.This is a small specialist engaged in vain diseases.
If a doctor specialized in varicose veins in a clinic or hospital is absent, an angiologist or surgeon is engaged in the treatment of all types of potologies of the vessels.
If necessary, the surgical treatment for varicose veins on the legs should consult a phlebologist or vascular surgeon.In the district hospital, a common profile surgeon is involved in these problems.
How to treat drugs
You can cure varicose veins without surgery only in the initial stages of the disease.For this, the following drug groups are required:
- Flebotonic.Affect the condition of the vascular walls.Increase their density, reduce the fragility and permeability of the capillaries, increase the tone and elasticity, have angioprotective properties.Restores the normal blood flow through the pots, stimulates the outflow of the sap.
- Anticoagulant and anti -acting.Normalizes the rheological properties of the blood.Diligent, prevent blood clots.Used to prevent complications.
- Antioxidants.Accelerate the excretion of toxins and other components harmful by the human body.It affects beneficially on the condition of the hematopoietic system.These are ginkgo extracts, multivitamin complexes.
- Anti -inflammatory drugs.They help to relieve pain, inflammation, gravity, a sense of burst, edema and other unpleasant manifestations of the pathology.You have to use them carefully, no more than 10-14 days.This is due to the fact that drugs have a negative effect on the condition of the digestive tract, can cause an exacerbation of the peptic ulcer.For VRV, they can be used in the form of a solution for intramuscular injection, tablets for oral use and rectal suppositories.
It is necessary to treat varicose veins for a long time, for several months.It is mandatory by phonbotonic in the summer, since at this moment the human body, including blood vessels, experiences an increase in the load.
The effective treatment of varicose veins includes the use of ointments and gel for external use.They must be rubbed in the area of the veins pathologically expanded several times a day.The drugs activate microcirculation, use the restoration of the fabrics on a cellular level.
How to get rid of the disease with the help of popular remedies
With varicose veins on the legs, the treatment includes the use of popular remedies.They can be used as added to traditional drug therapy.They help to get rid of varicose veins in a short time: stop the progression of the pathology and improve the well -being of the patient.
You can treat varicose veins in women using the following popular remedies:
- Compresses from tomatoes.To do this, you can use tomatoes of any degree of maturity.Several fruits should be cut with rings, connect to advanced ships and knots, solve it.After some time, a small feeling of combustion should appear in this place, after which the picture should be removed and the legs should be rinsed.To combat varicose veins with this method, at least 2-3 weeks are required.
- Lemon rubining.The fruits of the citrus fruits have a pronounced tonic effect.To perform the procedure, you need to cut a slice of lemon and rub in the epidermis.
- Castagna tincture on horseback.To prepare medicine, the fruits must be cut, inserted in a glass container.Fill with vodka or alcohol diluted in half.Place the container in a dark and cool place, it agitates periodically.Spend for at least 1 month.You have to take medicine 5-10 drops 3-4 times a day.It is necessary to treat varicose veins on the legs in men with chestnut tincture for 2-4 months.
- Apple vinegar 6%.The tool tones the ships and strengthens their walls, helps to eliminate edema.It is used for rubbing in the skin, the procedure must be performed regularly with varicose veins, for several weeks.
- Compressed by Kalanchoe.It helps to remove a slight expansion of the veins on the legs of men.To prepare medicine, it is necessary to take several leaves of the plant, grind and pour diluted alcohol.The tool insists 7-10 days.Use to apply the compositions: put the mass on the fabric cotton section, place on the sick ships area, cover with a plastic bag at the top, wrap and strengthen.Varicosa is treated for a long time, several weeks.It is advisable to do the procedure at night so that medicine acts as long as possible.
Before using folk methods for the treatment of varicose veins, it is necessary to agree with a doctor.Some methods may damage more than good.
Surgery
You can cure varicose veins in the only way, with the help of surgery.However, any operation is accompanied by some risks, therefore it is desirable to resort to it only with changes pronounced by ships.With the help of surgical treatment, it will be possible to completely remove the varicose veins.
With varicose veins, the treatment is selected taking into account the characteristics of the course of the disease.The main methods:
- Laser removal.With the help of a radius, the problematic veins of a small diameter are sealed.Blood circulation stops in them, over time their light is growing.The uniqueness of the method consists in the accuracy of the exposure, the surrounding tissues are not damaged.The control is performed using an ultrasound sensor.The procedure is traumatic low, it does not require special training, it is carried out on an outpatient basis.
- Sclerotherapy.To remove varicose veins, a special substance is introduced into the ship's light - sclerosing.The drug causes a merger vein with its subsequent reabsorption.The procedure is performed without relief from pain, its duration does not exceed 30-40 minutes.After manipulation, the patient should wear a special compression linen for several days.Sclerotherapy is effective in the fight against stars and vascular networks, telangectasias, dilated and knotted vases, as well as in the serious course of the disease.
- Minifle -commission.Small drills are performed on the skin through which the interested vessels are removed.The procedure is performed under local or general anesthesia.Miniflectomy is used in the fight against the winding veins and defective.
That dangerous
Vascular diseases are systemic pathologies.The defeat of the veins of the lower ends is easy to notice, but the process often applies to other ships.Varicosis at the foot of women is mainly dangerous as it can go to the pelvic organs.This threatens the development of complications during pregnancy.And during this period, many drugs are severely prohibited for use.
Varicosis on the legs in men is dangerous, since the process can spread to the genitals, in particular, to lead to the expansion of the veins of the seed cordon.This threatens the emergence of male infertility.
Other complications of the VRV are increasing the probability of blood clots and blocking the lumen of the blood vessels.The development of phlebitis is not excluded.The disease is dangerous and the formation of trophic ulcers.This is an open door for the infection, the wounds are poorly curative due to the influx of compromised tissue blood.
Prevention
In order to prevent the development of varicose veins of the lower ends, it is necessary to monitor health from a young age.The prevention of the disease is more effective than the treatment of the legs with the development of complications.
To have good blood circulation, it is necessary to guarantee sufficient motor activity.If a person at work has been in the same position for a long time, a little heat should be regularly done.It is necessary to approach the choice of shoes responsibly: it should be in a small heel (not exceeding 6 cm), comfortable, not to squeeze the leg.
We need to monitor the weight.Excessive mass is one of the factors predisposing to the development of the disease.In addition, leads to an increase in the load on blood vessels.Clothing should be made with natural fabrics.The use of too close underwear should be avoided to avoid squeezing the main ships in the groin.
During the hygiene procedures, it is advisable to use a shower, which allows you to change the pressure and temperature of the water.With the help of these tricks, you can tone the vessels, activate the blood flow.
It is advisable to do exercises or sports daily.It is not necessary to run a few kilometers at a time, simply visit the swimming pool for your pleasure, take foot or bike.
Before using hormonal contraceptives, it is necessary to consult not only a gynecologist, but also a phlebologist, to take tests for hormones.If you change the level of female hormones in the blood, this can negatively affect the condition of the walls of the vessels.