Symptoms and treatment are connected to each other with varicose veins on the legs.This is a widespread vascular disease, accompanied by a weakening of the valve appeal.Everyone heard of varicose veins, and most people have an idea of how extended ships look on their feet.However, you must know the initial signs of the disease and the rules for preventing the pathology.
Why arises
Under the influence of different factors, disease disease of the lower extremities develops.The main causes of the pathology:
- Hereditary disposition.Valves suffer with a innate lack of the development of connective tissue.You are unable to carry out your functions - to prevent the reverse blood flow.As a result, stagnation develops, the vessels are expanded and deformed, the likelihood of blood clots increases.
- Features of the constitution.Obesity leads to an increased load on the veins.The walls of the vessels become weaker, lose sound and elasticity.The likelihood of developing pathology in people with an excessive body weight increases by more than 33%.
- Life and nature of work.Varicosis appears from a long stay in a standing position, from excessive physical exertion.In women - with frequent use of shoes with high rings.The causes of varicose veins include the use of narrowest linen, including a stocking, which leads to a compression of large veins in the groin area and to violate the normal blood flow to the lower extremities, inadequate physical activity and seating work in the same position.
- Violation of hormone balance.A change in the number of estrogens and progesties in human blood can lead to a decrease in the blood vessel.A longer use of hormonal oral contraceptives, the use of drugs during menopause etc. can cause a pathology.
- Pregnancy.The growing fruits leads to the compression of blood vessels, the development of the blood stagnation in the pelvic organs and in the legs.
The establishment of the cause of varicose veins and their elimination will help to avoid the progress of pathology and the development of complications.
classification
The disease disease of the lower extremities can be found in both women and men.It is characterized by a progressive course in which the following degree and types of varicose veins are distinguished on the legs:
- Stadium of compensation.During this time, the patient has no complaints about the fountain deterioration.The initial manifestations - extended vessels are made visible on one or both legs in the area of the legs.
- Stadium of sub -compensation.There are complaints about pain in the legs, the feeling of bursting, cramps.The legs are swollen, especially at the end of the working day.
- Stadium of decompensation.The patient's condition deteriorates, develop complications - dermatitis, eczema, hyperpigmentation, trophic ulcer.
With varicose veins, the classification contains the following varieties:
- Local defeat.Segmentaders are involved in the pathological process.Reflux (reverse blood) is missing.
- Segmental defeat.A pathological blood discharge appears in which superficial or communicative veins are involved.
- Frequent damage to the surface veins with reflux.Varicose veins in men manifest themselves by damage to all superficial vessels.Mostly at the same time on both legs.
- Participation in the pathological process of deep veins.
Types of varicose veins of the lower extremities according to international classification:
- Class 0. Lack of complaints and visible manifestations of the disease.
- Class 1. A venous network, vascular stars appear.The first complaints about the deterioration of the fountain.
- Class 2. Extended blood vessels are made visible under the skin.
- Class 3. As a result of the blood stagnation, swelling of the ankles and legs appears.
- Class 4. Due to circulating disorders, signs of liper matosclerosis develop.
- Class 5. The damage to the epidermis occurs, the skin is slightly injured and heals badly.
- Class 6. Trophic ulcers are formed.
Symptoms and signs
The first signs of varicose veins in women are the appearance of Telangiectasius or vascular windows.At first it is extremely difficult to notice them because they are single and localized that are most often located on the back of the lower leg or under the knee. After a long stay on the legs or the use of shoes with high snacks, severe and small swelling occur.Varicose veins in men are characterized by the quick tiredness of the legs.
The patient's condition is gradually worsened, the symptoms of seizures are visible to the mere eye.The veins swell, become angry and faulty, and cramps appear.The sensitivity of the skin decreases.In seizures are not excluded at night.Swelling is more pronounced.
The expansion of the veins leads to circulatory disorders, the tissue has a lack of oxygen and nutrients.Trophic disorders occur, the skin becomes smooth, glossy, pale.Signs of varicose veins in men - swelling do not go even after a long vacation.Itching appears, dermatitis.
In the case of severe varicose veins, the symptoms include the formation of non -showering trophic ulcers in the area of the ankles.This threatens the connection of the secondary microflora and the development of the infectious and inflammatory process.Varicose veins are often complicated on the leg by the development of thrombophlebitis infections of the vascular walls.A local temperature increase in the pile area and subfebiläer is possible.
Diagnosis
The disease disease is determined on the basis of the results of collecting an anamnesis and the visual examination of the patient.In order to clarify the stage of the disease, the prevalence of the pathological process, the characteristics of blood flow, the presence of collateral, reflux, the condition of the flap apparatus requires an additional examination of the patient.
With varicose veins of the lower extremities, it is necessary to make it:
- Duplex scanning or ultrasonicangioscan.It enables a picture of a blood vessel over its entire length to determine the presence of extensions and the reverse blood flow, the condition of the flaps.
- Ultrasound of the veins of the lower extremities using a contrast medium.When varicose veins occur, phlebography is required to determine the obstruction of the surface or deep vessels on the legs.The study is required before the operation to determine the method and volume of the operation.
- CT or MRI with contrast.Allows you to maintain a number of pictures through which the passage of blood vessels, the degree of expansion, the condition of the flap apparatus, the presence of collateral, etc. are produced.
For varicose veins, laboratory tests are required to evaluate the rheological properties of blood and other indicators.To do this, you have to hand over:
- General blood test.In the presence of an inflammatory process, the erythrocyte settlement rate increases, leukocytes rise.
- A coagulogram, a Wolf -Sovicoagulans etc. enables us to determine a tendency towards increased thrombosis, a state of coagulation and anti -bleed blood systems.
How to treat
It is necessary to treat varicose veins comprehensively in men in the legs.The therapeutic scheme is developed taking into account the stage of the disease, the prevalence of the pathological process, the presence of complications and other factors.
In the early stages of the disease, conservative methods are used to treat varicose veins without surgery.With their help, you can stop the progression of the pathology, strengthen the walls of blood vessels, increase the sound and elasticity of veins, normalize blood circulation and prevent the development of congestive phenomena.
An important role in the treatment of the disease is played by using compression knitting clothing.Special products with soil fire ensure the change pressure over the entire length of the legs, do not let the blood stagnation, support the muscles and prevent the development of edema.You have to wear them after a night's sleep without getting out of bed.Strick paths are selected individually for one person because each product has a different degree of compression.
Which doctor treats varicose veins
Contact the doctor with varicose veins on the legs that are required as early as possible.To do this, you have to find out which doctor treats varicose veins.First you should go to the local therapist or family doctor.After the examination, the specialist will give a transfer for a consultation to the doctor who treats varicose veins, he is referred to as a phlebologist.This is a narrow specialist who is busy with vain illnesses.
If there is no specialized doctor in varicose veins in a clinic or in a hospital, an angiologist or surgeon is involved with the treatment of all types of vascular pathologies.
If necessary, the surgical treatment of varicose veins on the legs should consult a phlebologist or a vascular surgeon.A joint profile surgeon is involved in such problems in the district hospital.
How to heal medication
You can only heal varicose veins without surgery in the early stages of the disease.For this purpose, the following groups of drugs are required:
- Phlebotonics.Influence the condition of the vascular walls.Increase your density, reduce the fragility and permeability of capillaries, increase the tone and elasticity, have angi -protectives.Restore normal blood flow through the vessels and stimulate the drainage of lymphs.
- Anticoagulants and anti -agents.Normalize the rheological properties of blood.Diligent, prevent blood clots.Is used to avoid complications.
- Antioxidants.Accelerate the excretion of toxins and other harmful components from the human body.Influence the condition of the hematopoetic system advantageously.These are Ginkgo extracts, multivitamin complexes.
- Anti -inflammatory medication.They help relieve pain, inflammation, severity, feeling of bursting, edema and other unpleasant manifestations of pathology.You have to use them carefully, not longer than 10 to 14 days.This is due to the fact that the medication has a disadvantageous effect on the condition of the digestive tract and can cause a deterioration of coat ulcers.For VRV, they can be used in the form of a solution for intramuscular injection, tablets for oral use and rectalic acids.
They have to be treated via varicose veins for several months.The phlebotonic is mandatory in summer, since the human body, including blood vessels, experiences an increased stress at that time.
Effective treatment of varicose veins includes the use of ointments and gels for external use.They have to be grated into the area of the pathologically expanded veins several times a day.The medication activate microcirculation and use the restoration of tissues at a cellular level.
How to get rid of the disease with the help of folk remedies
With varicose veins on the legs, treatment includes the use of folk remedies.They can be used as a supplement to conventional drug therapy.They help to get rid of the veins of varicose veins in a short time - stop the progress of pathology and improve the patient's borehole.
You can treat varicose veins in women with the following folk remedies:
- Compressed by tomatoes.To do this, you can use tomatoes of maturity.Several fruits should be cut with rings, attached to advanced vessels and knots.After a while, a little burning feeling should appear at this place, according to which the compress should be removed and the legs should rinse.To combat veins with this method, you need at least 2-3 weeks.
- Lemon ribbing.Citrus fruits have a pronounced tonic effect.To carry out the procedure, you have to cut a piece of lemon and rub it into the epidermis.
- Tincture of horse chestnut.To prepare the drug, the fruits must be hacked and placed in a glass container.Fill in half with vodka or diluted alcohol.Place the container in a dark and cool place, shake regularly.Spend for at least a month.You have to take the drug 5-10 drops 3-4 times a day.It is necessary to treat varicose veins on the legs in men with tincture of chestnut for 2-4 months.
- Apple cider vinegar 6%.The tool sounds the vessels and strengthens their walls, helps to eliminate edema.It is used to rub in the skin.The process must be carried out regularly with varicose veins for several weeks.
- Compress from Kalanchoe.It helps to remove a slight expansion of the veins on the men's legs.To prepare the medicine, you have to take several leaves of the plant, pour diluted alcohol.The tool consists of 7-10 days.Use to apply compresses - place the mass on the cotton section of the tissue, place on the area of the sick vessels, cover it with a plastic bag over it, wrap and strengthen them.Kramiks has been treated for several weeks for a long time.It is advisable to carry out the procedure at night so that the medication acts as long as possible.
Before using folk methods to treat varicose veins, you have to agree to a doctor.Some methods can harm more than useful.
Surgical intervention
You can heal varicose veins in the only way - with the help of the surgical interventions.However, every operation is accompanied by some risks, so that it is desirable to use the vessels to re -re -change the vessels.With the help of surgical treatment, it is possible to completely remove varicose veins.
In the case of varicose veins, treatment is selected taking into account the characteristics of the course of the disease.The main methods:
- Laser removal.With the help of a beam, problematic veins of a small diameter are sealed.The blood circulation stops in them, over time their lumens grows up.The uniqueness of the method consists of the accuracy of the exposure, the surrounding tissues are not damaged.The control is carried out with an ultrasonic sensor.The procedure is low -traumatic, does not require a special training, and is carried out on an outpatient basis.
- Sclerotherapy.To remove varicose veins, a special substance is inserted into the lumen of the vessel sclerosant.The drug causes a vein fusion with its subsequent absorption.The procedure is carried out without pain relief, its duration does not exceed 30-40 minutes.After manipulation, the patient should wear a special compression laundry for several days.Sclerotherapy is effective in the fight against vascular stars and networks, telangiectasias, extended and knotted vessels as well as in the severe course of illness.
- Minifle commission.Small punctures are carried out on the skin through which the vessels affected are removed.The procedure is carried out under local or general anesthesia.The mini fleeing bectomy is used in the fight against winding and defective veins.
As dangerous
Vascular diseases are systemic pathologies.The defeat of the veins of the lower extremities is easy to notice, but the process often applies to other ships.Varicosis on the feet of women is mainly dangerous in that they can switch to the pelvic organs.This endangers the development of complications during pregnancy.During this time, many medication is strictly prohibited.
The varicosis on the legs in men is dangerous, since the process can spread particularly to the genitals in order to lead to the expansion of the veins of the seed cable.This threatens the development of male infertility.
Other complications of VRV are the likelihood of blood clots and blocking the lumen of blood vessels.The development of phlebitis is not excluded.The disease is dangerous and the formation of trophic ulcers.This is an open gate for the infection, the wounds are badly healing due to the blood supply to tissue flood.
prevention
In order to prevent the development of varicose veins of the lower extremities, it is necessary to monitor the health of young age.Prevention of the disease is more effective than the treatment of legs with the development of complications.
In order to have good blood circulation, it is necessary to ensure sufficient motor activity.If a person is in the same position for a long time at work, a small warm up should be carried out regularly.It is necessary to approach the selection of shoes responsibly - it should be comfortable in a small heel (not higher than 6 cm), not to press the leg.
It is necessary to monitor the weight.Excessive mass is one of the predisposing factors for the development of the disease.In addition, it leads to an increased stress on the blood vessels.Clothing should consist of natural fabrics.The use of underwear that is too tight should be avoided to avoid the main vessels in the bar.
For hygiene methods, it is advisable to use a shower, which can change the pressure and temperature of the water.With the help of these tricks you can weaken the vessels and activate the blood flow.
It is advisable to do exercises or sports every day.It is not necessary to run a few kilometers at the same time.It is sufficient to visit the pool for your pleasure, to make foot or bicycle rods.
Before using hormonal contraceptives, you should not only consult a gynecologist, but also a phlebologist, carry out tests for hormones.If you change the degree of female hormones in the blood, this can adverse the condition of the walls of the vessels.