In General, the lower extremities relates to varicose veins, can develop years and even decades. Varicose veins (varices) of the legs is always a violation of the function of the valves of the veins and blood flow. Proper blood circulation is the movement of blood through the veins of the legs in the direction from bottom to top (reverse force of attraction). In many ways, this process is possible thanks to the work of the venous valves, the return flow of blood flow. Malfunctions of these valves lead to disruption of venous blood flow and as a consequence to elongation of the veins. To flow in such arteries, the blood begins in a chaotic manner, often zastaivayas in the veins of the legs. Because of the arisen against this background of significant pressure on the vessel wall does not endure, extend, and flat. The varicose veins with the naked eye become visible under the skin in the Form of nodes. Often due to a slowing of blood flow in the dilated veins of blood is done clots. Violation of the processes of the supply to the skin leads to the formation of trophic ulcers.
Reasons for the development of varicose veins on the legs quite a lot:
- Genetic predisposition (inheritance predisposing factors to the disease – congenital weakness of the venous walls of the apparatus, the loss of elasticity).
- The violation of the blood circulation against the background of constipation, wearing tight shoes, Smoking, lack of physical activity.
- The intake of hormones (monophasic contraceptive pill with a high dose of estrogen lead to the thickening of the blood).
- The increase in the venous pressure type, provocaverunt obesity, pregnancy, sedentary lifestyle (sedentary work), the permanent vertical loads (workers, throughout the day to stay on the feet).
- Hormonal changes in old age.
These reasons may also lead to false pathologic blood flow of veins through the veins of the lower extremities – refluxus or Reverse current more blood from the deep veins into the superficial. These reasons contribute to the exacerbation of the disease in the future.
Symptoms of varicose veins in the legs
- Enlargement of the subcutaneous veins;
- stinging or heat in the course of the veins in the lower extremities;
- a feeling of heaviness in the legs;
- Swelling of the soft tissues of the lower limbs in the evening (the area of the feet, ankles, shins);
- Night cramps in the calf muscles;
- Obfuscation and compression of the skin of the lower legs;
- Pain along the veins;
- trophic ulcer.
In each patient, the symptoms of varicose veins may be different, but one point remains unchanged – the feeling of heaviness in the legs, also known as "syndrome of heavy legs". The most common symptomatic complex is particularly pronounced in the evening and also during heat waves.
If the disease is started, the skin on the legs has a bluish tint, and the Patient receives in this stage, no treatment, not infrequently, hyperpigmentation of the skin, and lipodermatosclerosis effectively been, in severe cases, trophic ulcers develop.
The risk of varicose veins is not he himself, and developing on the background of the complication of Thrombophlebitis (inflammation of the inner wall of the veins), what are clots to the formation of blood. Blood clots often the Lumen of the veins (phlebothrombosis) overlap and can break down in the lungs. As a result of the serious complications of varicose veins under the patient's fatal outcome was observed.
Diagnosis of varicose veins in the legs
In the case of the detection of the above symptoms, or at least some of you have, you need to consult your doctor or phlebologist sosudistomu surgeons. Of the timeliness of the detection of the disease, type of treatment, as well as the prevention of development of complications.
For the diagnosis of varicose veins the following studies.
- Ultrasound venous Duplex-scan evaluation of the patency and extensio veins, the direction of blood flow, as well as the detection of blood clots in the veins.
- Contrast venography evaluation of the condition of the veins, the detection of tumors and thrombi by the creation of precise "occupation" of the veins of a patient to x-ray images. Typically, the process of the uzi replaced because of this as a simple in the implementation.
If you see a doctor immediately
If you have the following symptoms should be going to the doctor immediately:
- The occurrence of acute pain in the lower limbs with every movement. In this case, the leg with the eyes, swollen and very tight, as if the skin burns.
- A feeling of weakness, accompanied by shortness of breath, a feeling of lack of oxygen.
- Of of the affected disease in Vienna, began to ooze blood.
Treatment of varicose veins in the legs
Conservative methods for the treatment of varicose veins.
Invasive method of treatment is in the early stages of the disease, if there are no complications. Conservative methods include the intake of specific drugs (angioprotectors, anticoagulants, venotoniki, non-steroidal anti-inflammatory drugs in the Form of tablets, ointments, and gels), which can help to relieve pain, but also the prevention of complications.
Of great importance in the therapy of varicose veins of the restoration of the Tonus of the walls of the blood vessels. To realize, it is possible with the help of special means. Agent for the domestic manufacturers, no dyes, no Film Wrapper, without the use of preservatives, therefore, the active substance is absorbed Diosmin faster, and the probability is minimized manifestations of allergic reactions.
Non-invasive treatment of varicose veins in addition the wearing of compression provides underwear, adhering to a special diet, systematic physical strain (a complex of therapeutic exercises).
These measures will reduce the venous insufficiency that prevents the development of Thrombophlebitis. Then the doctor will be in addition to the measures described above for the treatment of varicose veins a course of manual lymphatic drainage or Hardware, the method to improve the outflow of blood from the lower extremities, reduce swelling. The effect of the procedure is not long-term.
Treatment of varicose veins with leeches.
The leech therapy is a fairly effective method of combating varicose veins. Penetrates to the inside of the affected disease in Vienna, the saliva of the leech, thanks to the content of hirudin (natural Heparin), promotes liquefac tionibus blood and prevents the formation of blood clots. Today, on the Basis of hirudin drugs were causing "contact with leeches" can be avoided.
Modern non-surgical methods of treatment of varicose veins in the legs.
Sclerotherapy.
Sclerotherapy is the most effective non-surgical method for the treatment of varicose veins. During the procedure into the Lumen of the vessel of the patient, the doctor puts a special drug that call at the end of bonding of the walls, and in the future (within 1.5 years) of their absorption. The usual therapeutic course on the level of spider veins is 3 to 6 treatments on each leg. The result is visible after 2-8 weeks, in which they observed pain, hematoma, slight tingling, which take place gradually. The drug is injected is selected in each case individually, so that the risk of complications is minimal. During treatment, the Patient compression stockings should wear.
The effectiveness of sclerotherapy in the treatment of varicose veins can be compared with the classical surgery, it is only inferior to the modern techniques - endovenous Laser coagulation, that lamps due to the emergence of "form foam" (foam -) sclerotherapy, as well as the implementation of the procedure under ultrasound or translyuministsentnoy. All of this sometimes reduces the number of side effects.
Sclerotherapy can be carried out using an ultrasound scanner, then the method echo sclerotherapy. Additional Scanner application provides the ability for the doctor to completely control the movement of the needle in Vienna and the distribution of the drug.
If the drug is in a vein in a modified addidž, the process is called foam-form sclerotherapy. By a closer contact addidž with the walls of the venous method, a high efficiency. The blood displaced from the container, micro-foam, promotes faster sticking together and blocking of the functions.
endovasal or endovenous Laser photocoagulation.
One of the most modern and low-traumatic methods of treatment of varicose veins in the legs. The effect of the laser light on the affected vein under local anaesthetic. The results are noticeable in one month after the procedure. The procedure is quite expensive.
Drug therapy of varicose veins of the legs well people complement medicine, the warn only improve the tone and elasticity of the walls of the venous, but also to the further development of the disease. The recipes of the folk medicine to help with regular application to cure the strong current cases of the disease (ulcers on the skin, thrombosis).
To treat before you, it is important that the cause of the disease is by not going to your doctor, don't hesitate and don't wait for complications (wounds on the skin, thrombosis), you will start the treatment as early as possible, thickness of veins on the surface is not more than 5 mm, and the node is not more than 7 mm During the therapeutic course, we recommend wearing clothes and shoes, not constraining movements, heavy physical activity and a habit of throwing leg.
Modern methods of operational (surgical) treatment of varicose veins in the legs
In the absence of the desired result due to the conservative treatment of varicose veins, surgical Intervention requires. The surgery is a radical method of treatment of the disease, in the course of which the removal of the altered vein. Today this is done under tumescent anesthesia (local anesthesia consisting of a mixture of all-natural anesthetics). The advantages of the method is that the patient can leave after two hours after surgery, no postoperative hematoma, easier to bear, no symptoms of poisoning, such as in the implementation of the Operation under General anesthesia.
Phlebotomy – through special punctures in the removal of the altered vein disease is done with the aim of normalization of blood flow in the deep veins. The Operation is preferable in some cases sclerotherapy. Among the advantages of a quick recovery of the patient, small scars, furthermore, the resulting effect can last for many years.
Short-stripping – deletes only the changed area of Vienna via two small incisions. In advance of the location and extent of the affected veins. In this method, the soft tissue of the patient is not suffering, there is a fast recovery, little pain after the surgery.
Endoscopic dissectione veins - in this method, the doctor with the help of a small size is fed on the affected Vienna in the endoscope, which offers the possibility, the data on the internal state of the varicose veins, the extent of the affected area, but also to control them with precision, their actions during the Cut-Off-phase Vienna, minimizes Trauma.
Prevention of varicose veins in the legs
- Restriction on the use of the Sauna, the acceptance of hot baths, long stay in the sun (all of this leads to a decrease of the venous Tonus and the Stagnation of the blood).
- More motor activity (moderate running, swimming, walking, water gymnastics, Cycling, skiing).
- The control over your weight.
- Rejection of the tight-fitting, tight clothing and tight and tight shoes.
- To sit get rid of habits leg "leg".
- You can avoid constipation (eat properly, take note of the fluid intake).
- Evenly the load distribute on the feet (not sitting or you are not long in one Position).
- Hot and cold showers and cold shower on the legs.
- The wearing of compression underwear persons in the risk group (pregnant women with a hereditary predisposition, workers connected a sedentary job, or whose work is connected with heavy physical activity or need to spend the whole day on the legs).
- Physiotherapy.
During the treatment of varicose veins, prohibited any movement, only for prevention.
Diet for varicose veins
- Restriction of salty, spicy and smoked food.
- Eliminating the use of alcohol.
- Restriction Meat Products.
- The enrichment of the diet with fresh fruit and vegetables, products, add the onions to the strengthening of the vascular walls (carrots, olive oil, walnuts, rose hips, green tea, sprouted wheat, beans, green).
- The daily intake of Apple cider vinegar (in a glass of water 2 TSP.).
In the discovery of the first signs of varicose veins have you immediately consult a specialist. People are recommended to varicose veins in the group of risk (who has predisposing factors), and the hereditary predisposition to, every two years, visit flebologa with the mandatory implementation of the ultrasound examination.