Varicose veins, the symptoms of which every fourth inhabitant of the planet is not only a cosmetic defect is, in the Form of blue tree-Mesh in the legs, thighs, or back of the feet, feeling of heaviness in the legs, pain in static loading or a long walk, a spasmodic twitching in the muscles of the lower leg, but also high risks of thrombosis in the System of the inferior Vena cava.
Thrombo-embolic complications lead to trophic ulcers on the legs, acute disorders of blood flow with the blue coloration of the extremities, and of the danger of their lifelessness. View from the vessel wall, blood clots from the legs is often a journey that ends in the heart (a heart attack) or the blood vessels of the brain (causing a stroke). This circumstance, and not a deformed look of the once attractive legs and, therefore, as early as possible attention to the treatment (and prevention) of varicose veins.
Since the disease appear, is not static, but gradually progresses, grabbed all of the new styles of external or internal venous network of the legs, the parsing of the treatment, you should begin with a description of the prevention. Exactly appropriate preventive measures to enable at least some of them slow down the process, the veins on the background of the inherited insolvency of the apparatus of the lower extremities.
Prevention of varicose veins
The veins of the lower extremities have a very weak wall, with almost no muscle-elements, which could be due to the blood reduction in push. So in the veins, there are special valves to prevent back flow of blood flow and its Stagnation in the veins. In the case of a part of the people, these valves payment are hereditarily incapable of, or will be, as with age:
- in the case of severe physical exertion
- increased intra-abdominal pressure
- Constipation
- frequent pregnancies.
First, the process relates to the outer veins. And then Vienna, and deep venous network acts on the suction devices. Varicose veins of the limbs develops over several (sometimes dozens) years, and its speed varies, depending on the life, the intensity of the physical load and the strength of the walls of the blood vessels.
- Therefore, the first task of the prevention – to minimize the increase in intra-abdominal pressure (to fight with constipation, avoid overloads).
- The second task is the creation of the conditions for a passive venous outflow of blood from the legs. You do it at the end of the day, or several times a day. With this aim, legs will be assigned to the from the foot up to the hip on the surface at an angle of 45 degrees to the horizontal. Lie in such a Position not less than half an hour. People, for the varicose veins on the legs – a full medical fact, it is recommended that you sleep with elevated legs as often as possible.
- It is not recommended to use in case of varicose veins, tight shoes, socks with a rubber-band tight – that is not to create additional obstacles for the circulation of the blood in the legs.
- Similarly, you should not sit cross-legged and in the case of prolonged sitting, put the feet on the support, and then fasten the horizontal (or slightly higher) Position. Such an attitude can sometimes be the Gangster in the movies, on the steep mobsters, sitting in a chair, throw your feet up on the table.
- Of course, in the office, if you are not the owner of a company, need to with a little less defiantly. You can, for example, put you under the table box and place the feet on it or use for the same purpose, a high level plastic waste basket with flat lid. For all questions about the unusual way, you should answer honestly to avoid, ridicule, and not for a nerd sitting at a Desk. Note that none of the employees of active participation in your treatment, they will not accept. Therefore, to adequately perceive and the opinions of others not to neglect the prevention of the disease.
- If you are at home, try a horizontal Position, and positioning with the help of several pillows, the legs above the head. This is to ensure that the improvement of the conditions for the venous return.
Conservative Treatment
In non-surgical treatment programme, diet, compression well, and drug therapy.
Diet
Dietary measures are required because obesity is one of the risk factors for varicose veins. The power supply must be compensated (the energy consumed must not exceed energy requirements, and correlate with the nature of loads or their absence). In addition, from the menu, hot spices, pepper, marinades, excess salt, smoked, cut consumption of grilled must exclude. Alcohol is also not recommended to drink.
In the menu, must be present a sufficient amount of vegetables and fruits rich in Vitamin C, food rich in fiber, whole-grain bread, seafood. Frequent (at least 4 times per day smaller meals. About fashion a few years ago, the Trends they are limited in all animal fats, forget. Of course, the exorbitant pay levels of triglycerides and cholesterol is not the case. But in reasonable quantities cholesterol patches the vessel wall helps reducing the risk of secondary thrombotic complications and sudden cancel of the veins.
The rejection of tobacco Smoking
Smoking is a bad habit of varicose veins. If the choice is between the use of moderate amounts of alcohol and Smoking, to endure first with the sin in two halves. But the second – must be categorically excluded. Not only resins clog the blood vessels, increasing the risks for thrombosis and secondary complications (heart attack, stroke, pulmonary embolism). First of all, you have to be careful, anyone who has varicose veins (or predisposed to), hormone preparations, and still Smoking.
Compression Garments (Stockings, Pantyhose)
This is a good Option for the prevention and treatment of early stages of varicose veins, as different settings for the pressure on the soft parts, models and colours. Wear to underwear in the morning from the bed, while the venous System is not yet fully with blood. For this method, there is a but – the exorbitant price tags on the territory of the Russian Federation, the restriction on the acquisition of Jersey for varicose veins of the broad masses of the people. In General, bed linen, use start not the ones that it can help even in the Phase of the disease, and people with severe forms of varicose veins, often challenging some of the processes already shown, operative treatment and compression stockings as a secondary prevention.
Varicose veins: treatment with drugs
Drugs are not a panacea. Completely prevent or cure you, not varicose veins in the location.
Ointments and gels
This means the walls of the veins can protect, promote venous return, and some improve the micro-circulation. This means the severity of the pain and swelling reduce make-provided, of course, accept. The courses shows twice a year for the duration of at least 2 months.
The useless (but safe), you can read ointments or gels. You don't penetrate can make the skin and not the actions on the vessels. Do not recommend in the early stages of the disease, if you know exactly why actually happen swelling and feeling of heaviness in the legs: of drugs, or a simple postural Drainage and the end of the physical stress.
Such therapy includes the administration of drugs or elastic bandage. Its simplicity, preservation of the aesthetic nature of the extremities, no effects on the General health of the patients to this procedure, as doctors and patients.
But isolated sclerotherapy brings no lasting results and will not be able to stop the progression of the disease. In most cases, it is still necessary, combined with the surgical treatment. Before the therapy a mandatory ultrasound examination of the lower limbs should veins, without subcutaneous lesions or deep leg.
Contraindications for this procedure are: Allergy to medication, atherosclerosis of the great vessels with the presence of ischemia, diabetic angiopathy, arterial occlusive disease, the defeat of the blood coagulation, acute or recent Thrombophlebitis of the legs, pregnancy.
Therapy options
- Before the Operation, - the hardening of the veins can be used before surgery, with the aim of reducing the risks of bleeding and thrombosis in the postoperative period
- during the Operation, replaced vein removal
- after surgery to close the remaining veins.
The method of the puncture
If it is used, not in the op, performed in a specialized surgical office, with observance of all rules of Asepsis. First of all, close to the larger veins and then the small. The medicines are to be introduced generally from top to bottom. Vienna punktirujut in the case of a stationary patient, and before the introduction of the drug. If it falls in the field of interests is the longest ship or ships to the entire circumference of the legs, so will be meetings in a couple therapy. After sclerotic substances procedure, the Patient should be observed in flebologa for three years after the last injection.
- After the introduction of the medicament, elastic bandage performed in limbs, repeated for 2 weeks. In the first week of the Association.
- Within half an hour after the procedure, the Patient should go.
- The Patient has to daily avoid sleeping with a raised foot end, and in the course of the day, prolonged sitting or standing and a lot of go.
Varicose Veins: Surgery,
The decision on the feasibility of the Operation, the doctor or the vascular surgeon.
Often, women with lesions of the superficial veins, and dared to surgical procedure just because of a cosmetic defect, offer to postpone surgery, if you are planning a subsequent pregnancy (such as during pregnancy, varicose veins progresses in the rule, and the result achieved can disappear and require re-surgical treatment).
Combined Phlebotomy
The most widespread variant of the fast solution of the problem of varicose veins of the lower extremities is a combination of Phlebotomy. The surgery is performed under General anesthesia or with the use of epidural anesthesia. To do all the cuts and punctures, smaller sizes. For example, for the removal of the saphenous vein, the incision is in the groin area. A probe leads in the vein with the tip. Then the probe is removed Vienna is extracted from the middle of the lower leg to the groin. Through the small canals, channels and small veins to delete. After the Operation, the compression (Bandage or stocking on the leg).
Electro-coagulation
It involves the removal of the saphenous veins by the action of the current. Method more dangerous than radio-frequency Obliteration, or the classical surgery.
Cryosurgery
Cryosurgery enables the deletion of Vienna by the low temperatures. In the case of modern Hardware, method sure. It's not always the depth of freezing include, without damage to the surrounding tissue or is not surplus to "leave".
In-home treatment of varicose veins
Varicose veins can be treated at home, although due to medications (with a prescription), also ointments and gels, although leeches (treatment of varicose veins, leeches) and beetroot leaf, Apple cider vinegar. For the Home part of the program, compression garments, and elastic bandage (chosen and recommended doctor). For the advanced stages of the disease, all of these efforts will be in vain without a radical surgical treatment.
So, today, the radical method of elimination of varicose veins can be techniques detect only surgical methods, often in combination with therapy or compression.