What is the reticular varicose veins of the lower extremities is?

Varices reticular veins occurs in many adults. As the disease, and there are effective ways to therapeutic effects of vessels on the sick?

What is it?

Reticular (from the Latin word reticulum — a network) or varicose veins in the shape of the mesh is not a separate type of pathology and the reticular Form of varicose veins, your first Phase. It is characterized by the enlargement of small intra-dermal superficial blood vessels and the formation of telangiectasia.

Telangiectasia is under the skin visible enlarged Plexus of up to 0.5-1 mm arterioles, venules and capillaries, the as a bluish-red spots with foothills, under the Form reminding the network, arachnids Plexus, asterisk.

Is diagnosed the disease is more common in women. According to the results of medical research, reticular varicose veins discover in 35-45% of women and 15-20% of adult men.

Causes

The main reasons for the development of the disease:

• Decrease in the elasticity and density of the vessel wall;
• Disturbance of the blood circulation;
• the unsatisfactory work of the venous valves.

Among the factors, the vessels, changes in the blood, to secrete:

• the period vynashivanija the child, in particular 5-9 months of pregnancy, the cave due to the increased volume of blood in the vessels, the increased load on the legs, compression of the veins of the belly growing uterus;
• hormonal "outbreaks" during pregnancy and menopause;
• hereditary predisposition to weakness of the venous walls due to the violation of the structure of the connective tissue;
• overweight – with increasing the BMI to 27 kg/m², the probability of pathology is increased by 30%;
• Employment with a long stay in the position of standing, sitting, occasional lifting and transfer of loads (carrier, athletes, heavy weights, sellers, hairdressers, travelers);
• the wearing of a corset, belt, the pressure within the peritoneum, the tight Jeans that compress the vessels in the groin;
• prolonged use of corticosteroids, and hormonal contraceptives;
• Diabetes mellitus, hypertension, skin diseases, including rosacea;
• Injuries, fractures of the extremities;
• excessive and prolonged exposure to the sun, Smoking;
• low amounts of fiber in the diet leads to a longer constipation, leading to the expansion of the veins, the lack of nutrients – weakening of the vessel walls.

Symptoms

Among the basic features of the initial phase of reticular varices:

• the appearance of bluish-red-telangiectasia — point, Torx, net-spots of various sizes and brightness, the legs more often on the ankles, behind the knees, at the top, after printing, bleaching them out, but immediately re-occur;
• heavy, tension of the calf muscles, fast fatigue when walking.

The symptoms that occur when the disease develops:

• Dissemination of telangiectasia on clean areas of the skin, enlargement of the capillaries;
• the feeling of bloating in the legs, pins and needles, "formication" (paresthesia);
• Cramps in the muscles of the lower leg during the night or in the morning;
• drawing pains;
• a weak swelling of the feet, the calves, the ankles in the evening, which disappears in the morning;
• Itching of the skin about the land of the enlargement of the reticular vessels;
• burning on the line of the affected vessel;
• Pain when calf muscles press;
• step of the way, veins bulging trunk, the formation of unevenness in the size of 2-4 mm;
• expression of a brownish or whitish spots on the jumping spider veins, swelling, redness.

If not promptly take measures to the causes of diseases and the elimination of its first signs, pathology changes of varicose veins in the Phase of the ongoing. In this case, under the skin circulation-node is formed, the vessels are tortuous, the hurts go.

The progression of the disease is a threat to the follow – acute Thrombophlebitis, non-healing wounds, the development of venous insufficiency, hemorrhage, thrombosis.

Diagnosis

Definition of reticular varicose veins are difficult for a skilled person. Thus, the prevalence of abnormal process, the degree of hemodynamics (blood flow), the distribution of the flow velocities of the blood, show signs of a thrombosis, Hardware methods of diagnostics:

• Ultrasound examination;
• Full-Duplex Procedures;
• Ultrasonic Doppler ultrasound of the veins;
• radiological, radionuclide methods.

Treatment

Treat variceal screening should be immediately prevented after the diagnosis, the transition of the disease into a chronic Phase, the development of complications.

Most of the methods of treatment relieves the patients from external signs of the disease. In order to cure the pathology, it is necessary to have a thorough medical examination, a cause of the weakness of the blood vessels and disorders of blood circulation.

Compression stockings

In the case of reticular varicose veins or subcutaneous rasters patients and healthy people with a tendency to disease, is socks the purchase of compression stockings. Targeted therapeutic compression is an important part of the treatment.

Compression stockings are developed to work on different parts of the legs and other pressure.

The greatest pressure falls on the ankles, as the blood rises with difficulty to the top. Stocking supports and compresses vessels, enhanced blood, helps the blood flow, resulting in the Stagnation. In the area of the hips, the compression ratio is 2.5 times reduced almost, because in this area the strain on the blood vessels less.

The constant soft squeezing of veins obstructed the expansion, normalizes microcirculation, eliminates puffiness, prevents clogging of the gaps trombami.

Other non-surgical methods of therapy

Among other things, widespread conservative methods of the treatment of reticular varices micro-sclerotherapy and Laser photocoagulation.

Micro-sclerotherapy – the most common method for the recovery of reticular veins and elimination of telangiectasia. In this method, specific substances to be imported without the cuts with a needle to be within the vessel. Substance micro-causes damage to the inner walls of the vein, or capillary. Injuries overgrown, narrowing interior Lumen. On the grounds of the former vessel strand of connective tissue is formed (according to the type of scar), which is self-absorbed for 10-12 months.

Sclerotherapy practice in the liquid art, if the vessel liquid composition is injected, or in a progressive technology — Foam-form of sclerotherapy (foam). In the second embodiment, a valid solution is a micro-foam that is better for the affected ship.

Often the procedure with video surveillance, monitors the process using the Duplex Scanner.

Laser coagulation of blood vessels – and at the same time efficient method, guaranteed procedure to delete a quick, bloodless, without any of the healthy tissue. The procedure is performed under ultrasound control.

Through a puncture in the skin, the doctor performs in the Lumen of the diseased vein-a thin catheter with a Laser light conductor. Under the influence of the high temperature of laser beam, the walls of the affected vessels welded.

Regardless of the number of vascular branches session of sclerotherapy and Laser coagulation lasts for 15-60 minutes. For the pronounced therapeutic outcome requires meetings of 2 to 5.

Treatment with sclerotherapy and Laser-beam lead more frequently on an outpatient basis, under local anesthesia. Leaving the clinic the Patient after 2-4 hours. After the treatment, the treated area with a compression bandage set for 4-10 days. Wear compression stockings of 7 to 30 days. 2-4 day, the Patient returns to normal rhythm of life.

After treatment of 3-4 months, it is recommended that:

• drink 2-3 liters of fluid a day, to save-flowing properties of the blood;
• take all of the medication prescribed by the doctor;
• not to neglect compression Jersey in a long way, stay at work standing or sitting;
• to go on foot;
• High Heels without.

To include other methods of treatment of reticular varicose veins 3 choices of therapy.

1. Radio frequency Obliteration of the vessels (technique EVRF, RFO). Radio wave radiation generated medical apparatus, fixed on the extremity of the catheter. Under the effect of the radio waves of the venous wall, glued, advanced vessel disappears, and the tissue formed in its place, solved.
2. Thermal occlusion of the micro-pulses of the steam (technology SVS). The methodology of the French doctors. For the processing of the lumen spasm ship warm steam, acting through the catheter introduced. The steam penetrates in to the difficult access, anatomical vascular branches tortuous, constricted, and "stick together", capillaries, and venules.
3. Method for the treatment of biological glue (Venaseal) – a new high-efficient and gentle procedure. Often is used in the treatment of reticular veins in the initial stage of the Expansion. In the vessel under ultrasound control with the help of the syringe and of the catheter is injected with a special glue. Vienna is shrinking dramatically, the walls are glued. Vascular subcutaneous grating to disappear almost immediately. In the processing of the small vessels are not compression stockings to wear after the procedure. Allergic reactions are excluded as a special glue is a natural product.

Surgical Treatment

Phlebotomy – the Operation for varicose veins of the lower extremities. It is carried out, if the diameter of the enlarged vessel reaches 10 mm.

Through a small incision, the surgeon on the surface vessel, connecting and cutting. The Operation is performed under local anesthesia. The surgery is with minimal tissue damage paint, leaves no cosmetic defects can.

National Treatment

Recipes home medicine in the treatment of reticular varicose veins, use in addition to therapy. A good result means to enter into a joint application with drugs, pharmaceutical ointments, wearing compression stockings, especially in the first Phase of the telangiectasia.

1. The unpeeled tire chop the young fruit of the chestnut (50 G) finely, pour a glass of vodka and leave for 20 days. After filtering, take 3 weeks, three times a day for 15-20 drops. After 2 weeks break can be repeated.
2. Cabbage leaves, wash and put in the cold for 24 hours. To impose before sleep to dry skin of the affected area combine leaves and not tight. The treatment is carried out every day for 1-2 months.
3. Dry birch buds poured in a glass, and the volume from 0,5 L to 1/3. Pour the vodka up to the brim, to insist 10 days. Tincture gently triturated land with telangiectasia.

Prevention

To avoid the occurrence of subcutaneous "stars" of the recommendations should:

• unable to bear the heavy, including handbags with the products;
• do not take hot baths, not to visit the Sauna;
• wear stretchy tights or stockings with compression;
• to keep home she is their feet more often in a raised Position;
• sitting at work, to create the conditions, the lower limbs were in a horizontal Position, every 2-3 hours, a 10-minute break on a special gymnastics for the activation of the blood flow;
• to move more, to Hiking, to revise;
• do a contrast bath or shower for the legs;
• medicinal use ointments for the prevention of venous changes, take medication to strengthen the vascular tone flebologa on the recommendation;
• swimming in the Pool with warm water;

Need to adjust the diet, get rid of excess body weight, give up Smoking.