Varicose veins of the lower extremities - the most powerful, and it is irreversible to the extent, and the stretching of the vein as a result of resisting the changes in their walls, as well as the failure of the valve device due to a genetic defect.
The willingness of the women to explain a cyclic increase in stretch of the walls of the arteries when the increase in the concentration of the hormone progesterone .
The main factors for the occurrence of varicose veins – a weakness that is inherited from the vascular wall.
In addition to this, it is of great importance in the pathogenesis of the style of a person's life:
- a long time of work, standing or sitting;
- the lack of regular physical activity;
- the lifting of a weight;
- the front desk èstrogensoderžaŝimi drugs.
The risk of occurrence of varicose veins, disease of the arteries of the lower limbs increases with age. But it's the one that has been receiving patients under the age of 30 years.
The manifestations of the varicose veins
It is more common in patients with varicose veins are unattractive feeling of heaviness, flatulence, heat, and itching of the skin of the "care" in the feet, and the dull, throbbing pain in the calf muscles. A feature of this character is to occur after long periods of standing. Usually, the sensations are unpleasant, to fully become, or their strength significantly reduced, with the foot in the supine position, after a good night's sleep, or when the use of medical compression products.
Major symptoms of the disease include aches and pains in the calf muscles, which commonly occur during the night.
The subcutaneous veins dilated, in the form of a complicated, the blue clusters of the leg and the thigh. Unfortunately, there is a perception that varicose veins are a manifestation of varicose veins. But, it is worth pointing out, is not absolutely characteristic of the disease, and, in many ways purely for the cosmetics the problem. These signals can be in the skin of varicose veins, but for the most part, they are found in otherwise healthy people.
To the extent that the development of varicose veins, they develop disturbances in nutrition of the skin of the lower leg. Initially, they take place on areas with an excess of coloration, a little bit later, along the fiber, and the leather is compressed, and the latter then acquires the characteristic of "varnished" or " point-of-view. In the centre, identical with the area of skin in response to injury is minimal, there is a small white to the next phase, reminiscent of a drop of stearin. This is referred to as a white atrophy of the skin, after which it opens, and trophic ulcers.
In violation of feeding the skin is a symptom of chronic venous insufficiency, which are also symmetrical, and swelling of the legs.
An Ultra-sound scan, color, duplex scan; a triplex scan - gold standard in the diagnosis of varicose disease of the veins of the lower extremities. The technician of ultrasound, you should explore all the vessels of the legs on both sides. It looks at the size, the compressibility, and the characteristics of the flow of blood, and the amount of reflux (the return of the blood flow). The evaluation of the functioning of the valves in the veins that is made up of not only the position of the patient lying down, but standing up.
The treatment of varicose veins of the lower limbs
The same symptoms may also be signs of various diseases, and the disease can escape, not from a textbook. Don't try to cure yourself — talk to your doctor.
The modern treatment of varicose veins include surgery, sclerotherapy, compression, processing, and application of a variety of medications.
Surgical treatment is the only method to truly improve the quality of life and reduce the risk of complications and rate of recurrence of the disease. It involves the removal of the varicose veins. There are 2 types of speakers:
- The heat treatment of the piece - a minimally invasive (without cuts) the method of treatment with laser and rf (radio frequency) of the sensor;
- The traditional surgical procedure involving the excision of the varicose veins, the extended hypodermic veins. Currently, the technique of the interventions are similar enough, the tested, and allows you to achieve a good functional and aesthetic results.
Separately considered, sclerotherapy as a method of medical treatment. It is a well-rounded, and in some cases in the early stages of varicose veins) replacement surgery. The procedure consists in the introduction of a special drug into the varicose veins extended to vienna, and that the glue on the inside of you.
Compression treatment of varicose veins of the disease
Bands of elastic at the pros and cons of
Compression therapy is a necessary component of any form of treatment for varicose veins and the most effective way to prevent it.
For the implementation of the compression of the best treatment is often to use the benefits, which, depending on the degree of elongation is divided into 3 classes:
- short stretch bandages are not more than 70% of the original size);
- the average (range of increase by the original length when the tension within 70-140 %);
- long-term (over 140 % and above), esp.
The classes are necessarily pointed out on the packaging of the bandages, and they are characterized by a correct choice of a product.
Benefits of a long stretch, you may want to use in the close to the perioperative period with the aim of stopping the blood, and is dependable for the fixation of wound dressings. To ensure the best possible therapy to compression, so that the most suitable bands in the short and medium timeframe.
When you use the ties for the elastic, must comply with the following rules:
- The clamp elements, the pre-maximum stretching of the foot; at the other, so that the notice of the education of the folds in the ankle area, which can cause damage to the skin during the movement of the
- Healing always starts from joints of the fingers, toes, and capture the heel;
- The pressure of the bandage should be gently decreasing from the ankle to the hip;
- The roll of bandage around it rest out when it is close to the skin's complexion;
- Modeling of the profile of the member is accomplished by placement of a foam or latex earplugs.
The vast majority of patients with varicose veins, they should enjoy it in an elastic bandage for the whole day, putting it on in the morning before you get out of bed and the car the evening before a peaceful night's sleep. For the treatment of trophic ulcers, they can also be applied to multi-layer compression bandages, it is not seen in the long-term, and directly attacked the stage from the skin of the leg, the contact bandages soaked in medicinal substances (zinc-gelatine, and the Dr.'s think).
In spite of the high compression efficiency of the treatment, the elastic bands have the obvious flaws in the enforcement of the physical and aesthetic disorders, in addition to the elderly, it is very difficult to auto-login, in accordance with all the rules.
Popularity to get a special compression fabric. It is represented in the semi down to the bottom, middle, and upper thirds of the thigh, and also on the socks (including stockings, are special for pregnant women) in four compression classes.
This knit is made of cotton and natural rubber – spandex, and synthetic rubber. Products are made from natural fibers are ideal for sensitive is affected (varicose veins, eczema, dermatitis, trophic violations of skin). With regard to the man-made fibres, in the of its advantages of small diameter and in a variety of colors, which allow you to produce a doctor in mesh with the high properties of the aesthetic.
The medical therapy of the varicose veins
The primary goals of medical therapy are the elimination of subjective symptoms of venous insufficiency, as well as in the prevention and reduction of the expression of side-effects after the surgery.
Among the most commonly prescribed drugs are the medications with the substance of Diosmin. Usually, a week or so after the start of your receipt, you will receive a positive trend: they spend the night, cramps, pain, and a sensation of weight, reduce the swelling. It is believed that the minimum duration of the course shall be a minimum of 2 months. When forms of severe varicose veins, the medicine may be extended for an additional six months, and more.
Creams and gels
Easy to use, and barateza on topical ointments and gels have become very popular among both patients and physicians. A lack of serious uncontrolled locations, the use of the drug serves as a high frequency of complications of the skin in the form of peeling, dermatitis, and eczema, which is caused by the increase of sensitivity with long-term use of the same tool.
This is why it is highly do not recommend the use of drugs or substances, the location of the action, an ointment, a gel, a cream) as a way of preventing it, and in the absence of the symptoms of the chronic condition of the vessel.
Clean the base of the bomb, one of the most popular drugs. Apply 3 to 4 times a day. In the beginning, it is possible irritation of the skin and the appearance of the shell at the places of application of the drug.
The additional therapy
In RUSSIA, widespread in the physical therapy methods of treatment. To deal with the symptoms of varicose veins of the lower extremities, such as pain and cramps in the calf muscles, you can use the method of muscle stimulation electrical. Other methods, such as physical therapy and have no evidence of efficacy in the treatment of this disease.
Prevention of varicose veins
The rational organization of work and leisure, it is necessary for all patients with the varicose veins. In this category of patients, it is not recommended that you work with for the duration of your stay, either standing or sitting, lifting the weight, and the impact of the high-temperature range. Both at work and at home, they need to have a journal for the holidays with the lifted at an angle of between 15 and 20 degrees of foot during sleep, it is advisable to raise the foot end of the bed above the level of the heart, the diet that eliminates the consumption of acute and salty foods, but also alcohol. You should make sure that you keep track of the weight of the body, such as obesity, leading to the progression of the disease.
Under conditions of elastic compression of the animal's occupancy of the mobile sports (skiing, cycling), however, the optimum conditions for stroke, venous outflow, and the training of the muscles of the lower limb that are supplied to an indoor swimming pool.