With varicose veins on the legs, symptoms and treatment are associated with each other.It is a widespread vascular disease, accompanied by a weakening of the vessel of the valve.Everyone has heard of varicose veins, and most people have an idea of how the dilated vessels look at their feet.But you must know the initial signs of the disease and the rules for the prevention of pathology.
Why occurs
Varic disease of the lower limbs develops under the influence of various factors.The main causes of pathology:
- Hereditary predisposition.With a congenital deficiency in the development of connective tissue, valves suffer.They are unable to perform their functions - to avoid an inverted blood flow.Consequently, stagnation develops, the vessels are widened and deformed, the probability of blood clots increases.
- Characteristics of the constitution.An excess weight leads to an increased load on the veins.The walls of ships become weaker, lose tone and elasticity.The probability of developing pathology in people with 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 effort.In women - with frequent use of high theses shoes.The causes of varicose veins include the use of a tight linen, including a low, which leads to the compression of large veins in the groin and the violation of the normal blood circulation of the lower limbs, insufficient physical activity, work sitting in the same position.
- Violation of hormonal balance.A change in the number of estrogens and gestagen in human blood can lead to a decrease in the tone of the blood vessel.The prolonged use of hormonal oral contraceptives, the use of drugs during menopause, etc.can cause a pathology.
- Pregnancy.Growth fruits lead to the compression of blood vessels, the development of blood stagnation in pelvic organs and legs.
The establishment of the cause of varicose veins and its elimination will help avoid the progression of pathology and the development of complications.
Classification
Varic disease of the lower limbs is found in women and men.It is characterized by a progressive course in which the degrees and types of varicose veins on the legs are distinguished:
- Compensation stage.During this period, the patient has no complaints concerning a deterioration of well-being.The initial manifestations - on one or on both legs in the legs area, expanded ships are visualized.
- Stage of subcompmentation.There are complaints regarding the pain in the legs, the feeling of bursting, convulsions.The legs become swollen, especially at the end of the working day.
- Decompensation stage.The state of the patient worsens, complications develop - dermatitis, eczema, hyperpigmentation, trophic ulcer.
With varicose veins, the classification includes the following varieties:
- Local defeat.Segmental veins are involved in the pathological process.The reflux (inverted blood) is absent.
- Segmental defeat.A pathological blood discharge appears in which superficial or communicative veins are involved.
- Damage common to surface veins with reflux.Varicose in men are manifested by damage to all superficially located ships.Most often on both legs at the same time.
- Involvement in the pathological process of deep veins.
Types of varicose veins of lower limbs according to the international classification:
- Class 0. Lack of visible complaints and manifestations of the disease.
- Class 1. A venous mesh, the vascular stars appear.The first complaints concerning the deterioration of well-being.
- Class 2. Extended blood vessels are visualized under the skin.
- Class 3. Following the stagnation of blood, swelling of the ankles and legs appears.
- Class 4. Due to circulatory disorders, signs of lipermatosclerosis are developing.
- Class 5. Epidermal damage occurs, the skin is easily injured, unhappy.
- Class 6. Trophic ulcers are formed.
Symptoms and signs
The first signs of varicose veins in women are the appearance of telangiectasius or vascular stars.At first, it is extremely difficult to notice them, because they are single and most often located at the back of the lower leg or under their knee. After a long stay on the legs or the use of high themed shoes, gravity and a small swelling occur.Varicose in men are characterized by rapid fatigue of the legs.
Little by little, the patient's condition is aggravated, the symptoms of the varicose vessels are visible to the naked eye.The veins swell, become winding and buggy, and the cramps appear.The sensitivity of the skin decreases.At night, convulsions are not excluded.The swelling is more pronounced.
The expansion of the veins causes circulatory disorders, the tissues are experiencing an oxygen and nutrient deficiency.Trophic disorders occur, the skin becomes smooth, shiny, pale.Signs of varicose veins in men - swelling does not pass even after a long vacation.The itching appear, dermatitis.
With serious varicose veins, symptoms include the formation of non -healing trophic ulcers in the ankles area.This threatens the link of secondary microflora and the development of the infectious and inflammatory process.On the leg, varicose veins are often complicated by the development of thrombophlebiti - inflammation of the vascular walls.A local increase in temperature in the area of uprisings, as well as sub-feuille, is possible.
Diagnosis
Varic disease is established according to the results of the collection of an anamnesis and a visual examination of the patient.To clarify the stage of the disease, the prevalence of the pathological process, the characteristics of the blood circulation, the presence of collaterals, the reflux, the state of the valve device requires an additional patient examination.
With varicose veins of the lower limbs, it is necessary to do:
- Duplex scanning or angioscan ultrasound.It makes it possible to obtain an image of a blood vessel over its entire length, to determine the presence of extensions and to back down the blood flow, the condition of the valves.
- Ultrasound of the veins of the lower limbs using a contrast agent.If varicose veins occur, phlebography is necessary to establish the obstruction of surface or deep vessels on the legs.The study is necessary before surgery to determine the method and volume of surgery.
- CT or MRI with contrast.Allows you to obtain a series of images by which the passage of blood vessels, the degree of expansion, the state of the valve device, the presence of collaterals, etc.are established.
With varicose veins, laboratory tests are necessary in order to assess the rheological properties of blood and other indicators.To do this, you must put back:
- General blood test.In the presence of an inflammatory process, the rate of regulation of erythrocytes increases, leukocytes increase.
- A coagulogram, a wolf sovicoagulant, etc.allow us to establish a tendency to increase thrombosis, a state of coagulated and anti-adapted blood systems.
How to treat
It is necessary to overall treat varicose veins 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.
Conservative methods of treatment of varicose veins without surgery are used in the first stages of the disease.With their help, you can stop the progress of pathology, strengthen the walls of blood vessels, increase the tone and elasticity of the veins, normalize blood circulation and prevent the development of congestive phenomena.
An important role in the treatment of the disease is played by the use of compression knitting.Special soil fire products provide an alternative pressure over the entire length of the legs, do not allow the stagnation of blood, support the muscles and prevent the development of edema.You have to wear them after a night's rest without getting out of bed.Knittings are individually selected for a person, because each product has a different degree of compression.
Which doctor treats varicose veins
Turning to the doctor with varicose veins on the legs is necessary as soon as possible.To do this, you should know which doctor treats varicose veins.Therefore, first of all, you should go to the local therapist or the family doctor.After the examination, the specialist will grant a reference for a consultation to the doctor who deals with varicose veins, he is called a phebologist.He is a close specialist engaged in vain diseases.
If a doctor specializing in varicose veins in a clinic or in a hospital is absent, an angiologist or a surgeon is engaged in the treatment of all types of vessel pathologies.
If necessary, surgical treatment of varicose veins on the legs should consult a phebologist or a vascular surgeon.In the district hospital, a joint profile surgeon is involved in such problems.
How to cure drugs
You cannot cure varicose veins without surgery only in the first stages of the disease.For this, the following groups of medication are necessary:
- Phlebotonic.Assign the state of vascular walls.Increase their density, reduce the fragility and permeability of capillaries, increase tone and elasticity, have angioprotective properties.Restore normal blood flow through vessels, stimulate the flow of lymph.
- Anticoagulants and anti-agents.Normalize the rheological properties of blood.Dilige it, prevent blood clots.Used to prevent complications.
- Antioxidants.Accelerate the excretion of toxins and other harmful components of the human body.Assign the beneficial conditions of the hematopoietic system.These are Ginkgo extracts, multivitamin complexes.
- Anti-inflammatory drugs.They help relieve pain, inflammation, gravity, the feeling of burst, edema and other unpleasant manifestations of pathology.You should use them carefully, no more than 10 to 14 days.This is due to the fact that drugs have a negative effect on the state of the digestive tract, can cause exacerbation of the gastro-duodal ulcer.For VRV, they can be used in the form of a solution for intramuscular injection, tablets for oral use and rectal suppositories.
You should treat varicose veins for a long time for several months.Mandatory is to take the phlebotonic in summer, because at that time, the human body, including blood vessels, experienced an increased load.
The effective treatment of varicose veins includes the use of ointments and gels for external use.They must be rubbed in the path of pathologically widened veins several times a day.Medicines activate microcirculation, use the catering of the cells at the cellular level.
How to get rid of the disease using folk remedies
With varicose veins on the legs, treatment includes the use of folk remedies.They can be used as adding to traditional drug therapy.They help get rid of varicose veins in a short time - stop the progress of pathology and improve the well -being of the patient.
You can treat varicose veins in women using the following folk remedies:
- Compresses tomatoes.To do this, you can use tomatoes of any degree of maturity.Several fruits should be cut with rings, attach to advanced ships and knots, repair it.After a while, a small burning sensation should appear in this place, after which the compress must be removed and the legs must be rinsed.To fight against varicose veins with this method, you owe at least 2 to 3 weeks.
- Lemon friction.Citrus fruits have a pronounced tonic effect.To carry out the procedure, you must cut a lemon slice and rub in the epidermis.
- Chestnut dye on horseback.To prepare the drug, the fruits must be chopped, placed in a glass container.Fill with vodka or alcohol diluted halfway.Place the container in a dark and fresh place, shake periodically.Spend for at least 1 month.You should take the medication 5 to 10 drops 3-4 times a day.It is necessary to treat varicose veins on the legs in men with a chestnut dye for 2 to 4 months.
- 6%apple vinegar.The tool tones ships and strengthens their walls, helps to eliminate edema.It is used to rub in the skin, the procedure must be carried out with varicose veins regularly, for several weeks.
- Compress from Kalanchoe.It helps to eliminate a slight extension of the veins on men's legs.To prepare the medication, you should take several sheets of the plant, grind and pour diluted alcohol.The tool insists on 7 to 10 days.Use to apply the compresses - Put the mass on the cotton section of the fabric, place it on the patient's area, cover with a plastic bag on top, enveloping and reinforcing.Varicus is treated for a long time, several weeks.It is advisable to do the procedure at night so that the drug acts as long as possible.
Before using folk varicose vein treatment methods, it is necessary to agree with a doctor.Certain methods can harm more than well.
Surgery
You can cure varicose veins alone - using surgery.However, any operation is accompanied by certain risks, it is therefore desirable to use it only with changes pronounced compared to ships.With the help of surgical treatment, it will be possible to completely eliminate varicose veins.
With varicose veins, the treatment is selected taking into account the characteristics of the course of the disease.The main methods:
- Elimination of the laser.Using a radius, the problematic veins with a small diameter are sealed.The blood circulation ends, over time, their light grows.The uniqueness of the method consists of an accuracy of the exposure, the surrounding tissues are not damaged.The control is carried out using an ultrasound sensor.The procedure is low-traumatic, does not require special training, is carried out on an outpatient.
- Sclerotherapy.To eliminate varicose veins, a special substance is introduced into the light of the ship - sclerosing.The drug causes a fusion of vein with its subsequent absorption.The procedure is carried out without pain relief, its duration does not exceed 30 to 40 minutes.After handling, the patient must wear a special compression cloth for several days.Sclerotherapy is effective in the fight against stars and vascular nets, telangiectasia, dilated and knotted vessels, as well as in the severe evolution of the disease.
- Minfle -Commission.Small bites are made on the skin through which the affected vessels are removed.The procedure is carried out under local or general anesthesia.Miniflectomy is used in the fight against winding and defective veins.
That dangerous
Vascular diseases are systemic pathologies.The defeat of the veins of the lower limbs is easy to notice, but the process often applies to other ships.Varicosis on women's feet is dangerous mainly in that it can go to pelvic organs.This threatens the development of complications during pregnancy.And during this period, many drugs are strictly prohibited for use.
Varicosis on the legs in men is dangerous, because the process can spread to the genitals, in particular, to lead to the expansion of the veins of the seed cord.This threatens the emergence of male infertility.
Other VRV complications increase the probability of blood clots and blocking blood vessels.The development of the phebit is not excluded.The disease is dangerous and the formation of trophic ulcers.This is an open door for infection, injuries are poorly healed due to the supply of altered tissue blood.
Prevention
In order to prevent the development of varicose veins of the lower limbs, it is necessary to monitor health from young age.The prevention of the disease is more effective than the treatment of the legs with the development of complications.
To have good blood circulation, it is necessary to ensure sufficient motor activity.If a person at work has been in the same position for a long time, a warm little-up should be done regularly.It is necessary to approach the choice of shoes in a responsible manner - it must be in a small heel (not greater than 6 cm), comfortable, so as not to tighten the leg.
It is necessary to monitor the weight.Excessive mass is one of the factors predisposing to the development of the disease.In addition, this leads to increased load on blood vessels.The clothes must be made of natural fabrics.The use of too close underwear must be avoided to avoid tightening the main ships of the groin.
During hygiene procedures, it is advisable to use a shower, which makes it possible to modify the pressure and temperature of the water.With the help of these tips, you can tone the vessels, activate the blood flow.
It is advisable to do exercises or sports daily.It is not necessary to run a few kilometers at a time, just visit the swimming pool for your pleasure, to make stems of foot or bicycle.
Before using hormonal contraceptives, you should consult not only a gynecologist, but also a phlebologist, do tests for hormones.If you change the level of female hormones in the blood, this can harm the state of the vessel walls.