Varicose veins of the lower extremities are due to a sitting lifestyle (in more than 75% of cases) inherent in most modern professions.To stop the first signs of the disease, it is enough to change eating habits and increase physical activity.Varicose veins on their feet are crowded with the appearance of trophic rectors.It is therefore inappropriate and insecure to start a health condition.
What are varicose veins?
The disease is directly associated with the venous blood flow.The more often the blood stood in the veins, which is more likely to spread their walls.A healthy organism contributes to full blood circulation (in addition to cardiac activity) by regular reduction in muscle fibers.Thanks to the functioning of the muscles:
- The pressure is systematically increasing and decreasing in containers
- Vena valves harmoniously: open and close according to the heart in heart rhythm
- Blood has no time to stagnate, the speed of its circulation allows you to pump in the full passage of veins
If the flow of arterial blood is facilitated by the strength of the attractions, then for the implementation of the venous, the body makes additional efforts, pushing the blood from the bottom up to the heart.Incomplete closing of the vena valve is the cause of the blood circulation destabilization.Setting blood between the valve causes even greater spread of veins.This condition is called varicose veins.
Symptoms
If you do not pay attention to the first signs of pathology, there is a high risk of its subsequent advancement in heavier stages.The results are potentially disappointing - until the beginning of death.So do not delay with prevention and therapy, when the following symptoms occur:
- The limit of the lower limbs of the lower limbs, increased fatigue is noticed.
- Vene dark shades (bluish or reddish) are bulging above the surface of the skin.
- Leg swelling (with damage to surface and deep veins), sometimes convulsions are possible.
- Pigment spots on the skin of ankle, leg.
The ignored phase is characterized by the formation of ulcers.Their localization is mainly an area of the joint of the leg.The above signs indicate the pathogenesis of varicose veins.
Stage I and II
They are caused by the presence of pain, nightly attacks in the legs, a sense of seriousness.But diagnostic information does not indicate the presence of the disease.A vascular network or "stars" is penned.The extended vein is visible and paltry.After a sharp load on the legs or long term, stay in a sitting position, the vessels increase volume.
Phase III and IV
They are characterized by systematic leg swelling, mostly in the evening, when the body succeeds in a tired one day.In the morning, the symptoms were reduced due to night rest.The predecessors of trophic rectors are followed:
- Unnatural, dark skin tone (up to black) - too large the accumulation of pigments.
- Inflammation of the epithelial tissue of various intensity - from smaller redness to the huge Baking of the ECZU.
- An epidermis atrophic processes, implying indentile light shades on the skin of the leg.
The trophic ulcer occurs due to the lack of nutrients in the lower extremities.The last 4 phases of the ulcer, acquires a chronic character and not healing for a long time.
Varicose vein stages
Naive patients believe that if varicose veins are visually apparent, there is nothing to worry.The diagnosis can show the presence of the disease even with the lowest symptoms - seriousness, periodically tuning, unpleasant sensations in their legs.It is necessary to carefully treat their own sensations, especially with convulsions or pain in your calves.Prescribed medications, therapeutic procedures improve the wine pastence in their legs, the state of the cardiovascular system of the entire organism.
Primary
Has an independent formogenesis form.It is determined by genetic predisposition against the background of innate anomalies of connective tissue, vascular walls.Disconnected blood circulation in such patients is natural.Provocation of primary varicose vein factors is:
- Large body bodies
- Pregnancy in which load on vessels increases
- Long term nosose or socks with tight elastic strips
- Daily activities suggested by a long-term stay in a standing position
If the venous walls are weak from the moment of birth, any of the above circumstances causes the development of blood flow and the development of pathology.
Secondary
Women of the reproductive and medium age are subjected to his development.Secondary varicose veins The consequences of inactive way of life, hormonal disorders, pregnancy, overdue stress on their feet.Pathology is created as a complication of transmitted diseases of contagious or oncological genesis.The etiology of the disease includes traumatic vascular damage.Degenerative changes lead to the following phenomena:
- Damage to the valve integrity
- Deterioration in the muscle tone of vascular walls
- Strong tissue tissue, lack of oxygen enrichment
- Violation of the outflow of blood from passing veins
- Increased venous pressure
- The appearance of trophic rectors is the result of belated therapies
During the treatment of tumors, infectious diseases of all shapes of pathogen, it is necessary to monitor the state of the leg.The performance of varicose veins is recommended, and in a timely appropriate reviews.It is advisable to be in a sitting position of less time.Vene pelvis and hips are clenched, which negatively affect their tone.
Reasons
The main factor of the etiology of varicose veins is genetics.Moreover, it is not important in which areas of body, the disease is localized in relatives.If a gender is a characteristic genue that sooner or later information about the weakness of blood vessels will appear if it contributes to this:
- Sentary lifestyle, day long-term work activity in a sitting or standing position
- Excessive pressure on legs associated with lifting or weight movement
- Alcohol abuse, smoking, drug
- Lack of desire for physical exercises
- A longtime wearing shoes with high
If the pathology is already diagnosed, the treatment is necessary to start as fast as possible.
Breach of valve devices
According to the results of numerous clinical studies, the Ethiopathogenetic mechanisms leading to varicose veins with a lack of valves are reliably unknown.However, it is known that the valves are not overlapped with irregular work, lumen boats, leading to the liquid blood and development of stagnation.This leads to such violations:
- Stretching walls of veins
- Reduction of elasticity and the possibility of restoring the form
- Strengthening the stagnation of blood
As a result, it is manifested disturbing symptoms in the form of edema, pain and triple.The ventilation is affected by genetic and epigenetic factors: heredity, pregnancy, weight, physical activity, hormone body restructuring.
Pregnancy
During pregnancy, women are at risk for varicose vein development.This is due to hormonal changes and increased load on the internal authorities, lower limbs.With each subsequent pregnancy, the risk of developing vascular violations is increased.In this case, varicose veins can affect not only the lower limbs, but also a small pelvis, Labia, uterus.
Klimax
During menopause, there is restructuring the hormonal background, which can lead to increased risk of varicose veins.Varicose veins can affect not only legs, but also body pelvis, which is why violation is often confused with inflammation diseases: cystitis, endometriosis.Varicose veins arise as a result of reducing the elasticity of the venous walls, as a result of whose reverse blood is outside through vessels.
Prostate adenoma
The adenoma prostate is a pathological condition accompanied by prostate tissues and urinary outtow disorders.With Aden, complaints appear about:
- Ucubsiating urination
- A weakened urine stream
- Inadvertent distribution of urine, especially, at night
After discharging the bladder, there is no relief, discomfort, mental stress appears.With complete delay in urine, the inflammatory process can be developed, the risk of the creation of stones increases.In severe cases, interoxications and noise failure occurs.The absence of high-quality adenoma prostate therapy is full of complications, one of which is varicose veins.
Reception of hormonal contraceptives
The reception of hormonal contraceptives is associated with a high risk of vascular complications: varicose veins, thrombosis.Such a group of drugs causes effect-dependent effect: Excess estrogen risk is equalized with increased probability of thrombosis.With a hereditary predisposition for varicose veins, it is recommended to refrain from using hormonal assets and consider using other, safer methods of contraception.
Hereditary predisposition
Hereditary predisposition is one of the key factors that lead to varicose vein development.In people with such a risk factor, the formation of a fine vascular network is observed.In the first signs of violation, it is important to direct efforts to prevent further improvement of the disease: use the compression criteria, routine preparations and diosmin, give a preference to moderate physical effort, respect the drinking mode and make yoga.
Insufficient physical activity
The hypodynamic lifestyle often leads to varicose vein progression.The care of choosing the appropriate physical effort with the existing varicose veins must be preliminary negotiations with a fleet.Unequal benefits are made in everyday walks in fresh air in a comfortable pace: at least 10,000 steps a day.The venous system loves mobile sports.Special benefits for swimming, running, cycling, scandinavian walking.It is recommended to exclude the application of these exercises that can cause traumatic lesions of lower extremities.
Excess weight
Excess body weight is a risk factor that increases the predisposition to develop varicose veins.The situation has worsened when other diseases, hormonal changes, bad habits join bad habits.People with varicose veins are not recommended to adhere to heavy diet and mono diet, so that the loss of weight should be as soft and more natural.When the patient focuses efforts to normalize body weight, it automatically slows down varicose veins.
At the initial phases of varicose veins, the outflow of venous blood is slowed under the influence of the hereditary and predisposition factors.Excess body weight only worsens this situation.Pathological changes within the valve and blood vessels lead to the activation of a special mechanism - "leukocit rolling".This leads to the accumulation of leukocytes in the endothelial layers and the development of inflammatory reactions.The pathological process gradually extends to the entire channel of venous vessels, causing thinning and stretching of the venous walls, as well as valve deformations.
Unhealthy lifestyle
People who do not adhere to the basic principles of a healthy lifestyle are often faced with varicose veins.The situation is complicated by a motionless or inactive way of life, malnutrition, smoking, drinking alcohol, long static loads standing or sitting.Therefore, to prevent further advancement of varicose veins, it is necessary to focus efforts to correction of lifestyle: revise daily nutrition, normalize weight, solve bad habits.
Leg injury
Traumatic leg lesions are often complicated with varicose veins.A wide selection of damage can affect the condition of valves and veins: soft tissue bruises, joint damage, bone bone integrity violation.All muscle injuries, joints and bones lead to Edema, violations of blood castings in superficial and deep veins.
Stagnation can be initiated even less injuries that require compliance with the state of the bed.Bone fractures are associated with a high risk of thrombosis.Medical statistics confirm that the risk of developing varicose veins in people who have suffered foot injuries is a few times higher than in others.If you are injured, above all, efforts are focused on his treatment.In the future, medications were selected to ensure optimal blood flow and prevent thinning blood vessels.It is advisable to use the knitting of the compression selected by the Flekbologist.
Possible complications
In addition to difficulty moving, pain, varicose veins represent a threat to blood clots.They went out, causing death.Due to the circulation of torn clot blood, not only a bowl of limb, but the lung artery can suffer from blood flow.At the same time, thromboembolism is diagnosed with a relief supply of blood pneumons.They are often the consequences of varicose veins:
- Flebitis
- Stagnint Dermatitis
- Chronic venous disadvantage
- The restless leg syndrome
Septic thrombophlebitis occurs due to the gnody disintegration of blood clot in blood plasma.Aseptic flabbitis is a potential complication of injection in Vienna special substances to blame their lumen (sclerosis).
Diagnostics
Doppler Study is a standard diagnostic method for varicose veins.It is often used for primary suspicion of pathology without obvious external signs, gives clear ideas about its presence or absence.UTDS - Ultrasonic duplex scan refers to professional research methods.Combining ultrasound and diploography options, the Uzds can show:
- Vienna cross-sized
- Blood circulation, direction and intensity (color coding images are displayed on the medical equipment monitor)
- Valve, Venous walls (thanks to the topography of the vessel)
- Specific localization of expansion
- Presence of blood clots, other obstacles for full circulation of blood
Duplex diagnostics - "Gold Standard" between other methods for studying varicose veins on their feet.These include: occlusive placismatism, radionuclide pheboscintography, reflective regression, photoplesssmographyphy, ct, x -ray contact phlebography, direct phlebotonometric.Assistance is revealed by the feasibility of surgical intervention.Procedures help identify the amount and location of blood clots, pressure inside the veins, the characteristics of blood flow disorders.
Treatment
In the initial stage of disease development, local use products - cream, fat effectively assist.Such therapy is convenient for home use.Only a few uses can reduce the symptoms of surface veins spread by 43% in 10-14 days a day.Another way to strengthen the elasticity of veins is a contrasting shower or bathroom.Under the influence of temperature difference, vessels expand and narrow, improving them the tone.The prevention and therapy of varicose veins also use:
- Using chamomile and mint decoctions, alcohol tinctures on the flowers of white acacia.
- Wrap with tincture of horse chestnut.
- Rubbing in affected places of apple vinegar, which contain many traces elements, vitamins.
- Compressed with white, blue or green clay, which can be found in the pharmacy.The recommended frequency of the procedure is twice a week.
Traditional medicine recipes complement the prescribed medicine medicine.But the following methods can be applied only after the flexologist's approval.The purpose of the therapy is to restore the integrity and performance of veins.There are two ways to achieve: seizing (adhesive) or cut out blood vessels.
Laser treatment
The technique is based on the use of thermal properties of laser radiation.Light -Breeder, introduced under local anesthesia in Vienna, increases the temperature of hemoglobin blood, as a result that the walls of the vessel are "sealed" from the inside.The outflow of the blood redistributes deeper veins.The generated radiation is pointed out, so it does not harm the surrounding fabrics.
After a while formed new cells are absorbed.After the procedure, the use of specialized knitted clothing type compression is recommended.It is important to refrain from excessive physical effort and carrying a heel.Thanks to the laser coagulation, it becomes possible to overcome varicose veins painless, minimally invasive mode.
Sclerotherapy
It is prescribed in the initial stages of diseases with a mild widening of veins.Allows you to regulate the lumens of small vessels from "Grille" or "Star".The procedure is standard injection without painlessness, the average duration of manipulation is 7-14 minutes.The skeletal substance performs the function of gluing with subsequent resorption of recently formed binding structures.As a result, varicose veins stopped in 10-14 days.Relapse symptoms require sclerotherapy re-display in exceptional cases.
Socks and leggings
Compression lower laundry is classified in length: golf (to knees), socks (to thighs), leggings (up to the waist).They are recommended for patients during physical activity (including simulators or in a fitness room).Compression bedding is marked for long-term movements or, vice versa, with a long stay in a seated position.Medical knitting contributes to blood circulation in difficult periods for blood vessels.
The advantages of Tights are invaluable: they compress veins, improving blood flow.Their specific production is based on the main function - help the blood move from the bottom to the heart.Therefore, the ankles are heavy and higher - becomes complimentary.Similar purposes in elastic bandages that contribute to removing swelling, discomfort.But the knitting is more suitable, comfortable in the process of putting, removing, work.Its tension power installs the manufacturer, and the probability of skating on the skin is minimal.
Surgical intervention
It is prescribed in the extreme phases of pathology, when other therapeutic methods are inefficient.The most common operation is phlebectomy (large vessel resection).Also held:
- Surgical interventions on sapphire-focusing and saffer-phenome south
- Amputation of the trunk of a large subcutaneous vein
- Intravazal plastic deep veins
Many opinions are about the inappropriateness of removal of veins if they do not interfere in life.However, surgeons have their arguments on this topic: to stop the risk of forming blood clots - above all.The main role is playing professionalism of surgeon.
Rehabilitation after surgery
Contains standard recommendations for lymphone failure:
- Mobility activation according to the permitted norms established by the doctor.First you must at least occasionally mix your legs, then cross to the exercises of physiotherapy.
- Carrying elastic bedding of 1-2 compression class.Alternative - bend with imposing the determination of the tour.
- Use of venotonic drugs: All types of fat include and not only.In the difficult conditions of the patient, local treatment of heparin -kontaing fats, antibacterial and hormonal drugs are prescribed.Their purpose is to reduce swelling, symptoms of dermatosis, dermatoliposclerosis;Improve the microcirculation of soft tissue.
- Physiotherapy: Lymphatic drainage massage (if no complications, for example, lymphora and wounds heals), magnetotherapy (up to 8 procedures for the entire rehabilitation period).
- Relief hematoma, pain, inflammatory processes using polyferral medicines, with the content of pentoxiphilin, antiplatelete.
With the responsible approach to the above measures, the recovery period must not exceed 3 weeks, maximum - per month.Procedures minimize the risk of blood clots, reducing rehabilitation period.Contribute to the fast restoration of full circulation of blood, ability to work.Immediately after surgery, the location of the leg in a slightly raised state contributes to a better blood circulation.Steps can only be undertaken 2 days, exclusively with support for compression knitting for preventing relapse.In the postoperative period, it is strictly forbidden:
- Get hot baths or shower
- Raise the seriousness, the subject of the body of excessive load
- Use a hard cloth and body care products (hygienic procedures must be carried out only with warm water)
- Remove the crust from the revival space of the wound
- Subject to managed soft tissue infections (local antiseptic agents are used to prevent complications)
- violate the prescribed diet and peaceful lifestyle
The diet is needed to involve fresh vegetables, fruits, as well as the greenery that "alkali" the body.Cook all meals using purified water.Salt is better to replace the sea - does not contain foreign impurities that ridges from internal vessels scratch.
Prevention
To prevent varicose veins on their feet, it is enough to adhere to the main condition - every day, but moderate physical activity is needed.Even patients with innate shortages of venous walls can avoid illness if the following recommendations follow:
- Spend leg electromization A simple but useful procedure available to everyone for use at home.Just buy a neuromuscular stimulant in the pharmacy and use it in accordance with the instructions.
- During the flights or long trips, the legs should be massaged - independently, with the help of pinch, stab light, rubbing.The massage will eliminate standing phenomena in the lower extremities.
- Don't get involved in spending a model for closing the model: The height of the heel is a directly proportional risk level from varicose vein development.
- Cold watching water is an effective way for a cardiovascular system tone.
After a long stay in a sitting position, you have to walk or roll into a standing position from your legs to the heel.These recommendations are useful for people with office type, help reduce the risk of varicose veins for drivers and sellers.