On varicose veins on the legs, symptoms and treatment are interrelated. It is a widespread disease of blood vessels, accompanied by the weakening of the valve aparata. About varicose veins heard every person, and most people have an idea of what they look like dilated blood vessels on the legs. But you need to know about the early signs of the disease and rules for the prevention of the pathology.
Why does
Varicose disease of the lower extremities develops under the influence of diverse factors. The main reasons for the formation of pathology:
- A hereditary predisposition. When congenital insufficiency of development of connective tissue suffer from the valves. They are not able to fulfill its function — to prevent the reverse flow of blood. As a result, develops a stagnation of the, blood vessels dilate and deformed, increasing the likelihood of blood clots.
- Features of the constitution. Overweight sees to the increased load on the veins. The walls of blood vessels become weaker, lose their tone and elasticity. The likelihood of developing the pathology in people with excessive body weight increases by more than 33%.
- The image of the life and character of the work. Varicose veins appear for a longer stay standing in position, excessive physical exertion. In women with frequent use of high-heeled boots. The reasons for varicose veins include the use of narrow linen, so am stocking, which sees the pressure of the large veins in the groin area and the disruption of normal blood circulation in the lower extremities, low physical activity, seat work in one and the same position.
- Disruption of hormonal balance. Change the amount of estrogen and progestogen in the blood, a person is able to lead to a reduction in tone of blood vessels. Cause of pathology can long-term use of hormonal oral contraceptives, use of medication during menopause, etc.
- Pregnancy. The growing fetus causes pressure of blood vessels, development, stagnation of blood in the pelvic organs and legs.
The determination of the causes of varicose veins of the legs and its removal will help to prevent the progression of the disease and the occurrence of complications.
Classification
Varicose disease of the lower extremities occurs both in women as in men. Characterized by progressive course, in which they are issued, the following grades and types of varicose veins on the legs:
- Phase compensation. In this period the patient is missing the complaint on the deterioration of well-being. The initial manifestations — on the one helena on both feet in the area of the lower limbs displayed dilated blood vessels.
- Phase subcompensation. Appearing with complaints of pain in the legs, feeling of fullness, cramps. The legs are swollen, especially towards the end of the working day.
- Phase of decompensation. The patient's condition is deteriorating, are developing complications — dermatitis, eczema, hyperpigmentation trophic ulcer.
With varicose disease classification includes the following options:
- Local slaughter. In the pathological process involved segmental vienna. Reflux (reverse casting of the blood) is missing.
- Segmental defeat. Appear abnormal discharge of blood, in which use of the surface helena communication vienna.
- Frequent defeat of the superficial veins with reflux. Varicose veins in men is manifested by the defeat of all surface-located blood vessels. Most often on both feet at the same time.
- Participation in the pathological process of deep venous thrombosis.
Types of varicose veins of the lower extremities, according to international classification:
- Class 0. The lack of complaints and the visible manifestations of the disease.
- Class 1. Appear venous tissue, vascular asterisks. The first complaints about the deterioration of well-being.
- Class 2. Under the skin are displayed dilated blood vessels.
- Class 3. Due to stagnation of blood appears swelling of the ankles and lower limbs.
- Class 4. In connection with the violation of blood circulation develop the symptoms of lipodermatosclerosis.
- Class 5. Arises defeat of the epidermis, the skin is easily injured, badly heals.
- Class 6. Are formed trophic ulcers.
Signs and symptoms
The first signs of varicose veins of the legs in women — formation of telangiectasia helena of spider veins. Initially, the announcement is extremely difficult because they are sporadic and localized most commonly on the back side of the lower limbs helena below the knee. After a long stay on his feet helena use shoes on a high heel arise of heaviness and slight swelling. For varicose veins in men is typical of the fast fatigue of the legs.
Gradually the patient's condition worsens, the symptoms of varicose blood vessels visible to the naked eye. The veins swell, they become winding and bumpy, appears band. Reduces the sensitivity of the skin. At night is not excluded the occurrence of seizures. Swelling is more pronounced.
Enlargement of the veins leads to disorders of blood circulation, the tissues suffer from a lack of oxygen and nutrients. Arise trophic disorders, skin becomes smooth, shiny, pale. Symptoms of varicose veins of the legs in men — swelling persist even after a long rest. Itching, dermatitis.
When severe symptoms of varicose veins include education the treatment of venous leg ulcers in the ankles. It threatens the connection of the secondary microflora and the development of infectious-inflammatory process. On the leg varicose veins often complicated by the development of thrombophlebitis — inflammation of blood vessel walls. Perhaps the local increase in temperature in the area of the band, as well as low-grade fever.
Diagnosis
Varicose disease is established on the basis of the results of the collection of medical history and a visual inspection of the patient. To specify the stage of the disease, the prevalence of the defective process, the peculiarities of the blood flow, ensuring the availability, reflux, the status of the valve apparatus requires additional examination of the patient.
When varicose veins of the lower extremities is to be done:
- Duplex scanning helena ultrasound angiography. Gives an opportunity to get a picture of blood vessels on its whole length, to determine the presence of extensions, and reverse current of the blood, the condition of the valves.
- ULTRASOUND examination of the veins of the lower extremities with the use of contrast agents. If a large varicose vein, venography is necessary for the determination of the obstruction of surface helena deep vessels of the legs. Study is necessary prior to performing surgery, to determine the method and extent of surgery.
- CT helena MRI with contrast. Allows you to get a series of shots, through which is determined the patency of blood vessels, the degree of the extension, the status of valve apparatus, the availability of collateral, etc.
With varicose disease of the legs is necessary to conduct laboratory research in order to evaluate the performance of the rheology of blood and other indicators. To do this you need to cast:
- General analysis of blood. In the presence of an inflammatory process increases the speed of sedimentation of red blood cells, increases the indicators for leukocytes.
- Koagulogrammou, test for lupus angiboust, etc. Allow you to adjust the slope to an increased thrombosis, the state of coagulation and anticoagulation blood system.
How to treat
To treat varicose veins in men on the legs, it is necessary to comprehensively. The treatment scheme is developed with regard to the stage of the disease, the prevalence of defective process, presence of complications and other factors.
Conservative methods of treatment of varicose veins without surgery used in the initial stages of the disease. With their help it is possible to stop the progression of the pathology, to strengthen the walls of blood vessels, improve the tone and elasticity of the veins, normalizes blood circulation and prevent the formation of stagnant phenomena.
An important role in the treatment of disease plays a the application of compression of the knitted fabric. Special hose-hosiery products provide variable pressure on the entire length of the leg, do not allow stagnation of blood, support muscles, preventing the development of edema. Dressing up is a must after a night's rest, not getting up from the bed. Knit is designed individually for the person, because for each goods there is a different degree of compression.
Which doctor treats varicose veins
To the doctor to treat varicose veins on the legs, it is necessary as soon as possible. To do this it is necessary to find out which doctor treats varicose veins. So, first of all should go to the local therapist helena family doctor. After inspection the specialist will give you a direction on consultation to the doctor, who treats varicose veins, it is called flebologia. Is it narrow specialist, dealing with diseases of the veins.
If there is a specialized doctor for varicose veins in the outpatient clinic of helena in the hospital is missing, the treatment of all types of disease of the vessels engaged in the angiologist helena the surgeon.
When the need for surgical treatment, for varicose veins on the legs, it is necessary to turn to the doctor-because helena vascular surgeon. In the district hospital with similar problems deals with the surgeon's overall profile.
How to cure with medication
You can cure varicose veins without surgery only in the early stages of the disease. To do this it is necessary to use the following group of drugs:
- Phlebotonics. Effect on the condition of the vascular wall. Increase their density, reduce the capillary and the permeability of capillaries, increases the tone and elasticity, have drug properties. To restore the normal flow of blood vessels, stimulates the outflow of lymphatic circulation.
- Anticoagulants and antiplatelet agents. To normalize the rheological properties of the blood. Dilute it, prevent the formation of blood clots. They are used with the aim of preventing complications.
- Antioxidants. Accelerate the excretion of toxins and other harmful substances from the human body. Favorably affect the state of the hematopoietic system. It is the means on the basis of the extract of ginkgo biloba, multivitamin complexes.
- The Anti-inflammatories. Help relieve pain, inflammation, heaviness, feeling of fullness, swelling, and other unpleasant manifestations of the pathology. Their use should be carefully, no longer than 10-14 days. This is due to the fact that drugs have an adverse effect on the condition of the gastrointestinal tract, are able to provoke an aggravation of peptic ulcer. In the VRV can be used in the form of a solution for intramuscular injection, tablets for oral use and rectal suppositories.
To treat varicose veins is needed for a long period of time, within a few months. The condition is the intake of phlebotonics in the summer period, because at this time the body of a man, at such hours and blood vessels, is experiencing an increased burden.
Effective treatment of varicose veins involves the use of ointments and gels for external use. It should be rubbed into the area of pathologically enlarged veins several times a day. Drugs activate the microcirculation, using regeneration of tissues at the cellular level.
How to get rid of the disease by using folk remedies
On varicose veins on the legs, the treatment involves the use of folk remedies. You can use them as a complement to traditional medical therapy. Help to get rid of varicose veins in a short time — stop progression of the disease and improve the health status of the patient.
Treat varicose veins on the legs in women is possible by using the following folk remedies:
- Tiles from the tomatoes. For this, you can use tomatoes of any degree of maturity. The following are a few of the fruit cut the rings to connect to the dilated blood vessels and computers, to consolidate. After some time in this place should appear a slight burning sensation, after which the poultice is to be removed, and the foot — rinse. Fight varicose veins with this method is you need no less than 2-3 weeks.
- Lemon grated. Citrus fruits have significant stimulant effects. For the implementation it is necessary to cut off a slice of lemon and rub into the epidermis.
- Tincture of horse chestnut. For the preparation of medicines fruits need to grind, put into a glass container. Up to half fill with vodka helena divorced with white spirit. Packaging place on a dark and cool place, periodically shake. Endure at least 1 month. Take the medication should be on 5-10 drops 3-4 times a day. Treat varicose veins on the legs in men tincture of chestnuts, it is necessary for a period of 2-4 months.
- Apple cider vinegar 6%. Means tones blood vessels and strengthens their walls, contributes to the elimination of edema. It is used for rubbing in the skin, the procedure need to do when varicose veins regularly, in the course of a few weeks.
- A poultice of kalanchoe. Helps to remove a slight enlargement of the veins on the legs in men. For the preparation of medicines it is necessary to take a few leaves of the plant, grind and pour the divorced alcohol. Tool take 7-10 days. Used for overlay cladding — mass fork out for the cotton segment of the fabric, put on the guests of diseased blood vessels, top to conceal the plastic bag, wrap and strengthen it. Untreated varicose veins is long, a few weeks. The procedure is appropriate to do on the night, to take the drug acted, as possible.
Before using folk methods of treatment of varicose veins, must agree with the doctor. Some techniques can bring more harm, than good.
Surgery
It is possible to cure varicose veins forever the only way — with the help of surgery. But every surgery is accompanied by some risks, therefore, to resort to it, if possible only when explicit changes from the blood vessels. Using surgical treatment can completely remove the varicose veins.
With varicose veins the treatment is selected with regard to the characteristics of the course of the disease. Main methods:
- The laser removal. Using the beam of a closed problem of the veins of small diameter. In them is interrupted blood circulation, over time, their height fused. The uniqueness of the method lies in the accuracy of exposure, the surrounding tissues are not damaged. Control is performed using the ultrasonic sensor. The procedure is less traumatic, does not require special preparation, is done on an outpatient basis.
- Sclerotherapy. How to remove varicose veins, in the lumen of blood vessels is introduced a special substance — sclerosant. The drug causes a fusion vein, with subsequent resorption. The procedure is performed without anesthesia, its duration does not exceed 30-40 minutes. After handling the patient a few days must wear a special compression underwear. Sclerotherapy is effective in the fight against vascular asterisks and okay, telangiectasia, advanced and convoluted blood vessels, as well as in the severe course of the disease.
- Miniphlebectomy. On the skin are carried out by small punctures, through which to remove the affected blood vessels. The procedure is performed under local helena general anesthesia. Miniphlebectomy is used in the fight with the winding and to be a faulty vein.
Than dangerous
Diseases of the blood vessels belong to the systemic pathologies. The defeat of the veins of the lower extremities notification is easy, but the process often spreads to the other container. Dangerous varicose veins on the legs in women is in the first place, by that can go to the organs of small pelvis. It threatens the development of complications during pregnancy. And in this period many drugs is strictly prohibited to use.
Dangerous varicose veins on the legs in men, because the process may spread to the reproductive organs, and in particular, lead to the expansion of the veins of seed cord. It threatens the emergence of male infertility.
Other complications VRV are increasing the likelihood of developing blood clots and blockage of the lumen of blood vessels. It is not excluded the development of phlebitis. Dangerous disease and the occurrence of venous leg ulcers. It is an open gate for infection, the wound is a poorly healing in connection with the violation of the blood supply to the tissues.
Prevention
To prevent the development of varicose disease of the lower extremities, it is necessary to monitor the health from a young age. Disease prevention more effective than treatment of the legs when the development of complications.
If you want to have good blood circulation, it is necessary to ensure sufficient physical activity. If a person is in work for a longer time dwell in one and the same position, it is necessary to regularly do a little exercise. It is necessary to responsibly approach to the choice of footwear — it should be on a small heel (no higher than 6 cm), comfortable, does not compress the leg.
It is necessary to pay attention to the weight. Excessive weight is one of the predisposing factor to the development of the disease. In addition, it sees to the increased load on the blood vessels. The clothes should be from natural fabrics. It is necessary to avoid the use of too narrow wearable clothes, to avoid squeezing the backbone of the blood vessels in the groin area.
At the time of hygienic procedures, it is appropriate to use the shower, which allows you to change the pressure and temperature of the water. Using these tricks, you can tone blood vessels, improve blood circulation.
It is desirable every day to do exercises helena sports. Do not necessarily go through a few kilometers at one go, enough for your own enjoyment access to the pool, hiking helena biking.
Before the use of hormonal contraceptives should consult not only the gynecologist, but by the phlebologist, hand over the analysis on hormones. If it changes the level of female hormones in the blood, it can have a negative impact on the condition of the walls of the blood vessels.