Usually varicose veins hitting the lower part, may occur years and even decades. Varicose veins (varicose veins) in the feet – it is always a violation of the functioning of the valves in the veins and blood flow. Proper blood flow is characterized by the movement of the blood over the veins, the legs in the direction from bottom to top (the reverse is true of attraction). In many ways, this process is possible thanks to the work of the veins and valves, which prevent reverse flow of blood. Infringement of work of these valves lead to disruption of venous blood flow, and how the preliminary investigation under the access to detainees at the stretching of the veins. So the veins the blood will flow is a chaotic procedure, often zastaivayas the veins of the legs. Due to the emergent against this background, a considerable pressure in the walls of blood vessels will not suffer, expanding and flat out. It is the enlarged veins are to the naked eye noticeable under the skin in the form of the top. Often due to slowed down blood flow in the expanded veins take place blood clots. The infringement process the food the skin to cover the way to venous ulcer formation.
Reasons for development of varicose disease of the legs is quite a lot:
- Genetic predisposition (hereditary transmitted to the predisposing disease factors – congenital weakness of the veins walls and valve apparatus, the elasticity of the disappearance).
- Violation of blood circulation against the background of constipation, wearing narrow shoes, smoking, lack of physical activity.
- Hormonal medications (monophasic birth control pills high dose of estrogen will lead to thickening of the blood).
- Venous pressure rise type, provocaverunt obese, pregnancy, sedentary lifestyle (sedentary work), the constant vertical loads (workers, throughout the day who stands on the feet).
- Hormonal changes in older age.
Data on reasons may also cause incorrect pathological flow of blood, the lower extremities veins – reflux or reverse the flow of blood out of the deeper veins superficial veins. These are the reasons conducive to the aggravation in the future.
The symptoms of varicose veins in the legs
- expansion of the subcutaneous veins;
- feeling, burning sensation or heat in the course of the lower extremities of the veins;
- feeling of heaviness in the legs;
- soft tissue swelling of the lower extremities during the evening period (the area of the stop, the ankles, the shins);
- night cramps in the calf muscles;
- brown and firm in the skin of the shins;
- pain in the course of the veins;
- trophic ulcers.
Whether each patient's symptoms, if of varicose veins may be different, but one point remains the same – a feeling of heaviness in the legs, which is called the "syndrome of heavy foot". The most frequent symptomatic complex of the most expressed during the evening time, as well as during the intense heat.
If the disease is running, the skin on the legs has become cyanotic hue, and the patient at this point, no treatment can not be, is not rarely observed skin hyperpigmentation and lipodermatosclerosis, a more severe cases developing trophic ulcers.
Dangerous is not in itself varicose veins and developing his background complication – thrombophlebitis (the inner wall of the inflammation of the veins), which leads to the formation of blood clots. A blood clot often overlap the lumen of the vein (phlebothrombosis), as well as can come and get into the lungs. Result in serious complications varicose veins of the patients is observed lethal.
Diagnosis varicose veins of the legs
If you find yourself these symptoms, or at least some of them should be to quickly seek medical advice phlebologist or vascular surgeon. From the timely detection of the nature of the illness depends on the treatment and also a warning of complications.
The diagnosis of varicose veins for the following studies.
- ULTRASOUND of the veins or is duplex scanning – grade of openness and extensio the veins in the direction of the flow of blood, and how to determine whether a blood clot in the veins.
- The contrast of when venography – assessment of the status of the veins, how to determine whether tumors and blood clots through recreating the exact "create" ven the patient's x-ray picture. Usually this way is replaced by the ULTRASOUND, since the latter is considered a simple implementation.
If there is a need to quickly seek medical attention
If you have the following symptoms of a hike to the doctor must be quick:
- The occurrence of acute pain is the lower extremities, if any movement. In doing so, the leg mind swollen and very thick skin such as burning.
- Weakness, accompanied by shortness of breath, feelings are the lack of oxygen.
- From the sick disease beginning in the vein of a seep of blood.
Treatment of varicose veins of the legs
Conservative treatment of varicose veins.
Non-surgical treatment method is valid, initially, development is trouble, if there are no complications. Conservative methods include the reception of specialized medical care resources (angioprotectors, anticoagulants, venotoniki, non-steroidal anti-inflammatory in the form of pills, ointments, and gels), which can help relieve pain and is also effective complications.
Very important in the treatment of varicose veins is to restore the tone of the walls of blood vessels. Use is possible with special tools. Tool of domestic manufacturer does not contain dyes, is not a film, shell, preservatives, and therefore the active substance diosmin absorbed more quickly, reducing the likelihood of manifestations of allergic reactions.
Non-surgical treatment of varicose details, see wearing the compression laundry, compliance with the special diet, systematic physical load (the complexity of the treatment exercises).
These measures will reduce the risk of venous failure, warning of the development of thrombophlebitis. On the doctor in addition to the above treatment, measures varicose can set the course manually or hardware lymphatic drainage, procedures to improve blood outflow from the lower extremities, reducing swelling. The impact of the procedure is not long-term.
Treatment of varicose veins of the leeches.
Treatment of leeches are quite effective method to combat varicose veins. Penetrating into the sick disease of a vein, saliva, leech, thanks to the contents of this hirudinea (natural heparin), promote liquefactionibus the blood and prevent blood clots formation. Today, based on the hirudinea created medicines, thanks to which "contact with leeches" can be avoided.
Modern bezoperatsionnye the treatment of varicose veins of the legs.
Sclerotherapy.
Sclerotherapy is the most effective non-surgical treatment method for varicose veins. During the procedure, may be the lumen of the sick blood vessels the doctor will introduce a special drug that gluing the walls and in the future (1.5 years) of their resorption. The normal treatment course stage vascular asterisks contains 3 to 6 times for each step. The result is noticeable in the later 2-8 weeks, during which time it may be pain, bruising a small tingling that gradually take place. Entered the medicinal product is in each case selected individually, it is therefore risk of complications is minimal. During the period of treatment, the patient must wear a compression cast.
The efficacy of sclerotherapy treatment of varicose veins may be compared with the classical operation, he gives only the most successful methods - endovenous laser coagulation, which is caused by the advent of the "foam form" (foam) sclerotherapy, as well as the conduct of the procedure under the control of ULTRASOUND-or translyuministsentnoy lamp. All of this has greatly reduced the number of side effects.
Sclerotherapy can be carried out using an ultrasound scanner, it is called echosclerotherapy. Additional application the scanner provides an opportunity for the doctor to fully control the movement of the needle in vienna and the distribution of the mixture.
If the medicinal product is included in the modified vein in the form of microfoam, then called the foam-form sclerotherapy. Due to the closer contact of the microfoam with the venous wall with the method is high efficiency. Displacing the blood in the receptacle, if the microfoam is conducive to faster its bonding and attached to the related features.
endovasal or endovenous laser coagulation.
One of the modern and less traumatic ways to treat varicose veins of the legs. The impact of the laser beam damaged the vein held in local anesthesia. The results are noticeable one month after the procedure. The method is relatively expensive.
Medical treatment of varicose veins of the feet well to complement the most popular tools, which not only increases the tone and elasticity of the veins and the walls, but warn that further development of the disease. Recipes of traditional medicine with the regular use of can help to cure the strong work cases (ulcers on the skin, thrombosis).
Before the treatment, to deal with, it is important to bring out the morbidity of the reason to seek medical attention, do not tighten and do not wait for complications (ulcers on the skin, thrombosis), start treatment as early as possible, up to the thickness of the ven on the surface did not exceed 5 mm and the top is not more than 7 mm. during the treatment course it is recommended to wear clothes and shoes, not to restrict the movement, to abandon the heavy physical loads and habits, throw a leg leg.
Modern methods of rapid (surgical) treatment of varicose veins of the legs
If you do not have the desired result due to the conservative treatment of varicose veins is necessary for surgical intervention. Surgery is a radical method of treatment of a disease, during which the removal of the modified vein. Today shall be made in accordance with tumescent anesthesia (local anesthesia a mixture of natural painkillers). The advantages of this method is that the patient can leave the clinic two hours after the operation, no postoperative hematomas, easier to carry, does not drink, how to conduct the operation under general anesthesia.
Phlebectomy – through special punctures produced by the removal of amended disease of the veins, with the aim to normalize the blood flow in accordance with the deep veins. Surgery in some cases is the best therapy. Advantages are observed rapid recovery of the patient, small scars, by analogy with the obtained effect is maintained for years.
Short Remove – to delete only the modified plot of the veins through two small incisions. Pre-determines the location and length of the damaged vein. If this method of soft tissue the patient does not suffer, it is observed a rapid recovery, lack of pain sensation after surgery.
Endoscopic dissection of veins - if the given method, the doctor using a small-sized damaged in vienna to enter to the endoscope, which gives the opportunity to obtain data on the domestic condition of the varicose vein to the extent of the damaged region, as well as the accuracy of the control of their activities during the cutting of the plot of the vein, minimizing the injury.
Prevention of varicose veins on the legs
- A constraint is a sauna, acceptance, whirlpools, long-term sun exposure (all of this will lead to lower venous tone and stagnation in the blood).
- More movement (moderate running, swimming, hiking, water aerobics, cycling, skiing).
- To control your weight.
- Waiver of tight fitting, tight clothes and narrow and tight shoes.
- Get rid of the habit to sit in the "leg over leg".
- Avoid constipation (the right to eat, follow the drinking mode).
- Evenly distribute the load on the legs (do not sit or did not stand for long in one position).
- Contrast shower and cold pouring of the feet.
- Wearing compression laundry people who are at risk (pregnant women who have an inherited predisposition, the employees who have sedentary work, or whose work is related to serious physical loads or the need for that whole day on the feet).
- Contraindications.
During treatment varicose veins all physical exercises prohibited, only prevention purposes.
Diet if varicose
- The limitation is salty, spicy and smoked food.
- Alcohol waiver.
- Restriction meat products.
- Enrichment of the diet of fresh fruits and vegetables, the products, will be maintained to strengthen the walls of blood vessels (carrot, olive oil, nuts, rosehip, green tea, sprouted wheat grains, beans, green onions).
- Daily reception of apple cider vinegar (a glass of water with 2 teaspoons of.).
If you discover yourself at the first signs of varicose veins immediately contact a specialist. People, who belong to the risk group (those who have predisposing factors) and who have a hereditary tendency to develop varicose disease is recommended once every two years to go to phlebologist mandatory for conducting ultrasound studies.