Varicose veins of the lower limbs - persistent, and irreversible, the expansion and elongation of the vein, resulting from gross violations of the modifications in their walls, as well as the failure of their valve of the device due to the genetic abnormality.
The predisposition of women can be explained by the cyclical increase of the extensibility of the wall of the veins, the valves become mobile upon the increases of the concentration of the hormone progesterone.
The primary factors varicose veins – hereditary weakness of the vascular wall.
In addition, a great importance in the pathogenesis has the image of the life of man:
The risk of the appearance of the varicose disease of the veins of the lower limbs increases with age. But in addition, you receive patients under the age of 30 years.
Most often when the varicose veins in the patients concerned about a feeling of heaviness, bloating, hot flashes, itching of the skin, of “anxiety” in the legs and dull, throbbing pain in the calves. A characteristic of these features is their appearance after a long standing. Typically, the unpleasant sensations completely are or their intensity decreases significantly, during walking, in lying position, after a night of rest, or when using medical products segments.
An important sign of the disease are cramping in the calves, usually appearing in the night.
The veins dilate under the form of tortuous blue conglomerates on the tibia and the femur. Unfortunately, the perception that the varicosities are manifestations of varicose veins. But it is to be noted, this is not the absolute sign of the disease and in large part a purely aesthetic problem. These signs can be on the skin when the varicose veins, but for the most part, occur in healthy people.
During the development of varicose veins, develop eating disorders of the skin of the leg. At the origin arise from sites of excess dye, a little later, subcutaneous cellular tissue and the skin to the surface, the latter acquires the characteristic "lacquered". In the painted centre of the stage of the skin in response to trauma, a small white parcel. This is the so-called white atrophy of the skin, behind which opens the ulcer trophic.
The eating disorders of the skin is a sign of chronic venous insufficiency, which are also symmetrical swelling of the legs.
The ultrasound-doppler of the veins (color scanning duplex; triplex) scan - the “gold standard” in the diagnosis of varicose illness of veins of the lower limbs. Specialist ULTRASOUND should explore the vessels of the legs of the two sides. It assesses their diameter, compressibility, characteristics of the blood circulation and the value of the reflux (reverse flow of blood). The assessment of the work of the valves of the veins is not only in the position of a patient lying down, but standing up.
Traveler contrast venography was once considered as the main method of diagnosis tools of the varicose disease, but currently they are far in the past.
The treatment of varicose veins of the lower limbs the same symptoms can be signs of various diseases and the disease is not in the manual. Do not try to medicate themselves — speak with your doctor.
The current treatment of varicose veins includes surgery, sclerotherapy, compression, and treatment and applying of different medications.
The surgical treatment is the only way to truly improve the quality of life, reduce the risk of complications and the risk of relapse of the disease. It is in the removal of varicose veins, varicose veins, and the resolution of the pathological factors. There are 2 types of interventions:
Separately, the sclerotherapy is considered as a method of surgical treatment. It has successfully completed, and in some cases (the early stages of varicose veins) replaces the surgical operation. The procedure consists in the introduction of a special drug in varicose veins extent of vienna, which sticks to the inside.
The Compression therapy is a required component of any mode of treatment of varicose veins and the most effective method of prevention.
For the implementation the treatment the most often elastic bandages, which, depending on the degree of stretching are divided into 3 classes:
The classes compulsorily indicated on the label of the band, and they are a feature for the right choice of product.
The bandages along the distensibility it is advisable to use in the immediate postoperative period to stop the blood and a fixation bandage. To ensure the best therapeutic mode that is more suited to bandaging, short -, and medium of the distensibility.
During the use of the band lastique for the legs, it is necessary to respect the following rules:
Most patients with varicose veins should use elastic belt throughout the day, leaving in the morning to lifting the bed and removing in the evening before a night's rest. For the treatment of venous ulcers can be applied to multi-layer bandaging, compression, not to be taken long-term, directly hit plot of skin tibia come into contact with bandages soaked in medicinal substances. Fasteners, additional segments of wound dressing is carried out with the aid of bandages, which is especially needed during the use of the band for the hips.
Despite a high-efficiency, compression, and processing élastiqueu bandages has obvious defects, blows, physical and aesthetic drawbacks, in addition, the elderly very difficult in itself, to relate itself, observing all the rules.
A great popularity acquire special compression. It is presented as the golf, down to the lower, middle and upper third of the hip, as well as pantyhose (including tights for pregnant women) the four segments of the class.
This shirt is made from cotton, natural rubber and synthetic rubber. Products made of natural fibers are ideal for sensitive skin and affected (varicose veins, eczema, dermatitis, trophic, or a violation of the skin. As regards synthetic fibres, their advantages – a small diameter and a variety of colors, for producing medical knitted with high aesthetic properties.
The main goals of pharmacotherapy are the suppression of the symptoms of venous insufficiency, as well as prevent and reduce the severity of side effects after surgical procedures.
The major drugs for the treatment of varicose veins serve weno active drugs. It is necessary to accept that under the control of the treating physician. According to the studies of the safety of the use of these drugs is proved that if a short course of therapy. In the case of use in a longer time-frame may be the appearance of a mild infection, but the unpleasant side effects, e.g., gastro-intestinal disorders.
Among the most commonly prescribed medications are medicines with active ingredient diosmin. Usually, a week after the beginning of the reception, you will receive a positive evolution: the night cramps, pains, feeling of heaviness, a decrease of the swelling. It is believed that the minimum duration must be at least 2 months. In the severe forms of varicose veins the intake of this drug can be continued for up to six months and more.
The ease of application and relative low cost of ointments and gels make them very popular among patients and physicians. A serious drawback pinball the use of drugs serves as a high frequency of skin complications in the form of peeling, dermatitis, and eczema, caused by the increase of the sensitivity during extended use of the same tool.
This is why it is not recommended to use the medication for local action (ointments, gels, creams) in the prevention and in the absence of the symptoms of the chronic venous disease.
The means on the basis of heparin - one of the popular drug. Apply 3-4 times per day. When you start to use may be slight irritation of the skin and of the phenomenon of chipping in the places of application of the preparation.
Widely used physiotherapy methods of treatment. To combat these symptoms of varicose veins of the lower limbs, such as pain and cramps in the calves, you can use the method of electrical stimulation of leg muscles. Other means of physiotherapy have no proof of the effectiveness of the treatment of this disease.
The rational organization of work and rest is necessary in all patients of varicose veins. This category of patients is not recommended to work, related to the duration of the stay in a standing or seated position, lifting of heavy loads, exposure to high temperature. At work and at home, they need periodic holiday with raised angle of 15-20 degrees legs during sleep, it is recommended to lift the foot of the bed above the level of the heart), a balanced diet, to the exclusion of consumption of spicy and salty foods, and alcohol. It should be strictly control the body weight, because obesity leads to the progression of the disease.
In the conditions of elastic compression animals lesson mobile of sports activities (walking or skiing, biking), but the optimal conditions for the flow of venous and the training of the muscles of the lower limbs are insured by swimming.