Varicose veins of the legs are one of the common diseases that affect a large number of women of all ages. Men also suffer from it, but less often. With such symptoms, it is rare for people to seek immediate medical attention. Everyone tries to heal themselves, treating them all as temporary manifestations. Varicose veins of the legs are often confused simply with an overworked body, fatigue with daily work and a tight schedule.
The peculiarity of varicose veins of the legs is that the special treatment is only good at the early stages of the disease, but not at the end when the disease has more and more manifestations. If everything is left to chance, then in the extreme stage it is necessary to carry out surgery. The disease progresses gradually. Especially if it is accompanied by venous insufficiency.
With varicose veins of the lower extremities, symptoms disappear with pathological dilation and hemodynamic disturbances. The venous valve is not working properly. Over time, this all gets worse with thrombophlebitis, thrombophlebitis, and pulmonary thromboembolism.
The onset of the disease
The first symptoms of varicose veins in the legs are related to the improper functioning of the valves of the veins, which leads to reflux of blood. Endothelial cells receive signals from slowed blood flow. White blood cells are installed on them. Thus, the inflammatory process begins in the vessel walls, traveling along the bed of the vein. The inflammatory process catalyzes disorders of the venous wall.
All more pressure on the venous valve system. First, the damage is noticeable in the areas of greatest load - the vascular opacities and the large and small hemispheric veins. Then the channel started to fill up beyond the norm. It is from there that proceeds to redistribute venous blood within the walls. And below, more often than not, there are many of them. All this volume goes smoothly to the deep veins, where it stretches everything in its immediate environment. Dilation and venous insufficiency of the valve sections occur.
Reason
Veniologists identify a number of reasons that cause pathology in the work of the venous system. This may be due to a genetic predisposition and to the overall unpleasant effects on the human body. Genetic traits are expressed not only in women but also in men. The disease can go internally for a long time, but does not manifest outwardly in any way. Then, due to some external catalyst, the venous valves are damaged leading to the first manifestations on the skin.
The following important reasons cause the disease:
- age parameters;
- failure of hormones;
- Diabetes;
- permanent constipation;
- period after surgery or trauma;
- dependence on alcohol and tobacco;
- the possibility of coagulation and excess weight;
- the period of childbirth and pregnancy;
- underwear presses each part of the body;
- long no-load periods and high loads at work;
- congenital defects of the circulatory system;
- life in unsuitable conditions due to climate.
Symptom
Leaf vein disease is not simply a disease of long-distance green loss in the form of trees. They are also commonly referred to as vascular stars. This is far from the first stage, and even the name of such a phenomenon is - varicose veins in the skin. As we wrote earlier, this condition can occur due to a number of factors, including girls who are pregnant. The human body is slowly rebuilding due to the influence of hormones. It is not dangerous, except for the discomfort caused by external manifestations. Young ladies don't like to see themselves turned blue on the outside. Such manifestations of varicose veins can be eliminated with cosmetic devices, adjust your diet, switch to recommended dietary products.
The bluish net usually indicates to the patient that he has a harmless type of venous insufficiency of the lower extremities.
Human health is not affected by this, but it is annoying to have to live with such a problem for a long time. Experts recommend contacting specialist cosmetology clinics, where you can be prescribed a course of medication with herbs, lotions, gels and ointments. This is a combination of traditional medicine and classical clinical research.
If any bumps or bumps have protruded, then you need to consult a doctor. There can be no self-medication here. If you have leg pain accompanied by varicose veins, symptoms that are difficult for you to identify, contact a specialist. In general, it is very difficult to completely eliminate varicose veins of the lower extremities, the symptoms on the photo and the treatment method support this. In advanced situations, you may even have to go to the surgical department for help, where you will undergo an operation. Varicose veins of the legs begin to manifest with heaviness in the extremities, edema and some cramping. All the symptoms of varicose veins directly tell us that you only see cases treated under the supervision of a doctor.
If you see the skin is red, feel uncomfortable when walking, see the vessel walls are compressed, feel the temperature rise, this is already a dangerous disease called thrombophlebitis.
There has been a significant risk of loss of health. If you don't pay attention to all these signs of varicose veins for a long time, there are even several deaths each year. Usually, with the disease with current symptoms, the patient is hospitalized immediately for long-term treatment. Even if you only notice one symptom, there's no need to wait for seaside weather. Urgently go to the clinic, and there it will be more visible.
Classify
In 2000, a classification was proposed with 4 degrees of varicose veins in the legs:
- Varicose veins inside the skin are of the segmental type. The venous discharge is not noticeable.
- Varicose veins are segmented with reflux.
- Varicose veins with reflux over the entire area of the lower extremities.
- Varicose veins with reflux varicocele with penetration into the deep veins.
Moreover, the medical staff determined not only an ascending pathological change starting from the feet, but also a descending - varicose veins starting from the mouth of the hemispherical veins.
When determining the type of disease, they also consider the degree of venous insufficiency.
Zero - the disease is not found in humans, the first is severe in the legs, the second is the manifestation of edema, the third is persistent edema, eczema, hyperpigmentation, fibrosis, the fourth is the formation of trophic ulcers.
Diagnose
At first, the phlebologist's method of examination was simply external, i. e. the doctor checked for external changes of the leg. With a high degree of probability, already at this stage, an approximate diagnosis is established, but it never ends there. They then perform a number of diagnostic and research procedures of a general nature:
- blood tests;
- X ray;
- rheological photography and duplex scanning;
- Doppler ultrasound and computed tomography.
Treatment
Varicose veins of the lower extremities are easy to treat in the early stages. The whole procedure works to normalize blood circulation, blood outflow and prevent any complications. All this helps to improve the general condition of the body. Therapeutic techniques are divided into two categories.
Conservative therapy is most often used when the first signs of varicose veins appear on the legs. The skin is affected, but these are not some distinct segments. The person continues to live a normal life. The disease basically does not affect anything, except for the psychological state.
Surgery is recommended when the disease is extensive with clear lines, small bumps and sores. Restorative approaches often begin with minimally invasive procedures, but comprehensive surgery can sometimes be the rescue when the case is extremely neglected.
Conservative technique
A complex course is prescribed to patients:
- Specialists are trying to eliminate any risk that the disease may progress. Varicose veins of the legs are examined by a vascular specialist and may take the patient to a clinical examination.
- They began to fight with adynamia. If there is no blood clot, it is necessary to actively exercise, recharge the body evenly, and exercise strength for the lower extremities. Intensity was discussed with the physiotherapist. Usually they are forced to swim, run, ride bicycles. It is recommended to wear sports underwear with additional compression. Before exercising, you need to maintain your legs in an elevated state for a few minutes. Patients should not participate in contact sports: martial arts, football, hockey. To improve the fixation of the leg, elastic bandages are used.
- Compression knitwear and elastic bandages aren't just needed on sports courts. They are trying to treat the symptoms of varicose veins of the lower extremities. When used correctly, venous circulation improves. This type of treatment is usually prescribed for a limited time.
- Taking medication. The course of taking the drug is prescribed for all stages of the development of varicose veins. The reckless use of drugs to treat the disease can only make the situation worse. The patient can get rid of any bright manifestations on the legs in a month, if he adheres to the instructions of the doctor. All prescribed drugs belong to different classes of drugs with anti-inflammatory effects and are related to vasopressors, serum tonics, antidiabetics or anticoagulants.
- Physiotherapy is always included in the complex against the symptoms of varicose veins of the legs. All of them affect, first of all, the restoration of the tone of the venous walls, lymphatic drainage and improvement of blood circulation. Several medications are prescribed, ranging from magnetic and laser therapy to compressed air and hyperbaric oxygenation. Often these are oxygen and mineral baths. If there are no contraindications and side effects, then the patient is assigned massage activities. Moreover, sometimes they can even be made in one's own home. They are also treated with hirudotherapy and apitherapy.
Surgical technique
Diseases of the venous type sometimes have to be treated by surgeons, when all the symptoms of the disease accumulate and negatively affect each other, and this stage has long passed into the terminal stage. They try to fight with minimally invasive methods. This is sclerotherapy with the introduction of certain substances that affect the walls of blood vessels. This is micro-therapy that acts directly on the spider veins. This is a method of microthermal coagulation, operating on a thin electrode, eliminating all external manifestations of light. This is laser endothelial coagulation and radiofrequency ablation of the veins - all of which act on the affected areas of the veins, creating a thermal effect. All this is necessary in order not to prescribe drastic measures and conduct a real operation. There have been new separate methods, which have only been applied since the late 90s.
Vaginectomy: a thin probe is inserted into the lumen of the diseased vein. Thanks to that, the doctor controls the entire operation. An anesthetic is used. All affected areas are removed by suction.
Endoscopic dissection: The perforated veins are ligated with an endoscopic device.
There are also separate operations to preserve veins. They are intended to restore the functioning of the venous valves. There is a fixation of specialized structures that impede the progression of a pathological nature. Sometimes hemodynamic actions are used to calm affected veins by directing venous flow in other directions. Recurrence in these situations is common. Do not take a bath or sauna in the postoperative period, move less and do not lift heavy objects.
Phlebologist's opinion:
The use of compression knitwear with elastic bands is necessary not only for sports. With their help, the initial signs of varicose veins are treated. If this is done correctly, there is an improvement in venous blood circulation. Usually, these treatments are prescribed for an unlimited period of time. Medicines can be prescribed at any stage when varicose veins develop. If the pills are used frantically to cure the disease, the situation can only get worse. After a month, the patient can get rid of various manifestations on the surface of the legs, when he begins to follow the recommendations of the doctor. The drug achieves an effect in which the inflammation disappears. This is a vasopressor, serum tonic, antiseptic, or anticoagulant.
Comment
- First responder, woman, 39 years old: "Signs of varicose veins were reported about a year ago. This is a disease that is inherited from my mother's lineage. Often concomitant atherosclerosis. happened. In this case, in my case, the folk remedies didn't help with the pain, although and I did have internal varicose veins initially. I started taking prevention too late. to my small pelvis I went to a specialist, examined all the affected areas, he will prescribe me a specialized course of treatment that will relieve me of any external discomfort for a short period of time. a month. We can rest assured that all women should see a doctor right away. . Only a phlebologist can help you find medication. They know everything about varicose veins problems. "
- Second opinion, a 52-year-old woman: "Despite continuous health monitoring, varicose veins still appear, I always go to specialists for examination and initial diagnosis. The process took 3-4 weeks. . After that, I was fully engaged in prevention and full recovery courses. Now a little sport, proper nutrition, yes, in general, that's all. went into remission and I hope never to relapse again. "