Varicosis of low extremities are a lack of gross changes in the walls of the veins and a lack of valve hardware due to an irreversible expansion and a genetic defect.
Women's inclination is explained by a cyclical increase in the increase in the walls of the veins with an increase in the concentration of the hormone progesterone.
Reasons
The initial factors of varicose veins are the legacy of the vascular wall.
In addition, a person's lifestyle is of great importance in pathogenesis:
- long work, stand or sit;
- the lack of regular physical strength;
- Weight lifting;
- Acceptance of estrogen-kervany drugs.
The risk of varicose veins of low extremities is growing with age.But more and more patients are under 30 years old.
Manners of Varicosis Veins
Most, patients with varicose veins with vascular veins are fierce, explosion, heat, itching, legs and pain "worries" anxiety ", painful pain in calf muscles.A characteristic feature of these signs is the appearance after a long time.As a rule, the unpleasant feelings are completely transmitted or when using a night rest or using medical compression products, lying, their intensity is significantly reduced.
An important sign of the disease is generally cramps in the muscles of the calf that occurred at night.
Subcutaneous veins, under the bottom foot and the thighs are widespread in the form of blue conglomerates.Unfortunately, there is an opinion that the vascular stars are a manifest of varicose veins.However, it should be noted that there is no definiteness that the disease is not a sign of a cosmetic.Such signs may be in the skin with varicose veins, but most of them are also found in healthy people.
As varicose veins develop, the skin of the skin of the lower leg develops.Initially, extreme spot areas, a little subcutaneous tissue and skin are squeezed, the second is a characteristic of a characteristic "lacquered" view.In the center of the skin-painted area, a small white region is similar to the droplets in response to minimum injuries.This is a white skin atrophy that opened a tropical ulcer.
The skin's skin is a symptom of violation, sister venous shortages, which also includes symmetrical edema in the legs.
Diagnosis
Ultrasonic scanner (color duplex scan; triplex scanning) - "Gold Standard" in diagnosis of varicose veins of the vascular vascular vessels.An ultrasonic expert must survey the ships of the legs on both sides.Evaluates diameter, discrimination, blood flow characteristics and reflux value (reverse blood flow).The assessment of the VA valves is not only in the patient, but also in bed and also stands.
Treatment of the Varicosis of the lower extremities
The same symptoms may have signs of various diseases and the disease cannot occur according to textbooks.Don't try to treat yourself - contact your doctor.
The modern treatment of varicose veins includes surgery, sclerotherapy, compression treatment and use of various drugs.
Operation
Surgical treatment is the only way to improve the quality of life safely, reduce the risk of complications and the possibility of relaxation of the disease.The varicose consists of removing their veins.There are 2 types of intervention:
- Thermal Prison - Minimally invasive (unused) treatment method using a laser or radio frequency sensor;
- The varicose of traditional surgery covers the veins of the vascular veins.Currently, such interventions are sufficiently developed and allows you to achieve a good functionality and cosmetic results.
Separately, sclerotherapy was accepted as a method of surgical treatment.It successfully completes and in some cases (initial stages of varicose veins) replace the operation.The procedure is to include a varicose vein that paste a special drug from inside.
Treatment of bodies of varicose veins
Elastic bandages: positive and disadvantages
Compression therapy is a mandatory part of the method of treatment of varicose veins and the most effective method of preventing it.
Elastic bandages for compression treatment are most commonly used, which is divided into 3 classes depending on extension:
- short (a bandage overlapping is not more than 70% in the initial size);
- average (extension range extensions in the initial length of 70-140%);
- Expansion of long (140% and higher).
Classes are mandatory in the packaging of the band and the necessary feature for the correct choice of the product.
It is recommended to use long stretch bandages in the post-operation period to stop the bandage and reliable fixation.Short and medium expansion bandages are most suitable to ensure optimal therapeutic compression mode.
The following rules should be followed when using elastic bandages:
- The bandage applies "yourself" to "yourself" to prevent the formation of layers in the ankle region that can damage the skin when moving;
- Binting always catches the heel from a combination of the fingers of the foot;
- The pressure of the bandage should be smooth in a smooth way from the ankle;
- Bandage roll, while near the skin;
- Modeling the cylindrical profile of the fair is obtained by placing foam or latex pads.
The majority of patients with varicose veins should use an elastic bandage during the day, and early in the evening before the rest of the night.Multi-layered compression bandages for treatment of trophical ulcers can be used for a long time, contact the bands filled with drugs (zinc-wewatin and other wraps) with the effective area of the skin of the skin of the skin.
Despite high efficiency, there are clear deficiencies, despite the treatment of elastic bandages - it is very difficult to comply with all the rules for older people, which causes physical and aesthetic concern.
Compression knitting
The special compression knitting is gaining popularity.It is represented by socks, middle and upper thighs, as well as four compression classes (including special bushes for pregnant women).
Such a touch of cotton, natural rubber - made of elastic and synthetic rubber.Natural fibers are optimal for skin sensitive and affected and affected (varicose eczema, dermatitis, trophic disorder).When it comes to synthetic fibers, their advantages are a small diameter and different colors that allow a medical knitting containing high aesthetic features.
Pharmaceutical treatment of varicose veins
The main goals of the drug is to prevent venous shortcomings, as well as the violence of side effects after surgical interventions.
One of the most indicated medications is the active substance with medicines with diosmine.Usually, a week after the reception is launched, a positive dynamics appears: night cramps, pain, violence, swelling reduction.The minimum course is believed to have at least 2 months.Varicosis can be continued under the severe forms of veins and until six months or more.
Ointment and gels
The relative quality of the simplicity of use and the relative cheaper of the ointments and gels is very popular among the patient and doctors.A serious disadvantage of local drugs is a serious disadvantage, a high degree of skin complications in the form of peeling, dermatitis and eczema, resulting in the increase in sensitivity to the same means.
Therefore, it is not recommended to use local drugs (ointments, gels, cream), if there are no symptoms of chronic vascular disease.
Heparin -BASED products are some of the famous drugs.3-4 times a day is used.At the beginning of the use, medicinal use is possible in light skin irritation and peeling phenomenon.
Additional therapy
Physiotherapy treatment methods are widespread in the Russian Federation.Such symptoms of the varicose veins of the lower extremities can use the method of stimulation of electric muscle to fight in calf muscles in calf muscles.Other methods of physiotherapy have no evidence of the effectiveness of the treatment of this disease.
Prevention of varicose veins
For all patients in varicose veins, the rational organization of labor and recreation should be organized.This category of patients, sustainable or seating, the lifting of weights and the impact of high temperature is not recommended for a long time to stay.Rational nutrition is recommended for a periodic vacation, which is 15-20 degrees in the work and 15-20 degrees in the house.Because obesity causes the protection to progress, the body weight should be strictly managed.
In the conditions of elastic compression, mobile sports (skiing, cycling) are allowed, but the optimal conditions of the flow of the flow and the muscle education of the lower extremities are provided with muscle education.