The predisposition of women is explained by a cyclical increase in the extension of the walls of the veins and softening valves with an increase in the concentration of the progesterone hormone.
Reasons:
The main factors of the varicose veins are the hereditary weakness of the vascular wall.Regular;
Halterophilia;
- Reception of drugs containing estrogen.
- The risk of varicose veins from the veins of the lower limbs increases with age.But more and more patients are under 30 years old.
- Manifestations of varicose veins:
- Most often, with varicose veins, patients are concerned with the feeling of gravity, bursting, heat, itching of the skin, "anxiety" in the legs and pain and pulsating pain in the muscles of the calf.A characteristic of these signs is their appearance after a prolonged position.As a general rule, the unpleasant sensations pass completely or their intensity is considerably reduced during walking, in a lying position, after a night of rest or when using medical compression products.
An important sign of the disease is cramps in the calf muscles, generally occurring at night.Unfortunately, there is an opinion that vascular stars are a manifestation of varicose veins.But it should be noted that this is not an absolute sign of the disease and in many ways a purely cosmetic problem.Such signs can be on the skin with varicose veins, but most of them are also in healthy people.
Le plus souvent, avec des varices, les patients sont préoccupés par la sensation de gravité, d'éclatement, de chaleur, de démangeaisons de la peau, de «l'anxiété» dans les jambes et de douleurs et de douleurs pulsantes dans les muscles du mollet. Une caractéristique de ces signes est leur apparence après une position prolongée. En règle générale, les sensations désagréables passent complètement ou leur intensité est considérablement réduite lors de la marche, en position couchée, après une nuit de repos ou lors de l'utilisation de produits de compression médicale.
Un signe important de la maladie est les crampes dans les muscles du mollet, se produisant généralement la nuit.
Les veines sous-cutanées se développent sous la forme de conglomérats bleus convaincants le long de la jambe et de la cuisse. Malheureusement, il y a une opinion que les étoiles vasculaires sont une manifestation de varices. Mais il convient de noter que ce n'est pas un signe absolu de la maladie et à bien des égards un problème purement cosmétique. De tels signes peuvent être sur la peau avec des varices, mais pour la plupart se trouvent également chez les personnes en bonne santé.
As varicose veins develop, violations of the skin of the skin of the lower leg develop.Initially, the excess coloring areas occur, a little later, a subcutaneous tissue and the skin are compacted, the latter acquires a characteristic "lacquered" appearance.In the center of the painted area of the skin, in response to a minimum injury, a small white area appears, resembling the subtle of startin.This is the atrophy of white skin if called, after which a trophic ulcer opens.
The skin of the skin of the skin is a sign of chronic venous deficiency, which also includes symmetrical edema on the legs.
Diagnostics:
ultrasound (colorful duplex sweeping; triple scan) - "Gold Standard" in the diagnosis of varicose veins of the lower limbs.A specialist in ultrasound must necessarily examine the vessels of the legs on both sides.It assesses their diameter, their compressibility, their characteristics of the blood flow and the value of the reflux (reverse blood flow).The evaluation of the work of the VA valves is carried out not only in the patient's position during the lie, but also.
Phlebography by the X -ray and contrast were previously considered to be the main methods of instrumental diagnostic of varicose veins, but at present, they have remained far in the past.
Treatment of varicose veins of the lower limbs:
The same symptoms can be signs of various diseases and the disease may not occur depending on the manual.Do not try to be treated yourself - Consult your doctor
Modern treatment of varicose veins includes surgical intervention, sclerotherapy, compression treatment and the use of various drugs.
Operation
Surgical treatment is the only method to reliably improve quality of life, reduce the risk of complications and the probability of relapse of the disease.It consists in eliminating varicose veins and eliminating pathological reverse currents.There are 2 types of interventions:
- Thermal prison is a mini-invasive treatment method (without cuts), which consists of "the adhesion" of the interior vein with a laser or radio frequency sensor.Currently, the technique of these interventions is sufficiently elaborate and allows you to obtain a good functional and cosmetic result.
Considered sclerotherapy separately as a surgical treatment method.It completes successfully and, in some cases, (the initial steps of varicose veins) replaces surgery.The procedure is the introduction of a special drug in a vein varicose vein, which glue it from the inside.
Varice compression treatment
Elastic bandages: advantages and disadvantages of
Compression therapy is a compulsory component of any method of treatment of varicose veins and the most effective method for preventing it.Divided into 3 classes:
short (bandage of no more than 70% of the initial size),
- average (increase in the initial duration of stretching in the range of 70 to 140%),
- long extensibility (140% and more).The nearest postoperative period to stop blood and the reliable binding.To guarantee the optimal therapeutic compression diet, short and medium extensibility bandages are the most suitable.
Les classes sont obligatoires indiquées sur l'emballage du bandage, et ils sont la caractéristique nécessaire pour le bon choix du produit.
Il est conseillé d'utiliser des bandages d'une longue extensibilité dans la période postopératoire la plus proche afin d'arrêter le sang et la fixation fiable du bandage. Pour garantir le régime optimal de compression thérapeutique, les bandages d'extensibilité courte et moyenne sont les plus appropriés.
When you use an elastic bandage, the following rules must be followed:
- Bandage is applied, pre-sewn the foot "on yourself", to prevent the formation of folds in the ankle area, which can damage the skin during movement.
- The platoons always start from the finger joints and capture the heel.
- Bandling pressure should be gentlethigh.
- The bandage roller is not cut, while it is in the immediate vicinity of the skin.
- The modeling of the cylindrical profile of the limb is carried out by placing foams or latex pads.For the treatment of trophic ulcers, multilayer compression bandages can be used which is not removed for a long time, while directly with the affected area of the lower leg skin, the bandages impregnated with drug substances (zinc dimension, zinc oxygen, etc. associated).An additional fixing of compression bandages is carried out using special sticky bandages.
Despite the great efficiency, compression treatment with elastic bandages has obvious disadvantages - causing physical and aesthetic drawbacks, it is also very difficult for the elderly to flexible, observing all the rules.
Compression knitting
Special compression knitting gain in popularity.It is represented by bottoms with lower thighs, medium and upper, as well as by tights (including special tights for pregnant women) of four compression classes.
These knitting is made of cotton, natural rubber - elastan and synthetic rubber.Natural fibers are optimal for sensitive and affected (Varic eczema, dermatitis, trophic disorders) of the skin.As for synthetic fibers, their advantages are a small diameter and a variety of colors that allow medical knitting with high aesthetic properties.
Drug drug therapy
The main objectives of the drug are the elimination of subjective symptoms of venous insufficiency, as well as the prevention and reduction of the severity of side effects after surgical procedures.treatment of varicose veins are similar drugs in their properties.They should only be taken under the control of the attending physician.According to research, the safety of using these drugs has only been proven for short therapy courses.In the event of use in longer terms, it is possible to appear non-severe but unpleasant side effects, for example, gastrointestinal disorders.
Usually, a week after the start of its reception, a positive dynamic appears: night cramps, pain, gravity passage, decrease in swelling.It is believed that the minimum course of the course should be at least 2 months.In serious forms of varicose veins, taking the drug can be continued up to six months or more.
Nails and gels
Simplicity of use and the relative good market of ointments and gels make them very popular among patients and doctors.A serious drawback of the uncontrolled use of local drugs is a high frequency of skin complications in the form of peeling, dermatitis and eczema caused by increasing sensitivity with prolonged use of the same remedy.Chronicle.
.At the start of use, a light phenomenon of skin irritation and coat in places of use of the drug is possible.
Additional therapy
In some countries, physiotherapeutic treatment methods are widespread.To fight against these symptoms of varicose veins of the lower limbs such as pain and cramps in calf muscles, you can use the method of electrical stimulation of the leg muscles.Other physiotherapy methods have no evidence of the effectiveness of the treatment of this disease.
Prevention of varicose veins:
The rational organization of work and rest is necessary for all patients in varicose veins.This category of patients is not recommended for work associated with a long stay in a standing or sitting position, lifting weights and the effects of high temperature.At work and at home, they need periodic holidays with 15 to 20 degrees raised at an angle of 15 to 20 degrees (during sleep, it is recommended to lift the end of the foot above the level of the heart), rational nutrition, excluding the consumption of spicy and salty foods, as well as alcohol.Body weight must be strictly controlled, because obesity leads to the progression of the disease.
In elastic compression conditions, mobile sports (ski, cycling) are however authorized, optimal conditions for venous flow and muscle training of the lower limbs are provided by swimming.