Varicose veins, symptoms that are found in every fourth person on the planet - is not just an aesthetic defect, apply as a blue shape of the mesh on the shins, thighs, or back stop, heaviness in the legs, pain during static loads, or prolonged walking, convulsive shaking fits to the muscles shins, but also the high risk of thrombosis in the system of inferior vena cava.
Thromboembolic complications leading to trophic ulcers of the legs, acute disturbance of the blood flow with blue edges and the risk of them dead. Tearing himself from the vascular wall, blood clots of the legs often begin a journey that leads to the heart (leading to heart attack) or the blood vessels of the brain (to be the cause of stroke). Is this the fact, but not the broken type once attractive of the legs requires as most early attention in the treatment (and the best for the prevention) of varicose veins.
Since the disease, the appearance, is not static, and gradually progresses, covering all the new cuts exterior or interior of the venous network of the foot, analyzing the treatment should start with descriptions to prevent. It's reasonably preventive measures will allow at least to slow down the process, developed in the context of hereditary insolvency device valvular veins of the lower limbs.
Prevention of varicose veins
The veins of the lower limbs have very weak walls, almost devoid of muscle elements that could keep the blood from reduction. Therefore, in the veins of special valves that prevent the reverse current of the blood and stagnation in the veins. Lots of people these valves hereditary insolvent or may become so with age:
- in severe physical exercise
- promotions of intra-abdominal pressure
- constipation
- frequent pregnancies.
First, the process affects the outside of vienna. And then affects the switch of vienna and the deep venous network. Varicose veins of the limbs develops over a few (a few dozen) years and the speed varies depending on your lifestyle, intensity of exercise and the strength of the walls of blood vessels.
- Therefore, the first project for the prevention – minimize increase in intra-abdominal pressure (combat constipation, avoid excessive over).
- The second task – to create conditions for the passive outflow of venous blood from the legs. It is certain that at the end of the day, or several times a day. For this purpose, the legs are stacked from the foot to the hips to the surface at an angle of 45 degrees with the horizontal. Be located in such a position should be no less than half an hour. Persons, for which a varicose veins in the legs – accomplished medical fact, it is recommended to sleep with pripodnatami feet as often as possible.
- It is recommended that varicose veins do not use close shoes, socks with stretched out elastic line – so you don't create additional obstacles for the circulation of blood in the legs.
- Also, you should not sit foot to foot and with prolonged sitting position, put the leg in the brace and the horizontal (or a little more) place. Such an attitude can sometimes be seen in gangster movies for a cool mafia, who sits in a chair, fill in the legs on the table.
- Of course, in the office, if you Are the owner of the company, you will need to come up with something less challenging. You can, for example, to put under the work surface of the cardboard box and put the legs, or to use for the same purpose the high plastic cart with flat top cover. For any questions about an unusual way to sit in the office, you need to honestly answer in order to avoid ridicule and don't pry. It should be remembered, that no official will accept active participation in your treatment. Therefore, you will need sufficiently to understand the opinion of others and not to neglect the prevention of the disease.
- If you're at home, try to be possible to take the horizontal position and placed some pillows legs over head. This is to ensure that it will improve the conditions for venous outflow.
Conservative treatment
In the program of non-surgical treatment including diet, neuropathy compression and drug therapy.
Diet
Dietary activities is mandatory, given that the excess weight is one of the factors of risk of occurrence of varicose veins. The food must be compensated (consumption of energy should not exceed energy needs, associated with the loads, or the lack of). In addition to this, from the menu, you will need to exclude spicy seasonings, pepper, marinades, excess salt, smoked foods, reduce the consumption of deep-fried. Alcohol, also, it is recommended to do not consume.
In the menu there should be a sufficient quantity of vegetables and fruit, rich in vitamin c, dishes, rich in fiber, wholemeal bread, seafood. It seems frequent (at least 4 times a day) fractional power. Regarding fashion a few years ago, trends limit yourself to any animal fats, so it is worth to forget it. Of course, excessive numbers of triglycerides and cholesterol – this is not the case. But in reasonable quantities cholesterol helps to repair the vascular wall, reducing the risk of secondary thrombotic complications and sudden changes of the veins.
Quitting smoking
Smoking - the most bad habit in varicose veins. If you select between from the consumption of moderate quantity of alcohol and smoking, the first thing you can do with sin in the middle bear. And here is the second – should categorically excluded. Not only is resin clog blood vessels, increasing the risks of thrombosis and secondary complications (heart attack, strokes, pulmonary embolism). Especially be careful to those who have varicose veins (or have a predisposition for it), adopts hormonal drugs, and still manages smoking.
Compression garment (socks, stockings, tights)
It is a good choice for the prevention and treatment of early stages of varicose veins, as they have different settings of pressure in the soft tissue, options, models and colors. Wearing underwear in the morning, without getting up from the bed, whereas the venous system is not filled with blood. For this method there is a but – exorbitant price tags in the territory of the RUSSIAN federation, which limit the purchase of flannel against the varicose veins wide folk masses. Usually, you can enjoy your clothes are beginning not to those who are still can help at the stage before the disease, and people with severe forms of varicose veins, often complicated some of the processes, showing the immediate treatment, and a compressive knit as secondary prevention.
Varicose veins: treatment with drugs
Drugs are not a panacea. Completely stop or cure varicose veins is not in a position to.
Ointment or gel
These instruments can defend the walls of the veins, stimulating venous outflow and some improve microcirculation. That through the forces to reduce the severity of pain and swelling under the condition of shooting. Appear the courses two times a year during at least 2 months.
Most useless (and safe) you can read the ointment or gel. Not penetrate further into the skin and nothing remarkable action on the blood vessels to has not can. It is recommended in the early stages of the disease, when we don't know, because I actually can pass the swelling and feeling of heaviness in the legs: from the drugs, or simple postural drainage and the end of physical activity.
The treatment includes the administration of drugs or elastic bandaging. The simplicity, the preservation of the aesthetic appearance of the edges, no effect on the overall health of the patient are attracted by this technique are like the doctors and the patients.
But isolated sclerotherapy does not bring the persistent results, and not be able to stop the progression of the disease. In most cases, you will still have to combined with rapid treatment. Before treatment it is compulsory to become an ultrasound of the lower limbs, the sole extensive damage to subcutaneous or deep veins of the legs.
Contraindications for this technique are: allergy to medication, atherosclerosis of the blood vessels with the presence of ischemia, diabetic angiopathy, obliteriruty endarteriit, the defeat of blood coagulation, acute or recent thrombosis of the legs, pregnancy.
Treatment options
- Before surgery - sclerotherapy can be used before surgery, with the purpose to reduce the risks of bleeding and thrombosis in postoperative period
- during the surgery, which replaces vein removal
- after the operation, to close the remaining veins.
The method of puncture
If that's true, it's not operating, is carried out in specialized surgical practice, with observance of all rules of asepsis. First they're closing more large veins, and then the smaller ones. Medicines are usually administered from top to bottom. Vein punctured is not standing patient, and before the introduction of the drug is placed. If the field of interest takes a large vessel or vessels the entire circumference of the leg, this is done a few sessions of treatment. After hardening procedures, the patient will have to happen to phlebologist for three years from the last injection.
- After the introduction of the elastic bandaging limbs, which is repeated throughout the duration of 2 weeks. During the first week, the bandage is not removed.
- Within half an hour after surgery, the patient will have to walk.
- Daily the patient should sleep with a raised foot end, and during the day to avoid prolonged sitting or standing and a lot of walking.
Varicose veins: the function
A decision about whether surgery doctor or a vascular surgeon.
It is often the women with the defeat of the superficial veins, and dared to surgery solely for cosmetic defect, offer postpone the operation, if you intend to a subsequent birth (such as during pregnancy has a problem with the veins, usually, evolves, and has achieved the result can disappear and require re-surgery treatment).
The phlebotomy
The most common choice for the immediate resolution of the problem of varicose veins of the lower limbs is the phlebotomy. Surgery is performed under general anesthesia or with epidural anesthesia. All the incisions and holes trying to make as small as possible dimensions. For example, to delete the possibility of a subcutaneous vein is the incision in the groin. Into a vein catheter with the tip. Then, the catheter is removed and removed the vienna of the middle part of the foot and in the groin. Through small removed pipelines pipelines and small veins. After surgery used compression (bandage or a sock on the foot).
Electrocautery
This includes the removal of subcutaneous veins due to exposure to voltage. The method is more dangerous than radio frequency to eliminate or classical surgery.
Cryosurgery
Cryosurgery allows you to delete veins due to low temperatures. With modern equipment, the method is safe. It is not always possible to measure the depth of freezing, without harming the surrounding tissues or leaving "surpluses".
Home treatment of varicose veins
Varicose veins can be treated at home, even systemic medications (with a prescription), even ointments and gels, even leeches (treatment of varicose veins leeches) and vegetable leaf, apple cider vinegar. Also for the domestic parts of the program are an appropriate compression garment and elastic bandaging (a combination recommended by your doctor). To run the stages of the disease, all your efforts will be in vain without a radical surgical treatment.
So, today the cardinal method to get rid of varicose veins can be recognized only surgical techniques, they often combine with the treatment or compression techniques.