What is reticular varicose veins of the lower limbs;

Varicose reticular veins common in many adults. How is manifested the disease, and there are successful ways of therapeutic effects in patients vessels?

What is this?

reticular varicose veins

Reticular (from the Latin word reticulum — eye) or varicose veins in the form of a mesh is not a separate type of pathology, and reticular form of a varicosity, in the initial phase. It is characterized by the expansion of small intradermal of surface vessels and the appearance of telangiectasia.

Telangiectasia are visible under the skin, brachial plexus extended up to 0.5-1 mm (arterioles, venules and capillaries, which manifest themselves in the form of cyanotic-red spots with branches, reminding the form of a mesh, spidery brachial plexus, stars.

Diagnosed with the disease is more common in women. According to the results of medical research, clean varicose veins detect in 35-45% of women and 15-20% of adult men.

Causes of

The main causes of the disease:

  • reduced elasticity and density of the vascular wall;
  • violation of the procedure of the circulation of the blood?
  • satisfactory work of venous valves.

Among the factors that cause changes in the blood vessels, secrete:

  • the period of child-bearing age, particularly 5-9 month of pregnancy, due to the increase in the volume of blood in the blood vessels, pressure on the feet, to break the veins of the abdomen growing the womb?
  • hormonal "bursts" during pregnancy and the menopause?
  • hereditary predisposition to weakness of venous walls due to violation of the structure of connective tissue;
  • excess weight – the increase in body mass index up to 27 kg/m2, the probability of pathology is increased by 30%;
  • the work activity with a long stay in a standing, sitting, with occasional rise and transfer weight (porters, athletes-superpowers, sellers, hairdressers, travelers);
  • wearing corsets, belts, which increase the pressure inside the peritoneum, narrow jeans, which compress blood vessels in the area of the groin?
  • long-term application of corticosteroids and hormonal birth control pills?
  • diabetes mellitus, hypertension, dermatological diseases, including rosacea?
  • trauma, fractures of the limbs;
  • excessive and prolonged solar radiation, smoking?
  • low amount of fiber in the diet leads to prolonged constipation, which promotes the expansion of the veins, lack of nutrients – to a weakening of the wall of blood vessels.

The symptoms

Among the basic characteristics of the initial stage of reticular varicose veins:

  • the appearance of a blue-red telangiectasia — point, star, clear spots of different sizes and brightness, you often find around the ankles, below the knees, the thighs, after pressure, is pale, but immediately appear again?
  • the seriousness, the tension in the calf muscles, fast fatigue when walking.

The symptoms that arise if the disease progresses:

  • distribution of telangiectasia in clean areas of the skin, increasing the diameter of capillary vessels;
  • the feeling of bloating of the legs, tingling, "goosebumps" (paresthesia);
  • cramps in the muscles of the lower leg during night sleep or in the morning?
  • pulling pain?
  • mild swelling in the legs, calves, ankles up the night, the morning disappears?
  • itching of the skin over areas of expansion reticular blood vessels;
  • burning from the command of the ship?
  • pain, when compressed in the calf muscles;
  • gradual swelling of the subcutaneous veins, education hits size 2-4 millimeters?
  • event brown or whitish spots on the road of enlarged blood vessels, swelling, redness.

If in time you do not get activities to identify the causes of the disease and the treatment of the first signs, pathology will move to the stage of permanent expansion of the veins. In this case, under the skin formed vascular junctions, the blood vessels become meandering, walking causes pain.

Progression of the disease threatens the consequences – acute thrombophlebitis, scars, ulcers, development of venous insufficiency, bleeding, thrombosis.

Diagnosis

Definition of reticular varicose veins presents no difficulties to the expert. To assess the prevalence of non-normal process, the degree of hemodynamics (blood circulation), the distribution of flow velocities of the blood, to reveal the signs of thrombosis, use of material methods of diagnosis:

  • the ultrasound?
  • dual process?
  • ultrasonic Doppler of the veins?
  • x-ray, radionuclide techniques.

Treatment

cause of varicose veins

Treatment clean varicose veins should immediately after diagnosis, the prevention of transmission of the disease in chronic phase, the development of complications.

Most of the ways for the treatment relieves the patient from the external signs of the disease. To cure pathology, we have to do an extensive examination by the doctor, to find the cause of the inability of the blood vessels and disorders of blood flow.

Compressive knitted

With pure phlebitis or subcutaneously networks of patients and healthy people with a predisposition for a disease need to buy compression socks, stockings. Appropriate therapeutic compression — an important part of the treatment.

Elastic jersey has been designed to develop in different areas of the feet different pressure.

The more pressure you need for the ankle, because from here the blood is barely rising upwards. Farming supports and compresses advanced vessels, helping blood flow, eliminating the stagnation. In the area of the hip compression is almost 2.5 times as that in this area the load in the vessels less.

Permanent soft compression of the vein prevents extension, normalizes microcirculation, eliminates swelling, prevents clogging of the gaps clots.

Other non-surgical methods of treatment

Among other things, common conservative methods of treatment of the net of varicose veins micro-sclerotherapy and laser photocoagulation.

Micro-sclerotherapy is the most common method for the restoration of reticular veins and the treatment of telangiectasia. In the process of using specific substances, without incisions needle introduced into the interior of the vessel. The substance causes micro damage to the internal walls of the vein or capillary. The wound is overgrown, narrowing interior lumen. The plot of the former vessel is formed from heavy of connective tissue (the type of the scar) that this is resolved for 10-12 months.

Sclerotherapy exercise on wet technique, when the vessel is granted a liquid composition, or in a more progressive technique — Foam-form sclerotherapy (foam). In the second version a valid solution is a micro-foam, which better spreads to the damaged ship.

Often go through the process with cameras, controlling the process with the help of dual scanner.

Laser photocoagulation of vascular – smooth and at the same time effective method, guarantees the removal from the process is quick, bloodless, without affecting the healthy tissues. The procedure is done under the supervision of ULTRASOUND.

Through the hole in the skin, the doctor inserts in the lumen sick vienna thin catheter with a laser fiber. Under the influence of high temperature by a laser beam, the walls of affected blood vessels sealed.

Regardless of the number of cardiovascular branching session sclerotherapy and laser coagulation continues 15-60 minutes. For the expressed therapeutic effect requires 2 to 5 sessions.

Treatment with sclerotherapy and laser light is passed more often in the outpatient, under local anesthesia. The exit from the clinic, the patient after 2-4 hours. After the procedure the treated area impose a pressure bandage in 4-10 days. Elastic flannel wearing, from 7 to 30 days. For 2-4 day the patient returns to normal rhythm of life.

After treatment, it is recommended that 3-4 months:

  • drink 2-3 litres of fluid a day to save a properties of blood?
  • to take all the medicines prescribed by the doctor;
  • don't neglect the compression Jersey with long-term walking, staying in your place of work in a standing position or to sit?
  • a lot of walking with the feet?
  • to give up the high heels.

In other methods of treatment of reticular varicose veins include still 3 ways of treatment.

  1. Radiofrequency obliteration of the vessels (technical EVRF, RFO). Radiowave radiation generated by the medical device fixed to the catheter tip. Under the influence of radio waves in the wall of the vein glued, composite vessel disappears, and cloth, formed at the position to be resolved.
  2. Thermal occlusion of micro stimuli vapor (technical SVS). The technique, developed by the French doctors. Provides for the treatment of the varicose vessel of hot steam arriving via a is inserted into the catheter. The vapor penetrates into difficult to access, anatomically twisted vascular branches, stenosis, and "stuck between the different capillaries and venuless.
  3. The treatment of biological glue (Venaseal) – new high-performance and economical manner. Most often used in the treatment of reticular veins in the initial phase of expansion. The ship is under ULTRASOUND control by use of a syringe and of the catheter shall be granted a special glue. Vienna is shrinking dramatically, wall are glued together. Vascular subcutaneous mesh disappear almost immediately. During the processing of the small blood vessels won't need to wear a compressive knitted after the procedure. Allergic reactions are excluded, such as special glue is a natural product.

The surgical treatment

the treatment of varicose veins

Phlebotomy – operation in varicose veins of the lower limbs. Is, when the diameter expansion of the vessel reaches 10 mm.

After a small incision and the surgeon removes the surface of the ship, which bandages and cuts. The surgery is performed under local anesthesia. The surgery is performed with minimum tissue damage, leaves no aesthetic imperfections.

Folk remedy

Recipes home medicine in the treatment of reticular varicose veins use except for the treatment. The good result in it give when combined with medications, pharmacy ointments, wear compression stockings, especially in the first stage telangiectasia.

  1. Raw ripe young fruit of the chestnut (50 g), finely chopped, pour a glass of vodka and leave for 20 days. After straining take 3 weeks, three times a day for 15-20 drops. After 2 weeks of interruption can be repeated.
  2. The cabbage leaves rinse and put in the cold for 24 hours. Before bed, on dry skin affected area to impose leaves and wrap tightly. Treatment is carried out every day for 1-2 months.
  3. Dried birch buds sleep in a container with a capacity of 0.5 l 1/3. Pour the vodka into edge, insist 10 days. Tincture gently rubbed the areas with telangiectasia.

Prevention

To avoid the appearance of subcutaneous "stars" will have to follow the recommendations:

  • I don't wear severity, including markets with products?
  • do not take a hot bath, not to attend sauna;
  • wear elastic stockings or socks with compression?
  • the house more often to keep the legs in a horizontal upright position?
  • at work, sitting to create the conditions for the lower limbs are in a horizontal position, every 2-3 hours make a break of 10 minutes for a specific exercise to activate the flow of blood?
  • to go further, to go hiking, not overworked, maybe?
  • to make contrast in the bathroom or the shower for the feet?
  • to use medicated ointments for the prevention of venous changes that are taking drugs to enhance vascular tone for the establishment of phlebologist;
  • swimming in the pool with the hot water?

You need to adjust your diet, get rid of excess body weight, to stop smoking.