Varicose veins, symptoms, which occur approximately every fourth inhabitant of the planet is not only a cosmetic defect, which manifests itself in the form of blue tree mesh legs, thighs or back of legs, heavy legs, pain in the case that the static load, or a long walk, twitching of the muscles in the legs, but also a high risk of thrombosis in Vena cava inferior system.
Thrombotic complications lead to trophic ulcers of the legs, acute disorders of blood flow with blueness of the limbs and the risk of necrosis. Break away from the vessel wall, blood clots in the legs often begin a journey that ends in the heart (leading to heart attack) or cerebral vessels (causing a stroke). It is this fact, and does not spoil the view of the once beautiful legs require the earliest attention to the treatment (and preferably prevention) of varicose veins.
Because the disease appeared, is not static, but gradually advancing, capturing a new segment of external or internal venous network of the foot, then the parsing of the treatment is to start the description of contraception. Reasonable preventive measures will at least somewhat slow down the process, which is developed on the background of inherited insolvency valvular veins of the lower extremities.
Prevention of varicose veins
Veins of the lower extremities is very weak walls, almost devoid of muscular elements, which could push the blood by reducing the. Therefore, veins have special valves that prevent the back flow of the blood and its stagnation in the veins. In some people, these valves hereditary insolvent or become so with age:
- strong physical exertion
- add intra-abdominal pressure
- constipation
- several pregnancies.
First of all, the process affects external veins. And then marvel collector vein and the deep venous network. Varicose veins of the limbs develops several (sometimes ten) year, and its speed varies according to lifestyle intensity physical activity and strength of blood vessels.
- The first goal of prevention is to minimize the increase in intra-abdominal pressure (to combat constipation, to avoid excessive overload).
- The second task is to create the conditions for passive outflow of venous blood from the legs. Make sure that it is at the end of the day, or several times a day. For this purpose, the legs are stacked from the foot to the hip on the surface at an angle of 45 degrees to the horizontal. Lying in this position should be at least half an hour. People with varicose veins in the legs is a skilled medical fact, it is recommended to sleep elevate the legs as often as possible.
- When varicose veins is recommended to wear tight shoes, socks with tight elastic – that is, not to create new obstacles to the circulation of blood in the legs.
- It also should not sit on the foot of the legs and prolonged sitting position, put your feet well supported and give them a horizontal (or slightly higher) position. Such a position, you can sometimes see in gangster movies cool mafia, who sits in a chair, put your feet on the table.
- Of course, in the office, if you Are a business owner, need to come up with something a little less challenging. For example, you can put the Table under a cardboard box and put legs on it or use for this purpose high plastic trash can flat lid. If you have any questions about an unusual way to sit at your Desk, you should honestly answer in order to avoid ridicule and not be weird. It should be remembered, that no employee will take an active participation in their own care. Therefore, it is necessary to perceive the opinions of others and not to neglect the prevention of disease.
- If you're at home, try to take a horizontal position and positioned with the aid of several pillows, and his legs over his head. This is necessary in order to improve the conditions of the venous outflow.
Conservative treatment
The program in the nonsurgical treatment includes diet, compression and drug therapy.
Diet
Food event is mandatory, because the weight is one of the risk factors for developing varicose veins. Food needs to be replaced (consumed energy should not exceed energy needs correlated with nature of loads or their absence). In addition, the menu is to eliminate spicy seasonings, bell peppers, pickles, excess salt, smoked meats, and reduce the consumption of fried. Alcohol is also recommended not to use it.
The menu must be adequate amount of vegetables and fruits rich in vitamin C, food rich in fiber, whole wheat bread, seafood. View several (at least 4 times a day) power. As in vogue a few years ago, tend to limit yourself to any animal fats, and should forget about it. Of course, prohibitive figure of triglycerides and cholesterol is not. But reasonable amount of cholesterol to help patch the vessel wall, reduce the secondary to thrombotic complications and sudden bursts of veins.
* Non Smoking
Smoking is the most harmful habit of varicose veins. If the choice is between drinking moderate amounts of alcohol and Smoking, first, you can still barely endure. But the second – is categorically ruled out. Not only the resin to clog the blood vessels, which increases the risk of blood clots, and secondary complications (heart attacks, strokes, pulmonary embolism). You should be especially careful for those who have varicose veins (or predisposed to it), take hormones and still manages to smoke.
Compression garments (socks, tights)
This is a good option for the prevention and treatment of early stages of varicose veins, because they are different parameters of pressure in the soft tissue, variations of designs and colors. Wear underwear is necessary in the morning, before bed, while the venous system is not filled with blood. This method is one of the, but – prohibitive price tag on territory of the Russian Federation, limiting the acquisition of the knit against the varicose veins of the broad masses of the people. As a rule, the use of linen did not begin to those, for whom it still can help at that stage, before the disease, and those with severe forms of varicose veins, often difficult for some of the processes, which are presented in the operational management and support socks as secondary prevention.
Varicose veins treatment
Drugs are not a panacea. To completely stop or improve varicose veins, they are not.
Creams and gels
This means that it is possible to protect the walls of veins, promoting venous outflow and improves microcirculation. These funds can reduce the intensity of pain and swelling, apply a course taken. Showing courses twice a year in duration at least 2 months.
The most useless (but safe) you can read creams or gels. Creams do not penetrate beyond the skin and potentially profitable effect on the blood vessels can provide. They are advisable in the early stages of the disease, when it is not known why actually can experience swelling and heaviness in the legs: drugs, or simple postural drainage and the end of the exercise.
This treatment involves the administration of drugs or elastic bandaging. Its simplicity, preservation of the aesthetic appearance of the limb, not the effects on the general health of the patient are interested in this technology, both doctors and patients.
But sclerotherapy is not isolated to bring lasting results, and can not stop the progression of the disease. In most cases, it still must be combined with surgery. Before treatment should be carried out ultrasound examination of the lower extremities, it is an obstacle to the widespread destruction under the skin or deep veins of the legs.
Contraindications to this technique are: Allergy drugs, atherosclerosis of large vessels, the presence of ischemia, diabetic angiopathy, obliterating endarteritis, damage of the blood coagulation system, acute or recent blood clots in the legs, pregnancy.
Treatment options
- Before surgery - sclerotherapy of veins may be used before surgery to reduce the risk of bleeding and blood clot during surgery after
- during the operation, the replaced vein removal
- after surgery to close the remaining veins.
Method puncture
If it is not applied in the operating room to do your own surgical room, where all the rules of asepsis. First, close the larger veins, then smaller ones. Medicines are usually prescribed from the top down. Hit a vein standing of the patient, and before the introduction of the drug stack. If the field interests will go a long ship or a ship of the size of the girth of the foot, then a few therapy sessions. After the sclerosing treatment of the patient must be respected phlebologist three years after the last injection.
- After injection is performed in the elastic bandaging of the limb, which is repeated for 2 weeks. The first week the bandage is not removed.
- Half an hour after the procedure, the patient needs to walk.
- The patient needs to sleep, with raised foot end, and during the day to avoid prolonged sitting or standing and a lot of walking.
Varicose veins: surgery
The decision about whether a surgical procedure is done your doctor or the vascular surgeon.
Several women with injury of the superficial veins and decided on surgical intervention solely a cosmetic defect, a proposal to postpone the surgery, if you are going to later childbearing (such as during pregnancy, varicose veins, as a rule, progresses, and results may be lost and require repeated surgical treatment).
Combined phlebectomy
Overall operational solution for varicose veins of the lower extremities is combined with phlebectomy. The operation is performed under general anesthesia or epidural anesthesia. All cuts and punctures trying to do, because of the smaller size. For example, to remove the great saphenous vein, the incision is made in the groin area. Through it, the vein is injected into the probe tip. Then the probe is removed and is sent to vienna to the middle part of the Shin in the groin. Through shallow channels, and delete channels and small veins. After surgery, use compression (bandage or stocking feet).
Electrocoagulation
It involves the removal of subcutaneous veins by exposing them to the current. The method is more dangerous than radio-frequency ablation or classic cut.
Cryosurgery
Cryosurgery allows you to remove the veins because of the low temperatures. With modern equipment, safe method. It is not always possible to calculate the depth of freezing without damaging surrounding tissue or leaving a "surplus".
Home treatment of varicose veins
Varicose veins can be treated at home, although systemic medications (prescription), although, the creams and the gels, although the leeches (the treatment of varicose veins with leeches) and cabbage leaves, Apple cider vinegar. Also the home of a suitable compression garment or elastic bandaging (selected and recommended by the doctor). Already in the late stages of the disease, all these efforts are futile without radical.
Thus, today, a radical way to get rid of varicose veins can only be considered a surgical method, often combined with therapy or compression techniques.