Varicose veins reticular is common among many adults. Because the disease manifests itself, and whether there are effective ways of therapeutic effects on the sick ships?
What is it?
Reticular (from the Latin word for one hundred time — net) or varicose veins in the form of the network is not a separate type of pathology, and reticular varicose veins in the form of the disease, in its early stages. It is a known fact that the expansion of a small skin surface vessels and the appearance of telangiectasias.
Telangiectasia is visible under the skin plexus extended up to a maximum of 0.5-1 mm of arteries, venules and capillaries that manifest in the form of bluish-red spots on the branches, resembling the shape of a grid, spider-like plexus of veins.
The disease is diagnosed more often in women. According to the results of medical research, net varices detected in 35-45% of women and 15-20% of adult men.
Reasons
The main reasons for the development of the disease:
- calculate the elasticity and density of the vascular wall.
- violation of blood circulation;
- unsatisfactory the work of the venous valves.
The factors that cause changes in the blood vessels, which provide:
- the period of carrying a child, especially 5 to 9 months of gestation, because of the increased blood volume of blood vessels, increased load on the foot, compression of the veins of the stomach, the growing uterus;
- hormonal surges during pregnancy and menopause;
- genetic predisposition to weakness of the venous wall, due to disruption of the structure of the connective tissue;
- overweight increasingly bmi 27 kg/m2, the probability of pathology is increased by 30%;
- a career is a long stay in a standing, sitting, periodic lifting and carrying heavy loads (loaders, heavyweight athletes, salespeople, hairdressers, business);
- wearing a corset, a belt, which will increase the pressure inside the peritoneum of the tight jeans that constrict the blood vessels in the groin area;
- long-term use of corticosteroids and hormonal birth control pills;
- diabetes, hypertension, skin diseases, such as rosacea;
- fractures of the limbs;
- excessive and prolonged sun exposure, Smoking;
- a small amount of fiber in the diet leads to prolonged constipation, which contributes to varicose veins, lack of nutrients – weakening of the vessel walls.
Symptoms
The basic characteristics of the initial stage of reticular veins:
- the appearance of a bluish-red telangiectasia — point, star, mesh patches of different size and brightness, which are often found on the ankles, behind the knees, the hips, after pressing, they pale, but immediately appear again;
- pregnancy, tension in the calf muscles, fatigue when walking.
Symptoms that occur if the disease develops:
- spread the legs to clean the skin, increasing the diameter of the capillaries;
- feeling of fullness in the legs, tingling, "creepy" (paresthesia);
- cramps in the calf muscles during the night or in the morning;
- nagging pain;
- mild swelling of the legs, calves, ankles towards evening, which disappears in the morning;
- itching, the skin over the areas of the file extension, reticular vessels;
- burning on the line of the affected vessel;
- tenderness when squeezing the calf muscles;
- the gradual bulging of the subcutaneous veins, the formation of pits with a size of 2-4 mm;
- the manifestation of a brownish or whitish spots during the blood vessels, swelling, redness.
If time does not take measures to identify the causes of the disease and remove its first signs, pathology should proceed to a permanent dilatation. In this case, under the skin formed blood vessels of the knots, the vessels become complex, walking hurts.
The progression of the disease threatening consequences, acute thrombophlebitis, non-healing trophic ulcers, the development of venous insufficiency, bleeding, thrombosis.
Diagnosis
Definition of reticular veins is not difficult for the expert. To assess the prevalence of abnormal process, the degree of hemodynamic instability (blood flow), the velocity distribution of blood flow, detect signs of thrombosis, the use of diagnostic methods:
- ultrasound examination;
- duplex procedures;
- ultrasound dopplerography of veins;
- x-ray, radionuclide methods.
Treatment
The treatment of varicose veins net need immediately after diagnosis to prevent getting the disease in the chronic phase complications.
Most methods of treatment to relieve the patient of the external signs of the disease. Improve your pathology, you'll need to do extensive research, which the doctor find the cause of the weakness of the vessels and blood flow disorders.
Support socks
When reticular varicose veins or subcutaneous network of patients and healthy people, who have a predisposition to the disease need to buy compression socks, stockings. Directed to a therapeutic compression is an important part of the treatment.
Support socks are designed to create a different side of the foot to different pressure.
The greatest pressure falls on the ankle, because the blood is changing rapidly. Socks support and compress the dilated vessels, help blood circulation, remove the stasis. The thigh compression is reduced by nearly 2.5 times, because in this region the load of the vessels less.
The constant mild compression veins prevent expansion, normalizes microcirculation, eliminate swelling, prevent blockage of the lumen of blood clotting.
Other treatments bezoperatsionnye
Among the common conservative methods of treatment of varicose veins reticulated micro-sclerotherapy and laser photocoagulation.
Micro-sclerotherapy is the most common method for recovery of reticulated veins and remove telangiectasias. During the procedure use a special substance, which does not cut the needle is introduced into the container. The substance causes micro damage to the internal walls of the vein or capillary. Injuries are overgrown, narrowing the lumen of the internal. Site of the former vessel is formed by a strand of connective tissue (like scar), which is itself solved by 10-12 months.
Sclerotherapy in practice, the technique of liquid when the vessel is brought to a liquid composition, or more advanced technology — the Foam-form sclerotherapy (foam). In another embodiment, the current solution is to micro-foam, which is better distributed to the affected vessel.
The procedure is often performed in video surveillance, control the process using the duplex scanner.
Laser coagulation of blood vessels-saving and effective method at the same time, guarantees the removal procedure is quick, bloodless, without affecting healthy tissue. The procedure is performed under ultrasound control.
Through a puncture of the skin, the doctor inserts the cavity of the diseased vein, a thin catheter with a laser fiber. Under the high temperature of the laser beam, the walls of the affected blood vessels are closed.
Dependent on the number of blood vessels branching sclerotherapy and laser treatment lasts 15 to 60 minutes. To express the results of the treatment requires 2 to 5 sessions.
Treatment using sclerotherapy or laser beam is performed more frequently on an outpatient basis under local anesthesia. You can leave the clinic, the patient after 2-4 hours. After the procedure the treated area impose a pressure bandage 4-10 days. Support socks is 7-30 days. 2-4 days, the patient returns to normal rhythm of life.
After treatment is recommended 3-4 months:
- drink 2-3 liters of fluid a day to maintain the fluid properties of the blood;
- take all medicines prescribed by a doctor;
- not to neglect the compressive strength of knitwear with long walks, stay at work standing or sitting;
- walk a lot;
- give up high heels.
Other methods of treatment of reticular veins are the 3 methods of treatment.
- Radiofrequency destruction of the vessels (equipment EVRF, RFO). The Radio wave radiation generated by a medical device, attached to the end of the catheter. Under the influence of radio waves on the wall of the vein to stick together, the vein disappears, and the tissue formed in its place, will solve.
- Thermal occlusion micro pulse steam (SVS technique). The technology, developed by the French doctors. Associated with the treatment of the lumen of the varicose vessel, warm vapor coming to use of the catheter. Steam penetrates difficult to use, anatomically complex vascular branches, tapers and the "glue" of the capillaries and venules.
- Method of treatment with biological glue (venasen in) – a new very effective and gentle way. Often used to treat reticular veins of the initial stage of expansion. Vessel under ultrasound guidance using a syringe and the catheter is a special glue. Vienna is packed dramatically, the walls are glued together. Blood vessels under the skin of the mesh disappear almost immediately. When handling small vessels do not need to use compression stockings after the procedure. Allergic reactions are excluded, because the special glue is a natural product.
Surgical treatment
Phlebectomy surgery for varicose veins of the lower extremities. It is carried out, when the diameter is enlarged to fill the device up to 10 mm.
Through a small incision the surgeon removes the surface-ship which bandages and cuts. The surgery is performed under local anesthesia. The operation is performed as little as possible tissue damage, leaves no cosmetic defects.
A popular treatment
Recipes for homemade medicine for the treatment of reticular veins is used in addition to therapy. Good result gives a joint application with drugs, pharmaceutical creams, wearing support stockings, especially in the first stage telangiectasias.
- Unkempt mature young fruit of the chestnut (50 g) finely chopped, pour a glass of vodka and leave for 20 days. After straining for 3 weeks three times a day for 15-20 drops. After 2 weeks break can be repeated.
- Cabbage leaves, rinse and put in a cold place for 24 hours. Before sleep to dry skin of the affected area to apply the leaves and not tight bandage. Treatment is carried out daily for 1-2 months.
- Dry birch buds sleep in a jar 0.5 liter of 1/3. Pour vodka to the brim, insist 10 days. Tincture to gently RUB the areas with telangiectasia.
Prevention
To avoid the appearance of the skin under the "stars" you should follow the steps below:
- do not carry heavy objects, such as bags of food;
- do not take hot baths, no saunas;
- wearing elastic tights or stockings compression;
- at home often to keep the legs horizontal in the raised position;
- sitting at work to create the conditions so that the lower extremities were in a horizontal position, every 2-3 hours to make a 10-minute break special exercises to improve blood circulation;
- move more, Hiking, so as not to overdo it;
- you can do contrast baths or shower foot;
- use a healing cream for the prevention of venous changes, drugs, strengthens the vascular tone, on the recommendation of phlebologist;
- you can swim in the pool with warm water;
You need to adjust your diet to get rid of the extra weight, to quit Smoking.