Varicose veins - Scourge of modern humanity.But often, the treatment of varicose veins, whose scheme is selected individually, ends successfully.Sometimes, the case costs only therapy and medications, but sometimes only surgery saves the situation.What are the ways of getting rid of this unpleasant and serious ailment?
Varicose veins - basic information
Varicose veins: A pathological condition characterized by damage to venous vessels.
The veins have special valves that play the role of peculiar blinds, preventing blood from filtering (venous blood in the legs flows in the direction from the bottom up).
A failure in the operation of the valve system leads to reflux blood and stagnant phenomena. Due to such processes, the veins weaken, stretch and deform, unable to deal with growing blood pressure.
The result of this is a family symptom: convex veins on the surface of the skin, indicating the dynamic development of pathology.
All the insidiosity of the disease is that in the initial stages it manifests itself as ordinary fatigue and severity in the legs.
Therefore, many are not in a hurry to visit the doctor, and the alarm is already beginning to sound when blue is visible on the skin, spoiling the appearance of the legs.
You can get more information about the symptoms of varicose veins at an early stage here.
The reasons for the development of this pathology are the most diverse. They may include congenital pathologies of the vascular system and some provocative factors: sedentary lifestyle, excess weight, uncomfortable shoes, professional activities associated with a long leg stay.
The treatment of the disease is always carried out in an integral way. The necessary scheme is selected by a specialist on the basis of the stage of disease development and the individual characteristics of the body.
What doctor is the veins?
Varicose veins are not only expanded veins, but also serious valve disorders and a blood circulation failure, which leads to serious complications throughout the body.And if the first symptoms appeared in the veins, muscle cramps, constant heaviness on the legs, it is worth making an appointment immediately with a phlebologist.
According to the severity of the case, the causes of the disease and the state of health, the doctor will select the most appropriate therapeutic course of the options available today.
Threatening symptoms
The main reasons that lead to the appearance of varicose veins are: inheritance, excess weight, a sedentary lifestyle, sitting or standing work, hormonal imbalance in the body.According to statistics, 40% of adult women and 20% of men have signs of varicose veins.
The diagnoses of the disease are dedicated to a phlebologist, it must be contacted, If such symptoms appear:
- The severity in the legs, which is strengthened at the end of the day.
- Fast leg fatigue during prolonged walk.
- Leg pain.
- The appearance of a fine vascular mesh on the legs.
- Leg swelling.
- Seizures, whose intensity increases at night.
- Itching the skin of the lower extremities.
It develops gradually Atrophy of muscle fibers of the surface veins, the blood vessels lengthen, expand, become winding, the nodes appear on the surface of the skin appear in them.The skin on dilated veins becomes red, dry and hot cyanizos, sores appear due to a violation of tissue nutrition.
Due to distributing changes in subcutaneous fat, lipermatosis is difficult to develop a dangerous complication of the expansion of the veins in the legs, whose treatment may not succeed with conservative methods.
To avoid the serious consequences of varicose veins, phlebologists advise their patients Start the treatment on timeWhen the first signs of the disease appear.
Treatment methods
High effectiveness is characterized by sclerosis, which consists of introducing a special sclerous substance in the vessels with a syringe with a thinner needle.The venous gaps are delayed, the edges of the tears are sold, thus stopping the filtration of blood outside the vessels.The same substance, which has fulfilled its function, is absorbed.
This method eliminates all defects and offers an excellent cosmetic result.But after the procedure, it is necessary to keep the status of the veins with additional therapy and wear compression clothes.
Almost 10 years ago, in medicine, they began to use a laser very successfully, or rather the laser coagulation based on the endo to combat varicose veins.The veins are treated as follows:
- Using local anesthesia, a small puncture is made in Vienna.
- A luminaire is introduced into the resulting hole.
- The laser has an effect on damaged areas, pushing the damage.
- After a new fabric appears in a sealed place.
The operation is not "blind": the process is observed through the ultrasound apparatus, so there is practically no risk of failure.In addition, the absence of significant cuts excludes pain, hemorrhage formation, violation of neighboring tissues.
After the procedure, it is worth selling areas that have undergone operations or use compression stockings and means.
Often, use the radiofrequency ablation methodology, and the high frequency current successfully treats varicose veins.This happens as follows:
- Vienna is perforated.
- A catheter is inserted into the hole.
- Through it, the radiation enters the container.
- The driver acts at the molecular level, changing the protein molecules of the damaged vein.
The method allows you to quickly treat all venous nodes, and special postoperative therapy is not required.
Ways to treat varicose veins
There are two of them: conservative and surgical.The patient faces the current question: How to treat varicose veins on the legs, dispensed surgery.When choosing a method, the doctor takes into account the signs, the stage of the disease, the presence of complications, concomitant diseases, the patient's age.Non -operational methods to eliminate varicose veins of the lower extremities give good results only when the symptoms of pathology are still weak.
To suspend the degradation of the affected vessels helps:
- Pharmacological therapy;
- compression treatment;
- Physiotherapy Physical Education;
- physiotherapy;
- massage;
- traditional medicine recipes;
- diet.
Flabologists are trying to choose for patients during pregnancy exclusively non -drug treatment for varicose veins of the lower extremities veins.First, these are compression linen, gymnastics exercises, physiotherapy, massage, diet.If medications are still needed, only medicines are prescribed for external use.
Disputes do not stop passing, if hirudotherapy helps with varicose veins.Girudina produced by Sangujuelas, penetrating the venous system of the lower extremities, the thickened blood of liquors.However, today there are many modern drugs with the same property.In addition, there are risk factors for leeches: vascular infection, allergic reactions.
If necessary, the treatment of varicose veins is carried out using radical methods.This:
- sclerotherapy;
- Ozone therapy;
- cryotherapy;
- electrocoagulation;
- laser coagulation;
- Surgical intervention.
Sclerotherapy is an injection in a sick vein of the drug, which "places" an expanded glass.Stop pumping blood and gradually resolved.The maximum effectiveness of sclerotherapy is achieved at an early stage of pathology.A similar method is ozone therapy: a portion of this gas is introduced into the light of the small veins, and the vessels are also "stuck."
During the course of cryotherapy procedures, cold is used.With electrocoagulation through a very thin electrode, the high frequency current is supplied to the vessels.The treatment of varicose veins with a laser is also an effective modern method, especially when used in combinations with conservative methods.At the same time, the cosmetic result is high: after a few weeks, the patient has no scars or scars.
However, surgical elimination is the most effective treatment that allows it to radically get rid of varicose expansion, when pharmacological therapy does not lead to the desired result.Sick vessels are eliminated through local subcutaneous cuts.After surgical intervention, the leg is barely sold, and after three or four hours, the patient can walk.
Principles of pharmacological treatment of varicose veins
The effective treatment of varicose veins is only possible if the selected medications prevent the mechanisms of the development of pathology, the destruction of wallpaper and bloody valves.
The main tasks of the pharmacological treatment of varicose veins are:
- restoration of blood circulation;
- strengthening of venous walls;
- increasing the tone of the blood vessels;
- decrease in blood viscosity;
- thrombosis prevention;
- standardization of the valve system;
- inflammatory processes;
- Standardization of blood circulation in capillaries.
Drugs are indispensable in the complex treatment of the disease.
They are also widely used for preventive purposes, which is especially important for people who run the risk of developing pathology.
Today, medications for the treatment of varicose veins in the legs are a large amount and all are different in composition and exposure mechanism.
For an appointment with a doctor
Varicose veins: a serious illnessThat, with inappropriate treatment or its absence, it can threaten several complications that are dangerous to health and human life.
Reference.Thromboembolism of vital vessels, thrombophlebitis, trophic ulcers: this is far from being a complete list of complications of varicose veins that represent a threat to humans.
In this sense, you should not even make self -medication attempts.
The experiments at home with the selection of medicines can aggravate the situation or be inappropriate.
In any case, time, health and media are lost.
Therefore, you must communicate with a phlegation.Only a specialist can correctly choose the medications and build a treatment regime to extract the maximum benefits for the patient.
What drugs are used
The complex treatment of varicose veins is to use several drug groups at the same time:
- Phlebotonics.
- Anicoagulants.
- Anti -inflammatory.
- Fibrinolytic.
In addition, to improve the therapeutic effect, they use local system and influence systems.
Creams, gels, ointments are used as local effects.Choose drugs for varicose veins and thrombophlebitis, it should be taken into account that exactly The ointment form is characterized by the highest content of the active component.
Important! A common contraindication for all local funds is a violation of skin integrity.
As a general rule, such medications are used several times a day, and the medicine must be rubbed with light movements in the direction from the bottom up.
Drug groups and their effect
With varicose venous veins, medicinal substances are classified according to the type of effect on Three main groups:
- venotonic or phlebotropic agents;
- Hemorroding drugs (anticoagulants) and medications that inhibit platelets (antiplazers);
- Anti -inflammatory drugs.
Studies and medical practice have demonstrated the effectiveness of phlegotonic developed on the basis of natural flavonoids - Godmine and Hesperid.These substances not only protect the veins, but stimulate the output of the lymph and stabilize the work of the capillaries.The simultaneous intake of combined drugs in which both are flavonoids is especially effective.
More often phlebotropic agents Accept 2 to 3 months in courses.It is important that the reception coincides with the hot season, when the load in the containers increases due to the high air temperature and to the use of large volumes of water.If the varicose veins are accompanied by chronic venous deficiency, phlegotonia is constantly taken in an average dose.
Patient with varicose veins From the beginning you must receive systematic treatmentTo prevent the development of the disease and reduce the probability of complications.
The second problem is solved by drugs that lose weight blood (anticoagulants) and improve its liquid properties, avoiding the formation of thrombotic clots (antiplelets).
The formation of blood clots, its separation from the vascular wall and the movement along the venous channel leads to the overlap of the heart vessels, the lungs and the brain of a person.As a result, the probability of developing a heart attack, pulmonary embolism and ischemic stroke is very high.
Antiplates are not a medication for varicose veins, but are used as a means for the prevention of their serious complications - Thrombosis and thrombophlebitis.We can say that these medications save the patient and minimize the threat of disability.
Operation
The elimination of damaged veins of the lower extremities or its parts is carried out through incisions or punctures.The elimination of sick vessels in the clinic is necessary if:
- The veins in the legs are pathologically enlarged;
- The skin is affected;
- Trophic ulcers appeared;
- Thrombophlebitis worsened.
The surgical treatment of the varicose veins of the legs is contraindicated:
- in severe hypertension, coronary heart disease, infectious diseases, eczema;
- If the patient has already reached an advanced age;
- During pregnancy (term for 5 months).
Additional therapy
In addition to drug and surgical treatment, additional therapy is of considerable importance, including a series of measures to bring the veins to a normal state:
- The wrapper has a relaxing effect, eliminates the sensation of severity in the legs.When acquiring the necessary means, it is worth remembering that hot wraps for varicose veins are contraindicated.
- Feet baths are another way to help eliminate leg load.Using herbs and therapeutic oils, you can strengthen the vessels, get rid of swelling and redness.But the effect will be only with the daily use of the method.
- Contrast shower.10 seconds of cold role and 30 seconds of warm (it is better to avoid hot water) for 5-7 minutes each morning will help keep the veins in good shape.For these purposes, you can use Alekseev or Charcot shower.
Often, phlebologists in complex treatment include physiotherapy: laser, magnetotherapy, electrophoresis.
They do not cause discomfort and pain, economic and quite effective.In addition, treatment occurs under the supervision of medical workers.The main condition is a regular visit to the office.
The physiotherapeutic effect fruitfully affects the condition of venous walls, muscle tissue and valves.
Compression therapy is an important component not only of treatment, but also of prevention, and the postoperative period.The use of bandages will avoid stagnant processes, will support the damaged vessels, will suspend the progression of the disease.
The imposition of bandages requires some knowledge and skill, since excessive tugs can lead to deterioration in the condition, and the weak bandage will not give the proper effect.Therefore, for the correct use of bandages, it is worth obtaining a doctor's office.
Massage with varicose veins is not allowed in all cases, so only a doctor can say whether to be used in a particular case or not.If the method is selected correctly, after the first session you can feel the result.This method can lead to an improvement in blood microcirculation, relieve the main signs of the disease, including external ones.
The more neglected the disease, the more difficult it is to deal with it, and sometimes the patients become too late, and only one output is a phlebectomy.To prevent this from happening, you should not expect complications, but to obtain timely qualified assistance.
Conservative method
Flobology in the treatment of varicose veins seek without traumatic operations that are not needed in the early stages of the disease.For example, this is characteristic of the reticular expansion of the veins, whose manifestation is limited only by blue venous networks.Preparations help improve the condition of the valves and the walls of the blood vessels.Men, like women, must wear compression knit garments.Pathology cannot be cured completely.However, conservative methods suspend the development of varicose veins and protect against complications.
Gym
How to eliminate the veins on the legs, performing physiotherapy exercises, LFK experts know.This is provided that the load, which improves blood flow in the legs, is systematically performed.For example:
- In standing position, leg heels rise vigorously vigorously.
- In the same position, standing slowly to the socks and falls slowly.
- Sitting in a chair, rolling your feet forward and back a small ball on the floor.
Wearing special underwear
Doctors recommend combining the pharmacological treatment of varicose veins with compression linen: these are products of a special type garment type that exert pressure (compression) in the veins.The degree of linen pressure on the walls of the vessels can be adjusted by buying products with various compression degrees.
In total, there are four degrees of compression: the first is used for prevention, the rest is for treatment.With the varicose veins of the lower extremities, socks, means, golfs and leggings are used, the doctor selects the desired degree of compression.
Compression underwear creates a dense pressing frame on your legs, Thanks to this, such effects develop:
- Weakened leg muscles are supported.
- The walls of the blood vessels are compressed, which avoids their stretch.
- Lymphatic flow and blood circulation are stimulated.
- Content phenomena are eliminated.
- The work of venous valves is normalized.
- The load in the expanded veins is reduced.
- Thrombophlebitis development is avoided.
Compression point referees for mandatory use after surgery for varicose veins.Lingerie helps prevent the relapse of the disease, creates additional support for the body in the rehabilitation period.
Compression sclerotherapy
Compression sclerotherapy is a modern technique to treat varicose veins, which consists of the injection of medications in the affected veins.As a result, sclerosis (stuck) of venous walls, blood flow in the place of drug administration ceases, and the vein resolves or gradually leaves a barely remarkable load, which does not bother the patient.
Most of the time, sclerotherapy is carried out with the appearance of vascular stars when varicose veins are in the initial stage.With the progressive development of varicose veins, sclerotherapy treatment is carried out after analyzing the condition of the valves and venous walls of blood vessels, the functional characteristics of the patient's circulatory system.
If a decision to perform compression sclerotherapy has been made, the patient passes a blood test for coagulation, an ultrasound examination of the veins is suffered.When performing sclerotherapy, the patient does not experience pain, since the medication is managed in a vein using the best needle.Once the procedure is completed, a sterile bandage is applied to the drug administration area, the patient puts compression underwear.The first week after sclerotherapy, compression knit garments should be used throughout the day, then it is allowed to eliminate it during the night.
Positive results of sclerotherapy:
- Restoration of effective blood flow.
- The exclusion of blood clots in the damaged vein.
- Prevention of trophic tissue disorders.
- Elimination of clinical symptoms of varicose veins: edema, seizures, pain.
- An excellent cosmetic effect due to the fact that swollen veins disappear completely.
Diet
For a more effective treatment of the varicose veins of the legs, it is important to properly organize nutrition.Bayas, apples, citrus containing flavonoids, antioxidants and routine helps improve the status of blood vessels.Blood liquefaction provides the daily intake of a sufficient amount of liquid (1.5-2 L).The diet for varicose veins in the legs is incompatible with fatty dishes, fried, acute spices, alcohol.
Popular remedies
The treatment of varicose veins with popular remedies at home in the summer is especially effective.Such recipes are popular:
- 15-20 minutes legs are compressed with tomato paste.It has a high lycopine content, which actively strengthens the vessels and avoids the formation of blood clots.At the same time, there are fresh tomatoes daily.
- Donnik infusion, grass, indispensable for varicose veins: art.l.Raw materials are made with two glasses of boiling water, remain to cool, filtered.They drink half a glass daily 3 times, the rest is used as lotions.
What cannot be done?
In the diagnosis of varicose veins, a lifestyle, nutrition and sports should be taken into account. Not allowed:
- active physical effort, run, jump (yoga classes);
- long -standing or prolonged position;
- the use of all medications without consulting a pharmothyticologist;
- Long flights with a forced still position of the legs.In addition, at great altitudes there is a strong thickening of the blood, which leads to the formation of blood clots;
- Accept hot baths, visit the sauna;
- The bannoso and honey massage is strictly prohibited, only a manual type of medical massage is allowed.
Possible complications
Trophic ulcers - The form of complication for varicose veins, which is manifested in the development and deepening of a long data pain.In general, there is a separate painful ulcer at the bottom of the leg, within which "crying" is often observed in the form of a serious bloody liquid that covers the affected tissues.
Urgent medical help
A doctor is immediately required when the following symptoms appear:
- Strengthen pain in the affected limb, the inability to get out of bed or take a few steps;
- The skin of the leg is hot, edematous and dense to touch.
- The skin color changes from pale red to cyanotic or bluish;
- Sudden detention of breathing, lack of air, sweating and acute weakness;
- Bleeding of an affected skin area or varico node.
The necessary medications for the varicose veins of the lower extremities must be present in the complex treatment. Even after surgery, several leading and anti -agricolas agents taking courses will be required To prevent possible trophic disorders, inflammations and complications in the context of the disease.
Many multicomponent preparations against the law of combined varicose veins have several functions.The effectiveness of such drugs is more pronounced. It is optimal to use the treatment with courses in the correct dose calculated by a phlebologist, combined with compression therapy, yoga, swimming in the pool, herbal medicine.
Conclusion
The complex treatment of the varicose veins of the lower extremities implies the use of various therapeutic techniques.
Together with drug treatment, physiotherapeutic procedures, special exercises, massages, etc. are prescribed.