Varices on the legs

Development mechanismThe trigger in the development of a pathology such that varicose veins is considered to be a violation of the normal functioning of venous valves with the occurrence of blood reflux (reflux - inverted current). At the cellular level, this is associated with a violation of the balance between certain components of the venous wall.The initial step is characterized by the presence of a genetic and causal factor (extended stay in a sitting position, excess weight, injury, etc. ). At the same time, the so-called parameter of shear stress changes, which is a set of blood movement indicators through the vessels, to which the endothelium reacts in a very sensitive way.If the irritating factor acts for a long time on the wall of the ship, the leukocytes are firmly attached to the endothelial cells, which causes the initial stage of inflammation. The inflammatory process propagates through the venous channel of the lower limbs.Especially quickly, such processes occur in valves, which are subject to a constant and heavy mechanical constraint. However, inflammation on one leg can be more pronounced than on the other. First of all, it depends on the initial cause of organ damage, for example, on the right leg, the varicose veins can be more pronounced in athletes who emphasize it.With damage to valves, a pathological blood discharge occurs through the mouth of a large and small subcutaneous vein. Due to the restart, an excess of blood flow, the wall of the venous vessels occurs.Over time, dynamic venous hypertension is developing, which is characterized by a reduction in pressure in the vessel, as a rule, this occurs during walking, in terms of impossibility of ensuring normal blood infusion through the fabric. Such a process is accompanied by edema, impregnation of the subcutaneous tissue with blood cells (red blood cells and leukocytes). Over time, the skin changes its color, swelling, skin pigmentation is improved. With the death of cells, which is not indecent during medical care, which still leads to the development of trophic ulcers.

Classification of varicose veinsFrom 2000, a new classification of varicose veins of the lower limbs was developed.Varicious forms:Intradermal or segmental varics without pathological changes;Segmental varics with reflux of superficial vein;Common varicose veins of surface veins;Expansion of varicose veins in the presence of a deep vein reflux.The degree of chronic venous insufficiency:0 - does not develop;I - "Heavy legs" syndrome, the appearance of edema;II - Persistent edema, eczema, lipodermosclerosis;III - Trophic ulcer.Complications for venous expansion of the veins of the lower limb are one of the serious conditions that affect the body: thrombophlebititis, trophic ulcers, erysipelas, erysipelas or bleeding.

Disease work classificationBy form:The varicose veins of the subcutaneous vein of the thigh (from the mouth) - descending varicose veins;Ascending varics (defeat of Wen, lower legs and feet, from bottom to top);By clinical groups:The first group is an internal segmental expansion of the veins without perforators; The second group is the expansion of venous trunks fragments;The third group is the expansion of the subcutaneous vein of the thigh and the lower leg;The fourth group is a varicose extension of a large and small subcutaneous vein with the presence of insolvent perforators;The fifth group is the expansion of the surface veins, a large and small subcutaneous vein with tissue induction.The work classification by complications and the degree of chronic failure does not differ from the norm.

The reasons for developing varicose veinsThe exact reason for the development of this pathology has not yet been entirely clarified, but a number of factors contributing to the occurrence of varicose veins:The genetic predisposition (the mutant gene responsible for the structure of the wall of the vessel is transmitted);Changes in the hormonal background (pregnancy - during pregnancy, the composition of hormones in the body changes (the amount of progesterone increases and the estrogen decreases), which directly affects the formation of blood coagulation factors);Obesity (overweight leads to a sedentary lifestyle and, therefore, to a breakdown);Diabetes mellitus (increase in blood sugar in time damages the wall of the vessel over time);The abuse of alcohol (a large amount of alcohol in the blood is the cause of dehydration and condensation of blood);heavy physical activity;congenital blood coagulation disorders;Irrational nutrition, errors in the diet;annoying and close underwear (the constant port leads to compression of blood vessels);Frequent constipation (an increase in intra-abdominal pressure leads to a difficult exit of blood in the lower limbs); Constant walking in heels (development of stagnation and insufficient muscular movement);Increase in air temperature (leads to dehydration, blood condensation and, consequently, to the formation of blood clots);cardiovascular system and kidneys diseases;an overdose with drugs that increase blood coagulation;Surgical interventions (blood loss, vessel compression).

Varice stepsFor this period of development of medicine, three main stages of the development of varicose veins and the early stage are distinguished when the disease is very difficult to notice.The early stage of the disease is accompanied by swelling, the weight, very often, complains that the injured legs during a long step. These are all signs of the beginning of pathology, it is time to start prevention - massage, leg creams, physical activity.The expansion of the 1st degree veins.This step is characterized by all the symptoms listed above, to which the vascular stars, bruises on the legs, tied veins, visible through the skin, are added. In addition, the appearance of convulsions at night and burning in the stop area is noted.The expansion of the 2nd degree veins.At this point, the total number of stars and knots increases, they become more visible. Swelling appears, the pain in the legs increases and it becomes unbearable to bear it.The expansion of the 3rd degree veins.It is the most difficult of the scene, which is accompanied by serious lesions of the skin of the legs, it becomes dry, lifeless and cracked. The skin of the lower leg becomes dark blue, its structure and pigmentation change. The third step is the last when this pathological process can be called Varicus. The subsequent development of processes ceases more serious illnesses.It is advisable to consult a doctor at the second stage in the development of the disease, because over time, medical care is not made serious.The question immediately arises: "What doctor will he go to? "", The answer is simply - a doctor who specializes in the pathology of the veins of the lower limbs is called phlebologist.

Symptoms and clinical varicose veinsThe main signs of this disease are many extensions of subcutaneous veins, which is why the disease is called. The start of the disease is generally accompanied by some non -specific characteristics.In this state, patients feel the severity of the legs, rapid fatigue during movement, sometimes burn and cramps. In addition to pain, the disease manifests itself in edema developing in the late afternoon, after a hard work day.With veins of long stops, symptoms such as eczema and itching appear. Patients scratch their legs, creating uncomfortable sensations. Due to the development of the disease, the skin above the veins becomes thinner, the itching places are constantly combed, which leads to the appearance of injuries.Over time, the color of the skin from the bottom of the leg becomes bluish. If medical care is not provided in such a situation, the development of skin hyperpigmentation and lipodermalrosis is possible. At even more advanced steps, trophic ulcers are developing.

Diagnosis of the diseaseThe enlarged veins of variant are visible and not armed with an armed aspect, however, how dangerous this condition should be using instrumental diagnostic methods.Currently, the most informative method is the ultrasound methodology of the duplex of the veins. With its aid, it is evaluated by the functioning of valves, the capacity of the cross country and the presence of blood clots. The timely study of the veins will avoid the serious and irreversible consequences.

Treatment methodsHow to treat varicose veins? Cleaning varicose veins completely is only possible by the help of surgery. People who have a hereditary predisposition or risk factors recommend visiting a specialized doctor 2 to 3 times a year, for an ultrasound examination of the veins, the operation from varicose veins is prescribed at the second stage of the development of the disease.How much does the operation cost? The price can be engaged differently, it all depends on the severity of the development of the disease.

Surgical treatment

FubletomyIndications for the elimination of veins: extended varicose veins, pathological expansion of subcutaneous veins, trophic ulcers, acute thrombophlebitis, expansion of deep veins accompanied by general discomfort (fatigue, dizzy).Contraindications for the disease: coronary disease, pregnancy, elderly age, serious infectious diseases, inflammatory processes.The advantage of surgical treatment is that this is the only effective treatment method in the advanced forms of the disease.The drawback of this treatment: trauma, anesthesia, long postoperative period.

Laser therapy (EVVK)Indications: Varices on the legs in combination with various serious diseases (ischemia, thrombophlebititis, asthma, bronchitis, pleurisy, ulcers, cholecystitis, pyelonephritis, peritonitis, dermatitis and bouins).Laser treatment is contraindicated in cases where it is noted: oncology, liver disease, kidneys, heart (decompensation stage), pregnancy and cerebral sclerosis. The advantages of such treatment are to get rid of the vascular scheme, the maximum, painless and safe rapid procedure, does not require stationary and atraumatic observation.Inconvénients: pas du tout disponibles, coûteux, l'apparence des cicatrices ou la clarification du tissu environnant est possible.

Coagulation radiofréquence des varicesIndications: Varices avec des dommages au tronc d'une petite et grande veine sous-cutanée, des ulcères trophiques.Contre-indications: forme aiguë de thrombophlébittis, troubles mentaux, grossesse.Avantages: L'absence de douleur, l'hospitalisation n'est pas requise après la chirurgie, n'interfère pas avec le travail.Inconvénients: procédure coûteuse.

SclérothérapieIndications: varices aux premiers stades.Contre-indications: grossesse, allaitement, réaction allergique au sclérosant, processus purulents-inflammatoires des jambes, thrombose.The advantages of this processing method are that financially such treatment is cheaper than surgery, rapid recovery, the best aesthetic effect.Disadvantages: Perhaps, entering the deep veins of the sclerosing, is not sufficiently effective with advanced shapes of the disease.

DrugsDrug treatment helps improve blood vessels, the state of the valves, improves blood and lymphatic flow, and also eliminates inflammation, but does not cure the patient.

Comment traiter?Tous les produits nécessaires des varices sont divisés en:phlébotonique;analgésiques non stéroïdiens;médicaments hormonaux;anticromboïde; Aspirin -based drugs.

Home treatmentTraditional medicine provides for the use of various ointments, lotions, dyes, feet or decoctions.Treatment of apple vinegar varicosis veins. However, it is impossible to cure such a disease with folk recipes, however, to relieve very real symptoms, in particular at the initial stage of development. For this, apple cider vinegar is used for wraps, wiping, for oral administration or for compresses.

How to avoid illness?A sedentary lifestyle, standing work, pregnancy is a greater load, as a result of which a disease such as varicose veins develops.Varicosis in women is the same problem as cellulite, therefore special creams, lotions, compression stockings and lymphatic drainage have been developed to fight it.According to statistics, varicose veins in men are extremely rare, and even if there is much more slowly.

Can I play sports?Varicosis and the race are two factors that are still walking nearby. The most effective prevention of the expansion of the veins of one of the stages is constant physical effort: race, gymnastics, various strength exercises on the legs, cycling, etc.There are a number of simple exercises to improve blood circulation and prevent varicose veins:The rotation of the foot in the hourly direction 20 times in each direction.Work with fingers. Extension and break your fingers 20 times.Near socks, then on the heels, and after riding heels with socks and back 20-30 times.