Varicose veins in the leg are the specific expansion of the veins of the lower limbs, accompanied by the overall violation of blood flow and valve incidents. The expansion of veins is a characteristic of women and men from 40 to 60 years old.
Development mechanismActivate in the development of a pathology such as varicose veins is considered a normal violation of the venous valve with the appearance of blood reflux (reflux - reverse). At the cell level, this is related to the violation of the equilibrium between some components of the vein wall.
The initial stage is characterized by the presence of a genetic factor and the cause (prolonged at the seating position, excess weight, injury, etc. ). At the same time, the so -called cutting stress parameter, is a collection of blood motion indicators through the vessels, which the endothelium reacts very sensitive.
If the factor causes discomfort for a long time on the wall of the ship, the white blood cells are firmly fixed into the endothelial cells, causing initial inflammatory phase. The process of inflammation spreads through the intravenous canal of the lower limbs.
Especially quickly, such processes occur in valves, suffering from constant and heavy mechanical tensions. However, inflammation on one leg may be more pronounced than on the other hand. First of all, it depends on the cause of the initial damage to the agency, for example, on the right leg, varicose veins can be more clear in the athletes emphasized on it.
With damage to valves, a pathological waste occurs through the mouth of a large and small skin veins. Due to the restart, an excess blood flow, the walls of the veins occur.
Over time, dynamic hypertension develops, characterized by a decrease in the pressure in the ship, as a rule, which occurs while walking, to the point that it is impossible to guarantee normal perfusion through tissue.
Such a process is accompanied by edema, impregnated with the skin with blood cells (red blood cells and leukocytes). Over time, the skin changes color, swelling, skin pigmentation is enhanced. With the death of cells, indecentically in the medical care process, this continues to lead to the development of trophic ulcers.
Classification of varicose veinsSince 2000, a new classification of varicose veins of the lower limbs has been developed.
Varicose veins:
Varicose veins or segments without pathological changes;
Varicose veins with segmentation with surface veins;
Common varicose veins of surface veins;
Varicose expansion in the presence of deep veins.
The degree of chronic vein shortage:
0 - no development;
I - Syndrome of "heavy legs", the appearance of edema;
II - Persistent edema, eczema, lipodermosis;
III - Trophic ulcer.
The complications of venous expansion of the veins of the lower limb are one of the serious conditions that affect the body: thrombosis, trophic ulcer, erysipelas, erysipelas or bleeding.
Classification of workers of the diseaseForm:
Varicose veins of the veins under the thighs (starting from the mouth) - varicose veins;
Increase varicose veins (defeating Wen, legs and lower legs, starting from the bottom up);
By clinical groups:
The first group is the internal expansion of veins without holes;
The second group is the expansion of venous pieces;
The third group is the expansion of the vein under the skin of the thighs and lower legs;
The fourth group is a different extension of a large and small skin veins with the presence of perforated holes (
The fifth group is the expansion of surface veins, a large and small skin veins with tissue induction.
The classification of labor by complications and the degree of chronic failure is not different from the standard.
Reasons for the development of varicose veinsThe exact reason for the development of this pathology has not been fully clarified, but there are some factors contributing to the appearance of varicose veins:
Genetic tendencies (the mutant gene is responsible for the structure of the vessel to be transmitted);
Changes in hormonal (pregnancy - During pregnancy, the composition of hormones in the body changes (increased progesterone and estrogen), directly affecting the formation of blood clotting elements);
Obesity (overweight leads to a sedentary lifestyle, and therefore, to an incident);
Diabetes (increasing blood sugar in time to damage vessels over time);
Alcohol abuse (a large amount of alcohol in the blood is the cause of dehydration and hematoma);
heavy physical activity;
congenital coagulation disorders;
Unreasonable nutrition, error in the diet;
Uncomfortable and close underwear (continuously wearing the compression of blood vessels);
Constipation regularly (increased pressure in the abdomen leads to a difficult blood flow in the lower limbs);
Đi bộ liên tục trong gót chân (sự phát triển của sự trì trệ và không đủ chuyển động cơ bắp);
Tăng nhiệt độ không khí (dẫn đến mất nước, ngưng tụ máu và do đó, do sự hình thành các cục máu đông);
bệnh của hệ thống tim mạch và thận;
Quá liều với các loại thuốc làm tăng đông máu;
Can thiệp phẫu thuật (mất máu, nén mạch).
Các giai đoạn của tĩnh mạch giãn tĩnh mạchDuring this medical development, the three main stages of the development of varicose veins and the early stages were distinguished, when the disease was very difficult to pay attention.
The first stage of the disease is accompanied by swelling, weight, very often complaining that the legs are painful in a long walk. These are all the signs of the beginning of the pathology, it is time to start preventing - massage, foot cream, physical activity.
Sự mở rộng của các tĩnh mạch của cấp độ 1.This period is characterized by all the symptoms listed above, in which the blood vessels, bruises on the legs, the knot veins, can be seen through the skin, added. Ngoài ra, sự xuất hiện của co giật vào ban đêm và cháy trong khu vực dừng được ghi nhận.
Sự mở rộng của các tĩnh mạch của cấp 2.Ở giai đoạn này, tổng số ngôi sao và nút tăng lên, chúng trở nên đáng chú ý hơn. Sưng xuất hiện, cơn đau ở chân tăng lên, và nó trở nên không thể chịu đựng được khi chịu đựng nó.
Việc mở rộng các tĩnh mạch của cấp độ 3.This is the most difficult stage of the stage, accompanied by serious damage of the legs, it becomes dry, lifeless and cracked. Da của chân dưới trở thành màu xanh đậm, cấu trúc và sắc tố của nó đang thay đổi.
The third stage is the final stage when this pathology can be called varicose veins. The next development of the process of termination of diseases is more serious.
The doctor should be consulted in the second stage of the development of the disease, because over time, medical care is not given in serious consequences.
The question is immediately asked, which doctor will he go to?
Symptoms and varicose veinsThe leading signs of this disease are many extensions of the vein under the skin, which is why the disease is called. The beginning of the disease is often accompanied by some nonspecific characteristics.
In this state, the patient feels severe levels in the legs, fatigue quickly during the movement, sometimes burns and cramps. In addition to pain, this disease is manifested by edema development at the end of the afternoon, after a hard working day.
With a long varicose veins, symptoms such as eczema and itching appear. The patient scratches his legs, creating uncomfortable feelings. Due to the development of the disease, the skin above the veins becomes thinner, the itching places are constantly brushing, leading to the appearance of the wound.
Over time, the skin color in the lower leg becomes slightly green. If medical care is not provided in such a situation, the development of skin pigmentation and lemodermasosis is possible. In even more advanced stages, Trophic ulcers developed.
DiagnosisThe expanded venous veins can be visible and not equipped with an armed view, however, how dangerous this situation must be by tool diagnosis methods.
Hiện tại, phương pháp nhiều thông tin nhất là phương pháp siêu âm của việc quét song công các tĩnh mạch. With its help, it is assessed by the activity of the valves, the ability to cross and the presence of blood clots. Nghiên cứu kịp thời các tĩnh mạch sẽ tránh được những hậu quả nghiêm trọng và không thể đảo ngược.
Treatment methodLàm thế nào để điều trị các tĩnh mạch giãn tĩnh mạch? Chữa bệnh hoàn toàn tĩnh mạch là chỉ có thể với sự trợ giúp của can thiệp phẫu thuật. People who tend to be inherited or risky risk factors visit a expert doctor 2-3 times a year, to check the ultrasound of veins, operating from varicose veins prescribed in the second phase of the development of the disease.
Hoạt động có giá bao nhiêu? Giá có thể được cam kết khác nhau, tất cả phụ thuộc vào mức độ nghiêm trọng của sự phát triển của bệnh.
Điều trị phẫu thuật
Flebectomy
Indications for eliminating veins: varicose veins, expanding the pathology of subcutaneous veins, trophic ulcers, acute thrombosis, expansion of deep veins accompanied by instability (fatigue, dizziness).
Chống chỉ định cho bệnh: bệnh tim mạch vành, mang thai, tuổi già, bệnh truyền nhiễm nghiêm trọng, quá trình viêm.
The advantage of surgical treatment is that this is the only effective treatment in progressive diseases.
Nhược điểm của điều trị này: chấn thương, gây mê, thời gian sau phẫu thuật dài.
Laser therapy (EVVK)Indications: Varicose veins in the foot combined with various severe illness (ischemia, thrombosis, asthma, bronchitis, pleura, ulcer, cholecystitis, pleura, peritonitis, dermatitis, and boiling).
Laser treatment is contraindicated in the case of being recorded: cancer, liver disease, kidney, heart (stages of loss), pregnancy and cerebral bandage.
The advantage of such treatment is to eliminate blood vessel model, maximum fast process, painless and safe, no requirements to observe standing still and unstable.
Disadvantages: Not available, expensive, the appearance of scars or clarifying the surrounding cloth is possible.
Radio frequency coagulation of varicose veinsIndications: Varicose veins with damage to the body of a small and large skin vein, trophic ulcer.
Contraindications: The acute form of thrombosis, mental disorders, pregnancy.
Advantages: No pain, hospitalization is not necessary after surgery, not interfering in the work.
Disadvantages: Expensive procedure.
Sclerotic therapyIndications: Varicose veins in the early stages.
Contraindications: pregnancy, lactation, allergic reactions to sclerosis, pus of legs, thrombosis.
The advantage of this treatment is that such financial treatment is cheaper than surgery, quick recovery, the best cosmetic effect.
Disadvantages: Perhaps, going into the deep veins of hardening, not effective enough with progressive diseases.
Drug treatmentDrug treatment helps improve blood vessels, valve condition, enhance blood and lymphatic, and also eliminate inflammation, but do not heal patients.
How to treat?All necessary products from varicose veins are divided into:
Phlebotonics;
Painkillers are not without;
hormonal drugs;
Antitromboid;
The drug is based on aspirin.
Home treatmentTraditional medicine provides the use of different types of ointment, lotion, alcohol, feet or decoction.
Treatment of varicose veins. However, such a disease cannot be cured by folk recipes, however, to reduce the symptoms quite practically, especially in the initial development stage. For this, apple cider vinegar is used to wrap, wipe, manage the mouth or compress.
How to avoid disease?A sedentary lifestyle, standing, pregnancy is a larger load, as a result as a disease like varicose veins.
Inflammation in women is a problem similar to cellulite, so special creams, lotions, compressive socks 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 slower development.
Can I play sports?Telecommunications and running are two factors always walking nearby. The most effective prevention in expanding the veins of any stage is continuous physical effort: running, gymnastics, different strength exercises on the legs, bicycles, etc. v.
There are some simple exercises to improve blood flow and prevent veins from dilating:
The rotation of the foot clockwise 20 times in each direction.
Working with your fingers. Expand and stuff fingers 20 times.
The star above socks, then high heels, and after rolling from heels to socks and returning 20-30 times.
