Varicose veins, the symptoms of which are found in each of the four people on the planet is not only cosmetic defect, manifesting in the form of blue, the tree mesh in the shins, thighs, or tyle stop, heaviness in the legs, pain of static charges or a long walk, convulsive twitching muscular legs, but and high risk of thrombosis in the system of the inferior vena cava.
Thrombotic complications lead to trophic ulcers in the feet, sharp disorders of the blood flow with blue members, and the risk of mortification. Man from the vascular wall, blood clots to the legs, many times, they begin the trip, which ends in the heart (leading to heart attack) or of the vessels of the brain (becoming the cause of the stroke). This fact, and did not spoil the appearance of a time on your feet, requires the maximum of attention early in the treatment (and best prevention) varicose veins.
As well as the disease, appearing, is not static, but progressing gradually, capturing all the new cuts the outside or inside of the venous network of the foot, then analyze the treatment should start with the description of the prevention. It is reasonable to preventive activity allow, at least, slow the process that developed in the middle of the hereditary of insolvency, the valve unit of the veins of the lower limbs.
Prevention varicose veins
The veins of the lower limbs are very weak wall, almost without muscular elements, which could push the blood through the reduction. Thus, in veins there are valves that prevent backflow of the blood stream, and its stagnation in the veins. A part of the people, these valves inherently ground or become with age:
- when the physical effort heavy
- increases intra-abdominal pressure
- constipation
- frequent pregnancies.
First, the process affects outside of vienna. Then, they are surprised with the collector of vienna, and deep venous network. Varicose veins are the veins of the limbs develops over several (sometimes dozens of years, and its speed varies depending on the style of life, the intensity of the physical exercise and force the walls of the vessels.
- Therefore, the first task of the prevention – to minimize the increase in intra-abdominal pressure (to combat constipation, to avoid too much overhead).
- The second challenge is to create the conditions for the passive output of venous blood from the legs. To do this, necessarily, at the end of the day, or several times a day. To this end, the feet are stacked from the foot to the hip on a surface at an angle of 45 degrees with the horizontal. To stay in such a position should be not less than half an hour. People, for which the varicose veins in the legs – a doctor in fact, it is recommended to sleep with the feet raised as often as you can.
- It is recommended varicose veins does not use the narrow shoes, socks with tight by a rubber band – that is, not creating more obstacles to the circulation of blood in the legs.
- Thus, the same should not sit on the foot on the leg, prolonged sitting position, place the feet on the support and give them a horizontal (or slightly above). This position, sometimes as you can see in gangster movies about the coolest of the mafia, that sitting in a chair, fill the feet on the table.
- Of course, in the office, if You are not a business owner has to think of anything but a flame. You can, for example, put under heating of the cardboard box and put feet on it or use for this purpose of larger plastic basket of papers with a top cover. For any questions way to sit behind a desk, you should answer honestly, in order to avoid the ridiculous and not to be considered an eccentric. It should be remembered that none of the staff will not have active participation in their treatment. Should, therefore, be adequately perceive the opinions of others, and is not to neglect the prevention of the disease.
- If you're at home, try to take the horizontal position, and having, with the help of the various pads for the feet above the head. It is necessary, that would improve the conditions for venous thrombosis churn.
Conservative treatment
In the program non-surgical treatment included diet, compression and drug therapy.
The diet
Diet are required, as well as the excess weight is one of the risk factors for developing varicose veins. The power must be compensated (the consumption of energy should not exceed energy needs, correlated with the nature of the load or its lack). In addition, from the menu you must eliminate sharp spices, pepper, pickles, excess salt, smoked, reduce the use of roasted. The alcohol is also recommended not to consume.
In the menu, there should be a sufficient amount of fruits and vegetables rich in vitamin c, dishes, fiber-rich, whole-grain bread, fruits of the sea. Shows frequent (at least 4 times per day) small meals. As for the fashion a few years ago the trend to limit herself in any animal fats, about this, it is worth to forget. Of course, the exorbitant numbers of triglycerides and cholesterol is not the case. But in reasonable quantities cholesterol helps to mend the vascular wall, reducing the risk of secondary thrombotic complications and sudden ruptures of the veins.
The rejection of smoking
Smoking is most damaging habit when varicose veins. If you choose between the use of a moderate amount of alcoholic beverages and tobacco, the first may still be with the sin in half tolerate. Here is the second – will, which is expressly excluded. Not only resin clog the blood vessels, increasing the risk of blood clots, and secondary complications (heart attacks, stroke, arterial thromboembolism). Particularly worth to be careful for those who have varicose veins (or predisposed to it) takes hormonal medication, and still manages to smoke.
Mesh compression (stockings, tights)
It is a good option for the prevention and treatment of early stages of varicose veins, as well as have different settings of pressure on the soft tissue, the options of designs and colors. Put the clothes you have in the morning, without getting out of bed, to the venous, the system is not yet full of blood. For this method there is a but – exorbitant prices in the territory of the RUSSIAN federation, restricting the acquisition of meshes against varicose veins, sweeping the masses. As a general rule, use a clothes start whom he can still help in the phase before the illness and the person with severe forms of varicose veins, often complicated in some cases, already showing the treatment and compression of mesh as secondary prevention.
Varicose veins: treatment drug
Drugs are not a panacea. To stop or cure varicose veins.
Ointments and gels
These tools, it is possible to protect the walls of the veins, stimulate the venous output, and several improve the microcirculation. These tools, able to reduce the severity of the pain and swelling, since the course ware for the reception. Shows courses twice a year for the duration of at least 2 months.
The most useless (but safe), you can read the ointment or gel. They do not penetrate on the skin of the integument and any foot action in the vessels get not can. They recommend the early stages of the disease, when it is not known why, in fact, may pass through the swelling and heaviness in the legs: of a medicine or a simple postural drainage and the end of the physical activity.
This therapy involves the introduction of drugs or elastic bandages. To your ease, the preservation of the aesthetics of the type of members, the lack of effects of general well-being of the patient attracted to this methodology, physicians and patients.
But isolated sclerotherapy does not bring persistent results, and not be able to stop the progression of the disease. In most cases, still need to combine with operative treatment. Prior to therapy must be carried out an ultrasound scan of the lower limbs, preventing the great defeat hypodermic or deep veins of the legs.
The contraindications for this technique to become if you: are allergic to medicines, atherosclerosis of the great vessels, with the presence of ischemia, diabetic angiopathy, endarterite, the defeat of the system of blood coagulation, acute or recent thrombophlebitis legs, pregnancy.
Therapeutic options
- Before the operation - the hardening of the veins can be used before surgery, with the goal of reducing the risks of bleeding and thrombosis in post-operative period
- during the operation, replacing the removal of the vein
- after the operation to close the remainder of the veins.
The method holes
If it does not apply to the operating system, is performed in a doctor's office, in accordance with the rules of asepsis. First, close more than a large vein, and then the small ones. When you do this, medications are usually introduced from the top down. Vienna stuck stopped, the patient, before the introduction of the medicine it put. In the field of interests goes a long vessel or vessels all around the circumference of the foot, is made of several sessions of therapy. After primary sclerosing procedures, the patient must be accompanied by a phlebologist over three years since the last injection.
- After the introduction of the medicine pass through the elastic bandages of the members, that are repeated over 2 weeks. If in the first week of bandage does not take off.
- Within half an hour after the procedure, the patient must walk.
- Daily patient needs to sleep with a high foot end, and during the day, avoid long periods of sitting or standing and walking a lot.
Varicose veins: the operation
Decision about the possibility of an intervention accepts doctor or vascular surgeon.
Many times women with superficial lesions of the veins, and dared the prompt intervention solely because of a defect in the cosmetic, offer to postpone the surgery, if you plan to subsequent procreation (as well as during pregnancy varicose veins are, generally, progresses, and the result achieved may disappear and require re-treatment surgical).
Combined phlebectomy
The most common option to resolve the issue with the varicose veins of the lower limbs is combined phlebectomy. The operation go under general anesthesia or with epidural anesthesia. All of the cuts and perforations try to do it like you can the smaller sizes. For example, for the removal of a large fabric of vienna runs an incision in the groin area. Through him, in vienna, is introduced to a probe tip. The following, the probe is extracted and is removed vienna from the middle part of the shin to the groin. Through small ducts remove ducts and under vienna. After an operation that uses compression (elastic bandage or half leg).
Electrocoagulation
It involves the removal of the vein through the exposure of current. The method is more dangerous than the obliteration or classic surgery.
Cryosurgery
Cryosurgery allows for the exclusion of vienna through low temperatures. When the modern hardware, the method is safe. It is not always possible to count with the depth of freezing, without damaging the surrounding tissues, or not leaving "surpluses".
Home treatment of varicose veins
Varicose veins can be treated at home, although the system of medicines (prescribed by a doctor), in spite of ointments and gels, although the infestation of leeches (treatment varicose veins infestation of leeches), and cabbage leaf, apple cider vinegar. Also for the home part of a program appropriate mesh compression and elastic bandages (ideal and recommended by your doctor). To execution stages of the disease all these efforts are futile without a radical change, an immediate treatment.
Therefore, today it is fundamental to the method of eliminating varicose veins can recognize only the surgical techniques, often combined with therapy or compression techniques.