Varicose veins - scourge of modern humanity.But often the treatment of varicose veins, the program of which is selected individually, ends successfully.Sometimes the case only costs therapy and medication, but sometimes only an operation saves the situation.How can they get rid of unpleasant and serious illness?
Varicose veins - basic information
Varicose veins - a pathological state that is characterized by damage to the venous vessels.
The veins have special valves that play the role of special shutters and prevent blood from leaking down (the venous blood flows into the legs in the direction of the top).
A failure of the operation of the valve system leads to reflux blood and stagnating phenomena. Due to such processes, the veins weaken, stretch and deformed and cannot cope with the growing blood pressure.
The result of this is a well -known symptom - convex veins on the skin surface, which indicates the dynamic development of pathology.
The entire insidence of the disease is that it manifests itself in the legs in the early stages.
Therefore, many are in no hurry to visit the doctor, and the alarm begins to sound when the blue is visible on the skin and the appearance of the legs spoils.
You can learn more about the symptoms of varicose veins here at an early stage.
The reasons for the development of this pathology are the most diverse. They can include congenital pathologies of the vascular system as well as some provocative factors: sedentary lifestyle, obesity, unpleasant shoes, professional activities in connection with a long stay on the legs.
The treatment of the disease is always carried out comprehensively. The necessary scheme is selected by a specialist based on the development phase of the disease and the individual characteristics of the body.
Which doctor treats veins?
Varicose veins are not only expanded veins, but also serious valve disorders and a circulatory failure, which leads to serious complications in the entire body.And if the first symptoms appeared floating from the veins, it is worth making an appointment with a phlebologist.
Due to the severity of the case, the causes of the disease and the state of health, the doctor will select the most suitable therapeutic course of the options available today.
Threatening symptoms
The main reasons that lead to the occurrence of varicose veins are: inheritance, overweight, a sitting 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 diagnosis of the disease works in a phlebologist, it must be contacted. When such symptoms occur:
- The heaviness in the legs that gets stronger at the end of the day.
- Fast tiredness of the legs while walking for longer.
- Pain in the legs.
- The appearance of a fine vascular network on the legs.
- Swelling of the legs.
- Cramps, the intensity of which increases at night.
- Itching the skin of the lower extremities.
Gradually developed Atrophy of muscle fibers of surface veins, Extend blood vessels, expand, become wrapped, nodes appear on the skin surface.The skin over the extended vein becomes Zyanisous red, dry and hot, wounds appear due to a violation of the tissue nutrition.
Due to dystrophic changes in the subcutaneous fat, liper matosclerosis is difficult to develop-a dangerous complication of the expansion of veins on the legs whose treatment with conservative methods cannot be successful.
To avoid the serious consequences of varicose veins, phlebologists advise their patients Start the treatment in good timeWhen the first signs of the disease occur.
Treatment methods
High effectiveness is characterized by sclerosis, which consists in introducing a special sclerosant substance into the vessels with a syringe with a best needle.Venous gaps are delayed, the margins of the tears are soldered, which stops the blood outside the vessels.The substance that has fulfilled its function is absorbed.
This method eliminates all defects and provides an excellent cosmetic result.After the procedure, however, it is necessary to maintain the venous state with additional therapy and to wear compression clothing.
Almost 10 years ago, they began to use a laser or in end of the end in medicine to combat varicose veins.The veins are treated as follows:
- Using local anesthesia, a small puncture is made in Vienna.
- A lamp is inserted into the resulting hole.
- The laser affects damaged areas and presses damage.
- After a new fabric appears in a sealed place.
The operation is not "blind" - the process is observed by the ultrasound apparatus, so that there is practically no risk of failure.In addition, the absence of significant cuts, the formation of bleeding, violates the formation of neighboring tissue.
After the procedure, it is worth bandaging areas that were subjected to operations, or compression stockings and tights.
Often use the methodology of radio frequency dilation, and high frequency current treats varicose veins successfully.This happens as follows:
- Vienna is pierced.
- A catheter is inserted into the hole.
- Due to the radiation, the radiation enters the ship.
- The ladder acts on a molecular level and changes the protein molecules of the damaged vein.
With the method you can treat all venous nodes quickly, and special postoperative therapy is not required.
Possibilities for treating varicose veins
There are two of them: conservative and surgical.The patient faces the current question: How to treat varicose veins on the legs and do without the operation.When choosing a method, the doctor takes into account the signs, the stage of the disease, the presence of complications, accompanying diseases and the age of the patient.Non -operative methods for the elimination of varicose veins of the lower extremities only deliver if the symptoms of pathology are still weak.
To suspend the deterioration of the vessels affected, they help:
- Medicine therapy;
- Compression treatment;
- Physiotherapy sports lessons;
- Physiotherapy;
- Massage;
- Recipes for traditional medicine;
- Diet.
Flabologists try to choose non-drug treatment for patients during pregnancy for varicose veins of the veins of the lower extremities.First of all, these are compression lines, gymnastics exercises, physiotherapy, massage, diet.If medication is still required, only medication is prescribed for external use.
Disputes do not stop whether hirudotherapy helps with varicose veins.Girudin, which is generated by leeches and penetrates into the venous system of the lower extremities, liquefy the blood.Today, however, there are many modern medication with the same property.There are also risk factors for leeches - vascular infection, allergic reactions.
If necessary, the treatment of varicose veins is carried out using radical methods.The:
- Sclerotherapy;
- Ozone therapy;
- Cryotherapy;
- Electrical clearing;
- Lasecoagulation;
- Surgical intervention.
Sclerotherapy is an injection in a sick vein of the drug that "sticks" an extended ship.He stops pumping blood and gradually dissolves.The maximum effectiveness of sclerotherapy is achieved in an early stage of pathology.A similar method is ozone therapy: part of this gas is inserted into the lumen of small veins, and the vessels are also "glued".
Cold is used in the course of cryotherapy.In electrocoagulation through a very thin electrode, the vessel is supplied with a high frequency current.Treating varicose veins with a laser is also an effective modern method, especially 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 removal is the most effective treatment that enables you to radically get rid of the extension of the seizure if the drug therapy does not lead to the desired result.Sick vessels are removed by local subcutaneous cuts.After the surgical procedure, the leg is hardly bound, and after three to four hours the patient can run.
Principles of drug treatment of varicose veins
Effective treatment of varicose veins is only possible if the selected medicines prevent the mechanisms of developing pathology, the destruction of bloody walls and flaps.
The main tasks of drug treatment of varicose veins are:
- Restoration of blood circulation;
- Strengthening the venous walls;
- Increase the sound of blood vessels;
- Acceptance of blood viscosity;
- Prevention of thrombosis;
- Normalization of the valve system;
- Elimination of inflammatory processes;
- Normalization of blood circulation in capillaries.
Medicines are indispensable for the complex treatment of the disease.
They are also widespread for preventive purposes, which is particularly important for people who are exposed to the development of a pathology.
Nowadays, medication for the treatment of varicose veins on the legs are a large amount and all differ in the composition and mechanism of exposure.
For an appointment with a doctor
Varicose veins - a serious illnessWhat can threaten various complications with improper treatment or his absence that are dangerous for human health and life.
reference.Thromboembolism of vital vessels, thrombophlebitis, trophic ulcers - this is far from a complete list of complications of varicose veins that are a threat to humans.
In this regard, you should not even attempts to self -mediate.
House attempts with the selection of medicines can either make the situation worse or be inappropriate.
In any case, it is lost time, health and funds.
Therefore, you should contact a phlebologist.Only one specialist can select the medication correctly and build a treatment scheme in order to achieve maximum advantages to the patient.
Which medication are used
The complex treatment of varicose veins is to use several drug groups at the same time:
- Phlebotonics.
- Anticoagulants.
- Anti -inflammatory.
- Fibrinolytics.
To improve the therapeutic effect, also use it Systems of the system and the local influence.
Creams, gels, ointments are used as local effects.When choosing drugs for varicose veins and thrombophlebitis, it should be taken into account The tool in the form of ointments is characterized by the highest content of the active component.
Important! A frequent contraindication for all local agents is a violation of the integrity of the skin.
As a rule, such drugs are used several times a day, and the medication should be rubbed with light movements in the direction of the top.
Groups of drugs and their effect
In venous varicose veins, medical substances are classified according to the type of effect on the task Three main groups:
- Venotonic or phlebotrope;
- huerrodic medication (anticoagulants) and medicines that inhibit blood plates (anti -plattelettes);
- Anti -inflammatory medication.
Studies and medical practice have demonstrated the effectiveness of phlebotonics, which was developed on the basis of natural flavonoids - Diosmine and Hesperid.These substances not only protect the veins, but stimulate the drainage of lymphs and stabilize the work of capillaries.The simultaneous intake of combined medicines, in which both flavonoids are available, is particularly effective.
Mostly phlebetropic agents Accept 2 to 3 months in courses.It is important that the reception coincides with the hot season if the load of the ships increases due to the high air temperature and the use of large amounts of water.When varicose veins are accompanied with chronic venous deficiency, the phlebotonics are constantly taken in half a dose.
Patient with a diagnosis of varicose veins Systematic treatment should receive from the startPreventing the development of the disease and reducing the likelihood of complications.
The second problem is solved by medicines that dilute blood (anticoagulants) and improve its fluid properties, which prevents the formation of thrombotic clot (anti -platelet).
The formation of blood clots, their separation from the vessel wall and movement along the venous channel leads to the overlap of the vessels of the heart, the lungs and the brain of a person.As a result, the likelihood of developing a heart attack, pulmonary embolism and ischemic stroke is very high.
Antiplans are not a drug for varicose veins, but are used as a means of preventing its serious complications - Thrombosis and thrombophlebitis.We can say that these drugs save the patient and minimize the risk of disability.
Operation
The removal of damaged veins of the lower extremities or their parts is carried out by incisions or breakdowns.The removal of sick vessels in the clinic is necessary if:
- Veins on the legs are pathologically enlarged;
- The skin is affected;
- Trophic ulcers appeared;
- Thrombophlebitis worsened.
The surgical treatment of varicose veins of the legs is contraindicated:
- In the case of severe hypertension, coronary diseases, infectious diseases, eczema;
- If the patient has already reached an advanced age;
- during pregnancy (over 5 months).
Additional therapy
In addition to drug and surgical treatment, additional therapy is of considerable importance, including a series of measures to bring veins into a normal condition:
- The packaging has a relaxing effect and eliminates the feeling of heaviness in the legs.If you acquire the necessary funds, you should remember that hot wraps for varicose veins are contraindicated.
- Foot baths are another way to remove the load from the legs.With therapeutic herbs and oils you can strengthen the vessels, get rid of swelling and redness.However, the effect will only be used daily use of the method.
- Contrast shower.Pour on the cold for 10 seconds and warm for 30 seconds (hot water can be avoided) for 5-7 minutes Every morning it helps to keep the veins in good condition.You can use the Alekseev or Charcot shower for these purposes.
Phlebologists in complex treatment often include physiotherapy - laser, magnetotherapy, electrophoresis.
They do not cause complaints and pain, inexpensive and very effective.In addition, treatment is under the supervision of medical workers.The main condition is a regular visit to the office.
The physiotherapeutic effect influences the condition of the venous walls, muscle tissue and flaps fertile.
Compression therapy is an important component not only treatment, but also prevention and postoperative period.The use of bandages avoids stagnating processes, supported damaged ships and suspend the progression of the disease.
The impression of bandages requires certain knowledge and skill, since excessive tugs can lead to a deterioration in the disease and weak combination does not result in the correct effect.It is therefore worthwhile for the correct use of bandages to receive a doctor's advice.
The massage with varicose veins is not permitted in all cases, so only a doctor can say whether it should be used in a certain case or not.If the method is selected correctly, you can feel the result after the first session.This method can lead to an improvement in blood microcirculation and relieve the main signs of the disease, including external.
The more neglected the disease, the more difficult it is to deal with it, and sometimes the patients become too late, and then only one way is a phlebectomy.To prevent this, you should not wait for complications, but receive promptly qualified support.
Conservative method
Flobologology costs in the treatment of varicose veins search without traumatic operations that are not required in the early stages of the disease.For example, this is characteristic of the reticular expansion of veins, the manifestation of which is only limited by blue venous networks.Preparations help to improve the condition of the flaps and walls of blood vessels.Men and women should wear compression knitting clothes.The pathology cannot be completely healed.However, conservative methods expose the development of varicose veins and protect against complications.
gymnastics
How to remove the veins on the legs and carry out exercises with physiotherapy exercises, LFK experts.This is possible, provided that the shop that improves blood flow in the legs is systematically carried out.For example:
- In a standing position, the legs with the legs are vigorously raised energetically.
- In the same position, standing slowly climbs to the socks and falls just as slowly.
- Sitting on a chair and the feet roll a small ball back and forth on the floor.
Wear special underwear
Doctors recommend combining the drug treatment of varicose veins with compression lines.These are products from a special type of knitting goods that exert pressure (compression) on the veins.The pressure degree of linen on the walls of the vessels can be set by buying products with different degrees of compression.
There is a total of four degrees compression: the first is used for prevention, the rest is used for treatment.Varicose veins of the lower extremities are worn out tights, stockings, golf and leggings, the doctor selects the desired degree of compression.
Compression underwear creates a thick press frame on the legs. Thanks to this, such effects develop:
- Weakened leg muscles are supported.
- The walls of blood vessels are compressed, which prevents their stretch.
- The lymph flow and blood circulation are stimulated.
- Content phenomena are eliminated.
- The work of venous valves is normalized.
- The exposure to the extended veins is reduced.
- The development of thrombophlebitis is prevented.
Mandatory wearing compression knitwear after surgery for varicose veins.Lingerie helps prevent the disease from relapse and creates additional support for the body in rehabilitation period.
Compression sclerotherapy
Compression sclerotherapy is a modern technology for the treatment of varicose veins, which consists in the injection of drugs in affected veins.As a result, sclerosis (gluing) of the venous walls occurs, the blood flow at the location of the drug's administration stops, and the vein dissolves or gradually leaves a barely noticeable burden that absolutely does not interfere.
In most cases, sclerotherapy is carried out with the occurrence of vascular windows when the veins of the fragrance are located in the early stages.With the progressive development of varicose veins, the treatment with sclerotherapy is carried out after the condition of the venous flaps and walls of blood vessels, the functional features of the patient's circulatory system, have been analyzed.
If a decision to carry out compression sclerotherapy has been made, the patient carries out a blood test for coagulation, under an ultrasound examination of the veins.When performing sclerotherapy, the patient has no pain because the medication with the best needle is administered in a vein.After the procedure has been completed, a sterile association is applied to the administration area of the drug and the patient exposes compression underwear.In the first week after sclerotherapy, the compression knitting paths have to be worn around the clock, then it can remove it overnight.
Positive results of sclerotherapy:
- Restoration of the effective blood flow.
- The exclusion of blood clots in the damaged vein.
- Prevention of trophic disorders in the tissues.
- Elimination of clinical symptoms of varicose veins: edema, seizures, pain.
- An excellent cosmetic effect because the swollen veins completely disappear.
diet
It is important to properly organize nutrition for the more effective treatment of varicose veins of the legs.Berries, apples, citrus fruits that contain flavonoids, antioxidants and routine help to improve the condition of the blood vessels.The blood liquid offers the daily absorption of a sufficient amount of fluid (1.5-2 l).The diet for varicose veins on the legs is not compatible with fat, fried dishes, acute spices and alcohol.
Folk remedy
Treating varicose veins with folk remedies at home in summer is particularly effective.Such recipes are popular:
- 15-20-minute legs compressed with tomato paste.It has a high lycopical content that actively strengthens the vessels and prevents the formation of blood clots.At the same time there are fresh tomatoes every day.
- Infusion by Donnik, Gras, indispensable for varicose veins: art.l.Raw materials are brewed with two glines of boiling water that are cooled and kept filtered.You drink half a glass three times a day, the rest is used as lotions.
What can not be done
When diagnosing varicose veins, it must be taken into account with a lifestyle, nutrition and sport. Not allowed:
- Active physical effort, running, jumping (yoga classes are allowed);
- Last long or sitting for a longer position;
- the use of all medicines without consulting a phlebologist;
- Long flights with a forced motionless position of the legs.In addition, there is a sharp blood thickening at large heights that leads to the formation of blood clots;
- Accept hot baths, visit the sauna;
- Bannous and honey massage are strictly prohibited, only a manual type of medical massage is permitted.
Possible complications
Trophic ulcers - The form of complication for varicose veins, which manifests itself in the development and deepening of long pain.Typically, a separate painful ulcer occurs on the lower leg, the "crying" of which is often observed in the form of a serious bloody liquid that covers the affected tissue.
Urgent medical help
A doctor is required immediately if the following symptoms occur:
- Strengthening the pain in the affected member, the inability to get out of bed or take a few steps;
- The skin on the leg is hot, edematous and close to the touch.
- The skin color changes from pale to cyanotic or bluish red;
- Sudden shortness of breath, lack of air, sweating and sharp weakness;
- Bleeding from a area of affected skin or seizure nodes.
The necessary medication for varicose veins of the lower extremities must be present in complex treatment. Even after the operation, several courses are required to take phlebotonic and anti -agricultural ingredients To prevent possible trophic disorders, inflammation and complications against the background of the disease.
Many multi -component preparations against varicose veins are combined, have several functions.The effectiveness of such drugs is more pronounced. It is optimal to use treatment with courses in the correct dosage calculated by a phlebologist, combined with compression therapy, yoga, swimming in the pool, herbal medicine.
Diploma
The complex treatment of varicose veins of the lower extremities includes the use of various therapeutic techniques.
In addition to drug treatment, physiotherapeutic methods, special exercises, massages, etc. are prescribed.