Risk factors for the development of varicose veins
- Inheritance.
- Pregnancy is traditionally considered one of the main risk factors for the development of varicose veins, the most frequent damage (3-4 times) to women.
- Obesity is a proven risk factor for varicose veins.At the same time, an increase in the body weight index at 27 kg/m2 and higher leads to an increase in the frequency of the disease by 33%.
- The lifestyle has a significant impact on the development and course of varicose veins.In particular, the adverse effect of prolonged static loads with lifting weights or a motionless stay standing and sitting has been tested
- In the course of varicose veins, nearby underwear, several corsets that increase intra -abdominal pressure have adverse effects.
- The high frequency of varicose veins in industrialized countries is due, to some extent, due to nutritional characteristics.A high degree of food processing and reduction in the diet of raw vegetables and fruits led to a constant deficiency of the plant fibers necessary for the remodeling of the venous wall and chronic constipation, which cause a permanent increase in intra -abdominal pressure.
- The costume conditions are involved in the pathogenesis of the varicose veins.Its role in recent years has increased progressively, which is due to the wide use of hormonal contraception stockings, the popularization of hormonal replacement therapy during the appearance of menopause and the treatment of osteoporosis.It is demonstrated that estrogens and progesterone, as well as their derivatives, reduce venous wall tone due to gradual destruction of collagen and elastic fibers.
Clinical image of varicose veins
Varicose veins-This is a disease that is not indifferent to beautiful sex.A varicose veins of the female veins are sick on average three times more often than men.
Signs of varicose veins- Knotted extensions of subcutaneous veins, pain, heaviness in the legs, swelling of the foot and the lower leg, fatigue in the legs at the end of the day.Varicose nodes are often prone to the formation of blood clots and infection.Flebitis can be developed - inflammation of blood vessels orthrombophlebitis- Inflammation of the glasses complicated by blood clots.In the course of the veins there are hard and very painful laces.The skin changes, loses its elasticity and color, becomes dense, dark brown.With easy lesions, ulcers occur.A young woman can become a disabled person at the age of 40.
One of the serious complications of varicose veins is thrombophlebitis, a process in which a thrombus is formed with the subsequent inflammation in the inner wall of the vein.This pathology is dangerous since the blood clot can arise with the blood flow to enter the pulmonary artery (Tel: the thromboembolism of the pulmonary artery) and lead to the death of a person.That is why varicose veins is a dangerous disease that should be treated.
Symptoms of varicose veins (these are the symptoms should make it cautious):
1. Pain.
The causes of pain in the varicose veins are very, very numerous.A variety of pain in varicose veins is also very rich:
- Hot pulsating pain,
- Night cramps and itching in the muscles,
- Pain when walking
- Pain along the venous trunks,
- General pain and lymar on the legs
2. Swelling on the legs.
3. A feeling of burst and severity in the legs.
4. Skin changes.At first, the skin dries, pigmentation appears: the skin of the legs darkens, covered with brown "spots".Later, several dermatitis, eczema and trophic disorders called in the form of poorly healing wounds to the formation of ulcers can join these symptoms.
5. A contoured and elongated varicose venom that stands out on the surface of the skin of the legs and feet, with cylindrical or mixed extensions.
6. Vascular stars (teelangioectasia).Yes, people with varicose veins are also included in the group of patients with the expansion of small veins, since the causes of their appearance are the same.
The early stages of the development of varicose veins are very difficult to detect and diagnosis, because in the early stages of the disease there is no main characteristic: varicose veins.And the first and first symptoms of varicose veins, such as the sensation of the severity of the legs, moderate pain in the legs, the increase in fatigue, also encounter the initial stages of arterial diseases, flat feet, lumbar osteochondrosis.In such difficult cases, it is impossible to make the correct diagnosis in itself: you will need a doctor's consultation or even several specialists: a pharmoton, a neurologist, a surgeon and a manual therapist.High precision instrumental diagnostic methods will also be required, such as ultrasound.
In phlebology, such symptoms are associated with the beginning of the pathological blood flow through deep veins.
Very often, women notice the first signs of varicose veins in spring, when you can change the closet, but it is not known where the venous "patterns" in the legs, legs and hips come from.The leg is deformed, turns blue and ugly.
The first symptoms of the varicose veins of the legs, along which you can suspect the beginning of the varicose veins, is an increase in the pattern of the vein in the skin of the legs.This defect, as already noted, is more frequently noticed by young women: in the legs or hips they notice crowns, which were not there before.
And often, such symptoms of an initial varicose disease precede the appearance of pain and other unpleasant sensations.Often, the first "findings" of veins are not accompanied by absolutely any unpleasant feeling.
Women are concerned about this vascular network only as a cosmetic defect.Such patients are often if specialists turn to, only to eliminate cosmetic discomfort.
If you have thin and pale skin, then the first symptoms of the initial varicose veins are especially clearly visible.These are thin veins that do not even stand out on the surface of the skin.The first symptoms of varicose veins may also seem like a network of thin blue vessels under the skin.
There may be no other complaints at the beginning of varicose veins.
The beginning of the development and progression of varicose veins is already manifested by varicose nodes that stand out on the surface of the skin, one or more.This is the main symptom of the initial varicose disease.
Varicose nodes can be detected more frequently on the internal surface of the legs or hips.With a long walk or prolonged position, a symptom of varicose veins such as fatigue, severity in the legs, a feeling of burst (often in calves) is manifested.These symptoms are especially manifested with a prolonged stay in a sitting or standing position.There is also painful or acute pain in varicose veins (dilated veins), seizures in calf muscles, especially at night and sometimes at night.The first signs of dysfunction in the veins are also manifested by the swelling of the legs until the end of the day.Edema usually occurs at night, especially after a long position.After the night, the swelling disappears completely.
These symptoms of varicose expansion initially pass rapidly, if it relaxes, especially if you lie.However, the disappearance or significant decrease in these symptoms when walking and after the night rest are very characteristic of the symptoms of varicose disease.
But the varicose veins, if they are seriously involved, does not retire, progresses.Over time, such symptoms of the varicose veins seem convincing of the intradermal veins of dark blue, which stand out on the surface of the skin of the legs and feet and similar to the groups of a very mature red grapes.All this is accompanied by pain in the legs and calves, a sensation of heat on the legs, night seizures in the calf muscles, swelling.Little by little, skin changes bind to these symptoms.At first, the skin dries, darkens, a pigment appears: brown spots.A little later, the so -called trophic disorders begin to join: poorly healing explosions and even ulcers.
The pain begins to bother more and more often, especially in the afternoon or in the afternoon.
Treatment of varicose veins
There are many approaches to the treatment of varicose veins, but today the most effective method in treatment is surgical surgery,Venectomy.Medication and compression therapy are used as auxiliary methods in surgical treatment, and as independent methods in the initial stages of varicose veins and the presence of contraindications for surgical treatment.
The treatment of varicose veins should be complex and individual, most often includes a combination of conservative and surgical treatment.
Types of surgical treatment of varicose veins:
- Classical phlebectomy
- Laser coagulation
- Combined method
For the treatment of varicose veins, modern medicine uses laser surgery (EVLC).This method implies intravascular laser coagulation.EVLC- An intravascular laser is an advanced method to treat varicose veins.Laser exposure is a procedure that takes an intermediate position between non -surgical and surgical methods to treat the disease.
DignityEVLC- This is a form of radical but low traumatic treatment.After these procedures, the patient can leave the clinic after a few hours, be in good physical condition.This treatment is carried out in operating conditions and using local anesthesia.
The most modern laser devices are currently used.At the same time, the patient's problem areas are exposed to a laser with the optimal wavelength (1470 Nm).The radial luminaire used provides a reliable closure of the vein.In this case, there are no side effects and surrounding tissues do not heat up.That is why after such operation the number of bruises is reduced, and the postoperative period passes easily and without pain.
The operation is not accompanied by cuts, leaves no pigmentation and scars.After 3 weeks after surgery, the patient's legs acquire a normal appearance without varicose nodes.Such treatment of varicose veins has been generalized in western countries.For large varicose veins, EVLC is used in combination with microflebectomy.This allows you to obtain a good aesthetic result.
Advantages of using EVLC:
- Quick recovery
- Little trauma
- High cosmetic effect
- Lack of marks on the skin of the remote varicose veins
- The treatment is carried out under local anesthesia (tumecent anesthesia)
- Lack of pain syndrome
- High therapeutic effect
Possible complications
Treatment with a laser technique practically has no complications.Rare complications include burns, the probability of venous thrombophlebitis and parstesthesia in the area operated.However, experienced phlegologists guarantee a qualitative result.
These operations do not violate the patient's lifestyle.After the intervention, it is necessary to use compression stockings to provide slight pressure on the veins.Special products are applied to the especially large varicose nodes area: cotton rollers or latex pads.After the laser procedure, the patient is recommended to walk daily.
The treatment of varicose veins with a laser guarantees the preservation of the ability to work and physical activity.