Varicose disease of the lower extremities occurs for several reasons, which can be attributed to 3 groups: impaired blood clotting, damage the vessel wall, stasis changes in the surrounding tissues. The etiological factors affect the treatment, but medication can not narrow the widened part of Vienna.
Increased blood clotting conditions are the formation of blood clots. Hormonal changes lead to abnormal heart rhythm, decreased tonus of the venous wall, long-term changes.
Damage to the venous wall may be traumatic, physical, chemical, bacterial. In autoimmune disease is a thinning of the venous wall because of the destruction of antibodies. A little exertion should be emphasised to prevent the collection of blood.
Increased pressure in the vessel may be due to the compressive pressure of the surrounding tissues. Varicose veins this combination is complex. Probably the formation of venous ulcers.
Predisposing factors of varicose veins of the lower limbs:
Varicose veins on the legs is polietiologic disease. Patients, typically there are several causes that lead to the development of the disease.
Signs of varicose veins is specific for the diagnosis. Distinguish 2 forms of the disease depending on the characteristics of etiological factors, primary secondary.
The primary form is associated with the weakness of the venous wall, due to the influence of congenital or acquired factors. Secondary disease develops under the influence of other causes.
Causes of varicose veins in the legs:
Primary varicose veins associated with weakness of the venous wall, the development of obesity, proliferation of connective tissue fibers. Secondary pathology has been formed, due to the violation of the venous outflow, trauma and tumors. The extent to which the increased stretching of the venous wall is unpredictable. Pathology, increased thromboembolic risk, which can end in death. Usually, blood clotting is localized in the legs, but there are cases of pulmonary embolism the venous system of the arm or abdomen.
Secondary complication of the disease – ulcers. Even a small scratch in violation of trophism can promote the formation of ulcers on the legs. With the pathology is difficult to deal with, when referring to the doctor. The treatment lasts for decades, so it's time to go to the doctor.
Every day doctors have to deal with the bleeding. If the disease is started, the veins protruding above the surface of the skin. Pathology leading to thrombosis irreversible consequences. Continuously monitors the venous system. Prevent pathological changes should be connected thrombophlebitis with irreparable consequences.
The uniqueness of the extension of the vein wall pain syndrome occurs only in the early stages. Gradually, the receptors get used to the pain, so the wider Vienna, less intense pain.
Symptoms of varicose veins in the initial stage:
Through the venous valves, the blood must move in the opposite direction. Their insufficiency develops a "reverse flow", so to develop the stagnation. Accumulation of blood in a particular place creates conditions for the formation of blood clots. A similar picture is observed in violation of the technique of surgery for varicose veins. The site of injection is formed inflammation, which offers the possibility of blood clot formation, increasing the adhesive properties of the vascular wall.
The classification of thrombosis according to the current:
Acute thrombophlebitis is developing rapidly. The place of localization of the clot pain, redness, dilation of the vein.
Chronic and is characterized by severe signs. Pain in the pathology of a temporary nature. The patient suffers from pain after exercise. Swelling to remove the elastic compression. Patients are advised to wear a special bandage.
Drug treatment of varicose veins of the lower limbs does not allow you to completely get rid of the disease. Violation of the permeability of the walls of blood vessels, congestive changes is a new blood clotting, which should be treated immediately to prevent pulmonary embolism and death. For these purposes, the use of anticoagulants in the form of oral tablets, local cream. Relieves inflammation, anti-inflammatory ointments is recommended.
In addition, medicine is a popular treatment, physiotherapy (magnetic, the song "bicycle", physiotherapy). Getting rid of a rash you recommend a decoction of oak bark, chamomile, st. john's wort.
The above mentioned techniques are currently used less frequently, because there is more and more popular surgery.
Sclerotherapy intravenous injection of the adhesive, which is in the early stages of the disease several sessions to remove varicose veins. The procedure requires that the introduced into the site of special substances that contribute to the destruction of the lumen of the vein.
Segmental procedure, short of Stripping – in which the ends of the veins are stuck to the tape. Removal of the affected venous nodes is performed using endoscopic equipment. Phlebectomy allows to remove the thrombus through small incisions.
Coagulation of the affected vein laser is a modern procedure, which allows to produce excision of the tissue with a knife.
The indications for surgical phlebectomy:
It is impossible to perform the operation during pregnancy, serious infections, coronary disease, inflammation of the lower limbs, pyoderma, eczema. The only way to treat disease varicose veins deep vein thrombosis the repair operation of the valve device – a surgical procedure.
Laser therapy is indicated for patients with diseases of the cardiovascular system, the urogenital system, increases blood pressure, when surgical intervention is contraindicated.
Get rid of the unpleasant blood vessels pattern, the certificate may be performed by radiofrequency coagulation. The advantages of the procedure is painless, no cosmetic defect of the skin, impairment of earnings capacity.
Demonstration of sclerotherapy disease pathology in duplex Doppler ultrasound, varicose veins in the early stages. Drawback of the procedure – to get a sclerosant into deep veins, which reduces the effectiveness of treatment in advanced cases.
Treatment of chronic varicose veins should use elastic compression. For these purposes, the developed programmes:
Complex conservative treatment includes nsaids, local, anti.
Misuse of certain treatments to protect the standardized system, the treatment of varicose veins has been described drugs. To determine the multiplicity, the dose can only a doctor.
Even the magnetic varicose veins of the lower extremities is applied strictly according to indications. After the procedure you should assess the nature of local changes.
