The risk factors of the formation of varicos
- Heredity.
- Traditionally, pregnancy is considered to be one of the main risk factors of the formation of varicose veins, more frequent (3-4 times) damage to women.
- Obesity is a proven risk factor for varicos.At the same time, the growth of body weight index to 27 kg/m2 and above will lead to an increase of the disease by 33%.
- Lifestyle has a significant impact on the development and course of varicose veins.In particular, the harmful effects of longer static loads with lifting weights or motionless stays in a permanent position and the harmful effect of the seat.
- On the veins of the varicose veins, the tight underwear, the various corsets that increase intra -aged pressure have a detrimental effect.
- In industrialized countries, the high frequency of varicos is to some extent due to nutritional characteristics.High degrees of food processing and reducing the diet of raw vegetables and fruits led to a constant deficiency of the vegetable fibers needed to convert the venous wall and chronic constipation, which cause long -term growth in intraabdominal pressure.
- Disharmonal states are involved in the pathogenesis of varicose veins.Their role in recent years has gradually increased, which is a widespread use of hormonal contraceptives, promoting hormone replacement therapy in menopause and treatment of osteoporosis.It has been proven that estrogens and progesterone and their derivatives reduce the sound of the venous wall due to gradual destruction of collagen and elastic fibers.
The clinical picture of the varicosus
Varicose veins-This is a disease that is not indifferent to the beautiful gender.On average, the varicose veins of the female veins are three times more often ill than men.
Varicoozes- knotted extensions of the subcutaneous veins, pain, difficulty in the legs, leg swelling and lower legs, the end of the sun at the end of the feet.Varicosis nodes are often prone to the formation of blood clots and infection.Flebitis may develop - inflammation of the blood vessels orthromboflebitis- The inflammation of the blood vessels is complicated by the blood vessels.Veins have difficult, very painful cords.The skin changes, loses elasticity and becomes dense, dark brown.In case of minor injuries, ulcers occur.At the age of 40, a young woman can become disabled.
One of the serious complications of varicose veins is thromboflebitis - a process in which a later inflammatory thrombus develops on the inner wall of the vein.This pathology is dangerous in the sense that the blood clot is created with blood flow to enter the lung artery (tel - the lung artery thromboembolialism) and leads to the death of a man.This is the reason why varicose veins are a dangerous disease that needs to be treated.
Symptoms of Varicos (these symptoms must be careful):
1. Pain.
The causes of the varicose pain are very -very -very much.The various pains of varicos are also very rich:
- Hot pulsating pain,
- Night cramps and itching in the muscles,
- Hurts while walking
- Pain along the venous lavish,
- General pain and lymar in the legs
2. Swelling in the legs.
3. Feeling of blasting and severity in the legs.
4. Changes in the skin.Initially, the skin dries, the pigmentation appears - the skin of the legs is darkened with brown "spots".Later, in the form of various dermatitis, eczema and so -called tropical disorders, in the form of poorly healing wounds, until the ulcers develop, they can join these symptoms.
5. Above the surface of the legs and legs, the elongated varicose veins of rolled or mixed extensions with cylindrical or mixed extensions.
6.Yes, people with varicose veins are also included in the group of patients with small veins because the causes of their appearance are the same.
The earliest stages of the formation of varicose veins are very difficult to detect and diagnose, as there is no main feature in the very early stages of the disease - varicos.And the first and earliest symptoms of the veins of the veins, such as the severity of the legs, the moderate pain of the legs, the increased fatigue, the arterial diseases, the flat legs, the lumbar osteochondrosis.In such difficult cases, it is impossible to make the correct diagnosis yourself - a doctor or even several professionals - you will need consultation with a phlebologist, neurologist, surgeon and hand therapist.High -precision instrumental diagnostic methods such as ultrasound will also be required.
In flebology, such symptoms are caused by the onset of pathological blood flow through deep veins.
Most often, women may notice the first signs of varicose veins in the spring when they can change the closet, but it is not known where the venous "patterns" come from the legs, legs and hips.The leg is deformed, blue and ugly.
The very first symptoms of the varicose veins of the legs, which may suspect the formation of varicos and an increase in the vein pattern of the skin of the feet.This mistake, as we have already noted, is most often noted by young women: they notice wreaths on the legs or hips that were not there before.
And often such symptoms of initial varicose veins prevent pain and other discomfort.The first "finds" of the veins are often not accompanied by no discomfort at all.
Women are only worried about the vascular network as a cosmetic error.Such patients often occur when they are contacted by professionals, only to eliminate cosmetic discomfort.
If you have thin and pale skin, the first symptoms of the initial varicos are particularly visible.These are thin blood vessels that do not even reach over the surface of the skin.The first symptoms of varicose veins look like a network of thin bluish blood vessels under the skin.
There may be no other complaints at the beginning of the varicos.
The development and progression of varicose veins are already manifested - one or more of the varicose veins that extend to the surface of the skin.This is the main symptom of the initial varicose disease.
Varicose nodes are most often detected on the inner surface of the legs or hips.Long walks or prolonged standing, such a symptom of varicose veins such as fatigue, the severity of the legs, the feeling of blasting (often in calves).These symptoms are particularly clear if they are in a longer period of time or in a constant position.There is also a pain or acute pain in the varicose veins (dilated veins), calf muscles, especially in the evening and sometimes at night.In veins, the first signs of dysfunction are shown by swelling of the legs until the end of the day.Edema usually occurs in the evening, especially after a longer situation.After the night's rest, the swelling disappears completely.
The symptoms of varicos are initially passed through when they relax, especially when they go to bed.However, the disappearance of symptoms or a significant decrease during night rest is very characteristic of the symptoms of varicose veins.
But the varicos, if they do not take seriously, will not retire, progress.Over time, such symptoms of varicos appear to be convincing dark blue intradermal veins that are above the surface of the feet and legs and are similar to very mature red grape groups.All this in the pain of the legs and calves, the heat of the legs, the night cramps of the calf muscles, the swelling.Gradually, skin changes are connected to these symptoms.At first, the skin dries, darkens, and pigment appears on it - brown spots.A little later, so -called tropical disorders begin to join: poorly healing explosions and even ulcers.
Pain is getting more and more disturbing, especially in the afternoon or evenings.
Treatment of varicos
There are many approaches to the treatment of varicos, but nowadays the most effective method of treatment is surgery -Venectomy- Medication and compression therapy are used as complementary methods in surgical treatment and as independent methods in the initial stages of the varicose vein and the presence of contraindications to surgical treatment.
The treatment of varicose veins should be complex and individual treatments, most often included in a combination of conservative and surgical treatment.
Types of surgical treatment of varicosus:
- Classic flebectomy
- Laser formation
- Combined method
Modern Medicine uses laser surgery (EVLC) to treat varicos.This method includes intravascular laser coagulation.Evlc- Intravascular laser is an advanced method for treating varicos.Laser exposure is a procedure that is in an intermediate position between non-chirurgicam and surgical methods for treating the disease.
DignityEvlc- This is a radical but low traumatic treatment.After such procedures, the patient can leave the clinic in a few hours in good physical condition.Such treatment is performed under operating conditions and local anesthesia is used.
The most advanced laser devices are currently used.At the same time, the patient's problematic areas are made up of an optimum wavelength laser (1470 nm).Used radial luminaria provides a reliable closure.In this case, there are no side effects and the surrounding tissues do not heat up.This is the reason why such an operation decreases the number of bruises and the postoperative period is easily and painless.
The surgery is not accompanied by cuts, they do not leave pigmentation and scars.After 3 weeks after surgery, the patient's legs obtain a normal appearance without varicose veins.Such treatment of varicose veins is widespread in Western countries.For large varicose veins, EVLC is used in combination with microflebectomy.This allows you to get a good aesthetic result.
Advantages of using EVLC:
- Quick recovery
- Small trauma
- High cosmetic effect
- Lack of signs from remote varicos on the skin
- Treatment is carried out by local anesthesia (Tumecent anesthesia)
- The lack of pain syndrome
- Therapeutic effect
Potential complications
Laser handling with laser technique has virtually no complications.Rare complications include burns, venous thromboflebitis and paraesthesia in the working area.However, experienced flebologists guarantee qualitative results.
Such operations do not violate the patient's lifestyle.After the procedure, compression stockings should be worn to put a slight pressure on the veins.Special products are used in the area of particularly large varicose veins - cotton rollers or latex pillows.After the laser procedure, the patient is recommended to walk daily.
Treatment of varicose veins with laser ensures working capacity and physical activity.