Varicosis of lower extremities or varicose veins of varicose veins - expansion of surface veins accompanied by valve deficiency and impaired blood flow.
This is the most common disease of peripheral veins.According to epidemiological information, various forms of this disease are found in 26-28% of women and 10-20% of employee-old men.
Risk factors for the development of varicose veins
The inheritance of varicose veins in the development of the veins and its role was not found unequivocally confirmation.One of the majority of the majority of a genetic tendency is different frequencies of varicose disease and their countrymen in ethnic Africans moving to the United States and Western European countries.Moreover, the frequency of varicose veins, which are not more than 0.5% compared to the sedentary tribes, there is an increase in more than 10-20% increase.In this regard, the result of varicose disease of environmental factors, lifestyle and nutrition is clear.
PregnancyTraditionally, the development of varicose vessels, especially for women, is one of the main risk factors for damage to women (3-4 times).In general, the basic provocative moments are the increase in the BCC (volume of blood circulation) and the pregnancy of retroperitoneal vessels.Meanwhile, the results of epidemiological studies show that only a valid increase in the vulgarity of the second and subsequent pregnancy is about 20-30%.At the same time, the first signs of the disease already appear in the 1st trimester of pregnancy, and the increase in sharp growth or pregnant uterus in the BCC is not yet.
Obesity- Risk factor proven for varicose veins.At the same time, the increase in body weight index increases by 27 kg / m2 causes a 33% increase in the disease.
The high frequency of varicose veins in industrialized countries is to some extent for nutritional nature.The high amount of food processing and reduction in raw vegetables and fruits has caused constant shortages of plant fibers, which are necessary for the correction of the venous wall, which caused a constant shortage of chronic constituency, which causes constant increase in unusual pressure.
LifeVaricosis has a serious impact on the development and course of the veins.In particular, the negative impact of long-term static loads with dormant static loads in the position of long-term weight or seating has been proven.In Asian countries, the frequency of varicose veins (3-4 times) increases in the frequency of Varicosis (3-4 times) compared to those who are traditionally used through chairs and chairs in the European part of populations.
Special termsParticipate in pathogenesis of varicose veins.In recent years, their role is gradually increasing due to the popularization of hormone substitute therapy in the treatment of hormonal contraception, hormonal contraception.Due to estrogs and progesterone, as well as derivatives, and the derivatives, and reduce the tone of the venous wall due to the destruction of collagen and elastic fibers.
Clinical picture of varicose veins
Varicosis vessels are a disorder of a beautiful sex.A varicose veins of women's veins are more than three times more sick than men.
The symptoms of varicose veins, pain, pain, pain, pain, foot and lower leg, the swelling of the legs, the prolongation of the feet, legs and lower leg.Varicosis knots often inclined to form a blood clot and infection.Fleitis can develop - inflammation of blood vessels or thromboflebitis - inflammation of complex blood vessels with blood clot.There are difficult, very painful cords in the course of the veins.Leaves skin change, elasticity & color - it is intense, dark brown.With an easy injury, ulcents occur.The young woman can be a disabled person at the age of 40.
These symptoms should notify you - these are symptoms of varicose veins:
- Pain.The causes of pain in varicose veins are very much.Varicosis vessels are very rich in various pains:
- Hot pulsating pain,
- Night cramps and itching in the muscles,
- Pain while walking
- Pain along venous trunks,
- General pain and pain in the legs.
- Swelling in the legs.
- Explosion and severity of the legs.
- Skin changes.The skin becomes dry, pigmentation appears - the skin of the legs darkened, covered with brown "spots".Later, tropical disorders in the form of weak healing wounds until the formation of various dermatitis, eczema and these symptoms can be connected to these symptoms.
- A varicose veins stretching above the surface of the legs and feet with cylindrical or mixed extensions.
- Vascular stars (TelangIoecta).Yes, people with varicose veins are also included in a group of patients with small vessels, because the reasons for their appearance are the same.
Varicosis is very difficult to detect and diagnose the early stages of the veins, because the disease has no key feature - no varicose veins.The first and earliest symptoms of Varicosis Varicosis were found in the legality of the severity of the legs, growing arterial diseases, growing legs, lumbar osteocondrosis.
In such difficult situations, it is impossible to make yourself properly - you will need a doctor or even several specialists, a neurologist, a surgeon, a surgeon, a doctor or even a few professionals with a surgeon and manual therapist.Ultrasound or flavography will also require high-delivery instrumental diagnostic methods.
The first symptoms of the varigoz vessels of the legs are the rise of the vascular pattern in the skin of the legs of the legs in yourself.This defect is already celebrated by younger women as we already mentioned: they see the wreaths that are not there in the feet or hips.Varicosis may not have other complaints at the beginning of the veins.
And often such symptoms of a starting varicose disease before the appearance of pain and other unpleasant feelings.Often the first "found" of the veins is not completely unpleasant feelings or not accompanied.
The development and progress of varicose veins is already showing itself from the surface of the skinvaricose nodes.One or more.This is the main sign of the starting varicose disease.Varicosis knots can be found on the inside surface of the most legs or hips.Long walking or long-term standing, seems like such a symptom of varicose veinsFatigue, weight in the legs, the feeling of explosion(often - in calves).These symptoms are clearly clearly disclosed in a long-standing position, especially in sitting or standing.There are pain or acute pain in the places of convulsions in the muscles of varicose veins (expanded veins), especially in the evening and sometimes in the muscles of the calf.
The first signs of dysfunction in the veins are displayed andSwelling legs until the end of the foot.Payment usually occurs after the evening, especially after a long time stood.After the night rest, swelling disappears completely.
These symptoms of varicose expansion are recently asleep if you pass this symptom first.However, after walking and night recreation, the disappearance of these symptoms or significant decline is very characteristic of the symptoms of varicose disease.
However, varicose veins are not taken back, when they are not serious,advancing.Over time, such symptoms of varicose veinsConquered the dark blue intradal veins, looks like the surface of the skin and feet, and it is similar to the clusters of red grapes.All this is accompaniedExplosion with pain in the legs and calves, feeling of heat in feet, night convulsions in calves, swelling.Gradually join these symptomsskin changes.At first the skin becomes dry, darkening, a pigment appears on top - brown spots.Such-the execution after a whileTropical disorders: Poorly healing wounds and even ulcers.
PainEspecially in the afternoon or even evenings begin to worry more often.
Diagnosis
The main favorable methods for the diagnosis of varicose veins are currently in:
- Ultrasonic dopplerography.The most common method of the initial diagnosis of the diseases of low extremities is an ultrasound dopplerography today.This method is based on the effects of the doppler, which is the transformation of the blood cells and frequency of blood cells passing through the fabrics.High-sensitive sensors multiply them with a special device in the form of sound signals that make these changes, wind noise or graphic curve.
- Duplex (two-oriental) scanning allows the image of a venous ship to real time with the assessment of blood flow within the image of the image on the administrative screen.Triplex (three exams) scans allows you to get the color image of blood flow in addition to the above.
- Phlebography.Flebography is a radiopic study of the vessels, and in some cases, patients with veins and patients mainly complications remain a decisive diagnostic method.
The treatment of varicose veins
The successful solution to the treatment of varicose veins consists of consistent execution of the following positions:
- Eliminate varicose veins;
- Eliminate the symptoms of HVN;
- Prevention of the progress and relapse of the disease.
Ways to treat varicose veins:
- Compression therapy;
- Conservative therapy;
- Surgical treatment (Flebectomy);
- Sclerotherapy.
First of all, varicose are trying to treat the veins of conservative methods.Speaking, this is not a method of treatment of varicose veins.All conservative methods of the Varicosis Vascular treatment, first of all, are targeted in preventing and aggravation.Conservative methods, if the patient has serious contribution to other methods of treatment, or the patient has only possible therapy, if the patient refuses surgical treatment.The radical removal of varicose syndrome is only surgically possible, but also the functional result of treatment is of great importance, which provides for the elimination or minimization of HVN manifestations.
The treatment of varicose veins should be ink and individual, including the most conservative and surgical treatment.Doctor can only recommend the method of treatment of varicose veins based on its experience, but the decision always remains yours