Predisposition of women is explained by a cyclical increase in vein wall extension and by softening valves with an increase in hormone progesterone concentration
Reasons:
The main factors of varicose veins are the inherited vascular wall weakness.physical;
weight lifting;
- reception of estrogen -containing medicines
- Risk of varicose veins of lower extremities increases with age.But more and more patients are younger than 30 years old.A characteristic feature of these signs is their appearance after prolonged posture.As a rule, unpleasant sensations are completely passing or their intensity decreases significantly when walking, in a lie position, after a night's rest or when using medical compression products
- An important sign of the disease is cramps in the calf muscles that usually occur at night
- Unfortunately, there is an opinion that vascular stars are a manifestation of varicose veins.But it is worth noting that this is not an absolute sign of the disease and in many respects a purely cosmetic problem.Such signs may be on the skin with varicose veins, but for the most part they are found in healthy people
Manifestimet e venave me variçe:
Më shpesh, me venat me variçe, pacientët janë të shqetësuar për ndjenjën e ashpërsisë, shpërthimit, nxehtësisë, kruajtjes së lëkurës, "ankthit" në këmbë dhe dhembjes, dhimbje pulsuese në muskujt e viçit. Një tipar karakteristik i këtyre shenjave është pamja e tyre pas qëndrimit të zgjatur. Si rregull, ndjesitë e pakëndshme po kalojnë plotësisht ose intensiteti i tyre zvogëlohet në mënyrë të konsiderueshme kur ecni, në një pozicion gënjeshtër, pas pushimit të një nate ose kur përdorni produkte të kompresimit mjekësor.
Një shenjë e rëndësishme e sëmundjes është ngërçet në muskujt e viçit, që zakonisht ndodhin natën.
Venat nënlëkurore po zgjerohen në formën e konglomerateve blu bindëse përgjatë këmbës së poshtme dhe kofshës. Fatkeqësisht, ekziston një mendim se yjet vaskulare janë një manifestim i venave me variçe. Por vlen të përmendet se kjo nuk është një shenjë absolute e sëmundjes dhe në shumë aspekte një problem thjesht kozmetik. Shenja të tilla mund të jenë në lëkurë me venat me variçe, por për pjesën më të madhe gjenden edhe tek njerëzit e shëndetshëm.
As varicose veins develop, violations of the skin of the lower leg develop.Initially, excessive coloring areas occur, a little later the subcutaneous tissue and the skin are compressed, the latter acquire a characteristic "curved" appearance.In the center of the painted area of the skin, in response to a minimal injury, a small white area, which resembles the delicate Starin, appears.This is the so -called white skin atrophy, after which a trophic ulcer opens
Driver violation is a sign of chronic venous deficiency, which also includes symmetrical edema in the foot
Diagnosis:
ultrasound (color scan; threefold scan) - "Golden Standard" in the diagnostic vein diagnostics.An ultrasound specialist must necessarily examine the foot vessels by both sides.It evaluates their diameter, compressibility, blood flow characteristics and reflux value (reverse blood flow).Evaluation of VA valve work is performed not only in the patient's position while lying, but also on foot
Flebography X -Ray and Contrast were previously considered the main methods of instrumental diagnostics of varicose veins, but currently they have remained away in the past
Treatment of varicose veins of the lower extremities:
the same symptoms may be signs of various diseases, and the disease may not occur according to the textbook.Do not try to treat yourself - consult your doctor
Modern varicose vein treatment includes surgical intervention, sclerotherapy, compression treatment and the use of various medicines.It consists of removing varicose veins and eliminating reverse pathological currents.There are 2 types of interventions:
Thermal Prison is a minimum invasive (non -cuts) treatment method, which consists of "gluing" the vein internally with a laser sensor or radio frequency
Traditional surgical intervention involves removing varicose veins.Currently, the technique of such interventions has been properly processed and allows you to get a good functional and cosmetic result
- examined separately sclerotherapy as a method of surgical treatment.It complements successfully, and in some cases (the initial stages of varicose veins) replace the operation.The procedure is the introduction of a special medicine into a varicose vein, which glues it from the inside ..
Shqyrtuar veçmas skleroterapinë si një metodë e trajtimit kirurgjikal. Ai plotëson me sukses, dhe në disa raste (fazat fillestare të venave me variçe) zëvendësojnë operacionin. Procedura është futja e një ilaçi të veçantë në një venë me variçe, e cila e ngjit atë nga brenda.
Treatment of varicose veins compression
Elastic bandage: the goods and evils of
compression therapy is a mandatory component of any varicose vein treatment method and the most effective method of preventing it
For compression treatment, elastic bandages are used more often, which, depending on the degree of stretch:More than 70 % of the initial size),
- average (growth range in the initial length of extension in the range of 70-140 %),
- long expansion (140 % and higher)
- Classes are mandatory shown in bandage packaging, and they are the necessary characteristics for the product.the blood and reliable fixation of the bandage.To ensure the optimal therapeutic compression mode, short and medium stretch bandages are more appropriate ..
Këshillohet që të përdorni fashë me shtrirje të gjatë në periudhën më të afërt pas operacionit në mënyrë që të ndaloni gjakun dhe fiksimin e besueshëm të fashës. Për të siguruar regjimin optimal të kompresimit terapeutik, fashat e shtrirjes së shkurtër dhe të mesme janë më të përshtatshme.
When using an elastic bandage, the following rules should be followed:
- The bandage is applied, before -stretcing the foot "on itself", to prevent the formation of folds in the area of the foot, which can damage the skin when moving
- Binting always start from the toe joints and catch the heel
- The bandage is unrelated while it is near the skin
- Modeling of the limb cylindrical profile is achieved by deciding that foam or latex pads
- Most patients with varicose veins should use an elastic bandage throughout the day, applying it in the morning before getting out of bed and rising in the evening before night break.For the treatment of trophic ulcers, multi-layer compression compression compresses may be used for a long time, while directly with the affected area of the lower leg, a bandage impregnated with drug substances (zinc-dimensional, zinc oxygen, etc. Additional compression bandages are performed by the compression bandage.With elastic bandage there are obvious disadvantages - causing physical and aesthetic disturbances, in addition, it is very difficult for older people to do themselves, observing all the rules.
Shumica e pacientëve me venat me variçe duhet të përdorin një fashë elastike gjatë gjithë ditës, duke e aplikuar atë në mëngjes para se të ngrihen nga shtrati dhe të ngrihen në mbrëmje para pushimit të natës. Për trajtimin e ulcerave trofike, mund të përdoren fasha të kompresimit me shumë shtresa që nuk hiqen për një kohë të gjatë, ndërsa direkt me zonën e prekur të lëkurës së këmbës së poshtme, fashë të ngopura me substanca të drogës (zink-dimensionale, oksigjen i zinkut, etj. Fiksimi shtesë i fashave të kompresimit kryhet duke përdorur fashë ngjitëse speciale.
Përkundër efikasitetit të lartë, trajtimi i kompresimit me fashë elastike ka disavantazhe të dukshme - duke shkaktuar shqetësime fizike dhe estetike, përveç kësaj, është shumë e vështirë për njerëzit e moshuar të bëjnë vetë, duke vëzhguar të gjitha rregullat.
Knitwear
special compression knitwear dress widespread popularity.It is represented by socks in the lower, medium and upper thighs, as well as tanga (including special tanga for pregnant women) of four compression classes
such knitted coating is made of cotton, natural rubber - elastan and synthetic rubber.Natural strands are optimal for sensitive and affected (varicose eczema, dermatitis, trophic disorders) of the skin.In terms of synthetic fibers, their advantages are a small diameter and a variety of colors that allow for a medical knit with high aesthetic properties
Varicose vein therapy
The main goals of medication therapy are eliminating subjective symptoms of venous insufficiency, as well as the prevention and reducing the severity of the effects.Varicose veins are similar medicines in their properties.They should only be taken under the control of the attending physician.According to the research, the safety of using such medicines has been proven only for short therapy courses.In case of use in longer terms, it is possible to look not severe, but unpleasant side effects, for example, gastrointestinal disorders
Usually, a week after its waiting, a positive dynamic appears: night cramps, pain, passage of severity, decreased swelling.It is believed that the minimum duration of the course should be at least 2 months.In severe forms of varicose veins, taking the medicine can persist up to six months or more
Ointments and gel
Simplicity of use and relative freedom of ointments and gels make them very popular among patients and doctors.A serious disadvantage of uncontrolled use of local medicines is a high frequency of skin complications in the form of peel, dermatitis and eczema caused by increased sensitivity with prolonged use of the same medicine.At the beginning of use, slight irritation of the skin and the phenomenon of peeling in the places of use of the medicine are possible
additional therapy
In some places, physiotherapeutic treatment methods are widespread.To combat such symptoms of varicose veins of the lower extremities such as pain and cramping in the calf muscles, you can use the method of electrical stimulation of the leg muscles.Other methods of physiotherapy have no evidence of the effectiveness of treating this disease
Preventing varicose veins:
rational organization of work and rest is needed for all patients in varicose veins.This category of patients is not recommended for work related to a long standing in the standing or landing position, lifting weights and the effects of high temperature.At work and at home, they need a periodic break with 15-20 degrees raised at an angle of 15-20 degrees (during sleep it is recommended to raise the bottom of the bed above heart level), rational nutrition, excluding consumption of spicy and salty foods as well as alcohol.Body weight should be strictly controlled, as overweight leads to the progression of the disease
In resilient compression conditions, removable sports (skiing, cycling) are allowed, however, optimal conditions for venous exit and lower extremity training are provided by swimming.
Në kushte të kompresimit elastik, sportet e lëvizshme (ski, çiklizmi) lejohen, megjithatë, kushtet optimale për daljen venoze dhe trajnimin e muskujve të ekstremiteteve të poshtme sigurohen nga noti.