Varicose veins is an irreversible change of the venous walls blood, which can lead to serious consequences. People located in an area at risk (and often women), it is necessary to monitor the legs, for when the first symptoms to start the treatment. In the initial stage of varicose veins is possible to completely eliminate the disease or, at least, prevent its development.
The symptoms and diagnosis of the disease
For many years varicose veins has stopped being a lot of older ladies, it spreads with alarming, which affects women up to 30 years of age and young men. This forces the medical community to search for new methods and keep active prevention work.
Heredity, excess weight, pregnancy, sedentary work, or vice versa associated with long static loads in the foot, creating favorable conditions for the development of the disease. It is therefore important to know and not to neglect the first symptoms. Stage of varicose veins manifest in a different way, and at the beginning of his signs, take it for a normal tiredness, not giving it importance. What should you pay attention:
- their legs quickly get tired, in the evening, this feeling is reinforced;
- fatigue, combining the sense of heaviness and sometimes nocturnal cramps in the calves;
- on the sides appear thin vascular web, not protruding above the skin and absolutely painless;
- perhaps reddening of the skin in the area of the ankles and hips.
A control surface gives the doctor reason to suspect the disease and send the patient for examination. If you do not take any action (compression), the signs begin to get worse:
- the vascular network increases and becomes convex;
- there is pain in the affected leg;
- pastosity enters in marked swelling;
- veins dilate, elongate, and begin to clearly appear on the surface of the foot.
In advanced cases of all those symptoms and functionality combines with itchy, dry skin and change its color. The veins may appear on the surface of the foot, large knots, swelling does not subside even in the morning. Increases the risk of formation of blood clots and venous ulcers.
Early diagnosis of varicose veins – it is not only the creation of an initial stage of the disease, but also its causes. Its size makes the treatment more successful, and, at times, allows you to get rid of the disease without the use of methods traumatic.
Classification of varicose veins
In clinical practice, there are different types of classification of the disease. The organization of the event is important for the development of standard treatment, as well as for an effective exchange of best international experiences in the field of phlebology.
The international classification – allows you to assess the state of the patient in points. In our country it is mainly used during the conduct of scientific research, and to determine the degree of incapacity of the patient. In daily practice often applies to the classification of the disease in different stages.
Stage of varicose veins — classification Savelyeva
The russians, the doctors use a classification Savelyeva Vs, was the national origin of phlebology. They have been described stage of varicose veins depending upon the clinical picture of the disease. He has analyzed the processes of formation of blood clots and changes in the coagulability of the blood in varicose veins of the lower limbs, has developed and introduced new methods of diagnosis and treatment of lesions of the trophic. Saveliev has introduced the gradation stages varicose veins of the lower limbs depending on the degree of the injury.
The initial phase – payment
The payment stage – this is the beginning of the disease, which occurs without visible signs. In this phase the movement until it is broken, but the veins begin to experience the greater load. The venous blood that kicks to the heart (from the bottom to the top) with the help of contraction of the calf muscles and tone of blood vessels. If this muscle-venous pump starts to fail, the blood stagnates in the blood vessels.
Foot fatigue, and the appearance of varicose veins, heaviness and slight swelling in the evening – the first signs of the initial disease and the degree of varicose veins. It is the right time to visit a doctor and undergo the examination. In the payment phase, it is possible to permanently get rid of the disease. The duration of this phase of the disease, from a few months to several years.
The second stage – sub payment
Unfortunately, many patients seek medical attention only in a second stage of the disease, when the pathological process is already running at full power. The symptoms present in the payment phase, becoming obvious and causing the patient considerable distress. The second degree of the varicose veins still leaves the possibility of defeating the disease, if the time of starting the treatment.
Stage characterized by a constant pain syndrome, edema, that if they go after a long period of rest, and bad veins. Sub payment – this is the beginning of a violation of the functioning of the venous valves. In a state of health do not give venous blood to flow to the bottom, each segment of the ship to its petals. The constant pressure of the blood on the walls of the blood vessels, the veins dilate and the valves are no longer able to block safely the lumen of the vein. This leads to a reverse flow of the blood and its stagnation.
The third phase – decompensation
If you leave earlier the signs and symptoms without attention, the disease passes the stage of decompensation. And this process can be done quickly. decompensation is varicose veins 3 degrees, which requires surgical treatment. The stasis of the blood causes a build up of fluid in the tissues and their trophic changes:
- you experience lasting joint swelling, squeeze your surround blood vessels, including the arteries that carry oxygen and nutrients to the tissues;
- the skin starts to dry out, change color and itching;
- you lose hair, stop growing the nails;
- they form plagues, which inevitably tend to become infected and cause inflammation of the blood vessels;
- failure of the venous valves deep;
- varicose veins is complicated, tromboflebita, there is the danger of deep vein thrombosis.
The fact that the skin may appear trophic ulcer, the original witness to change on the skin. The deterioration of food cells lead to an increase in the pigmentation of the skin becomes brown, then red-the mountains are crimson and лоснящейся. Small gaskets under the skin – it is predecessors, trophic ulcers. Early timely treatment will stop, and also prevents the process of death of the tissues.
The fourth and subsequent
Varicose veins of last is the extreme stage of venous insufficiency. Advanced vienna blend and act on the surface of the lower limbs clusters. Ulcers in the legs capture a large square, you observe a violation of the work of the myocardium. The fourth and the subsequent stages of varicose veins threaten the life of the patient and require emergency treatment.
Methods of treatment in each phase
Every degree of varicose veins suggests methods of treatment. At the elementary level, usually, is treated in a conservative manner.
One of the main ways for the treatment of the initial stage of varicose disease is the compression the use of elastic bandage or special mesh with various degrees of pressure. This method lets you keep the tone of the venous wall and muscles. Compression stockings or knee-length (or elastic bandage) should be worn for the whole day, to shoot you can just before going to sleep.
The doctor prescribes system and local preparations. They protect the vessels, making them elastic and less brittle, to prevent the inflammation of their walls. In addition, ointments and gels to relieve symptoms such as pain, swelling and nighttime cramps. Even as a therapy, treatment venotonicks must be systematic.
An important element of the treatment is the proper organization and mode of operation, if she is related to the constant found on the feet or, on the contrary, with a style of regulation. The patient is advised to take breaks, during which it is given the load on the muscles of the calf. This can be special exercises or a short walk, to "disperse" the blood.
Elementary level of varicose veins involves the use of folk remedies, but only after having agreed with the attending physician and only as a complement to the basic treatment.
In the second phase of the development of varicose veins conservative therapy may be sufficient. The tonic means add drugs to thin the blood and prevent the formation of blood clots.
The Sub payment is characterized by the appearance of swollen veins on the surface of the skin. Is virtually painless and effective way to eliminate the veins affected by the flow of blood. In the mood ill injected with a special substance that unites the vase and makes it completely impractical. The procedure is only performed on small areas of the veins.
Modern phlebology offers other ways to be effective – laser coagulation, and radiofrequency ablation. In this case, vienna is from the blood by means of its link with the help of a laser beam or wavefront of the radiation, which heats the wall of the vessel. The application of minimally invasive techniques for the treatment is possible only on the subcutaneous veins. Is excluding their use for acute tromboflebita, thrombosis, and on the execution of stages of varicose veins.
Is not canceled and the treatment with elastic compression. In phase sub payment is broken, the work of the venous valves. The compression allows you to recover some of their function and to prevent swelling and stagnation.
Doctors recommend the use of elastic bandages, as well as a compression garment less effective. Their advantages are:
- the effect of compression is faster;
- they can be used during veins eczema or ulcers;
- if necessary, can weaken or vice versa to increase the pressure;
- bandages in case of special readings, it is possible to use twenty-four hours for seven days.
The drawback of elastic band is the one that has less esthetic, and its overlay should be a doctor.
If you do not make the treatment of varicose veins in the phase of decompensation, creates a threat not only to other vital organs and systems, but also of the life of the patient. The disease is complicated tromboflebita – inflammation of the walls of the blood vessels and the blood clots.
This is the stage of the disease, in which it is possible only surgical treatment, as well as the therapy does not bring results. Form large ulcers. The necrotizing process may result in gangrene, and then the only way to save the patient's life is amputation.
The surgical treatment consists in removing the patient's stage of vienna. As a result of an operation, blood flow redistributed to other healthy vessels. In the post-operative period resumes pharmacological treatment and necessarily apply the therapy with the compression.
Why is it important to diagnose the disease at an early stage
Varicose veins the initial measure very treatable. The possibilities of modern medicine allow an early diagnosis of the disease, when there are circulation problems, and vienna are in a normal state.
On the early diagnosis of varicose veins need to remember people with excess weight, pregnant women, and women in the period of menopause. At risk are people with a flatfoot, a lover of high heels and those who are exposed to occupational risk. For them is the ability to save your legs and prevent serious complications and expensive treatment.
The consequences of a lack of appropriate treatment
Varicose veins this is not a harmless disease and not a defect of appearance, with which you can safely live to a ripe old age. It is a serious disease, life-threatening, if left without treatment. Complications of varicose veins:
- the inflammation and thrombosis of superficial veins (thrombophlebitis), which is full of dangers gangrene of the lower limb;
- deep vein thrombosis, threatening in case of detachment of the thrombus and embolism of the pulmonary artery, and death;
- sores long – term healing of deep lesions of the tissues, offering intense suffering to the patient.
Violation trophies causes thinning of the skin and of the vein wall, which in the case of a small injury can cause bleeding. Treatment of varicose veins of tiring work and long. But the strict observance of the prescriptions of the doctor giving a good result and maintains the health.
And a little secret...
Have you ever tried to get rid of varicose veins alone? Judging by the fact that you are reading this article – the victory was not by your side. And, of course, do not know first-hand what it is:
- again and again view another portion of the varicose veins in the legs
- wake up in the morning with the idea that this was-what to wear to cover the veins
- suffer every night from gravity, hours, swelling or ringing in your legs
- always bubbly cocktail of hope of success, in the long waiting and disappointment from a new treatment failure
Maybe You even thought of a surgery? It's understandable why this disease is dangerous and the forecast of complications developing along with the disease, is different. The varicose veins can lead to terrible consequences, such as: bleeding of the varices and of the nodes; necrotic and processes, and trophic; the blow of the infection in the circulatory system, sepsis; and death...the Heaviness in the legs, advanced to vienna, convulsions, pain in the legs... All of these symptoms familiar to you in the first person.