The predisposition of women is explained by a cyclic increase in vein walls and softening the valves by increasing the concentration of the vascular walls are of great importance in pathogenesis:
Long work, standing or seating;
a lack of regular physical effort;
Weights;
- Estrogen reception - the drug.
- The risk of varicose veins of the lower extremities is increased with age.But more patients are younger than 30 years old.
- Varicose vein events are most commonly with varicose veins concerned patients for a sense of severity, cracking, "anxiety" in their legs and pain, pulsing body muscles.The characteristic feature of these characters is their appearance after an extended standing.As a rule, the unpleasant sensations are fully transferred or their intensity reduces when you walk, after a night's rest, and when using the calibration muscles, they usually occur at night.
- Subcutaneous veins spread in the form of convincing blue conglomers along the lower leg and thighs.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 can be on the skin with varicose veins, but mostly they are also found in healthy people.
Manifestacije varikoznih vena:
Najčešće su sa varikoznim venama zabrinuti pacijenti za osjećaj ozbiljnosti, pucanja, vrućine, svrbež kože, "anksioznosti" u nogama i boli, pulsirajući bol u telesnim mišićima. Karakteristična karakteristika ovih znakova je njihov izgled nakon produženog stajanja. U pravilu su neugodne senzacije u potpunosti prenose ili se njihov intenzitet značajno smanjuje kada hodate, u ležećem položaju, nakon noćnog odmora ili kada koristite medicinski kompresijski proizvodi.
Važan znak bolesti su grčevi u telećim mišićima, obično se javljaju noću.
Subkutane vene šire se u obliku uvjerljivih plavih konglomerata duž potkoljenice i bedara. Nažalost, postoji mišljenje da su vaskularne zvijezde manifestacija varikoznih vena. Ali vrijedi napomenuti da to nije apsolutni znak bolesti i u mnogim poštivima čisto kozmetički problem. Takvi znakovi mogu biti na koži varikoznim venama, ali većim dijelom su također pronađeni i kod zdravih ljudi.
How varicose veins develop, breaches of skin of the skin of the lower leg are developed.Initially, areas of excess staining appear, a little later subcutaneous tissue and skin compacted, the latter acquires a distinctive "lacquered" look.In the center of the colored area of the skin, in response to the minimum injury, a small white area appears, resembling older subtles.This is such a - the reduced white atrophy of the skin, after which the trophic ulcer is opened, which includes a symmetrical edema, which includes a symmetrical scan.The ultrasonic expert must necessarily examine the legs of the leg on both sides.Assesses their diameter, compressibility, blood flow characteristics and reflux value (rotation of reverse blood).The work assessment of the VA valve is performed not only in the patient position while lying, but also standing.
Dijagnostika:
Ultrazvuk (obojeno dvoetažno skeniranje; trostruko skeniranje) - "Zlatni standard" u dijagnostici varikoznih vena vena donjih ekstremiteta. Ultrazvučni stručnjak mora nužno ispitati plovila nogu na obje strane. Procjenjuje njihov promjer, kompresibilnost, karakteristike protoka krvi i vrijednost refluksa (protok obrnutog krvi). Procjena rada VA ventila vrši se ne samo u položaju pacijenta dok leži, već i stojeći.
X -Ray and Contrast Flebography have previously considered the main methods of varicose veins, but are currently other in the past.
The treatment of varicose veins of the lower extremities can be signs of various diseases, and the disease cannot occur in accordance with the textbook.Don't try to treat you - Consult your doctor
Modern varicose vein treatment, sclerotherapy, treatment of different drugs is the only method of reliably improving life, reduce the risks of complications and the likelihood of disease relapse.It consists of removing varicose veins and eliminating pathological reverse currents.There are 2 types of interventions:
Thermal prison is a minimal invasive treatment (without cutting), which consists of "adhesion" veins inside with a laser or radio frequency sensor.
Traditional surgical intervention involves varicose veins excise.Currently, the technique of such interventions are sufficiently elaborated and allows you to get a good functional and cosmetic result.
Separately, sclerotherapy as a method of surgical treatment.Successfully complements, and in some cases (the initial phases of varicose veins) replaces operation.The procedure is the introduction of a special medicine in the varicose vein enters from the inside.
- Compression threats: Advantage of any methods of varicose veins and the most commonly used elastic bandages that depending on the level of stretching are dividedIn 3 classes:
- Short not more than 70% of the initial size),
average of the initial stretching length range from 70-140%), requiring the proper selection of products.
It is recommended to use long expandability in the nearest postoperative period to stop the blood andReliable fixing of the bend.In order to ensure optimal therapeutic compression regimen, short and medium-scale bandages are the most appropriate.
Kompresijska terapija je obavezna komponenta bilo koje metode liječenja varikoznih vena i najefikasniju metodu sprečavanja.
Za tretman kompresije najčešće se koriste elastični zavoji koji ovisno o stepenu istezanja podijeljeni su u 3 klase:
- kratak (zavoj ne više od 70% početne veličine),
- prosjek (raspon povećanja početne dužine istezanja u rasponu od 70-140%),
- Duga (140% i veća) proširivost.
Časovi su obavezni naznačeni na pakiranju zavoja, a potrebna su karakteristika za pravilan izbor proizvoda.
Preporučljivo je koristiti zavoje duge proširivosti u najbližem postoperativnom periodu kako bi zaustavili krv i pouzdano fiksiranje zavoja. Da bi se osigurao optimalan terapijski kompresijski režim, zavoji kratkih i srednjih proširivost su najprikladniji.
When using an elastic bandage, you need to follow the following rules:
- searching the foot "on yourself", which can always damage the skin.
- The bend of the ankle to the thigh.
- Roll the bend was claimed, while in the immediate vicinitySkin.
- Modeling the cylindrical profiles of the limb is achieved by placing foam or latex pads should use the elastic bandage during the day, apply it in the morning before the bed and take off the evening before night rest.For the treatment of trophic rectors, multi-layer bandages are not used for a long time, while directing the hinds of the hindlords, etc. Additional adhesive bandages.
- Despite high efficiency, the compression of elastic bandages has obvious shortcomings -By causing physical and aesthetic inconveniences, in addition, the older one is older to get older worried, watching all the rules.
Uprkos visokim efikasnosti, tretman kompresije elastičnim zavojima ima očigledne nedostatke - uzrokujući fizičke i estetske neugodnosti, pored toga, stariji je stariji da bi se stariji zabrinjavali, posmatrajući sva pravila.
Compression knit
Special compression knits for compression get wide popularity.The socks to the lower, middle and upper thighs, as well as leggings (including special tights for pregnant women) of four compression classes.
Such knits is made of cotton, natural rubber - elastane and synthetic rubber.Natural fibers are optimal for sensitive and affected (varicose eczema, dermatitis, trophic disorders) skin.As for synthetic fibers, their advantages are a smaller diameter and variety of colored tendering properties
The main objectives of drugs are eliminating the subjective symptoms of venous insufficiency, as well as prevention and reduction of side effects after surgical interventions.
Chief preparations for treatmentVaricose veins are medications similar in their properties.They should only be taken under the control of a doctor who attend.According to the survey, the safety of such drugs is proven only for short therapy courses.In case of use in longer terms, it is possible to occur not heavy, but also unpleasant side effects, for example, gastrointestinal disorders.
Usually, a week after the start of the reception, positive dynamics appear: Night cramps, pain, severity, swelling decreases.The minimum course duration should be believed to be at least 2 months.In the heavy forms of varicose veins, getting a medicine can continue up to six months or more.
Fats and gels
Ease of use and relative cheap of fat and gels make them very popular among patients and doctors.A serious lack of uncontrolled use of local drugs is a high frequency of skin complications in the form of peeling, dermatitis and eccentricity with extended use of the same medicine.At the beginning of use, light irritation of the skin and the peeling phenomenon in the location of the drug is possible.
Additional therapy
in some countries are physiotherapy treatment methods widespread.To combat such symptoms of varicose veins of lower extremities as pain and spasms in veal muscles, you can use the method of electric stimulation of leg muscles.Other physiotherapy methods have no evidence of the efficiency of the treatment of this disease.
Varicose Prevention:
Rational work and vacation organization is required for all patients in varicose veins.This category of patients is not recommended for a long stays associated with a long stay in a standing or sitting position, weight lifting and high temperature effects.At work and at home they need a periodic holiday with 15-20 degrees collected at an angle of 15-20 degrees, it is recommended to raise the foot feet above the heart level), without the use of spicy and salty foods, as well as alcohol.The weight of the body should be strictly controlled, because obesity leads to a disease.
In the conditions of elastic compression, mobile sports allowed, however, optimal conditions for the wedding outflow and the training of lower extremities provide swimming.
U uvjetima elastične kompresije, mobilni sportovi (skijanje, biciklizam) dozvoljeno je, međutim, optimalni uvjeti za vjensku odlivu i obuku mišića donjih ekstremiteta pružaju plivanje.