How to get rid of varicose veins on the legs? Varicose veins of the lower extremities are a scourge of modern people.
There is a huge number of people in the world who have been suffering from this malignant disease for a long time. What is this disease and what is it "eaten with".
Varicose veins
This vascular pathology, varicose veins, took one of the first "prize places", among all other types of vascular diseases, because it is most often diagnosed with varicose veins on the legs.
With this disease, the walls of the saccular veins expand. As a result, the length of the veins increases, and with the naked eye we can see their serpentine tortuosity, as well as spherical extensions (nodes) all over the part.
From 17-25% of the entire humanity suffers from this disease. And if in youth the frequency of detection of this disease is more or less the same in both sexes. Then in adulthood, women become leaders compared to men, practically twice overtaking them.
There is such a version that hormonal changes during menstruation and during pregnancy lead to a weakening of the tone of the veins, which gives them a significant expansion and disturbs the venous circulation in women.
Causes of varicose veins
There are many reasons for the appearance of symptoms of the disease. Below I will list the main ones, read carefully, you may have one of these diseases, then varicose veins can become accompanying.
The disease is genetically determined by the immaturity of the valvular function of the veins, which is aggravated by the underdevelopment of the connective tissue components within the vascular wall.
And now the pressure in the veins itself has increased and from early childhood, as soon as the first physical activity appears, varicose veins appear.
This group includes people with congenital hypercoagulability factors. Which leads to the formation of blood clots, which do not allow free blood circulation and lead to the expansion of the lumen of blood vessels.
About the menstrual cycle and pregnancy in women, I have already stated above. Menopause is added with age, estrogen decreases, progesterone simultaneously increases, and this is an additional reason, because blood clotting factors generally increase.
And add to that a reduction in the synthesis of collagen, elastic fibers, which lose their functions within the wall and reduce the tone of the vein walls. The picture is such that blood flow decreases, valvular insufficiency appears and blood clots form.
As one of the risks, it cannot be ignored. Especially in the abdominal type, when it turns out that obesity has a mechanical effect on the venous walls due to an increase in pressure below the compression zones.
In connection with the lack of insulin, the metabolism as a whole in the body is disturbed.
Hyperglycemia leads to a decrease in the elasticity of blood vessel walls and an expansion of the lumen.
Alcohol has the ability to remove fluid from the body. Dehydration, in turn, leads to increased blood clotting and disrupts blood flow.
If you are constantly exposed to increased physical activity, or you have to stand on your feet all the time. In such persons, the risk of developing the disease increases due to stagnation of blood in the lower extremities and very high intra-abdominal pressure, which does not allow blood to reach the heart at a sufficient level.
With constipation, the intra-abdominal pressure rises as the person pushes. Thus, you can follow the logical development of varicose veins - the expansion of the lumen of the veins.
And in general, due to many factors: wearing high-heeled shoes, previous abdominal operations, severe cardiovascular diseases with circulatory failure, chronic inflammatory processes of the pelvic cavity (prostatitis in men, appendicitis in women) and, of course, smoking.
- Because of heredity. The disease is genetically determined by the immaturity of the valvular function of the veins, which is aggravated by the underdevelopment of the connective tissue components within the vascular wall.
- Due to blood clotting pathology. This group includes people with congenital hypercoagulability factors.
- Due to hormonal changes. This group includes menstrual cycles and pregnancy, as well as menopause.
- due to increased body weight. Especially in the abdominal type, when it turns out that obesity mechanically affects the venous walls.
- Because of diabetes. In connection with the lack of insulin, there are metabolic disorders in the body. Hyperglycemia leads to a decrease in the elasticity of blood vessel walls and vasodilation occurs.
- Because of alcoholism. Alcohol has the ability to remove fluid from the body. Dehydration leads to increased blood clotting and hinders blood flow.
Symptoms of varicose veins
There are the first harbingers of symptoms of varicose veins of the lower extremities. They are worth paying close attention to. The main thing is not to miss them in order to start treatment on time.
- The appearance of spider veins and webs, because the small blood vessels have already expanded and even become visible through the skin
- In the second phase, we observe the formation of protruding nodes, which are meandering and arranged in clusters.
- Obvious swelling and fatigue of the legs begins, people begin to suffer from frequent leg cramps (more often at night), they feel itching, fever, crawling "goosebumps"
All these symptoms occur depending on the classification of varicose veins.
On the classification of varicose veins
The international scientific community introduced the systematization of pathological varicose veins using a special CEAP (Clinical Etiology Anatomy Pathology) classification. This typology includes 6 clinical stages in varicose veins:
- Zero. The patient has subjective complaints without obvious etiology, suspected varicose veins, but according to the results of visual examination and research, no obvious signs have yet been identified
- I degree. A small vascular network is visible through the skin, smaller, rare swellings, the appearance of: heaviness, burning sensation, feeling of "buzzing" in the legs
- II degree. This is already a starting point that shows true varicose veins. It has symptoms of an external manifestation of dilated blood vessels, the formation of venous nodes, which increase after a long stay on the feet or long static sitting. Already from this stage, the possibility of thrombosis can be observed
- III degree. Here, the symptoms of the second group are aggravated by regular swelling, which is most noticeable by the end of the day and drawing, pain in the calves.
- IV degree. Visible trophic changes on the skin. Due to the large accumulation of pigment in the epidermis, the skin turns from dark brown to black. Small local inflammations appear and develop in the form of erythema or weeping wounds, which will eventually cause atrophy of the dermis and ulcers
- V degree. Similar course of symptoms, as in the fifth stage, but with healed trophic ulceration
- VI degree. Caused by already strong progression and creation of incurable wounds and ulcers
Mandatory treatment of varicose veins is required, otherwise you can get a complication in the form of acute thrombophlebitis and perforation of nodes (when even the slightest mechanical effect can lead to a stretched and thinned vein wall to the point of breakthrough); the bleeding in this case occurs very strongly and will lead to a great loss of blood.
Diagnostics
You should see a phlebologist. Who will be able to recognize varicose veins at first glance, but still collect anamnesis, listen to your complaints.
There are special functional tests that the doctor must prescribe.
In addition, there will be instrumental diagnostic methods, including X-ray contrast angiography and ultrasound in duplex Doppler scanning mode.
All about the treatment of varicose veins
A few decades ago, it was still the case that if he turned to a phlebologist, it would be 100% vascular surgery, otherwise veins were not treated then.
But, in the last 10-15 years, high-tech small and micro-invasive techniques have been used, such as:
- Sclerotherapy (artificial obliteration, vein walls are "glued" with a special solution, injected with microneedles)
- Application of laser therapy
- Treatment with radiofrequency ablation (the thinnest probe is inserted into the vein, and by gradually removing it, the walls are "soldered")
In these cases, you no longer have to endure a major, traumatic operation.
In addition, a powerful therapy of a complex nature is added, which includes the appointment of venotonics, anticoagulants, antiplatelet agents and anti-inflammatory drugs.
Good efficiency is given by the use of:
- Elastic bandage and compression stockings
- Hirudotherapy
- Diet
- Therapeutic exercise
- Water procedures
Attention: the use of an elastic bandage or compression stockings is possible only after consulting a doctor (in particular, he will explain in detail the bandaging technique - you must start from the toes, with the obligatory holding of the heel and gradually relax the compression closer to the knee)
However, we should not completely forget that varicose veins still belong to the category of surgical diseases. And if according to the advanced stage, according to the indications, a radical effect is needed, then it can be achieved only by surgery.
One of the basic operations is phlebectomy. The vein is removed, and the dry residual functional vitality of the vein is only 10% of the norm.
However, it is better to do without bringing it to an extreme stage, varicose veins of the lower extremities can be completely cured if, without delay, (however, this applies to any disease), consult a phlebologist.
It is absolutely not necessary to bring the matter to "major" surgery: varicose veins of the lower extremities are completely cured today, but this disease does not go away "on its own".
Conclusion
No wonder they say: "The salvation of man, in the hands of man himself. "And although varicose veins are not an easy disease and tend to progress quickly, only 10 years will be enough, from the zero degree of varicose veins to the development of pathology in the 6th degree.
In total - this is what you need, carefully consider the first manifestations of symptoms and consult a doctor - a phlebologist.
Take care, pay attention to the first news that your body will show you about the occurrence of pathological changes in the veins. It is always easier to prevent than to cure the advanced stage of any disease. All health.