According to statistics, nearly 70 percent of women after 40 years in Russia there is a chronic venous disease in one stage or another. In the words of phlebology, about 25 percent of patients begin to notice spider veins in the 20-30 years. SPLETNIK.RU tried to understand all the causes of disease and study of effective methods of treatment and prevention of varicose veins in the legs.
How to understand that you have varicose veins?
In fact, obvious signs of varicose veins and clear symptoms of approaching varicose veins on the legs just does not exist. Visible spider veins (called telangiectasia), protruding veins and nodules — it is a sign that the disease started. But the heaviness in the legs, restless leg syndrome and swelling — an occasion to reflect and to go to phlebologist for a consultation and make a diagnosis in time to begin treatment.
Causes
Doctor-phlebologist Dmitry short Stories from the clinic CIDC (Central Institute of dermatology, plastic surgery and dentistry) explains that the main reason for the development of varicose veins is considered as valvular insufficiency of the veins of the lower extremities. The main valves are where the superficial vein empties into the deep venous system (ostalnye valves). If the valves begin to leak blood, she rolled in the opposite direction (from top to bottom in a vertical position), and the veins gradually under the influence of excess amounts of blood are extended — this is the varicose veins.
Due to stagnation of blood in the legs, the veins dilate under pressure and the valves are not closed already as tight as it should be. Some of the blood flows down, still more pressure on the veins, stretching them. The blood flow slows and fluid gradually seeps through the walls of blood vessels. There is swelling, and we feel heaviness in the legs. This is the symptoms of varicose veins.
Pregnancy
Gregory Anchikov, doctor-phlebologist “Clinic of modern cosmetology Yulia Scherbatova”
Pregnancy is a natural test of the health of the veins. First, hormonal changes, softening of the connective tissue to birth went without injuries. The same “reference proteins” are in the vein walls. So they, too, are weakened.
Greatly increased intravenous pressure due to the increase in intra-abdominal pressure and compression of the pregnant uterus venous trunks, carrying blood from the legs and abdominal organs. As a result, 30 percent of women during pregnancy developing varicose veins.
But the biggest pressure our veins feel during childbirth. According to statistics, 50 percent of women previously dormant varicose veins manifests itself at this time. Although most pregnancy-induced spider veins and varicose veins usually disappear within six months after birth, the number of injured veins increases with each pregnancy.
Heredity
It is believed that if both parents suffer from varicose veins, then the child will be sick them with a probability of 90 percent, and if only one parent, the risk drops to 60 percent.
Working conditions and heavy physical loadand
Varicose veins are acquired through long-term static loads. At risk are those who is constantly on his feet (hairdressers, shop assistants in stores that work 12 hours a day), is engaged in power sports and heavy physical labor, or, conversely, constantly sitting (all office staff). In the first case, there is increased intra-abdominal pressure, and in the case of sedentary lifestyle, increased pressure inside the veins, because the muscles don’t contract and move blood to the heart portions from valve to valve. From those little walking and many sitting, the likelihood of developing varicose veins is very high.
Hormonal imbalance
Female hormones tend to relax vein walls. When you take birth control pills, estrogen or progestin increases, which can cause the appearance of spider veins,
— says doctor of medical Sciences Luis Navarro.
Injury, vitamin deficiency
Also in the list of causes — injuries (e.g., broken limbs), chronic deficiencies of vitamins and minerals, hormonal imbalance (not necessarily pregnancy) and the combination of all these factors.
The good news is varicose veins. Bad — if left untreated, the disease will progress and she will not pass. Therapy depends on the stage of the disease. To reduce swelling, heavy legs and cramps in the legs are commonly used phlebotrophic drugs: Detralex, benarus, caffeine, phlebodia, phlebia, aescusan, Antistax, says Gregory Anchikov.
However, creams and tablets are unable to restore the valve apparatus and to stop abnormal blood flow. This requires a more serious interference, or removing the affected vein and its tributaries, or other modern methods of elimination of abnormal discharge of blood. It has different forms of thermoelectricity in which the vein is not removed, and the inside sealed or using laser energy or radiofrequency energy.
Prevention
Main prevention of the development of varicose veins is wearing compression hosiery during pregnancy. This is often the most serious burden on valvular apparatus the lower limb veins. The same elastic stockings you must use to patients who have a lot to stand or sit, this happens because this time is not the main “pump”, pumping the blood through the veins of the legs — the calf muscles, — says Dmitry short Stories.
It is extremely important to use gauze dressings to restore frame function venous trunks. However, compression stockings cannot be selected independently, relying on advertising or mindlessly buy at the pharmacy. Jersey issued flebologia, as well as medication.
Passing regular ultrasound examination of the veins will allow time to identify the problem and begin treatment.
You should try to walk more. By who standards is 10 thousand steps per day, which is not much. If you work in an office, do not be lazy to get up from the Desk every 45 minutes and walk or exercise, is recommended by the clinic Julia Scherbatova.
You can undergo a prophylactic: it includes vitamins, additives (traditionally it is believed that the seed extract of horse chestnut improves blood circulation) and drug-venotonic. They will strengthen the walls of blood vessels and reduce inflammation. Dr. Navarro recommends a diet low in salt and high in fiber. Salt can cause water retention and put pressure on the veins.
When resting, try to put your feet on a pillow so that they were above the heart. This will improve blood flow. Often do foot massage. The next time your master pedicure will offer you a foot massage, do not give up!— says Navarro.
Surgical methods
Phlebectomy (complete removal of the vein) is used when other treatments are ineffective. Before the operation need to be examined by a doctor-phlebologist and, if necessary, to do an ultrasound. The surgery is performed through small incisions (4-5 mm) and leaves behind almost invisible scars. The operation is performed under spinal anesthesia and lasts about three hours. Postoperative stay in hospital is 1-2 days. The sutures are removed, usually for 8-9 hours a day. But compression underwear then you need to wear at least another month.
Non-surgical methods
Neodymium laser
Typically, modern devices today allow for a few seconds to remove as a single vessel, and “mesh”. According to Naidu Aliyeva, doctor of the highest category, head of the clinic, VerNa and project Naida Beauty, the most effective for this problem is the neodymium laser, its wave length of 1064 nm. The procedure is as follows: under the influence of the laser is coagulation, that is, the soldering of the walls of the pathological vessel. The blood is redistributed in a new direction. Remote vessel is naturally excreted from the body’s immune cells-macrophages. Without any harm and risk to health.
Pulsed laser liquid-dye
Popular and other laser Candela Vbeam perfecta-based dyes. It precisely, without damaging the outer skin, sclerotium vessel. This method serves vessels, which lies more superficially. It’s safe to say that this laser is safe, because they treat a vascular disease, even in infants children.
If the patient during the examination there are signs of varicose veins, visually the vessels are blue or purple, then we will forward it to the consultation and further treatment to the doctor-phlebologist. He will pick up the effective method of therapy, for example, the introduction of a special drug — sclerosant, which when injected into the vessel instantly glues it to the wall, and the vessels are slipping away, says Carina Pushkov, the expert clinic “Estelab”.
It is important to observe postprotsedurny recommendations: avoid active sun and not to go to the Solarium, not to wear tight clothes, do not eat spicy food, to watch posture, comfortable shoes, swimming.
Laser method has a number of contraindications. These include: pregnancy, lactation, cancer, inflammatory processes in the zone of the procedures and epilepsy.
Cosmetic Laser Icoone device, simulating hand massage
In salon “the Muscovite” on the Big Dmitrovka with varicose veins are struggling with the Italian Icoone beauty machine Laser. The principle of operation of this device technology MMA (multi-micro alveolar stimulation). Speaking more simple language, it is fractional, vacuum massage and two types of lasers with different wavelengths (diode and led).
The nozzles of the apparatus (manipula) has two rollers with 132 alveoli on each. Socket — holes, which creates a vacuum. Thanks to them you can stimulate at one time literally every inch of the body. The device is recommended for treatment of first stage of varicose veins, it reduces swelling after a long flight or the heat.
First and foremost, of course, to go to phlebologist and already following his recommendations to treat. But if you’re already on the right track of solving the problem, you can conduct special programs for the feet, for example, the apparatus Icoone laser. Even after one procedure greatly improves blood flow, coming off the swelling and sensation in the legs without being so much disturbed. Coupled with a doctor’s treatments will help you cope with the unpleasant consequences of varicose veins. In addition, this device is completely safe and approved for use even for pregnant women, says Faina, beautician salon “the Muscovite”.
Contraindications — open wounds, skin lesions, unexplained pain and tumors, and cancer history.
Ozone therapy
The therapeutic properties of ozone (active oxygen) are widely used in various fields of medicine: gynaecology, surgery, endocrinology and other. In cosmetics it is used as an effective beam splitter adipose tissue, as well as for braces, treatment and skin rejuvenation.
Microinjection of ozone is injected directly into the lumen of the vessel, thereby gluing it. Spider veins and mesh disappear in a few treatments. There is no pain, no scars are left, swelling and inflammation after a session. Ozone increases blood circulation, metabolism, withdrawal of harmful substances from the body and oxygen supply to the cells. The skin is slowly updated, it becomes more elastic and smooth, improves its structure and colour.
The doctor will determine the course of treatment (average 5-15 sessions 1-2 times per week), based on the extent of the problem and the characteristics of the patient. Due to the analgesic property, ozone therapy is absolutely painless. The procedure can be done even pregnant women and children. However, there are some contraindications, such as hemophilia, hemorrhage, thyroid disease, heart and so on.
Sclerotherapy
Sclerotherapy is one of the most popular bezoperatsionnaya techniques, allowing not only to eliminate varicose veins, but also to make a correction broken varicose veins hemodynamics (to eliminate pathological currents of the blood refluxes) — Anna Popescu, an expert from the clinic “the Lancet center.”
This method is based on the fact that in the affected areas of varicose veins injected the drug — compounds of higher fatty acids, salts of iodine, which causes local inflammation. Thanks to this advanced inflammation varicose veins are narrowed. A few minutes after administration of the drug should wear tight compression stockings or, in extreme cases, apply a pressure bandage from the bandage or plaster. About 10-15 minutes after the procedure the patient can go about his business.
After exposure to sclerosant thin connective tissue strand is formed during 2-6 months later he is absorbed and completely disappears in 1-1. 5 years. The main advantage of sclerotherapy is the lack of incisions — all procedures performed through a skin puncture needle.
However, there are also disadvantages. Needalona surgically Vienna could again be included in the circulation or this place may be new varicose veins. Among the contraindications: a large number of excess weight, sedentary lifestyle, bruises, veins are located in remote places, for example, above the middle third of the thigh (practice has shown that it is ineffective), Allergy to sclerosing substance and breastfeeding.
Also, the doctor may try to dissuade you to do sclerotherapy during the hottest time of the year. And not because you will not get the desired effect. But only one of those considerations, what to wear compression stockings, which is mandatory after this procedure, is simple uncomfortable, warns Anna Popescu.
In any case, the choice of method by the doctor depends on the stage of the disease, so the best option is always to consult a specialist.
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