Treatment of varicose veins of the legs, depending on the stage of the disease

Varicose veins of the legs are a pathology that causes thinning of the venous walls, deformation (dilation, elongation) of blood vessels, disturbance of blood flow. Without timely treatment, the disease can lead to a number of complications, disability and death. The following material describes in detail the stages of varicose veins of the legs, their symptoms and clinical signs, as well as methods of treatment of the disease.

Appearance reasons

According to statistics, more than 60% of women and about 50% of patients of the stronger sex suffer from varicose veins of varying degrees of severity.

There are many factors for the disease. Key factors include:

  1. Hereditary predisposition. A genetically determined defect in connective tissue is one of the most common causes of disease. It is manifested by the weakness of the vascular walls.
  2. Sex (women are more prone to varicose veins). Experts link the appearance of the disease to the changes that occur in a woman's body at different times. Pregnancy, childbirth, menopause - conditions that are accompanied by weight gain, changes in hormone levels and deformation of blood vessels.
  3. Being overweight, which blocks blood flow to the veins, is one reason that increases the risk of developing the disease in women of childbearing age by 5 times.
  4. Nutritional possibilities. Lack of vitamins, fiber interferes with the natural regeneration of venous walls.
  5. Limit physical activity. Stagnation of blood in the lower extremities is often caused by lack of movement, prolonged sitting. A high risk factor is also the occupations associated with working "on foot" (surgeon, cook).
  6. Inflammatory diseases of the pelvic organs, endocrine disorders, diseases of the heart and central nervous system, flat feet. Bone injuries to the soft tissues of the legs.

In addition to the above, important factors are also: the age of a person (the decrease in the elasticity of blood vessels is genetically determined by the aging process), the presence of bad habits.

Tight clothes, uncomfortable shoes with very high heels, regular weight lifting, taking hormonal medications - all these reasons can also cause the described disease.

Symptoms of varicose veins

signs and symptoms of varicose veins in the legs

The signs of the disease vary depending on the degree of varicose veins, are determined by the location, the nature of the pathological changes in the blood vessels, the stage of severity of the circulatory disorders.

Grade 1 varicose veins usually do not usually appear in the early stages of development. Mild discomfort that occurs in the extremities, especially after the exercise is fast enough - the patient only needs to rest for a while. Gradually, fatigue, heaviness in the legs and other unpleasant sensations that occur along the pathological changes in the blood vessels, itching, pain and a feeling of fullness increase.

Does the first stage of varicose veins develop in students? The answer is yes. The medical literature of the last decades describes the manifestation of pathologies that affect adolescents aged 16-17 years.

The increase in the intensity of the symptoms testifies to the progression of the disease and its transition to the second phase. Swelling, spider veins begin to appear in the affected area. The clinical picture is complemented by hyperthermia, which has a local character, nocturnal cramps in the calf muscles. Grade 2 varicose veins are also characterized by a reduction in the frequency of symptoms after rest (prolonged).

The neglected forms of the disease in the third stage are characterized by the appearance of pain, swelling and convulsions of a constant nature. The skin in the affected area begins to peel, loses hair, dries. The color changes to brown.

In the future, there are ruptures of blood vessels, the appearance of food ulcers.

Diagnostics

Examination by a venologist is the first step in detecting varicose veins. For the final diagnosis, in addition to the mandatory examinations, the doctor may prescribe:

  • Doppler ultrasound (a method for assessing the suitability of blood vessels, valves).
  • ultrasound angiography, used in the presence of complications.

For obtaining information in various situations, venography (X-ray contrast, 3D computer), venoscopy are also used. The mentioned methods are used in some cases that require further surgeries.

Varicose veins

According to the academic classification, there are 3 stages (grades) of varicose veins of the lower extremities - compensatory (1), compensatory (2) and compensatory (3).

Initial phase: Compensation

The first stage of varicose veins can develop for several years. The disease has no age or geographical restrictions: the disease is detected in residents of different countries, regardless of the age of the patients.

Symptoms that occur are often referred to as symptoms of other diseases. It is impossible to identify changes visually.

With the help of adequate treatment, the relief of the initial stage of varicose veins appears in a relatively short time.

Second stage: underfill

The duration of the period can be several years (its duration depends on the lifestyle, the type of activity and the general well-being of the patient).

With grade 2 varicose veins, there is visual deformation of the vessels. certain symptoms begin to appear much more often and reducing their intensity requires prolonged rest.

The sub-compensatory phase is located in the majority of patients who visit a doctor. With a timely visit to the clinic and performing all the necessary manipulations, the development of complications is suppressed.

Stage three: Decompression

third stage of varicose veins in the legs

Grade 3 varicose veins in the absence of treatment cause the formation of eczema, food ulcers. The latter appear mainly on the inner surfaces of the feet (less often on the back, above the ankles) and are distinguished by an irregular shape, a uniform bottom and the presence of purulent contents. They are alone.

The walls of the vessels affected by the disease lose their elasticity and strength, and are often damaged. Ruptures are accompanied by bleeding, which rarely stops on its own.

In the third stage of varicose veins of the lower extremities, erysipelas can develop in the affected areas. The disease is aggravated by complications such as:

  • venous thrombosis?
  • thrombophlebitis?
  • lymphangitis.

In stage 3 varicose veins, the changes begin to affect the whole body: there is a weakening of the immune system and musculoskeletal system, possibly alopecia.

Treatment of varicose veins, depending on the stage

The choice of a treatment method depends on the stage of the pathological process. A neglected disease requires radical measures of relief.

Treatment of varicose veins in the initial phase

First degree varicose veins are suppressed by the use of drugs, bentonites, creams, massage, sclerotherapy (injection of a special agent into a vein) and ozone therapy (strengthening of blood vessels). In addition, you can use traditional medicine recipes.

Do not use alone (without consulting a doctor) medicines, decoctions and herbal infusions: accidental treatment will only worsen the condition.

Prescription drugs:

  • medical products that stimulate blood flow to the veins.
  • vascular tonics.

Dosage is calculated separately, depending on the patient's condition.

effective methods of treating varicose veins

Among the auxiliary methods of conservative treatment for varicose veins is the use of medical knits (tights, tights, golf) and elastic bandages.

The use of the latter prevents the development of deformity, helps to reduce the load on the vessels of the affected area when walking. They overlap after sleep (night), in a supine position. worn all day. It was filmed only at night, before he rested.

Compression garments improve blood circulation and support weakened vascular walls.

Cool foot baths can be used at home to relieve fatigue and reduce discomfort.

Relief of form 2

The principles of medication for grade 2 varicose veins are similar to the first stage of the disease. It includes the use of anticoagulants, bentonites and the use of compression underwear.

Among the popular drugs that reduce swelling are ointments and flaxseed.

Surgical procedures include radiofrequency therapy, laser coagulation. The first of these methods allows you to remove the vascular pattern, used if patients have a history of asthma, ischemia and other serious illnesses.

The elimination of radio frequencies under ultrasound control is carried out in case of damage to the trunks of large, small clear veins, helps to eliminate varicose veins.

The main recipe for traditional medicine is to apply blue clay compresses. To take a medicinal mixture 2 tbsp. large. sedimentary rock is raised in 1 glass of water. The resulting substance is applied to damaged areas, fixed with a paper towel. The affected area is additionally wrapped in a warm towel. The minimum treatment time is two hours.

Methods of suppression of the 3rd stage of the disease

Surgeries are used to treat grade 3 varicose veins. Among them - phlebectomy (removal of the affected vessel), used in the presence of ulcers, blood clots. There are classical and laser techniques (not accompanied by incisions).

At the end of the operation, pharmacotherapy is prescribed and compression tights are recommended.

Disease prevention

preventing the development of varicose veins in the legs

There are three key points in the list of rules that prevent the development of varicose veins: following the principles of a healthy lifestyle, discarding tight clothing, uncomfortable shoes and seeing a doctor early.

To prevent the disease, pregnant women should use a properly selected bandage, compression stockings or socks.

During recovery, you should follow a healthy diet, do the recommended set of exercises, take a contrast shower and have regular check-ups.

And most importantly: at the first suspicion of developing a disease, you should seek immediate help from a venologist. Varicose veins that are detected in the initial stage can be stopped completely without harm to health.

10.11.2020