Varicosis on the legs gives a lot of discomfort and spider veins, and swelling of the veins under the skin, and cramps, and swelling. But it is especially unpleasant when the expansion of the veins, as well as the destruction of their valvular apparatus, leads to thrombophlebitis and the development of trophic ulcers. Varicose veins of the lower extremities suffer, according to the results of various studies, about 40% of women and 20% of men. Most often, the expansion of the veins is associated with a genetically determined weakness of the vascular walls. But the modern way of life – with prolonged sedentary work, irrational nutrition, lack of regular motor loads – aggravates the course of the disease.
Causes of dilated veins and development of varicose veins
Pathology of the veins in the legs, which is manifested by their expansion, tortuosity, formation of nodes, disruption of the venous valves, is called varicose veins. The essence of this pathology is that, due to the weakness of the venous walls, the blood moves not only from the superficial to the deep veins and from the periphery to the center, but also in the opposite direction. There is excess pressure & nbsp; on the walls of the veins, they expand, lengthen, form knots. Due to the increased pressure on the veins, over time, the muscle fibers in the walls of the vessels atrophy and the nerve endings that regulate venous tone stop responding, the venous valves are destroyed, designed to pass blood in only one direction. The result of such a change in the veins is varicose veins, and with its progression – ruptures of the affected veins, thrombophlebitis, trophic ulcers on the legs.<
Factors that increase the risk of developing varicose veinsVaricosis develops, as a rule, with a combination of several risk factors. The main one is called a genetic predisposition, when there is a problem of insufficiency of connective tissue, due to which weakness of the vascular walls develops. Other important factors that cause varicose veins:
- pregnancy (compression of the retroperitoneal veins often occurs, provoking varicose veins);
- obesity (increased pressure of body weight on the lower limbs, causing tension in the veins);
- chronic constipation;
- hormonal imbalance;
- prolonged standing or sitting position;
- constant static loading and heavy lifting;
- wearing corsets and compressive underwear;
- diet deficient in fibre, vitamins and minerals.
In the early stages of the disease, patients complain of increased fatigue in the legs, a feeling of heaviness. There may be telangiectasias. In the future, there are transient pain and slight swelling in the ankle area, which disappear after resting in the supine position. The stage of decompensation in varicose veins is characterized by dull pains in the legs, night cramps, skin itching. At the same time, a pronounced expansion of the veins is already visible outwardly.
Without timely treatment, hyperpigmentation appears, in some places the skin deepens, and the veins appear above the surface of the skin. The skin becomes very tight, so that it cannot be folded, dry and rough. In places where the veins are damaged, eczema develops on the skin, turning into trophic ulcers.
The main methods of treatment of dilated veins
Therapy of varicose veins is carried out using three main methods:
- conservative – physical therapy, the use of compression agents, the use of phlebotonics, the regulation of nutrition and physical activity;
- operational – compression sclerotherapy
- http://www.medalp.ru/phlebology/setochki/ (injection of drugs that cause spasm into the varicose vein and maintaining the vein in a collapsed state with the help of compression stockings); laser sclerotherapy possible; surgical – phlebectomy (minimally invasive mini-phlebectomy is possible).
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