According to statistics, up to 20% of the population suffers from varicose veins of the lower extremities veins, while in women the disease appears twice more often.It is proven that women have additional predisposing factors that contribute to a decrease in vascular tone (pregnancy, intake of estrogen-gestaneous medicines, an imbalance of sex hormones).The types of foot veins in men and women do not change, however, the incidence of post -operative relapse in women is higher due to the additional impact of hormones (estrogen and progesterone influence).
Venous leg diseases should be treated by a phlebologist who is engaged in this pathology.Various varicose vein treatment methods are not radical, as they are not intended to eliminate the main pathogenetic cause - failure of vein valve appliances.Surgical and conservative treatment delays the progression of the disease in long lines.The percentage of relaxation is high and reaches 10 to 50% after 5 years after surgery.
Treatment of varicose veins should be complex.There are three sets of methods for eliminating varicose veins:
- Phlebosklerizing,
- surgical,
- Conservative.
Each type of treatment has its advantages and disadvantages, a certain frequency of relapse.The choice of method is conditional, as a foilist to achieve the most favorable result often must combine all three methods.
General manifestations, characteristic of men and women
Symptoms of varicose veins begin with the appearance of such functional disorders as feeling of severity in the foot, swelling of the ankle joints by the end of the working day.On the skin of the legs, the vascular stars are first formed.
Vascular stars are one of the first symptoms of varicose veins development.
The main signs of the disease - the union of varicose veins, appear a few years later from the onset of the disease.
In the absence of treatment at this stage, there are symptoms such as cramps in the beef muscles, itching of the skin in the legs.
Signs of trophic disorders: skin pigmentation in the lower third of the lower leg, cyanosis, sclerotic changes in the subcutaneous tissue, eczema, against which a trophic ulcer is formed.
Characteristic symptoms of varicose veins in women
- Painful symptoms appear cyclic, improved prior to menstruation, which is associated with a change in sex hormone levels;
- During pregnancy, varicose veins signs after childbirth may disappear;
- In the second half of the menstrual cycle due to the action of progesterone, the diameter of the varicose veins increases, so the symptoms of swelling and severity in the legs are more expressed;
- Varicose vein signs worsen during hormone therapy.
Now let's talk about the methods of therapy.
Methods of treating phlebosclerosis
Radio frequency ablation and laser coagulation of endenosis
Vein radio frequency ablation
The method is based on the introduction of a special catheter available under ultrasound into the lumen of an extended vein.
The catheter is equipped with a separate electrode, the workpiece of which is heated to 120 degrees under the influence of radio frequency radiation.Promoting the catheter throughout the vein leads to climbing or "creating" the vascular wall.The oblique veins are turned off by the circulatory system of the legs.
Endoxic laser coagulation
The operation of the operation consists of a puncture of the affected vein and entry into its lumen under the ultrasound control of the laser light.Under the influence of laser radiation, coagulation of the proteins of the vascular wall occurs, as a result of which the vein falls and after a while it is exceeded with the connective tissue.
Radio frequency (RFA) and endhenous laser prison (EVLO) are relatively new methods of varicose veins treatment.Despite changes in implementation technique, they have general characteristics.
Advantages and Disadvantages of Rh and Eulo
| Do not require hospitalization | Prize |
| Execution speed (from 30 minutes to 1 hour) | Frequency of release up to 10% |
| Painless | Inability to perform the procedure in some anatomical features of veins (winding -strong shipping) |
| Wearing | |
| Performed under local anesthesia | |
| Absence of after surgery (the desired effect for women) | |
| Short conditions of rehabilitation |
RFA or EVLO are chosen by women who want to treat varicose veins on outpatient basis with a minimal restriction of physical activity in the post -operative period and while maintaining the aesthetic type of foot.
Phleboslerotherapy
A special drug is inserted into the segment of the affected vein segment, which has a sclerosis ("climbing") effect on the vascular wall.A sclerosing agent can be used in liquid or foam form.Preference should be given to foam sclerotherapy due to the largest contact area of a substance with a vein wall.
Advantages and disadvantages of phleboslerotherapy:
| The absence of a scar after surgery | Prolonged skin pigmentation in the place of puncture (up to 2 years) is possible |
| Performed on outpatient basis | In rare cases, inflammation after surgery of the vein (phlebitis) |
| The operation is performed without anesthesia | Swelling and redness of tissue within 2 days after the procedure |
| Manipulation is almost painless (slight burning in the puncture place) | Allergic reaction with individual intolerance to medicine |
| In 20% of cases, vascular stars appear on the foot.Frequency of release up to 50% |
The relapse of varicose veins after sclerotherapy depends on the lumen of the affected ship - the wider the cleaning, the higher the risk of recanalization in it.Sclerosis therapy is chosen in the treatment of varicose vein relapse after surgical phlebectomy.
Phlebectomy surgical
Surgical surgery is a more radical way to eliminate varicose veins.The principles of surgical treatment are the elimination of pathological discharge of blood from depth to the surface veins of the feet and the removal of enlarged vessels themselves.Stages of combined phlebectomy:
- The intersection and coating of a large subcutaneous vein (section in the groin) or a small subcutaneous vein (cutting in a popliteal fossa);
- Removing varicose veins barrels.It is performed using a special metal probe, which lies a vein in a cutting leather.
Advantages and disadvantages
| Radicality | Hospitalization from 5 to 7 days |
| Ability to perform surgeries at any stage of the disease | A scarf |
| Anesthesia of cerebrospinal fluid or general tissue grass when stretching is complications of velopolis: bleeding, infection of relap wounds up to 20% |
It is preferable to be treated with the operational mode with a type of flow damage, when deformation of large or small subcutaneous veins varies occurs for considerable length.And also, when there are signs of soft tissue trophic disorders and symptoms of decompensation of venous insufficiency.
Miniflebectomy
Miniflebectomy is a special version of the operation in which you can treat varicose veins in the early stages.It is most often used in the presence of single varicose veins in the legs.A puncture of the skin over the pathological formation is performed and with the help of stroke, the vein is stretched and cross.Surgery does not require general anesthesia and overlap of skin stitches.
It is necessary to start treating varicose veins in the legs using drug therapy and compression.The appointment of medicines that improve blood circulation and coating of medical compression knitwear are the main conditions that determine the outcome of any surgical intervention on the toes.
It is necessary for a long time to treat phlebotonic and anti -agregate drugs in constant state or in the form of repeated courses.
Drug therapy
Medications stop the symptoms of venous insufficiency, used as preparation preparation and post -operative rehabilitation.
Compression therapy
Elastic foot compression is the main method of treatment in cases where surgery is contraindicated.As compression products, you can use elastic bandage and special medical clothing: socks, golf, tanga.Medical products are very durable, keep the starting level of compression for a long time, suitable when wearing, which is important for women.
There are 4 classes of elastic knitwear depending on the compression degree.It is recommended to treat varicose veins using class 2 products in the absence of a disease up to 6 months and with further use for physical activity or prolonged standing.If there are signs of deep vein valves or pronounced symptoms of damaged lymph flow, then 3 -grade knitted products are described before stopping the progression of varicose veins.
The therapeutic effect of compression knitwear coatings is due to:
- a decrease in the volume of the vein, which leads to a lower blood discharge into the varicose vessel;
- an increase in the absorption of tissue fluid in the blood flow, due to which signs of swelling and symptoms of severity in the leg disappear;
- Improving blood fluidity, which prevents blood clots.
How to treat varicose veins in women in women
The exact answer to the question of how to treat varicose veins in women in women is the possibility of high and complete quality of life.It is no secret to anyone that ignoring therapeutic measures and consultations from a doctor leads to deplorable consequences: disability, appearance of trophic ulcers, thrombosis and the worst option is a fatal result.
Clinical picture of varicose veins
As medical statistics show, the cause of varicose veins is an inheritance factor, therefore, knowing the problem of your relatives, it is necessary to get involved in preventing the disease from a young age.
Moreover, doctors distinguish the causes of varicose veins in women:
- hormonal violations;
- Unhealthy food, excessive use of fat;
- high cholesterol;
- restructuring of the body with menopause;
- long stay in a position at work or at home;
- strong physical activity;
- Passive life life, minimal motor activity.
Each of these factors affects the normal functioning of blood in the lower extremities, which provokes the development of the disease.
It is important to remember that the causes of varicose veins in women are often compressive clothes, high heels and narrow linen.
Unfortunately, not all women attach proper importance to the symptoms at the initial stage of developing the disease.The symptoms of varicose veins are written for fatigue, heat, unpleasant shoes, pants squeeze.Diagnosis is an early diagnosis that allows you to choose an effective treatment and quickly save a woman from the problem.
A woman can feel such signs of varicose veins:
- The legs, the lower parts of the legs begin to swell in the evening, while the swelling can appear in both two legs and in one;
- a feeling of extraordinary burning in the calf of the foot;
- A small network of blood vessels can form on the skin;
- Skin pigmentation occurs, vascular stars appear at the bottom of the foot;
- Convulsions can appear at night;
- Vienna rises on the surface of the muscles, while any touch against them causes pain.
The appearance of this disease can be associated with a change in skin structure, will be denser, scratches and bruises are most often manifested on it even by a slight stroke.
A woman can diagnose varicose veins in the leg at an early stage, it is her attention to her body that will allow treatment and avoid serious complications in time.
Modern treatment methods
When choosing a treatment method, the doctor will first and foremost focus on the reason it caused varicose veins.The elimination of the pathological changes that will cure the disease.
Varicose veins over women can be treated in several ways:
- Surgical intervention.
- Medication therapy.
Medication therapy involves a wide range of drugs that help to cope with the disease at different stages of its course.The simplest and most effective way will be to use ointments.Many of the possessed oil allow you to eliminate some symptoms immediately, including pain.
The medicines are individually selected only by the attending physician, but they are necessarily included in such groups:
- Phlebotonics.Drugs face edema perfectly and prevent the appearance of convulsions at night.
- Analgesic.Used in the case of severe pain.
- Aspirin -based drugs.They help to dilute the blood, preventing the new emergence of blood clots.
- Vitamin complexes containing vitamin E.
If the surgical method should be used in the treatment of varicose veins, the doctor may provide several options for surgery:
- Phlebectomy.The surgery is performed on a sore limb, and a vein deformed by varicose veins is extracted surgical.
- Endoxic coagulation with a laser.This is an innovative method, which allows you to perform varicose vein prison.Laser treatment is gaining more and more popularity, as it is less traumatic.
- Use of radio frequencies for coagulation.Such surgery is performed in the outpatient treatment, the patient does not even need hospitalization.
- Sclerotherapy.This method allows you to glue the damaged veins using special substances that are inserted inside.
Also important in treatment are women's compression knitwear dresses.Used as an auxiliary tool as prevention.Compression linen dress gives many advantages and treatment is faster.
Among the main advantages of such underwear, doctors call the following:
- lowering loads on inflamed ships;
- normalization of blood circulation in the limbs;
- minimizing the risk of blood clots;
- Complete safety and lack of side effects.
Wearing linen of compression and elastic bandages is allowed only during the day, at night the legs should rest.
Does what does traditional medicine offer?
Traditional medicine has many recipes that help to cope with the disease.But it is worth remembering that any of the recipes should be used in complex therapy and only after consulting the attending physician.Self -medication can end at the bottom or bring more serious complications.
There are such popular recipes for the treatment of varicose veins:
- As a compress to relieve swelling and pain, you can use an oil made of butter and garlic.The ground garlic is mixed with butter and applied to the foot, leave for the whole night.
- To relieve inflammation from the inside, you can use nettle solution.2 tablespoons chopped shades chopped with a glass of boiling water and insist.Drink the resulting product in 50 ml for 2 weeks.
- The soil nut is poured with a glass of boiling water and add a spoonful of honey.All this should be drunk before eating in one hour.
- It is best to use the horse chestnut solution as a rubber.To prepare it, you will need 50 grams of crushed chestnut and 250 ml of vodka.You need to insist the product within 14 days, constantly stirring it.
It is important to remember that self -medication or use of only popular recipes can end fat or bring more serious complications.
Complications that may be in the absence of treatment
What is the risk of varicose veins in women's feet?What are the consequences with improper treatment?
This disease is not a cosmetic problem, so it requires immediate and professional treatment.
Experts highlight such possible complications and consequences:
- Any delay in treatment can cause bleeding, thrombosis or overlap of partial veins.
- Ignoring medical assistance can cause the development of a trophic ulcer, thrombophlebitis.
- If the blood circulates systematically through Vienna, then venous deficiency can develop.
- About 1% of all patients receive disability or death.
With varicose veins of the lower extremities, treatment should be complex, regular and professional.It is worth remembering that life and health always depend on the patient himself.
Do you know how to properly treat varicose veins in women in women?
Varicosis is a disease of the veins of the lower extremities, in which the enlargement of the subcutaneous veins develops in people who have not previously painted thrombosis.
Even with the help of radical surgical surgeries, it is not always possible to achieve a complete recovery.
However, varicose veins therapy is required, as it tends to progress and develop furtherComplications: thrombophlebitis, trophic ulcers, bleeding.
Causes and symptoms
According to the statistics of the varicose diseaseIn women, it is diagnosed 4 times more oftenthan men.Since pregnancy is a traditional risk factor for the development of varicose veins.The expansion of varicose veins during pregnancy is due to the influence of a group of factors on a woman's body:
- an increase in the volume of circulating blood;
- a change in the hormonal background, namely an increase in progesterone level;
- an increase in uterine volume, which squeezes retroperitoneal veins;
- Increase intra -abdominal pressure during childbirth.
Varicose veins during pregnancy already develop in the first months, manifested by clinical symptoms between the second and the onset of the third trimester.
The second unfavorable factor that provokes the disease is the growth of the body of the body in women during menopause, which is also due to the impact of hormones.Women's hormones are estrogen, progesterone reduces vein tone.
The third cause of varicose veins in women.With no minor importance in the emergence and development of the disease is notBE.According to statistics, the frequency of varicose veins in women with sedentary work is observed at 37%.Persons forced to be in a straight position for a long time (teachers, chefs, hairdressers, sellers) - at 63%.By comparison, in men, these data are three times lower.
The effect of inheritance on the development of the disease has not been fully studied, however, 25% of patients discovered relatives suffering from the disease.
Varicose vein signs in women
Starting varicose veins can occur in different ways:
- The appearance of subcutaneous varicose veins.
- The appearance of varixes - venous joints that shine across the surface of the skin, appearing in the form of snakes.
Moreover, the first signs of varicose veins are not associated with other symptoms,Severe manifestations of the disease develop after several years.
Symptoms of varicose veins in women:
- After 3-5 years- "tired legs" syndrome: a heavy feeling, buzzing, eruption, especially in the evening after a day of work.Once they rest in a straight position with their raised legs, the symptoms of the disease are driven by themselves.
- After 5 - 10 years- Disordishes trophic disorders: darkening, skin thinning, ulcers.
- After 10 - 15 years- impermeable edema, most often localized in the area of the lower leg, not raising above the knee.The spread of edema in the thigh indicates the presence of thrombosis.
During pregnancy, the symptoms of varicose veins develop much faster.As gestational age and uterus grow up, there is a feeling of pain and severity in the leg, turning into lower leg edema.
How to treat varicose veins in women in women?
Successful varicose vein treatment should solve the following problems:
- elimination of varicose veins;
- elimination of symptoms of the disease;
- Prevention of registration.
The first problem is solved by the therapy with flulature or surgical intervention.
Conservative therapy is aimed at eliminating the symptoms of varicose veins (drug treatment + compression) and prevention (physiotherapy exercises. Elastic compression).
In the early stages of the disease, treatment is only conservative:
- Medication therapy in tablets - phleboprotectors and anticoagulants (as prescribed by a doctor).
- Local use of venotonizing ointments and gels.
- Elastic compression.
- Medical physical education and gymnastics.
- A healthy lifestyle and proper nutrition.
CompressConservative therapy is compulsoryAt all stages of varicose veins, it is possible to eliminate blood sticking as well as recreate favorable conditions for microcirculation of blood vessels.Depending on the rate of varicose disease, dresses tricetted withoptimal pressure.In the initial stages of the disease, 1 grade compression is used, for varicose veins with "tired heels" syndrome - 2 classes, with a complex course of 3 classes.
Treatment
Treatment of varicose veins in the legs in womenCourses 2 to 3 months twice a year.When varicose veins, phleboprotectors use medicines that eliminate manifestations of the disease, increase vein tone, improve microcirculation of blood vessels and prevent the formation of the inflammatory process in the vascular wall.
Flavonoid -based medicines are successful in phlebological practice(Substances included in plant organisms) are routine derivatives, and Diosmina and GES.
To quickly relieve symptoms, ointments and gels are used for local use.
Pharmacological treatment does not cure patients, but slows the progression of the disease.
Home treatment
Many women are interested in how to treat varicose veins on women's feet at home?Therapeutic gymnastics, phytotherapy and some recommendations for a healthy lifestyle for patients with varicose veins will help alleviate the symptoms of the disease and prevent its further development.
Therapeutic
Every day in the morning and in the evening, you need to perform simple exercises for varicose veins:
- Lying on your back, lift your legs vertically, supporting them against the wall at an angle of 90 °.Hold them in this position for 3 minutes, breathing slowly with your chest, not in the stomach.
- In the position lying on your back, make a bike, 3 - 5 minutes.
- On the foot, glue it with two legs in 1 cm sock from the floor and descend.Perform 30 times in two approaches.
- On the foot, alternately freeze a heel from the floor, then another, at an angle not higher than 45 around.Start from 15 minutes a day, extending to 30 minutes.
Every day should be given time to walk, at least 30 minutes.It is useful to go to the pool once a week.
