According to statistics, up to 20% of the population suffers from vein varicose veins from the lower extremities, while in women the disease occurs 2 times more often.It is proven that women have additional predisposing factors that contribute to a decrease in vascular tone (pregnancy, intake of contraceptive drugs from estrogen-gestagen, a sex hormone imbalance).The types of leg veins treatment in men and women do not differ, however, the frequency of post -operative relapses in women is higher due to the additional influence of hormones (estrogen influence and progesterone).
Venous leg diseases should be treated by a phlebologist who is involved in this pathology.Various varicose vein treatment methods are not radical as they are not intended to eliminate the main pathogenetic cause - the failure of the vein valve device.Surgical and conservative treatment delays the progression of the disease in long lines.The relapse percentage is high and reaches 10 to 50% after 5 years after surgery.
The treatment of varicose veins should be complex.There are three groups of methods to eliminate varicose veins:
- Phlebosklering,
- surgical,
- Conservative.
Each type of treatment has its advantages and disadvantages, a certain frequency of relapse.The choice of method is conditional, since a phlebologist to get the most favorable result usually needs to combine the three methods.
General manifestations, characteristics of men and women
Symptoms of varicose veins begin with the appearance of functional disorders such as a feeling of severity in the legs, swelling of the ankle joints until the end of the business day.In the skin of the legs, the vascular stars form first.
Vascular stars are one of the first symptoms of the development of varicose veins.
The main signs of the disease - the unification of varicose veins appear a few years after the beginning of the disease.
In the absence of treatment at this stage, there are symptoms such as colic in the calf muscles, itching the skin on the legs.
Signs of trophic disorders: skin pigmentation in the lower third of the leg, cyanosis, sclerotic changes in subcutaneous tissue, eczema, against which a trophic ulcer is formed.
Characteristic symptoms of varicose veins in women
- Painful symptoms appear cyclically, increased before menstruation, which is associated with a change in the level of sex hormones;
- During pregnancy, the signs of varicose veins after delivery may disappear;
- In the second half of the menstrual cycle due to the action of progesterone, the varicose vein diameter increases, so that the symptoms of swelling and gravity in the legs are more expressed;
- Signs of varicose veins are aggravated during hormone therapy.
Now let's talk about therapy methods.
Flexclerosis treatment methods
Radio frequency ablation and laser coagulation
Vein radio frequency ablation
The method is based on the introduction of a special disposable catheter under the lumen ultrasound of an expanded vein.
The catheter is equipped with a special electrode, whose work part is heated to 120 degrees under the influence of radio frequency radiation.The promotion of the catheter across the vein leads to necklace or "manufacturing" the vascular wall.The oblique veins are turned off from the leg circulatory system.
Endoxic laser coagulation
The operation of the operation consists of an affected vein puncture and the introduction to its lumen under laser light ultrasound control.Under the influence of laser radiation, the proteins of the vascular wall occurs as a result of which the vein falls and after a while is covered with connective tissue.
Radiofrequency ablation (RFA) and laser arrest of endhenosis (EVLO) are relatively new methods to treat varicose veins in the legs.Despite differences in the implementation technique, they have general characteristics.
Advantages and disadvantages of Rh and Eullo
| Does not require hospitalization | High price |
| Execution speed (from 30 minutes to 1 hour) | Release frequency of up to 10% |
| Painless | The impossibility of performing the procedure in some anatomical characteristics of the veins (strong winding of the vessels) |
| Brushed | |
| Performed under local anesthesia | |
| Lack of post -operative scar (the desired effect for women) | |
| Short Rehabilitation Terms |
RFA or EVLO is chosen by women who want to treat varicose veins in an outpatient basis with a minimum restriction of physical activity in the post -operative period and maintaining the aesthetic type of leg.
Flexeclerotherapy
A special medicine is introduced into the lumen of the affected vein segment, which has a sclerosing effect (“gluing”) on the vascular wall.A sclerosing agent can be used in liquid form or foam.Preference should be given to foam sclerotherapy due to the higher contact area of a substance with a vein wall.
Advantages and disadvantages of phlebosclerotherapy:
| The absence of a post -operative scar | Prolonged skin pigmentation at the puncture site (up to 2 years) is possible |
| Carried out on an outpatient base | In rare cases, post -operative inflammation of the vein (Flebitis) |
| The operation is performed without anesthesia | Swelling and redness of the tissues within 2 days after the procedure |
| Manipulation is almost painless (slight burning at the puncture site) | Allergic reaction with individual intolerance to the medicine |
| In 20% of cases, vascular stars in the legs appear.Release frequency of up to 50% |
The relapse of varicose veins after sclerotherapy depends on the lumen of the affected vessel - the higher the clearance, the higher the risk of recanalization in it.Sclerosis therapy is chosen in the treatment of the relapse of varicose veins after surgical bending.
Surgical phlebectomy
Surgical surgery is a more radical way to eliminate varicose veins.The principles of surgical treatment are the elimination of the pathological discharge of blood in depth in the superficial veins of the legs and the removal of the expanded vessels themselves.Combined Flebectomy Stages:
- Intersection and dressing of the mouth of a large subcutaneous vein (section in the groin) or a small subcutaneous vein (incision in a popliteal fossa);
- Removing the barrels from varicose veins.It is performed using a special metal probe that stretches a vein on a skin incision.
Advantages and Disadvantages
| Radicality | Hospitalization of 5 to 7 days |
| The ability to perform surgery at any stage of the disease | A scar on the legs |
| Anesthesia of cephalorean liquid or general grass of surrounding tissues when stretching is velopoli complications: bleeding, relapse wound infection up to 20% |
It is preferable to treat the operational manner with a type of damage to the rod, when the deformation of large or small subcutaneous veins varicose veins occurs by a significant length.Also, when there are signs of soft tissue trophic disorders and symptoms of decompensation of venous insufficiency.
Miniflebectomy
Miniflebectomy is a separate version of the surgery in which you can treat varicose veins in the early stages.It is most often used in the presence of unique varicose veins in the legs.A skin puncture on pathological formation is performed and, with the help of the hook, the vein is stretched and intersecting.The operation does not require general anesthesia and overlap of skin seams.
It is necessary to start treating the varicose veins on the legs using drug therapy and compression.The appointment of medicines that improve blood circulation and the use of medical compression meshes are the main conditions that determine the result of any surgical intervention in the legs of the legs.
It is necessary for a long time to treat phlebotonic and anti -acregado drugs in the continuous mode or in the form of repeated courses.
Drug therapy
Medicines stop the symptoms of venous insufficiency, are used as pre -operative preparation and postoperative rehabilitation.
Compression therapy
Elastic leg compression is the main method of treatment in cases where surgery is against -indicated.As compression products, you can wear elastic bandages and special medical meshes: socks, golf, tight pants.Medical products are highly durable, maintain the initial compression level for a long time, convenient when using, which is important to women.
There are 4 classes of elastic meshes, depending on the degree of compression.It is recommended to treat varicose veins using grade 2 products in the absence of a disease progression up to 6 months and with later use for physical activity or with prolonged legs in the legs.If there are signs of deep vein valves or pronounced symptoms of impaired lymphatic flow, the 3rd class mesh products will be prescribed before interrupting varicose varicose progression.
The therapeutic effect of compression meshes is due to:
- a decrease in the vein volume, which leads to a lower discharge of blood in varicose vessels;
- an increase in fabric fluid absorption in the bloodstream due to swelling signs and symptoms of severity in the legs disappear;
- Improving blood fluidity, which prevents blood clots.
How to treat veins in women in women
The correct answer to the question of how to treat varicose veins in women in women is the possibility of a high quality and full life.It is no secret to anyone that ignoring therapeutic measures and consultations by a doctor leads to deplorable consequences: disability, emergence of trophic ulcers, thrombosis and the worst option is a fatal result.
Clinical Image of Varicose veins
As medical statistics show, the cause of varicose veins is a hereditary factor;Therefore, knowing the problem of their relatives, it is necessary to get involved in preventing the disease from young age.
In addition, doctors distinguish the causes of varicose veins in women:
- hormonal violations;
- harmful nutrition, excessive fat use;
- high cholesterol;
- restructure the body with menopause;
- Long stay in a position at work or at home;
- Strong physical activity;
- Passive lifestyle, minimal motor activity.
Each of these factors affects normal blood function at the lower ends, which causes 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 nearby linen.
Unfortunately, not all women give due importance to symptoms at the early stage of disease development.The symptoms of varicose veins are discarded for leg fatigue, heat, uncomfortable shoes, tight pants.It is early diagnosis that allows you to choose effective treatment and quickly save a woman from the problem.
A woman can feel these signs of varicose veins:
- The feet, the lower parts of the legs begin to swell at night, while swelling can appear on both legs and one;
- A feeling of incredible burning on the leg of the leg;
- A small mesh of blood vessels can form on the skin;
- Skin pigmentation occurs, vascular stars appear at the bottom leg;
- Seizures may appear at night;
- Vienna goes up to the surface of the muscles, while any touch to them causes pain.
The appearance of this disease can be accompanied by a change in skin structure, will be denser, abrasions and bruises manifest themselves more often in it, even from a slight blow.
A woman can diagnose varicose veins on her legs at an early stage, is her attention to the body that will allow treatment and avoid serious complications on time.
Modern treatment methods
When choosing a treatment method, the doctor will first focus on the reason that caused varicose veins.It is the elimination of pathological changes that will heal the disease.
Varicose veins in women can be treated in many ways:
- Surgical intervention.
- Drug therapy.
Drug therapy includes a wide range of medications that help deal with the disease at various stages of your course.The simplest and most effective way will be to use ointments.Many of the ointments possessed allow you to eliminate various symptoms at the same time, including pain.
Medicines are selected individually only by the assistant doctor, but are necessarily included in these groups:
- Phlebotonics.Medicines deal with edema perfectly and prevent the appearance of seizures at night.
- Painkillers.Used in the case of intense pain.
- Aspirin -based drugs.They help to dilute the blood, preventing the new appearance of blood clots.
- Vitamin Complexes containing vitamin E.
If the surgical method will need to be used to treat varicose veins, the doctor may offer several options for surgery:
- Flebectomy.The operation is performed on a painful member and a varicose vein -deformed vein is surgically extracted.
- Endoxic coagulation with a laser.This is an innovative method that allows you to make the arrest of varicose veins.Laser treatment is increasingly gaining popularity as it is less traumatic.
- Using radio frequencies for coagulation.This operation is performed in outpatient treatment, the patient does not even need hospitalization.
- Sclerotherapy.This method allows to paste damaged veins using special substances that are inserted inside.
Also important in treatment are female compression meshes.It is used as an auxiliary tool as a prevention.The use of compression linen offers many advantages and treatment is faster.
Among the main advantages of such underwear, doctors call the following:
- reduction of cargo on inflamed vessels;
- normalization of blood circulation in the limb;
- Minimization of the risk of blood clots;
- Full security and lack of side effects.
Using compression linen and elastic bandages is allowed only during the day;At night, the legs should rest.
What does traditional medicine offer?
Traditional medicine has many prescriptions that help deal with the disease.But remember that any of the recipes should be used in complex therapy and only after consulting the assistant doctor.Self -mate can end or bring more serious complications.
There are these folkloric recipes for the treatment of varicose veins:
- As a compaction to relieve swelling and pain, you can use an ointment made of butter and garlic.The ground garlic is mixed with butter and applied to the leg, left all night.
- To relieve inflammation inside, you can use the nettle dye.2 tablespoons of chopped nettle are spilled with a glass of boiling water insisted.Drink the resulting product at 50 ml for 2 weeks.
- The nut -ground is spilled with a glass of boiling water and a honey spoon is added.All of this needs to be drunk before meals in one hour.
- It is good to use the horse's brown tincture as a rubber.To prepare it, you will need 50 grams of crushed nuts and 250 ml of vodka.You need to insist on the product within 14 days, constantly stirring.
It is important to remember that self -medication or use of only folk recipes may end up fatally or bring more serious complications.
Complications that may be in the absence of treatment
What is the danger of varicose veins at women's feet?What are the consequences with inappropriate treatment?
This disease is not a cosmetological problem, so it requires immediate and professional treatment.
Experts highlight these possible complications and consequences:
- Any delay in treatment can cause bleeding, thrombosis or overlapping partial veins.
- Ignoring medical help can cause the development of a trophic ulcer, thrombophlebitis.
- If blood circulates systematically through Vienna, venous deficiency may develop.
- About 1% of all patients receive disability or death.
With the varicose veins of the lower ends, treatment should be complex, regular and professional.It is worth remembering that life and health always depend on the patient himself.
Do you know all about how to properly treat varicose veins in women in women?
Varicherosis is a disease of the veins of the lower extremities, in which the expansion of subcutaneous veins develops in people who did not paint thrombosis previously.
Even with the help of radical surgical operations, it is not always possible to obtain a complete recovery.
However, varicose vein therapy is required, as it tends to progress and develop moreComplications: thrombophlebitis, trophic ulcers, bleeding.
CAUSES AND SYMPTOMS
According to Variza Statistics diseaseIn women, it is diagnosed 4 times more oftenthan men.As pregnancy is a traditional risk factor for the development of varicose veins.The expansion of the varicose vein during pregnancy is due to the influence of a set of factors in a woman's body:
- an increase in circulating blood volume;
- a change in hormonal background, ie an increase in progesterone level;
- an increase in the volume of the uterus, which tightens the retroperitoneal veins;
- Increase intra -air pressure during delivery.
Varicose veins during pregnancy are already developing in the first months, manifested by clinical symptoms in the middle of the second and beginning of the third quarter.
The second unfavorable factor causing the disease is the increased body of the body in women during menopause, which is also due to the influence of hormones.Women's hormones are estrogens, progesterone reduces the tone of the veins.
The third cause of varicose veins in women.Of little importance in the occurrence and development of the disease isLife.According to statistics, the frequency of varicose veins in women with sedentary work is observed at 37%.Forced people to stay upright for a long time (teachers, cooks, hairdressers, salespeople) - in 63%.For comparison, in men, this data is three times lower.
The effect of heredity on disease development was not fully studied;However, 25% of patients detected relatives suffering from this disease.
Signs of varicose veins in women
The onset of varicose veins can occur in different ways:
- The appearance of subcutaneous varicose veins.
- The appearance of varixes - venous nodes that shine through the surface of the skin, appearing in the form of snakes.
In addition, the first signs of varicose veins are not accompanied by other symptoms,Severe manifestations of the disease develop after a few years.
Varicose veins symptoms:
- After 3-5 years- “Tired legs” syndrome: a feeling of weight, tinnitus, popping in the legs, especially the night after a day of work.After relaxing upright with the feet raised, the symptoms of the disease are agitated with oneself.
- After 5 to 10 years- Trophic disorders: darkening, skin thinning, ulceration.
- After 10 to 15 years- Impenetrable edema, located more often in the leg area, not rising above the knee.The propagation of edema in the thigh indicates the presence of thrombosis.
During pregnancy, varicose veins symptoms develop much faster.As gestational age and growing uterus increase, there is a sense of pain and gravity in the legs, turning into leg edema.
How to treat varicose veins in women in women?
The successful treatment of varicose veins should solve the following problems:
- elimination of varicose veins;
- Elimination of symptoms of the disease;
- Registration prevention.
The first problem is solved by flexible therapy or surgical intervention.
Conservative therapy aims to eliminate the symptoms of varicose veins (drug treatment + compression) and prevention (physical therapy exercises. Elastic compression).
In the early stages of the disease, the treatment is only conservative:
- Drug therapy in tablets - phlegoprotectors and anticoagulants (as prescribed by a doctor).
- Local use of ointments and venotonizing gels.
- Elastic compression.
- Physical Education and Gymnastics.
- A healthy lifestyle and proper nutrition.
CompressionConservative therapy is mandatoryIn all steps of varicose veins, it is possible to eliminate stagnation in the blood, as well as recreate favorable conditions for blood vessel microcirculation.Depending on the degree of varicious disease, meshes withideal pressure.In the early stages of the disease, the compression of the 1st class is used, for varicose veins with “tired legs” syndrome - 2 class, with a complicated 3 class course.
Drug treatment
The treatment of varicose veins in the legs in women is performedCourses 2 to 3 months twice a year.When varicose veins, phleboprotectors use drugs that eliminate the manifestations of the disease, increase veins tone, improve blood vessel microcirculation and prevent the formation of the inflammatory process in the vascular wall.
Flavonoid -based medications are successful in flexible practice(Substances contained in plant organisms) are derived from rutin and diosmin and ges.
To quickly relieve symptoms, ointments and gels are used for local use.
Pharmacological treatment does not cure patients, but decreases the progression of the disease.
Household treatment
Are many women interested in treating varicose veins on women's feet at home?Therapeutic gymnastics, herbal medicine and some recommendations on a healthy lifestyle for varicose veins will help alleviate symptoms of the disease and prevent their additional development.
Therapeutic exercises
Daily in the morning and night, you need to perform simple exercises for varicose veins:
- Lying your back, lift your legs vertically, tilting them on the wall at an angle of 90 °.Keep them in this position for 3 minutes, breathing slowly with the chest, not a stomach.
- In the position of lying on your back, bike 3 to 5 minutes.
- Standing, climb with two legs in the socks 1 cm from the floor and go down.Perform 30 times in two approaches.
- Standing alternately a jump from the floor, then another, at an angle not exceeding 45. Start from 15 minutes a day, extending to 30 minutes.
Daily must have time to walk, at least 30 minutes.It is useful to go to the pool once a week.
