According to statistics, up to 20% of the population suffers from varicose veins of the lower limbs, while in women the disease is found 2 times more.Women have been shown to have additional predisposing factors that contribute to the reduction of vascular tone (pregnancy, the intake of estrogen-gestagenic contraceptive drugs, an imbalance of the sex hormones).The types of treatment of leg veins in men and women do not differ, but the incidence of postoperative recurrences in women is higher due to the additional effects of hormones (estrogenic and progesterone effect).
Venous leg diseases should be treated by a phlebologist who deals with this pathology.The various methods of treating varicose veins are not radical as they are not aimed at eliminating the main pathogenetic cause - the failure of the valve apparatus of the vein.Surgical and conservative treatment slow down the progression of the disease on long lines.The recurrence rate is high and reaches 10 to 50% after 5 years after surgery.
Treatment of varicose veins should be complicated.There are three groups of methods for eliminating varicose veins:
- phleboskelerization,
- surgically,
- Conservative.
Each type of treatment has its advantages and disadvantages, a certain frequency of relapse.The choice of the method is conditional, since the phlebologist, in order to achieve the most favorable result, often must combine all three methods.
General manifestations characteristic of both men and women
Symptoms of varicose veins begin with the onset of such functional disorders as a feeling of heaviness in the legs, swelling of the ankle joints until the end of the working day.Vascular stars are first formed on the skin of the feet.
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 - have appeared several years later since the onset of the disease.
In the absence of treatment at this stage, there are symptoms such as cramps in the calf muscles, itching of the skin on the feet.
Signs of trophic disorders: skin pigmentation in the lower third of the lower leg, cyanosis, sclerotic changes in the subcutaneous tissue, the eczema against which a trophic ulcer is formed.
Characteristic symptoms of varicose veins in women
- Painful symptoms occur cyclically, enhanced before menstruation, which is associated with a change in the level of sex hormones;
- During pregnancy, signs of varicose veins after birth may disappear;
- During the second half of the menstrual cycle due to the action of progesterone, the diameter of the varicose veins increases so that the symptoms of swelling and heaviness in the legs are more pronounced;
- The signs of varicose veins worsen during hormone therapy.
Now let's talk about therapy methods.
Methods for the treatment of phleboslerosis
Radio frequency ablation and laser coagulation of endonosis
Vein radio frequency
The method is based on the introduction of a special disposable catheter under ultrasound in the lumen of a varicose vein.
The catheter is equipped with a special electrode, the operating part of which is heated to 120 degrees under the influence of radio frequency radiation.The promotion of the catheter throughout the vein leads to the bonding or "cooking" of the vascular wall.Hair veins are excluded from the circulatory system of the legs.
Endoxic laser coagulation
The operation of the operation consists of drilling the affected vein and the introduction in its lumen under ultrasound control of the laser light.Under the influence of laser radiation, a coagulation of the proteins of the vascular wall occurs, resulting in the vein falling and after a while it is overgrown with the connective tissue.
Radio frequency ablation (RFA) and laser prison (EVLO) are relatively new methods for treating varicose veins of the legs.Despite the differences in the implementation technique, they have common characteristics.
Advantages and disadvantages of Rh and EULLO
| Do not need hospitalization | High price |
| Performance speed (30 minutes to 1 hour) | Frequency of release up to 10% |
| Painlessly | The inability to perform the procedure in some anatomical characteristics of the veins (strong winding of the vessels) |
| Brush | |
| Performed under local anesthesia | |
| Lack of postoperative scar (the desired effect for women) | |
| Short conditions of rehabilitation |
RFA or EVLO are selected by women who want to treat varicose veins on an outpatient basis with minimal limitation of physical activity in the postoperative period and while maintaining the aesthetic foot type.
Phleboshotherapy
A special drug is introduced into the lumen of the affected vein segment, which has a sclerosing ("gluing") effect on the vascular wall.A sclerosing agent can be used in liquid form or in the form of foam.Preferences should be given to foam sclerotherapy due to the greater contact area of a substance with a vein wall.
Advantages and disadvantages of phlebosclerotherapy:
| The lack of postoperative scar | Prolonged skin pigmentation at the point of drilling (up to 2 years) is possible |
| Outpatient | In rare cases, postoperative vein inflammation (phlebitis) |
| The operation is performed without anesthesia | Swelling and redness of tissues within 2 days after the procedure |
| Manipulation is almost painless (slight burning at the puncture site) | Allergic reaction with individual intolerance to the drug |
| In 20% of cases, vascular stars appear on the legs.Frequency of release up to 50% |
The recurrence of varicose veins after sclerotherapy depends on the lumen of the affected vessel -the more width the clearance, the greater the risk of recanalization in it.Scleral therapy is chosen to treat varicose veins after surgical phlebectomy.
Phlebectomy
Surgical surgery is a more radical way to eliminate varicose veins.The principles of surgical treatment are the elimination of pathological ejection of blood from deep into the superficial veins of the legs and the removal of the enlarged vessels themselves.Stages of combined phlebectomy:
- Crossing and dressing of the mouth of a large subcutaneous vein (section in the groin) or a small subcutaneous vein (incision in the poppy pit);
- Removing the barrels of varicose veins.It is performed with the help of a special metal probe, which extends to the vein in the case of the skin.
Advantages and disadvantages
| Radicality | Hospitalization from 5 to 7 days |
| The ability to perform surgery at any stage of the disease | Foot |
| Cerebrospinal fluid anesthesia or complete grass from surrounding tissues during stretching is bicycle complications: bleeding, infection of wounds of recurrence up to 20% |
It is preferable to treat the operative manner with the type of damage to the stem when varicose deformation of large or small subcutaneous veins occurs for considerable length.And also when there are signs of trophic soft tissue disorders and the symptoms of decompensation of venous insufficiency.
MiniFo -Bectomy
Miniflebectomy is a separate version of the operation in which you can treat varicose veins in the initial stages.It is more commonly used in the presence of single varicose veins of the legs.The skin is drilled over the pathological formation and with the help of the hook the vein is stretched and crossed.The surgery does not require general anesthesia and the overlap of skin seams.
You need to start treating varicose veins on your feet using drug and compression therapy.The appointment of drugs that improve blood circulation and wearing the knitwear of medical compression are the basic conditions that determine the result of any surgery on the feet of the feet.
It is necessary for a long time to treat phlebotons and anti -aggregates of the feet in continuous mode or in the form of multiple courses.
Drug therapy
Medicines stop the symptoms of venous insufficiency, are used as preoperative preparation and postoperative rehabilitation.
Compression therapy
Elastic leg compression is the leading method of treatment in cases where surgery is contraindicated.As compression products, you can use elastic bandages and special medical knitwear: socks, golf, tights.Medical products are very durable, retain the initial level of compression for a long time, comfortable when wearing, which is important for women.
There are 4 classes of elastic knitwear depending on the degree of compression.It is recommended to treat varicose veins using Grade 2 products in the absence of progression of the disease for up to 6 months and with more use for physical activity or with prolonged stay of the legs.If there are signs of deep vein valves or pronounced symptoms of impaired lymphatic flow, then knit products from 3 grade are prescribed before stopping the progression of varicose veins.
The therapeutic effect of knitting compression is due to:
- reducing the volume of the vein, which leads to less excretion of blood in dilated vessels;
- The increase in the absorption of tissue fluid in the blood, which causes the signs of swelling and the symptoms of weight in the legs;
- Improvement of blood fluid that prevents blood clots.
How to treat varicose veins on women in women
The correct answer to the question of how to treat varicose veins on women in women is the ability to have high quality and full life.It is no secret that ignoring therapeutic measures and consultations from a doctor leads to deplorable consequences: damage, the 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 a hereditary factor, therefore, knowing the problem of your relatives, it is necessary to get involved in preventing the disease from a young age.
In addition, doctors distinguish the causes of varicose veins in women:
- hormonal disorders;
- unhealthy diet, excessive use of fat;
- high cholesterol;
- restructuring the body with menopause;
- long stay in one position at work or at home;
- strong physical activity;
- Passive lifestyle, minimal motor activity.
Each of these factors affects the normal functioning of the blood in the lower limbs, which provokes the development of the disease.
It is important to remember that the causes of varicose veins in women are often compressive clothing, high heels and close linen.
Unfortunately, not all women attach due importance to the symptoms in the initial stage of the development of the disease.Symptoms of varicose veins are written off for foot fatigue, warmth, uncomfortable shoes, squeezing pants.Early diagnosis allows you to choose 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, until the swelling can appear on both two legs and one;
- feeling of incredible burning in the part of the calf of the leg;
- A small network of blood vessels may form on the skin;
- Skin pigmentation occurs, vascular stars appear at the lower leg;
- Convulsions can occur at night;
- Vienna rises to the surface of the muscles, while every touch of them causes pain.
The appearance of this disease can be accompanied by a change in the structure of the skin, it will be more dense, more often the abrasions and bruises even from a slight impact.
A woman can diagnose varicose veins on her feet at an early stage, precisely her care for her body will allow treatment and will avoid serious complications on time.
Modern methods of treatment
When choosing a treatment method, the doctor will first focus on the cause that causes varicose veins.It is the elimination of pathological changes that will cure the disease.
Varicose veins on women can be treated in several ways:
- Surgical intervention.
- Drug therapy.
Drug therapy includes a wide range of medicines that help to deal with the disease at different stages of his course.The simplest and most effective way will be to use ointments.Many of the plagued leaks allow you to eliminate several symptoms at once, including pain.
Medicines are only chosen individually by the attending physician, but they are necessarily included in such groups:
- Phlebotics.Medicines handle the swelling perfectly and prevent convulsions at night.
- Analgesics.It is used in the case of severe pain.
- Aspirin -based drugs.They help to dilute blood, preventing the new appearance of blood clots.
- Vitamin complexes containing Vitamin E.
If the surgical method will need to be used in the treatment of varicose veins, the doctor may offer several options for surgery:
- Flbectomy.The surgery is performed on an inflamed limb and veins deformed by varicose veins, and is surgically extracted.
- Endoxic laser coagulation.This is an innovative method that allows you to perform the prison of varicose veins.Laser treatment is increasingly gaining popularity as it is less traumatic.
- Use of radio frequencies for coagulation.Such surgery is performed on outpatient treatment, the patient does not even need hospitalization.
- Sclerotherapy.This method allows you to glue damaged veins using special substances that are placed inside.
Also important in treatment are the female compression area.Used as an auxiliary tool as a prevention.Wearing compression linen gives many advantages and treatment is faster.
Among the main advantages of such underwear, doctors call the following:
- reduction of loads on inflamed vessels;
- Normalization of blood circulation in the limb;
- minimization of the risk of blood clots;
- Complete safety and lack of side effects.
Wearing compression linen and elastic bandages is only allowed during the day, at night the legs should rest.
What does traditional medicine offer?
Traditional medicine has many recipes that help to cope with the disease.But it is worth remembering that one of the recipes should be used in complex therapy and only after consultation with the attending physician.Self -pursuit can end extreme or bring more serious complications.
There are such folk recipes for the treatment of varicose veins:
- As a compress, to relieve swelling and pain, you can use ointment made of oil and garlic.The encouraged garlic is mixed with oil and applied to the legs left overnight.
- To relieve inflammation inside, you can use nettle tincture.2 tablespoons of sliced nettle are poured with a glass of boiling water and insisted.Drink the resulting product at 50 ml for 2 weeks.
- The ground nutmeg is poured with a glass of boiling water and a spoonful of honey is added.All this should be drunk before eating in an hour.
- It is a good idea to use a horse chestnut tincture like a tire.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, stirring it constantly.
It is important to remember that a self -contained or use of only folk recipes can fatally end or bring more serious complications.
Complications that may be in the absence of treatment
What is the danger of varicose veins on women's feet?What are the consequences of improper treatment?
This disease is not a cosmetological problem, therefore requires immediate and professional treatment.
Experts emphasize such possible complications and consequences:
- Any delay in treatment can cause bleeding, thrombosis or partial overlap of the veins.
- Ignoring medical care can cause the development of trophic ulcer, thrombophlebitis.
- If blood is systematically circulating through Vienna, then venous deficiency can develop.
- About 1% of all patients receive disability or death.
With varicose veins of the lower limbs, 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 on women in women?
Varicose is a disease of the veins of the lower limbs, in which the enlargement of the subcutaneous veins develops in people who have not previously painted thrombosis.
Even with the help of radical surgery, it is not always possible to achieve full recovery.
However, varicose veins are needed as it tends to progress and develop furtherComplications: thrombophlebitis, trophic ulcers, bleeding.
Causes and symptoms
According to statistics varicose diseaseWomen are diagnosed 4 times more oftenthan men.Because pregnancy is a traditional risk factor for the development of varicose veins.The enlargement of varicose veins during pregnancy is due to the influence of a set of factors on the body of a woman:
- increasing the volume of circulating blood;
- change in the hormonal background, namely an increase in the level of progesterone;
- Increasing the volume of the uterus, which presses the retroperitoneal veins;
- Increase intra -abdominal pressure during childbirth.
Varicose veins during pregnancy already develop in the first months, are manifested through clinical symptoms in the middle of the second and the beginning of the third trimester.
The second adverse factor provoking the disease is the increase in the body of the body in women during menopause, which is also due to the effects of hormones.Female hormones are estrogens, progesterone reduces the tone of the veins.
The third reason for varicose veins in women.Of a little importance in the onset and development of the disease is notLifeSAccording to statistics, the incidence of varicose veins in women with sedentary work is observed in 37%.People forced to be upright for a long time (teachers, cooks, hairdressers, sellers) - in 63%.For comparison, these data are three times smaller.
The effect of heredity on the development of the disease has not been fully studied, but 25% of patients have found relatives suffering from this malaise.
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 variks - 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 in a few years.
Symptoms of varicose veins in women:
- After 3-5 years- Tired legs syndrome: feeling of heaviness, buzzing, cracking in the legs, especially in the evening after a working day.After relaxing with the legs raised, the symptoms of the disease are stirred with them.
- After 5 - 10 years- trophic disorders: darkening, thinning of the skin, ulcer.
- After 10 - 15 years- The impenetrable edema, most often located in the lower leg area, does not rise above the knee.The spread of edema to the thigh indicates the presence of thrombosis.
During pregnancy, the symptoms of varicose veins develop much faster.As the gestational age and the growing uterus increase, there is a feeling of pain and heaviness in the legs, becoming swelling of the lower leg.
How to treat varicose veins on women in women?
Successful treatment of varicose veins should solve the following problems:
- elimination of varicose veins;
- Elimination of the symptoms of the disease;
- Prevention of registration.
The first problem is solved by phleboslerosal therapy or surgery.
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:
- Medical therapy in tablets - phleboprotectors and anticoagulants (as prescribed by a doctor).
- Local use of venonizing ointments and gels.
- Elastic compression.
- Medical physical education and gymnastics.
- Healthy lifestyle and proper nutrition.
CompressionConservative therapy is a mustIn all stages of varicose veins, it is possible to eliminate blood stagnation as well as to recreate favorable conditions for the microcirculation of the blood vessels.Depending on the degree of varicose disease, knitwear withOptimal pressureSIn the initial stages of the disease, compression of 1st grade is used for varicose veins with "tired legs" syndrome - 2nd grade, with a complex course of 3 classes.
Medication
Treatment of varicose veins on the legs in womenCourses 2 to 3 months twice a yearSWhen varicose veins, phleboprotectors use medicines that eliminate the manifestations of the disease, increase the tone of the veins, improve the microcirculation of blood vessels and prevent the formation of the inflammatory process in the vascular wall.
Flavonoid based drugs are successful in phlebological practice(substances contained in plant organisms) are routine derivatives and diosmin and GES.
To quickly relieve symptoms, ointments and gels are used for topical 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 the feet of women at home?Therapeutic gymnastics, phytotherapy and some recommendations for a healthy lifestyle for patients with varicose veins will help relieve the symptoms of the disease and prevent its more development.
Therapeutic exercises
You have to perform simple varicose veins daily and evening:
- Lying on your back, lift your legs vertically, lean them to the wall at an angle of 90 °.Keep them in this position for 3 minutes, breathing slowly with your chest, not a stomach.
- In a position to lie on your back, make a bicycle, 3 - 5 minutes.
- Standing, climb two feet 1 cm from the floor and go down.Perform 30 times in two approaches.
- Standing, alternatively lift one fifth of the floor, then another, at an angle not higher than 45 around.Start at 15 minutes each 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.
