According to statistics, up to 20% of the population suffers from varicose veins of the veins of the lower extremities, while in women the disease occurs 2 times more often.It is proved that women have additional predisposing factors that contribute to a decrease in vascular tone (pregnancy, intake of estrogen-gestagen contraceptive drugs, an imbalance of sex hormones).Types of treatment of leg veins in men and women do not differ, however, the frequency of postoperative relapses in women is higher due to the additional influence of hormones (estrogenic and progesterone influence).
Venous diseases of the legs must be treated by a phlebologist who is engaged in this pathology.Various methods of treating varicose veins are not radical, since they are not aimed at eliminating the main pathogenetic cause - the failure of the valve apparatus of the vein.Surgical and conservative treatment delay the progression of the disease on long lines.The percentage of relapses 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 for eliminating varicose veins:
- phlebosklerizing,
- surgical,
- Conservative.
Each type of treatment has its advantages and disadvantages, a certain frequency of relapse.The choice of the method is conditional, since a phlebologist to achieve the most favorable outcome often has to combine all three methods.
General manifestations, characteristic of both men and women
Symptoms of varicose veins begin with the appearance of such functional disorders as a feeling of severity in the legs, swelling of the ankle joints by the end of the working day.On the skin of the legs, 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 later from 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 legs.
Signs of trophic disorders: skin pigmentation in the lower third of the lower 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, enhanced before menstruation, which is associated with a change in the level of sex hormones;
- During pregnancy, the signs of varicose veins after childbirth may disappear;
- In the second half of the menstrual cycle due to the action of progesterone, the diameter of varicose veins increases, so the symptoms of swelling and severity in the legs are more expressed;
- Signs of varicose veins are aggravated during hormone therapy.
Now let's talk about therapy methods.
Phlebosclerosis treatment methods
Radio frequency ablation and endenosis laser coagulation
Radio frequency ablation of veins
The method is based on the introduction of a special disposable catheter under the ultrasound in the lumen of an expanded vein.
The catheter is equipped with a special electrode, the working 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 gluing or “brewing” the vascular wall.Oblique veins are turned off from the circulatory system of the legs.
Endoxic laser coagulation
The operation of the operation consists of a puncture of the affected vein and the introduction into its lumen under 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 is overgrown with connective tissue.
Radio frequency ablation (RFA) and endhenosis laser prison (EVLO) are relatively new methods of treating varicose veins on the legs.Despite the differences in the implementation technique, have general characteristics.
Advantages and disadvantages of rh and eullo
| Do not require hospitalization | High price |
| Speed of execution (from 30 minutes to 1 hour) | Release frequency up to 10% |
| Painless | The impossibility of carrying out the procedure in some anatomical features of the veins (strong winding of the vessels) |
| Brushed | |
| Performed under local anesthesia | |
| Lack of postoperative scar (the desired effect for women) | |
| Short terms of rehabilitation |
RFA or EVLO is chosen by women who want to treat varicose veins in an outpatient basis with a minimal restriction of physical activity in the postoperative period and while maintaining the aesthetic type of leg.
Phlebosclerotherapy
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.Preference should be given to foam sclerotherapy due to the larger area of contact of a substance with a vein wall.
Advantages and disadvantages of phlebosclerotherapy:
| The absence of a postoperative scar | Prolonged skin pigmentation at the site of the puncture (up to 2 years) is possible |
| Carried out on an outpatient basis | In rare cases, postoperative inflammation of the vein (phlebitis) |
| The operation is performed without anesthesia | Swelling and redness of tissues within 2 days after the procedure |
| The manipulation is almost painless (slight burning at the site of the puncture) | Allergic reaction with individual intolerance to the drug |
| In 20% of cases, vascular stars on the legs appear.Release frequency up to 50% |
The relapse of varicose veins after sclerotherapy depends on the lumen of the affected vessel - the wider the clearance, the higher the risk of recanalization in it.Sclerous therapy is chosen in the treatment of relapse of varicose veins after surgical phlebectomy.
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 from deep in the superficial veins of the legs and the removal of the expanded vessels themselves.Stages of combined phlebectomy:
- 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 of varicose veins.It is carried out using a special metal probe, which stretches a vein in a skin incision.
Advantages and disadvantages
| Radicality | Hospitalization from 5 to 7 days |
| The ability to perform surgery at any stage of the disease | A scar on the legs |
| Anesthesia of cerebrospinal fluid or overall grass of surrounding tissues when stretching is Velopoli complications: bleeding, infection of wounds of relapse up to 20% |
It is preferable to treat with the operational way with a stem type of damage, when varicose deformation of large or small subcutaneous veins occurs for a significant length.And also, when there are signs of trophic disorders of soft tissues and symptoms of decompensation of venous insufficiency.
Miniflebectomy
Miniflebectomy is a separate version of surgery in which you can treat varicose veins in the initial stages.It is more often used in the presence of single varicose veins on the legs.A puncture of the skin over the pathological formation is performed and with the help of the hook, the vein is stretched and intersect.The operation does not require general anesthesia and the overlap of skin seams.
It is necessary to begin to treat varicose veins on the legs using drug and compression therapy.The appointment of drugs that improve blood circulation and wearing medical compression knitwear are the main conditions that determine the outcome of any surgical intervention on the legs of the legs.
It is necessary for a long time to treat phlebotonic and anti -aggregate drugs on the legs in continuous mode or in the form of repeated courses.
Drug therapy
Medicines stop symptoms of venous insufficiency, are used as preoperative preparation and postoperative rehabilitation.
Compression therapy
Elastic compression of the legs is the leading method of treatment in cases where surgery is contraindicated.As compression products, you can use elastic bandages and special medical knitwear: stockings, golfs, tights.Medical products are highly durable, retain the initial level of compression for a long time, convenient 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 products of grade 2 in the absence of a progression of the disease up to 6 months and with further use for physical activity or with prolonged stay on the legs.If there are signs of deep vein valves or pronounced symptoms of impaired lymph flow, then knitted products of the 3rd class are prescribed before stopping the progression of varicose veins.
The therapeutic effect of compression knitwear is due to:
- a decrease in the volume of the vein, which leads to a smaller discharge of blood into varicose vessels;
- an increase in the absorption of tissue fluid into the bloodstream, due to which signs of swelling and symptoms of severity in the legs disappear;
- Improving blood fluidity, which 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 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, the emergence of trophic ulcers, thrombosis, and the worst option is a fatal outcome.
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 engage in the prevention of the disease from young age.
In addition, doctors distinguish the causes of varicose veins in women:
- hormonal violations;
- unhealthy nutrition, 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 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 close linen.
Unfortunately, not all women give due importance to symptoms at the initial stage of the development of the disease.Symptoms of varicose veins are written off for fatigue of the legs, heat, uncomfortable shoes, squeezing trousers.It is early diagnosis that allows you to choose effective treatment and quickly save a woman from the problem.
A woman can feel such signs of varicose veins:
- The feet, the lower parts of the legs begin to swell in the evening, while swelling can appear both on two legs and on one;
- a feeling of incredible burning in the calf part of the leg;
- A small mesh of blood vessels can form on the skin;
- Skin pigmentation occurs, vascular stars appear in the lower part of the leg;
- convulsions may appear at night;
- Vienna rises 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 the structure of the skin, it will be more dense, abrasions and bruises are more often manifested on it even from a slight blow.
A woman can diagnose varicose veins on her legs at an early stage, it is her attentiveness to her body that will allow treatment and avoid serious complications in time.
Modern methods of treatment
When choosing a treatment method, the doctor will first of all focus on the reason that caused 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 drugs that help to cope with the disease at various stages of its course.The simplest and most effective way will be to use ointments.Many of the possessed ointments allow you to eliminate several symptoms at once, including pain.
Medicines are selected individually only by the attending physician, but they are necessarily included in such groups:
- Phlebotonics.The drugs do perfectly cope with edema and prevent the appearance of convulsions at night.
- Analgesics.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 can offer several options for surgery:
- Flebectomy.The operation is performed on a sore limb, and a vein deformed by varicose veins is extracted surgically.
- Endoxic coagulation with a laser.This is an innovative method, which allows you to perform the prison of varicose veins.Laser treatment is increasingly gaining popularity, as it is less traumatic.
- Using radio frequencies for coagulation.Such an operation is performed in outpatient treatment, the patient does not even need hospitalization.
- Sclerotherapy.This method allows you to glue damaged veins using special substances that are inserted inside.
Also important in the treatment are female compression knitwear.It is used as an auxiliary tool as a prevention.Wearing compression linen gives a lot of 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 allowed only in the daytime, at night the legs should rest.
What does traditional medicine offer?
Traditional medicine has a lot of prescriptions 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 with the attending physician.Self -medication can endtally end 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 an ointment made of butter and garlic.Grinded garlic is mixed with butter and applied to the leg, left for the whole night.
- To relieve inflammation from the inside, you can use tincture from nettles.2 tablespoons of chopped nettle are poured with a glass of boiling water and insisted.Drink the resulting product at 50 ml for 2 weeks.
- Ground nutmeg is poured with a glass of boiling water and a spoonful of honey is added.All this needs to be drunk before meals in an hour.
- It is good to use horse chestnut tincture 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 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 the feet of women?What are the consequences with improper treatment?
This disease is not a cosmetological problem, therefore it requires immediate and professional treatment.
Experts highlight such possible complications and consequences:
- Any delay in treatment can cause bleeding, thrombosis or partial vein overlap.
- Ignoring medical help can cause the development of a trophic ulcer, thrombophlebitis.
- If blood systematically circulates through Vienna, then venous deficiency may 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 everything about how to properly treat varicose veins on women in women?
Varicosis is a disease of the veins of the lower extremities, in which the expansion of subcutaneous veins develops in people who have not previously painted thrombosis.
Even with the help of radical surgical operations, it is not always possible to achieve a complete recovery.
Nevertheless, therapy of varicose veins is necessary, since it tends to progress and develop furtherComplications: thrombophlebitis, trophic ulcers, bleeding.
Causes and symptoms
According to statistics varicose diseaseIn women, it is diagnosed 4 times more oftenthan men.Since pregnancy is a traditional risk factor for the development of varicose veins. Varicose vein expansion during pregnancy is due to the influence of a set 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 the level of progesterone;
- an increase in the volume of the uterus, which squeezes the retroperitoneal veins;
- Increase intra -abdominal pressure during childbirth.
Varicose veins during pregnancy develops already in the first months, manifested by clinical symptoms in the middle of the second and beginning of the third trimester.
The second unfavorable factor provoking the disease is the increase in the body of the body in women during menopause, which is also due to the influence of hormones.Women's hormones are estrogens, progesterone reduce the tone of veins.
The third cause of varicose veins in women.Of no small 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 in 37%.Persons forced to be in an upright position for a long time (teachers, cooks, hairdressers, sellers) - in 63%.For comparison, in men, this data is three times lower.
The effect of heredity on the development of the disease has not been fully studied, however, 25% of patients detected relatives suffering from this ailment.
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.
Moreover, the first signs of varicose veins are not accompanied by other symptoms,Severe manifestations of the disease develop after a few years.
Symptoms of varicose veins in women:
- After 3-5 years- Syndrome of “tired legs”: a feeling of heaviness, buzzing, bursting in the legs, especially in the evening after a working day.After relaxing in an upright position with their feet raised, the symptoms of the disease are stirred with self.
- After 5 - 10 years- Trophic disorders: darkening, thinning of the skin, ulceration.
- After 10 - 15 years- The impenetrable edema, localized most often in the area of the lower leg, not rising 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 increases, there is a feeling of pain and severity in the legs, turning into edema 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 symptoms of the disease;
- Registration prevention.
The first problem is solved by phlebosclerosal therapy 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.
CompressionConservative therapy is mandatoryAt all stages of varicose veins, it is possible to eliminate blood stagnation, as well as to recreate favorable conditions for the microcirculation of blood vessels.Depending on the degree of varicose disease, knitwear withoptimal pressure.In the initial stages of the disease, compression of the 1st class is used, for varicose veins with “tired legs” syndrome - 2 class, with a complicated course of 3 classes.
Drug treatment
Treatment of varicose veins on the legs in women is carried outcourses 2 to 3 months twice a year. When varicose veins, phleboprotectors use drugs that eliminate the manifestations of the disease, increase the tone of veins, improve the microcirculation of blood vessels, and prevent the formation of the inflammatory process in the vascular wall.
Medicines based on flavonoids are successful in phlebological practice(substances contained in plant organisms) are rutin derivatives, and diosmine and ges.
To quickly relieve symptoms, ointments and gels are used for local use.
Pharmacological treatment does not cure patients, but slows down 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 on a healthy lifestyle for patients with varicose veins will help alleviate the symptoms of the disease and prevent its further development.
Therapeutic exercises
Daily in the morning and evening, you need to perform simple exercises for varicose veins:
- Lying on your back, raise your legs vertically, leaning them against the wall at an angle of 90 °.Keep them in this position for 3 minutes, breathing slowly with your chest, not a stomach.
- In the position of lying on your back, make a bicycle, 3 - 5 minutes.
- Standing, climb with two legs on socks 1 cm from the floor and go down.Perform 30 times in two approaches.
- Standing, alternately lift one heel from the floor, then another, at an angle of not higher than 45 about.Start from 15 minutes daily, extending to 30 minutes.
Daily should be given time for walking, at least 30 minutes.It is useful to go to the swimming pool once a week.
