Varicose veins (varicose veins) are among the most common diseases. The insidiousness of this disease lies in the fact that for many years all pathological changes in the vessels are practically imperceptible, but then quickly lead to the development of venous insufficiency, thrombophlebitis or the formation of trophic ulcers. To avoid this, you need to take care of your veins without waiting for the onset of tremendous symptoms of the disease.
What are varicose veins?
Varicose veins - This is an enlargement of the lumen of a vein more than it should be in a specific part of it. As a result, it stretches and becomes twisted. The blood flow in such a vessel becomes turbulent, which leads to congestion, inflammation and the formation of blood clots.
Varicose veins can appear in almost any part of the body where these vessels have valves that prevent blood from flowing back.
Varicose veins in the legs: stages of the disease
The first stage of varicose veins (compensation). The veins on the legs look practically unchanged, only vascular "asterisks" can be observed or characteristic convolutions of individual vessels appear. At the end of the day there is sometimes a slight swelling of the legs, their fatigue, rapid fatigue and a feeling of discomfort.
The duration of this phase is many years. If you start treatment at this point, you can significantly delay the progression of the disease or prevent it completely. This stage is most favorable for conservative treatment.
The second stage of varicose veins (subcompensation). At this stage, cramps in the calf muscles can occur at night, the veins become more prominent, and the limbs regularly ache. Swelling in the ankle area is observed almost all the time, but disappears in the morning. The skin around the legs turns brownish-purple in color.
This phase also takes years. Compared to the first stage, conservative therapeutic measures are no longer as effective, so doctors recommend various surgical interventions here. Preventive measures are intended to ensure that the disease does not pass into the decompensation stage for as long as possible.
The third stage of varicose veins (decompensation). The veins bulge even more, the swelling cannot go away by morning, the skin in the lower leg area becomes thinner and wounds appear that do not heal for a long time. As a rule, it is at this stage that the most dangerous complications develop:
- Thrombophlebitis (thrombosis and phlebitis);
- trophic dermatitis, ulcer;
- Pulmonary artery thromboembolism (the most serious complication when a blood clot breaks off in the lower extremities and moves through blood flow to the lungs, causing respiratory failure and death in 5-8 out of 10 people);
- chronic venous insufficiency (swelling and fatigue of the legs even if the problem with VVV is already resolved)
At this stage, all therapeutic and preventive measures are aimed at preventing the development of complications and, if they have already arisen, minimizing their consequences.
Which doctor treats varicose veins?
Phlebologist. This is a vascular surgeon who has received a close specialization in treating venous disease. It is he who deals with the treatment of varicose veins.
However, if there is no phlebologist in your area or it is extremely problematic to consult with him, then you can turn to a vascular surgeon, and in his absence only to a general surgeon who will make an outpatient appointment. This is much better than letting the disease take its course.
How is BPV treated?
Treatment of varicose veins largely depends on the stage of the disease, the occurrence of complications and the specific clinical picture of the disease.
In the first phase, the main focus is on changing lifestyle, giving up bad habits that make varicose veins worse, and normalizing body weight. In this case, patients are usually allowed to use folk remedies, treat with leeches and take herbal preparations. As the disease progresses, drugs are prescribed that increase the tone of the veins and improve the rheological properties of the blood, as well as the wearing of compression underwear.
In the second stage, medical therapy and compression clothing are prescribed and, if necessary, surgical intervention is carried out. In order to prevent complications from occurring, it is recommended that hospital courses of therapy be planned annually.
At the third stage, the choice of method is determined by the presence of complications and the general clinical picture of the disease. In the event of serious complications, the patient must be admitted to the surgical department.
Treating Varicose Veins: What Should You Change About Your Lifestyle?
Sports exercise. Our veins love more than anything when we walk a lot. Standing or sitting work contributes to the development of varicose veins. So if you have to stand or sit for a long time, you should do a special charge every 40-50 minutes.
Habits. As you know, blood flows through the veins from the heels to the heart. Anything that squeezes or squeezes the vessels and the tissues surrounding them obstructs the natural flow of blood and contributes to the progression of varicose veins. Therefore, from the very first stage of the disease, one should forever abandon such habits as:
- sit in a leg-to-leg position (impaired blood flow at the level of the hollow of the knee, so it is better to change it to the American leg-to-leg position or legs on the back of a chair);
- tight belts, knee socks, stockings, belts, wearing jeans that are too tight, tight underwear (they sometimes squeeze the veins in the groin, in the knee or because of the narrow waist they do not allow breathing "belly", what the diaphragm from the act of breathing, namely itfacilitates the movement of blood to the heart);
- overeating (overeating is always fraught with extra pounds, and excess weight in itself can lead to varicose veins);
- long walking in high heels (in this case, the load on the legs increases, and the knee area is almost turned off from work, which facilitates the movement of blood upwards).