Varicose veins reticular is common among many adults. As the disease shows itself, and whether there are any effective means of therapeutic effects on the diseased vessel?
What's it all about?
Reticular (from the Latin word reticulum — net), or varicose veins in the form of a grid is not a separate type of pathology, and reticular varicose form of the disease, its early stages. It is characterized by the expansion of a small intradermal surface of the vessel, and the appearance of telangiectasias.
Telangiectasia is visible under the skin of the plexus may be extended up to 0.5-1 mm, arterioles, venules, and capillaries, which is reflected in the form of cyanotic-red spots, with branches that resemble the form of a mesh, a spider-like plexus of veins.
The disease, which is diagnosed more frequently in women. Based on the results of the research in the field of medicine and health, net of varices that have been identified in 35-45% of women and 15-20% of the adult males.
The causes of the
The main reason for the development of the disease:
- reduction in the elasticity and thickness of the vascular wall.
- the violation of the blood flow;
- unsatisfactory the work of the venous valves.
Among the factors that cause changes in the blood vessels, which provides:
- the implementation period of the child, in particular, a 5 to 9 month of pregnancy, due to the increase in the volume of blood in the blood vessels, increasing the load on the legs, compression of the blood vessels in the stomach by the growing uterus;
- the hormonal surges of pregnancy and menopause;
- genetic predisposition to weakness of the vein wall due to disruption of the structure of the connective tissues;
- obesity increases the body mass index 27 kg/m2, it is likely that the pathology is an increase of 30%;
- a career with a long stay in a standing position, sitting, periodic lifting and carrying of heavy loads (loaders the heavier the athletes, the vendors, hairdressers, passengers);
- the wearing of corsets, belts, increasing the pressure in the interior of the peritoneum to the tight jeans that constrict the blood vessels in the groin area;
- long-term use of corticosteroids and hormonal birth control pills;
- diabetes, high blood pressure, dermatological diseases, including rosacea;
- fractures of the limbs;
- excessive and prolonged exposure to the sun, and Smoking;
- a low content of fibre in the diet leads to long term constipation, which contributes to varicose veins lack of nutrients – weakening of the walls of the container.
The symptoms of this
The basic features of the initial phase of the reticular veins:
- the appearance of the blue-red-telangiectasia — point, star, mesh patches of different sizes and brightness that is often found on the ankles, the knees, the hips, while you are pale, but soon again to appear;
- a lot of the weight, the tension in the calf muscles, fatigue, when walking.
The symptoms appear when the disease develops:
- spread your feet to a cleansing of the skin, increasing the diameter of the capillaries;
- a feeling of fullness in the legs, tingling, "creepy" (paresthesia);
- cramps in the calf muscles during the night or in the morning;
- annoying and pain;
- mild edema of the legs, the calves, the ankles towards the evening, that disappears with the morning;
- the itching of the skin over the areas of the expansion, reticular vessels,
- burning on the line of the affected vessel;
- tenderness when squeezing the calf muscles;
- progressively bulging into the subcutaneous veins, the formation of protrusions in a size of 2-4 mm.
- the manifestation of a brownish or whitish spots within the blood vessels, swelling, redness.
If time does not take action to identify the root causes of the disease and remove its first letter, the pathology could progress to persistent dilatation. In this case, under the skin is caused to the vessel knots, the vessels become tortuous, walking is difficult.
The progression of the disease threatening effects, both acute thrombophlebitis, non-healing trophic ulcers, the development of venous insufficiency, hemorrhage, thrombosis.
The diagnosis of
The definition of the reticular veins is not difficult for an expert. To assess the prevalence of abnormal process, the degree of hemodynamic instability (blood flow), the speed distribution of the flow of blood for the detection of signs of thrombosis, use of diagnostic techniques:
- an ultrasound examination;
- duplex operation;
- ultrasonic dopplerography of veins;
- an x-ray, radionuclide methods.
The treatment of
For the treatment of varicose veins of the net should be as soon after diagnosis, to avoid getting the disease in the chronic phase, complications.
Most of the treatment methods relieve the patient from the external signs of the disease. For the treatment of a pathology, you need to perform a comprehensive examination by a doctor, in order to find the root cause of the weakness of the blood vessel and the blood flow to the problems.
Compression socks
When the reticular varicose veins or the subcutaneous network of patients and healthy people with a tendency to disease of the need to buy the compression socks, the socks. Targeted therapy, compression is an important part of the treatment.
The compression sock is designed to generate, in the different parts of the foot to different pressure levels.
The maximum pressure drop at the ankle, because of the blood work turns up. The stocking supports and compresses the dilated veins, helping the circulation of blood, eliminates the congestion. The leg of the compression is reduced to about 2.5-fold, as it is in this region, the load of the vessel, respectively.
The constant mild compression of the blood vessels, to prevent the expansion, normalizes microcirculation, eliminates puffiness, prevents blockage of the lumen by blood clots.
Others bezoperatsionnye therapy
Among other things, to the common conservative methods of treatment of varicose veins reticulate, micro-sclerotherapy and laser photocoagulation.
Micro-sclerotherapy is the most common method for the recovery of the reticular veins and the elimination of telangiectasias. During the procedure, a special substance, which is a cutting needle is to be introduced into the container. The substance may cause micro-damage to the inner wall of the vein, or capillary. Injuries are covered, to a narrowing of the inner lumen. On the site of the former vessel, which is formed by a strand of connective tissue (such as scar tissue), which itself resolved within 10 to 12 months.
Sclerotherapy practice in the technique of the liquid when the vessel is introduced into a liquid composition, or by more advanced techniques, the Foam-form of sclerotherapy (foam). In another embodiment, the current solution is a micro-foam which has a better distribution of the affected vessel.
The procedure is often performed under video control, the control of the process using the duplex scanner.
Laser coagulation of blood vessels – saving and effective method at the same time, it ensures the removal of the the procedure is quick, bloodless, without affecting the healthy tissue. The procedure is performed under ultrasound control.
Through the puncture site in the skin, a doctor inserted into the lumen of the affected vein, a thin catheter with a laser fiber. Under the high temperature of the laser beam and the walls of the affected blood vessels are sealed.
Depending on the number of the higher branches of the sclerotherapy, and laser treatments take 15-60 minutes to complete. To express the therapeutic outcome of the request between 2 to 5 sessions.
Treatment with sclerotherapy or laser beam is performed more frequently on an outpatient basis under local anesthesia. Exit the clinic to the patient after 2-4 hours. After the procedure, the treated area of the load pressure of the bandage, for 4-10 days. The compression of the sock from the 7 to the 30-day period. Within 2-4 days, the patient returns to a normal pace of life.
After the treatment, it is recommended 3-4 months:
- drink up to 2-3 liters of fluid per day, so as to preserve the properties of the fluid in the blood;
- take all of the medications that are prescribed by a physician;
- don't forget the pressure knitted fabric with a long walk, to stay in the workplace when standing or sitting;
- walk a lot;
- dispense with the high heels.
The other methods of the treatment of reticular veins of the includes a 3 the mode of treatment.
- Radiofrequency obliteration of the vessels (equipment, EVRF, RFO). The Radio wave radiation generated by the medical device is fixed at the extremity of the catheter. In the context of a campaign of radio waves to the walls of the vein to stick together, the vein will disappear and the tissues to be established in its place, saves.
- Thermal occlusion of the micro-pulse of steam (SVS) technique). The technique, which was developed by the French doctors. It includes the treatment in the lumen of the varicose vessel, warm vapor coming through the introduced catheter. The steam penetrates into hard to access, the anatomical creased vascular branches, restriction, and "glue" the capillaries and the venules.
- The method of treatment of bio-glue (Venaseal) – a new, very effective and gentle manner. It is often used in the treatment of reticular veins, in the initial phase of the development. In a bowl, under ultrasound guidance, with the help of a syringe and the catheter has a special adhesive. In vienna, he pressed sharply, the walls of which are glued together. Vascular subcutaneous eye disappeared almost immediately. When the processing of the small vessels, there is no need to wear compression stockings after the procedure. An allergic reaction occurs, apply the particular glue is a natural product.
The surgical treatment of
Phlebectomy surgery of varicose veins of the lower extremities. This is done when the diameter of the dilated vessel, and up to 10 mm.
Through a small incision the surgeon removes the surface vessel, which in bandages and cuts. The surgery is performed under local anesthesia. The surgery is performed with minimal injury to the tissues, does not leave any cosmetic flaws.
Of the popular treatment for
Recipe for a home cure for the treatment of reticular veins to be used as an adjunct to therapy. A good result to put in a joint application of medicines, pharmaceutical ointments, wearing compression hosiery, especially during the first phase of the telangiectasias.
- Healthy, mature young people, the fruits of chestnut (50 g), finely chopped, pour a glass of vodka and leave for 20 working days. After an exhausting 3 weeks, three times a day for 15-20 drops. After a 2 weeks break can be repeated.
- Cabbage leaf rinse with water, and place it in the cold for 24 hours. Prior to going to sleep to dry skin of the affected area of the use of the leaves, and is not tight bandage. The treatment is carried out every day for 1-2 months.
- Dry birch buds, sleeping in a jar 0.5 litre by 1/3 (one third). Pour vodka to the brim, may persist for up to 10 days. Tincture to gently RUB the areas with telangiectasia.
The prevention of
In order to avoid the appearance of subcutaneous "stars" you should follow the guidance:
- do not carry heavy items, including bags of food;
- do not take a hot bath, no room;
- the wearing of elastic stockings or tights with compression;
- of the home more and more often to the legs of a horizontal raised position;
- he sat down to work, to create the conditions so that the lower limbs are in a horizontal position, each of the 2 to 3 hours to do a 10-minute break for a special exercises to increase the flow of blood;
- if you want to move over, the Walking that you do not overdo it;
- it is not a contrast bath, or a shower for the feet;
- please use the healing cream for the prevention of venous changes, taking medications to strengthen the vascular tone of the recommendation by the phlebologist;
- swimming in an indoor swimming pool with warm water;
You will also need to adjust the diet to get rid of excess weight, to stop Smoking.