Varicose veins (varicose veins) are one of the most common diseases. The pitfall of this disease lies in the fact that for many years all pathological changes in the vessels practically do not make themselves felt, but then they can 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 formidable symptoms of the disease.
What are varicose veins?
Varicose veins: This is an expansion of the lumen of a vein more than it should be in a certain part of it. As a result, it stretches and becomes curvy. The blood flow in this 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 the backflow of blood.
Varicose veins in the legs: stages of the disease
The first stage of varicose veins (clearing). The veins on the legs are practically unchanged in appearance, only vascular "asterisks" can be observed or tortuosity characteristic of individual vessels may appear. At the end of the day, a slight swelling of the legs, their tiredness, rapid fatigue and a feeling of discomfort sometimes worry.
The duration of this phase is many years. If you start treatment at this time, you can significantly delay or completely prevent the progression of the disease. This stage is more favorable for conservative treatment.
The second stage of varicose veins (undercompensation). At this stage, cramps in the calf muscles may appear at night, the veins protrude more noticeably, and the limbs periodically ache. Swelling in the area of the ankle joints is observed almost constantly, but disappears in the morning. The skin in the leg area becomes brownish purple.
This phase also lasts for years. Compared to the first stage, conservative therapeutic measures are no longer so effective, so doctors already recommend various surgical interventions here. Preventive measures aim to ensure that the disease does not enter the decompensation phase for as long as possible.
The third stage of varicose veins (decompensation). The veins swell even more, the swelling may not go away in the morning, the skin in the lower leg area becomes thinner, and wounds appear that have not healed for a long time. As a rule, it is at this stage that the most dangerous complications develop:
- thrombophlebitis (thrombosis and inflammation of the veins);
- trophic dermatitis, ulcer;
- pulmonary artery thromboembolism (the most formidable complication, when a blood clot ruptures in the lower limbs and is carried into the lungs by the bloodstream, and thus leads to respiratory arrest and death in 5-8 out of 10 people);
- chronic venous insufficiency (swelling and fatigue in the legs, even when the problem with VVV has already been resolved).
At this stage, all therapeutic and preventive measures are aimed at preventing the development of complications and, if they have already appeared, at minimizing their consequences.
Which doctor treats varicose veins?
Phlebologist. This is a vascular surgeon who has received a narrow specialization in the treatment of venous diseases. It is he who deals with the treatment of varicose veins.
However, if there is no phlebologist in your locality or it is extremely problematic to get a consultation with him, then you can turn to a vascular surgeon for help and, in his absence, only a general surgeon who makes an outpatient appointment. This is much better than letting the disease run its course.
How is BPV treated?
Treatment of varicose veins largely depends on the stage of the disease, the presence of complications and the specific clinical picture of the disease.
In the first stage, the main emphasis is on changing the lifestyle, giving up bad habits that aggravate varicose veins and normalizing body weight. In this case, patients, as a rule, can use folk remedies, deal with leeches and take herbal preparations. If the disease continues to progress, drugs are prescribed that increase the tone of the veins and improve the rheological properties of the blood, as well as wearing compression underwear.
In the second stage, medical therapy and compression garments become mandatory and, if necessary, surgery is performed. In order to prevent the occurrence of complications, annual courses of planned therapy in the hospital are recommended.
In the third stage, the choice of method is dictated by the presence of complications and the general clinical picture of the disease. In case of serious complications, the patient must be admitted to the surgical department.
Varicose Veins Treatment: What Should You Change In Your Lifestyle?
Phisical exercises. Our veins love more than anything else when we walk a lot. Standing or sedentary work contributes to the development of varicose veins. Therefore, 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 towards the heart. Anything that compresses or pinches the vessels and tissues surrounding them impedes natural blood flow and contributes to the progression of varicose veins. Therefore, already in the first stage of the disease, one should forever say goodbye to such habits as:
- sit in a leg-to-leg position (impaired blood flow at the level of the popliteal fossa, so it is better to change it with the American leg on leg or legs on the back of a chair);
- wearing tight belts, knee-highs, stockings, belts, too tight jeans, tight underwear (they partially pinch the veins in the groin, knee or narrow waist do not allow the "belly" to breathe, which almost turns off the diaphragm from the act breathing, that is, it facilitates the movement of blood to the heart);
- overeating (overeating is always fraught with extra pounds, and any excess weight in itself can lead to varicose veins);
- walking for a long time 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).