PHLEBEURYSM

Varicose veins (syn .: varicose) veins -zabolevanie characterized by uneven increase in their lumen, uzlopodobnoy tortuosity as well as thinning of the venous wall.

Can occur in various organs such as the esophagus, the spermatic cord (see. Varicocele). The most common lesions of the lower limbs, which occurs predominantly in women and often begins during pregnancy.

Contributing factors are excessive exercise, work associated with prolonged walking or performed in a standing position.

The first clinical signs of the disease are fatigue limbs, feeling of heaviness in her sense of itching, warmth, by the end of the day there is a swelling of the ankle and lower leg, and then a moderate varicose veins on the thigh and lower leg. This expansion gradually progresses, there are nodes, vascular tortuosity. Complaints about the severity and bursting, dull pain in the leg become permanent. There are cramps in the calf muscles, usually at night.

The disease may be complicated by the development of acute thrombophlebitis, variceal bleeding, dermatitis, trophic skin changes tibia with the formation of ulcers, erysipelas, limfangiitom.

Varicose veins are found during the inspection and palpation. Functional state of the lower limbs was evaluated by various tests (marching and others.). To verify the patency of deep veins used venography.

Treatment for varicose veins in the initial phase of conservative: bandaging the limb elastic bandage that is applied in the morning in bed on a slightly raised leg. Bandaging start from the base of the toes. Bandage is applied evenly, covering 2/3 of the previous round and gradually relaxing its tension. Instead of an elastic bandage can be used specially selected medical stocking size, which provides a decreasing compression fabrics limb from the foot to the thigh. recommended lubrication venoruton skin to reduce pain, troksevazin (jelly).

The initial form of the disease is sometimes treated with injection into varicose vein funds, causing its subsequent obliteration (varikotsid, trombovar et al.). Such sclerotherapy is performed in a hospital. In marked veins, this method is ineffective and even dangerous, as sclerosing agent can get into the deep veins and cause widespread thrombosis . The main method of treatment pronounced varicose veins - surgical. The operation should preferably be made up of trophic skin changes. Surgical treatment is the removal of subcutaneous and ligation incompetent communicating veins.

With the development of trophic disorders (swelling, ulcer, etc..) In many patients with limited or lost ability to work. The earlier the surgery is made, the more favorable prognosis, the more disabled the patient fails to return. Because varicose veins often associated with flat feet should be carefully selected shoes. It should be comfortable, have a stable heel height of not more than 4 cm and flexible outsole. Tonic action on a limb vessels have a contrast shower, swimming. During the day, it is advisable to compliance, provide limited movement regime residence time in the standing position, the alternation of exercise and walk in the dosage of medical stockings and rest lying. Prevention of varicose veins during pregnancy is the compression of the lower extremities (elastic bandage bandaging, carrying medical stockings), a balanced diet, prevention of constipation.