A variety of diseases of the veins in the legs – a consequence of a series of adverse factors which affect the lower limbs of man. Knowing the symptoms, you can recognize these diseases, take measures of treatment to avoid serious complications. Varicose veins of the veins of the lower limbs often develops gradually, at first, not paying attention. But carefully in relation to your health will help to identify the disease before it will cause complications. The main symptoms of varicose veins:
- the pain in the legs;
- the swelling;
- the feeling of tiredness, severity;
- decrease the portability of physical load on the feet.
- the emergence of vascular design on the skin;
- worsens the healing of small skin lesions;
- pathological pigmentation of the skin.
The manifestation of these signs is different – it depends on the degree of severity of the disease, the duration of the current, the individual characteristics of the patient. Depending on the manifestation of varicose veins, disease of the veins of the lower limbs your evaluate in various degrees. Classification according to the degree of compensation highlights three phases classification, based on the characteristics of infiltration symptoms – 6 stages with refinement of complications.
The first (compensated) phase
At this stage, the symptoms of varicose veins, the disease expresses very weak. Anatomically, the manifestations of varicose veins, disease of the lower limbs, in this case, represent a relatively small part failure of valves in the deep veins of the legs. When you do this, all of the violations of the venous flow are compensated by account healthy veins, not affected by the disease.
In this phase, the patient may feel discomfort in the legs, when a large physical effort. The symptoms of varicose veins of the lower limbs, appear very rarely appears edema. Often, the patient simply observes the fact that the foot is more tired at night. Visible symptoms of varicose veins of the veins of the lower limbs not.
Clinically, this stage of varicose veins, disease of the lower limbs corresponds to class 0 – the symptoms of the disease of lack by means of palpation and inspection, the patient has no complaints. Recognize varicose veins are veins on the legs at this stage you can do an ultrasound, but because it does not claim, prescribe it rarely. As the treatment of varicose veins, disease of the lower limbs at the stage of effectively modify the conditions of work, to go for a healthy diet, wearing compression stocking easy degree of compression, moderate exercise.
The second phase
This phase of the disease is characterized more symptomatic. The change in the structure of the venous valves occurs deeper, so that if you develop the signs of external varicose veins, but they do not lead to complications. The pain in the legs when varicose veins appear during this phase. Swelling will appear almost every night, especially after a long find on your feet in an uncomfortable shoes.
At night, the patient notes numbness and seizures – many times, it is up to them and accepting the first signs of varicose veins in the legs. In the morning a tingling feeling, violation of sensitivity, the appearance of pigmentation pathological – signs of varicose veins deep veins of the lower limbs.
Externally, varicose veins in the legs, whose the symptoms described above, manifests itself in the emergence of the image of the vascular ("star") in the skin, disorders of pigmentation. Varicose veins feet, often accompanied by violation of regeneration of skin injuries – cuts, scrapes, bruises heal a lot more time than usual.
Clinically agreement with prominent varicose veins in the legs correspond to the four classes:
- C1 – the emergence of the first symptoms of varicose veins – reticular vessels venous ("stars" and "veins");
- C2 – distinct venous drawing on the skin, to see how manifest advanced of vienna;
- C3 – swelling, many times, it is this feature allows you to identify the varicose extension of the deep veins;
- The c4 is a subclass of varicose veins of the lower limbs, whose symptoms affect the escape of several processes in the skin pigmentation, the development of eczema.
As can be seen from the foregoing, symptoms of varicose veins in the legs at this stage, are very varied. The research involves inspection and palpation, ultra-sonography of the vessels of the lower limbs, biochemical analysis of blood for the detection of indicators of coagulation and the risk of thrombosis.
The complications of this stage – swelling of the legs and of the feet, as well as the development of complications inflammatory phlebitis and thromboticflebite. The symptoms of state data, in addition to notable signs of varicose veins, and if they manifest the signs of deterioration of blood circulation in the legs.
Methods of treatment varicose veins in this phase, the drug use, that remove blood clots, increase the fluidity of the blood, strengthen the vascular wall. But these methods reduce the symptoms of varicose veins feet, but do not cause regression of the disease. If therapeutic methods ineffective, apply surgical – description and photo, how to prepare for the operation, which can be found on the internet.
The third (decompensated) phase
Symptoms and treatment varicose veins in this phase, represent the greatest complexity. If the patient does not pay much attention to the first signs of varicose veins in the legs, not started the treatment, so they appear as complications of the disease. The symptoms of varicose veins in the legs, at this stage, manifest themselves especially bright of pain in the foot is practically constant and, sometimes, so intense, that does not give you the ability to move independently. To improve the swelling, sometimes both, which is manifested by varicose veins lymph vessels – the flow of lymph on the surface of the skin.
The signs of external varicose veins in the legs lead visible, sometimes ugly nature – speakers to vienna, a scattering of dark brown discoloration, trophic ulcer, which is often inflamed, and they appear purulent processes. One of the features – the varicose veins eczema. In its first manifestations appear still in the previous phase, but when decompensation it reaches its maximum exposure.
In this phase, varicose veins in the legs, whose symptoms manifest in maximum bright, it represents a serious threat to the health and sometimes the life of the patient. Pain in the legs, swelling, paresthesia, disorders of the sensitivity of the feet makes the patient becomes unable to perform the work, which up until then had done.
Clinically varicose veins in the decompensated phase correspond to three functional class C4 b, which is characterized by degenerative changes of the subcutaneous tissue, C6 – active trophic ulcers and C5 – ex-trophic ulcer. Complications of decompensated varicose veins – trophic ulcer, thrombophlebitis, bleeding and inflammation of ulcers, in more severe cases – gangrene.
The diagnosis of decompensated varicose veins put very easy – the doctor will do this during the inspection. Diagnosis the event is directed to reveal the degree of impairment of blood circulation in the lower limbs and finding the dead of vienna. For this, apply ultra-sound, if necessary, magnetic resonance imaging, venography, other methods.
The treatment of the disease – only operative. Vienna, in which the broken the the bloodstream, it is removed under ultrasound, but even in this case the signs of varicose veins feet do not disappear completely. The operation requires training, but it is quite fast, after which the patient may soon intensify. In the perioperative period should wearing a compression garment, the radical change of lifestyle and food.
The complications that have developed as the symptoms of varicose veins of the lower limbs, deal with, depending on the degree of severity. Trophic ulcer without inflammation treat conservatively with antibiotics, medicines that accelerate the healing of wounds, and others. If the therapeutic efficacy of measures turns out to be low, apply immediate treatment – prague excised within healthy tissue, then move the album from the stage of the skin.
If there is an inflammatory process, or bleeding, surgical intervention becomes the only effective method of treatment. After that, it is necessary a long period post-operative, which necessarily requires a radical change of style of life of the patient, to prevent the recurrence of the disease.
Despite the severity of the condition, one should not forget the importance of prevention and conservative measures. Even in such a severe stage of varicose veins should be treated, taking medication for the strengthening of the vascular wall, facilitate the blood circulation, blood thinners. Assign the therapy should the doctor.
Gels, ointments and creams for external use, effectively resolve the symptoms of varicose veins, feet in the earlier stages, may not be applied, if there are stains of the skin, especially inflamed trophic ulcer. Even the presence of small scratches or abrasions is a contra-indication to its use.
Varicose veins may develop over the years and even decades, the first symptoms are often appear at an early age, but remain without attention and treatment. In the initial stages of varicose veins asymptomatic, and, therefore, patients rarely seek medical help, it was during this period. Later, when the symptoms of the disease become evident, therapeutic measures can only stop the progression of the disease, but does not cause the complete disappearance of the symptoms.