Varicose veins (varicose veins). Causes, risk factors, diagnosis, effective treatment of the disease

Advantages of surgical treatment: the only way to treat advanced cases, the only radical way to correct deep vein valves.
Disadvantages of surgical treatment: traumatic (cosmetic defect), requires anesthesia, it is necessary to stay in the hospital for several days under the supervision of a surgeon.

Laser therapy (endovascular microthermocoagulation):
Indications: Combination of varicose veins with the following diseases: with diseases of cardio-vascular system(ischemic heart disease, high blood pressure), with diseases peripheral vessels(phlebitis, thrombophlebitis), with respiratory diseases (bronchial asthma, bronchitis, pleurisy), with diseases digestive system(cholecystitis, peptic ulcer of the stomach and duodenum), with diseases of the nervous system (traumatic brain injury, neuroinfections), with diseases of the genitourinary system (pyelonephritis, endometritis, salpingitis), with skin diseases (dermatitis, neurodermatitis), peritonitis, boils.

Contraindications: people suffering oncological diseases, diseases of the liver, kidneys and heart in the phase of decompensation, cerebral sclerosis, pregnancy.

Advantages: allows you to get rid of an unpleasant vascular pattern, fast procedure (15-20 minutes), does not require hospitalization, safe and painless, does not injure the tissue vessel and surrounding tissues.
Cons: not everywhere available method, an expensive method, when removing larger vessels, thermal damage to the tissue is possible, possible scarring and depigmentation (lightening) of the skin at the sites of exposure.

Radiofrequency coagulation (ablation) of varicose veins:
Indications: varicose disease with damage to the trunk of the great and small saphenous veins, trophic ulcers as a result of varicose veins.

Contraindications: acute thrombophlebitis of the saphenous veins, inability to actively walk, pregnancy, mental disorders.

Benefits: without cosmetic defect, painless, does not require hospitalization, does not impair ability to work.

Disadvantages: The only disadvantage is the price of the procedure.

Sclerotherapy:
Indications: small varicose veins, large varicose veins when used duplex dopplerography, varicose veins early stages(in case of damage only to superficial veins.

Contraindications: pregnancy and lactation, allergy to sclerosant, deep vein thrombosis, pyoinflammatory diseases of the legs.

Advantages: lower cost compared to surgery, quick recovery period, does not require hospitalization (you can go home immediately), the best cosmetic result.

Disadvantages: possible penetration of sclerosant into deep veins, efficiency decreases due to mixing of sclerosant with blood, ineffective in advanced cases.

FAQ

How to treat varicose veins at home?

Homes for treatment initial varicose veins or prevention of this disease, ointments (pharmaceutical and home-made), lotions, compresses, foot baths, infusions and decoctions of herbs are used to internal use. At severe symptoms diseases, these methods can be used as auxiliary.

Chestnut tincture

She needs ripe and peeled chestnuts - approximately 200 g. They should be chopped with a blender or meat grinder. Then the mass is poured with a bottle of vodka and infused for several weeks in a dark, cool place. For fragrance, you can add menthol oil(a few drops). The tincture should be used every evening - it perfectly eliminates heaviness and itching in the legs, helps strengthen blood vessels and prevents their fragility. In addition to rubbing the tincture, compresses can be made from it. Instead of chestnuts, nutmeg is allowed (do the same as chestnut tincture). In addition to rubbing problem areas, nutmeg tincture can be taken orally 20 drops three times a day. At the end of the first bottle, you should take a break for two weeks, and you can start treatment again.

Ointment with calendula

First, an infusion is made from marigold flowers (1 tablespoon per glass hot water); it is better to brew and insist it in a thermos for about an hour. Then strain the infusion and mix with a glass of fatty base - lanolin, vaseline, badger fat. The ointment can be flavored with oils - roses, lavender, eucalyptus, sage, grapefruit, bergamot. The mixture is recommended to be rubbed twice a day with gentle upward movements until completely absorbed. Together with calendula, you can infuse thyme, hop cones, nettle.

Chamomile oil

This oil requires freshly picked chamomile flowers. They should be filled to the top with a half-liter bottle (preferably green or brown), then pour them with 0.5 liters of any oil - olive, corn, hemp. Insist for a month, shaking occasionally. The oil is filtered before use. You can add menthol oil to it, tea tree, lavender, lemon. The mixture is applied morning and evening to the problem area with light massaging movements. With this composition, you can also make compresses (at least for the whole night).

Compress with wormwood

For a compress, you will need a bag of kefir or fermented baked milk, 3 tbsp. chopped dry wormwood herb. Mix the components, let the grass get wet a little and put it on gauze or a clean cloth. The compress on top must be covered with wax paper (not cellophane) and fixed with several layers of bandage. The duration of the procedure is about half an hour, it can be done in the morning and in the evening, while the legs should be kept in an elevated position.
The same compresses are made with hops, chamomile, succession, clover, oak and birch leaves, St. John's wort, horsetail, tricolor violet, yarrow. Plants can be used singly or in combination with each other. After the procedure, it is advisable to lie down for some time with raised legs, so that the effect of the compress is more pronounced.
Infusions and decoctions of these plants can also be used for foot baths. Their duration should not exceed 25 minutes, while the water should not be hot, but warm. The bath helps to remove pain in the legs, reduce swelling, burning sensation and itching.

Means for internal use

For ingestion, fees with plants are perfect:

red clover
succession
Lingonberry, viburnum, wild strawberry, raspberry
Coltsfoot
Calendula
Sophora japonica
Melissa
Lemongrass
Hawthorn

The herbs are ground and made into mixtures. To prepare the infusion, you need 3 tbsp. Pour a liter of boiling water over the mixture, insist overnight in a thermos and consume a third of a glass before each meal.
Also, with varicose veins, bee pollen and honey have proven themselves well. Bee pollen is usually taken orally, and honey can be consumed both inside and make compresses with it (mixed with herbal decoctions).

How to treat varicose veins during pregnancy?

Pregnancy in many women provokes the development of varicose veins. Treatment of this disease is carried out with the help of ointments, creams, gels.

Among the ointments, it is necessary to choose those that remove swelling and heaviness in the legs. Asklezan, Venorutin, Lyoton are the most effective. They need to be applied thin layer and rub in ascending movements into the affected area of the skin 1 3 times a day.

You can also use traditional medicine, in particular, do foot baths with decoctions of various herbs - chamomile, calendula, hops, thyme, coltsfoot, oak bark, birch leaves.
Well relieve swelling of the legs compresses from cabbage leaves or raw grated potatoes. However, it must be remembered that compresses cannot be made with cellophane, waxed or parchment paper is best in this case - it does not create a greenhouse effect and the skin under it breathes. Such compresses can be left even overnight.

Separately, it should be said about drugs for oral administration. There are absolutely safe venotonic drugs that can be taken by pregnant women. These mainly include herbal products:

Antistax
Venoruton
Troxevasin
Detralex
Vasoket
Phlebodia
Aescusan

All these drugs significantly increase the tone of the veins, make them less elastic, and therefore less prone to stretching, improve lymph flow, normalize the permeability of the venous walls and reduce swelling.

However, a doctor should prescribe these drugs to pregnant women.

What ointments are effective in the treatment of varicose veins?

Ointments and gels play an auxiliary, but nevertheless an important role in the treatment of varicose veins. For self-treatment these drugs are used in the early stages of varicose veins.

№	A drug	Action	Method of application and the resulting effect
1	Venitan Forte jersey	Anti-inflammatory; venotonic; Preventing thrombosis; Healing.	Apply with light massaging movements (from bottom to top) 1-3 times a day. The course lasts up to 8 weeks.
2	Hepatrombin Can be used in combination with compression jersey	Improves blood supply; Improves the outflow of stagnant tissue fluid; Stimulates the excretion of harmful metabolic products; Improves skin nutrition.	Apply a strip of ointment 5 cm long to the affected area 1-3 times a day; rub with light massaging movements from the bottom up. In case of inflammation of the veins, do not rub, but apply in the form of an ointment bandage. The severity of edema, fatigue, heaviness, convulsions in calf muscles; accelerates the healing of varicose ulcers.
3	Troxevasin	Increases the stability of capillaries; Reduces the permeability of the walls of venous vessels; Prevents the formation of blood clots; It has an anti-inflammatory effect.	With light rubbing movements, the gel is applied to the affected, but not damaged areas of the skin, in the morning and evening. Reduces swelling, pain, cramps in the legs. The healing process is accelerated with incipient ulcerative processes.
4	Essaven gel	Reduces blood clotting; Increases the stability of the vascular wall; Improves tissue nutrition.	Lubricate the affected areas of the skin several times a day. The severity of edema, fatigue, feeling of heaviness in the legs, cramps in the calf muscles decreases. Healing is accelerated trophic ulcers.
5	Lyoton 1000 gel, Lyogel	Normalizes blood circulation in small veins; Prevents the formation of blood clots; Provides anti-edematous anti-inflammatory and analgesic action.	3-10 cm of gel is applied with upward rubbing movements on the affected area of the skin 1 3 times a day. Reduced fatigue, feeling of heaviness in the legs; spasms in the calf muscles stop; edema disappears.
6	Fastum-gel	It has a pronounced analgesic and anti-inflammatory effect; Reduces capillary permeability; Helps reduce puffiness.	Apply 3-5 cm of gel to the affected area 1-2 times a day; duration of the course is 3 weeks. Pain disappears or decreases, a feeling of heaviness in the legs, swelling in the limbs.
7	Heparin ointment	Prevents the formation of blood clots; Regulates tissue permeability; Reduces blood viscosity.	The ointment is applied in a thin layer (3-5 cm) on the affected area of the skin 2-3 times a day and gently rubbed. Reduce or disappear swelling; the tendency to thrombosis is reduced.
8	Ginkor gel		A small amount of the drug is applied to the skin 2 to 4 times a day and gently rubbed. The treatment course can last up to 4 weeks. Swelling, pain, cramps, a feeling of heaviness and numbness in the legs are significantly reduced or completely disappear.

What cream is effective in the treatment of varicose veins?

The use of creams for varicose veins is justified only on early stages illness. The following creams are considered the most effective:

№	A drug	Action	Method of application and expected effect
1	Cyclo 3 cream	Reduces blood clotting; Improves blood flow; Prevents the development of inflammation; Normalizes the outflow of blood and lymph from the legs.	Apply the cream on the legs 2 times a day, rubbing gently from bottom to top for 2-3 minutes. The feeling of heaviness and numbness in the legs decreases; stop cramps in the calf muscles; edema is reduced.
2	Girudoven	Improves the condition of the venous walls; Normalizes vascular permeability; Promotes the dissolution of blood clots.	Apply and rub a small amount of gel on the skin of the calves up to 5 times a day. The cream can be used for a long time. Reduces swelling, soreness and fatigue in the legs; getting better appearance skin, increasing its elasticity.
3	Venitan cream Can be used in combination with compression stockings	Provides anti-inflammatory new action; Promotes the resorption of blood clots; Improves the condition of the venous wall; Promotes healing of ulcers.	Apply with gentle rubbing movements (from bottom to top) 1-3 times a day. With trophic ulcers of the lower leg 1-3 times a day on the edges of the ulcer. The course of treatment lasts up to 8 weeks. Reduces swelling, feeling of heaviness, fullness and pain in the legs.
4	Venoruton Can be used with compression stockings	Reduces fragility of capillaries; Normalizes the permeability of the vascular wall; Prevents the development of inflammation; Reduces blood viscosity.	Apply 2 times a day with a thin layer on the affected areas of the skin of the legs; rub with massaging movements from top to bottom. Reduces fatigue when walking, pain and a feeling of heaviness in the legs; convulsions and swelling disappear. Reduces the risk of thrombosis.
5	Cream-balm for legs with horse chestnut	Reduces fragility of blood vessels; Increases the tone of the venous wall.	Apply 2-3 times a day without getting out of bed. The treatment course is 6-8 weeks. Reduces swelling, pain, fatigue in the legs.
6	Dr Wen. Venotonic foot cream	Increases the tone of the venous walls; Normalizes vascular permeability; Improves nutrition of surrounding tissues.	Apply to the skin with light rubbing movements 2 times a day. The course of treatment can last up to 8 weeks. The swelling of the legs decreases, the feeling of fatigue and heaviness in the legs disappears, the elasticity of the skin increases.
7	Foot cream with cooling effect	Normalizes the permeability of the vascular wall and increases its tone; Helps improve the nutrition of surrounding tissues.	Apply to the skin of the calves with gentle rubbing 1-2 times a day for 6-8 weeks. Reduced pain and feeling of heaviness in the legs; there is a feeling of pleasant cooling.

What are the effective folk methods of treating varicose veins?

The most popular folk remedies for the treatment of varicose veins can be used in the form of decoctions, ointments, lotions and compresses; Some herbs also help when taken orally.

Lilac tincture

Compliance with contraindications for varicose veins on the legs is the path to health. The patient will have to completely change his lifestyle, because. otherwise, the disease will continue to progress, which will lead to serious complications. Not all activities lead to increased symptoms varicose veins veins. For example, walking is very useful, because. it promotes the natural outflow of blood from the extremities.

The attending physician is obliged to tell the patient what cannot be done with varicose veins of a particular degree, and what can be done. It is noteworthy that at initial symptoms diseases, people prefer to keep their legs in basins with cold water, make lotions from some wild herbs, but do not come to the hospital for examination. It's not worth doing that. At the first symptoms of the disease, you should make an appointment with a therapist. After the examination, he will refer you to a phlebologist.

initial stage

There are no special contraindications at this stage of the development of the disease. With varicose veins, you can continue to play sports, take long walks on fresh air. But uncomfortable clothes and shoes will have to be abandoned. Be sure to visit a phlebologist. He will write out a prescription for medicines and help you choose the degree of compression of medical underwear.

Everything that cannot be done with varicose veins of the initial stage is strictly forbidden to be performed with a progressive disease. In addition to existing restrictions, dietary recommendations are added. The patient will have to completely reconsider his diet. If the patient is overweight, then he is put on a forced diet. Organ transplantation for varicose veins can be done if the main veins are not affected or the danger to the patient's life is too high.

If your feet hurt

Contraindications for varicose veins accompanied by severe pain include the rejection of heavy physical exercise. Decrease discomfort cool baths will help. They can be done in the morning and evening. Physiotherapy for varicose veins lower extremities it will be useful in the initial stage, but with an actively progressing disease, it is included in the list of contraindications.

Doctors recommend purchasing a special pillow for the legs. It can be used during the night. By elevating your legs, you will facilitate the flow of blood from the limbs to the heart. A phlebologist may prescribe anti-inflammatory drugs if pain syndrome very strong. But when the condition improves, they must be abandoned, because. they put a lot of stress on the liver.

If the vein burst

It all depends on which vessel was damaged. If a small wreath bursts, then the patient will get off with a spider vein, but if damaged large vessel a large hematoma will appear on the surface of the skin, which in itself is very bad. It is impossible to do pressure therapy for varicose veins in this condition. You need to attach an ice pack to the damaged area of the vessel, and after the pain goes away, go to the doctor.

If your feet are itchy and swollen

Legs and edema are the first sign of varicose veins in the legs. They indicate that the blood flow is already disturbed, the tissues receive less nutrition. In this condition, it is strictly forbidden to use diuretics and other means that contribute to the exit from the body. excess fluid. The patient can apply specialized cooling gels for varicose veins or moisturizers. Of course, after detecting these symptoms, a person should make an appointment with a doctor.

If the legs are numb

Some grandmothers advise when given symptom use a foot warmer for varicose veins. It is absolutely impossible to do this if you do not want to worsen your own condition. It is possible that the numbness of the limbs was caused by a blood clot that got stuck in the vessel. By causing the vein to expand, the patient can provoke a clot separation, which is potentially dangerous state for life. Magnetotherapy treatment for varicose veins can relieve patients of leg numbness, because. it helps to increase blood flow, but with a progressive disease it is contraindicated.

What can not and what can be done with varicose veins

With varicose veins, you should not expose your legs to prolonged exposure to high temperatures. Active mechanical impact on your feet will also lead to negative effect. Allows you to do cold wraps, light massage and any other procedures that do not cause injury to the skin and blood vessels.

Can you get a tattoo if you have varicose veins? Yes, if it is placed somewhere on the arm or on the shoulder blade, i.e. in an area that is not affected by the disease. Some women turn to salons with the question of whether it is possible to get a tattoo on varicose veins in order to close protruding vessels. A normal master will refer such clients to a phlebologist. Before getting a tattoo for varicose veins, the patient should consult a doctor. If his desire comes from aesthetics, i.e. he wants to close the damaged vessels, it is easier to remove them with a laser or a sclerosant. If the patient simply wants to have a certain pattern on the leg, then he still must first weigh all the risks. Applying a tattoo with varicose veins is 90% likely to cause serious complications.

Compresses

It is believed that compresses are an excellent remedy for varicose veins. To some extent, this statement is indeed true. With their help, you can get rid of edema and other external manifestations diseases. But apply compresses for trophic ulcers, allergic rash Absolutely forbidden. Included in them natural products exacerbate irritation.

Different types of epilation

Removal extra hair on the legs - the problem is mostly purely female. Standard Methods epilation with varicose veins is contraindicated. Pulling out excess hair with tweezers, hot wax or sugar paste will exacerbate the disease. Women can get rid of excess hair on their legs by the following methods:

laser epilation;
using specialized chemical creams;
classic shave;
electrolysis (if the disease is at an early stage).

Other hair removal methods will cause complications. Women will also have to give up wearing high heels.

Contrast shower and hydromassage

A contrast shower is considered one of the most useful procedures with varicose veins. It contributes to the natural irritation of the vascular walls. Thanks to contrast soul in patients, the production of collagen is normalized, the density of veins increases. Hydromassage can be used to treat varicose veins of the initial degree.

Wraps

Contraindications for varicose veins in women include hot wraps. In general, all procedures involving warming up the legs and blood vessels will have to be excluded for varicose veins. An increase in body temperature adversely affects the condition of the veins. Cold wraps, on the contrary, are useful in the initial stage of varicose veins. It is advisable to use menthol or other components that cool the skin for them.

Abortion

Doctors often answer the question of whether it is possible to take OK with varicose veins in the negative. But with an active sexual life and unwillingness to have a child, the use of estrogenic contraceptives is the best option, because. abortion with varicose veins poses a threat to a woman's life. It is especially dangerous to carry out this procedure if the patient has a lesion of the pelvic veins. With this form of the disease, women rarely manage to bear the child normally. More often they face spontaneous abortion.

Laparoscopy

Doctors cannot unequivocally answer the question of whether it is possible to do laparoscopy for varicose veins. By itself surgical intervention does not create any problems for the body if only the veins of the legs close to the skin are affected by the disease. But when defeated main vessels it can be dangerous. On the other hand, laparoscopy is often used to diagnose varicose veins of the small pelvis.

Mud treatment

This procedure helps to restore vascular tone at the initial stage of the disease. Mud therapy cannot be done if there are trophic ulcers on the body or the skin is damaged. This therapy is contraindicated in progressive varicose veins, because. dirt without any additional components greatly dries the skin, and this is very harmful for problems with blood vessels.

Bath and sauna

Scrub can be used for varicose veins, but it must contain small particles that will not severely injure the skin. Such cosmetical tools are made on the basis of particles of raspberry seeds or milled rice. Sauna and bath are categorically contraindicated in patients with diagnosed varicose veins. Again, it's all about heat. It promotes the opening of pores, but also greatly harms the condition of the vessels.

soar legs

It is absolutely impossible to warm the legs with varicose veins on the legs. Even if you have a cold and your grandmother insists that a hot mustard bath will help you recover quickly, you can’t heat your limbs. When the legs are warmed up, the vessels expand very much, and since. they already have an increased diameter, this leads to a deterioration in the general condition of the veins. With varicose veins, patients can do therapeutic baths with water temperature not exceeding 50 degrees Celsius.

You can not visit the solarium with varicose veins. Regarding whether it is possible to sunbathe with varicose veins, the opinions of doctors differ. Some doctors claim that short-term effects sun rays benefits the body, but phlebologists say that ultraviolet light warms up the legs a lot, which is very harmful to the condition of the veins.

Viagra for varicose veins

To the question of whether it is possible to have sex with varicose veins under the influence of Viagra, all doctors will answer that it is impossible. Preparations for short-term elimination erectile dysfunction greatly increase the pressure in the vessels. Danger this phenomenon is not only for people with heart disease, but also for those who suffer from various pathologies of the vascular system.

Contraindications to taking drugs

With varicose veins, contraindications apply to many drugs. First of all, patients should give up pills that provoke an increase in pressure. Medicines that constrict blood vessels must also be stopped. The group of prohibited drugs includes pills that increase blood viscosity.

Physical exercise

Rope exercises for varicose veins will have to be excluded from the training program. This also includes athletics. The problem is that these types of exercises create an additional shock load on the veins. As a result, the vessels are stretched both under the influence of blood flow and under the influence of gravitational forces. Physical exercise should be aimed at strengthening the vessels. Very useful for varicose veins race walking, swimming, gymnastics, not power yoga.

Intense training and football

People suffering from varicose veins will have to give up professional sports. Intensive training, accompanied by work with free weights, are also among the contraindications. Football, volleyball and basketball can be played on initial stages diseases, then during training it is necessary to use compression underwear or elastic bandages. With further progression of the disease, these sports should be abandoned.

Nutrition rules

A proper diet for varicose veins helps to increase the effectiveness of medications taken. The patient should consume foods that strengthen the vascular walls. If necessary, nutrition becomes dietary if the patient has an excess body mass index or the presence of visceral fat. Doctors recommend the following foods:

nuts;
fruits;
lean meat;
cereals containing carbohydrates and useful minerals;
eggs;
natural teas and juices.

Prohibited foods and drinks

Patients often do not know what not to eat with varicose veins, so they practically do not change their diet. First of all, patients need to give up fat. Heavy meats, refined fried foods must be eliminated from the diet completely. Canned food should also be removed from the menu. Prohibited products include:

all varieties of alcohol, tk. alcohol promotes the expansion of veins;
black tea, strong coffee;
seasonings;
chicory (useful for hypertension, but because it dilates the veins, it is dangerous for patients with varicose veins);
sweets and soda, because consist of easily digestible carbohydrates, therefore they are not suitable for overweight patients.

The specific list of contraindications depends on the state of human health. Ideally, you can use the whole product, but in small portions. Patients rarely adhere this rule Therefore, it is better to completely exclude from the diet foods and drinks that accelerate the development of varicose veins.

Is additional method treatments that can improve general state compromised vessels, even eliminate some of the symptoms of this disease, as well as prevent its further progression. However, do not place high hopes on changes in nutrition, the use of nutritional supplements. When the veins begin to bulge and create visible blue tubercles on the lower extremities, the help of a vascular surgeon is indispensable.

Read in this article

Causes of varicose veins

According to statistics, after 40 years, every second inhabitant of the planet is faced with a local expansion of the superficial veins of the lower extremities. The most common factors that contribute to the development of this vascular pathology include:

obesity,
heredity,
the need to sit for 6-8 hours a day,
uncomfortable shoes and clothes.

Modern medicine offers highly effective ways to treat this disease: phlebectomy and laser surgery. Nevertheless, correct nutrition for varicose veinsAnd healthy lifestyle life is an important part integrated approach combat this problem.

Basic principles of proper nutrition and nutritional supplements

The following dietary recommendations can be considered as a guide to reducing varicose veins. But do not forget that this is only one of the components medical process, which, like others, without consulting a specialist (phlebologist) should not be carried out independently.You don't have to self-medicate!

Alimentary fiber.A diet high in fiber keeps your veins healthy. There is a lot of it in such products: whole grain cereals, brown rice, beans (for example, beans or lentils), potatoes with skins, broccoli, cabbage, nuts, fruits (apples, raisins).
Bioflavonoids.Rutin and extract from grape seeds protect the vein wall from damage, reduce its permeability, which helps to fight pain and swelling in varicose veins. These substances are found in: cranberries and other dark berries, figs, asparagus, dark green leafy vegetables and garlic.
Minerals and vitamins.The trace element zinc reduces its inflammation.with varicose veins of the lower extremitiesC and E have the same properties.
Herbs., some herbal preparations alleviate the symptoms of varicose veins. Maritime pine bark extract relieves heaviness in the legs and.
(eg Arnica Montana) help manage swollen veins by reducing sensitivity and improving the appearance of ugly knots.

Useful products for veins

The health of blood vessels directly depends on the building material that is delivered to the human body with food.

correct nutrition for varicose veins in the legsprovides for the regular use of products that contain substances necessary to restore damaged blood vessels.

low calorie diet

For a person who suffers from obesity and varicose veins, reviewing their diet, which includes switching to low-calorie foods, is an opportunity to quickly lose weight. As mentioned above, obesity is one of the factors contributing to the expansion of veins. Therefore, a calorie-reducing diet can have a beneficial effect on the disease. This is especially true of his "small manifestations" - vascular network on foot.

Salt-free nutrition for varicose veins and vascular disease,hearts (hypertensive, coronary heart disease, etc.) are no different. Therefore, for example, a patient who suffers from varicose veins in the legs and ischemic disease can use this diet without worrying about the result.

A low-calorie diet includes the following recommendations:

As rough example You can cite the following data: one kilogram of fat contains 7000 calories. If you reduce your daily intake by 1000 calories, then at the end of the week you can be pleasantly surprised.- scales will show the loss of one kilogram.
To determine daily requirement in calories for a particular person, you need to multiply it ideal weight by 30. The number of calories also depends on gender, age and physical activity. For example, if a 50-year-old woman wants to maintain her 70 kilograms, then she should consume no more than 24 calories per kg (1680 calories per day). A 25-year-old athlete who wants to maintain the same weight should eat 30 calories per kg (2100 calories per day).
Calories from fat should not exceed 30% of the total. The food contains mostly monounsaturated fats (such as those found in olive oil). It is necessary to reduce the amount of saturated fats (there are a lot of them in animal products).

It is important to understand that anyfoods good for varicose veins, nutritional supplements and diets must be agreed with the doctor.

Self-treatment is ineffective, can jeopardize health. For example, taking grape seed extract increases the risk of bleeding, and taking it with a vitamin increases blood pressure. horse chestnut should not be used in patients with compromised kidneys or liver who are taking blood thinners (eg aspirin) or drugs used for depression. Only a doctor is able to understand all the vicissitudes of the medical history, and sometimes this requires a whole medical team of professionals.

Varicose veins of the lower extremities: the origin and solution of the problem

Diseases of the vessels, the circulatory system and hemostasis are complex and dangerous. It is also not easy to deal with them, for example, the treatment of varicose veins requires so much effort and patience. And now life is such that only disposes to varicose veins of the lower extremities. Even standing at the counter, even sitting at the computer, even uncomfortable shoes, in which you also have to hurry - everything makes the outflow difficult, it causes, and if such an ailment haunted the parents, then the danger is doubly threatening.

Young girls think that they are not in danger, their legs will always be slender and light, therefore, following fashion, they choose high heels and run on them for days. The main thing is beauty, and inconvenience can be tolerated, because beauty, as you know, wants victims. And the victims may be Very big...

What are varicose veins and why do veins expand?

In violation of the structural structure of the vascular wall and a decrease in vascular tone deep the veins of the lower extremities dilate unevenly. This process is very well facilitated by excessive load on the legs. Blood flowing through the arteries great circle blood circulation from the left ventricle, enriched with oxygen and nutrients lower limbs and taking carbon dioxide and metabolic products from them, should go up through the veins through the right ventricle to the lung in order to give away the unnecessary and pick up the next portion of the substances necessary for the lower limbs.

The veins of the lower extremities are equipped with valves so that the blood that has risen does not return back, because it overcomes the gravity of the Earth, rising up. In dilated veins, the valves cannot close tightly, and therefore all the blood does not leave, but begins to sink down and stagnate. Then a new portion comes to it and blood circulation is disturbed.

From the stagnation of blood in the venous vessels, clots begin to form slowly, which are called red, since they consist mainly of erythrocytes. The thrombus forms a head and a tail, the head is attached to the wall of the vessel, and the free tail is left for sticking of platelets. The resulting blood clots attach to the walls of the dilated veins for a long time and become a time bomb, because a clot that has come off and entered the bloodstream is very dangerous, as it can clog a vital artery. Blood clots are torn off, as a rule, by the tail part and go on a short journey. Having passed safely right atrium, a thrombus can get stuck immediately in pulmonary trunk if it has large sizes, or advance into the pulmonary artery, which it can no longer successfully overcome. Many have heard about sudden death brought by the thrombus to arterial vessels lungs, doctors call this phenomenon.

Where is the reason?

To say that varicose veins of the lower extremities is a ubiquitous phenomenon is to say nothing. But there are people who live to old age They don't even know about varicose veins. Why? Maybe initially they knew some secret or lay their lives on the couch with their legs up?

In order to structural structure the walls of the venous vessel were broken, not much is needed, just some congenital features of an individual or the conditions created in the process of life can cause the onset of a pathological process:

Hereditary predisposition, that is, a person receives from his parents, NOT a disease, A vascular structure predisposing to varicose veins and disease;
Female sex in connection with natural destiny.
Loss of elasticity and tone vascular wall occurs as a result of:
- Professional features (work associated with a long stay in an upright position);
- Excessive load during pregnancy, obesity and sports;
- Hormonal background, where the leading place belongs hormonal changes when carrying a child, as well as in menopause;
- Permanent violation of nutrition and food preferences for products that affect the vascular wall;
- metabolic diseases;
- Liver diseases (hepatitis and cirrhosis);
- smoking;
- Venous-arterial fistulas, which can cause varicose veins in the legs, even in adolescents.

What does real varicose veins look like?

In addition to such terrible events described, varicose veins of the lower extremities are simply unattractive. At the beginning of the disease, when 2-3 veins have expanded, a person often does not pay attention to this, but the disease progresses, and problems begin. Knots got out, skin on inner surface shins shines and changes its color, and these places begin to itch a lot. The skin is injured and ulcerated. And if you have a plus diabetes? Expansion of the veins in the legs is not an independent disease of the legs, the whole body is involved here, because this is the circulatory system.

Thus, manifestations of varicose veins of the lower extremities can be represented as follows:

Feeling of fatigue in the legs, heaviness and swelling of the limbs;
Thickened and tortuous areas of venous vessels protruding above the surface of the skin of the lower leg with dark blue nodes;
Compacted, darkened, lost elasticity in the affected areas, the skin;
Leg cramps;
Hair loss and burning in areas of varicose veins;
in places of varicose veins.

As the disease progresses, the symptoms of varicose veins become brighter and entail other events:

Gain ;
As a result of stagnation - and ulceration of damaged areas;
Bubbles and cracks appear on itchy places, which give bleeding at the slightest injury. And where there is bleeding, there is always. Such manifestations can, in turn, be easily complicated by thrombophlebitis, which is characterized by the following symptoms:
- Shortness of breath, shortness of breath, weakness;
- An increase in the temperature of the diseased limb, its skin is hot and dense;
- Pain along the vessel;
- Redness of the limb along the affected vein.

It should be noted that it is very dangerous and requires immediate medical attention!

Special types of varicose veins

female varicose veins

Of course, varicose veins are most inherent in the veins of the lower extremities, but the expansion of the veins of the small pelvis is also a frequent phenomenon and one can imagine what the organs can reach there, because the eye cannot see what is happening in the veins of the internal organs. Especially in this regard, the female body "succeeds", women even have a separate group of "their" varicose veins.

The physiological characteristics of the representatives of the beautiful half of humanity predispose to this disease more, since nature has endowed them with the function of childbearing and provided them with special organs, where blood circulation is very intense, requiring a large number veins and arteries. When a woman prepares to become a mother, the body must rebuild and ensure normal gestation. Of course, the load on the body is colossal and stagnation in the pelvis and lower limbs takes place.

Varicose veins during pregnancy will be the starting point for the development of the disease in the future, where the expansion of the veins of the small pelvis, as well as the legs, may take a “worthy” place and eventually begin to pose a threat not only to health, but also to human life.

The whole trouble is that you can’t just see the expansion of the veins of the small pelvis, this requires special equipment, because the venous vessels of the small pelvis are not as accessible as on the legs. However, they also form knots, similarly to the veins of the legs, they can contain blood clots that can break off and "float freely", unfortunately, not for long ... Varicose veins of the small pelvis can cause internal bleeding. Operations on the pelvic organs, especially in gynecology, require the mandatory use of compression stockings(elastic stockings and tights) to prevent life-threatening complications associated with the separation of a blood clot.

Male varicose veins

Varicose veins in men occur to a lesser extent than in women, but in the case of damage to the legs, it manifests itself similarly. Therefore, everything that is said above and below is fully applicable to the stronger sex.

It is worth adding that men can "boast" of a special male varicose veins - varicose veins spermatic cord(). Fortunately, this type of male varicose veins is well operated and not particularly dangerous for life, but still it is better to do without it.

Video: varicose veins in men

Reticular (cosmetic) varicose veins

It happens that suddenly begins to appear through the skin of the lower leg or thigh. Particularly impressionable can be calmed immediately - this is the so-called reticular varicose veins, or superficial varicose veinsveins. It's benign and doesn't seem to be real. Progression and serious complications are not inherent in him, he, in general, except for a small cosmetic defect, no threat. Therefore, reticular varicose veins of the lower extremities are also called cosmetic.

But those who are not particularly impressionable should remember the danger of varicose veins on the legs and start fighting it in the early stages, which are simply ignored and missed by the patient himself. However, having found out about the disease, future patients of a vascular surgeon still try to do without surgery in the future, they are interested in traditional medicine recipes and often quite successfully cope with the progression of the disease at home.

Pre-medical treatment with folk remedies

At first, the patient tries to treat varicose veins on the legs, consulting with experienced relatives, friends and acquaintances. And they help because the disease is common and people know a lot about it. Sympathizing with a comrade in misfortune, everyone tries to take part in his fate and offer his own proven recipe.

Some suggest going on a diet, losing weight and cleaning blood vessels, others recommend special elastic stockings and tights that they themselves wear, others even offer leeches ...

Nutrition for varicose veins

Undoubtedly, nutrition plays a role in varicose veins. And a lot. Losing weight with varicose veins is really very “beneficial”, so you should start with this, of course, without resorting to numerous promotional products, which may be good for losing weight simply, but are contraindicated in the treatment of varicose veins.

With varicose veins of the lower extremities, first of all, you should forget:

About alcohol (completely);
Strong coffee;
Canned, spicy and smoked products;
Sweets and salt also do not like varicose veins - they retain water in the body;
Fried potatoes are very good to replace with "potatoes in uniform" and listen to what they advise knowledgeable people. Those in the know advise:
- lean on foods rich in vitamins A and E, although B and C will also not become a hindrance;
- grains of wheat, rye and oats, cabbage of all varieties and soy, and carrots, gooseberries and wild roses in particular - have a beneficial effect on the venous walls;
- unlimited amount of vegetables, freshly squeezed citrus juices, blueberries, cranberries and fresh strawberries;
- nettle, dill and parsley in salads will help not only with varicose veins, but also significantly reduce weight.

apple cider vinegar for varicose veins

Apple cider vinegar is sold everywhere in the store and is not at all expensive. It tastes good. For treatment we take:

2 teaspoons of vinegar, add a spoonful of honey, pour 200-250 ml of purified water and drink in the morning on an empty stomach. Diluted in a ratio of 1:10 apple cider vinegar it is good to rub the legs in the evening, by the morning the vessels will feel it.

chestnut tincture recipe

Also used to treat varicose veins various infusions and decoctions, where a recipe for chestnut tincture is considered very effective, which is prepared as follows:

Due to the fact that chestnut affects arterial pressure, then it is recommended to take the medicine in accordance with blood pressure. 30-40 drops per spoon boiled water 3-4 times a day before meals normal pressure and 1-2 times a day with reduced. The course of treatment is 1 month, then a break, and after 2 weeks, if necessary, the course can be repeated.

In addition, to treat varicose veins on the legs, you can use chestnut tincture for rubbing the legs. According to people, this method helps remarkably, some even managed to cure varicose veins in the early stages. Well, for those who are not very lucky with treatment with diet and tinctures, but don’t want to go to the doctor, traditional medicine recommends the “good old”, but not forgotten leeches.

Leeches! Scary? However, it helps...

Before starting treatment with leeches for varicose veins, many patients are trying to get information - what and how, which is completely natural. Leeches look scary and repulsive. Many remember how in childhood, swimming in ponds, they shied away from them. Then the leech was generally the main enemy, although grandmothers said that in the old days, zemstvo doctors kept leeches in special jars and used them in almost every case that involved bloodletting (one of the few methods of treating many diseases).

called hirudotherapy. This name comes from the word hirudin- a special enzyme found in the saliva of leeches, which prevents blood clotting. Having sucked, the leech will fall off only when it gets drunk, and the blood will flow out in a thin stream for some time ... Naturally, it is easy to guess that if there is stagnation in the veins, the leech will help to extract the “excess” blood, and, perhaps, with its saliva and blood clots dissolve. And it turns out that no one forgot the leech, some people grow medicinal leeches became a good business, because not every leech has such healing properties, are needed here special leeches. Animals grown on such farms are sent to medical centers specializing in hirudotherapy.

Time to see a doctor!

Conservative treatment

It happens that the treatment started in a timely manner stops the pathological process, and people live on without a doctor, supporting themselves with folk remedies, regimen and diet. And it happens when the disease is running and they can no longer help:

Infusions and decoctions;
advertised in the media;
Massage and gymnastics;
Even hirudotherapy does not help.

So it's time to visit the doctor. In the registry of any polyclinic, they will explain that a special vascular surgeon, a phlebologist, is engaged in the expansion of the veins of the lower extremities.

Of course, medicine always seeks to do without radical measures, that is, without surgery, until the last trying conservative treatment. Any operation, even the simplest, is associated with a violation of the integrity blood vessels, and, therefore, with thrombus formation, which already occurs with varicose veins. In addition, any surgical intervention requires anesthesia. Here you should take into account the age of the patient, because it is known that in old age varicose veins are often accompanied by chronic diseases respiratory and cardiovascular systems, and this circumstance greatly complicates the choice and management of anesthesia. Therefore, the vascular surgeon first treats varicose veins conservatively.

TO conservative methods treatments, in addition to ointments, creams and tablets for varicose veins, include such types of minimally invasive surgery as compression sclerotherapy (sclerotherapy) and laser coagulation of varicose veins (more on them below), since such treatment does not require a hospital stay, is little traumatic and almost painlessly.

For the treatment of varicose veins of the lower extremities, drugs are prescribed that improve the outflow of blood through the veins, protect the wall and thin the blood. These include:

Penetrate into a vein

can independently treat varicose veins in the legs in the initial stages of the disease, when the function of the valves is not yet impaired, and this method also copes remarkably with reticular varicose veins, leaving no traces of the disease at all. Treatment of varicose veins by sclerosis is carried out by a phlebologist, who injects a solution of ferric chloride into a vein in a certain concentration.

Probably, at all times, surgery has been, is and will be the main way to cure varicose veins, so methods such as laser treatment will always be popular among both doctors and patients. Undoubtedly, when the patient sees and hears everything during the operation, is not afraid in advance that he will not wake up (most patients panic about this before the intervention) - this means a lot.

patients tolerate well, although there are also postoperative period and some inconvenience associated with at least a small, but interference. There may be bruising and soreness along the coagulated vein, sometimes after a few days the body temperature rises to subfebrile. These phenomena quickly pass if you take non-steroidal anti-inflammatory drugs (diclofenac, nimesulide). Immediately after the operation, the patient is not only allowed to get up, but also recommended to walk around, however, wearing (without fail!) Compression hosiery.

Laser treatment is carried out by intravascular exposure of thermal laser energy directly to the venous wall and thrombi attached to it, which should be replaced by connective tissue. And the vein itself over time (within a year approximately) will turn into a connective tissue cord.

Laser coagulation of varicose veins effective method, which has a minimum number of contraindications, does not have negative side effects does not cause allergic reactions. Laser treatment is well tolerated by patients and can be used in elderly and senile patients. And taking into account contraindications, choosing the right dosage, professionally carrying out the procedure and doing without a real operation is a matter for specialists, because a real operation for varicose veins of the lower extremities is a rather serious thing with a lot of contraindications and complications.

Radical is not easy to execute, rich in "surprises" and refers to extreme measures, after all, it concerns the hemostasis system, which will certainly respond to any intervention. Unfortunately, not always adequate. Therefore, the task of the doctor is to explain to his patient how not to get on operating table, but the prevention of such a prospect should be the goal of the patient's whole life, because his health is in his hands.

You can do without varicose veins: 12 things to do right now!

Looking at the dilated veins of the parents, it would be good to think in time that this pathology has hereditary predisposition and take all measures to avoid similar troubles. And it happens that varicose veins have already undergone laser treatment, but even in this case there is no reason for reassurance. Varicose veins of the lower extremities is a recurrent disease, and if someone thinks that it is possible to cure varicose veins completely, he is deeply mistaken. It can be prevented or stopped, but it will not allow you to forget about yourself.

Prevention, prevention and more prevention - this is what is needed to combat the expansion of veins in the legs. Where to begin?

Not from Monday, not from the 1st, not from the next month or from the New Year, but momentarily we are implementing 12 rules:

Moment #1: Nutrition and being overweight

Of course, you should start with a diet, nutrition for varicose veins should be predominantly of plant origin, rich in vitamins and light.

From overweight, if present, it is necessary to get rid of it in any way, because under its weight it is unlikely that the veins that have already begun to expand will stop, even if healthy people do not tolerate such a load.

Moment #2: Life on the move

Work should be chosen mobile and physically not very stressful, even if you want it according to talent and abilities, you should not forget about the varicose veins hiding somewhere in the vessels. Well, if in spite of everything, a sedentary or standing profession is chosen, then periodically get up, walk, but it’s better to run up the stairs, do simple exercises for the legs, standing on toes or crouching, you can always find time.

Moment #3: Healthy feet in medium heels are better than sick feet in high heels.

It is better to leave heels of incredible length in the store, and buy cute comfortable shoes with a heel of 5-6 cm (friends don’t have as many as 15-centimeter heels, so let them go on them). Shoes should be made of natural materials, fit properly and not impede blood circulation.

Moment #4: Compression stockings

Compression knitwear for varicose veins will be a wonderful addition to the selected shoes. On elastic stockings and tights it is not written in large letters that they are intended for the treatment of varicose veins, but what a comfort for the legs.

Moment #5: Active sports

Sports cannot be ruled out, otherwise many people think that any load affects the veins, they begin to spare themselves and come to hypodynamia, but the veins will not like it at all. Another question is what sports are preferred for varicose veins. Swimming“in a trough, in a tub, in a river, in a stream, in the ocean” - it is figuratively said, but it makes sense: swimming the best assistant in the fight against the expansion of veins in the legs. And also… cycling. These sports are not only physical education and prevention of varicose veins, but also a great pleasure.

Important! heavy and even Athletics, kettlebell lifting and other types that require excessive effort are not suitable for either girls or boys. And you need to come to terms with this.

Moment number 6: Therapeutic exercises a couple of times a day

Photo: example simple exercises to fight varicose veins

With varicose veins of the lower extremities - an integral part preventive measures, it is absolutely not difficult in its execution, it does not tire, therefore it is necessary to allocate a few minutes in the morning and / or evening. And if you do the “bicycle” exercise every day, lying on the floor (everyone knows it), then no varicose veins will wake up. And the veins will be grateful.

Video: a set of exercises for the legs

Moment #7: Foot Massage

Foot massage for varicose veins is a very effective and pleasant remedy. You can do it yourself, but it's better to periodically this was done by professionals who know well anatomical structure And physiological features venous vessels. Of course, going to a massage specialist all year round is both physically difficult and financially expensive, so daily self-massage with your own hands and a couple of times a year with a massage therapist will be fine.

Moment number 9: We do not sit cross-legged!

You need to get rid of the habit of throwing legs over the legs once and for all, and instead you can get the “American” one, which we often sarcastically mock when we see how in an American movie the characters easily throw their legs on the table, not considering it a bad form. They think about themselves and are engaged in the prevention of varicose veins at every step. And we? We will too.

Moment #10: Hygiene and foot care

Perhaps we should not be reminded once again that the feet must be kept clean, their skin taken care of, and abrasions, scratches and cracks should be avoided, which contribute to the penetration of infection. And, God forbid, pick up a fungus, you will have to fight it mercilessly. Every evening, it is advisable for the legs to arrange water procedures in the form of soothing baths with coniferous extract, after which it will be good to lubricate the legs with a softening tonic cream. And the legs are pleasant, and sleep will improve. A special cream or ointment for varicose veins after exercise therapy and massage will soothe and relax the veins of the lower extremities.

Moment number 11: Folk recipes have the right to life and use

Do not ignore traditional medicine, infusions, decoctions, lotions - everything can be prepared at home and treated with folk remedies;

Moment number 12: Eliminate bad habits!

It is better not to smoke the last cigarette, but to throw it away with the pack, so that you never buy or take it in your hands again.

And yet, having directed forces to the implementation of preventive measures, all the same, sometimes you need to remember about vascular surgeon, and if he only looks and testifies that he has nothing to do yet, then everything is fine, it means that the work has not been in vain.

Video: varicose veins in the Health program

Video: basic about varicose veins

- a pathological process, which is characterized by an increase in the lumen of the vessels that provide blood outflow, thinning of their walls and deformation up to the formation of nodes and ruptures. For anatomical reasons, the disease is most often found in the veins of the lower extremities.

External signs of varicose veins are not an exclusively aesthetic problem: vascular "asterisks", protruding veins of a dark shade are only symptoms of circulatory disorders that are fraught with consequences that are dangerous to health and life.

The mechanism of development of varicose veins is associated with a decrease in the functionality of venous valves. They are subject to high mechanical loads, therefore, under the action genetic factors, hormonal surges, inflammation in the tissues of the lower extremities and stress, weaken and do not interfere with the reverse flow of blood. Inflammation occurs on the background congestion associated with high blood viscosity, or prolonged standing or sitting.

The pressure of an excess volume of blood on the walls of the veins deforms them, depriving the functionality of the muscular and nervous venous wall, which ensure its stable tone. Stagnation of blood, overstretching of blood vessels and inflammation of their walls often lead to the formation of accumulations of blood cells that block the lumen of the veins.

Varicose veins in the legs are thus not a superficial problem associated with mechanical damage subcutaneous vessel or temporary phenomena, but a deeper circulatory disorder that has developed in a patient prone to the disease under the influence of risk factors.

Drug therapy of the disease is aimed at:

toning of the walls of blood vessels;
removal of inflammation;
blood thinning;
preventing the formation of blood clots.

In the absence of adequate treatment, what is dangerous for varicose veins of the lower extremities can become a reality for each of the patients with this disease.

In 80% of cases, women suffer from varicose veins in the legs. The main thing that varicose veins on the legs in women is dangerous is the probability early development diseases due to hormonal surges during puberty or pregnancy. During gestation, only gentle therapy is possible, which does not teratogenic effect. Additional load on the legs, the lack of intensive treatment and the load during attempts can stimulate the aggravation of the disease.

What threatens varicose veins?

As a rule, thrombophlebitis and other dangerous consequences of varicose veins occur at the 3rd stage. Symptoms of late stages of vascular insufficiency:

constant heaviness in the legs;
puffiness;
darkening of the skin around the ankles.

Circulatory disorders in the extremities provoke dermatitis, eczema, skin inflammation.

Telangiectasia - the least dangerous consequence venous insufficiency. The condition is characterized by the appearance of vascular "nets" and "asterisks", which are accompanied by edema, leg fatigue, regular occurrence of numbness and night cramps in the calves. Aesthetic defect- one of the reasons why women are more likely to turn to the early stages of varicose veins. In an effort to keep the legs beautiful, the patients take care of their health.

Subcutaneous bleeding and ruptured veins

Thrombophlebitis - thrombosis against the background of inflammation of the venous wall and stagnation of blood in the dilated vessel. The developed disease is characterized by thickening and soreness of palpation (palpation) of the affected vessel, as well as reddening of the skin around the thrombus. Thrombophlebitis develops in approximately 25% of patients diagnosed with varicose veins. blood clots located in superficial veins low hazard separation with harm to health, however, if a thrombus moves along a subcutaneous or perforated vessel, immediate hospitalization is necessary.

Much more dangerous than varicose veins and thrombophlebitis. Blood clots formed in the deep vessels of the lower extremities are capable of breaking off and blocking the pulmonary artery, which leads to lethal outcome. Characteristic symptoms deep vein thrombosis - severe swelling limbs, which occurs in a short time, and a sharp arching pain in the calf or femoral muscle. The spread of the pathological process to the deep vessels of the lower extremities can be observed in the later stages of varicose veins.

A trophic ulcer is a deep defect in the dermis, which is formed in the later stages due to impaired blood flow in the surface layers skin. It is a long healing painful wound that is difficult to treat.

Varicose veins of the lower extremities are among the risk factors for the development similar pathology in other vessels of the pelvic organs of men and women.

Therapeutic measures against the effects of varicose veins

Treatment of complications of varicose veins in the legs, as a rule, begins with drug therapy primary disease.

To reduce the deformation of blood vessels that expand due to a decrease in tone, they are prescribed on the basis of hesperidin, diosmin, esculin, etc. active ingredients. Trade names of drugs:

In case of inflammation of the venous walls, drugs from the group of NSAIDs (non-steroidal anti-inflammatory drugs) are prescribed - Indomethacin, Diclofenac, etc. - in the form of tablets and gels. Oral administration of NSAIDs is recommended for thrombophlebitis.

A decrease in blood viscosity is achieved with the help of topical application of ointments with anticoagulant components (for example, heparin ointment or Gepatrombin G cream) and oral intake derivatives of rutin and methylxanthine, which have antiaggregant properties (for example, drugs Ascorutin, Troxevasin, Trental).

Superficial manifestations of varicose veins in the legs (including telangiectasia) are eliminated by sclerotherapy (gluing the walls of the affected vessel with a special drug). The procedure does not cause significant harm to health and does not disrupt blood flow, because. for the period of rehabilitation, the functions of superficial veins pass to deep vessels.

For deep vein thrombosis, bed rest, intravenous administration of anticoagulants (heparin, traxiparin) and antiplatelet agents (methylxanthine) with control of blood viscosity. Surgery with deep vessel thrombosis and thrombophlebitis (including the great saphenous vein) is indicated if there is high risk blockage of the pulmonary artery.

Treatment of trophic ulcers is aimed at stimulating wound healing and treating the primary disease.

Preventive actions

Includes such measures:

physiotherapy;
exclusion of long sitting and standing;
a choice of shoes with a heel from 2.5 to 6 cm;
enrichment of the diet with fiber and sources of vitamins B1, C, E and P;

compliance with the water norm (2.5 l);
contrast water procedures;
refusal of hormonal contraceptives (the effect of COCs on the female body includes an increased risk of thrombosis);
folk methods(compresses, baths, etc.).

Early diagnosis of varicose veins, timely adequate treatment and reduction of the influence of risk factors prevents the development of complications of the disease. The use of minimally invasive surgical methods in some cases eliminates not only aesthetic problems, but also the likelihood of aggravation of the pathological process.