Many know how to see the veins in the legs to varicose defeat. But tumidus pale glasses appear in patients not at the same time. The disease develops slowly and, therefore, the degradation can be avoided. Know how to look stage of varicose veins in the legs, what measures help to stop disease, each one capable of taking care of your health. Call a doctor and the life style change guardarn of complications and disability.
The phase of the disease
The disease of the veins of the lower limbs develops gradually. The set of symptoms of this cardiovascular pathology is limited in scaena-term. In the classification described the following phases in the varicose veins of the lower extremities:
- 1 stage of the compensation;
- 2 phase – subcompensated;
- 3 phase – decompensation.
Sometimes, the complications of the disease are related with the manifestations of the 4 stage of varicose veins.
Some patients may be referred to as the phase in degrees. In reality, grades are classified to the intensity of the manifestations of chronic venous insufficiency:
- 0 degree — the failure of the failure;
- 1 — the manifestations of syndrome of the heavy feet";
- 2 — resistant to swelling;
- 3 — resistant to swelling, appearance of hyperpigmentation, the defeat of the subcutaneous tissue, the skin;
- 4 – the appearance of venous ulcers.
To get an idea of how the disease develops, you must carefully consider the picture of the stages of varicose veins and more stopping in the description of the signs of this vascular pathology is.
1 phase
Description of the first stage of varicose veins deserves the most attention due to the emergence of changes of a level often goes unnoticed. The appearance of the extremities, is not changed. The people who have appeared these symptoms, do not hurry to go to the doctor and to change something in your life, habits and customs. This leads to the loss of valuable time and resources of your agency. As in the first stage of varicose veins can cope with the disease with the least loss.
The symptoms of the
You should pay attention to these signs:
- In the feet, producing the impression of heaviness.
- There is pain in the area of the shins, legs "tired".
- Swelling of the stop and the ankles.
- Cramps in leg muscles at night.
- In the skin are visible spider veins, expense.
The discomfort in the feet varicose veins 1 grade appears at the time of the afternoon or after the substantial burden: if a man of a lot of time standing or walking walking large distances. The disease is compensated for the normal state of the activity is not affected. Therefore, patients describe symptoms as they emerge at the end of a hard day's work and not give them value.
In the note!
After a night of sleep or rest discomfort and the swelling disappears. A small "star" on the shins or hips, are perceived as a cosmetic defect, is not a reason for medical attention. Therefore, the complaints at this stage of varicose veins is not. Your state of patients evaluated as "tired" or "this feature of the foot".
The treatment of the
In the first stage of varicose veins since it is necessary the consultation of the vascular surgeon. The treatment includes:
- The therapeutic use of knitted fabrics for the constant wear. At this stage you must choose the products of class 1 compression. This will help to normalize the reflux of the blood from the pimples and stop and prevent the further development of the disease.
- Physiotherapy. The procedure assigns phlebologist; well yes has the use of appliances. Also in the initial state demonstrations to recommend the realization of laser therapy that helps combat vascular asterisks appear.
- The assignment of courses of drugs that affect the vascular wall
- Sclerotherapy and microsclerotherapy. When the signs of varicose veins spend stuck affected by the veins, introducing into its lumen special substance – sclerosant.
- Hydrotherapy: fresh bath, contrast shower, in the night to relieve the swelling and improve the tone of veins.
In the note!
The change of life-style: the normalization of weight, hormone, the renunciation of habits, as well as physical exercises aimed at the stimulation of blood flow in vienna pimples, it will reduce the risk of progression of varicose veins.
2 phase
If you do not take measures, vascular disorders, changes occur in the wall of the vein, the valves can not cope with the increasing work load. The symptoms of the first phase become more pronounced, it will add new. The disease begins to limit the vital activity. Varicose veins enters in the stage of subcompensation.
The symptoms of the
Patients in this stage are:
- The swelling of the legs.
- The pain in the feet.
- The feeling of extending the arms in the area of the pimples.
- Frequent cramps in calf muscles at night.
- Breaks in skin sensitivity in the feet, appear "goose bumps".
- On the feet are visible enlarged blue veins.
For varicose veins grade 2 is characteristic of the conservation of unpleasant symptoms and after a sufficient rest. Thus, the swelling of the legs at night does not pass, the pain will begin to occur even after the loads.
About the disease speak eloquently of the speakers of the city of vienna in the lower extremities. Are visible in the posterior part of the leg, in podkolennoy the fovea, the inner surface of the thighs. The skin injury of the vein may itch, occurs numbness, are possible initial manifestations of the pigmentation. Varicose veins most often affects the vessels of both legs, but can be unilateral manifestation.
The treatment of the
The second phase of varicose veins will require a constant wear of a compression of the clothing 2 of the class. This point has more force, compressis the action, the prevention of the evolution of structural changes in the walls of the veins and the deformation of the valve. After the completion of operations or bezoperatsionnogo the treatment, the doctor may recommend the use of the bandages.
- The pharmacological treatment at this stage of varicose veins in the legs will not be as effective as in the initial state of the demonstrations. Recommend the designation of venotonic and vascular medications.
- Hirudotherapy. The application of leeches, it allows to improve the properties of the blood, reduce the violation of the bleeding and the swelling.
- The sclerotherapy.
- Short Peel – the operation of removal of the affected parcels of vienna.
- The use of bezoperatsionnogo method of Foam-form. The essence of the procedure consists in the introduction in the large veins of foam sclerosant. The injection of substances that line the vessels.
- Hydrotherapy, contrast showers.
3 phase
To pass varicose veins in the third stage the symptoms of the defeat of the veins present stagnant phenomena and the violation of nutrition of tissues. Expressed skin alterations in the phase of decompensation, it is easy to see with the naked eye. The manifestations of varicose veins grade 3 severely restrict the means of life of the patient.
The symptoms of the
Here are the clinical signs of this stage:
- On-the-fly of the veins is held to be equivalent to the pain.
- Swelling of the feet have a permanent character.
- Patients notice expressed by the heaviness in the lower extremities.
- The feeling of extended arms, the pain bother almost constantly, the rest does not improve the condition of the feet.
- At night occur frequent cramps in the legs.
- Vienna begin to bulge, they are distributed in all or in certain sections, complicated, are blue-purple color.
- Around the large veins see a fine mesh of smaller vessels.
- In this stage are expressed skin disorders: dryness, scaling, thinning, the appearance of the pigmentation of brown-on injuries of the vein.
- The stagnation in the veins and the lymphatic system and subcutaneous cellular tissue begins to compact.
- Eating disorders in the 3 stage, which leads to a deterioration of the quality of the nails, loss of vegetation in the legs.
- The violation of blood flow leads to the appearance of cyanotic hue, the shins, legs, "I feel cold".
The treatment of the
In the phase of decompensation of varicose veins recommend the use of compressive 3 class sdavleniya or the use of the bandages.
The pharmacological treatment includes courses of venotonic, vascular drugs. When it occurs the pain syndrome recommend local use of non-steroidal anti-inflammatory means.
The surgical treatment in this stage of varicose veins is performed in a greater extent than in the initial state of the manifestations of the disease. On the opportunity of the assignment of one or the other technique, may speak only after a thorough examination, detection of complications and co-morbidities.
Complications
This phase of the varicose veins of patients often referred to as the 4 degree of the disease, so that must stop at the description of the symptoms. The occurrence of complications in connection with the change of state of the walls of the veins, the violation of a local blood flow. The lack of power of the tissues varicose veins leads to trophic changes. The vessels of the legs become more fragile, so easily broken by the brevity of the exposure, which leads to bleeding or the adhesion of the blood elements (platelets), to sites of damage. So when running varicose veins develop the following complications:
- Ulcers trophic. In the skin of the feet appear pale purple of the stain, and, here, in this place occurs a defect of the skin, with swollen, irregular borders. With the surface of the ulcers may ooze a yellowish cloudy liquid. If you cleave to the infection, it is possible to the appearance of pus. It is a state difficult to treat.
- The hemorrhage. In this phase of the varicose disease of the walls of the veins in the legs slimming, become fragile. The hemorrhages may be associated with some type of additional damage or occur spontaneously. The blood spilled out or permeates the subcutaneous tissue.
- Thrombophlebitis. When this complication occurs varicose veins, the patients complain of pain by the departure of those affected from vienna, swelling of the legs. Finiteness and feel even more cold. If thrombophlebitis is originated on the surface of the veins, the location of the defeat it is possible to identify the test: on the focus of the inflammation it expresses the pain, in the skin appear crimson-red stripes.
- Thrombosis of the deep veins. One of the most serious complications in the phase of decompensation. It is a complication of patients with varicose veins notice immediately the existing, as well as a blood clot is not always superimposed on the contaminated area of the vein fully. Appear the pains, swelling of the legs. Bright of the skin of the symptoms. Complication of danger of disturbance of a blood clot and skid in the bifurcation of the pulmonary artery with the lightning-fast development of the thromboembolic disease, of which the patient dies in a matter of seconds.
The treatment of the
Treatment of varicose veins 4 degree (or complications of the disease) may require hospitalization in the hospital due to the inability of controlling the state home. The danger of this stage is, not only in the development of disease, but also in the appearance of the recurrence of the complications.
- The drug treatment consists in the application of venotonic, vascular drugs, anti-inflammatory agents.
- The appearance of venous ulcers connect to local therapy directed at the acceleration of the healing of these defects of the skin, local therapy with antibiotics.
- When thrombophlebitis superficial veins pass venectomy.
- Thrombosis of the deep veins of the cure in the hospital: the conservative drug, solvent, coagulation of the blood and reducing its viscosity, or carry out are thrombectomy.
Important!
The bleeding of the veins of the varicose veins requires immediate attention: to impose a pressure bandage with, lift the affected limb, the ability to attach the ice and call the ambulance.
Physical therapy is also recommended for the complications of varicose veins:
- the ultraviolet radiation;
- magnet;
- pneumomassage;
- hirudotherapy.
When the first signs of varicose veins should seek immediate medical assistance to avoid the progression of the disease and the onset of life-threatening complications.