Lower limb venous insufficiency: symptoms, photos and treatment of deep vein

Deep varicose veins is a very nasty and dangerous damage to the veins of the circulatory system.

Lower extremity varicose veins is a disease that spreads to passing vessels in the muscle structure of the legs. Dilation and expansion of the veins significantly reduces blood flow and becomes the cause of the onset and progression of thrombosis.

The danger of this disease lies in the high likelihood of the thrombus shed on the vessel wall and its transport to the pulmonary artery.

When this disease occurs, an irreversible elongation and expansion of the venous veins occurs. With the progression of the process, a thinning of the venous wall is observed and the formation of nodes hinders the free transport of blood through the blood vessels.

Usually people aged 30 - 40 years old are susceptible to this disease.

Reasons for developing varicose veins of lower extremities

The cause of the appearance and development of the disease can be many adverse factors. Varicose veins are the result of serious disturbances in blood circulation in a specific area of ​​the lower extremities.

With the development of the disease in the patient, trophic ulcers can appear in a place of circulatory disorders, which can lead to the appearance of gangrene - a condition that requires partial amputationaffected by the limb.

In addition, VRV can cause deformation of the muscles of the lower extremities and the formation of blood clots with the ability to separate and transport to the pulmonary artery which can then lead to death.

The main factors contributing to the appearance of the disorder and its progression are:

  • presence of a genetically determined genetic predisposition, leading to congenital pathologies and weakening of the cells of the venous wall;
  • sex - women get the disease more often than men, associated with the appearance of hormonal changes during pregnancy, at the onset of menopause and in the case of the use of hormonal drugsfactors and contraception;
  • presence of increased venous pressure in the patient, leading to decreased mobility and increased level of static overload when the body is in an upright position and excess body weight;

Alternatively, possible causes are:

  1. Provides a constant increased load on the limbs.
  2. Serious damage to the immune system.
  3. The constant contraction of the vessels in the leg when wearing tight shoes.
  4. Overweight or obese.
  5. Development of various forms of dermatitis.
  6. Consequences of surgical interventions.
  7. Provides an increased static load on the lower extremities.
  8. Alcohol abuse and smoking.

In addition, cellulite can become the cause of the development of the pathology.

The timely detection of the disease allows to see a qualified doctor when in doubt the appearance of the first disease.

The main signs of deep varicose veins

varicose veins of the lower extremities

Usually, at an early stage of progression, the disease is manifested by a feeling of slightly tired feet after prolonged static force or after long walks. In addition, during this period, small tissues of the extremities appear.

The most common symptoms of the disorder appear late during the day and gradually disappear after a long period of rest. When these signs appear, it is necessary to consult a vein doctor and carry out special studies to identify and clarify the presence of the pathology.

The use of instrumental and laboratory diagnostic methods allows us to determine the extent of disease development and to make a decision to use a timely and complete course of treatment. With the further progression of the disease, it moves into more advanced stages, which are characterized by the full appearance of symptoms and characteristic signs of an active disease.

For more advanced stages of the pathology the following symptoms are characteristic:

  • appeared severe pain in the legs at night and at night;
  • appeared persistent and heavier soft tissue edema in the lower extremities;
  • presence of constantly swollen soft tissues leads to an increase in the size of the limbs;
  • patients often experience calf cramps, which usually occurs at night;
  • skin in affected areas has bluish tinge in the extremities;
  • has the appearance of convex parts of the affected venous veins on the feet, thighs and legs during leg exercise.

The further progression of the disease leads to the appearance of small wounds that cannot be healed for a long time and then turn into nutritional ulcers.

In the absence of timely and adequate treatment, the development of the disease to the patient can be fatal. The progression of varicose veins leads to gradual deformation of the muscle structure and negative changes in skin and bone mass.

With the long-term progression, the patient shows signs of eczema and forms nutritional sores that can turn into gangrene. Lead to sepsis or death.

In the veins affected by varicose veins, a process of thrombus formation develops. As a result of this process, the resulting thrombus can rupture and be transported through the circulatory system.

When a blood clot enters a pulmonary artery, it becomes blocked and a person dies.

Basic diagnostic methods

options for the diagnosis of varicose veins

An experienced vein doctor can determine the presence of varicose veins of the lower extremities by characteristic symptoms clearly visible even in leg scans, but methodsDisease treatment is selected individually after a detailed examination of the patient and taking into account all the individual characteristics of the person's body.

Laboratory and instrumental diagnostic methods used to determine the presence and stage of disease development. Laboratory methods include general analysis of blood and urine.

The most common tool diagnostic method is the use of ultrasound examining the venous veins of the leg. This technique allows you to visualize the vascular system and determine the progression of the pathological process.

In addition, if necessary, the attending physician prescribes the following:

  1. Phlebography.
  2. Photographing radiographs.

Using an embolism computed tomography can reveal the volume of blood in the veins of the lower extremities.

Only after a comprehensive examination and results are available, the patient is assigned an appropriate course of treatment.

Modern medicine offers a number of options for treating illnesses - taking drugs, not drugs, and surgery.

In parallel with this, after consulting your doctor, you can use non-traditional and alternative home treatments.

Treatment of varicose veins

Surgery is the most reliable way to treat the disease. The use of medicinal therapy in the form of tablets, special ointments and gels for external use can play a complementary role and, in fact, support therapy.

The use of drug therapy involves the use of certain drugs during treatment - anticoagulant, anti-inflammatory, venotonic, and fibrinolytic effects

Anticoagulants thin the blood and prevent blood clots from forming. Anti-inflammatory drugs contribute to the reduction of inflammatory processes in the vessel wall. Intravenous tonic enhances venous wall tonicity and fibrinolytics help to dissolve small blood clots and help clean the veins.

Thanks to the use of the drug, most manifestations of the disease, such as edema, disappear, and there is also an improvement in the condition of the superficial skin. The main condition for using the drug is strict adherence to the doctor's recommendations and adherence to the dosage of the medications taken.

To completely treat varicose veins, surgery should be conducted.

Additionally, surgical methods are used in cases where there is no positive dynamics in the course of drug therapy.

The most common surgical treatments for the pathology are:

  • therapy;
  • removes phlebectomy;
  • coagulation by laser
  • .

Sclerotherapy involves the use of special substances during surgery - a sclerosing fiber, injected into the lumen of the affected vein and leads to adhesion of the vessel walls. This procedure allows you to remove veins from the circulatory system, preventing the development of pathology. This technique is very rarely used in the case of a serious form violation.

Venous resection includes removing the affected area of ​​the vein. Usually, this method is used to identify damage to the superficial veins, but in some cases it is applicable in the treatment of deep vein vessels of the extremities.

Laser coagulation is a type of minimally invasive surgical intervention and performed using a laser, it allows you to remove the affected area of ​​the vein from the circulatory system by pastingits walls are under the action of laser radiation. This treatment has received the most positive reviews from patients, due to the fact that it is painless and does not require long recovery times.

The use of surgical treatments allows you to completely get rid of the symptoms characteristic of varicose veins. And the choice of surgical technique depends on the degree of pathological development, the individual characteristics of the patient and is performed by the attending physician.

14.11.2020