What is the individual reticular varicose veins of the lower limbs?

Varicose veins are the reticular veins in many adults. How the disease manifests, and there are great ways for therapeutic effects for patients vessels?

What is it?

varicose, reticular

Reticular (from the Latin word reticulum — retina) or varicose veins in the form of a grid – this is not a type of disease, and the reticular form of varicose veins, its initial stage. It is characterized by the extension of small intradermal injection of the vessels of the surface and the appearance of telangiectases.

Telangiectasia is visible under the skin plexus extended up to 0.5-1 mm (arterioles, venules, and capillaries, which are manifested in the form of cianotiche-red spots with branches, recalling the shape of a grid, arachnids plexus, pinion.

The disease was diagnosed more frequently in women. According to the results of medical research, net varices identify the 35-45% of women and 15-20% of adult men.

The causes of

The main causes of the development of the disease:

  • reduction of elasticity and density of the vascular wall;
  • violation of the process of the circulation of the blood;
  • unsatisfactory functioning of the venous valves.

Among the factors that cause changes in the blood vessels, can highlight the following:

  • a gestation period of a baby, especially 5-9 months of gestation, due to an increase in the volume of blood in the blood vessels, increase the load to the foot, compression of the veins of the abdominal the growing uterus;
  • hormonal "bursts" during pregnancy and menopause;
  • hereditary predisposition to weakness of the vein wall due to violations of the structure of the connective tissue;
  • the excess weight with the increase in body mass index (bmi up to 27 kg/m2, the probability of disease increases to 30%;
  • activities work with a long stay in the standing position, sitting, when the periodic lifting and moving of weights (porters, athletes heavyweights, the dealers, hair stylists, travelers);
  • to wear corsets, belts that increase the pressure inside the peritoneum, tight jeans, that by tightening the blood vessels in the groin area;
  • the long-term use of corticosteroids and hormone of the contraceptive pill;
  • diabetes mellitus, hypertension, skin diseases, including rosacea;
  • injury, fractures of the limbs;
  • prolonged and excessive exposure to the sun, tobacco smoke;
  • low amount of fibers in the diet leads to a long constipation, which promotes the dilation of veins, the deficiency of useful substances – a weakening of the walls of the blood vessels.

The symptoms

Among the underlying signs of the early stages of reticular varicose veins:

  • the appearance of a blue-and-red spider points, torx, net spots of different sizes and brightness, which often identify on the ankles, knees, thighs, after the pressure they pale, but once they manifest themselves again;
  • the gravity, the tension of the calf muscles fatigue when you walk.

The symptoms that occur, if the disease develops:

  • the spread of spider veins to clean the stains of the skin, increasing the diameter of the capillaries;
  • the feeling of swelling in the legs, tingling sensations, "gooseflesh" (paresthesia);
  • muscle cramps of the calf muscles during the night or in the morning;
  • the pain;
  • moderate swelling of the feet, the calves, the ankles in the evening than in the morning disappears;
  • itching of the skin most the areas of expansion of network type of the blood vessels;
  • heartburn online interested the ship;
  • pain while squeezing the calf muscles;
  • the gradual swelling of the subcutaneous veins, education hills of the size of 2-4 mm;
  • the event brown or whitish spots in the movement extended blood, swelling, redness.

If the weather does not undertake activities to identify the causes of disease and to solve his first signs of the disease enters into a phase of strong expansion of the veins. In this case, under the skin to form vascular nodes, the blood vessels become tortuous, boating is causing the pain.

The progression of the disease, the threat of consequences – thrombophlebitis-acute, non-healing ulcers, the development of venous insufficiency, hemorrhage, and thrombosis.

Diagnostics

Definition of reticular varicose veins presents no difficulties for the technician. To evaluate the prevalence of abnormalities of the process, the degree of violation of hemodynamics (blood circulation), the distribution of the speed of blood flow, reveal any signs of thrombosis, use of hardware techniques for diagnostics:

  • ultrasound;
  • duplex procedure;
  • ultrasonic Doppler veins;
  • x-ray sources of radionuclides techniques.

Treatment

causes of varicose veins

Treat net varices is needed immediately after the diagnosis, avoiding the transition disease into a chronic phase, of the development of complications.

Most of the methods of treatment, the patient shows no signs of the disease. To cure the disease, it is necessary to pass a thorough examination by a doctor, to find the root cause of the weakness of the blood vessels and disorders of blood circulation.

Compression stockings

Net varicose veins or subcutaneous grids of patients and healthy people with a penchant for the disease need to buy compression socks, stockings. Proactive therapeutic compression — an important part of treatment.

Compression hosiery has been developed for the creation of different areas of the foot of various pressures.

The most pressure falls to the ankle, because from here the blood with difficulty rises. Stocking supports and compresses advanced blood, helping the blood circulation, removing the stagnation. In the area of the thigh compression decreases by almost 2.5 times, because in this sector the load on ships of less.

Constant spring compression of the veins prevents expansion, normalizes the blood circulation, removes puffiness, prevents the occlusion gaps blood clots.

Others bezoperatsionnye therapy techniques

Among others, conservative common treatment methods the net of varicose veins micro-sclerotherapy and laser coagulation.

Micro-sclerotherapy – the most common method for the recovery of the reticular veins and the size of the vessels. During the procedure using special substances that, without cutting the needle is introduced inside the vessel. The substance causes micro-damage inside of the walls of the veins or capillaries. Injury, by now, that limits the inside of a skylight. On the site of the former vessel is formed by connective tissue (depending on the type of scar), which alone absorbed, 10 to 12 months.

Sclerotherapy practice in liquid technique, when in a vessel injected with a liquid composition, or in more progressive technique — Foam-form sclerotherapy (foam). In the second version, the current solution is a micro-foam, which is best extends to the physical ship.

Often spend the procedure under video-surveillance, controlling the process with the help of duplex scanner.

Laser coagulation of blood vessels – sweet and at the same time effective method, guarantees the removal of a fast-track procedure, without the shedding of blood, without affecting the healthy tissues. The procedure is performed under ULTRASOUND control.

Through the puncture in the skin the doctor inserts into the lumen of the vein is sick thin catheter with a laser fiber optic. Under the high temperature of the laser beam, the walls of the affected blood vessels welded.

Regardless of the number of branching vascular session sclerotherapy and laser coagulation in the course of 15-60 minutes. For a better therapeutic outcome requires 2 to 5 sessions.

Treatment with sclerotherapy and laser beam to spend more on an outpatient basis, under local anesthesia. The patient can leave the clinic after 2-4 hours. After the procedure, the treated surface to impose a compression bandage for 4 to 10 days. Compression stockings are worn for 7 to 30 days. For 2-4 days and the patient returns to normal rhythm of life.

After the treatment is recommended 3-4 months:

  • drink 2-3 litres of fluid a day, to maintain the fluid properties of the blood;
  • take all the medicines prescribed by the doctor;
  • do not neglect compression hosiery during the long journey, stay on the spot of work in standing or sitting;
  • a lot of walking;
  • renounce to high heels.

Other methods of treatment of reticular varicose veins are 3 ways to therapy.

  1. Radiofrequency obliteration of the blood vessels (technical EVRF, RFO). Radiowave radiation generated doctor fixed appliance on a limb of the catheter. Under the action of radio waves of the venous wall are glued together, the advanced ship disappears, and the tissue formed in its place, it is reabsorbed.
  2. The heat treatment of the occlusion micro pulse pair technique (SVS). A technique developed by French doctors. Provides the level of treatment the veins of the ship warm ferry coming through the inserted catheter. The steam penetrates difficult to access, anatomically twisted vascular branches, limiting and "stick" the capillaries and venules.
  3. The method of treatment of biological glue (Venaseal) – a new high-efficiency a kind way. It is often used in the treatment of reticular veins at the initial stage of expansion. In a receptacle under the control of the united states with the help of the syringe and of the catheter is given a special glue. Vienna shrinks dramatically, the walls are glued together. Vascular subcutaneous mesh disappear almost immediately. During the processing of the small vessels there is no need to wear compression stockings after the procedure. Allergic reactions are excluded, as well as a special glue – natural product.

The surgical treatment

treatment of varicose veins

Flebectomia – operation with varicose veins of the lower limbs. Held, when the diameter advanced the ship reaches 10 mm.

Through a small incision the surgeon removes the surface of the vase and bandage affected. The operation is carried out under local anesthesia. The surgery is performed with minimum damage to the tissues, does not leave any cosmetic defects.

Popular treatment

Recipes of house medicine in the treatment of reticular varicose veins use in addition to therapy. A good result in the tools of damage when coupled with the use of drugs, pharmacy ointments, wear compression stockings, especially in the first phase of telangiectasia.

  1. Not peeled ripe young fruits of chestnut (50 g), finely chop, pour a glass of vodka and leave for 20 days. After the effort to take 3 weeks, three times per day for 15-20 drops. After 2 weeks off, repeat.
  2. Leaves of cabbage, wash and put in cold for 24 hours. Before going to sleep on dry skin affected area to overlap the sheets and not strictly wrap. The treatment is carried out every day for 1-2 months.
  3. The dried buds of the birch and fall asleep in a jar 0.5 l 1/3. Pour the vodka on board, insist 10 days. Dye gently to the ground, the areas with telangiectasia.

Prevention

To avoid the appearance of hypodermic "stars" should follow the recommendations:

  • do not wear gravity, including handbags with the products;
  • do not take hot baths, not to attend saunas;
  • wear elastic tights, or compression stockings;
  • at home more often to keep the foot in a horizontal-raised position;
  • when you work sitting to create the conditions for the lower limbs were in a horizontal position, every 2-3 hours to take a 10 minute break in a special gymnastics to activate the circulation of the blood;
  • move more, hiking, not to overwork;
  • do contrasting bath or shower for the legs;
  • use ointments medicated for the prevention of venous changes, taking medications to strengthen the vascular tone, on the recommendation phlebologist;
  • swimming in a pool with warm water;

Need to adjust your diet, get rid of excess body weight, smoking cessation.