Chronic venous insufficiency syndrome. Venous insufficiency - lіkuvannya

venous deficiency lower kintzivok- a pathological camp, which develops, if it breaks down from blood to heart.

Unsbagged in sour biologic rіdina stagnate in the veins. As a result of the grip of the vertebral wall, it stretches and draws out elasticity, which manifests itself in the assertions of embarrassment, pain and trophic injuries.

The blood goes from nig to heart along the large and superficial veins, as well as small vessels-venules. Tsey process to take care of next physiological mechanisms... The first and the most important is the speedy music for the next hour.

Speedy, m'yazova fabric squeeze veni, zmushuyuchi is found in them biologic rіdinu rukhatisya. However, the shelter, on the yaku dіє power is heavy, do not straighten up the hill, but down.

Another mechanism is the venous valves, which are fixed by the folds of the sheaths, which cover the veins in the middle. The stench overwhelms the enlightenment in the vessels, and the shelter will safely go up the hill.

The rate of revitalizing blood flow in the lower regions is preserved only when the valve apparatus is functionally functional, physiologically correct tonus of the veins and regular sounding and education before the hour of speeding up. I want one mind ruined, the lack of veins is the result.

Reasons for the development of illnesses:

• thrombophlebitis - blockage of superficial vessels with blood clots;
• phlebothrombosis - blockage by blood clots of glybocytes;
• varicose veins;
• post-thrombophlebitic syndrome - accelerated thrombosis of glibular veins;
• congenital anomalies in the development of sudins;
• zhvoryuvannya krovі, scho to bring to ruin її zgortannya;
• oncological pathology;
• damage to metabolism;
• trauma to the veins: blows, injections;
• oversized vaga;
• regular vantage;
• hormonal impairment.

Rizik the development of ill-health is promoted by the influx of offensive factors:

• genetic strength, including impairment of collagen synthesis;
• abduction vіk - the rock of the Sudin draws elasticity with the rock;
• gender affiliation - in women, ailments of the veins are found more often than not in choloviks, since they have a more natural estrogen.

Mechanism of development of pathology

Stagnant processes in the absence of activity, weakening of the tone of the venous stinks, abnormalities in the valves are the result of all these deterioration of old blood congestion in the veins and their enlargement.

It will educate in vessels to improve, so that the stools of valves change. As a result, valve inadequacy develops - a camp, when the device is rotten, the function of preventing blood flow in the wrong direction.

By the time the processes are stiff, the grip of the veins grows. The penetration of all the flaws is getting better, and the plasma starts to seep into the new fabrics - that's how it gets done.

Metabolism accumulates through impaired blood circulation in the vessels. There is a thickening of blood, leukocytes become active, an increase in the concentration of radicals and local mediators is ignited.

In the ideal, the part of the person is guilty of coming to the veni. Alle, through a sliding grip in the vessel, the process collapses, zooming into the robotic lymphatic system and disrupting metabolism. In the bag, before the pathological process, fleshy fabrics are formed, trophies are formed on the skins.

Mechanism of the inception of the lack of veins on the images:

Form and step

Venous lack of classification on GOST, chronic and valve. There are three forms of ailments in the localization of blood flow damage. OVN zachіpaє gliboki veni nіg, CVN - surface, KVN - perforating.

Another reason for chronic venous insufficiency, which caused the lower symptoms, podil її pathogenesis at the stage behind the additional system and classification CEAP. At the її pіdstavі a cipher is stored, the report describes the camp of the ailing. For example, such - C4a, S, Es, Ap, Pr, 3, 12.

On the submission of a detailed description, I will start to get sick and start to get sick.

All 4 stages of CVI are seen:

• 0 - symptomlessly against increased preservation of preceding;
• 1 - mild symptoms appear, moderate heaviness in the legs, swelling of soft tissues;
• 2 - there is a change in the manifestation of pathology, the need to update the original;
• 3 - important trophical damage develops, the patient grows up to attendance.

symptoms

OVN and CVI are not the same. The growth of the pathogenesis is summed up by the peculiarities of the localization and etiology of the pathological process.

In the first case, the vines develop in the gliboids of the veins on the basis of a rapid impairment of the blood flow, which should be produced before the appearance of rapidly progressive manifestations. In the other - in the superficial vessels і action, fixing from an asymptomatic flow and ending with trophic changes.

gostra uniform

When there is a venous deficiency of myakis, the fabric in the house should be filled up quickly. The foot is blue, or blinded, it draws in sensitiveness, it becomes cold, in some cases, it is tiled. The overhead temperature of the pack rises to 40 ° C. small pains, You can do it with Russia.

At the same time, I hurt to progress, to repair it in the organ of the small pelvis. The microcirculation of blood, metabolism and gas exchange will break down. In rare cases, such processes lead to necrosis of soft tissues, which will block the amputation of the bones.

chronic form

The early stages of CVI are accompanied by smeared symptoms, which manifest themselves one at a time or in groups. And pіznі - a swiveling symptom complex.

You can show:

• feeling of goodness and importance at the feet;
• b_l with clear localization: on the right, evil, below, above;
• Sudden children, trophies;
• swelling and swelling of soft fabrics;
• Sudami and spasms of myaziv litok, often occur at night;
• hyperpigmentation, or zebravlennya skirny cover;
• change and structure: dryness, decrease in elasticity;
• the appearance of tremors, necrotic or wet in the burns.

Signs of venous insufficiency in the photo:

At the neglected stages of CVI, the stagnant processes in the venous vessels become large-scale, and the volume of blood circulating through them decreases significantly.

This leads to subcompensation (growth) of local symptoms and to them the following:

• zadishka;
• zamorochennya;
• nudota;
• weakness;
• drowsiness;
• loss of evidence.

Chronic lack of veins - widening of the disease. In rural areas, the frequency of their occurrence becomes 30-60% of the foreign population.

diagnostics

Diagnostics of the lack of venous vasculature includes the patient's experience, an examination of the findings and a number of instrumental dosages:

• Analyzes of blood for throat, platelet concentration, prothrombin index allow the viscosity of blood to increase, with the addition of thrombosis rizik.
• The ultrasound scan additionally helps to assess the size of the superficial venous vessels, the nature of the blood flow and the steps of congestive symptoms in them.
• Duplex scanning is carried out to assess the size of large venous vessels and the nature of the blood flow in them.

In order to formulate an accurate diagnosis, retrograde phlebography is performed - X-ray dosage of venous vessels with the introduction of special contrasting speech into them.

Contrasting speech can provoke an allergic or ignited reaction. Such an accelerated rate of advancement is rare. Ale oskіlki risik їkh viniknennya all the same, phlebography is recognized only when necessary.

conservative therapy

In case of venous deficiency, a complex drug program is developed, which includes the intake of medications, wear, medical treatment, massage and physiotherapeutic methods.

Ailment, which is counterfeit in chronic form, cannot be resumed. Ale yaksho pochati therapy for cob stages You can make progress and achieve unbearable success in early relapses.

The chronic form of pathology is found in outpatient minds, and in hospitals - in clinics. In case of severe manifestation of symptoms of acute respiratory viral infections, there is little help for the patient.

Main therapy staff:

• kupiruvati zapalennya;
• normal blood circulation;
• renewal elasticity of veins;
• to reduce the penetration of venous stinka;
• polіpshiti metabolism in soft fabrics.

In case of venous insufficiency, it is necessary to overheat them; Schob uniqueness the expansion of Sudin, followed by minimizuvati the amount of implanted alcohol.

You cannot stand and sit with your legs bent. It is necessary to engage in physical gymnastics and correctly organize the work of a person, having made it impossible for him to get his back and back and toe.

obov'yazkova warehouse conservative politicsОВН і ХВН - wrapping the ailments of the child with an elastic bandage or wearing a compression blister. Such virobi are made from natural fibers and are stretched as often as possible.

Bilizna vypuskayutsya at viglyadі golf, tights and panchіkh. The main grip in the new one is brought on the ankles and gomіlki - mіstsya, the most powerful ones until they are approved. Yogo can be put on the left, or on the right leg, or on the offense of the picture in the fall of the scale.

Compression sash additional frame for vessels and zapobіgє їх expansion Krym, I’ll accelerate the appearance of venous blood and precede the formation of blood clots.

Likarski zasobi

Drugs that are involved in the therapy of venous insufficiency, are guilty in a complex injection, without:

• nobility of swelling and spasms;
• Usunion pain;
• kupiruvannya zapalennya;
• p_dvischennya of the court tone;
• replacement of veins;
• decrease in blood viscosity;
• normalization of blood flow;

The drug is guilty of a phlebologist - fachіvets from phlebology, the distribution of medicine, assigned to the disease of veins. Do not vibrate the liquor, do not rejoice with the liquor.

Bagato, they cannot be combined, since they immediately implantation will hinder the decrease in therapeutic efficiency and the consequences of those who are not safe side effects.

You can vibrate with preparations:

• Z - tablets Detralex, Venolek, Venarus, Phlebodia 600.
• Angioprotectors - gel and ointment Lyoton 100, Venitan, Lavenum.
• Z antiaggregants - tablets Aspirin Cardio, Cardiomagnil Nikomed.
• 3 anticoagulants - solutions in glass capsules for internal introduction through a drip or an injection of Heparin, Kleksan.

Veronika, 45 rockiv

I am very much suffering from venous insufficiency and increased laryngeal blood clotting. Not long ago I drank a two-thousand course for Cardiomagnil. The density of blood has decreased, pain in the legs, etc. The sensitivity of the shkiri has grown, before that it has become elastic. Vvazhayu, scho the drug will fit in with the delivery.

Valentine, 53 rocky

If I have cramps in my legs at night, I drink acetylsalicylic acid. Immediately it becomes easier, to go to fall asleep. It is unlikely that the drug will be able to detect the signs of death, but it will be exactly on the way.

Katerina, 30 rocks

All the way through my life I suffer from venous insufficiency and varicose veins. An hour of vaginosti for the recommendation of a gynecologist for an ear of foot oil with Lyoton 100. It is safe for a child and miraculously know how to swell. For the minus I can name just the price.

beruchi lykarski zasobi Don't check diva. The last effect can come in 2-3 months drug therapy and take a similar term. That is, in case of a chronic overload of ailments, taking the drug will lead to two cases of illness.

Physiotherapy and massage

Prior to physiotherapeutic methods of treatment, which are indicated for CVI, it is applied cyclically, repeated courses through the skin 3, 6 or 12 months.

Falsely from the stage of ailments and types of other pathologies, there may be signs of such procedures:

• magnetotherapy;
• darsonval_zats_ya;
• magnetic laser therapy;
• pneumatic compression;
• laser therapy;
• diadynamic current;
• electrophoresis to heparin sodium, trypsin, antibiotics;
• hydrobalneotherapy.

In case of venous insufficiency, robiti massage is recommended. I will paint the exchange of words in tissues, accelerate the lymphatic circulation and blood circulation, and increase the venous system. Robiti yogo is guilty of fahіvets. Self-massage is not contraindicated, ale mensch is effective, so yak opanuvati correct technique This is important.

For an hour, procedure the patient to lie on their backs, slightly bending their legs in the knees and moving them down to 45 degrees. In case of unilateral damage, I first massage the healthy leg, and then the ailment. Fix with stegon, finish with feet.

Surgical methods of treatment

When traditional therapy is ineffective and progressive venous insufficiency is unhealthy, surgical treatment is indicated, as well as in visible varicose veins. Indicated before the back of the methods of surgery, there can be thrombophlebitis, bleeding from the paths, bends, cosmetic defect.

The scheme of the operation is developed individually and depends on the nature of the pathology. In modern phlebology, the following methods of operative elimination of venous insufficiency are practiced:

partnership prompt engagement to lay down in the internal policy of the other class, the debt and the folding of the robot. If it is necessary to see a spine of herringbones, the procedure will be inexpensive.

introduction of sclerosants

The simplest method of surgical treatment of venous insufficiency is. Vin is carried out only with chronic venous insufficiency, which appears as varicose veins of the superficial veins and vertebral veins.

Sclerotherapy is seamlessly involved. In the enlightenment of wines, sclerosant is introduced, which "seal" the middle. As a result of the operations, the vessel ceases to take part in the blood loss.

laser therapy

Laser ablation is a minimally invasive way of seeing varicose veins. Introduce a radial svitlovod through the puncture into the vessel. And then, with a vicorist pump, pump an antiseptic into the area near the edges of the antiseptic, as if it were sickly tissue and would pressurize the vein. The staff of the change in diameter of the peripheral tissue does not overheat.

The procedure is carried out behind the aid of a special vessel laser, which has two types of pressure: one is used to enter the blood warehouse with hemoglobin, the other - by venous walls. As a result, the vein is "brewed". The triviality of the operation is 40-60 minutes.

radio frequency ablation

Radiofrequency ablation is carried out behind the aid of the Mircha catheter and an ultrasound device. A catheter is inserted through a small puncture in the pidkolinnoy area into the ear. Then pour it in with ultrasound. As a result, the vein is squeezed near the catheter.

For the procedure, a vitalizing catheter and a proliferating vessel for all the time. The blood in the kidneys grows through healthy veins.

phlebectomy

Carried out for the help of special probes. Bandage the vein. A probe is introduced through small growths in it, and the dilenck will be named. The procedure ends with the application of cosmetic seams.

Ligation of perforating veins

Lack of perforating veins is caught up in surgical dressings. The operation is carried out in an open and closed way.

At the first vypadku a lykar to rob over ailments of a vein, іdsіkє її and a bandage. Then the operative access is sewn in. The procedure is healthy under muscular anesthesia, so it is painless.

In another, the surgeon has a surgeon to rob the rose over the vein and insert it into the new endoscope. The order of those who have come to lie down in the size of the judgment: little ones get attached, great ones get tied up. After the end of the procedure, the wound is sutured.

How can you create it yourself?

Schob speed up pain in case of venous insufficiency and speed up frequency chronic form ailments, it is necessary to properly eat and engage in physical culture. Alemayte on uvaz, when the state of the pathological process of rukhov is in a state of disruption, the activity has been shown. Such ailments are guilty of taking out the post-regime.

People zasobi

With venous insufficiency, you can go to folk medicine, Ale only after discussing the professionalism and assistance with the doctor. Deyaki can enter into reactions with the active components of the leaks, it’s not so easy to stop them rashly.

National recipes:

• Welcome to hops. Pour 1 tbsp. l. add cones to hops 200 ml sprinkles and rub the sum in a water bath 15 quills. Drink in 250 ml of three on the day before the day.
• Balm for Pauline. Rozіtrіt leaves and vіtki Polina to kashkopodіbnogo stun. Get 1 tbsp. l. the sum of such a quantity of sour milk. Mix and match cheesecloth. Apply 5-6 days to turbulent legs for 5-6 days. Let us take a break and update the conversation.
• Tincture of apples. Pour 3 apples with 1 liter of sprinkles. Cover the casserole with kryshka and wrap it up with a towel. Taste її in a warm meal for 3 years, and then rose the apple and process the water. Drink 100 g of tincture before two drinks a day.

Bagato narodni lykarі radyat vikoristovuvati in case of venous insufficiency cream "Dawn". This is why the people who have become ill at home, have been awarded the Platinum and Gold Mark of Jacost by the State Standard of the Russian Federation.

The Zorka Christmas cream is actively used to treat varicose veins and venous insufficiency of the lower and upper symptoms. Win shydko zagoyuє erozії, vyrazki and rob the shkіra elastichnіshoyu.

Physical right

In case of venous insufficiency, regular walks and sports are indicated. You can go to the pool, big, take the trainings to the fitness center, go to the gym right, ride a bike or work out in the home minds - smut, take care of your chimos, so you can speed up your mind. Ale ni in any case, do not overstress.

Correct eating

Overwhelming vagina and marriage of speech in the body can become the reason for the rapid progress of ailments. To that all, who suffers from venous insufficiency, is shown to be efficiently and efficiently.

Slide to include in the race more fresh vegetables and fruits. Fibrous fibers are synthesized in them to take place in them;

It is necessary to select from the menu of fat, food, sour and salty spices. The stench provoke spragu, and there is a great amount of birth in the body to produce before the venous system is re-entangled. It is easy to adapt to the beloved one;

It is important to direct childbirth є prevention of constipation. The difficult hour of emptying the intestines is fraught with a grip in the vessels and due to pathology.

inherited illnesses

There is a lack of venom - it is not without a problem. Loss of blood flow from nig to heart often becomes the reason for the development of varicose veins, or steno-occlusive thrombosis of superficial and glib veins. Thrombus blood-bearing systemі inodі wiklikє thromboembolism legendary artery It is not easy to end up with a lethal result.

One more moody inheritance thrombosis is a development of post-thrombophlebitic syndrome. It is very important for chronic pathology to supervise over the rupture of the venous valves and the approval of the venous eczems.

Damage caused by crooked s nig can be the reason for the development of veni, which is supervised by internal bleeding. In some cases, there is a lack of production to the point of peri-phlebitis - firing the fabric of the ugly judge.

Trophic wounds on the surface of the school before the infection. As soon as bacteria penetrate into them, or viruses, they develop into a fellow-schoolboy. For example, dermatitis, pioderma or beshikhove zapalennya.

prophylaxis

To reduce the risk of germination or recurrence of venous insufficiency, it is necessary to follow a number of preventive rules:

• do not sit, walking or throwing one leg over the other;
• play with a bed, put a pillow under your feet;
• unicati overload of nig, sleepyheads;
• do not wear tight clothes that swell;
• rationally harchuvatisya;
• lead an active way of life;
• regularly razminati m'yazi nig;
• not to admit the messing up;
• stitches for the wago;
• is considered to be alcohol and alcohol.

Predictions for venous insufficiency develop in fallowness from the stage of severity. Ailment is simpler to dolati in the early stages. Therapy may take 2 months to finish and finish with the changes in the process of delivery. From negligible forms of pathology, you get confused, the stench vimagayut the usual abuse and often produce to the point of invalidity.

Diagnosis of venous insufficiency in the legs Characteristics of symptoms of venous insufficiency

Symptoms and symptoms of venous insufficiency of the lower symptoms are clearly interconnected - a person can easily lie at the stage of the turn of the main signs of ailment. Getting sick with stagnation of blood in the venous channel is not a pathology of varicose ailment, with such venous judgment it simply expands.

Gostra is a chronic venous deficiency of the lower symptoms, characterized by a poorer or partial change in valves, as a result, stagnant manifestations develop, there are bumps on the legs, and symptoms develop. Understandably, there is also a lack of lower indications, such as the reasons, the main manifestations, such as diagnostics, treatment and prevention.

Ethiology

In a large number of types of clinical manifestations, they show steps - in such cases, talk about chronic venous insufficiency (CVI). The development of such a variant of pathology is restructuring in more ailments - the first signs of a patient are not able to ignore the symptoms as a result of overworking of the lower symptoms.

The main causes of chronic vascular insufficiency of the lower symptoms:

• Varicose ailments - with enlarged pediatric veins, the blood will collapse, congestive symptoms develop, which cause this pathology to form;
• Injuries - in case of fractures or strong blows, there is a venous stink, which can lead to chronic venous insufficiency;
• Thrombosis - clotting of the veins, when blood clots settle on the walls of the veins, damaging the normal blood flow;
• - with chronic stagnation in the venous system, destruction of blood flow and development of pathology;
• Anomalies in development - up to chronic deficiencies to produce congenital pathologies of veins, when the shape of the vessels breaks down, and the robot's valves are also normal;
• Zmenshennya of the court tone - in case of some pathologies, the smooth muscles of the sudin are improved, which can be brought up to enlargement. On the other hand, the blood grip will decrease and the blood will change.

Tsikavo!

The social reasons for the development of chronic and hostile venous insufficiency of the lower symptoms are varicose ailments, parts of injuries and accelerated thrombosis of venous vessels.

It is also possible to bring about the following to the serious venous insufficiency:

• Nastacha vіtamіnіv;
• Diabetes mellitus;
• Adjustment of cholesterol level;
• Liver cirrhosis;
• Pathology of the blood laryngeal system;
• Otruunnya lykarsky speeches;
• Pukhlini.

Pererakhovani causes viklikayut systemic deterioration, which inject on the tone of the Sudin and the blood, which will prevent the development of pathology. It’s not a matter of venous disease - in the last fall of the congestion, it develops in the veins, as well as in lymphatic vessels.

triggers

It is obvious from the statistical data that there are special factors - the stench can cause pathology in sickly individuals, it is not necessary negative infusion on great people... As a patient, in groups of risiku, clinics, it is strongly recommended to move the doctor for a quick detection of chronic venous insufficiency with the help of carrying out the treatment at the early stages.

Before the sleeping officials, lay down:

• The slackness is tight - the clichés with caution brought the genetic cravings to the congestion of the veins, as it is transmitted from the fathers to the children;
• To become a zhіnoch - at the representative of the beautiful statі, the venous system becomes ill and restructuring more often;
• Vіkovy criterion is the development of CVI of the lower criteria in people over 50 years old, to develop in more development. Iakshko presence spadkova smartness - fakhivtsi recommend to carry out prophylactic treatment;
• A poorly destructive way of life - as it is not enough for a man to collapse, to step by step to reduce the tone of the veins, lack of valves and congestive manifestations in the lower patterns;
• Obesity is a surplus of fat in the blood warehouse, the shyness is more dense and important for the Suddens. Zayva Vaga re-dressing legs, negatively pouring into the veins of the lower edges;
• Particularities of labor activity - trivial standing on feet, changing temperature or leading to re-entanglement of the venous bed and development of CVI;
• Likuvannya hormones - one of the side effects of these drugs - the diagnosis of chronic stagnation of blood in the veins of children.

Trigger conditions do not depend on the direct causes of ailments - they trigger pathogenetic mechanisms, leading to the development of chronic pathology.

Keep in mind!

If a patient is with a group, he should sign up for a reception before a doctor and go through a routine. Likuvannya will be most effective, even if it is carried out until the main symptoms appear.

Yak developing pathology

The main meta pathology is venous valves, which can make the blood flow just in one straight line - from the bottom to the heart. At the interruptions, the grip of the fast falls, the roof is pragmatically down, the valves are closed, and they are plugged into their intestines.

When some of the causal factors of the valve begin to collapse, the stools converge in general, as a result, a part of the blood is lodged in the veins, flowing down. Sertsyu is brought to apply more zusil, sob to prevent povnotsinny bloodstream. Step by step the veins expand and there are first signs of venous insufficiency of the lower symptoms.

Classification

Among the clinics there are a number of forms of CVI classification - in some cases it is informative gradation of pathology due to factors, in others - due to the nature of the fight. For the sake of the day to become ill, it is necessary for the nobility of all parameters, for the stench to add one to one.

The CVN code according to ICD 10 is based on the code I 87.2 - it is not designated by the international ones, allowing them to carry out the outbound plan of treatment in the rural lands.

The well-known traditional classifications develop two forms of disadvantages:

• Gostra - to develop quickly and quickly, characterized by swiveling key manifestations;
• Chronic - a step-by-step symptom, the symptoms are more severe, the degree of swelling can change.

Classification of CVN according to Savel'ev - the bule was proponated by the author for the ear of the 70s and added to Vedensky. The gradation shows the development of ailments, as well as the localization of:

• There are two types of deficiencies behind the form of damage: sclerotic - if the veins are overgrown, deformation of the veins and varicose veins - when the vertebral column expands and the tone decreases;
• The stages of CVI develop: I -; II - recanalization of the Sudini; III - deterioration of tissue integrity;
• In the area of ​​hitting - there may be enemies of the onset of veni: lower emptying, club, stegnova or pidcolinous;
• This is due to the pathogenesis: how the snakes pick up the vertebral wall, display the occlusive form. In case of partial lesions, recanalization is placed, during the day, robots are used.

Another classification - according to CEAP. Tse international pidhid, which I will depict a picture of a grief. Rozgornutiy is a variant of the given gradation to reach the limit, it is conceivable that it is deprived of the main criterion:

• per key manifestations- Bali is displayed from 0 to 6: the appearance of a sign (0), the appearance of the vertebral signs (1), the appearance of the signs of varicose veins (2), the appearance of the signs of varicose veins (2), the swelling and swelling of the signs (3), the appearance of the appearance of the signs of varicose veins point bloodlines(5), the sign of bleeding is (6);
• Chronic deficiencies: EP - the factor of nevidomy; EC - the presence of a decline in power; ES - the patient has an ethiology;
• According to the pathogenesis, there are three types of development: reflux is diagnosed, if a part of the blood is pushed back at the vein, with signs of a sound to the education of the court or a change in form.

Yak and in the foregoing version, a classification is given as well as information about the localization of the battle, the dermal region is indicated by singing symbols. If there is a need for a car, there will not be any visibility in this distribution.

key picture

Symptoms of venous insufficiency are not abundant in what lies in the form of pathology. When the form is hospitable, the symptoms develop quickly - the patient is prone to swelling soreness in the lower symptoms, as it is, when it is installed, but then it starts turbuati and in peace. When you try to change the position of the leg, you will be able to adapt the movement of the body to the tip, expand along the course of the judgment. Name leg nabryaka

Unimportant for all the severity of interruption, gosdra lack More beautifully to be liked, not chronic.

The main symptoms of CVI:

• Signs of dullness and severity in the lower symptoms - the first signs of pathology, which indicate a breakdown in the current from the superficial and glib veins;
• Bil - appeal to a weak person of no character. It is not easy to develop sverbіzh nіg, which delivers patient discomfort;
• Nabryaki nіg is an offensive symptom, which will cover the key picture of the disease. With a chronic interruption, swelling appears with a few evenings, for example, because of physical robots. From the bottom of the picture, fix the swellings and the lies. If there is a lack of valves in the perforating veins of the homillocs - there is a strong swelling in the area of ​​the homilka and the foot;
• Determination of small curves - in the case of impaired blood circulation, pathological symptoms are caused by venous insufficiency, which speaks about the loss of erythrocytes in soft tissues. At the end of the day, trophic paths are developed, which can lead to an intimate liking.
• Razvitok court - beckon to win at the hour, talk about the failure of sourness and lively talk.

With a chronic overrun of pathology, reflux is often restructuring - a rapid drop of blood, such as an hour of pause, which is often a heart rate. Naybilsh is often a problem with varicose veins of great pediatric veins, internal surface quilted.

development stages

On cob stages chronic interruption ailment is against malosymptomatic, and it takes an hour to fix the persistent signs. Cutting the veins of the lower growth patterns, according to the mice pathological changes... Already from the turn of symptoms in the development of the onset of the stages of venous insufficiency:

• CVI stage 1 - characterized by the appearance of discomfort in the lower symptoms, weak bad b_lі wrinkles around the evening hour;
• HVN of the lower stages of the 2nd stage - manifested by the bends of the embankments throughout the day and the appearance of the beaches on the skirts. It is more to agree, to recognize yak when navantazhennі, so і in peace;
• Chronic lack of stage 3 - before the symptoms are described, there is a permanent bleeding, an increase in the lumbar laxity of the patient and the appearance of a rash.

Keep in mind!

Zvvychay the kids to get involved in the abuse at the other stage of the inferiority of the lower cousins. It is even more important not to bring the pathology of the third stage to the same way of renewal of the operation.

diagnostics

An early diagnosis to be diagnosed at the first visit of the patient is a likar to look around and display the stage of ailment. Namely, according to the photo of venous insufficiency of the lower symptoms, it is possible to visualize the stages of venous lesions:

• The first stage is smoothly growing, she has not yet shown any ailments to herself - you can see the blaky vidtinok of the shkiri over the dilenkoy urazhennya and I will bring the bloom;
• Another stage of chronic deficiency is manifested by the swelling of the homies and the appearance of verminous spines;
• The third step of CVI grows up to bend, oncritical wounds, Deformation and lamination of steel plates.

To clarify the performance of the lower parameters, the ultrasound scan of the vessel is indicated - after given method vіdlunnya sign to show the camp of the venous wall. Additional diagnostics of blood analysis.

Folding and forecast

Also, do not carry out the treatment of the valve insufficiency of the veins of the lower edges - for the patient, the growth of the development serious heritage, Oskіlki CVI step by step lead to thrombosis and damage to the robot heart. The most optimal case for the detection of chronic pathology in the early stages and for the timely therapy - in this case, the prognosis will be friendly.

lykuvannya

The main development of the diagnosis of chronic venous insufficiency is the renewal of venous output from the lower symptoms and the reduction of symptoms of illness. In addition, as it is insisted, the polish is shown, the procedure is shown.

Dumka fakhivtsya!

In case of chronic forms of therapy, treatment includes correction of food, consumption of medications and changes in procedures. Such a pidhid allows you to suspect to show ailments and to prevent and relapse.

dyeta

Likuvannya to repair from the folding menu under the supervision of a dentist. The skinny patient is guilty of the nobility zaboroneni or permissible products, fragments of the ignorance of the rule can be victorious to destroy the camp.

Diet for venous insufficiency of implantation:

• Fatty products of food and rose linen;
• Big bush and confectionery virobes;
• Salted products;
• Gasovan water, alcohol, mint kava and tea.

It is recommended to prepare lightly cooked herbs from vegetables and low-fat varieties of meat. Salad is more beautiful than keruvati not with mayonnaise, but with rose-linen refined oil. Yak will be drunk for optimal implantation of purified water.

drug therapy

Stagnation of medicines is necessary for sickness and heat, as well as blood supply, for normal blood flow.

At the same time, the offensive is recognized:

• Non-steroidal anti-fumes: Movalis, Indomethacin, Nise, Celecoxib, etc .;
• Antiagreganti: Aspirin, Dipyridamole, Clopidogrel;
• Phleboprotector i-tonik: Venarus, Detralex, Phlebodia-600, Ginkor Fort;
• Antioxidants: Mildronate, Vitamin E;
• Antihistamines likarski zasobi: Ketotifen, Clemastin.

For the lіkuvannya gostroї forma stasis is more importantly іn'єкції, moreover, it is recognized as a group of drugs in tablets. In case of chronic forms, the methodology is used to start the drug.

physiotherapy

Stagnation of physical procedures in case of chronic deficiency is indicated by the knowledge of the main symptoms of ailment. Nybilsh with extensions є:

• Magneto-laser therapy;
• darsonval_zats_ya;
• muddy kuvannya;
• Vikoristannya salt and radon baths.

Carrying out procedures for the reduction of veins, partial renewal of the function of the valve apparatus and removal of other blood clots.

Exercise therapy ta massage

Right for nig - an appropriate method for renewing venous valves. Gymnastics will shrink the bloodstream, I will heal chronic wounds on the shkiri and change the nabryak. Naybilsh effective will come given lіkuvannya with massage - a warm-up to multiply the effect of gymnastics.

compressor therapy

Effectively stagnate for the elimination of chronic deficiencies - the main mechanism of straightening on piece adjustment a vice in the superficial veins by the method of wearing elastic bandages or round knitting punch. As a result, there is a decrease in the appearance of large veins and the normalization of the sick person.

Folk medicine

The treatment of venous insufficiency of the lower symptoms by folk methods is guilty only in the absence of lykarskoy therapy... Naybilsh with extended recipes є vidvary from gorobin, gorіkha or kalanchoe. Deyakі sorcerers gladden zastosovuvati with lіkuvalnoy meta ogіrkovy sіk.

operation

Surgery for chronic disabilities is carried out in extreme cases, if traditionally lіkuvannya ineffective. Naybіlsh extensions є ligation of the lesions of the veins і їх vision - phlebectomy.

prophylaxis

Specific prophylaxis of chronic venous insufficiency has not been broken up, but if there is no progress in pathology, I recommend following several rules:

• To lead an active way of life - to positively infuse it into the circulatory system;
• Stitches behind the vagoya;
• Do not wear a high school uniform і swell up on high pedestals;
• Play robots for 20-30 calories in a lying position;
• Unikati robots, scho vimagaє trivial standing on his feet.

There is a venous lack of progression without swelling symptoms, step-by-step progress and bring to severe acceleration. It is even more important to quickly identify chronic pathology and conduct a specific treatment.

The development of blood circulation is not taught very often in the practice of forensic surgery and phlebology.

Due to the statistical wedges, the efficiency of such stanovies is not 40% of the number of healthy populations.

It is a lot of classy situations to be found in the admission, compensation phase, if the body's normal normalization of speech by the power of the powers, and the symptoms as such are not so common.

The reasons for the misunderstanding. From a trivial standing on one microscopic (varicose veins) to endocrine disorders, a genetic factor, autoimmune disorders. Tse nourishment for okry looking.

A clever picture is so self-explanatory and does not look like it looks, it doesn’t look like a form of pathological process.

Venous deficiency - there is no need to name a group of people according to the norms, when there is a decrease in blood flow rate, to prevent congestion, to ignite the process and to make blood clots.

Vvazhayutsya in the edge of the unfailing camp zazhayuchi on the potential for incapacitation or death.

Therapy is surgical or conservative, due to the consumption of medications, to lie in a specific type. The food is given individually, for the examination of the doctor.

In the basis of the pathological process, there is a group of negative factors. As a rule, the stench develops step by step, it is possible to pick up the stench from the parallel forms of the group.

• Perche is the weakening of stools of special venous valves. Smell play the role of his own kind of vorit, scho to overshoot the revolting current of blood.

In the norm, the fabric collapses strictly in one straight line, forward along the stake, or does not turn back.

With a similar negative manifestation, venous-lymphatic congestion, which provokes you, will become.

• Insha vidhilennya according to the norms of the field in the decreased tone of the leg muscles.

When a similar genus is damaged, there is a change in the nature of the blood flow, its efficiency and quality. In this way, yak m'yazi does not speed up and does not stimulate the drying of the rich fabric.

It’s a self-contained phenomenon, when the weakness of the valves can be seen as a point in the formation of venous insufficiency.

• Destruction of rheological powers of blood. Go to the first place about її zgushennya. A change of indicator is recognized on the basis of the change and the size of the bag, on the trophy (gratuity) of the fabric.

In the presence of a literate person, there is a great risk of development of blood clots, and even more negative ones, which are potentially not safe for health and life.

• Ignition processes in the lower cuts. Shun the judgment. In this way, the deterioration of the blood flow and the congestion of the raw tissue can lead to the accumulation of toxins and the products in the drop, as the draining of the walls, the internal whitening of the sudin.

Pidsumkom appears lit up. It is classified as a septic one, before non-infectious activity.

Without the elimination of pathology, it quickly progresses and ends with catastrophic inheritances right up to gangrene.

The venous lack of lower cusps leads to thrombosis, the disease is fraught with the seriousness of an invalidity or the death of a sick person in the case of a Russian vertebral clot in the organisms and chi structures.

Without accurate knowledge of the mechanism of a doctor, it is impossible to deny the ability to recognize a literate complex lykuvannya Besides, there is a lot of material for the distribution of prophylactic recommendations as a whole.

Classification

Typizatsiya carried out decilcom in the main ways. The first one should be able to interrupt the pathological process. One of the most common criteria is that you see two types of ailments.

• Gostra venous deficiency (OVN) to develop in the edge of the country, not more than 2% of the population.

Supports generalized symptoms. Call the enemy Glyboki Sudini.

At the outside of the city medical aid do not unknowing invalidity or death. Required hospitalization.

The triviality of therapy in the drug becomes 2-3 times, the indications are post-treatment and the consumption of medications. Operation for the show.

Klinika is important, it’s not important. Differential diagnosis as such is not required.

• Chronic venous insufficiency (CVI) Mensh is aggressive as a type of pathological process.

Supervise with a minimal change key signs, I do not care about it, I do not need to tear the ailment in front of it. Riznitsya only in terms.

This vypadku requires more than one Rik. The availability of such an hour allows for the development and conduct of such a session.

Independently from the form, the main renewal of the outgoing camp of speeches is not varto. Ale tse is not a problem.

In addition, the correct course of therapy gives the possibility of total correction of destruction. Patient forget about the presence of ailing.

CVI step

Another criterion of classification can be used only to chronic venous insufficiency.

Win gruntutsya on the stage of the severity of the process, the nature of its transition. The whole way of interconnection can be called Stadiuvannya.

• Zero step. Supervise with functional derailments. Decrease in fluidity and quality of blood flow. Ale anatomical defects are still mute. Symptoms are also visible. For there is a small grain in the edge, on the level of lightness in the legs. At the tsіy stage of the pacinti it is rare to turn to a licker, so they don’t get the stench, but it’s not a problem.
• First steps. Yes, a minimal classic picture. The organic damage is also repaired, but not critical. Chances on how to innovate are still still є, do not marvel at those who are not fond of the process. Without therapy, the progress will inevitably come. Naskіlki shvidko - do not be able to say anything, to lay down all of the factors. From some months to some rocks and more.
• Another step. Swing. Sposter on the ruin of the office and the ability to service yourself in the booth. The patient becomes a handcuff for the ailment, and you can’t even ask for help. The line of venous congestion in the legs is rotated, good and specific. At the th stage, it’s important to find a way to compensate for the situation, but it’s unwise for an hour.
• Third step. Therapy is not easy. The patient will become involved in the health of the child, walk, show physical activity. Tse is a terminal stage, as it is not correct in principle. In deyakyh situations, the standard of speech is supplemented by the operation.

Classification, named as a food, is actively involved in fakhivtsy for interdigitation of stan- dards, selection of optimal therapy tactics.

The skin form is coded in a special way on the basis of the ICD-10 classifier. That is, when you go from one license to a non-sentient one, and read it carefully from a glance at an impenetrable formula.

Symptoms of the form

The problem of the polarity is that, in approximately half of the classifications, there are not less of them.

It becomes obvious when critical damage develops with deadly traces. Diagnosis is displayed when people die.

How cleverly the patient, seemingly cleverly, spared, key picture consist of such signs:

• bends pain syndrome on the side of the urazhenoi kintsevka. The intensity of the temporal temple. Behind the character - pulsating, bursting or crushing. There are also cookies.

I do not think it’s possible to do something with any kind of Russia, physical activity, it’s not a good idea to walk anymore.

• Zmіna vіdtіnku shkіri over the mіsznya battle for blues, blіdіy. Cyanosis (blue shkiri) is introduced on the step of decreasing the blood flow rate at the local level. Do not suspect a symptom.

• Nabreklyst. The variability of this lies in the stage of the pathological process and its nature. Everybody has a day at night.
• Asymmetric temperature change. At the local level, it falls to a few degrees, the end becomes cold due to a weak exchange of speech and lack of blood circulation. And the hallmarks of the whole body of the sutta grow. Zvvychay to the level of subfebrile condition abo vische (from 37 to 39 degrees).

A cool picture can also include the perception of weakness, sleepiness, faintness, head b_l, Nudotu, ruinous heart rhythm those moments.

The stench is a sign of foreign toxicity. The products of the drop penetrate into the bloodstream and expand throughout the entire body.

Having shown, I will progress with a stretching of the arm. Spontaneous entrance or lulling is not spontaneous.

Signs of chronic deficiency

Seeing the types of ailments is required at the stage, called the vishche.

Phase zero, as it has already been booby said, do not give in to any symptoms. It’s like this, everything is surrounded by a slight weakness on the side of the uzhenoi kіntsіvka, as well as I see it sverbezh, giving goose bumps.

persha feet

The first stage of the pathological process is more specific. Do not pry him badly, as only damage is not done in an atypical way.

An approximate list of signs:

• Nabryaki. Small. Ridko lead to venous insufficiency. Mozhlvo popuschennya about nirkova abo heart etiology of rozladi.
• Pain syndrome. The supervisor of the patient is at the evening hour. especially written physical activity... This pose can be seen.
• Sudomi. Ailing meats are fast because of the nature of eating muscles and bringing about products in a drop.
• Feeling lead heavy. For the weights, hang on the nose. Signs to descend on a new occasion, as and when manifested, named as food.

Symptoms of stagnation of blood in the veins at the first stage are stable, regress without medication.

friend step

Supravodzhutsya bend with a good kind of clinker. The quality of life is reduced.

• Pain syndrome. It does not allow vikonuvati zvichnu physical activity.
• Nabryaki. It also becomes important.
• Destruction of curtain fabrics For the first stage it is characteristic.
• The appearance of cracks in the skirts. Zmіna characteristics of the dermal ball. In this vypadku mova idde about the appearances tied with the lack of food fabrics.
• Osvita of the vermin. Vidtinok - from raspberry to nasicheno violet. Typical sign of CVI of lower symptoms on aphids of venous stasis.

With CVI of the 2nd stage, the clinical picture is more likely to occur gradually and dictate new life to the patient. In the presence of competent therapy, there is no uniqueness of the rapid progress of discord.

third stage

The thermal phase of the pathological process. Spostering all the descriptions are manifested, and the stench will melt more strongly.

Pain syndrome, severity, swelling will add to the unhappiness of any physical activity. Lyudin is amused by the opportunity to walk.

Chergovyu acquaintance with the illumination of trophic virazok, vognisch necrosis (vidmirannya tissue).

Without term correction and antiseptic treatment, it will be inferior to the situation (it is easily unique, as the mussel and fabulous immunity on aphids weakens).

cause

Factor of development of venous deficiency of development. Among these you can name offensive.

For guest form:

• Cancer fall ill in the phase of the decline of plump. cheer up new stages If there is no chance for an update. Patients are lying. Prikuty to the lazhka. Destruction of robotic veins by a dodatkov officer for a quick lethal result.
• Dysfunction of the liver. Important forms of hepatitis, cirrhosis in the hostile or chronic phases.
• Zakvoryuvannya blood. Guys from the insights of the rheological authorities.
• Shock stun. Independently from the cause. Іmovіrnіst become ponad 30%.
• Diabetes mellitus.
• Angiospasm on aphids of endocrine disruptions or stasis of deyakykh likarsky zasobіv.

The reasons for the formation of a chronic form of a pathological process are not less:

• The birth of the anatomical deterioration of the Sudin.
• Transfers in recent parts and in the pathology of the ignition profile.
• Autoimmune damage.
• Idiopathic forms of vision. No visible, noisy provocative factor. Diagnosis is taken until further clarified in the future.

The change is not good.

Є

• Traumatic pouring on veins. In addition, injections, surgery, diagnostic and invasive come in.
• Varicose ailment. Absolute record holder. Get involved in the main reason.
• Post-mortem thrombosis.

The value of the factor for the development of chronic venous insufficiency (CVI) is required for the development of tactics for the treatment of the patient, for the prevention of nadal. Food will need to come with a lot of respect when you are okay.

diagnostics

In the case of ailments from discernible pathology, they are engaged in phlebology and forensic surgery. Call in tandem. Requires hospitalization before a professional stationary.

Chronic forms of destruction with a break, on early stages can be assessed on an outpatient basis.

Approximate turn of calls:

• Sleep opituvannya people on the subject of skarg. The visual impression, such as symptoms є, і on the side, will bring up a classic picture.
• Zbir anamnesis. Then formulate the rosumіnnya peredbachuvanogo rozlady.
• Duplex scan, dopplerography of the vessels of the lower cues. Vikoristovuyutsya for terminovyavlennya functional breakdowns from the side of the veins nіg. The head minus - does not allow the visualization of the fabric.
• For the whole family of vikoristovuyutsya MRI. The technique is used as a gold standard in the treatment of organic tissue.
• The angiography can be carried out. Take a look at the show.
• A coagulogram is performed in the obovazkovy order. It is necessary to get blood thinning.

Tsyogo is enough. For the consumption of the drug, the patient is directed to the first ones. For example, when є the age on the endocrine range is similar and in some other types.

lykuvannya

It is carried out, going through the form and the stage of severity of destruction.

OVN

Therapy is surgical. It is aimed at mechanical clotting and renewal of anatomical integrity, and passing judgment.

You can't do without plastics and normalization of physiology. Vikoristovuєtsya few ways in hand. Yaky same method of zastosuvati is virіshuє fakhіvets.

• Plastic surgery. Renewal of yogh passage for additional ballooning or stenting. Mechanical development of education.

• The appearance of a thrombus is physical. Endovascular or visual access.

• Side gate for blood flow, shuntuvannya.
• External hanging urazhennya veni. As a rule, the price is not critical, fragments of the lower prints may appear to be rooted in the garment of the Sudin.

Nadal cannot do without storing leads.

CVI

It is not necessary to practice more often in other stages. To eliminate venous insufficiency of the lower symptoms at the zero-first stage, ask to receive the following preparation:

• ... Based on acetylsalicylic acid... For example, Thrombo as і іnshі. For blood distribution.
• Protisapalny. Non-steroidal and hormonal. First, it is recognized in very light vapors (Diclofenac, Ketorol, Nimesulid), others in good conditions, not suitable for a trivial victorian (Prednizolon and іnshі). In the form of ointments and tablets.
• Vitamin-mineral complexes.
• Phlebotonikі. Detralex, Venarus, Phlebodia, Troxerutin and іnshі podіbnі. Normalize venous-lymphatic appearance.
• Antibiotics for demand.
• Provide adequate blood circulation for renewal. Pentoxifyline and analogs.

Nutrition for the selection of medications and dozing up on the shoulders of the fakhivts.

The elimination of chronic venous insufficiency is also a transmission to the mind of the house, minimization of alcohol consumption, the optimal mode of physical activity (if you want 1-2 years of taking walks with a crocodile, any overtime).

Indications for massage, physiotherapy. Likewise, once for a while, we will not occupy a sanatorium-and-spa resort.

forecast

At the first stages of hospitality. gostra uniform For the launch of stages, they give negative perspectives. There are not many chances for clothing, protest є. All to deposit in the form of special features of the body of the patient and the professionalism of the doctor.

prophylaxis

Speak in a gallant and short manner:

• Vidmova from the courtyard and alcoholic beverages.
• regular physical options... Swimming, big, walking, strolling.
• Korekts_ya masi tila.
• Acceptance of vitamins and minerals.
• Wearing a compression knitwear in case of manifestation of problems or schilosti before them.
• Regularly see the doctor for the survey. Yak minimum therapist.

There is a venous lack of vimage and reticence and quick treatment. At present, there are few such chances for renewal, but in the world of progress there is a smell.

List of literature:

• Phlebology. Volume 7, Vipusk 2, 2013 рік. Russian clinical recommendations for diagnostics and treatment of chronic venous disease.
• Clinical recommendations: Varicose veins of the lower symptoms without chronic venous insufficiency.
• Ministry of Health Protection of the Russian Federation. Clinical recommendations. Varicose veins of the lower limbs without chronic venous insufficiency.

venous deficiency - ailment, which develops in humans as a legacy of lack of valves in glide veins. Ailments occur on this day even more often, but in a large number of ailments a trivial hour progresses uncommon.

As a result of medical statistics, about 60% of people of primary age are suffering from chronic venous insufficiency. A few tenths of the sick are undergoing a course of adequate therapy for ailments. In the main, ailments turn to drug therapists. It is even more important to establish the correct diagnosis.

Mechanism of development of venous insufficiency

Venous valves є yak in glib , So i in superficial veins ... If a patient develops a thrombosis of glibious veins, then there is a blockage in his education. I, in a ten hour, will educate you through the process recanalization ... If the veins are updated, the valves cannot be updated. As a result, the elasticity of the veins is involved, and fibrosis develops. In the event of a rupture of the valves of the veins, the patient has normal blood flow.

Chronic venous deficiency develops in a sick person. As soon as there is a small amount of valves in the large veins, then the circulatory blood flow in the veins is reduced, so as the main function of the valves is to overshoot the circulatory blood flow through the veins. Like a heritage, the grip of blood moves, and the plasma passes through the venous wall in the fabric, as it feels the judgment. The fabrics step by step become larger, as well as the compression of small vessels in the area of ​​the ankles, homilies. The result of this process є , For a reason, I’m getting sick from a sick person trophіchnі virazki They are one of the head symptoms of venous insufficiency.

Stages of venous insufficiency

Three developmental stages of chronic venous insufficiency were accepted. The whole stage of compensation, subcompensation and decompensation. on the first stage of becoming ill in humans, a cosmetic defect manifests itself viciously, so that varicose veins and teleangiectasis are visible. When diagnosing a disease at the stage, it becomes stagnant instrumental methods preliminaries, as well as special tests. Such probes allow assessing the size of the valves, the passage of the glib veins. In addition, phlebomanometry, phlebography, ultrasound scan are involved in the process of diagnostics.

on other stage of becoming ill (subcompensation) in people, there are no more trophic rosters, such as on this stage, a werewolf character. At the tsіy stage, the patient skarzhitsya for a long time, showing by the court nіg, strong vomiting, sverbіzh shkіri. Inodi winnicky pigmentation of skirny curves, you can appear. Even more ailments at the stage of subcompensation turn to deaths with scargs for cosmetic defects, so as at a whole stage of changes, Sudin’s stan- dards have already changed.

on third stage of venous insufficiency (decompensation) Mayut mіsce trophіchnі destructive character. Lyudina is awed by the manifestation of elephantiasis, trophic bends. If there is a patient in the anamnesis, it may mean glib veins , varicose veins , .

See also chotiri young form venous insufficiency: varicose , nabryakovo-bolova , Virazkova і zm_shana ... With skin forms, both zagalny and characteristic symptoms venous insufficiency.

Causes of venous insufficiency

I will look at those who, the development of venous insufficiency is directly tied to upright walking, most often in people it is manifested itself chronic venous deficiency of lower symptoms .

The global causes of the development of venous insufficiency є a number of peculiarities of life happy people... Persh for everything, it's total , Continuously moving in a sitting position or standing in the process of a normal robot. In addition, the reasons for the decline in the specificity of the hormonal status and court system, Which provokes the destruction of venous blood flow. The development of chronic venous insufficiency often grows rather quiet in bureaucrats, which provoke the manifestation in humans and also glib veins nіg.

It is important to vrahuvati, as provoking factors for the development of venous insufficiency, and also ... Alertness is also possible in close relatives of varicose veins.

On the other hand, people grow up to have a venous deficiency: it develops most often in people who have already reached 50 years. Ailments are often diagnosed in women.

Good statistics, subcompensated і decompensated the form of chronic venous insufficiency of the sufferer is approximately the skin of a lyudin in the light. With chronic venous insufficiency, in humans, venolimphatic insufficiency develops, so as a result of the strengthening of the venous vise, it grows strongly, as well as being added to lymphatic judges.

Venous deficiency can manifest itself in a different way. As a rule, people tend to skarzhi on a lot of vision in their legs, after all the seemingly heavy things, in the evening, as they know a lie. In case of venous insufficiency, the sick person's actions become very young and swollen, so it means swelling. At night, the sick can turbuwati sudomi ... It is also changing the color of the shkiri to homiltsi, the shkira is not as elastic as before. Varicose veins can be seen, I want to stink at the cob stage of the disease and not show up. Besides, the ailment comes to the end, for the rest of the day.

Diagnostics of chronic venous insufficiency

In the process of diagnostics of a malady, they are afraid that they have a venous deficiency in a symptom complex, such as a lack of a valve and a wall of judgment in the superficial and glib veins of the nig. In the process of diagnostics, it is important to note, as the very stage of becoming ill for the moment is at a patient's time.

In addition, in the process of establishing a diagnosis, a form of chronic venous insufficiency begins. A collection of fahіvets zverta I respect for the manifestation of deyakim signs of illness: nagryak nіg, characteristic most of the views, Nichnyh court in litkovy meazah, Indications of pigmentation in the lower part of the homily, as well as eczema, dermatitis and trophic virazoks.

In the main, when diagnosing, ultrasound methods are used: duplex ultrasound scanning, Doppler ultrasound. Specify the reasons for the manifestation of chronic venous insufficiency, if possible by performing phlebography.

The annual treatment of venous insufficiency is carried out from the methods of suction, which are recognized in the case of those who are ill with the disease - varicose veins , post-thrombophlebitic syndrome .

Methods of therapy for ailments є, first for everything, renewing the blood flow in the veins. Yak inheritance, update and strum , Know the trophic nature of the revolving character. It is actively practicing the stagnation of the conservative yak, so i surgical methods treatment of venous insufficiency.

Conservative therapy of venous insufficiency of polyagons in a number of physiological methods, as well as drugs. With a complex vikorystannі cich kostіv efekt inіd lіkuvannya will be very high. In addition, it is important to note that bureaucrats have risiku, who can infuse ailments on the progressing ailments without a precession, cause them to fall into a specific skin problem. There can be a lot of flexibility, more power, specific options for the workstation. The skin patient is guilty of the possibility of further progress of chronic venous insufficiency and living through the process.

For this purpose, surgical operation was not known in case of venous insufficiency of the lower symptoms and in general, it is important to follow all the rules for the prevention of venous insufficiency. compressor therapy ... Compression is carried out for an additional bandage of cues with an elastic bandage, wearing of special compression punches. Compression knitwear is only vibrated after consultation with a doctor, so you can use this knitwear.

Not less important є a course of treatment with medicinal phlebotropic drugs. Lіkuvannya in such a way can lighten up the camp of the sick. For the drug treatment of chronic venous insufficiency, a large number of vapors are recognized preparations bioflavonoids ... Їх дія is especially effective in the early stages of the disease. To navi such preparations of ailments are taken with a stretching of a trivial period, the stench does not cause a negative infusion on the body. As long as the treatment is carried out at the stage of compensation, the course of therapy with such drugs is three to one to two months and is repeated 2-3 times per day. At the stage of subcompensation, the rate of growth is trivial to the number of months. The third stage of venous insufficiency is to follow the additional course of taking medications in bioflavonoids, when the dose is reduced by half.

On the current day, the most frequent cases of ill health are carried out on the basis of diosmina i. The stench is the most effective with a one-hour consumption. In addition, diosmin is victorious for the prevention of venous insufficiency.

Prior to operative methods for eliminating venous insufficiency, only 10% of vapors are allowed in an hour, so that conservative methods Likuvannya can also be polished as the life of the sick in a large number of families. However, even more often surgical treatment vimagayut tі patients, as importantly put on a cosmetic defect - varicose veins.

The most common surgical methods for the therapy of venous insufficiency are often used. So, it is possible to carry out a visualization of a conglomerate of varicose veins, dressing a muscle, a de-pedshkirna vein stegna flows into the stegnum vein. According to the methodology, in the region of homilka, the development is carried out, and the ligation of the perforating veins is being carried out. Such an operation should be performed when the patient has been diagnosed with a lack of valves in the perforating veins.

Carrying out the so-called operation of Bebkok Polyagu in the carried out growth on the cob of the child's vein is stegna. Pislya tsyogo in varicose vein insert the probe with rounded ends. Yoogo end to vivod in the region of the number at once from the fixed vein.

When developing in a patient with venous deficiency, varicose veins become stagnant sclerotherapy ... Such a technique was used by Vikoris for treatment in ancient times. The technique of polyanga is introduced into the vein of a special speech, like a sprinkle of chemistry injected onto the walls of the vein and the frivolous anger and growth. Ale for the whole method is characterized by the manifestation of recurrence of ailments, thromboembolic accelerations. Sclerotherapy should be used if the patient has a small and medium caliber varicose veins. The procedure should be carried out on the visor misce .

It is also for the treatment of chronic venous insufficiency to practice laser surgery, endoscopic vision of varicose veins. The methodology of diagnosis is guilty of proponuating only the fahivets for detailed follow-up and establishment of diagnosis.

the doctors

liks

Prevention of chronic venous insufficiency

To overcome the development of chronic venous insufficiency, it is necessary not to allow the development of a quiet ailment, which provokes progress in the farther away. Methods for the prevention of such ailments allow for the use of compression knitwear, adequate physical activity, periodically high positioning, as well as regular interruptions during trivial robots, sitting or standing. At the interruption, it is necessary to carry out a warm-up for a decade or so to try the pictures in a relaxed and relaxed position. For children, take a course periodically phlebotropic drugs ... To solve the problems with vessels, it is necessary to vibrate only with the help of the force, the strong and the stiffness. Women do not have to wear them constantly on the arches of the highest podborah.

Reduced chronic venous insufficiency

Naybilsh often appears to be accelerated in chronic venous insufficiency - tse destruction of the trophism of tissue , Yaki may have a progressive character. sprinkle hyperpigmentation , Yaka in a dozen hour will progress to great trophic paths. Krym of the Muscovites accelerated the incidence of provoking distant reactions. In addition, the volume of circulating blood in the veins is smaller, a person with chronic venous deficiency may have a heart deficiency. Evidence in the organism of products in the distribution of tissue and provoke allergic reactions Iakі become the reason dermatitis , venous eczemi .

Diet, eating with venous insufficiency

Dzherel list

• Savelyev B.C. Phlebology. Kerіvnіstvo for lіkarіv. - Moscow. Medicine. - 2001;
• Yablokov A.G., Kirinko A.I., Bogachev V.Yu. Chronic venous insufficiency. - Moscow. - 1999;
• Konstantinova G.D., Zubarєv L.R., Goadusov Є.G. Phlebology. M: Vidar-M, 2000;
• Aver'yanov M.Yu., Izmailov S.G., Izmailov G.A. that in. Chronic infestation of the veins of the lower children: Textbook. Posibnik. N. Novgorod. FGUIPP "Nizhpoligraf". 2002.

With the problem of venous insufficiency of the lower images of people, it is practical to slip away, if they start walking. Until the singing hour, compensatory mechanisms are used to prevent progress.

Given the number of factors that make it difficult for people to find a problem, It is easy to see what it is like to see it, and what it is about it.

HVN - Well tse take?

Chronic venous insufficiency of the lower symptoms (CVI) is the price of singular symptoms, which amazed by the rotten flow from the veins of the lower symptoms through the deterioration of the hemodynamics.

In the pathogenesis of the development of the disease, two main officials take their fate.

• In the first place, the price of a decrease in the diameter of a vessel and a legacy of a decrease in its penetrating building.
• In a different way, it will see a breakdown of the mechanism, which will prevent the appearance of venous blood from the veins of the lower symptoms.

In practice, people see blood from the veins of the lower edges of the blood through the system of large and superficial veins to the heart. Such a flow of blood against the strength of the force becomes capable of filling the valve mechanism in the veins, as it does not allow blood to flow into the throat. I sing the role of the fast-paced music of stegna and homilka, as well as the court of judgment.

As soon as you see yourself in the robotic system of the well-functioning system and go to the current, then there is venous shelter for the one who goes from the veins to the heart, to get lost, the wicked to redefine the judges and the times of the ages inappropriate symptoms... So, the processes of microcirculation are gradually destroyed, and the growth and trophies of destruction are developing.

Important! Finding a venous grip in the lower third of the blood vessel, that is where the first problems with the venous outlet can be repaired.

According to the day, CVI is not є okremimy diagnosis. There is a complex of symptoms associated with damaged robotic veins, which can be developed in case of congenital and in case of abnormal pathology.

Causes of the blame

Causes of venous insufficiency of lower symptoms:

• change in the diameter of the venous bed;
• damage to the robotic valve mechanism, in case of problems with the flow of blood in the vein.

The most common cause of CVI is old varicose ailments and post-thrombophlebitic syndrome. In small patients, the problem of congenital abnormalities of the abnormalities (fistula, fistula) and traumatic ears is a problem.

In addition to the number of key reasons, there are factors in the risk of the pathology involved:

1. Spadkova agility to the development of weakness of the shipwreck.
2. Viability. In addition to hormonal overdrive, during the whole period, you will be able to get pregnant on the court, to develop varicose veins and the appearance of chronic venous insufficiency in a third woman's skin.
3. and endocrine pathology.
4. Overwhelming physical design.
5. Zayva vaga і obminnі ruin.
6. Atherosclerosis.
7. Congenital anomalies of veins.
8. Alcohol and chicken, which reduce the tone and elasticity of the blisters.
9. Hormonal contraceptives and in.

per key interruption There are three stages, the first for all is necessary for the selection of a suitable therapy - symptoms and symptoms of venous insufficiency of the lower symptoms to lie at the stage of illness and start:

1. Stage of compensation. At the first stage, the symptoms of venous insufficiency of the lower symptoms are just cosmetic signs: there are signs of vertigo, you can see varicose veins on the legs and in.

Deyakі patsієnti mean to increase the stomachache in the legs, and when they show up in the evenings, they don’t berate at the same time. Knowledge about the diagnosis and assessment of steps at a whole stage is possible only for additional special information.

2. Stage of subcompensation. At the third stage, the patient has trophies, which are ready for love. Standard patient's skargi for the whole stage:

• bіl і shvidka stomalivanst nіg;
• judgment and pokryuvannya in the legs;
• sverbіzh shkіrnykh pokrivіv;
• trophіchnі rozladi (virazka, eczema).

To navigate at the most stage of the patient is the most frequent to turn to fachivtsya, the first for everything through cosmetic defects (virazka, varicose veins).

3. Stage of decompensation. Insist on non-vortex trophies. Patients turbuyuyutsya nabryaki (elephantiasis), developing important turns, as they do not bend over, change the color of the skirts on their feet (crimson-black), torment pains, diagnose problems with walking.

Important! At the stage of CVI diagnostics, it will cause the main disease, which became the reason for the development of the symptom complex, as well as the form of CVI: swelling, sore, varicose veins, virazkova or zmishana. The diagnosis will sound like this: Varicose ailment. CVI stage II, nabryakov-painful form.

Elimination of venous insufficiency

Likuvannya venous deficiency of the lower symptoms to lay down at the first step, the formation and manifestation of the supportive acceleration. The problem is solved with a conservative and surgical approach.

Conservative therapy is based on:

• I will take drugs to improve the tone of the vertebral column (phlebotonics) and rheological power of the blood;
• Usunennya chinnik_v risiku (reduction of mass til, normalization of food and physical activity, planning of vaginosity);
• physiotherapy;
• prevention of the progress of the pathological process (wear of the compression blistering, bandaging, charging).

Promptly lіkuvannya straight on usunennya without middle varicose veins. For cyclical purposes, sclerotherapy (pediatric injecting sclerosant speech, as well as sclerotherapy), as well as developing surgery for resection of surface veins (according to Troyanov-Trendelenburg)

accelerating

Most of the patients are more important than the ugly expansion of the veins - the price and the smoldering of the ailments, but the problem is more serious.

Folding CVI can be:

1. Trophic paths. There are a lot of non-destructive defects in shkiri, which appear in neglected stages. Chi doesn’t give in to love and deliver unbearable bile to patients.
2. - firing the veins with blood clots (blood clots).
3. Thromboembolism of the Legendary Artery. Having caused a blood clot and migration through the bloodstream, it is possible to prevent blockage of one of the blood vessels of the leg artery and lead to a lethal result.
4. Ekzemi that.

prophylaxis

Prevention takes place in two groups. Before the first visit, go straight to the development of the pathological process:

• decrease in mass tila;
• physical customization;
• vidpochinok with raised legs;
• wearing a compressor if necessary;
• vidmova vid kurinnya i ін.

Come in to the other group, as you stream the progress of CVI and do not allow important acceleration:

• the wear of the compressor blend of the compression class (viznachaє fahivets);
• course of physical procedures (balneology, massage, etc.);
• planning vaginosti in the presence of varicose veins;
• physiological culture;
• regular monitoring of the veins (ultrasound and diagnostic methods).

CVI can deliver a lot of inappropriateness, as long as there is no information about її prophylactics. Competent regime, reduction of weight, control of the court and others, come in to help prevent the development of important acceleration.