Easy gait, long walk without fatigue, even with heels, beautiful ankles and buttocks, you don’t want to hide it from others-this is the benefit of healthy legs and there is no sign of vein disease. If one neglects the prevention of varicose veins, the way and rhythm of life will gradually change.
This is true for both men and women. The disease develops in different ways, and medically the stage of varicose veins is always controversial in patient identification. But you need to understand the classification, so as not to miss the moment when varicose veins are not treated by surgery.
The essence of the problem
Varicose veins are blood flow disorders in the great saphenous vein. Due to the problem of the venous valve, the venous valve must hold a part of the blood to move further to the heart, and the plasma will flow in the opposite direction and stagnate.
Pressure cannot push blood through veins in the lower limbs, causing the walls to stretch. Blue stripes and zigzag patterns gradually appeared on the legs, supplementing puffiness and bumps in the later stage.
But varicose veins are not immediately visible. The problem can continue to develop without visual symptoms. Therefore, people who have leg discomfort but do not find prominent veins attribute the discomfort to fatigue.
Varicose veins will not occur as a separate disease. This is just a sign of the dysfunction of the entire circulatory system, even at a young age. It is wrong to regard varicose veins of the lower extremities as a sign of old age. Because of varicose veins, many girls in their 20s hide their legs under pants and long skirts.
There are many reasons for circulatory system failure:
- The inheritance of parents. If the mother (in most cases) or the father has problems with the blood flow from the legs to the heart, the child should check and prevent the blood vessel and venous system. However, if there are no incentives, genetics cannot work in all situations.
- The technical interruption rules used in certain work areas (heavy legs but no movement) (hairdressers, sales department experts, accountants, programmers, drivers) are ignored. Heating the legs every 30 minutes can prevent blood stagnation;
- Certain health problems can affect blood vessels and veins-diabetes, heart disease, leg injuries, spine, obesity;
- Many women's pregnancy is the driving force behind the initial symptoms of varicose veins. The embryo not only increases the weight of the mother-to-be, it puts pressure on the legs, but also puts pressure on the internal organs and vital systems of the pregnant woman.
Varicose veins are a serious sign of internal problems. These internal problems have not yet been announced, but at least standard examinations by therapists are required.
Different stages of the development of venous insufficiency
Although human veins are not only located in the legs but also throughout the body, varicose veins in the lower extremities are more common. Both men and women suffer from this disease, but the proportion is higher in the beautiful half of the population.
Varicose veins are divided into several stages, which are classified according to their severity.This department is conditional, so the attending doctor can make a diagnosis and know which treatment plan is prescribed to the patient for a particular discomfort.
Medical experts have made many classifications of the stages of varicose veins. The international community has identified seven stages of varicose veins and drawn a line within the framework of stenosis symptoms. But in fact, varicose veins are diagnosed in three stages of disease classification:
- Level 1 (compensation phase)-The deterioration of blood flow from the legs to the heart is predetermined through lifestyle or genetic means, but the patient still has time to restore the normal function of the venous valve. The initial symptoms of varicose veins are mild and not taken seriously;
- Level 2 (Super Compensation)-Signs of venous insufficiency are visible and it is difficult to confuse it with other changes. After a long period of rest, the leg discomfort will disappear or be with a person often. At this stage, patients usually seek medical help. The changes in blood vessels and veins are obvious, but it is possible to relieve tension and pain in the lower limbs. When the thinning walls of the circulatory system begin to rupture from the excess blood, the third stage (decompensation) is the final stage of varicose veins. Skin tissue does not receive nutrition and will die. Skin ulcers are difficult to treat. In some cases, in the third stage of varicose veins, bacteria will join the ulcer. Stabilizing the patient's condition requires time, effort and complicated treatment.
The varicose vein stages listed are conditional divisions. Within each group of venous insufficiency, the mild, moderate, and severity of the disease depends on the symptoms described by the patient at the reception. Based on the fact that the pathological conditions of the veins are independent in each case, the transition line from one stage to another is insignificant, especially in the cases of degree 1 and degree 2.
Features of the initial pathology
In rare cases, doctors will diagnose 1st degree varicose veins because people will not go to the clinic when there is short-term edema or heaviness in the legs. Folk remedies can help them relieve fatigue. The swelling will disappear on its own after sleeping or changing high heels to slippers. If there are no predisposing factors, many people with 1 degree varicose veins will not enter another stage until they are old.
Changes in the vascular system occur not only in adults, but also in modern adolescents, who prefer computers, phones and other gadgets due to lack of mobility, rather than active leisure.
Only the arms and brain are trained, other parts of the body will not change position for a long time. Blood circulation slows, especially in the lower part of the bones. The knees are bent, the thigh muscles, veins and blood vessels are ruptured, and the hips cause stagnation.
Teenagers often complain of leg pain and cramps. In some cases, edema is visible, especially when you are overweight. There are no obvious symptoms of grade 1 varicose veins, but the initial stage has begun, and its progress depends only on the children or their parents' attention to themselves.
Teenage girls choose uncomfortable high heels to attract attention. The pressure in the veins of the lower extremities increases and causes the initial pathological state. The inability to stand and move high heels will deform the feet and increase the burden on the spine and bones of the legs and hip joints. Curvature negatively affects blood vessels because they are compressed.
The initial degree of varicose veins in young people is not worrying, because the symptoms disappear after a rest or a little warm-up. The signs of grade 1 varicose veins are as follows:
- Even without physical exercise, the legs are heavy;
- In the second half of the second day, if the feet are too small to wear shoes, or if the edges are visibly dug into the skin, there will be slight puffiness. If the legs rest or some measures are taken to reduce muscle swelling and tension, the symptoms disappear in the morning.
- In rare cases, short-term convulsions may occur.
In rare cases, with grade 1 varicose veins, there will be external signs of venous disease-thin veins or a network of blood vessels, which are compressed due to reduced blood flow.
It is difficult to diagnose the initial stage of the pathology by itself, because the symptoms listed are observed in other diseases, such as diabetes, kidney problems. For diagnosis and treatment, you should see a doctor at the first signs of discomfort.
Varicose veins are not only located in the legs, if there is no change in the lower limbs, you can skip the initial stage.
Level 2 function
In the initial stage of venous pathology, there is no prevention or treatment after a period of time, and it enters the sub-compensation stage. Symptoms of grade 1 varicose veins occur more frequently and last longer.
External changes on the skin-swollen veins or a large number of spider veins. At night, or even during the day, cramps occur, and the patient feels pain and cannot move the leg. During the hardware examination of the veins of the lower extremities, changes in valve operation were observed.
The pressure in the blood vessels increases, but it is difficult to push the blood without closing the valve. The form of blood stagnation appears on the skin in the form of blue nodules.
- The symptom of stage 2 venous insufficiency is swelling, which has not disappeared after resting and taking preventive measures. Oedema is caused by the inability of blood to rise through the veins, and hemodynamics are impaired. The liquid part of blood (plasma) begins to penetrate under the skin through thinned veins and small blood vessel walls, because its transport function is impaired.
- The skin color changes due to insufficient blood circulation and nutrient intake. The epidermal cells are brown and gradually turn black. Inflammation, and thus form the initial stage of ulcer formation;
- Patients who are in the second stage of the disease complain of severe pain, muscle numbness, and skin itching. Symptoms are caused by the lack of adequate nutrients in the epidermal cells.
If the diagnosis and treatment are prescribed in time, the stage of compensation for varicose veins is considered hopeless. If you find one or more signs of 2nd degree varicose veins, you will not be able to take the medicine yourself and listen to the blesser. Only a doctor will help you solve this problem.
Level 3 function
If people do not pay attention to themselves and do not receive the respect they deserve, they will reach level 3 of venous insufficiency. In rare cases, the first stage of pathology can cause discomfort and change the quality of life, but the second stage of venous insufficiency should not be ignored, so as not to see a doctor and receive rehabilitation.
Degree 3 pathology is the most serious and dangerous because it will form trophic ulcers, which cannot be cured even with medication. In the decompensation phase, the body has exhausted its ability to maintain the normal functioning of the veins.
The wall is stretched and thinned to the limit. If there is any damage, there is a danger of breaking. Another problem with grade 3 varicose veins is thrombophlebitis-blood vessel blockage, thrombosis, which can fall off and cause death.
In extreme cases, venous insufficiency reaches its final stage. The reason for this attitude of people towards themselves is unclear. It seems strange to tolerate pain, feel aesthetic discomfort and not be able to walk easily. Diagnosing the problem in time and following the doctor's advice will prevent varicose veins from even passing through 1 pathological stage.
After considering the classification of varicose veins in the lower extremities, it is worth noting that other venous insufficiencies occur in other parts of the body. This kind of problem is more difficult to find, but when there is discomfort in the legs, you can also consider the disturbance of venous blood flow in other places.
How to diagnose pathology
At the first signs of leg discomfort, you need to contact a medical institution. The diagnosis and treatment of venous insufficiency is carried out by a phlebologist, but preliminary consultation can be made from the therapist.
- Visually inspect the condition of the capsule on the leg, whether there are orthopedic changes and other physical signs;
- Palpate not only the legs but also the groin and abdomen.
- Hear the complaints of patients;
- The detailed medical history is compiled in the form of survey interviews. The problem is mainly focused on determining what has become the starting point of varicose veins.
- Routine blood and urine referrals are required to determine the patient’s general health.
- Functional test to determine the degree of vein dilation (Schwarz, Perthes, plantar test);
- In the case of varicose veins enlargement, the patency of the vein and the condition of the venous valve will be checked by hardware-dual-power ultrasound (DUS), plethysmography, venography, rheological angiography.
After all the measures used to diagnose venous insufficiency and determine the degree of varicose veins, preventive measures, conservative treatments, other methods of treatment should be taken, as well as surgical interventions in extreme cases, and the use of lasers to eliminate pathological measures.
How to deal with varying degrees of venous dysfunction
The sooner the signs of varicose veins are found, the easier it is to solve the problem. If you start prevention in time, you can completely eliminate the initial stage of the pathology without the use of drugs:
- Change your rhythm and lifestyle. Often due to professional activities, a sedentary or standing lifestyle can lead to impaired venous blood flow. Exercise must be increased to enhance hemodynamics and prevent high pressure in certain areas. When overweight, the normalization problem should be solved gradually;
- Choose comfortable and correct shoes. In the case of orthopedic deformities, consider this issue and choose shoes. Only use high heels on special occasions;
- Give up bad habits that can cause vascular system problems;
- If you are overweight, reduce your weight and increase the burden on your legs;
- Choose the right exercise to help blood flow from the legs to the heart.
In the initial stage, the doctor prescribed venotonics, creams, and pills to relieve the load on the vein wall and restore its elasticity. Medical sweatshirts must be individually customized to reduce pressure on the legs.
When external symptoms cause aesthetic discomfort, special ingredients (sclerotherapy) are introduced into the vein, but this is rare in the early stages.
The second stage of venous insufficiency requires more attention so that the problem does not progress to stage 3. The specificity of eliminating second-degree pathology is similar to the treatment of initial varicose veins. Prescription drugs can reduce the risk of blood clots, reduce tissue swelling and restore blood flow.
The surgical treatment of 2 degree varicose veins is performed under the condition of obvious changes in the skin-convex veins, venous mesh, blood vessel pattern. In the treatment room, radiofrequency or laser treatment is performed. Sclerotherapy is also shown, when the external defect in the eye disappears after the external defect is introduced into the problematic injection site.
Compression clothing is necessary to improve blood flow and reduce pressure on the legs.
How to treat grade 3 varicose veins when the condition of the veins and tissues is in a terrible state and the body cannot correct it? Treatment is only surgery to prevent thrombosis, vein rupture and restore systemic hemodynamics.
Vein extraction surgery is usually performed-removing the affected blood vessel. Surgery with surgical instruments (traditional methods) or lasers without a single incision (modern methods for the treatment of grade 3 varicose veins).
The formation of ulcers complicates the course of the disease, and it cannot be cured even with medication. Therefore, surgeons are essential at this stage. After a successful operation, individual medicines, dressings and medical linens will be selected.
Summary
Varicose veins are not a harmless beauty defect in the legs and other parts of the body, but a serious pathological phenomenon. Connivance of this disease can make people’s life painful and keep walking in the officeCome and go.
The initial stage of venous insufficiency is inherent to most people, but because people do not understand the possible consequences, diagnosis is rarely made.
If the professional activity involves sedentary images or standing motionless feet, there are pathological examples of relatives. You need to take preventive measures and rule out the progression of the disease at the initial stage. Ignore the problem, and you may not notice how the vein will cause other pathologies.