Varicocele on the legs is a chronic change in blood flow due to mechanical, toxic, traumatic or other factors.
To better understand the nature of the pathological process, you need to refer to anatomical information.
The lower limbs provide two main methods:
- On the artery branch.They carry oxygen-rich blood and provide only useful compounds for cells.
- Through veins.Liquid tissue can tolerate carbon dioxide and unnecessary substances for processing, in reverse movement in the blood, involving veins.
It should be noted that different types of blood vessels are not connected or reported and the system is completely shut down.
The blood through the veins moves strictly in one direction.The muscle layer in these structures is very weak and all work falls on special valves.They are like partitions and do not pass through the doors of liquid tissue in the opposite direction to the applied direction.
Valves are weakened in the context of increased venous pressure, injury, injury and other factors.The blood moves backward and the load on the blood vessel wall increases.Vienna wears faster.
Under mechanical effects, the dialing structure changes its properties and size.The variable itself begins.
The disease is characterized by vascular deformation, a decrease in functional activity, protruding along the entire length of the wall-like aneurysm.
Variables are dangerous over time.Treatment should be started immediately from the moment the pathological process is detected.
A characteristic of the disease is relatively unwelcome progression.The main factors for patients are men and women over 18 years of age.
Although development is relatively difficult to develop, the behavior of this disease is unpredictable.Never say in advance what will happen with the critical complications.
The doctor who treats this disease is a bloodletter.
Development mechanism
The pathological processes are based on heterogeneous factors, and if they are generalized and composed of approximate pictures, the options will be as follows:
Mechanical impact
Increase physical exercise on the legs.For example, it can be achieved by strengthening movement.More common options are the characteristics of professional activities (builders, teachers, chefs and others suffer), which adds weight because the load on the legs increases.
Have the opportunity to overcome the pathological process in time.The most important thing is to eliminate abnormal factors.
Traumatic lesions in surrounding tissues
It's not the vein itself, but the surrounding area.Bruises of soft structures, muscles, ligaments, partial and complete fractures.
There are two reasons for varicose veins: changes in vascular compression tissue, and uneven distribution of lower limb load.
Interestingly, the culprit of varicose veins can also be diseases of the musculoskeletal system: arthritis and similar.
Compression of legs
This refers to external influence.Violation of blood flow usually causes the patient himself with his own unreasonable actions.
For example, the wearing of tights or socks is affected.Especially women like that, they are ready to put themselves in a healthy state in pursuit of beauty.
When compressing the legs of the area (below the compression part), a stagnant process is encountered.Venous lymphatic outflow is severely disturbed.This leads to rapid progress of varicose veins.
In some cases, the pathological process begins later in a few years due to negative effects.
Hormone balance violations
Diseases produced by substances from the thyroid, adrenal and pituitary gland are affected.
Changes affect other compounds: Hormones, androgens, and estrogens of the reproductive system.They partially regulate the tones of large blood vessels, veins and arteries.
Genetic characteristics
According to research, the history of injection plays a major role in the development of pathological processes.This is not a trigger, but a clear premise that the probability can be increased multiple times.
Of course, the existence of relatives suffering from varicose veins is not a guarantee of the development of the pathological process, but the probability is significantly higher.
It is necessary to adhere to prevention rules to minimize risks.
Secondary amine disease
For normal operation, regeneration of veins, arteries, ascorbic acid is required.In addition, vitamins of B, E, E, D cannot recover blood vessels normally without them.They wear out quickly and lose their former elasticity.
If the lack of state lasts long enough, i.e. for several months, do not avoid venous changes.
The disease develops faster than usual, and it only takes several months to develop at a clear, dangerous stage, and up to several years.
Congenital vascular abnormalities
Often, perspectives do not develop in isolation.Other deviations can be found.Therefore, diagnosis is not a problem.
Natural state
Characteristics of pregnancy, severe birth, hormonal background in adolescence or close to old age.
There are other less common mechanisms.For example, drunkenness, exposed to radiation, etc.The most common one is naming.
Varicocele is a disease characterized by a deviation system: venous deformation, formation of aneurysms, star, and thinning of the inner membrane.The influence of a group of pathogenic factors is possible.
Classification
The method of this unit is related to the stage (the form) of the pathological process.About the order of everything.
The techniques used in medicine distinguish the development levels of three diseases:
- compensate.The patient had no complaints about his health due to lack of symptoms.The pathological process at the beginning of its development.But there are already obvious signs: the dilated veins protrude through the thickness of the skin.In the past few years, illegal acts will enter a new stage.
- Subcompensation.The clinical signs of varicose veins are clearly expressed.Among them, you can distinguish between pain, the severity of your legs, a feeling of chicken skin ump, weakness, and convulsions at night.After rest, they came.There are also visible manifestations.You can make the diagnosis without any problem.
- Compensatory.In addition to the symptoms already mentioned, there are other areas: numbness in the legs, loss of sensitivity, common rashes, persistent itching and burning areas of the lesions.
There is a real risk of tissue necrosis and thrombosis.Treatment is urgent, otherwise - do not pass disability.
permanent
There is a recognized international typical example of pathological processes in stages (category):
- 0.The visible symptoms of the disease are very small.The patient talks about the severity of the lower limbs.This stage can continue indefinitely.
- 1.Stars form on the surface of the legs, and the veins are expanding and becoming visible.The clinic is the same.The largest - nighttime seizures, which are rapidly and suddenly interrupted at the beginning.
- 2.The clinical signs are the same.Through visual evaluation of the lower limbs, doctors reveal visible varicose veins in the veins: they branch, protrude, and form complex deformations.
- 3.From this stage, obvious edema begins.
- 4.Rheumatism, itchy varicose dermatitis.The skin above the surface of the lesion turns the shadows into dark skin and is noticeably compact and dry.It becomes thinner because any mechanical effect will arouse a painful deep comb.
- 5.A small erosion occurs.
- 6.Intact nutritional ulcers are developing.
For the complete formation of the pathological process from 0 to 6th stage, it will take up to several decades.
symptom
The clinical situation depends on the stage of the disease.If you provide a list of average representations, the list will be as follows:
- Heavy legs.Especially after mechanical load, work for a long time on working days.Walking and standing in a place becomes problematic.Symptoms only worsen over time, indicating the progress of the violation, allowing you to suspect varicose veins at an early stage.
- Sports activities intolerance.At first, the patient was unable to walk for a long time and then stood.If you start a disease, it will only get worse.A person will not be able to climb stairs without a long rest.This is due to venous lymph stagnation due to venous swelling.
- Pain of different intensities.Does not exist in the initial stage.Then, after a few months or years, the severity of performance is increasing.Stupid, uncomfortable feeling began.
They intensify after physical exercise and their body position changes dramatically.
By the last stage of the disease, the symptoms remain unchanged from the patient and will not disappear at all. - Visual changes in containers.They look like abnormal branches, the formation of stars on their legs.These manifestations clearly indicate the onset of varicose veins.Therefore, over time, diagnosis becomes easier.It is still just to elucidate the localization of the change and its extent.
- swelling.They gradually begin from the second or third stages of the pathological process.First - until the end of the day.Pass after rest at night.Then, the change in quantity continues to remain and will not end at all.Often, these signs are associated with the first, and then the other leg.
- Cramp in the dark.Violating muscle tone, cramps are the first sign of varicose veins, which are caused by venous lymphatic outflow, tissue nutrients, and slowing cellular respiration.
crampThey prevail at night, accompanied by very severe pain.Patients cannot even stand on the affected legs during the day.Gradually, the frequency of spasms only became higher.
- Itchy skin.A warning sign for varicose veins, characterized by a gradual malnutritional disease.In the initial stages of erosion, there are no ulcers.But it's a matter of time.
- Change the shadow of the dermis.Pigmentation.Darkening of the skin surface.Near the final stage of the pathological process, the lower layer obtains a rich raspberry tone.
The characteristic symptoms of varicose veins in the lower limbs are the skin seal above the lesion, which is related to large scars in tissues under the surface of the epidermis (the outer layer of the skin).
- The formation of rash.Therefore, it is called varicose dermatitis.This is a sign of the final stage of the pathological process.The small papules are very itchy and they do not allow patients to live normally.Complications may be secondary infections on the surface of the wound.
- Nutritional ulcers.A clinical sign, characterized by the formation of large erosion, is the focus of tissue attenuation.First - superficial, then fatty fiber.And not far from necrosis.Therefore, you cannot perform treatment.
Symptoms of varicose veins are caused by tissue nutrients, venous outflow disorders, epidermal damage and subcutaneous fat.
The clinical signs progress slowly because there is an opportunity to start timely treatment.The patient's task is not a big deal.
Profile experts who need to be contacted - bleeder, dermatologist, hematologist.
reason
A variety of factors or one factor affects but develops with very fierce provocations.
There are several options:
- Physical exercise.Step long, stand still.Usually, such moments are related to the characteristics of professional activities and lifestyle.
- Injuried.Crack, all or part.It also bruises and damages soft tissue.
- Secondary amine disease.B, E, D, ascorbic acid deficiency substances.
- Genetic factors.Genetic moments, burdens heavy family history.The possibility of a pathological process increases, but there is no guarantee that the disease will begin.
- In the context of hypothermia, creatine minerals.
- arthritis.Arthritis.
- Hormonal imbalance.Deficiency or excessive joints of the thyroid, adrenal, pituitary gland.
- Legs on the legs.The cause of varicose veins is infectious or non-splenish venous inflammation.
- Vasculitis of lower limb blood vessels.Autoimmune lesions.
- Pregnant.The entire musculoskeletal system grows because of changes in the hormonal background and load on the legs.
- Action period.About 17-20 years.
- Menopausa (Andropauza).Krimks.Gradually attenuated reproductive function.
The causes of varicose veins can be traumatic, inflammatory, degenerative, malnutrition.
diagnosis
Hivetie scientists are conducting an examination.Only then, if necessary, other experts have been connected.In the method:
- Oral investigation.The doctor must know the patient's own complaints.
- Hang - up collection.A study on the possible origin of the problem.
- Visual assessment of leg status.From there, there is an opportunity to study the nature of the pathological process, its characteristics.
- palpation.Physical technology.
- UZDG.Multiple placement of blood vessels in the legs.Allows you to detect anatomical changes in the lower limbs and deviations in blood flow velocity.Used as the main methodology.It allows for quick diagnosis and study of disorder.
- X-Thunder.If there is such a demand.
- In particularly difficult circumstances, the doctor prescribed an MRI.
The development of varicose veins on the legs is sufficient for the swelling of the lower limb veins, and the signs of visual characteristics can be diagnosed on it.Next, the severity of the pathology is still necessary.
treat
The initial stage of treatment is conservative.There are three correction methods that can be distinguished in total.
drug.It involves systemic drug administration.Prescriptions are prescribed to stimulate microcirculation, blood flow, valves, and protect blood vessels from further tissue damage.
In a set of funds:
- Poison.
- Vascular protectant.
- Vitamins, antioxidants.
In addition, physical therapy, exercise therapy, massage prescriptions are shown, and compressed knitted clothing is displayed.
Conservative techniques are used for auxiliary correction in the initial stages of a disease or in other leading methods.
A minimally invasive method.Treatment of varicose veins in the lower limb involves the use of special sclerosis drugs liquid nitrogen to destroy the affected blood vessels.
Sclerotherapy or radiofrequency ablation methods are used for obvious but no critical stages of the disease.
Surgery method.The treatment of varicose veins in the legs requires the use of laser, current, or direct removal of the affected blood vessel - venectomy.
The doctor removes half of the structure and sews the final healthy area to form a fit.The blood will be restored soon.
There are several operating techniques.The doctor's choice remains.
forecast
Varicocele on the legs is completely cured in the first three stages, and then there is a risk of complications, irreversible changes in leg tissue: ulcers, muscle atrophy, etc.Although survival is still almost 100%.
In the context of necrosis, common erosion, sepsis, the likelihood of death is tenfold.
Usually, the disease is well treated.
prevention
Preventive measures are very simple, mainly by strictly following them:
- Separate.Every hour or two, you need to crush.Especially the sitting/standing lifestyle.
- Wear comfortable shoes, socks, leggings.It is best from natural materials.
- Use compressed knitted garments.
- Light physical activity.Swimming, running.The most important thing is whether it is overwhelming.
- Appropriate nutrition.More vitamin-based products.
- Best drinking mode.1.5-2 liters per day.
Lack of fluid can negatively affect the blood, thickening of blood, worse moving through blood vessels, and increasing pressure in the venous network.
result
Complications can be fatal.One of the options:
- Muscle dystrophy.
- Bart.Partial loss of sensitivity
- Ulcer formation with a secondary infection probability.
- Fabric necrosis.gangrene.Especially in the case of deep vein failure.
- Bombing of blood vessels in the legs, thrombotic varicose veins.
- septicemia.Blood poisoning.
- Disability.
Varicocele in the lower limbs is the pathological change of shape, structure, and blood vessels in the legs (not only) with the loss of muscle function.
The disease progresses slowly, but without quality treatment, the results will be pathetic.