After surgery on the veins swelling of the legs
If the legs swell, then the veins are waiting for help
July 28, 2008, 7:25 pm
The three letters of CVI in your medical card mean"Chronic venous insufficiency." In Russia, up to 60% of the population suffers from this disease in different variants and with varying degrees of severity. And one of the first signs of an evolving disease is the swelling by the end of the day.
However, "chronic venous insufficiency"it is rather a common name for several ailments, because of which the venous outflow of blood is disturbed in the legs. The reason for this is often varicose veins and deep vein thrombosis. But it happens that the violation of venous outflow is not associated with the disease, but is a consequence of other causes: pregnancy, obesity, long-distance travel and flights, taking certain medications.
"The main reason leading to chronicvenous insufficiency, - a violation of the normal operation of the valves of the veins, - says the executive secretary of the Association of phlebologists of Russia, doctor of medical sciences Vadim Bogachev. "The blood flows" back and forth, "and in the veins, especially the subcutaneous ones, the pressure increases so much that the walls of the vessel can not stand and begin to swell, like a balloon.
Another important reason leading to a violationwork of venous valves, is to increase intra-abdominal pressure. Remember that it grows rapidly when lifting weights, heavy cough, and also, if you are keen on bandages, corsets and generally wear tight clothes.
If the disease has not yet led to irreversiblechanges in veins, patients are usually prescribed conservative treatment. First of all, it is elastic compression with the use of special bandages or therapeutic knitted fabrics (golfs, stockings, tights). Elastic compression creates an additional frame for sick veins, preventing their stretching, accelerates the flow of venous blood, preventing the formation of blood clots.
But do not try to bandage yourself withoutpreliminary consultation with a doctor, since it needs to be done according to certain rules, and for different diseases of veins a strictly defined degree of compression is necessary. Therefore, you need a prescription, which will indicate the right degree of compression and the kind of therapeutic knitwear.
Another component of conservative treatment of CVI -this is the so-called "venotonic". These drugs are produced from plants containing bioflavonoids - substances that strengthen the venous wall. The effect of drugs, as a rule, begins immediately after the start of treatment and reaches a maximum after 1.5-2 months of daily intake.
As for various ointments and gels, theirthe action is based on the dilution of blood (usually they are created on the basis of the substance heparin), but the effect is very short-lived and weak. So one ointment of CVI can not be cured. In addition, the skin of the legs in diseases of the veins becomes sensitive to various irritants and you risk getting also allergic reactions.
Today, quite a lot ofa method of treatment of "vascular nets", as a laser coagulation. I must warn that it is effective only in the treatment of thin intradermal veins, whose diameter does not exceed 1 mm. Veins with a larger diameter can not be coagulated, and all attempts to do this can result in a skin burn with the formation of a long-lasting, resorptive scar. That's why in the world practice experts combine lasercoagulation of vascular asterisks on the legs with sclerotherapy.
Many patients believe that sclerotherapy destroyshealthy veins, as a result of which the load on other vessels increases and the disease progresses. It's a delusion! Sclerotherapy creates a kind of dam in the varicose vein that only lets blood into healthy veins, protecting the patients from further enlargement.
But sclerotherapy is effective and safe only whenlesions of intradermal and small subcutaneous veins. If the disease has affected the deep and connecting veins, this type of treatment at best will not help, and at worst - will lead to complications. Despite the apparent simplicity, sclerotherapy is a delicate procedure, requiring a lot of experience and skill.
With advanced disease, there is a needsurgical intervention. When only subcutaneous and connective veins are affected, in most cases after the operation a person becomes perfectly healthy.
During surgery, only the patient's veins are removed, thenthere are those for whom blood can not flow already. Overflowing with blood, these veins impede normal blood circulation. After their removal, the outflow of venous blood is normalized. The operation ends with elastic bandaging of the foot. After 4-6 hours after surgery, the patient can walk independently.
For everyone who has a doctor defined a chronicvenous insufficiency, the rule becomes obligatory for execution - "no thermal procedures, baths and saunas". The fact is that all the thermal procedures lead to increased blood filling of the venous system and its overload. Replace the steam room for sports - running, biking, walking and swimming. "
And remember that if you are a lady and you are alreadywas 45 years old; if you have to stand on your feet all day; if you already had problems with the veins in the family; if you take hormonal contraceptives for a long time, then you are at risk for chronic venous insufficiency. So, do not forget to visit a phlebologist to catch the disease in the bud.