Reticular varicose veins - a plexus of small vessels made of red, blue, purple color, translucent through the skin. You can occur on the face, stomach, chest, but the most common localization - the lower limbs.
What are reticular varicose veins
In the human body, blood circulates according to arteries, veins, capillaries, veins. Arteries are the largest ships in the circulatory system. They are connected to the veins. The smallest vessels are veins. Surface vessels can be felt on the lower extremities under the skin. Their diameter is larger than the diameter of the capillaries, but less the diameter of the fuselage veins. Such a venous network is referred to as a reticular. In other words, reticular veins are small millimeter vessels that are visible on the legs under the skin.
There are valves in every vein. They filter the direction of the blood movement and its volume. There is only one valve in the reticular vein. If it is deformed, the vein is expanded, twisted and guides a larger blood volume. The venous pressure in the skin layer of the skin increases in a certain area due to the blood accumulation. Cream deficiency develops and reticular varicose veins - a plexus of small vessels made of red, blue, purple color, translucent through the skin.
At which places do reticular are usually
The vascular plexus of small vessels can occur on the face, stomach, chest, but the most common localization - the lower limbs.
Retikulars on the legs are found:
- On the back of the knee joints. Spider networks are observed in young women;
- in the upper part of the legs;
- on the inner surface of the hips;
- Over the ankles.
Causes and risk factors for the development of reticular varicose veins
Most of the time, the disease is observed in women. The trigger is a violation of hemodynamics. Due to the fact that the valve is deformed, the blood circulates in the opposite direction. The plexus of blood vessels is overwhelmed and the blood is stagnated. For this reason, the walls of the vessels expand, become lighter and more noticeable through the skin.
This can precede this state:
- Hormone jump. A decrease in estrogens and the growth of progesterone leads to a loss of the venentonus and the expansion of the lumen of blood vessels, fast blood clotting and a decrease in the plasma antitentrombina. Flobopathy develops. This process is often observed in pregnant women and women who take oral contraceptives.
- Inheritance. The change in the connective tissue is transmitted along the female line with varicose veins in a mother or grandmother. The risk of expanding reticular vessels is already at a young age.
- Last load. The diagnosis is more often made for people who work or work while standing. Reticular varicose veins of both limbs are observed in office workers, bookholders, moving companies, hairdressers, teachers.
- Frequent flights on the aircraft. The tone of blood vessels and blood flow in reticulates change with air travel due to atmospheric pressure jump.
The development of the disease is tightened by smoking, obesity, arterial hypertension, second and subsequent pregnancy, taking corticosteroids, cirrhosis of the liver, systemic scleroderma.
Sign
The disease in the first stage is latent. You can assume the reticular form of disease disease of the lower extremities in cyanotic skin color. Thin veins appear in the shape on the feet:
- a tree -like form (from a base, many vessels to the left and right);
- Web or stars (ships go from the center in different directions);
- Lines (even streaks of blood).
Branial veins are particularly striking at the end of the day after playing sports, lifting weights, a long static position, running or long hikes. In the morning the defect on the legs is invisible.
If blood flow deteriorates, simultaneous symptoms are worsened:
- Complaints in the calf muscles. Involuntary cramps suddenly occur and pass according to the massage of the limbs;
- Severe and fatigue in the legs;
- Burning and itching in legs and feet.
The clinic manifests itself more during menstruation due to increased blood flow.
The symptoms are faded after they rest with raised legs. In contrast to varicose veins, pain, edema and trophic disorders.
The risk of reticular varicose veins
In many cases, patients do not pay attention to vascular stars and in a hurry to the doctor. There are practically no symptoms, so women write the visibility of the veins on a cosmetic defect.
If you do not start treatment in the initial phase, the valve deficiency develops on underlying pathways. The reticular varicose veins of BPV vogeous flows are particularly dangerous. A large subcutaneous vein runs along the medial side of the legs and connects to the thigh vein. When the BPV valves are deformed, disease disease develops.
With longer ignoring the problem, the vascular network and the risk of trophic ulcers are increased.
Diagnostic procedure of the disease
The diagnosis is determined by a phlebologist. He examines the patient who lies and stands. The doctor has to distinguish reticular varicose veins from the telangiectasy, the initial stage of the Mesh Lvedo, the Clippel Teenon syndrome, the Maffuchchi syndrome, the Bloom syndrome and the port coloring.
An ultrasound in the duplex mode is prescribed. With the help of ultrasound, the condition of the valves of the veins is evaluated. The diagnosis is determined when a violation of the reticular blood flow is confirmed, i. e. H. There is obstruction and return flow of surface vessels.
UZDG carried out. Dopplerography shows the direction of the blood movement. During the scanning, the doctor asks to stop, to strangle, to simulate walking. The image of the vessels of green and red is displayed on the screen. The red color shows the length of the pathological area and green - the functionality of the venous valve. The direction and speed of the blood movement is given.
Treatment of reticular varicose veins
The result is favorable when treating a reticular form of disease diseases in an early stage.
First, a phlebologist prescribes drug therapy to improve blood flow in connection with compression therapy.
Pharmaceutical therapyIncludes the absorption of the venotonics based on rutoside, heparin, troxerutin, diosmine. They set the drainage of lymph, strengthen the walls of blood vessels, normalize the vascular permeability, increase the venentonus, prevent cramps and development of trophic disorders.
Depending on the number of reticulars, the doctor selectsCompression stockings. In the case of subcutaneous veins on the lower legs, it is recommended to have pantyhose therapeutic effect. When spider networks appear on the back of the knee, band with an elastic association or wear of compression punishments in class A.
If the number of reticulates increases and the vascular network is also noticeable after calm, treat the lower extremities with the hardware method.
Laser therapyIt consists of the influence of a light beam on a vascular plexus. The laser heats the vein, with the inner surface of the ship destroyed. The blood stops flowing through this vein. To achieve the result, you have to carry out 2-3 procedures with an interval of 2-3 weeks. After 12 hours you cannot load the limb in the sun, show off and go to the bath house. The laser coagulation has a disadvantage. If the doctor affects the same page for a long time, you can get a burn. The method is effective for blood vessels of less than 1 mm.
With the expansion of veins by more than 3 mm, it is prescribedSclerotherapy. It is to bring a special sclerosant to the lumens of the veins that are controlled under the control of ultrasound. The substance sticks the walls, with the blood supply to the pathological area. A substance in the form of foam is used to treat intrader -painted varicose veins. The procedure is painless because injections are made by the best needles. Perhaps burning at the time the drug was administered. After the injection, a tight bandage is drawn. A cool shower and the removal of compression lines is permitted on the same day.
The microphlebectomy is not carried out with a reticular kind of illness.
Treatment is not effective if you do not remove the cause. Oboor people have to adjust the weight to reduce the load on the legs. Office employees have to pause, get up and go for a walk every hour. High shoes fans should wear comfortable shoes with a wide block and a heel of the heel of no more than 5 cm.
Treatment of reticular varicose veins in the doctor's clinic:
Endovasal laser coagulation (EVVK)
If you have varicose veins, this does not mean that you have to carry out the operation! With new medical technologies you can get rid of this disease without surgical intervention.
Sclerotherapy
Sclerotherapy is a methodology for the treatment of varicose veins by introducing sclerosant (special medicine) into the affected veins.
Echosclerotherapy
The technology is used in cases where it is necessary to "in stock" large veins.
Foam-shaped sclerotherapy
The foam form technology (foam sclerotherapy) is used to "binding" varicose veins with a diameter of up to 6 mm.
Film sclerotherapy
The latest and unique method to combat cramp vessels of all size.
Venalenal prison prison
Non -surgical treatment of chronic venous insufficiency and varicose veins using venapeeal biochal.
prevention
If the development of the disease gives an inherited disposition, it is recommended to do simple exercises every day to maintain the peripheral blood circulation:
- In one position, lie down the legs on the wall and keep vertically for 5-10 minutes;
- In the morning after waking up "scrolling the bike" and swing to the right and right on top of each other;
- Go still while you can't tear your heels out of the ground;
- Lift your legs and turn your feet.
- After lifting from the bed, ten cracks from toe to the heel and from the heel to toe.
Each exercise must be carried out 10-15 times a day.
To maintain normal blood flow, they don't sit on the leg. When the work is sitting, you should put a roller under your feet and keep it at the top.
A contrast shower the vessels in the morning, but you have to start gradually. You have to adjust the temperature by 1-2 degrees every day.
If there are individual extensions, the massive appearance of varicose veins helps to reject salted products. It is worth restricting the consumption of smoked meat, marinades and cucumbers.