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Leg swelling venous insufficiency

08 Aug 18

Venous edema: a symptom of varicose veins and vascular insufficiency

The appearance of edema is more common in people who lead an inactive lifestyle, including working in a forced static body position. The typical localization of congestion is the ankle joint and foot. During intense physical activity, the rate of blood circulation in the vessels is much higher, and therefore the risk of edema is reduced.

The occurrence of edema and congestion in soft tissues is directly related to disruption of normal blood supply in the lower extremities. Pastyness of the lower extremities can be noted constantly or periodically. So, the main causes of short-term edema are:

  • wearing uncomfortable shoes;
  • late stages of pregnancy;
  • increased load on the legs;
  • prolonged stay in a static position:
  • overweight.
  • Such swelling usually appears in the evening and disappears after proper rest and sleep. There are also chronic edemas that appear constantly, regardless of load or other factors. In this case, persistent swelling localized in the lower extremities or on the face may be a symptom of the following diseases:

  • renal failure;
  • diseases of the heart and blood vessels;
  • deep vein thrombosis;
  • liver pathologies;
  • diseases of the joints of the lower extremities;
  • high pressure in capillaries;
  • increased permeability of vascular structures.
  • The main cause of venous edema in the legs is a violation of blood transport through the deep and superficial veins. Congestion provokes a narrowing of the vascular lumen, impairing the functioning of the muscular-venous valves. All these processes lead to changes in intravascular pressure and deterioration of the permeability of the venous walls. Persistent persistence of edema contributes to the development of trophic ulcers.

    Symptoms and manifestations

    Signs of swelling of the lower extremities appear equally on one or two legs at once. Typically, swelling is bilateral and appears due to chronic venous insufficiency, lymphedema, thrombosis of venous vessels, and osteoarthritis. Venous edema itself is a symptom, but other manifestations may also accompany it:

  • headache;
  • heaviness and pain in the legs;
  • pale skin;
  • increased sweating;
  • general weakness;
  • numbness of the muscles in the legs.
  • The intensity of clinical manifestations of venous edema usually depends on the patient’s lifestyle, as well as on the severity of venous insufficiency. Symptoms of varicose veins of the lower extremities do not differ in any way between men and women.

    Edema in CVI is classified according to numerous criteria, including the extent of the affected limb. There are two main types of edema:

  • Limited or localized. Swelling is characterized by the accumulation of stagnant fluid in a separate area of ​​the body or organ. They become the cause of pathological changes in the venous system against the background of deformation of the choroid plexuses and impaired outflow of lymphatic fluid.
  • Generalized or widespread. The pathology is formed against the background of a systemic disturbance of the water balance throughout the body. Typically, generalized edema accompanies heart or kidney failure, pathologies of the liver or gastrointestinal tract. The condition is often observed during pregnancy.
  • Swelling is distinguished against the background of venous insufficiency. So, at an early stage of development, such varicose edema appears in the evening and disappears by morning. As the disease progresses, the pressure inside the veins increases and the lymphatic system is not able to quickly remove the accumulated fluid. If there is no proper treatment, a disease such as lymphoderma may occur.

    Which doctor treats venous edema

    If varicose edema of the lower extremities occurs, you must contact your local physician to initially determine the cause of its appearance and refer it to specialized specialists: nephrologist, cardiologist, endocrinologist, phlebologist, hepatologist and other doctors in the appropriate medical profile.

    To establish the nature of varicose edema, a physical examination of the patient and palpation of foci of pastosity is sufficient. If there are signs of chronic venous insufficiency, the following types of research are prescribed:

  • X-ray examination with contrast agent;
  • tomography of veins and vessels; duplex scanning of veins;
  • phlebography;
  • determination of venous pressure.
  • Important diagnostic criteria are the collection of the patient’s clinical and life history, blood and urine tests. When simultaneously determining swelling on the face, you should undergo a large-scale study to exclude various diseases of internal organs and systems.

    Treatment of venous edema is always complex. First of all, it is important to limit the load on your legs. With severe swelling, absolute rest is required. Legs should be elevated and rest on the bolster. Next, compression hosiery and medications are prescribed to improve blood circulation and the condition of venous structures.

    Physical activity

    An active lifestyle helps prevent the formation of venous edema and improve the general condition of the body. Playing sports at any age will benefit not only the body’s vascular system, but will also restore overall well-being. It is acceptable to engage in swimming, light jogging, dancing, race walking, and yoga. All these activities help maintain the tone of the venous walls and stimulate blood circulation. It is recommended to wear compression stockings during exercise.

    Wearing compression products

    Elastic bands (bandages) and special medical knitwear (stockings, tights, leggings) can be used as compression therapy. Elastic underwear and knitwear have a number of advantages:

  • improving blood flow;
  • protection of legs from injury;
  • preventing the appearance of new ulcers.
  • The main disadvantages of use include lack of control over muscle contraction, stretching of the material and unreliable fixation. The disadvantages can be practically eliminated when using high-quality expensive knitwear.

    Sclerotherapy procedure

    Sclerotherapy is used in the early stages of varicose veins, when minor external defects need to be eliminated. The procedure involves administering a drug that is a sclerosant. It literally sticks together the blood vessels at the site of the lesion and prevents blood flow in the area. As a result, the vein collapses while eliminating the skin defect.

    Drug therapy

    Treatment of varicose veins in the legs and varicose edema is long-term and systemic. In rare cases, high therapeutic results are achieved after just a year of intensive treatment. The main drugs for the treatment of varicose veins are:

    The use of local and systemic drugs can be combined to improve the therapeutic effect. It is important that the course of treatment is not interrupted and carried out day after day. All medications must be approved by your doctor.

    Physiotherapy improves the effects of medication and allows recovery after surgery. In the early stages of varicose veins, physiotherapy allows you to get rid of the external manifestations of the disease. The effects of magnetic fields, diadynamic currents, laser correction, and electrophoresis are considered especially effective.

    Surgery

    Radical treatment is prescribed only when traditional methods of therapy are ineffective and when there is a marked increase in the clinical manifestations of the pathology. There are several main methods of performing a surgical operation:

  • phlebectomy - complete or partial removal of deep veins or their sclerosis; more about phlebectomy>
  • mini-phlebectomy - removal of a small section of the affected vein;
  • stripping - excision of only the venous node;
  • cryostripping - literally freezing a venous node to a cryoprobe, after which the node is removed;
  • laser coagulation - cauterization of damaged veins and normalization of blood flow; more about laser treatment>
  • vein sclerosis - the introduction of a sclerosant drug that “blinds” the walls of the affected vessel; more about sclerotherapy>
  • radiofrequency obliteration - cauterization of damaged veins with high-frequency radio waves. Read more about radiofrequency obliteration>
  • Surgical correction has disadvantages, including complications: thrombophlebitis, visible defects on the skin, internal bleeding, non-healing trophic ulcers.

    Prevention allows you to reduce the complications of varicose veins, as well as simply prevent the development of venous edema at an early stage of the pathology. The main activities are:

    • body weight control;
    • active lifestyle;
    • wearing comfortable shoes and compression stockings.
    • When the first symptoms of varicose veins appear in the form of swelling of the legs, you should consult a doctor for timely diagnosis and adequate therapy. Swelling in the legs and a feeling of heaviness significantly worsens the quality of life of patients, regardless of gender and age, and makes it difficult to wear usual shoes.

      What to do if your feet are swollen

      Swelling of the legs, namely the feet and ankles, is quite common and usually not a cause for concern, especially if you spend a lot of time on your feet. But if the swelling does not go away overnight or is accompanied by other symptoms, it may be due to serious health problems.

      Complications during pregnancy

      In general, some leg swelling is normal during pregnancy. But sudden and rapidly growing swelling (not only in the legs, but also in the arms, face, etc.) may be a sign of preeclampsia. This dangerous condition is characterized by increased blood pressure and the appearance of protein in the urine in the second half of pregnancy. If you feel unwell due to sudden significant swelling, then immediately call an ambulance or otherwise (by taxi, with relatives) go to the emergency room of the maternity hospital.

      Your feet may swell after an injury, such as a sprained ankle. To reduce swelling, try not to step on your injured leg. Apply an ice pack to the injured limb and wrap it with an elastic bandage. Elevate your leg using a chair, pillow, or other available means. And consult a doctor as soon as possible.

      This condition occurs when lymphatic fluid stagnates in the tissues and develops due to problems with the lymphatic vessels or after removal of lymph nodes. Without proper treatment, lymph accumulations can slow down the healing of skin defects and even contribute to infection of wound surfaces and ulcers. Lymphedema often occurs after radiation therapy or lymph node removal in patients with cancer.

      Leg swelling can be an early symptom of venous insufficiency. This is a condition in which the outflow of venous blood from the lower extremities to the heart is disrupted. Chronic venous insufficiency can lead to skin changes and ulcers. If you notice signs of venous insufficiency (heaviness and pain in the legs, especially at the end of the working day, enlarged and tortuous veins), consult a doctor.

      There are several completely safe methods that can alleviate the condition even before finding out the true causes of swelling of the legs.

      10 simple ways that are great for getting rid of swelling in the legs

      1. Multivitamins and dietary supplements with magnesium

      Edema can develop with magnesium deficiency in the body. This problem can be solved by simply replenishing its reserves with the help of dietary supplements and medications. It is recommended to take 200 mg of magnesium twice a day. If you are pregnant, be sure to check the recommended dosage with your doctor. Often, taking magnesium is enough to get rid of leg swelling in pregnant women.

      Exercise improves blood circulation, and yoga is a great way to restore and speed up blood circulation. If you are new to this business, then do not hesitate to ask the instructor for help. He will show you how to do the exercises correctly and may suggest additional poses to help with swelling.

      3. Use a foot toner

      At first it may seem strange that an ordinary tonic, which is used to dilute alcoholic drinks, is quite capable of relieving swelling in the legs. Immerse your feet in a container of mineral water at room temperature. You can also use cold liquid if you do not feel discomfort. The quinine and bubbles contained in soda will reduce swelling and leave your aching feet feeling blissful.

      4. Take a fragrant bath

      A warm bath with a few drops of grapefruit essential oil will soothe your body and soul and help relieve swelling. If you prefer to shower, consider massaging your legs and feet. Dilute a few drops of grapefruit oil with sweet almond or olive oil and rub in circular, smooth movements into problem areas.

      By adding a good dose of Epsom salts to your bath, you will enhance the effect of water treatments. You can simply immerse your feet in a bowl of saline solution. If your legs are swollen up to your knees, this method is perhaps the best choice to alleviate your condition.

      6. Treat yourself to a massage

      A competent massage therapist can work wonders with leg swelling. Do not hesitate to mention your problems during your next session so that the doctor can properly work on your lower limbs. A high-quality massage will improve microcirculation, help veins cope with blood stagnation and simply lift your spirits.

      7. Try compression therapy

      Use special compression tights and stockings to prevent leg swelling and maintain vein tone. They are not easy to put on as they are quite tight to the body, but they can really make a difference with regular use.

      Standing firmly on your feet is good, but not in your case when it comes to swelling of the lower extremities. At every opportunity, try to give your legs an elevated position. When lying on the sofa in the evening, prop up several pillows. Ideally, the legs should be higher than the level of the heart.

      Swimming and bathing are an excellent solution to combat swelling of the lower extremities. Water pressure prevents the expansion of blood vessels and prevents the legs from swelling. In addition, this is a great opportunity for your feet to take a break from constant gravity. Take a look at your local gyms and you will probably be able to find the best option that suits you in terms of price and quality of services.

      Excess salt in the body aggravates the problem of swelling. Drink 8-10 glasses of water per day. This will help remove salt and will not give the body a reason to think that there is a drought and you need to store every drop of water. Another great way to combine business with pleasure is to make a drink from cucumber and lemon. Add a couple of lemon slices and cucumber slices to a glass of plain water, wait a couple of minutes and enjoy!

      Which doctor should I contact?

      If swelling occurs, you should consult a general practitioner who will determine its cause. Depending on the identified disease or condition, it is necessary to consult a vascular surgeon, phlebologist, or cardiologist. During pregnancy, you should consult with a supervising gynecologist, and in case of a sprain or other injury, with a traumatologist. A massage therapist will provide assistance in treatment.

      Venous insufficiency and its treatment

      The term “venous insufficiency” is used in medicine to indicate the mechanism of pathological changes. Any disease associated with impaired venous blood flow to the right side of the heart is eligible. Statistics show that up to 40% of the population suffers from various forms of this disease.

      You cannot “blame” only the structure of the veins. There may be a variety of factors underlying this. The division into venous insufficiency as a consequence of general circulatory failure and local stagnation in peripheral vessels is more understandable. In this case, both the veins of the lower extremities and the brain are considered “equally extreme”.

      Main pathological changes

      It is known that the venous vessels of most of the body are constantly working against the force of gravity. They push blood upward when a person is in an upright position. For this, the vein walls have sufficient muscle tone and elasticity.

      Great importance is attached to the valve apparatus, thanks to which the blood mass is kept from returning to the lower sections.

      Local changes in the venous vessels most often occur in the legs. Due to loss of tone and sagging valves, the liquid and thick parts of the blood overflow. The portion of the reverse flow allowed by the valves is called the amount of reflux and determines the degree of venous dysfunction.

      Venous stagnation is always accompanied by two types of reactions:

    • an increase in pressure inside the vessel, squeezing out the liquid part of the blood into adjacent tissues with the formation of edema;
    • hypoxia of surrounding organs and tissues due to the cessation of the normal transfer of oxygen-rich arterial blood to the venous part of the capillary leg.
    • Prolonged stagnation causes diapedesis (leakage) of red blood cells through the vein wall. Minor hemorrhages form along the vessel. In the brain they cause soft spots and stroke.

      Normally, the pressure in the arteries is higher, so the blood passes into the cells, and from them into the venules

      In a chronic course, fibrosis or sclerosis of the vascular wall is involved in the pathological process, along with the replacement of cells with non-functioning scar elements. This is how atrophy of the skin area occurs, the organ from which blood with processed biological substances and carbon dioxide must flow out in a timely manner.

      General changes occur in heart failure. Impaired blood circulation can lead to acute venous insufficiency with the development of weakness of the right chambers of the heart. In this case, the suction function, which is characteristic of the right atrium, is lost.

      The loss of the liquid part of the blood and a decrease in the speed of blood flow contribute to the gluing of platelets with the formation of microaggregations, and then blood clots. The transition threatens thrombosis and thrombophlebitis of the veins, rupture of emboli and circulation in the general bloodstream.

      One of the components of venous paresis is the transfer of the liquid part of the blood into the lymphatic system. The branches of the lymphatic vessels complement the venous ones and collect waste from cell activity from the interstitial spaces. For some time, they “save” and maintain the lost functionality of the veins.

      Venous insufficiency of large trunks of the vena cava leads to fibrosis and atrophy of organs with loss of their functions.

      Which organs and tissues suffer the most?

      The tissues that suffer most from venous stasis are the brain, liver, kidneys, lungs, spleen and skin.

      Obstruction of outflow from the cranial cavity causes increased intracranial pressure, edema and swelling of brain tissue, hydrocephalus (dropsy). Foci of softening and hemorrhage, depending on the location, lead to neurological manifestations and severe strokes.

      Hepatic changes are associated with congestive venous insufficiency in the portal vascular system, which occurs against the background of overflow of the vena cava. There are three stages:

    • nutmeg liver - enlargement and thickening of the organ, the section resembles the variegated coloring of nutmeg kernels (gray-yellow background of fatty degeneration of cells with multiple small burgundy areas of full-blooded central veins);
    • fibrosis - hardening of the liver occurs due to the proliferation of connective tissue, the section presents a dark red background (due to the shift of plethora from the center of the liver lobules to the periphery) with numerous small foci of gray fibrosis in the center;
    • cardiac cirrhosis - replacement of lobules with scar tissue, the organ becomes dense and lumpy.
    • Kidney tissue suffers from stagnation and hypoxia, urine filtration is impaired

      The kidneys and spleen have a bluish surface, called cyanotic induration, are “saturated” with blood and are increased in volume.

      The lung tissue is full-blooded, loses its airiness, and sideroblast cells containing iron from disintegrated red blood cells are deposited in the alveolar walls.

      Causes of congestive brain failure

      A disorder of venous circulation in the cerebral veins can develop with:

    • phlebitis and thrombophlebitis of veins (as a complication of chronic sinusitis, meningitis);
    • thrombosis of the cavernous or transverse sinuses;
    • skull injuries;
    • compression and thrombosis of the superior vena cava and jugular veins;
    • tumor process in brain tissue;
    • strangulation and asthmatic syndrome;
    • spinal injuries;
    • increased blood pressure;
    • cardiac, venous and pulmonary pathology leading to circulatory failure.
    • To a mild extent, venous outflow from the brain is hampered and occurs in healthy people with:

    • physical stress, lifting weights;
    • while singing while holding your breath;
    • musicians playing wind instruments;
    • screaming and severe coughing;
    • in cases of fastening a tight collar;
    • tilting the head forward and to the sides.
    • The causes may be related to neck tumors. Secondary failure accompanies and complicates serious diseases as a severe symptom.

      Risk factors for possible cerebral vein insufficiency

      The risk group for the probable development of cerebral venous insufficiency includes:

    • people working in professions that require heavy lifting (loaders, repairmen, salespeople);
    • office workers who spend a long time at the table in one position with their heads tilted or turned, draftsmen;
    • high-altitude, underwater and underground professions;
    • outdoor work in conditions of high or low temperatures and temperature changes;
    • athletes swimmers and divers;
    • opera singers;
    • people read a lot in the wrong tense posture.
    • As we can see, students during preparation for the session are also at risk.

      Orchestra wind players have an increased risk of cerebral hypoxia

      Symptoms of cerebral vein damage

      The diagnosis of cerebrovascular insufficiency of the venous type is supported by symptoms characterized by regularity and constancy for at least three months. These include:

    • headaches of a dull nature, worsening in the morning and when turning the head, often associated with changes in atmospheric pressure, changes in weather, and time of year;
    • drowsiness and causeless muscle weakness;
    • frequent dizziness with darkening of the eyes, leading to fainting;
    • tendency to apathy and depression;
    • noise in ears;
    • memory loss;
    • insomnia;
    • feeling of numbness in the arms and legs;
    • cyanosis of lips, cheeks, ears and nose;
    • swelling of the skin of the lower eyelids in the morning with redness and hemorrhages in the eyeballs.
    • The patient's behavior changes significantly. Appears:

    • imbalance,
    • tearfulness,
    • possible delusions of grandeur,
    • Conversations often turn to shouting.
    • This state lasts for several hours in the form of psychosis.

      Focal symptoms are indicated by:

    • staggering when walking;
    • twitching of eyelids;
    • asymmetrical type of nasolabial folds on the face;
    • trembling of hands and head;
    • slowing down movements;
    • increased muscle tone.
    • Tomogram shows cancer metastases to the brain

      Diagnosis of brain congestion

      To cope with venous stagnation, it is necessary to identify the root cause of the disease. Medicines are selected depending on the type of disorder. To do this:

    • x-ray of the skull; special positioning of the patient may be required;
    • Contrast-enhanced computed tomography - allows you to identify tumors and cysts;
    • magnetic resonance imaging - images on different sections are obtained when exposed to radiofrequency pulses.
    • Causes of congestive insufficiency of the leg veins

      Venous insufficiency of the lower extremities develops when:

      Risk factors for venous disease of the extremities

      The risk group includes people for the following reasons:

    • taking hormonal drugs;
    • having a genetic predisposition;
    • women during pregnancy, it is believed that the likelihood of venous insufficiency is supported by the high level of estrogen in pregnant women;
    • overweight;
    • sedentary;
    • elderly and senile age;
    • those with “standing” and “sedentary” professions;
    • suffering from chronic constipation;
    • athletes constantly associated with heavy lifting.
    • The teacher spends many hours each day standing

      Forms and types of venous insufficiency of the legs

      Venous insufficiency in the lower extremities manifests itself in two forms:

    • acute - develops quickly due to complete thrombosis of the deep trunk, more often affects elderly patients, but the disease cannot be excluded in young people, is more associated with injuries (including surgical interventions), does not affect the superficial veins;
    • chronic - pathological changes affect only the superficial subcutaneous network and do not spread deeper.
    • The international classification considers the signs of venous insufficiency according to the causes of occurrence:

    • failure as a consequence of injury, thrombosis and other identified diseases;
    • genetic predisposition;
    • the specific reason has not been established.
    • According to the anatomical location of the affected vessels:

    • a specific vein is called, for example, the inferior vena cava or the greater saphenous;
    • the level and depth of the lesion are indicated (superficial, deep or internal anastomoses).
    • Clinical manifestations on the extremities

      Depending on the clinical signs, it is customary to distinguish 6 types or stages of the disease:

    • there are no visible signs of vein pathology;
    • there are dilated “spiders” in the superficial veins (telangiectasia);
    • varicose veins on the legs are manifested by protruding strands;
    • persistent tissue swelling occurs;
    • changes in the trophism of the skin of the feet and legs in the form of peeling, non-healing cracks, dryness;
    • characteristic scars from a healed ulcer;
    • fresh ulcers on the skin, without scarring.
    • The acute form differs from the chronic form in the rapid increase in symptoms. Almost immediately the following appear:

    • swelling of the legs;
    • bursting pain along the vessels, which does not go away when changing body position or at rest;
    • the subcutaneous pattern of veins clearly protrudes;
    • cyanosis of the skin (cyanotic) - depends on the optical effect (flor contrast phenomenon), when longer light waves (red) are absorbed by the fibers of the dense connective tissue of the skin, and short-wave radiation (blue color) has greater penetrating ability, reaching the cells of our retina and “ show a bluish range of colors.
    • In the acute form of venous insufficiency, the leg swells and takes on a cherry tint.

      Diagnostic value

      Help to confirm the doctor’s opinion:

    • leukocytosis and accelerated ESR in a general blood test, as a reaction to nonspecific inflammation inside the vein and pain;
    • changes in coagulogram parameters indicating increased coagulability;
    • Ultrasound examination - allows you to determine the area of ​​expansion and size, localization of a blood clot, varicose nodes;
    • Phlebography is used only when the ultrasound conclusion is unclear; a contrast agent is injected intravenously, then a series of X-rays are taken.
    • Can venous insufficiency be detected in children?

      In children, venous insufficiency of cerebral vessels is associated with:

    • violation of maternal behavior and nutrition during pregnancy;
    • birth injuries from the application of a vacuum extractor;
    • traumatic brain injury after birth;
    • prolonged screaming for any reason;
    • cough.
    • The child notices:

    • dizziness and unsteadiness when walking;
    • frequent complaints of headaches;
    • increased fatigue;
    • inability to concentrate.
    • Aggression may be caused by cerebral venous insufficiency

      At school age, in addition to headaches, the following appear:

    • inability to study with due diligence;
    • tendency to faint;
    • apathy;
    • weakness and tremors of the hands;
    • cyanosis of limbs, lips, ears.
    • Manifestations in pregnant women

      In pregnant women, the main mechanism is usually the pressing action of the growing uterus on the inferior vena cava and iliac veins, increasing blood mass. This leads to slow blood flow and sagging saphenous veins. The pathology is called phlebopathy.

      It differs from varicose veins in the legs by having symmetrical lesions on both sides and variable swelling of the feet and legs. Goes away on its own after childbirth.

      Pregnant women are at risk of developing varicose veins and venous insufficiency in the legs

      According to statistics, up to 35% of pregnant women suffer from a chronic form of venous insufficiency. For most women it appears for the first time. Vein dilatation is detected in 1/3 in the first trimester, in the rest - later.

      All the signs characteristic of external varicose veins and stagnation appear: pain, swelling, weakness. At the same time, there is an expansion of the hemorrhoidal outer ring of blood vessels. Women often complain of constipation and painful bowel movements.

      It is important that venous insufficiency sharply increases the risk of thromboembolism in the brain and pulmonary artery.

      Treatment of venous insufficiency requires identifying the specific cause of the disease. It makes no sense to use only symptomatic drugs. They can only give a temporary effect.

      For acute venous insufficiency of the legs, treatment is carried out in 2 stages:

      1. As first aid, apply a cold compress and change it every 2-3 minutes by dipping the cloth in a container of ice. These actions are repeated for about an hour.
      2. To subsequently relieve inflammation, it is recommended to use ointment preparations with anticoagulant components.

      For chronic venous insufficiency of the extremities, it is recommended to wear compression garments and take a course of medications. If the symptoms are caused by heart failure, medications are used that increase myocardial contractility (cardiac glycosides) and remove excess fluid (diuretics). At the same time, means are needed to restore energy balance.

      Management of pregnant women (as some people call a management plan in the Western style) provides for preventive measures in the form of compression stockings in the first trimester and special tights with thick pads in the lower abdomen - from the second trimester.

      With increased intracranial pressure, Eufillin and diuretics have a good effect. If the cause is a tumor process, specific treatment is prescribed (chemotherapy, radiation exposure). A consultation with a neurosurgeon determines the possibility of tumor removal.

      In preparing hazelnut infusion, the bark, fruits and leaves are equally important.

      The following are prescribed as drug therapy:

    • venotonics - Diosmin, Detralex, Phlebodia, Vasoket;
    • angioprotectors - Troxevasin, Rutoside, Aescusan drops, Venoruton;
    • for topical use, heparin ointment, Lyoton gel, Troxevasin, Hepatrombin are recommended;
    • disaggregants that prevent the formation of blood clots - Aspirin, Dipidamol, Pentoxifylline.
    • For sleep disturbances, herbal sedatives are prescribed. Mental changes require consultation with a psychiatrist and combination therapy.

      Great importance is attached to the elimination of risk factors. Some patients are recommended to change jobs, avoid strenuous sports, control weight, and engage in vigorous physical activity alternating with rest.

      It is impossible to cope with venous insufficiency using folk remedies alone. But it is not forbidden to add herbal decoctions from the advice of healers to the main treatment:

    • It is better to purchase horse chestnut extract at a pharmacy, since it is inconvenient to prepare it yourself;
    • alcohol tincture of Kalanchoe is used for lotions and compresses in the treatment of trophic ulcers;
    • Preparations from Sophora japonica have an anti-inflammatory, venotonic and healing effect.
    • All methods of therapy must be discussed with the attending physician. This is especially true for the treatment of children and pregnant women. You should not take risks and try untested products on yourself and cause harm.

      Why does venous edema occur and how is it treated?

      Venous edema is a pathology that indicates serious illness. The main symptom is tissue swelling. It is important to consult a specialist in a timely manner, as timely treatment is required.

      Venous edema is a serious and dangerous pathology that, if not treated promptly, can seriously impair the quality of life, lead to disability and even death. If you notice the first symptoms, you should immediately contact a specialist, for example a therapist, or better yet, a phlebologist. The legs most often swell, but swelling of other organs may occur, for example the lungs.

      Venous edema can occur due to a large number of diseases. An experienced doctor, using his experience and modern medical technology, can identify them without problems. Most often, the main cause is dysfunction of the valves of the venous system, venous insufficiency, varicose veins and thrombophlebitis.

      Most diseases of blood vessels and veins in an advanced form lead to long-term non-healing ulcers, the formation of blood clots leading to disability or even death. It is necessary to begin treatment of edema only after the true cause of its occurrence has been identified.

      The main reasons for the appearance

      It is not a sign of illness if swelling occurs in isolated cases, for example as a result of:

    • being without physical activity for a long period of time;
    • heavy loads on the legs;
    • excessive body weight;
    • pregnancy;
    • wearing uncomfortable shoes.

    If swelling occurs frequently, then this is an alarming sign, since this manifestation indicates:

  • presence of chronic venous insufficiency;
  • varicose veins;
  • disruptions in venous circulation;
  • the presence of a disease such as lymphoderm or lymphostasis;
  • heart diseases: ischemia, defects, heart attacks;
  • kidney diseases;
  • liver cirrhosis;
  • diseases of the musculoskeletal system.
  • The following factors can provoke diseases:
  • disruptions in lymph outflow;
  • increased capillary pressure;
  • reducing blood plasma pressure;
  • deterioration of vascular permeability, as well as capillaries.
  • Regardless of the factors and causes, the disease requires immediate contact with a specialist who will prescribe treatment.

    Types of venous edema

    They can be localized or generalized, but no matter what, timely recognition of the disease and competent and timely treatment are required.

    Edema of this type is characterized by the fact that fluid accumulates in one place on the body or in an organ. It occurs when there are malfunctions in the functioning of the venous system, namely deformation of capillaries, blood vessels, as well as disturbances in the outflow of lymph, as well as disturbances in the outflow of lymph.

    It is associated with water imbalance in the human body. Often it can manifest itself due to chronic heart failure and liver disease. Laxatives cause swelling due to the removal of potassium in the body. The most common cause of swelling of the legs is chronic venous insufficiency.

    Venous insufficiency

    Its occurrence is due to an increase in pressure in the venous circulatory system, which provokes the occurrence of deformation of blood vessels and vein walls. The latter become thinner, and large-molecular proteins, such as hemoglobin and fibrinogen, penetrate into the fibers of the connective tissue.

    The first degree of venous insufficiency is characterized by the removal of excess fluid using lymphatic drainage. In this situation, in the evening the legs swell, and in the morning everything returns to normal. Further, the pressure on the veins becomes even stronger, and the lymphatic system no longer copes and cannot remove fluid as soon as possible. If treatment measures are not taken at this stage, a serious disease called lymphoderm may develop. This disease requires timely treatment and referral to specialists.

    Symptoms are characterized by swelling either on two legs at a time, or on only one. The second situation in a large number of cases is the result of the development of diseases such as:

  • chronic venous insufficiency;
  • lymphedema;
  • osteoarthritis;
  • thrombosis of venous vessels.
  • Symptoms in the first situation, in turn, indicate malfunctions in the functioning of organs such as kidneys, liver, heart. In addition, swelling of this type can occur due to taking medications. For example, due to hormonal drugs.

    Symptoms of the initial stage of venous insufficiency are manifested by swelling exclusively of the lower extremities, accompanied by heaviness in the legs, numbness of the calf muscles, and a feeling of general weakness.

    As the symptoms progress, the symptoms intensify and severe pain, changes in skin color, and the appearance of trophic ulcers are added to the existing ones. Swelling due to kidney disease can appear in the abdominal cavity, as well as on the face or genitals. If you abuse alcohol or have vitamin deficiency, symptoms manifest as swelling in the feet or legs. The face is no exception.

    If edema occurs repeatedly, you should consult a doctor, and if you suspect CVI, you should go to a phlebologist. A specialist will conduct a visual inspection and order an examination. Modern technology will help in diagnosis. It is important to measure venous pressure when diagnosing.

    It is always complex. It always starts with limiting the load on the legs. If the swelling is very severe, then complete rest is required. Legs should always be elevated.

    The second stage is the prescription of compression therapy, which involves wearing knitwear, as well as bandages, which are selected individually. In addition, hardware pneumocompression is used.

    Taking phlebotropic agents (Anistax, as well as Detralex and Phlebodia) is another part of the treatment process. They help improve venous tone, strengthen the walls of blood vessels, and also relieve inflammatory processes. In addition, they have a positive effect on lymphatic drainage, and also reduce the distensibility of veins and eliminate venous congestion.

    The use of venous tourniquets will help with leg swelling. They are used in rare cases when other methods are not available. The tourniquet is fixed for no more than 20 minutes, after which it must be moved.

    Ointments, creams, gels are necessary means to combat heaviness in the legs and restore the functions of the skin.

    Surgical intervention for edema is not always used and depends on the severity of the disease and the degree of its progression. For example, surgery may be prescribed if conservative treatment is unsuccessful. In this situation, the affected veins are removed.

    Swelling of the respiratory tract and organs

    Pulmonary edema is a complication of pathological processes occurring in the body. There can be many reasons. Among them there are many dangerous and serious ones, these can be infectious diseases, pneumonia, sepsis, drug overdose

    Swelling occurs in those diseases that are manifested by left ventricular failure, as well as blood stagnation. These include: heart attack, heart failure, heart rhythm disorders and heart defects.

    Pulmonary edema can occur due to stagnation in the right circulation. The cause may be chronic obstructive pulmonary disease, bronchial asthma, or emphysema.

    Thromboembolism of the pulmonary artery

    This pathology develops in people with a predisposition to blood clots. Most often it manifests itself in those who suffer from varicose veins and hypertension. A thrombus usually forms in the veins of the lower extremities. Under certain conditions, it breaks away from the vessel wall and migrates through the bloodstream. Reaching the branches of the pulmonary artery, it clogs it and contributes to the occurrence of edema. Pulmonary edema can be fatal, so it is necessary to provide first aid in a timely manner.

    First aid for pulmonary edema

    To assist the patient, a venous tourniquet is used - this will help relieve swelling. It will help reduce venous blood flow to the heart, as well as circulating volume. A tourniquet, the application of which is necessary, helps when drug therapy is impossible.

    This method has both indications and contraindications. The first includes the presence of a disease - acute left ventricular failure, and the second - exacerbation of thrombophlebitis.

    Application of a tourniquet includes the following sequence of actions: preparation, main stage and completion of the process. Now about each stage that is recorded in the “Tourniquet Applying Technique” in more detail.

    Preparatory stage

    At this stage, you need to place the patient so that his legs are down for fifteen minutes. This will provoke the creation of a so-called blood depot in the legs, which will reduce blood flow to the heart.

    Three venous tourniquets are applied simultaneously to the limbs. They should be placed 15 centimeters below the crease of the groin, the third on the arm in the upper third of the shoulder. The tourniquet should not be applied to a naked body. It is necessary to place a napkin or the patient’s underwear under it. After the tourniquet is applied, the pulse should be checked. He must be. Each applied tourniquet should be moved clockwise strictly every 20 minutes.

    Throughout the entire period, it is necessary to monitor the patient’s condition, as well as the color of the skin below the site where the tourniquet is applied. He shouldn't be pale. If the tourniquet is not moved in a timely manner, the body's cells may begin to die and the patient will face amputation, so you should be extremely careful.

    After stopping the swelling of the lungs, each of the tourniquets simply needs to be removed. Doctors will do this. A tourniquet is a sure help for pulmonary edema.

    The technique of applying a tourniquet is not complicated, but it can often save a person’s life.

    When carrying out this procedure, you must call an ambulance. Treatment of pulmonary edema is a long process that requires an integrated approach. The reasons for its occurrence are always identified first. The doctor prescribes competent treatment to eliminate it.

    Edema of the legs and lungs is a terrible pathology that can be a consequence of dangerous diseases and should not be treated on your own. Gels, ointments, tourniquets are remedies that provide only temporary relief and do not eliminate the cause.

    How to remove leg swelling due to chronic venous insufficiency

    Leg swelling - unless it is caused by heart or kidney disease - can be eliminated on your own. One of the most effective treatments for leg swelling in chronic venous insufficiency is venotonics - drugs that strengthen the walls of blood vessels and stimulate microcirculation. However, let's look at the problem of edema and its treatment in more detail.

    How to eliminate leg swelling: lifestyle changes

    Leg swelling, which invariably occurs with chronic venous insufficiency, can be significantly reduced with lifestyle changes. In addition to taking medications, you should first normalize your body weight and fight constipation. Extra pounds aggravate swelling, and constipation provokes venous congestion in the pelvis and impairs the outflow of venous blood.

    It is noteworthy that after walking, swelling of the legs is usually less pronounced than after prolonged sitting or standing. This is due to the fact that contraction of the leg muscles when walking “accelerates” the blood - that is, it prevents stagnation. Often after lunch, especially in the evening, it may be difficult for a person to put on the shoes that fit in the morning. Therefore, following the rule “it is better to walk than to stand, it is better to lie down than to stand” helps to cope with swelling of the legs that occurs in the afternoon. As for walking, it is necessary to provide maximum comfort to your feet: wearing tight, uncomfortable shoes made of artificial leather increases venous congestion. You should not always wear high-heeled shoes - give preference to low-heeled shoes.

    To relieve fatigue and swelling of the legs in the second half of the day, you should put your legs in an elevated position for 10–15 minutes. It is also advisable to sleep with your feet raised on a raised surface from a pillow or a rolled-up blanket for the whole night. For swelling of the legs and heaviness in the legs, it is worth applying cooling creams to the shins, which are indicated for chronic venous insufficiency (for example, based on chestnut extract or heparin).

    How to remove swelling of the legs: special underwear

    To prevent swelling, it is recommended to wear compression tights (stockings, knee socks) or bandage your legs with elastic bandages. The effect of compression underwear is as follows: by squeezing the lower leg, tights also compress the veins of the legs - this prevents their stretching, venous congestion and the transfer of fluid into the tissues in the form of edema. You need to wear them constantly - like regular tights or stockings. If “special underwear” causes discomfort, floats, or simply doesn’t fit with your outfit, wear it at least on those days when you have to stand (sit) for a long time in one place or undergo significant physical activity. It is important to remember that you need to put on compression tights in the morning, while still lying in bed, and after pulling them on, you should remain in a horizontal position for another 15 minutes.

    Pregnant women suffering from edema should also wear a bandage - it supports the uterus and reduces pressure on the large vessels of the abdominal cavity, thereby improving the outflow of blood from the lower half of the body. Some physiotherapeutic methods also have the effect of compression garments. True, they cannot be done at home.

    How to remove swelling of the legs using venotonic drugs

    Eliminating edema quickly, effectively and simply is actually only possible with the help of venotonics - medications that strengthen the walls of blood vessels and stimulate microcirculation. However, it is modern drugs that will be effective in eliminating edema: they are based on several mechanisms of action simultaneously. This allows these veinotonics to quickly and effectively relieve leg fatigue, swelling and a feeling of heaviness in the legs. It is important that such venotonics contain natural active ingredients. A course of taking modern venotonics allows you to get rid of leg swelling for a long time.

    The drug Cyclo-3-fort is a modern, highly effective and safe venotonic. Cyclo-3-fort is unique in that it meets all the basic requirements of patients suffering from leg swelling due to venous insufficiency. The uniqueness of the drug lies in the fact that it contains three active substances that have a beneficial effect on the condition of blood vessels - butcher's broom , hesperedin and ascorbic acid . In addition to the fact that these active substances themselves are powerful agents that strengthen and protect the walls of blood vessels, in the composition of one drug all three components complement and enhance the therapeutic effect of each other.

    The active substance of the drug Cyclo-3-fort - butcher's broom - has a double venotonic effect: on the one hand, it acts directly on the vascular wall, and on the other, it promotes the release of vasoconstrictor substances. The double action of butcher's broom increases not only the effectiveness of the medicine, but also the speed of onset of the effect - it occurs within 2 hours after taking the Cyclo-3-fort capsule.

    Cyclo-3-fort has a more pronounced anti-edematous effect compared to other venotonics: this drug reduces capillary permeability to a greater extent due to the presence of methyl chalcone in the composition of hesperedins . Simply put, this component prevents the spread of edema. The content of hesperedin methyl chalcone in Cyclo-3-Fort is several times higher than in other venotonics, so this drug combats edema more effectively.

    The safety and effectiveness of Cyclo-3-fort has been proven by numerous clinical studies. In addition, Cyclo-3-fort has been thoroughly studied, and this allows it to be prescribed even to pregnant women, since this drug does not have a negative effect on the course of pregnancy and the fetus.

    Cyclo-3-fort is prescribed 2-3 capsules per day (the capsules are swallowed without chewing and washed down with a glass of water) in courses from 5-7 days to several weeks, or even months (depending on the severity of the disease). It is noteworthy that after taking the drug, the therapeutic effect appears within 2 hours. This allows you to quickly get rid of swelling, heaviness and fatigue in your legs.

    Registration certificate No. UA/7550/01/01 from 12/27/2007 to 12/27/2012

    Self-medication can be dangerous to your health.

    Before use, consult your doctor and read the instructions for use.

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