Chronic venous insufficiency

Chronic venous insufficiency is the most frequent pathology of the veins. Among the adult population is detected in almost 40% of cases. It is important that the identification of late due to asymptomatic course and to disguise varicose veins, phlebitis and thrombophlebitis.

Unlike the acute form affects only the superficial blood vessels under the skin. Localized on the lower extremities, rarely in the brain.

"Female" factors affecting the venous system

Pregnancy is a physiological process that should not cause a health disorder. But, unfortunately, the future mother already in adolescence have a chronic illness, do not consider it necessary to prepare yourself for a planned pregnancy. Often influenced by the inability to provide needed nutrients. The most important negative factors are:

• With the first trimester in a woman's body increases the concentration of progesterone. This hormone counteracts oestrogen and lowers the tone of veins, causes degenerative changes in the wall with the loss of collagen and elastin. As a result, the tone falls, the lumen of the vein expands.
• The total circulating blood volume from the start of pregnancy is increased by 1/3 to ensure placental circulation. It additionally loads a peripheral vein.
• The growing uterus compresses the iliac and inferior caval veins. Respectively 3 times increasing the pressure in the main vessel of the hip, femoral vein, and from it a wave of stagnation propagated on the weaker superficial veins under the skin. This reason is the most important in the second half of the period and before childbirth.

Changes veins during pregnancy under the action of the above reasons are called varicose syndrome.

For the diagnosis used laboratory and hardware methods of research.

According to the General analysis of blood it is possible to judge the degree of viscosity of the blood (platelet count), coagulation, presence of inflammation (leucocytosis, ESR).

Biochemical tests are not specific indicators.

Vascular ultrasound of the legs — defines the local areas of expansion of venous vessels, the formation of varices, the presence, amount and location of blood clots. The method is considered to be the most informative.

Venography is almost never used, it is carried out, if necessary, differential diagnosis in vascular departments of the hospital, when preparing for elective surgical treatment.

Treatment

The goals of treatment of chronic venous insufficiency:

• to restore the tone of veins;
• to ensure normal patency and blood flow to the legs;
• to prevent blood clots and inflammation.

To do this, apply conservative and surgical methods. The effectiveness of therapy depends on the specific cause of the disease, stage andtimeliness of treatment.

Each patient individually by the doctor after examination may choose the right physical regime.

Recommendations include:

• the correction weight when it is over;
• a special set of exercises enhancing muscle venous "pump";
• massage to enhance muscle activity of the leg and thigh;
• for sports fit — lightweight Jogging, Cycling, swimming, excluded soccer, volleyball, tennis, skiing, power;
• the use of elastic compression is shown in the absence of skin changes and severe diseases of the heart, the most convenient are stockings and tights for pregnant women, in the initial stage, you can use socks, underwear allows you to compress and support muscles, and through them the peripheral veins, it reduces the risk of ulceration and thrombosis;
• drugs — are assigned to courses for six months or more, treatment regimen and dosage consult your doctor.