Venous insufficiency of the lower extremities: how to eliminate the problem


Venous diseases often appear due to upright walking. A person must lead an active lifestyle, play sports, and not overload the body with heavy food in order to ensure uninterrupted movement of blood through the veins to the heart. But the outflow of blood can be impaired, due to various reasons. As a result, vein diseases appear.

Forms of venous insufficiency

Venous insufficiency is a chronic disease of the veins. It manifests itself as swelling, pain, cramps, and the appearance of subcutaneous tissue. In more advanced stages, ulcers may form.

The condition of the veins is influenced by the following factors:

  • hereditary predisposition;
  • hormonal imbalance, pregnancy, use of hormonal drugs;
  • excess weight;
  • passive lifestyle;
  • static loads.

There are two forms of venous disease:

  1. Acute venous insufficiency (AVI). Appears as a result of a sharp disruption of blood flow in the deep veins of the legs. It may occur subsequently with the development of other diseases or drug intoxication. The patient experiences pain, swelling, the skin on the legs becomes blue, and the veins are clearly visible.
  2. Chronic disease (CVI). Appears gradually. At first it may be asymptomatic, but over time swelling and pain appear. The chronic form can occur as a result of varicose veins, which the patient ignored.

Causes of venous stagnation

Fursenko I.A. cardiologist

Research Institute of Experimental and Clinical Medicine, Novosibirsk

If you ask a random person what he associates the following picture with:

Most likely, you will get the correct answer: “Blood stagnates in the vessels.”

The veins that return blood from the organs back to the heart resemble a river in the spring flood. Any obstacle—an increase in pressure, stagnation “upstream”—can cause a wide flood of such a “river.” The walls of the veins are thin, pliable, easily stretched, forming “in which blood cells and various protein “garbage” accumulate, forming blockages and congestion, which can further aggravate the situation. Metabolism and oxygen transport are disrupted, and trophic ulcers occur. And really bad things can happen if a blood clot breaks off and travels to the heart and lungs.

How can we help?

Option 1 - strengthen the banks

Option 2 - Clear congestion

Actually, until recently, there were means only for option 1 - venotonics (medicines) and compression garments.

Now in the arsenal of doctors there is TROMBOVAZIM®, a complex-action drug prescribed specifically for chronic venous insufficiency (CVI)[2]. The main thing it does is influence the fibrin framework of the thrombus, providing a thrombolytic effect [1, 2], and clears the congestion. Normal, calm blood flow is restored, swelling is reduced, and trophic ulcers are healed [3]. The drug TROMBOVAZIM® acts on blood clots in such a way that they slowly dissolve in the blood stream, gradually melting like ice.

TROMBOVAZIM® is an enzyme preparation created using the unique AXIS technology, in collaboration with doctors and physicists. The uniqueness of the technology allows you to work exactly in the right place without affecting the blood coagulation system as a whole. And most importantly, TROMBOVAZIM® has an oral dosage form - capsules for oral administration.

The very idea of ​​creating and the first work on the synthesis of the thrombolytic drug TROMBOVAZIM® appeared in the Novosibirsk Akademgorodok. In the period 2002-2006, preclinical and clinical studies were conducted that confirmed the effectiveness and safety of the drug TROMBOVAZIM®, and in 2007 the first oral thrombolytic TROMBOVAZIM® in tablets was registered. In 2013, the team of authors was awarded the State Prize for its development and implementation.

Currently, TROMBOVAZIM® is available in all major cities of Russia.

Dear readers! Please write in the comments under the article what other topics related to edema and the treatment of thrombosis interest you.

There are contraindications. It is necessary to consult a specialist.

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Reasons for appearance

The most important factor in the occurrence of vein diseases is hereditary predisposition. It is this that determines the characteristics of the condition of tissues and blood vessels.

Another reason is associated with diseases and conditions caused by problems with venous circulation: thrombosis, trauma, varicose veins.

The third group of factors includes lifestyle: passive lifestyle, excess weight, excessive loads that involve lifting heavy objects. No less significant factors are the age category and hormonal background of the patient.

Doctors consider the following people at risk:

  • athletes;
  • women (pregnancy and changes in hormonal levels can affect venous circulation);
  • people who have a family history of venous disease.

Venous stagnation - what is it and how to treat blood stagnation

Diagnosis of venous stagnation

The prescribed study will directly depend on where the manifestations of the pathology are observed. For problems in the brain, phlebography, MRI or computed tomography is performed. In the pelvis or legs - ultrasound. If the problem is with the lungs, then auscultation may be prescribed.

Treatment of varicose veins

The main direction of treatment is to remove the cause of the pathology, as well as normalize blood circulation and increase vascular tone. It is important to prevent possible complications of venous stagnation.

If you have any suspicions, you can always contact our clinic to receive timely, high-quality advice and referral for diagnostics.

Treatment methods

Infusion therapy
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Combinations of drugs for drip administration through a vein. High digestibility and rapid action make infusion therapy Read more…

Autohemotherapy

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Treatment using the patient's autologous blood cells. Administration is carried out intramuscularly, which provokes the body to intensify the fight against chronic infection and trophic ulcers Read more…

EHF therapy

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This is a promising method of physiotherapy with a great future. In life, waves of this range do not reach the ground, being dispersed in the atmosphere. The device generates these waves itself. Read more…

Sanitation

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Removal of dead, necrotic tissue of a trophic ulcer for the purpose of faster healing More details...

Ointment applications

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Ointment applications protect newly formed “young” skin. The edges of the ulcer and new “young” areas are treated with ointment. Read more…

ILBI

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Intravenous laser blood irradiation (ILBI) is a unique method of exposing blood elements to a beam of light. Read more…

Reasons for the development of venous stagnation

  • Regardless of where the pathology manifests itself, physical inactivity has an extremely negative effect on venous outflow throughout the body and is one of the reasons for the development of venous stagnation.
  • It is necessary to understand that blood moves from the heart through the arteries due to cardiac contractions, but the movement back through the veins occurs largely with mechanical assistance: due to muscle contractions (abdominal and calf), effects on the foot (walking, running). In other words, a sedentary lifestyle, especially if you are overweight, can become a natural reason for the veins in the legs to suffer - venous stagnation of blood.
  • In addition, the disease often develops against the background of other diseases: thrombosis, thrombophlebitis, aneurysms, injuries and head tumors. Sometimes the causes are pregnancy and taking hormonal medications.

Diagnosis and treatment

Chronic venous insufficiency may be accompanied by cramps, swelling of the lower extremities, and pain. But in some cases, the disease can pass without pronounced symptoms. To identify pathology, it is worth undergoing an examination. This will require a general and biochemical blood test, ultrasound of the legs, and phlebography.

The results of the examination will allow you to determine an accurate diagnosis and prescribe the correct treatment, including medicinal and non-medicinal agents. In many cases, compression treatment is prescribed, which will stabilize the movement of blood through the veins. You should also adhere to a certain diet and lead an active lifestyle. If you are obese, then you should reduce your body weight. Medication measures include taking venotonic drugs.

Chronic venous insufficiency - symptoms and treatment

There are many ways to treat CVI. In specialized clinics, the main focus is on minimally invasive treatment methods, that is, surgical interventions with minimal damage to the skin.

Endovasal laser coagulation (EVLC)

In developed countries, up to 40% of patients suffering from this disease receive assistance using laser technology. With early diagnosis, treatment takes little time and leaves no traces. Many clinics use a phlebological water laser with a wavelength of up to 1500 nm, supporting radial light guides. This technology allows you to close veins of any diameter through a small puncture of the skin.

Sclerotherapy

The sclerotherapy method is based on the introduction of a sclerosant into the lumen of the affected vessel. Thanks to this substance, the vein becomes overgrown and subsequently disappears completely. For deeper location of varicose veins, the echo sclerotherapy technique is used. For more accurate intravenous administration of the drug, the procedure is performed under ultrasound control. With this technique, replacement occurs with connective tissue, which disappears within a few months. Sclerotherapy is also used to eliminate the external cosmetic manifestations of varicose veins.

The technique of diode fluorescent sclerotherapy consists of illuminating telangiectasia (up to 0.4 mm) or reticular veins (up to 2 mm) with a fluorescent lamp, into the lumen of which a special solution is injected.

A promising direction in aesthetic phlebology is the combined use of diode laser and sclerotherapy - laser cryotherapy (ClaCS). This method allows you to eliminate reticular veins and telangiectasias without any particular discomfort.

Conservative therapy for CVI consists of:

  • taking phlebotonic drugs, which improve the rheological properties of the blood and maintain the tone of the veins;
  • eliminating factors for the occurrence of CVI (reducing the body weight of patients, increasing physical activity, etc.);
  • wearing compression stockings.[4][6]

The patient should not worry about choosing a treatment method, since the phlebologist will select an individual treatment option depending on the patient’s age and type of activity, the form of his disease and the presence of pathologies. Usually, when visiting large phlebology centers, specialists simultaneously use many methods to treat one patient. For example, for the most effective and efficient treatment of CVI, laser surgery is performed in combination with injection methods for treating veins.[4]

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