I often feel that I'm getting tight in my shoes, I can not stand long, socks are damp from sweat. My calf pains make it hard for me to work, even when sitting - complain of sick people.
Cause - microcirculation disturbances
The sign that something bad is happening with the circulation of blood in the legs is a feeling of weight in the limbs - usually felt after prolonged standing, especially on warm days. The appearance of ankle edema in the evening is a typical harbinger of microcirculation disorders. Edema is a sign that micro-veins (vein capillaries) and lymphatic vessels are unable to drain the surplus of intercellular fluid filtered between the vessels and tissues in the microcirculation. Frequent edema heralds the onset of varicose vein disease.
THE MOST POPULAR PROPHYLAX IS MOST IMPORTANT
Simple and effective prophylaxis with traffic
As we know - one of the causes of edema is the inability to press the blood "up" to the heart due to the immobilization of the "muscular-valvular pump". Long-term standing still, or sitting - causes such inability of pressing and stagnation of blood in the veins. Therefore, if we are in danger of prolonged delivery, e.g. in a queue, we should not freeze in a stationary position. Even leg-to-leg crunches, a few small steps in place, bending the knees activates the muscle pump to support blood transport.
A healthy way of living
- people forced to stay all day in a sitting or standing position should try to keep their feet from being stiff - you can walk along the counter or around the desk, bend your foot up, move the weight of the body several times from heels to your back and back,
- lying down with legs slightly raised (roller, pillow etc.) at least a few minutes during the day,
- avoiding tight underwear and trousers, pressing against the stomach and groin,
- taking care of maintaining a proper body weight
- using comfortable footwear with a profiled sole (ladies should not wear stilettos)
Self-medication - gymnastics
Among the physical activities, non-demanding walks, cycling and swimming are especially recommended. A few times a day, it is worth to lie down with your legs raised above the level of the heart for a few minutes and to knee in this position knees (cautiously in the case of circulatory failure!).
Obesity harms the veins
It is healthy to get rid of unnecessary kilos and stop smoking cigarettes. Avoiding abdominal bloating, constipation, and curing a cumbersome cough is also important in the treatment of lower limb edema. We do not expose our legs to excessive heat or cold.
Compression stockings
We should not prophylactically bandage legs. A closed band may be the cause of blood stagnation and increase swelling. Special stockings or anti-varicose tights that exert even pressure are better. The most modern form of such products are stockings or tights with varying degrees of oppression or with so-called tights. intermittent pneumatic compression. This type of variable pressure on the calf and lower leg effectively increases the speed of blood flow in the legs of the legs. The most advanced products have automatic pneumatic compression. A changeable pressure is created by wearing a plastic stocking filled with air in an intermittent way and thus pulsating the leg. Such compression improves blood circulation in deep veins and stimulates the body to produce factors that help to dissolve small thrombi. Products of this type are most often used after surgery.
Diet, drinks
It is important to prevent dehydration that causes blood compaction; During hot weather or in dry and heated rooms, drink plenty of fluids, preferably mineral water or unrefined juices.
Anti-oedematous treatment
Diuretic drugs, although they exert anti-edema effects are not the best solution for edema associated with varicose veins. Treatment should begin with vitamin C, rutinoscorbina, etc. A word from the so-called phlebotropic drugs.
Phlebotropic drugs
The use of these drugs improves microcirculation, reduces the permeability of microvessels, improves the so-called lymphatic drainage (ie cleansing the body through the lymphatic system), and to some extent reduces the inflammatory response accompanying venous stasis inducing edema. Phlebotropics can be simply divided into natural and artificial preparations. Among them are drugs that reduce endothelial permeability, anticoagulant, anti-inflammatory. Some of them are medicines composed of several substances with different mechanisms of action. Often used are effective healing plant flavonoids: diosmin and hesperidin (Detralex and cheaper, though very similar: Pelethrocin, Otrex, Phlebodia), semi-synthetic derivatives of routine: troxerutine (Rutoven, Troxerutin, Venoruton), escin (Aescin, Aescuven), procyanidol oligomer ( Endotelon), tribenozide (Venożel), polysaccharide polysulphates (Hirudoid, Lioton1000) and others.
Natural healing substances that strengthen the walls of the vessels
The basic natural substances that strengthen the vascular walls include the aforementioned rutinoids and escin. Some of the importance for the design and tightness of the vessels is the aforementioned vitamin C - especially for capillaries whose leakage in the microcirculation initiates venous stasis and phlebitis. In addition, it is worth remembering about antioxidants - vitamin A (beta-carotene), vitamin E and vascular bio-elements - copper, zinc, selenium, etc. In the case of tendency to edema, "heavy legs", varicose veins and thrombosis, it is recommended to use creams, gels or ointments containing substances strengthening the vessel walls, e.g. Aescin, Aesciven, Haematoven, Rutinoven, Troxevasin, Venescin, Venitan, Venoruton, etc.
Herbal veins protection
ed. Edward Ozga-Michalski, MA
Literature:
1.Chronic venous insufficiency. From the symptom and diagnosis to treatment dr med. Tomasz Zubilewicz, dr med. Jacek Wroński, prof. zw. dr hab. med. Jerzy Michalak from the Chair and Clinic of Vascular Surgery, Medical University of Lublin Head of the Department and Clinic: prof. dr hab. Jerzy Michalak; Medycyna Rodzinna - notebook 18 (2/2002) 2. Compensated and decompensated hemodynamics of venous circulation in the lower extremities Author: Dr hab. n. med. Zbigniew Rybak, prof. dr hab. n. med. Piotr Szyber, dr hab. n. med. Andrzej T. Dorobisz, MD Maciej Karasek, MD Mariola Oleszkiewicz, Esculap, 2005. 3. Troublesome varicosity; bow. med. Marek Durakiewicz from the Department of Vessel Surgery SPSW im. Pope John Paul II in Zamość Branch Office: dr n. Med. Zbigniew Waga; Family Medicine, issue 10 (2/2000)
4. Etiology, diagnosis and treatment of lymphatic edema of lower limbs; Dr n. Med. Artur Ruciński, MD Dariusz Janczak, prof. dr hab. n. med. Piotr Szyber; Therapy; VASCULAR SURGERY - AUGUST 2000. 5. Thrombotic prophylaxis and treatment of thrombosis in various clinical conditions. Oral Anticoagulants, Antiplatelet Drugs - VI Guidelines of the American College of Chest Physicians. (2000) Medycyna Praktyczna ONLINE 2005 6. Varicose veins - prevention and treatment; Dr. Diner Reinharez, ed. WAB, 1993r / s 58 / 7. Varicose veins; dr articles med. Piotr Tederko; a series of articles in the magazine "MY HEALTH" 1999-2000
