Varicose disease (varicose veins). Symptoms of beginner varicose varicose seal treatment diagnostics

The date: 29.06.2020

To reveal and cure varicose veins in a timely manner, a qualified diagnosis of varicose veins will be required. Thanks to the achievements of modern medicine, determine the process of defeating veins and capillaries is easy, the main thing is not to tighten with the diagnosis and immediately contact the phlebologist for help.

Patient examination methods with varicose

The defeat of the veins may appear long before the manifestation of the visible clinical picture. Activation of varicose veins contributes to reinforced legs on legs, improper nutrition, bad habits, a sedentary lifestyle.

The diagnosis of varicose veins of the lower extremities begins from the first stage - inspection of the damaged zones with phlebogus. Through palpation, painful foci are determined, vessel density, veins tension, the presence of swelling, inflammatory processes.

Attention!
The procedure is carried out in the vertical position of the body so that the veins are maximally filled with blood. It is desirable to spend such a procedure in the evening to effectively inspect the veins after day load.

In the first part of the diagnosis of vein varicose veins, a detailed survey of the patient (social activities, existence of physical exertion at work, houses, allergic reactions, reception of drug drugs).

The main components of the anamnesis:

Genetics;
Neuralgic and orthopedic violations;
Reception of hormonal drugs;
Injury limbs;
Pregnancy;
Operational interventions;
Bad habits.
Composition and power mode.
Physical activity.

After a survey and palpation, the doctor receives primary information on the state of health of the lower extremities, then the next stage is performed - the ultrasound examination of the veins.

This method allows you to display the state of the veins and vessels from the inside, to study information on deformations and blood flow disorders. The specialist affects sound waves on various parts of the body, receiving an image of internal organs. Learning lasts no more than 30 minutes.

Such a diagnostic method is also used as dopplerography - the state of the veins valves is determined and the internal structure of the blood vessel is estimated.

No less popular duplex scanning is one of the modern varicose diagnostics methods. The procedure allows not only to determine the disease, but also track its flow.

Phlebography is used to display the bandwidth of the surface and deep venous system, it is carried out outpatient and does not require hospitalization, has high reliability and accuracy of the results.

Before passing through this study, you must pass tests to determine the overall state. A week before the diagnosis will have to abandon alcohol, do not take medicines that contribute to the discharge of blood and expand the vessels.

Attention!
Paid services for the diagnosis of varicose veins offer such private clinics as the regional phlebological center in Tula and the Moscow region. (Ultrasound from 1600 rubles), Moscow Cent Phlebology (duplex study from 1500 ruble), "Kredsexperto" Moscow (diagnostics of veins of veins on the legs from 2500 ruble).

Free diagnosis of varicose veins is carried out in some polyclinics of Moscow (№129, №134, №180), urban hospital number 20 and No. 48 of St. Petersburg, Hospital No. 1 in the Saratov region, Engels.

Varicose tests

The diagnosis of surface and internal vessels and vessels is carried out using a detailed blood test:

Common;
Hormone;
On hemoglobin;
The presence of infection.

The second type of material for diagnosis is urine (definition for sugar, hemoglobin, acetone, bilirubin, ammonia). Some types of surface analysis are in demand:

The tribal sample - the patient is put on the back, offer foot, after using three harnesses, squeezing veins in the area of \u200b\u200bgroin, under the knee and in the feet of the hip. If with a sharp rise of veins swell, varicose insufficiency is fixed;
Pratt's sample - such a diagnosis of varicose veins is applied to detect damaged valves of blood vessels. In the course of the procedure, the elastic bandt is fixed by the lower limb, the gag is shifted by a groin vein, the patient rises, and the bandage is gradually removed. With the help of the analysis, you can determine the degree of development of the disease;
Talman's test - the patient is laid in a horizontal position for a few minutes so that the load leaves the veins, after the doctor pulls the leg of the helix on the spiral, from the bottom up, the distance between the turns is about 6 cm. After the legs are examined, if the veins occurred in any site, So, a place is detected with weak valves.

Functional samples may be permitted, and therefore, along with them, instrumental methods (scanning, doppler, x-ray, clearance, etc.) are used.

All information collected using the above methods is analyzed, the diagnosis is established, a subsequent treatment of varicose varicose varicoses is prescribed.

Additional diagnostic methods

You can undergo varicose diagnostics in the clinic using photopletamography (sensor with infrared radiation is attached to the patient's skin, on the inner side of the lower leg, and the degree of the released light depends on the degree of pathology).

After it is determined by the speed of filling the veins with blood, from the heart to the vessels. A healthy person has more than 25 p about this process, and in a patient with varicose extension - less than 10 s.

The method of venous plethysmography allows you to measure the amount of blood in the legs of the legs. The device is attached to the lower leg, and the cuffs are used to adjust the blood flow. If the veins are healthy, then their filtle is 2.5-5ml / 100 ml of fabric, if patients, then the blood flow is bleeding above for several indicators.

No less effective research - renowmography. It is the effect on the affected areas of high frequency current pulses, on the basis of the form of the curve, the nature of the lift and the descent is determined by varicose veins.

During the test, the patient falls on the couch, the lower limbs are disinfecting with alcohol, sensors are installed on the feet, and a series of synchronous waves is displayed. By the character of the image establishes the diagnosis.

Waltzalva technique

This test is called the famous Anatoma - A.M. Waltzalva, originally intended for the diagnosis and treatment of otitis. Today the test is used significantly wider.

Waltasalvy test helps to determine what state is the valve vehicle vehicle of the circulatory system. The huge advantage of the method is the high performance of the diagnostic survey.

How is the sample?

The patient quickly and deeply makes breaths and exhalations, closing alternately mouth and nose. After that, the performance of the cardiovascular system is measured, and on the basis of the data is made a conclusion about the patient's state.

What are the indicators due to the Waltasalva technique:

Clearance and diameter of veins;
The magnitude of the thrombus in the vessels;
Heart abbreviation frequency;
Intravenous and intraarterial pressure.

Attention!
If you continue to sample Waltzalva for a long time, without controlling the doctor, then the blood volume that returns back will greatly decrease, which can lead to a decrease in blood pressure, loss of consciousness, up to the stop of the heart.

Contraindications to this method:

Infectious diseases in the acute stage;
High body temperature;
Blood poisoning;
Heart attack, stroke;
Violation of the retina eye.

After the study, the specialist visually inspects the veins, proves patients, establishes a diagnosis. If the sample is positive, then the venous system of man is under threat. The doctor appoints adequate treatment, with the choice of integrated methods for the general condition of the patient.

In contrast to other methods for diagnosing, the Valsalvy sample allows you to determine deviations in the operation of the vessel valves, to identify the presence of thrombos in the early stages of the disease.

Human health is the main value in life, and therefore the earlier the disease will be detected, the higher the chances of its full elimination. Varicosis is not a sentence, but impetus to change the lifestyle, nutrition, refusal from bad habits.

One of the main elements of the human body is blood. It circulates in all vital organs, while carrying out the movement along two circles of blood circulation - small and large. The force of attraction of the Earth provides a rapid flow of blood in the direction from top to bottom, but the reverse circulation from the lower extremities is often difficult.

This is due to a violation of the work of the pushing blood of the valve venous system. One of the main causes of inverse blood circulation disorders is varicose veins.

This disease is most often found in the field of legs. Manifests itself in the form of expansion of peripheral subcutaneous veins. Drinking on the surface of the skin, they look swearing and nodes, having a bluish shade.

Such a change in the veins structure related to clogging valves that pushed blood up the vessels. At the same time, an excessive pressure occurs, the tensile walls of the veins and small capillaries that are manifested on the surface of the skin in the form of vascular meshes.

Causes of occurrence

genetic predisposition (the risk of hereditary transmission of the disease about 70%);
insufficient mobility, a sedentary lifestyle (engage or);
frequent and long standing on straight legs;
violations in the work of the hormonal and endocrine system;
tumors and thrombus
the emergence of arterial venous stories;
nervous disorders and stress;
insufficiency of the development of the icy muscular tone.

Stages of the disease, and their symptoms

The emergence of preymptoms of varicose veins: swelling, pain and severity in the legs, cramps.
Almost imperceptible vascular "stars" appear.
In the skin begin to appeal in the sizes of veins. In some cases, novel formations of blue color are manifested, changing their dimensions when changing the body position.
Stable swelling is added to the above symptoms, the most bright manifestation at the end of the day.
Due to the insufficiency of the blood supply to the limb begin to change color up to black. Thus, trophic changes are manifested. It is also possible to develop skin inflammatory processes, expressed in the form of redness of different sizes, as well as large wet lesions.
A healed trophic ulcer is manifested, expressed in the form of white west sections of the skin.
The trophic ulcer actively develops and does not heal.

Varicose diagnosis

Diagnosis of veins Varicosis on the legs (and not only) is carried out by three main methods:

Several types of dopplerographic research

impulse-wave doppler photography, evaluating blood flow speed by vessels;
energy Doppler;

At this type of research, you can observe high-speed characteristics of blood flow in vessels. At high speed, blood acquires bright yellow color on the monitor, when it is slowing - the color becomes more red.

color Doppler;

In this case, the method of blood, flowing in different directions, the red or blue shade is purchased on the screen. This study allows you to estimate the direction of the flow of blood masses.

duplex doppler;

Uses two methods of research at once - color and wave.

triplex dopplerography.

The most comprehensive examination of the state of the vascular system, which includes wave, color and energy dopplerography.

Surface analysis

Pratt's breakdown. This method is to use harness With the help of which the groin vein is finalized. Also, in the lying position of the patient, his whole leg is covered with an elastic bandage. After that, the patient smoothly rises, and the doctor removes the bandage bandage. In this analysis, the number of veins are revealed, according to which normal blood circulation occurs, and the degree of development of the disease occurs.
Three-timed test. For this analysis, the patient in the lying position must be raised leg. The doctor produces squeezing manipulations with the help of three harnesses, having them under the knee, in groin and middle of the thigh. Checking the state of the vessels is made similarly to the Pratt's sample.
Waltzalvy test. When checking, the patient is located in a horizontal position on the couch. For 15 seconds, the patient exhales the air into the tube, connected to the manometer, while creating pressure to 40 mm.rt. The pronounced reflux allows you to check the functional performance of blood vessels. All manipulations should be carried out under the control of the doctor, since the execution of this test with varicose veins can provoke lowering cardiac pressure.
. This method is hosted by filling blood vessels. It is made by calculating the rographic index, which allows you to estimate: decompensation, subcompensation or compensation.

What do you need to pass a survey?

In order to undergo a survey of any of the presented options, it is necessary to apply for advice to the Vascular Surgeon, or a narrower specialist - flabogu.

At the initial inspection stage, the doctor will definitely assign the analysis of blood analysis (biochemical, in common, to hormones, on the definition of a blood group and a ray factor).

The high level of platelets will indicate the predisposition to .

The hemoglobin level and the amount of red blood taurus will show the degree of blood thickening, and the increase in the number of leukocytes will indicate the presence of an inflammatory process. It will also be necessary to pass the overall analysis of urine. After deciphering the results, the doctor will propose a major examination to concretize the degree of development of the disease.

Why is modern diagnosis important?

Modern methods of surveys make it possible to estimate the state of the vascular system, as well as find out the level of its affect. When diagnosing a disease at an early stage, the doctor will prescribe preventive procedures that will help improve vessels and vessels, as well as to stop the further development of the disease.

It is impossible to overestimate the importance of identifying early stages of the disease in pregnant women. In time, the procedures performed allow to improve not only the state of the future mother, but also to increase blood inflow to the fetus. This will eliminate the intrauterine appearance of such a disease as phlebitis.

Reference: Flebit is a chronic or acute inflammatory process of veins walls.

Free diagnostics of varicose varicose. After referring to a specialist, it is possible to queue for a free examination. If you do not want to wait, then there is a possibility of a paid diagnosis.

Useful video

Check out visually with the diagnosis of varicose veins:

Varicose veins - a very common and dangerous disease. Neglecting the first symptoms can lead to irreversible negative consequences for the human body. Therefore, it is not necessary to let the disease on samonek, and better to seek help to qualified specialists.

Many people have a tendency to the emergence of varicose. The disease may appear long before visible symptoms. It develops gradually, it contributes to such factors such as reinforced loads on muscles, flatfoot, excessively tight uncomfortable clothing, long stay on the legs. Such an attitude to the body contributes to a decrease in venous elasticity (the walls lose the ability to stretch), it leads to the bloodstream and the development of the disease. How to ignore the varicose veins?

When the first signs of the disease appears, it is necessary to immediately turn to the doctor, and to complete the complete diagnosis of varicose veins. The first stage of the survey of the varicose veins of veins passes through the palpation of the estcated veins (determined soreness, density, tension, the length of the affected areas of the veins, the presence of edema and inflammatory processes). Conducts inspection doctor phlebologist.

The procedure should be carried out at the vertical position of the human body, to maximize blood filling. It is desirable to carry out the diagnosis of varicose veins in the evening, it is at this time the striking areas are best contoured. When palpation, superficial examination, the doctor receives primary information about the state of the patient vessels. After a preliminary inspection, the diagnosis of varicose disease proceeds to the second stage - ultrasound.

Varicose tests

Varicose analyzes are one of the important sources of information about the disease and allow you to correctly determine the diagnosis. What tests are given in varicose veins?

The first necessary procedure is a blood test with varicose veins (general, biochemical, hormonal, on glycated hemoglobin, determination of a blood group and a massacre, as well as for the presence of an infectious group).

The second type of material for analysis is the urine of the patient. The purpose of the study is to determine the presence of sugar, hemoglobin, urbelin and ketone bodies, acetone, bilirubin, ammonia, as well as general indicators with expanded analysis.

There are several types of surface analysis:

Three-timed test. This method is used as follows: The patient lies on the back with a raised foot, and the doctor squeezes the three bundles of veins in the groin fold, under the knee joint and in the middle area of \u200b\u200bthe thigh.
Pratt's sample. This type of analysis provides for definitions of damaged valves of the communications veins. To implement this method, the harness is used to be shifted by a groin vein and an elastic bandage, which covered the patient's foot from the hip to the bottom in the lying position. Then the patient gets up, and the bandage is gradually removed.

Pratt's sample is much more effective shows the presence or absence of the desired amount of veins for blood circulation. Thanks to this type of analysis, the doctor determines the degree of the disease.

Ultrasound varicose veins

The second stage of the diagnosis of varicose veins - ultrasound (ultrasound examination), which allows you to look inside the venous system. The procedure has passed for 35-45 minutes, and includes the following types of surveys:

Dopplerographic. During the survey, the state of venous valves is determined and the assessment of the internal location of the veins. A particularly important subject of doppler surveys are superficial and deep sections of the veins of the veins (the area of \u200b\u200bthe groin, the lower third of the ankle, a popliteal fossa).
Angioscaning (Uzas). This type of ultrasound examination is also called duplex. It is carried out with the appearance of various kinds of complications of the disease or in acute expressions of symptoms. This type of scan contributes to the determination of the availability of complications and the resolution of a more accurate diagnosis.

When conducting diagnostics, the doctor processes the information received by integrating it into an expert opinion. The effectiveness of therapy depends on the correctness of the diagnosis.

Valzalville sample

Initially, the Waltasalva test was intended to remove a pus from the middle ear at otitis. To date, this method has expanded its scope. Now they use passengers of aircraft during a decrease and set of heights, as well as divers (during diving) to level the pressure in the sinuses of the upper jaw and the middle ear.

According to studies, the sample of waltasalvy in varicose veins will allow to evaluate the condition of the valve apparatus, by means of distal compression by a pneumatic cuff. Thanks to a pronounced reflux (movement of fluid of hollow organs in the opposite direction), it is possible to functionally evaluate the performance of the valve apparatus of the venous system.

This method is carried out in the horizontal position of the human body, on a flat surface. For 15 seconds, the patient inhales the air into the tube, which is connected to the manometer, and the pressure is up to 40 mm. mercury column.

If you continue the sample of waltasalvy in varicose veins for a long time, then the volume of blood that returns back is much reduced. This helps reduce pressure in the heart. Practice this trial in varicose disease outside the hospital is prohibited.

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Reviews and comments

Zoya Petrovna - 11 Feb 2020, 14:28

A year ago I got a consultant to a fashionable women's clothing store. Work I like it insanely, since thanks to me, women are transformed, they begin a new life, they are building families, just rejoice in new purchases. That's just after the year I played with such enthusiasm on my feet, serving my clients, I began to feel that the legs get tired. But I can not be in a dress code without heels. At work, the employee advised to buy Gel Variz. I trust her, but I went to the forum and read reviews about him. I decided that this is my salvation. Everything was so. After two weeks of using the antibaric drug, I run, as before. The pain is gone, legs do not hurt.

Octobrine Ivanova - 10 Feb 2020, 14:13

Everyone usually complains about varicose veins that appear on the legs, and I have this pathology appeared on your hands. From the elbows to the brushes, the vessels literally began to get out through the skin. This ugly state of the limbs is extremely annoyed. It seems and there is no pain, but the picture is unpleasant. Already thought about the operation, but the familiar doctor advised Gel Variz. Mazaal diligently in the morning and in the evening. The first results did not come immediately. It was already desperate to cure, but the course was not interrupted. As a result, the disease retreated. I'm afraid relapse, so I decided to buy a gel about the reserve: I will use for prevention.

I am for a comprehensive examination. It is best to make and sample waltzalviva, and ultrasound. This will definitely be reliably and efficiently.

URMSA - Sep 11, 2018, 12:02

Ultrasound with varicose veins is quite enough. You need to do it periodically. Do not disclose treatment.

Sergey - 05 Sep 2018, 17:48

Waltzalva test is better than the Pratt method. This is accurate. It is done only in a special office. It is impossible to do at home.

Surface testing of the general picture of the disease will not show. Deep diagnosis is needed.

At first glance, there is nothing easier than to identify varicose veins of the lower extremities. A simple visual inspection of sick legs can accurately indicate the presence of this disease, it is enough just to look at the convex convulsions of the vein and the diagnosis will become clear. But this for understanding the picture in general and the formulation of accurate diagnosis is not enough.

Even a physician with extensive experience knows how to diagnose varicose veins without the use of modern methods will not be able to accurately identify the degree of damage to blood vessels or hips, which are deeper than superficial veins. They are not visible to the naked eye.

And for adequate and effective treatment, it is important to accurately estimate the state of valves and perforate veins.

Nevertheless, the primary diagnosis of the varicose varicose the lower extremities is visual inspection. At the same time, attention is drawn to abnormally convoluted veins, their density, the presence of thromboms, is given an assessment of the state of the skin epithelium, its colors, the degree of legume of the legs is set, if this takes place.

For diagnosis accuracy, it is necessary to establish which varicose veins. Distinguish primary and secondary.

The latter is formed as a result of the formation of post-terrboflectric syndrome. It is for this that it is necessary to determine the degree of maintenance of blood vessels not only those that are located on the surface, but also those that locate significantly deeper, as well as the state of venous valves.

Earlier, the use of samples using a harness or bandage was widespread for this purpose, although today in some medical institutions you can find this diagnostic method, since it is simple and absolutely safe. Its essence is that a medical worker conducting a study imposes harness to the selected section of the lower limb and measures the blood of veins struck by varicose veins. There is a definite instruction for this.

When the harness is applied to the surface of the raised leg in the area of \u200b\u200bthe upper part of the hip and the subsequent lowering, the level of treatment of blood vessels, which lie deep down, as well as the performance of the valves in perforate veins. When, after the imposition of the harness, the veins are moderately falling out believe that deeply located vessels have normal permeability.

However, if, after lowering the leg, the surface veins remain unchanged, it testifies to their obstruction due to the blockage of blood closures. In this case, thrombosis is diagnosed.

The presence or absence of valve pathologies (along the entire length of the leg) can be estimated if you leave the harness to leave a small not squeezed clearance, or it is also called the "window". When, when analyzing in the "window", the swift of the veins is recorded, this means in this area there are incorrectly operating valves or more precisely veins with deficiency of properly operating valves.

There are other methods of a similar character using a tightening vessel of the harness, but they are increasingly applied, since more accurate modern diagnostic techniques have appeared, which are much faster and with reliable accuracy are able to single out the pathology of blood vessels. Below are the most accessible and therefore often used in medicine.

Ultrasound and Doppler

At the moment, ultrasound examination is the main method of diagnosing varicose veins. The use of ultrasound waves, as the dopparmography gives to see a specialist state of vessels as it were in a cut.

The Doperography method itself gives an estimate of the intensity of the blood flow in both directions, the state of the valves of the veins of varying degrees, shows the level of their passability and the presence or absence of thrombophlebitis signs.

Safety The method of ultrasound diagnostics is in the first place, not only for varicose veins, but also for a number of other diseases. It does not require long preparation and examination takes quite a few time. Another advantage is available price.

Doppler images also use ultrasound to diagnose, while it turns out the degree of movement of the fluid in blood vessels or in other organs and tissues. Medicine has several varieties of dopplerography.

The main objects include the following:

Color Dopplenography Used to determine blood flow level in vessels. A color mapping appears on the monitor in red and blue colors depending on the direction of blood flow, as shown in the photo below.
Energy dopplerography - determines which speed the blood is moving along the veins, but does not give an idea of \u200b\u200bthe direction of flow. Also, color indicators are displayed to the monitor, depending on the speed. If the blood flows slowly the color will be red shades, with normal condition of blood flow on the vessel monitor is marked with bright yellow color. Similar words, this method allows you to know whether there is a blood flow in Vienna and what its intensity.
Impulse-wave doppler - as well as the previous method reveals the flow rate of blood in the veins, but has some differences in the principles of diagnostics;
Duplex doppler - combines two methods of doppler with the use of in-mode and color diagnostics;
Triplex doppler It can be said that this is the most universal diagnosis of varicose veins of this type, since it combines three species immediately described above and makes it possible to carry out the most complete and accurate diagnosis of the state of the venous system of lower extremities.

The video in this article describes these methods in more detail, we advise you to see it.

It should be noted the importance of ultrasound in the diagnosis of varicose veins. The main advantage is in non-invasiveness, that is, for the study it is not necessary to make any operational intervention, injections, the use of drug drugs or the introduction of probes.

Ultrasound diagnostics helps doctors determine the presence of fertilized vessels, and allows you to mark them with a special marker. This largely contributes to a surgeon in operational treatment to quickly find damaged veins, which are supplied to the treatment of secondary varicose veins in post-terromboflectic syndrome.

Angiography

In this case, the research method uses x-rays to determine the state of the veins. In this case, a special solution sensitive to X-ray radiation is introduced into the blood vessels.

The picture obtains a contrast image of the venous system, which makes it possible to see in what condition are the vessels, as they are located, the nature of their lumen and the location of the thrombus, if any.

The angiography of the veins has its own name - phlebography. At the same time, the introduction of a radar-contrast substance in an affected varicose vein is used.

Since today ultrasound methods have gained widespread X-ray studies are less common due to their complexity and health hazards.

Note! The most important drawback of phlebography is to be carried out in veins of substances that can cause allergic reactions, so for this study requires additional research on the subject of sensitivity to these contrast preparations.

For phlebography, you need a special direction of the attending physician, which is issued in the case when ultrasound diagnostic methods do not allow to identify the features of the functioning of the vascular system of the legs.

The diagnosis of varicose veins of the lower limbs is carried out with the help of a row of other methods used to identify rare pathologies and some complications in which ultrasound does not provide complete informativeness and therefore a number of additional research is required.

These include:

three-dimensional computed tomography;
plentymography;
phleboscintigraphy;
phlebomanometry and others.

The essence of the names of diagnostics are briefly described in the table.

Methods of diagnostics varicose:

Diagnostic method	Description
Plentismography	Graphically registers the filling of the vessel or organ blood, indicates the degree and dynamics of oscillations.
Phlebomanometry	It helps to determine the pressure exerted on the epithelial vascular walls, uses a tightening limb to harness and introducing the needle to a vein that registers the pressure, produced in different positions (lying, standing, etc.).
Phleboscintigraphy	Expensive method where radioactive isotopes are used. This varicose diagnosis is used in exceptional cases when other techniques do not give the desired result. Isotopes are distributed throughout the bloodstream, then with the help of a radio sensitive scanner, a feature of blood flow on the resulting color scrograph (image of blood flow) is studied.
Computer tomographic angiography (CT angiography, KTA)	It gives a complete representation in the form of an image of veins and arteriole, allows you to find out the characteristics of blood circulation.

The combination of techniques allows you to accurately identify varicose veins and its severity, which is important for treating treatment.

As with any progressive disease, analyzes in varicose veins are crucial. Since more often, complaints of people are reduced to pains and veins in the lower limbs, it is a common belief that varicose rooms on the legs associated with blood stagnation in the vessels is the only manifestation of the disease. But often, the tests required in varicose veins have to be handed over to those who came to inspect the gastroenterologist, gynecologist or urologist.

In suspected of this disease, it is necessary to undergo detailed diagnostics, which includes several steps, ranging from palpation and ending with a serious hardware study.

Basic analyzes in varicose

The main informativeness in the diagnosis of varicose veins, give laboratory and test analyzes. Materials for laboratory tests are blood and urine.

Blood for clarification, or refutation of the diagnosis, take intravenously, preferably on an empty stomach. The results obtained, possess the following spectrum of readings:

Definition of blood group and rhesus factor;
Biochemical and general sweep;
Determining hormone levels;
The presence of a hidden infectious course.

The following test - urine - reveals such indicators as:

Glucose level;
The amount of hemoglobin;
The presence of ketone bodies, ammonia, acetone, bilirubin.

Methods of contact, non-invasive methods for obtaining conclusions for veins of the patient:

Three-timed test. The technique implies the passage of the patient's tight harness. For this, three squeezing zones are selected - in the middle of the thigh, in the groin fold and knee.
Pratt's sample. By conducting this check, the doctor determines the degree of lesion of the lower limbs. The sample itself takes 15 minutes and consists in a tight of rewinding one leg of a patient with an elastic bandage, with the simultaneous transmission of the feet with a gate of a groin fold. The procedure is carried out in the lying position. Then the patient is asked to rise and the leg is slowly freed from dressing.

Ultrasound examination

The ultrasound examination allows you to visualize the state of the vessels from the inside. This technique is necessary immediately in several permissions, and only if, on the basis of the interconnection of the results obtained, the diagnosis is considered established. The study is carried out unite and, when incorporated all types of projections, takes about half an hour.

Types of ultrasound in varicose disease:

Dopplerography. More careful in the inspection is subject to: a patented fossa, a groove plot, the lower part of the ankle. In this case, the functionality of venous valves is estimated and the location of the veins is studied;
Uzas, that is, angiosication, otherwise called duplex. Such translucent reveals the stage of painful complications and allows you to analyze the risks of possible consequences.

Based on the results obtained when scanning an ultrasound apparatus, a flash phlebologist sets an unmistakable diagnosis, and the treatment begins immediately.

At-risk groups

Until today, unambiguously name the origin of the varicose veins, no specialist could not. Therefore, the etiology of the disease is considered to be the factors provoking violation of the valves of venous vessels.

For the reasons for such damage include:

Predisposition at the genetic level;
Sexuality - women are sick of varicose veins 5 times more often than men;
Pregnancy and climax period in women;
Excess body weight;
Diabetic disease;
Alcohol addiction and tobacco
Excessive physical exertion, long-term footling on the legs;
Violation of nutritional culture is an abundance of harmful consumed substances;
Disruption of the gastrointestinal tract.

In the risk risk group, everyone, whose work is connected with severe physical labor, who is not able to resolve the nature and treatment regime, is forced for a long time on his legs with minimally performed movements, as well as a history of a list of specific diseases.

Types of varicose veins

Not all types of varicose varicose types are studied, which is due to the small amount of information in a number of individually marked cases. However, it is known that the problem extends not only for a long-known region of the lower extremities, but also on the internal organs, and the upper limbs and any other veins of the human body.

Varicose veins of a small pelvis

Varicose veins in a small pelvis is revealed mainly in the later stages, since the first symptoms of this type of illness are first taken for other pathologies.

As a rule, signs of varicose veins in this area are similar to the problems of gynecology and urology:

Pulling sharp pains at the bottom of the abdomen;
Discomfort when urination or urge is not normal frequency;
The inability to finish the sexual intercourse due to severe pain.

The reason is called the obstruction of the vessels and the absence of sufficient lumens in them. The consequences in the absence of treatment may entail infertility and disruption of the entire genitourinary system. Often the operation is required to remove highly modified veins and create a coating path of blood flow.

Varicose veins of uterus

This type of varicose varicose is worse than others to be diagnosed. All the symptoms of the uterine varicose varicose is similar to the previous case, with the addition of serious pain in the lower back area. With the detection of the disease at an early stage, the uterus and appendages suffer.

The origin of the uterine varicose varicose veins is also attributed to too much of concentrated progesterone, relaxing smooth muscles, which contributes to the strongest pain. Other reasons are considered:

Various inflammation against the background of surgical interventions or bleeding;
The use of hormonal contraceptives;
Hereditary genetic factor.

The disease, as a result of the last phenomenon, is not difficult to prevent, if, knowing about hereditary heredity, regularly undergo a survey and donate the necessary tests.

Varicose veins of the esophagus

Of all kinds of varicose varicose internal organs, food is most common food. Promotes the formation of the problem of myocardial pathology, spleen, stomach. The symptoms of this disease is blurred and in the early stages does not show anywhere, but in the process of disease progression, such manifestations arise:

Designation of venous nodes around the umbilical zone;
Frequent cases of painful belching;
Deterioration of appetite;
Weight loss without explanation of the reasons;
Sometimes - the symptoms of hepatitis C.

In the absence of urgent measures, it is possible to bleeding, the feeling of squeezing the sternum. At the started stage of the disease, due to a significant loss of blood, anemia arises.

Varicose veins

The most studied and popular phenomenon of varicose veins, this is a reflection of symptoms on the lower limbs of a sick person.

The main reason for it is considered the genetic factor - it is 60% of all registered cases. At the same time, the next generation is not a disease, but the special design of the veins, which already entails the relevant problems.

To other reasons include:

Hormonal imbalance;
Cystic and other progressive inflammatory processes arising in the abodes of the small pelvis in women;
Nervous system disorders;
Not dosed physical effort;
Small mobility as a permanent factor;
Immunodeficiency;
Belonging to the female floor.

Varicose veins on the legs, as the most symptomatic, faster than other types of varicose varicose can be recognized and responding faster to treatment.

Diagnosis with varicose veins of a small pelvis

Palpation, that is, a superficial inspection, is the basis of the diagnosis recognized during the contact examination. The diagnosis of a small pelvic varicose is obliges to attract two specialists - fluball and gynecologist.

When feeling in the crotch and thighs, severe painful sensations are possible, but it gives only part of the general picture and gives a reason for appointing the following mandatory surveys:

Penetrating inspection with gynecological devices, reveals the change in the color of the walls of the vagina, determines the degree of pain when pressing on the appendages, vagina arches and cervix.
The ultrasound is prescribed by a combined type - a surfactant and superficial, which allows us to estimate the pathological reflux, conglomerates of affected vessels and measure the flow of blood in the veins.
Computer tomography and magnetic resonance research is completely excluded, or confirm the organic lesions of the uterine authority.
X-ray in the introduced contrast (angiography), selective ovarography - these surveys give a complete picture of the region captured by pathological changes.

Diagnostics in varicose veins of uterus

Since the dairy varicose varicose is already diagnosed in fairly late stages, the primary measure of his statement is to collect numerous complaints of a sick woman. External inspection, following the compilation of anamnesis, the doctor spends the appropriate physician in the gynecological chair. Anxious feature during palpation is an unpleasant sensation or pain, with a deep tackling of the uterine organs and the vagina cod.

The following surveys are based on inspection identified in the inspection:

Uzi small pelvis organs;
Doppler Doppler inspection in the process of the ultrasound;
X-ray with the introduction of contrasting fluid.

The last type of data collection to study the disease is categorically contraindicated during pregnancy.

Diagnostics in varicose veins of the esophagus

With a large area of \u200b\u200bdamage coverage, the varicose veins can be even caused by the patient's death.

This happens at the last stage of the disease with abundant blood loss, often accompanied by cirrhroid lesions of the liver.

The disease is diagnosed with a complex of the following methods relating to invasive and non-invasive:

A general blood test that reveals the presence of platelets, showing functional hepatic tests. This also includes the definition of the rees-factor and blood group, as well as the cross-sample for compatibility for 6 doses of erythrocyte mass.
Study of fibroesophagoscopy, indicating the origin of bleeding;
Determine a reliably type of vein varicose veins will help the radiography of the esophagus with the introduction of contrasting substances.
Doppler Shows the structural composition of the veins;
Spiral computed tomography applies as an extreme case, if it is impossible to put the correct diagnosis and decide during treatment.

Diagnostics in varicose veins of the lower extremities

When performing a vascular drawing on the legs, frequent ekings and other pains, the first self-diagnosis comes into force, since the problem is obvious.

Flabogus analyzes the strength of the defeat, the degree of nestness, but not one, even an experienced doctor will not make the final conclusion, based only on the patient's complaints and palpation.

Duplex scanning. During the patient's procedure, they are asked to undress and lie on the couch. Then gel is applied to the patient's feet and deeply scanning veins begins. This technique is designed to accurately determine the state of blood vessels when analyzing and measuring the width of the veins, their flexibility. The structure of the valves is studied. Revealed the presence of lumen in the veins. Special preparation this procedure does not require;
Triplex scan implies the same result with a similar technique, but the picture is fed to the monitor in the 3D image.

Often, the varicose disease is combined with thrombophlebitis, which inevitably leads to solidification of vessels and germination in blood clots and around them fixing the connective tissue. Then the reservation of veins is formed and possibly its sclerosis. The only way out of this situation is the operation.