Varicose veins is a common disease, refers to the lower limbs superficial venous system in an extended, winding varicose state.
We know that the human body is a vessel transport corridors, due to heart kept beating, the arterial blood rich in oxygen and nutrients throughout the body sent a steady stream, vein after the body will be released back to the blood of oxygen and nutrients into the heart. Venous leg system that is responsible for the recovery of the blood, in order to make the blood flow does not back up, there are many similarities in the venous Countryside waterwheel-like separator valve, if the valve is damaged, the affected leg blood reflux, the It appears varicose veins or leg swelling. Congenital vein wall weakness, venous insufficiency and shallow increased venous pressure is the main cause of varicose veins. Varicose veins divided into simple and secondary categories, the former refers to the superficial vein disease itself, not associated with deep vein the latter refers to deep vein thrombosis or deep vein valve insufficiency consequences.
Because the body does not self-repair of the valve mechanism, varicose veins is an irreversible phenomenon. According to statistics, there are 25 to 40% female, 20% of men have this phenomenon. Teachers, surgeons, nurses, hairdressers, Miss counter, cooks, waiters and other patients require prolonged standing occupation are all high-risk groups. In addition to genetic and varicose veins, oral contraceptives and pregnancy is also relevant.
In addition to affecting the appearance of varicose veins of the legs, the early onset of surface vessels like earthworms varicose was protruding skin, varicose veins or nodular form of pellets, many patients have soreness and pain, heavy night, the light in the late prominent increase bolus expansion tortuous obviously, the great saphenous vein in the leg as the most important, in addition to highlights of the veins, the veins also make darker and leg pain, a serious inflammation of the surface of the skin, ulceration, bleeding, foot swelling and night cramps. Duration of the elderly often have skin atrophy, scaling, itching, pigmentation, skin and subcutaneous tissue induration, and even eczema and ulcers, sometimes with bleeding and thrombophlebitis.
Medication is not a cure varicose veins, internal medicine and external application almost no effect. Treatment of varicose veins, there are three, including: oppression therapy, varicose vein sclerotherapy and surgery three categories. Wearing compression stockings medical compression therapy method in the case of the most effective methods. When walking, the ankle venous pressure under normal circumstances is below 30mmH2O. The prevalence of chronic venous disease process, for whatever reason, when walking ankle venous pressure is always higher than 30mmH2O. Compression therapy will have a direct mechanical effect of the lesion venous transmural pressure back to normal. Of course, stockings and varicose veins can not be cured, but in a double-blind randomized controlled trial sample, the five kinds of medical compression stockings and pantyhose a placebo were compared to 32 in the long-term employed women standing posture He participated in this trial. Assessments within the scope of analogous test persons complained strength (leg heaviness, pain, swelling), results showed that: using a variety of MCS trial who complained significantly reduced, while the placebo trial pantyhose who complained but no reduction (P 0.0001). This fully proves it as an allopathic prevent varicose increase, alleviate symptoms, and as adjunct therapy to other therapies. When severe varicose veins to a certain extent, increase the discomfort, or phlebitis, pigmentation and other complications, the doctors still recommend patients with early surgical treatment, so as not to further aggravate the condition, affecting quality of life.
Now, buy MCS channels more, but doctors advise patients with varicose veins is best to go to a regular hospital Vascular Surgery, a doctor's prescription. The doctor will choose the right according to the degree of compression stockings in patients with varicose. If varicose veins has been extended to the thighs, the legs can wear elastic stockings, if not developed to the thigh, usually in stockings below the knee can be.
MCS support the establishment of maximum pressure in the ankle, gradually decreasing upwardly along the leg. In the calf reduced to 70 to 90% of the maximum pressure value, reduced to 25 to 45% of the maximum pressure in the thigh. This decreasing pressure changes can lower extremity venous return, effective relieve or improve venous and venous pressure on. Stockings level pressure divided into the following: a low pressure preventive (20 ~ 25mmHg): suitable for varicose veins, thrombosis, high risk health a medium-pressure treatment of type (25 ~ 30mmHg): suitable for patients with early stage of varicose veins ; two high-pressure treatment of type (30 ~ 40mmHg): suitable for the lower limbs has obvious varicose veins and leg discomfort with patients (such as acid swollen lower extremities, fatigue, swelling, eczema, cramps numbness, pigmentation ), phlebitis, pregnancy severe varicose veins, varicose vein patients size hidden exfoliation, deep vein thrombosis syndrome after the three high-pressure treatment of type (40 ~ 50mmHg): suitable for the height of lower limb swelling, ulcers, skin black hard, irreversible lymphedema and other patients. Stockings divided trumpet S, medium M, L L, XL XL. Measure the wearer with a soft foot legs three main dimensions (cm): ankle (ankle finest office) circumference, calf maximum circumference and thigh circumference maximum, to determine the appropriate number.
The current consensus view is that MCS is wearing all chronic venous insufficiency basic treatment of the disease, but also prevention of venous thrombosis after primary method syndrome. Its purpose is to reduce the functional symptoms of chronic venous disease, reduce swelling, control the progress of varicose veins and try to limit nutritional disorders and other complications. The role of MCS are: venous recovery after surgery, relapse prevention and treatment of varicose the elimination of a variety of post-operative edema, promote wound eliminate swelling by the varicose veins, venous blood flow disorders caused by pain so hardened skin darkening gradually turn for the better, the healing of skin ulcers, varicose veins tortuous degree turn light prevention of bedridden patients with deep venous elimination of pregnant women in late pregnancy leg edema, prevent women after production varicose veins and deep vein control plane passengers in economy class on prolonged standing, sitting, heavy manual workers reduce lower limb soreness prevent varicose veins.
MCS crowd: prolonged standing by: teachers, police, shopping guide, beauticians, doctors, nurses, etc.; time meditators: office staff IT people, white-collar workers, civil servants, etc. - standing or sitting for a long time: because of muscle Causes fatigue and gravity, resulting in poor blood return leg, increased blood viscosity resulting in venous pregnant women, long-term use of contraceptives crowd - hormonal changes during pregnancy, blood volume increased by more than 20%; and fetal growth large uterine compression pelvic vein and iliac vein, gestational weight gain, leg venous pressure is increased, resulting in poor blood return, resulting in venous frequent travel by plane, long-distance car crowd, flight attendants - commonly referred to as economy class syndrome, weight loss due to the high altitude, resulting in poor blood return leg, resulting in venous diseases, severe pulmonary embolism occurs obesity - due to high blood cholesterol and blood lipids, blood viscosity increases, combined with overweight so difficult venous return to the heart, resulting in venous has been suffering from venous diseases of the population - due to venous already in the disease state, must pass in order to improve the treatment, otherwise the disease will continue to deep vein thrombosis high-risk population - major surgery after patients, cancer patients, patients with hemiplegia, women in late pregnancy and maternity, lower extremity fracture patients, patients with severe infections, the elderly and so on.
Wear medical elastic stockings is the best time to get up in the morning, because the legs of the vascular system in the largest state of the function starts, the swelling has not happened. Hand into his stockings, socks pinch during the first two inches of the site, to turn the other hand stockings with socks. The vast majority of stockings over and along the exhibition, so that the foot can easily head into his socks. Hold thumbs on the inside of socks, socks four fingers grasp the body, his legs into the socks, thumbs outward hold tight socks, four fingers and thumb coordination to pull the socks and ankle socks and put in the correct position with . Socks leg sequentially turned on to pull back, put on socks after the close Dover. MCS is the treatment of stress, and different parts of the different pressures, so women often wear stockings and not a substitute for it. Due to the high pressure, it is recommended in patients at rest before going to sleep off stockings. Special attention when wearing elastic stockings or off, do not let the diamond or long fingernails scratching stockings. Please wash hands and feet cut nails, in the dry season to prevent heel chapped skin, avoid scratching the stockings. Moreover, you should always check whether a flat shoes, stockings prevent debris causing unnecessary wear and prolong life. Stockings also need to be cleaned regularly, especially for patients with love sweating, should pay attention to clean socks. Washing use a neutral detergent in warm water, do not wring or squeeze his hand with a dry towel to remove excess water, in a cool dry place, not placed in the sun or artificial heat drying or baking. Any high-quality products, only takes good care can prolong its life, to achieve the best results.
MCS is not suitable for all people have varicose veins, skin infections like: boils, abscesses, deep pustule, erysipelas, decompensated heart failure, progressive microangiopathy in patients with diabetes are not fit to wear elastic stockings, ankle-brachial index of less than 0.8 must not be used for medical compression stockings. Therefore, we recommend the best to the hospital for varicose veins crowd vascular surgery clinic to receive professional advice for the correct and rational use of elastic stockings.
(Author: around Germany, director of Beijing Chaoyang Hospital Vascular Center physicians)
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