Варикозное расширение вен нижних конечностей

Здравствуйте, уважаемые читатели информационного ресурса moidok.ru. В этой статье мы расскажем о одной из самых частых болезней как у женщин, так  и у мужчин, варикозном поражении вен нижних конечностей.

Заболевание может проявиться в любом возрасте, чаще возникает у женщин при наличии провоцирующих факторов. Среди причин развития заболевания могут быть беременность, наследственная предрасположенность, лишний вес и так далее. То есть, факторы, вызывающие варикозное расширение вен можно разделить на две группы: 1 — причины, повышающие давление в нижней полой вене и, соответственно, в венах нижних конечностей. 2 — нарушения сосудистой стенки и клапанов вен.

В зависимости от состояния вен, направления тока крови, поражения тех или иных участков вен различают несколько стадий и форм варикозной болезни. Болезнь считается компенсированной, если есть единичные расширенные вены без изменения пигментации кожных покровов, при отсутствии отеков, болей в ногах.  Если же появляются эти признаки, то болезнь становится сначала субкомпенсированной, а впоследствии и декомпенсированной.

В сети можно найти много информации о лечении и даже излечивании варикозных вен с помощью народных средств, мазей, растираний и так далее. Мы должны предупредить наших читателей, что оценить различные варианты может только квалифицированный врач, и то только после всестороннего обследования.

Очень вредно, да и просто опасно заниматься самолечением не показавшись врачу. Консервативные способы лечения конечно имеют право на существование, но только в компенсированных формах заболевания.

Суб- и декомпенсированные формы можно вылечить только хирургическим путем.

Выбрать конкретный метод лечения можно совместно с врачом. Так как способов лечения варикозной болезни достаточно много, то можно судить об отсутствии единого надежного метода исцеления.

Компенсированная стадия заболевания не нуждается в хирургическом лечении. В этой стадии можно применять так называемые венотонизирующие препараты, компрессионное белье.

 

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Геморрой

Геморрой — заболевание, обусловленное нарушениями кровообращения в венах заднего прохода, при этом расширяются вены и образуются узлы. В остром периоде болезни узлы воспаляются и пролабируют в задний проход или в просвет кишечника.
Различают три формы заболевания: внутренний, комбинированный и наружный геморрой.
Кроме этого в клинической картине заболевания различают 4 стадии.
1. Периодическое появление узлов, могут появляться кровотечения.
2. Узлы выпадают, но вправляются самостоятельно.
3. Геморроидальные узлы уже невозможно вправить самостоятельно.
4. Постоянное присутствие кровоточащих узлов.
Лечение и диагностика любой формы и стадии болезни должны быть своевременными и эффективными для исключения обострений и осложнений.
При внутреннем геморрое, как правило, периодически возникают боли или наблюдается незначительное выделение крови.

Симптомы наружного геморроя.
В холодном периоде, когда нет обострения воспалительного процесса, пациенты могут практически не предъявлять жалобы, но во время обострения заболевания беспокоят следующие симптомы: кровь после опорожнения на кале или на туалетной бумаге, боли в области заднего прохода, выпадение невправимых напряженных узлов. При небольших размерах выпадение наблюдается не часто, однако, когда узлы становятся более крупными, каловые массы постоянно травмируют кожу и слизистую. При геморрое также могут наблюдаться кровоточащие трещины анального отверстия. В области заднего прохода появляется чувство дискомфорта, тяжести и зуда, раздражения.
Заболевание доставляет массу неудобств, могут возникнуть еще более тяжелые осложнения в виде распространенного тромбоза или парапроктита.
Лечение геморроя представляет сложную задачу, конечно его лучше проводить под контролем квалифицированного специалиста.
Лечение геморроя должно быть комплексным. Назначаются как системные, так и местные препараты. Нужно помнить, что все лекарственные средства имеют как показания, так и противопоказания, то есть, опасно заниматься самолечением, не проконсультировавшись с лечащим врачом.
Лекарственная терапия оказывает противовоспалительное, венотонизирующее, дезагрегантное действие. В последние годы широкое распространение получили комбинированные препараты, как системного, так и местного применения.
Пероральные препараты для лечения наружного геморроя:
Гинкор форт – используется при всех формах и стадиях заболевания, обладает капилляропротективным действием, улучшает местную микроциркуляцию.
Детралекс — используется для симптоматического лечения наружного геморроя. Это средство также обладает венотонизирующим и венопротекторным свойством. Антрасеннин – слабительное средство растительного происхождения, устраняет запоры, часто наблюдающиеяс при наружном геморрое. Лечение слабительными средствами надо проводить очень осторожно, посоветовавшись с врачом, поскольку при их длительном использовании может возникнуть привыкание.
Пайлекс — эти таблетки при наружном геморрое оказывают противоотечное, ранозаживляющее, антиоксидантное, венотонизирующее, антимикробное и противовоспалительное действиею
При лечении геморроя использовать любые фармакологические средства следует только по назначению врача. При применении любых препаратов нужно не забывать о рациональном правильном питании и здоровом образе жизни.
Наружные средства при геморрое.
Использовать свечи и мази следует короткими курсами, не более 10 дней, потом необходимо делать перерыв. Особенно осторожно следует относиться к гормональным мазям и свечам, их бесконтрольное использование влечет за собой отдаленные отрицательные последствия для здоровья.
Проктоседил, выпускается в виде мазей и свечей, в состав входят глюкокортикостероид, антибиотик, натриевая соль гепарина, поэтому этот препарат обладает выраженным анестезирующим, антитромботическим, противовоспалительным, антибактериальными действием.
Постеризан мазь и свечи – это комбинированный препарат, в состав которого входит кишечная палочка, повышающая местный иммунитет, препарат увеличивает резистентность кожи вокруг ануса и слизистой прямой кишки к патогенной микрофлоре.
Релиф – достаточно распространенный препарат в виде свечей и мазей от наружного геморроя. Входящее в состав этого препарата масло печени акулы, обладает местным ранозаживляющим, противовоспалительным и гемостатическим действием.
Гепатромбин. Лечение наружного геморроя мазями и гелями Гепатромбин считается весьма эффективным, поскольку этот комбинированный препарат состоит из гепарина, аллантоина и декспантенола.

При выборе препаратов врач ориентируется на конкретную клиническую картину в каждом индивидуальном случае, выраженность основных симптомов геморроя, вероятность развития побочных эффектов. Оценить полную картину, подобрать препарат, предупредить возможные осложнения сможет только квалифицированный врач.
Кроме лекарственной терапии обязательной составляющей успешной борьбы с недугом является диета.
Диета при геморрое.
На любой стадии заболевания, включая послеоперационный период является соблюдение послабляющей диеты. Диета направлена на послабление стула, исключение повреждающего действия каловыми массами.
Необходимо включить в рацион максимальное количество овощей, продуктов, вызывающих послабление стула: фрукты — чернослив, курагу, свежие абрикосы, яблоки, персики, мандарины, инжир; хлеб — цельные злаки и зерна в хлебных изделиях, черный хлеб; овощи — свеклу, тыкву, кабачок, брокколи, цветную капусту.
По возможности исключить продукты, укрепляющие стул: мясные и молочные продукты — отварное постное мясо, крепкие мясные бульоны, сырые яйца, белок вареного яйца, сваренный вкрутую, творог; фрукты — айва, гранат, груши неспелые и сушеные, хурма, сушеная черника, рябина, черная смородина, изюм и виноград, все вяжущие фрукты; овощи — картофельное пюре, баклажаны, морковь. Нужно исключить алкоголь в любом виде, газированные напитки, крепкий кофе и чай, компоты из сухофруктов.
Не рекомендуется терпеть и задерживать стул, при первых позывах следует сразу же опорожнять кишечник.

Лечение геморроя оперативным путем.
При частом развитии осложнений, выраженном дискомфорте, длительном анамнезе заболевания рекомендуется оперативное лечение.
Выбор конкретного способа операции сможет осуществить только лечащий врач.
На сегодняшний день спектр оперативных вмешательств очень широк, но наблюдается постепенный прогресс от обширных болезненных вмешательств к малоинвазивным, сохраняющим процедурам, многие из которых можно выполнить амбулаторно или в стационаре одного дня.
Перед операцией ваш врач расскажет об особенностях подготовки к вмешательству, диете и образу жизни в первое время после операции. Оперативное вмешательство часто является единственным радикальным способом устранения проблемы.
В любом случае, практическая хирургия в наше время предпринимает комплекс мер, чтобы сделать эту процедуру максимально комфортной для больного.

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