Medical insurance diseases: none.
Prevalence rate: 0.03% (traffic police, teachers and other occupations for a long time, the incidence rate is high)
Susceptible population: no special population.
Mode of infection: non-infectious.
Complications: congestion dermatitis, thrombophlebitis and erysipelas acute cellulitis.
Common sense of treatment
Consultation department: general surgery
Treatment: surgical treatment, drug treatment and supportive treatment.
Course of treatment: 1-4 months.
Cure rate: over 95%
Commonly used drugs: calcium dobesilate capsules polysulfonate mucopolysaccharide cream
Treatment cost: according to different hospitals, the charging standard is different, and the top three hospitals in the city are about (2000-5000 yuan).
skill
Adjust daily life and workload, exercise regularly and avoid fatigue.
Daily nursing care of varicose veins
1, let's go Fast walking can effectively prevent or improve the occurrence of varicose veins, because the rhythmic contraction of calf muscles can promote venous blood to return to the heart like a pump. When standing or sitting for a long time, the calf muscles lack contraction, which is easy to cause venous blood stasis. Therefore, walking is conducive to venous reflux and avoiding varicose veins.
2. Avoid crossing your legs and massage more. Crossing your legs will hinder the blood return of your lower limbs. When sitting for a long time, you should avoid crossing your legs and do more leg massage. The method is: put your hands on both sides of the calf, from the ankle to the knee joint, and knead the calf muscles to help venous blood return. In addition, don't sit cross-legged, and don't wear high heels or tight shoes, which will affect blood circulation.
3. Wear medical elastic socks. After wearing medical elastic socks, it can produce protective force on the skin surface of legs, prevent varicose veins from expanding outward, and at the same time produce pressure gradient on venous pressure of lower limbs, promote venous blood return, and achieve the purpose of preventing varicose veins. "Wearing elastic socks can promote the blood return of lower limbs, which has both therapeutic and preventive effects." Lin Shaomang said, "If you often drive or take long-distance flights, wearing a pair of elastic socks will definitely make your feet much more comfortable." However, medical elastic socks are long and short, and the pressure is large and small. The clothes worn by patients are different from those of healthy people. It is best to buy under the guidance of a doctor in a hospital and use under the guidance of a doctor. It is difficult to confirm the effect of elastic socks sold online, and it is also a lie to say that elastic socks have thin legs.
Symptomatic nursing of varicose veins
1, reasonable diet
Traditional Chinese medicine believes that varicose veins are caused by the downward rush of dampness, internal resistance of blood stasis, the struggle between dampness and blood stasis, and the loss of heat. Light foods such as loofah, cucumber, tomato, cabbage, radish, etc. should be given for clearing away heat and promoting diuresis, promoting blood circulation and removing blood stasis. Avoid spicy food, such as mutton, dog meat, fish, shrimp, pepper, garlic, etc. And should keep the stool unobstructed.
Step 2 keep exercising
Persisting in walking can enhance the contractility of lower limb muscles and promote venous blood return of lower limbs. After discharge, patients should walk for 30 minutes every day, twice a day.
3, often do vascular exercise.
Due to long-term venous hypertension, the tension of venous blood vessels in patients with varicose veins of lower limbs gradually decreases. Doing vascular exercise can enhance the tension of venous blood vessels and reduce the recurrence of varicose veins after operation. Specific methods: The patient takes a sitting position, straightens his lower limbs, and slaps the affected limb repeatedly with both hands from bottom to top. The strength is tolerance, each time 15min. Long-term persistence can achieve good results.
Step 4 wear elastic socks correctly
Patients wear it when they are active in the morning and don't have to wear it when they sleep. Generally, they must stick to it for 3 months, or they can use it for a long time. Pay attention to skin color change and limb swelling during use. After operation, we should adhere to proper physical exercise and wear elastic socks during exercise.
5. Correct adjustment of lifestyle
Patients should develop good eating habits to prevent constipation and adopt sitting defecation; In order to maintain blood supply to lower limbs, standing or sitting for a long time should be avoided. When standing, don't always support your whole body weight with your legs together, but focus on it and let your legs take turns to rest. Don't cross your legs, because the sitting posture of your legs will hinder the blood return of your lower limbs. Raise the affected limb at rest, promote blood circulation of lower limbs, and avoid wearing tight clothes and belts.
Overview of treatment
Consultation department: general surgery
Treatment: surgical treatment, drug treatment and supportive treatment.
Course of treatment: 1-4 months.
Cure rate: over 95%
Commonly used drugs: calcium dobesilate capsules polysulfonate mucopolysaccharide cream
Treatment cost: according to different hospitals, the charging standard is different, and the top three hospitals in the city are about (2000-5000 yuan).
Western medicine treatment of varicose veins
1, drug therapy
The main drugs are oral drugs such as Aimailang, Xiaotuozhi and Maizhiling. Mainly rely on imports. These drugs have undergone a series of clinical and toxicological tests, so they are more scientific and standardized, and are most widely used in clinic.
Warm reminder: There are many drug advertisements on the Internet. For the drug treatment of varicose veins, you must go to a regular hospital to buy medicine. Experts in the disease consultation area are very clear about taking medicine.
2. Surgical therapy
This method is suitable for patients with severe varicose veins and obvious symptoms. Deep venography should be done before operation to ensure the patency of deep veins. At present, there are three commonly used surgical methods: high ligation, vein stripping and ligation of subfascular communicating branches, and different methods are adopted according to different conditions of patients.
3. Compression therapy
Conservative treatment is the best method. Use elastic socks and external pressure to reduce edema during exercise. Theoretically speaking, the pressure of elastic socks is the largest at the ankle and gradually decreases upward. It is usually best to wear elastic socks that can reach your thighs. It is best to wear elastic socks before getting up in the morning and then take them off after going to bed at night. If patients have leg ulcers due to venous hypertension, they should respect the doctor's advice, take antibiotics and diuretics, supplemented by special hygiene materials.
Traditional Chinese Medicine Treatment of Varicose Veins
1, Lycium barbarum soaked in wine once a night, and it will be completely cured in half a year.
2. Carthamus tinctorius, Angelica sinensis, Achyranthes bidentata and Ligusticum Chuanxiong, each medicine is boiled with strong fire, and the ratio of liquid medicine to medicine is 1 (medicine): 40 (water). Then pour the medicine into the footbath (the basin should be small and deep, and the water can pass through the ankle), and put your legs on the basin to smoke. When water can be wasted, it will start to burn. There is also acupoint massage after ironing.
3. Choose rhubarb, mash it, wrap it in gauze, put it in a basin, boil the water for 15 minutes, then pour it into the basin, and the amount of water is appropriate to submerge the ankle bone. Soak your feet with this medicine and change rhubarb 1 every two days.
4. Carthamus tinctorius, Achyranthes bidentata, Papaya, Caulis et Folium Gaultheriae Yunnanensis, Radix Clematidis, Herba Lycopodii, Zingiberis Rhizoma, Fructus Zanthoxyli, Rhizoma Corydalis, Asari, Fructus Aurantii, Ramulus Mori, Ramulus Cinnamomi, and Caulis Spatholobi. Leg soaking, to be exact. You should use barrels (preferably wooden barrels). If there is no wooden bucket, you can use a plastic bucket. You should soak the medicine for half an hour in advance, then cook it on the fire (the same as drinking Chinese medicine), then pour the cooked medicine into a bucket, cool it to the temperature where you can soak your legs, and then put your feet in it. It is best to soak in the knee position. One dose of medicine can soak feet for three days continuously. Heat it every time you soak it.
5. Take cassia twig and papaya. Soak the decoction in water 1 time for 30 minutes every night before going to bed. After the liquid medicine is cooled, it can be heated and soaked again. The dosage of 1 can be used continuously for 2 ~ 3 days, and the course of treatment is 7 days, preferably after beginning of winter.
6, there is no completely treatable method for soaking feet, it can only be alleviated. Try Lycopodium, Ganoderma lucidum, Salvia miltiorrhiza, Angelica sinensis, Radix Aucklandiae, Radix Glycyrrhizae, Folium Artemisiae Argyi, Cortex Acanthopanacis, Fructus Schisandrae Chinensis, and Flos Lonicerae. It has the advantages of dredging channels and collaterals, promoting blood circulation and removing blood stasis, strengthening kidney yang and relaxing bones and muscles in a short time. It can also increase blood circulation, invigorate qi and strengthen yang, strengthen limbs and improve blood circulation by stimulating foot acupuncture points. It is also good to soak your feet with 250 grams of Lycium barbarum leaves or mulberry leaves.
7.① Qili powder, with medlar, decocted twice a day. It is suitable for varicocele of blood stasis type.
② Wenjing Decoction: Evodia rutaecarpa, Angelica sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong, Ginseng, Ramulus Cinnamomi, Cortex Moutan, Ginger, Glycyrrhrizae Radix, Pinellia ternata and Ophiopogon japonicus. Decoct with water, daily 1 dose, * * * 300ml of medicinal liquid, morning and evening 150ml.
③ Tongjing Decoction: Radix Salviae Miltiorrhizae, Rhizoma Curcumae, Radix Cyathulae, Radix Bupleuri, Concha Ostreae and Radix Astragali. Decoct with water.
(4) Herba Artemisiae Scopariae, Fructus Citri Sarcodactylis, Semen Litchi, Pericarpium Citri Tangerinae, Herba Erigerontis, Fructus Toosendan and Pericarpium Citri Reticulatae Viride. Decoct with water. Used for hot and humid betting cards.
For reference only, please consult your doctor for details.
Daily health care of varicose veins
1, Foot Bath: Soaking feet with hot water, especially washing feet with ginger or pepper, can quickly expand the capillary network of human respiratory mucosa, accelerate blood circulation, and enable white blood cells in the blood of respiratory mucosa to destroy bacteria and viruses invading the human body in time to protect the human body from infection. People who often stand are prone to "varicose veins of the lower limbs". Foot bath can speed up the blood circulation of the legs and make the venous blood of the legs return to the right heart in time, which is conducive to reducing blood stasis in the legs and preventing varicose veins of the lower limbs. In addition, soaking feet with hot water before going to bed also helps to soothe the nerves, hypnotize sleep and make sleep deeper and sweeter.
2. Foot massage: After washing your feet, rub them with your hands and gently rub the relevant parts or acupoints. Massage the whole foot or part, and massage Yongquan (the center of the foot) or Taichong (behind the joint of the first toe and the second toe) or Taixi (the depression between the high point of the inner ankle and the achilles tendon). Can be used for preventing and treating dizziness, insomnia, anorexia, dull complexion, fatigue, hypertension, constipation, etc.
3. Lift your feet high: Lift your feet 2-3 times a day, even higher than your heart. At this time, the blood circulation in your feet and legs is vigorous, and the blood in your lower limbs accelerates to flow back to your lungs and heart, so that your head can get enough fresh blood and oxygen, which is also a benign stimulation to the acupoints and reflex zones of your feet.
4. Knead the calf: Hold one calf tightly in the palm of both hands, rotate while kneading, and knead it for about 20 times on each side, and then knead the other leg in the same way. This method can strengthen the leg strength.
5, pulling feet: take a sitting posture, legs straight, bow your head, bend your body forward, and pull your toes and ankles 20-30 times with your hands to exercise your feet and prevent leg weakness.
6. Knee twisting: Feet are parallel and close together, knees are slightly squatting, hands are placed on knees, knees turn around, first turn left, then turn right, about 20 times each. Can be used for treating lower limb fatigue and knee joint pain.
7. Swing the leg: First, hold the object with one hand or hold the wall to swing the calf forward, so that the tip of the leg is tilted up, and then swing back, so that the toe is stressed backwards, the foot surface is stretched straight, and the leg is as straight as possible. When you throw your legs, your upper body is upright and your legs are exchanged dozens of times. This method can prevent hemiplegia, atrophy and weakness of lower limbs, numbness of legs and cramps of calves.
On the varicose vein diet, you can choose kumquat, hawthorn, rape, loofah, red beans, sesame and other products that promote blood circulation, and you can also choose warm foods such as beef, mutton and chicken. Do not eat spicy food, avoid alcohol and tobacco.
Dietary health care of varicose veins
1, pork belly in kumquat root pot
30g kumquat root, pork tripe 100 ~ 15g, 4 bowls of water, and meat with soup. It is suitable for varicocele of liver-qi stagnation type.
2. Cimicifuga, sesame and fennel wrap the pig's large intestine
Cimicifuga foetida 10g, black sesame 60g, fennel 10g, and a section of pig large intestine. Put the three medicines into the pig's large intestine, tie the two ends tightly, add water to cook, remove fennel, cimicifugae Rhizoma and sesame seeds, season and drink soup to eat the pig's large intestine. People with constipation can even eat black sesame seeds. It is suitable for varicocele of qi deficiency and blood stasis type.
3. Shenqi Binuclear Porridge
20g of Astragalus membranaceus, 30g of Codonopsis pilosula, litchi seed 15g, mango seed 15g, and japonica rice 15g can be eaten by boiling porridge. It is suitable for varicocele of qi deficiency and blood stasis type.
4, orange core motherwort black bean syrup
15g orange pit, 30g motherwort, 60g black beans, add 3 bowls of water and fry to a bowl, and add appropriate amount of brown sugar. It is suitable for varicocele of blood stasis type.
For reference only, please consult your doctor for details.