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Treatment of post-thrombotic syndrome


Deep vein thrombosis of the legs - disease, a complication of which is post-thrombotic syndrome - a set of symptoms of chronic venous insufficiency (CVI).

The mechanism of development of pathology

Developed in a deep leg vein thrombosis do not always result in postthrombotic syndrome: here much depends on how the clot closes the vessel lumen.

Most often a blood clot recanalizes - that is, dissolves partially or completely, blood flow is partially restored.

However, due to the developed inflammation is the loss of the valvular apparatus of the vessel and the lumen of the deep vein is replaced with connective tissue and thus disappears completely. This pathological process is called ablation.

Inflamed tissue of the vascular walls gradually sklerosiruta and around the affected vein is formed by fibrous areas, compressing blood vascular. Since the machine is already destroyed, and walls due to sclerosis have undergone gross changes, blood, moving through damaged Vienna, changes the direction of motion from top to bottom.

отёчная форма

In the area of the lower leg venous pressure increases, hypertension adopts a static and dynamic character (i.e., there is at rest and in motion), weakened valves expand, followed by venous insufficiency.

From chronic venous insufficiency suffer from the capillary network and the lymphatic system is lymph circulation, and the capillaries become permeable.

He sees and feels sick

Post-thrombotic syndrome has a number of very prominent symptoms, the intensity of which is constantly growing:

  • Massive swelling in the lower extremities are not coming down for many days;
  • Subcutaneous bluish or purple bumps - lots swollen veins;
  • "Asterisks" on legs;
  • Cramps;
  • A feeling of weakness in the legs (patients describe it as "jelly legs"), worse after moving or sitting in one position.

One of the most disturbing symptoms, which is manifested post-thrombotic syndrome, becoming venous eczema - ulceration of the walls of blood vascular. They are joined by sclerotic changes in the skin of the shins, exciting, and subcutaneous tissue.

Affected tissues not only lose their elasticity: sklerozirovanie the skin of the lower limbs often appear sores - open wounds, not healing for months.

Clinical forms of the syndrome

As post-thrombotic syndrome is enoughan extensive set of grounds on which to suspect the development of venous insufficiency, they can play a dominant role in the course of the disease. According to the predominant symptoms and are separated forms of the disease.

Experts identify:

лфк ног

Edematous form of the syndrome.

  • Swollen pain form;
  • Varicose form;
  • Ulcerative form.

Sometimes any leading symptom cannot be allocated: all manifestations of the disease are quite pronounced.

Then talk about the mixed form of chronic venous insufficiency developed in one of the lower extremities, or both.

Trophic ulcers

About ulcers that occur on the most susceptible to damage areas of the skin of the lower extremities, worth a special mention.

Get to know the person whose vein disease has gone too far, easy on the typical signs:

  • The darkening in places with sklerozirovanie skin;
  • The appearance of brownish and black spots on the legs - clusters leaked through the damaged vascular of the red blood cells, which subsequently collapsed;
  • Inflamed indurations on the skin of the lower extremities;
  • White stains - the evidence of the withering away of the skin;
  • The actual ulcers that affected not only the surface of the legs, but also their deeper layers of the skin.

Ulcers are open wounds that do not bleed and produce only infiltration, but also at risk of severe infection. It can lead to development of gangrene and sepsis.

How to diagnose PTS

Diagnostics of post-thrombotic syndrome is not limited only to a visual determination of the severity of patients. Specialist it is important to identify the degree of obstruction of the veins and the safety valve apparatus, the amount of blood clots, their density and location, flow velocity, and to trace the development of pathology.

Also the doctor-phlebologist needs to know, whether canalithiasis clots.

All this transpires during the examination, which includes:

  • To wear compression garments (stockings, tights);
  • To get rid of bad habits;
  • To normalize the weight;
  • To regularly attend physical therapy and perform the recommended exercises at home.

The doctor will prescribe medications that improve vascular tone, blood circulation and lymph circulation, inhibit the inflammatory process.

To prevent re-aggravation of thrombosis and syndrome, patients are assigned strictly individual courses of anticoagulants that prevent the formation of blood clots and howa consequence, disruption of blood flow in the lower extremities.

How to eat?

The power of survivor syndrome, is no different from the diet of people prone to thrombosis.

The basis of the diet they should be products that contribute to thinning of the blood:

  • Fruits, berries and vegetables in season;
  • Vegetable refined oils - olive, Flaxseed;
  • Natural home-made juices;
  • Pure water, fruit drinks, fruit drinks, kvass.

Especially useful garlic: though not the most pleasant residual odor, he has been a shield of our blood vascular: a scientifically proven and clinically confirmed unique qualities of this vegetable. It not only normalizes blood clotting, but also prevents the development of atherosclerosis is the culprit of many vascular and cardiac diseases.

I'm going to have to forget about the fat, smoked and canned products, sausages, fish and meat delicacies. Soups and borscht should be cooked either on the water or in vegetable or meat broth, and nourishing meals and jelly you need to make a clear taboo.

Interestingly, some vegetables, berries and fruits can also cause blood clots: these include bananas, so useful, it would seem, broth hips, chokeberry and chokeberry.

Patience and accuracy are the main recipe for the treatment of post-thrombotic syndrome: barely disappearing swelling and feeling of heaviness in the legs is already worrying signs of the growing venous insufficiency, so the sooner treatment begins, the greater the effect it will give.

You can read about a very similar disease called phlebothrombosis.