Blood vessels are tortuous like earthworms! This is not a skin disease
This is a varicose veins in the lower limbs
commonly known as "earthworm legs"
Today, Xiao Guanghui, deputy chief physician of the Department of Surgery, talks to you about
This "earthworm legs"
Mr. Zhang (pseudonym) discovered that there were venous protrusions in the lower limbs and calfs ten years ago. Because there were no obvious symptoms, he did not go to the hospital for treatment. Over time, the superficial veins of the calf are bulging, like earthworms, curved and curved. After a day of fatigue, legs will appear swollen, sore, fatigue or heaviness of the legs. These symptoms will be relieved after a night of rest. Recently, my calf suddenly felt pain and difficulty walking. Then Mr. Zhang hurried to Xiao Guanghui, deputy chief physician of the General Surgery Department of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine for treatment. It turned out that it was varicose veins and acute phlebitis of the lower limbs. Xiao Guanghui, deputy chief physician of the General Surgery, performed a minimally invasive operation on Mr. Zhang. The results were good after the operation. He recovered and was discharged after a few days of hospitalization.
long-term standing and long-term sitting people are alert to varicose veins in the lower limbs
Xiao Guanghui pointed out that teachers, salesmen, chefs, people who work for a long time and have heavy physical labor are prone to varicose veins in the lower limbs. The main reasons are long-term standing and increased intraperitoneal pressure, causing venous valve closure and blood reflux. Finally, the superficial veins in the lower limbs are raised, expanded, bent or curled into a ball, such as blue veins exposed, and the varicose veins are in a reticular shape all over the legs, commonly known as "earthworm legs" and "tubular legs", which are varicose veins in the lower limbs.
In addition, there are many reasons for varicose veins in the lower limbs, such as genetics, vascular problems, age, gender, etc., and the incidence rate in women is higher than that in men.
Xiao Guanghui pointed out that after sitting for a long time, if the calf is swollen and stiff, it may be an early "signal" sent by varicose veins in the lower limbs and needs attention. Over time, the superficial veins of the calf will appear, and the blood vessels protrude on the surface of the skin, like earthworms, curved and curved. Because the blood vessels varicose into a mass, the blood in the lumen is stagnant, which can easily form thrombosis and cause thrombophlebitis, just like Mr. Zhang's condition. If you do not actively treat and continue to develop, nutritional changes in the skin of the calf will occur, such as skin eczema , itching, pigmentation, skin nodules, lower limb edema, etc. In severe cases, skin erosion and ulcers will also occur, which will occur repeatedly and last for a long time. This is what ordinary people call "old rotten legs", which seriously affects the quality of life. Some patients will cause variceal vein rupture and bleeding when they suffer from external forces. The bleeding speed is fast due to high venous pressure. If not treated in time, severe symptoms may lead to hemorrhagic shock .
Xiao Guanghui emphasized that varicose veins are a slow but irreversible disease. The disease often has no obvious symptoms in the early stages and is easily ignored by patients. A series of symptoms appear as the condition breaks out. Drugs and medical elastic stockings can only relieve the symptoms and cannot cure the condition. Most varicose veins ultimately require surgical treatment.
However, many patients are afraid of surgery. Xiao Guanghui emphasized that surgical treatment of lower limb varicose veins is now minimally invasive technology, and has made great progress compared to the traditional "skinning and cramping technique". It is not only safer, but also shortens the recovery time and improves the aesthetics of the skin. The doctor uses an puncture needle to introduce a slender special microwave therapy probe into the varicose venous cavity, and then releases microwave energy, and the venous cavity coagulates and closes, and finally flattens and disappears the tortually elongated and dilated earthworm-like blood vessels, achieving a healing effect. At the same time, doctors can also inject foam sclerants into the variceveal through fine needles to promote the conversion of blood vessels into fiber cords and gradually absorb them by the human body, which is equivalent to "chemical resection surgery".
7 suggestions for preventing varicose veins in the lower limbs
How to prevent the occurrence of varicose veins in the lower limbs? Xiao Guanghui reminds everyone to do the following:
1. You can raise your lower limbs during daily rest, and massage your legs if necessary to promote venous blood reflux of the lower limbs.
2. Avoid standing or keeping a sitting position in a long time. Try to "cross your legs" as little as possible when sitting, and often exercise lifting and hooking your feet. Hooking your feet can cause the calf muscles to contract and promote blood flow in the lower limbs. You can move a few times every 1 hour.
3. Avoid high temperatures, which can dilate blood vessels and aggravate blood stasis in the venous. Patients with varicose veins often experience obvious swelling of lower limbs when showering in warm water, which is caused by the increase in temperature.
Xiao Guanghui emphasized that patients with varicose veins should not soak their feet or legs in hot water. Varicocele in the lower limbs is often accompanied by calves and fatigue. Many patients think it is caused by fatigue. They soak their feet in hot water before going to bed at night, hoping to relieve fatigue by soaking their feet. Instead, the calves feel aggravated after soaking their feet. Director Xiao Guanghui pointed out that the main cause of varicose veins in the lower limbs is venous return disorder. When soaking feet, the temperature of the calf and foot increases, and the veins of the calf dilate, which in turn aggravates venous return and congestion in the lower limbs, making the condition worse, and it is very likely that the foot becomes more swollen and swollen. Therefore, patients with varicose veins should not soak their feet or legs in hot water, nor should they use hot water bags to warm their feet or wash saunas.
4. Develop regular exercise habits, especially walking, cycling, etc. The muscles in the legs contract during exercise, which can help venous blood flow back. It is best to wear elastic stockings when exercising, which can effectively eliminate fatigue.
5. Eat a balanced diet, eat more vegetables, fruits and crude fiber foods, prevent constipation, avoid excessive obesity, and actively treat primary diseases that cause dysfunction of urination and chronic cough.
6. Avoid increasing abdominal pressure, do not wear clothes with too tight waistbands, choose shoes with lower heels and loose clothes, and try to avoid wearing high heels.
7. Wearing medical elastic stockings, pregnant women may induce and aggravate varicose veins in the lower limbs during pregnancy. It is better to consider wearing elastic stockings to protect and prevent them.
Precautions for wearing medical elastic stockings
First, the best time to wear medical elastic stockings is when you wake up in the morning, because the vascular system of the legs is in the state of maximum function activation and swelling has not yet occurred.
Secondly, when wearing it, the elastic stockings must be intact, flat and wrinkled to ensure that the heel and heel of the elastic stockings are in line with each other. In addition, observe the skin color, temperature, dorsal artery pulsation of the lower limbs every day. If there is obvious discomfort or pain, stop using elastic stockings and seek medical treatment in a timely manner.
Third, take off elastic stockings before going to bed every night. Medical elastic stockings do not need to be worn all day long, so remember to take them off when sleeping. Because at night (lying flat) our hearts and our legs are on the same level, so their hydrostatic pressure is relatively low, so there is no need to wear elastic stockings at night.
Fourth, you can wear elastic stockings when exercising. Elastic stockings will not cause blood dislocation. On the contrary, blood reflux will be better after wearing elastic stockings.
Medical elastic stockings produce sequentially reduced pressure and external pressure on the lower limb veins from the bottom up, offsetting the increase in venous pressure caused by various reasons, promoting venous blood flow, improving local skin malnutrition, reducing edema, preventing ulcer formation or promoting ulcer healing.
Maintenance of medical elastic stockings
1. Pay special attention to not letting drill or long nails scratch the elastic stockings when wearing or taking off elastic stockings.
2. Please cut your hands and toes frequently, and prevent cracked heel skin in dry seasons.
3. In addition, check whether the inside of the shoes is flat to prevent unnecessary wear of elastic stockings from being damaged.
4. Wash with neutral detergent in warm water, do not wash it machine, do not wring it dry, squeeze it with your hands or use a dry towel to suck out excess water, dry it in a cool place, do not place it in the sun or under artificial heat source to dry or bake it.
5. Have a few more pairs of replacements to extend the service life of elastic stockings.
Department introduction
Surgery Department (General Surgery) of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine is a specialty specialty integrating traditional Chinese and Western medicine with obvious advantages in clinical diagnosis and treatment. The department has strong strength, advanced equipment and standardized service, and has formed many subspecialties such as gastrointestinal hepatobiliary surgery, mammary surgery, and anorectal surgery.The department has developed minimally invasive treatment as the core, striving to reduce the pain of patients as much as possible, and at the same time giving full play to the advantages of traditional Chinese medicine and traditional Chinese medicine to treat perioperative patients so that patients can achieve rapid recovery. Currently, the department has carried out a number of surgeries based on laparoscopic surgery, such as: laparoscopic radical gastrointestinal tumor resection, minimally invasive external abdominal hernia repair, minimally invasive partial liver resection and biliary tract surgery; mixed hemorrhoid PPH surgery, complex anal fistula resection, etc.; minimally invasive thyroid tumor resection, radical breast cancer resection, minimally invasive breast benign tumor resection and other surgeries.
Expert introduction
Ao Xueren
Deputy chief physician
Deputy director of general surgery, master's supervisor, and director of the Surgery Teaching and Research Department of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine
Also serves as the deputy chairman of the Guangdong Provincial Professional Committee for Integrated Traditional Chinese and Western Medicine Gastroenterology Surgery in Guangdong Province , Deputy Chairman of the Anorectal Health Branch of Guangdong Health Association, Standing Committee Member of the General Surgery Professional Committee of the Guangdong Society of Integrated Traditional Chinese and Western Medicine, Standing Committee Member of the Thyroid Disease Prevention and Treatment Professional Committee of the Guangdong Society of Traditional Chinese and Western Medicine,
has been engaged in surgical clinical, teaching, scientific research and other work for nearly 30 years. He has used the combination of traditional Chinese and Western medicine to diagnose and treat general surgical diseases, especially in minimally invasive surgery to treat gastrointestinal benign and malignant tumors, liver and gallbladder diseases, benign and malignant tumors of the thyroid and breast, various hernia, etc.; as well as traditional Chinese medicine conditioning during the perioperative period of surgical diseases.
Discussion information
General Hospital: Monday morning
General Hospital Address: No. 261 Longxi Avenue, Liwan District, Guangzhou
Xiao Guanghui
Deputy chief physician and associate professor
Cannual Committee of Guangdong Clinical Medicine Society, member of the Breast Disease Professional Committee of Guangdong Society of Integrated Traditional Chinese and Western Medicine, member of the Professional Committee of Vascular Disease Diagnosis and Treatment Management of Guangdong Hospital Association, member of the Venous Thrombosis Branch of Guangdong Precision Medicine Applied Society, and member of the Peripheral Vascular Professional Committee of the Chinese Geriatric Health Association.
has been engaged in general surgery clinical, teaching and scientific research for nearly 20 years. He is good at laparoscopic gastrointestinal hernia surgery, thyroid breast vascular surgery, hepatobiliary surgery and acute abdominal treatment, and can independently carry out standardized radical surgery for laparoscopic gastrointestinal cancer. He is good at using the combination of traditional Chinese and Western medicine to treat acute abdominal symptoms, diabetic foot gangrene and chronic ulcers. He presided over 4 provincial and department-level scientific research results and 3 prefecture-level scientific research results. He has published more than 20 papers and published 2 monographs.
Discussion information
General Hospital: Tuesday afternoon and Friday afternoon
General Hospital Address: No. 261, Longxi Avenue, Liwan District, Guangzhou
Some pictures are from the Internet
Source: Xiao Guanghui | Initial review: Ao Xueren
Text editor: Ye Meiqi | Proofreading editor: Li Longhao
Review: Wang Jian | Review and release: Fan Linyan
Text editor: Ye Meiqi | Proofreading editor: Li Longhao
Review: Wang Jian | Review and release: Fan Linyan
