These devices have gained widespread popularity among patients suffering from chronic venous insufficiency and probably every vascular surgeon assigns them with different readings. Stockings easy to use. Often indistinguishable from ordinary tights. But do these products are so safe? Harmful to wear compression stockings is to understand.
Compression hosiery is composed of a fabric base, often of synthetic origin (e.g., polyamide) and elastic fibers (elastane). Manufacturers have invented different types of weaving yarn and the ratio of the components, which have achieved various degrees of compression on the lower limbs.
Stockings can be administered for prophylactic or therapeutic purposes in quam varices disease, chronic venous insufficiency, pregnancy, surgical interventions and after venous thrombosis of the lower extremities.
The types pressio stocking
All firms produce male and female underwear type. The second can be complemented by the lace or pattern. Also, you can choose according tsvetotipu of the patient's skin. Manufacturers take into account that people have different height and weight. For this there are five sizes of stockings.
Determining need to change a few parameters: the circumference of the tibia at the place where its greatest diameter, circumference of the thigh in its middle third, a length from the start of the ankle to the knee and the distance from the heel to the groin. Further, according to the special tables is determined by the size of the stocking (XS, S, M, L, LX, XL).
But the main classification is the division according to the degree of compression, which provides linen on the lower limb.
There are several classes of compression underwear:
Preventive pressure on the limb in the range of 18 mm Hg. article They are used mainly to prevent the development of varices quam disease in a group of persons having a predisposition to it. Patients with overweight, pregnant women, or people whose work is related to excessive load on the legs.
The first class of compression — compression at the level of 19-22 mm Hg. article Used in the initial stages quam varices disease. Effectively help the syndrome of "tired" feet, Superba, slight varicose veins on the lower extremities, the vascular mesh.
The second class is a pressure of about 23-32 mm Hg. article Used only on prescription. The indication is a pathological state involving chronic venous insufficiency, but in the absence of trophic changes on the skin.
Third grade — compression is 33-45 mm Hg. article To use them, you must get a prescription from the doctor as to just buy in the pharmacy these stockings impossible. Indications for use: the expressed trophic disorders, lymphostasis, thrombosis of the deep veins of the lower extremities, posttrombofleboticheky syndrome.
The latter is the fourth class — level above 45 mm Hg. article, are used in rare cases and only in hospitals and clinics under the supervision of a physician.
The mechanism of action of products
quam varices is a disease that predominantly affects the venous vessels of the lower extremities. Occurs when a strong stretching of the veins due to the reduction of elasticity of the walls.
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The valves, located on the inner side of the vessels, lose the ability to completely block the lumen and the blood starts to flow in the opposite direction. This, in turn, starts the process even more stretching of the venous wall.
Lower limbs to refill with blood and on the surface of the skin begin to speak quam varices dilated veins. Gradually, the liquid begins to seep through the vessels and penetrates into the surrounding tissue. So patients edema.
crassus blood can form clots inside blood vessels or embolization away from the primary tumor thrombosis. These States have a vita-minas consequences. The reason for the development of chronic venous insufficiency are:
pathology of the circulatory system;
curvature of the spine;
uncomfortable shoes, especially high heels;
spending long periods in a seated position;
humili gradu lifestyle.
To prevent progression of varices quam
disease, surgeons prescribe the patient to wear stockings. With the help of pressure which is having the product on the leg, occurs in an artificial narrowing of the blood vessels.
Under pressure improves the function of the valve apparatus and there is no regurgitation of blood.
Useful properties pressio stocking
The benefits and harms pressio stocking depends, primarily, from the fact, whether appointed doctor compression class, as well as the patient adheres to the recommendations for use.
Scientists have conducted studies and meta-analyses, which proved that medical hosiery is effective in chronic venous insufficiency.
Stockings perform a number of useful functions to constrict the lumen of the veins and prevent the development of quam varices in pregnant women. In addition, reduce swelling in lower extremities and improve lymph drainage.
Additionally, compression stockings:
prevent the development of infectious diseases in the feet;
improve skin trophism;
warn sanguinem clots and thrombophlebitis;
reduce the risk of pulmonary embolism;
relieves pain, cramps in the legs;
prevent the probability of formation of trophic ulcers;
improve the postoperative periods.
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In addition, the stockings have the advantage over other types of compression underwear. For example, elastic bandages require specific skills to use. They can slide during the day that brings discomfort to the patient. Also, bandages do not always fit the style of clothing, especially if the patient is required to work in an office and in a certain form.
Stockings, does not differ from normal clothing and is very easy to use.
The damage from compressive underwear
Definitely medical stockings is a useful product, but even it has its negative aspects and can harm the patient. Sorry compression hosiery at quam varices occur with improper use.
If the wrong choice is the degree of pressure on the foot can be signs of tissue ischemia. The patient will feel numbness of limb, discomfort or pain. If the compression is low, the effect of this therapy appears. Therefore, before using medical hosiery should consult a vascular surgeon.
The length of stay in pedules depends on the degree of chronic venous insufficiency. For example, in the third stage, quam varices disease the product recommended to be worn continuously, even during sleep. Most often there are such complications: ischemia of the underlying tissue, décubitus in place of squeezing in the wrong dressing, an allergic reaction to the material.
Compression products can hurt when there are contraindications to their use:
infectious diseases of the skin;
individual intolerance to the materials of the product;
wounds on limbs;
the presence of diabetic foot;
heart failure decompensation.
But, a larger number of patient positive about pressio pedules. The result is noticeable even on the first day of use.
Also positive is the fact that a moderate value of the product. The average price of a stocking — 1500 rubles.
Rules for the use of stocking
A large proportion of the effect depends on whether the patient is wearing a medical Jersey. They need to put on the morning before the patient intends to get out of bed. 10 minutes before this, it is recommended to raise the feet on the platform to ensure maximum blood flow. Then gradually worn linen, be sure that it is not evertit, and not formed of folds, because in these places there will be additional compression on the skin. To wear stockings, you need the whole day.
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To ensure that the product has served as long as possible, you need to properly care for it. Medical hosiery is forbidden to wash in the machine-the machine, only with hand washing. It is not recommended to use harsh detergents, only soap allowed. They need to dry on a horizontal surface, avoiding excessive heat radiation and direct sunlight. Kept stockings have folded and expanded state.