Отеки ног, которые появляются вследствие нарушения баланса жидкостей в сосудах и межклеточном пространстве, могут быть чуть заметными, а могут быть и более выраженными. Нередко они представляют собой естественную реакцию организма на внешние факторы, к примеру, в жару или во время перелетов такая проблема наблюдается у подавляющего большинства людей. Однако, как и любой другой симптом, отеки ног, нередко сопровождающиеся болевыми ощущениями, могут быть предупреждением организма о довольно серьезных заболеваниях. Чтобы понять, как избавиться от отеков и боли в ногах, нужно точно определить причину их появления.
Стоит отметить, что отекают чаще всего голени и стопы – именно они больше всего нагружены во время повседневной ходьбы и когда человек находится в вертикальном положении. Вследствие этого эти части нижних конечностей заполняются лишней жидкостью и отекают, нередко вызывая при этом болевые ощущения.
Чтобы избавиться от отека и боли в ногах, необходимо для начала понять, что такое состояние нижних конечностей – всегда симптом. Давайте разберемся, симптомом каких заболеваний может быть отек ног и сопровождающие его боли.
Как избавиться от отеков и боли в ногах в зависимости от причины возникновения
Причина № 1 – перегрузка
В случае длительного пребывания в положении стоя нижние части ног, как правило, отекают в равной степени. Чаще всего в таком случае после тяжелого дня ногам просто нужен отдых – поднимите их повыше (на стену, гору подушек) и дайте жидкости распределиться надлежащим образом.
Причина № 2 – сердечная недостаточность
Если сердце не справляется со своей работой, нарушается кровообращение. При этом кровь начинает скапливаться в венах ног, что приводит к расширению сосудов, а по мере просачивания жидкого компонента крови в ткани будет увеличиваться и отек. Вызванные данной причиной отеки не сопровождаются болевыми ощущениями и появляются на обеих ногах – характерный симптом проблем с сердцем, особенно если он сопровождается затруднением дыхания.
Причина № 3 – флебит
Заподозрить флебит (а также варикоз и флеботромбоз) позволяет отек нижней конечности, который часто сопровождается болью. Такие симптомы может вызвать воспаление вен на ногах или же их закупорка. Существует несколько разновидностей флебита, лечением данного заболевания занимается флеболог. Как правило, для успешного лечения терапия должна быть комплексной.
Причина № 4 – заболевания почек
Поскольку почки отвечают за выведение жидкости из организма, нарушение их функции может привести к появлению отеков ног, которые более выражены по утрам, а к вечеру немного спадают. Помимо этого, нарушение функции почек также вызывает отеки и на руках, и на лице. Как избавиться от отеков и боли в ногах, вызванных проблемами с почками, расскажет специализирующийся в этом вопросе врач – нефролог.
Какие еще могут быть причины отеков и боли в ногах?
- заболевания лимфатической системы нижних конечностей;
- патологии костей и суставов ног;
- травмы;
- заболевания кожи;
- нарушения функций щитовидной железы;
- беременность;
- ПМС;
- гиперфункция надпочечников;
- серьезные заболевания печени;
- патологии нервной системы.
Избавиться от отеков и боли в ногах – не значит вылечить заболевание, которое послужило причиной таких симптомов. Поэтому, если Вы уверены, что отеки появляются не просто в результате чрезмерной нагрузки на ноги (стоячая работа, жара, перелеты и т.д.), в целях постановки корректного диагноза необходимо обратиться к врачу.
Избавиться от отеков и боли в ногах, вызванных их усталостью, можно без каких-либо препаратов. Для этого достаточно:
- обеспечить ногам отдых;
- сделать массаж;
- поднять ноги выше сердца, положив их на подушку или иную возвышенную поверхность, полежать в таком положении 10–15 минут;
- носить специальные компрессионные колготки, чулки, гольфы;
- делать гимнастику для ног.
Среди причин появления отека левой ноги (или правой конечности) есть как внешние факторы, не связанные с заболеваниями, так и внутренние сбои в работе организма. Однако при виде подобной патологии не следует впадать в панику: проблема не представляет смертельной опасности, и выявить особенности ее возникновения легко после небольшой диагностики.
Разновидности и основные причины отека одной ноги
Распознать отек левой ноги проще, чем определить его вид. Для опытного терапевта подобный процесс не составляет трудности. Выделяют несколько типов отеков, определение которых поможет в дальнейшем выявлении причины их формирования:
- механические – появляются после травм, в результате беременности, а также в случае формирования опухолей в разных частях тела;
- гидремические – появляются при заболеваниях почек и связаны с застоем жидкости;
- застойные – возникают из-за проблем в капиллярах и сосудах;
- кахектические – возникают из-за обезвоживания или сильного истощения организма, в результате сердечных заболеваний;
- нейропатические – формируются в результате сахарного диабета или алкоголизма;
- аллергические – характеризуются быстрым появлением и сильной выраженностью.
Выявление причин и назначение лечения отека левой ноги начинается с определения типа отечности. После этого доктору проще установить правильный диагноз. Однако не всегда отек формируется в результате заболевания. Существуют специфические причины отека одной ноги, не требующие комплексной терапии:
- повышенная нагрузка – стоячая работа, тяжелая физическая активность;
- сформированное плоскостопие;
- неправильный питьевой режим и злоупотребление жидкостью перед сном;
- проблемы с обменными процессами в организме;
- привычка всегда сидеть, положив ногу на ногу;
- слишком низкое положение на стуле во время работы, либо использование мягких сидений;
- неправильная обувь – слишком высокий каблук или плоская подошва;
- лишний вес;
- травма лодыжки или пальцев ног;
- беременность (но отек на одну конечность распространяется редко без патологических процессов).
Все причины, не связанные с заболеваниями органов, легко поддаются корректировке через изменение образа жизни. Однако за некоторыми симптомами могут скрываться тяжелые заболевания, например, сахарный диабет.
Заболевания, провоцирующие отек одной конечности
Среди причин отека правой или левой ноги различают и более серьезные составляющие – заболевания. Самые распространенные из них:
- варикозное расширение вен, отек сначала малозаметен, затем усиливается при длительном нахождении на ногах;
- патологии сердечно-сосудистой системы – любые проблемы с сердцем и сосудами, включая гипертонию, могут приводить к резкому отеканию одной конечности;
- заболевания почек – отеки бывают очень сильными, часто поражают обе конечности. Однако в некоторых случаях может наблюдаться отек одной ноги, сопутствующее потемнение кожи вокруг глаз и изменение характера мочи;
- болезни кишечника – отек сопровождается диареей и другими симптомами со стороны ЖКТ;
- «слоновая» болезнь – ухудшается лимфоотток в эпидермисе, нарушается обмен веществ;
- заболевания щитовидной железы – отеки могут быть упругими, поражающими нижние части голеней. Возможна дополнительная отечность тела, вялость и сонливость;
- тромбофлебит – в отличие от варикозной болезни всегда сопровождается ощущением жара в венах, краснотой и болью по ходу её расположения;
- тромбы в венах – закупоренные протоки не дают сердцу получать нужное количество крови, нарушается ее циркуляция;
- остеомиелит – заболевание костей и суставов, при котором возникает острый воспалительный процесс.
Если, например, отекла правая нога, ее цвет сильно изменился и нарушилась чувствительность, нужно обратиться к доктору. Некоторые заболевания предполагают наличие сразу же нескольких осложнений, что приводит к тяжелым отекам и даже гангрене нижних конечностей.
Сопутствующие симптомы и диагностика патологии
Если отекла одна нога, но появляются дополнительные симптомы, то это почти всегда требует обращения к доктору:
- боль и одышка – возможна сердечная недостаточность;
- температура выше 39 градусов – признак начала воспаления;
- повышенное давление у беременной женщины;
- сильные боли в суставах;
- судороги.
О проблемах с почками могут говорить сильные утренние отеки лица и глаз.
Этапы диагностики
Диагностика заболеваний начинается с кабинета терапевта. Затем, по результатам обследования, он даст направление к одному из узкопрофильных специалистов. Для выявления проблемы нужно пройти УЗИ, рентген, лимфосцинтиграфию (исследование сосудов и узлов), в некоторых случаях нужно пройти МРТ. Дополнительно назначают анализы крови и мочи. При подозрении на болезни сердца делают кардиограмму.
В чем опасность опухания одной ноги
Причины, почему отечность одной ноги может быть столь опасна, скрыты в возможных заболеваниях сердца, почек, эндокринной системы. Если одна нога отекает постоянно, необходимо обратиться к доктору. Иначе человека ждет прогрессирование заболевания, ставшего причиной патологии.
Среди признаков ухудшения состояния выделяют: поднятие веса, отеки под глазами, частые приступы гипертонии, сильные боли и невозможность нормально двигаться.
Даже самый простой отек, вызванный травмой, при отсутствии лечения может принять хроническую форму. Иногда отеки перерастают в «слоновую» болезнь, происходит нарушение лимфооттока и развивается варикоз.
Первая помощь при обнаружении отеков
Перед использованием средств для снятия отека необходимо оказать больному (или себе) первую помощь. Однако эффективны они только при отсутствии тяжелых заболеваний – из-за жары, с утра, из-за напряжения.
Сначала нужно освободить ноги от одежды и обуви, омыть их прохладной водой и постараться расслабиться. Затем можно использовать расслабляющий крем, чтобы снять отек с правой или левой ноги. Наносят его массажными движениями. После этого нужно отдохнуть около 20 минут, положив ноги чуть выше уровня головы.
После первых процедур приступают к более серьезному лечению – применению компрессов и ванночек, а также других рецептов народной медицины. При наличии заболеваний доктор назначает препараты для снятия патологической отечности.
К какому врачу обратиться
Если отек появился на одной ноге, то можно обратиться сначала к терапевту. Затем дадут направление к кардиологу, нефрологу или флебологу в зависимости от вида отека и сопутствующих симптомов. При подозрении на заболевания щитовидной железы направляют к эндокринологу.
Методы лечения
Среди методов лечения отеков нет одного варианта. К терапии нужно подходить комплексно, включая в нее все средства, рекомендованные доктором:
- Лечебный массаж. Терапевт покажет, как правильно его делать для снятия отеков.
- Гимнастика. Комплекс упражнений подберет специалист.
- Ванночки и растирания. Используются в основном народные рецепты, отвары трав, морская соль.
- Полноценный отдых. Без этой составляющих быстрое и качественное лечение невозможно.
После установления причины отека левой или правой ноги врач назначит лечение. В комплексной терапии обязательно используются лекарства. Справиться с отеками помогут:
- назначают флеботоники – препараты, укрепляющие вены и сосуды (Эскузан, Венарус, Детралекс, Троксевазин);
- используют антикоагулянты – средства для разжижения крови (Аспирин, Лиотон);
- в некоторых случаях назначают средства для улучшения работы сердца, стимулирующие насосную функцию;
- мочегонные препараты назначают в рамках комплексного лечения отеков и варикоза;
- дезагреганты – используются для очищения крови от холестерина и бляшек – назначаются по необходимости.
Дополнительно используют компрессионное белье для удержания жидкости. При отеках, вызванных болезнями суставов, подбирают ортопедическую обувь или стельки.
Альтернативные средства снятия отека с левой ноги
Использование народной медицины в лечении отека одной конечности – это эффективно и уместно. Методы могут применяться как в сочетании с основной терапией, так и в качестве поддерживающего лечения:
- Обертывания листьями березы. Нужно взять хлопковые тряпочки – старые простыни или полотенца, куски ткани – из них формируются мешки. Можно взять старые наволочки. В них насыпают листья березы и надевают на ноги. Хорошо приматываются и ждут, когда конечности начнут потеть. Примерно через 2-3 часа наволочки снимают.
- Компресс и легкий массаж. Можно использовать для компресса отвар из любой подходящей травы. Смачивают в нем хлопковую бумагу и наматывают на проблемную ногу. Затем надевают пакет и укутывают. Оставить нужно на всю ночь.
- Скипидар. Поможет от отеков на одной ноги чистый скипидар, смешанный с 2 частями теплого касторового масла. Кожу протирают, надевают высокие носки и оставляют на всю ночь. За ночь любой отек должен сойти.
- Морская соль. Наливают в таз теплую воду и кладут около 30-40 г морской соли. Ногу ставят на 30 минут, завершают процедуру ополаскиванием и легким массажем.
- Перечная мята. В прохладную воду капают 3-4 капли мятного эфира и ставят в ванночку ногу.
Отдельной группой можно выделить лечебные травы для устранения отеков. Их можно принимать как внутрь, так и наружно в форме компрессов.
Травы для лечения отека
Среди популярных трав для снятия отечности, вызванной неправильным образом жизни, травмами и другими факторами, не связанными с тяжелыми болезнями внутренних органов, выделяют:
- Василек. Используется 1 ч. л. синего василька и 1 стакан кипятка. Настаивать продукт нужно целую ночь, утром процеживают и по 2 ст. л. принимают перед каждой едой. Нельзя принимать беременным!
- Лён. Используются семена и соцветия – смесь из 3 ст. л. заливают 1 л кипятка и остужают. Принимать нужно по 2 ст. л. Можно добавить немного мёда, так как продукт горчит.
- Вишня. Используйте плодоножки, заготовленные самостоятельно. Берут на 250 мл кипятка 2 ст. л. сухих ножек и оставляют на 40-60 минут. Когда смесь остынет, принимают по 1-2 ложки. Нельзя пить при заболеваниях печени!
- Аптечная ромашка. Успокаивающее средство, которое в форме крепкого отвара хорошо снимает отеки. Заливают 12 соцветий 250 мл кипятка и остужают. Принимать нужно по 1 ст. л. перед едой.
- Календула. Известная лечебная трава, которая хорошо снимает отеки. Берут 2 ч. л. на 500 мл кипятка, можно добавить 1 ч. л. цветов василька. Принимают при сидячей работе, ношении высоких каблуков. Пить можно перед каждой едой.
Лечение лекарственными травами не должно длиться дольше 1 месяца, так как может появиться привыкание. Если народные средства используются в составе комплексной терапии, чередуйте их друг с другом.
Устранение отеков при варикозе
Если отек на правой или левой ноге появился в результате варикоза, то избавиться от него можно с применением дополнительных методов и лекарств. Ключевая рекомендация – это использование умеренных физических нагрузок без сильной вовлеченности ног. Идеально подходят для борьбы с варикозом асаны йоги.
Нельзя заниматься силовыми видами спорта с резкими прыжками и рывками.
Плавание и водные виды спорта отлично подходят для устранения отечности, вызванной варикозом. Однако и без препаратов в снятии патологии не обойтись. В целом, они схожи с тем, что используют при терапии отеков от других заболеваний.
Все медикаменты принимаются строго курсом, а результаты лечения оцениваются доктором после повторного обследования и анализов.
Дополнительные рекомендации
Вне зависимости от причин скопления жидкости лечить отек одной ноги врачи рекомендуют с использованием легких физических нагрузок. Все упражнения можно делать прямо на кровати или на полу дома:
- «ножницы» — отлично стимулируют кровоток – махи прямыми ногами;
- «велосипед» — лежа на жестком диване ногами совершают движения, будто едут на велосипеде;
- «березка» — ноги поднимаются вверх, можно начинать с упора к стене, спина поддерживается руками в области поясницы;
- лыжи, бег и велосипед – максимально допустимые виды спорта с высокой активностью.
Рекомендуется пересмотреть рацион – убрать слишком соленые и копченые блюда, ввести более здоровую пищу. Овощи, ягоды и фрукты, а также полезные крупы и белковые продукты должны быть основой рациона.
Профилактика отечности
Чтобы правая или левая нога не опухала и не отекала время от времени, нужно придерживаться простых правил профилактики. Они не помогут избавиться от заболеваний почек, сердца и варикоза, но облегчат процесс возможного лечения.
Следует носить удобную обувь на низком каблуке и не допускать чрезмерной нагрузки на ноги.
Доктора советуют нормализовать рацион, убрать большое количество сладостей, жиров и соленой пищи. Также полезно для профилактики заниматься умеренными физическими нагрузками, выполнять лечебную гимнастику и массаж ног.
Если отеки мучают по утрам, то вечером нужно предотвратить чрезмерное потребление жидкости. А вывести лишнюю воду поможет чашечка кофе – одного из лучших мочегонных продуктов.
Кроме того, устойчивая или рецидивирующая припухлость – симптом застоя жидкости в нижних конечностях, который, в свою очередь, указывает на серьезные болезни.
Что может привести к отечности?
Травмы и их последствия
Описание
Ирина Мартынова. Закончила Воронежский государственный медицинский университет им. Н.Н. Бурденко. Клинический ординатор и невролог БУЗ ВО "Московская поликлиника".Задать вопрос>>
Удар по ноге приводит к тому, что ткани последней деформируются и повреждаются. Организм через поврежденные сосуды высылает к больному месту набор жидкостей, которые должны устранить последствия. Когда жидкости накапливаются в некоторой точке, возникает отечность.
Характер боли
Болевые ощущения – ноющие, тянущие, могут быть жгучими. Локализуются в месте удара.
Врач — невролог, городская поликлиника г. Оренбурга. Образование: Оренбургская государственная медицинская академия, Оренбург.
Дополнительные симптомы
Может наблюдаться ограниченная подвижность.
Кто и как диагностирует?
Травматолог. Методы: осмотр, рентген.
Лечение
Постельный режим, ограничение нагрузки на пострадавшую конечность, холодные компрессы, мази.
Перенапряжение после нагрузки
Описание
Эта проблема возникает у немолодых людей, которые неправильно рассчитывают нагрузку на свое тело. После долгой ходьбы, интенсивной пробежки или комплекса упражнений на ноги появляется небольшая, но неприятная отечность с болью. Почему отекают ноги? При нагрузке сердце начинает быстрее посылать кровь по сосудам, а загрубевшие стенки сосудов не в состоянии так быстро расшириться.
Врач — невролог, городская поликлиника г. Оренбурга. Образование: Оренбургская государственная медицинская академия, Оренбург.
Характер боли
Болевые ощущения — зудящие или напряженные, слабые. Отек распространяется по всей ноге, но больше – по ее нижней части.
Дополнительные симптомы
Одышка, интенсивное потоотделение, частые позывы в туалет, «мушки» перед глазами.
Кто и как диагностирует?
Терапевт, кардиолог. Методы: опрос, ЭКГ, диагностика методом исключения.
Лечение
Снижение интенсивности тренировок, диуретики после нагрузки (очень редко и по показаниям).
Резкое усиление активности
Описание
Прыжки, танцы, внезапная пробежка – это очень хорошо, но только для подготовленного организма. Если просидеть 8 часов в одной позе, а потом резко пробежать километр – ноги не скажут спасибо.
Это связано с тем, что при резкой нагрузке возникают внутренние травмы, ведущие к отеку.
Характер боли
Болевые ощущения возникают резко, сначала характеризуются как острые и сильные, но быстро спадают до умеренных, ноющих. Отечность возникает внутри ноги, быстро разрастается до внутренней гематомы. Рассасывается медленно.
Дополнительные симптомы
Может возникнуть боль в суставах.
Кто и как диагностирует?
Хирург, травматолог, терапевт. Методы: пальпация, УЗИ и снимок – при необходимости.
Лечение
Такое же, как и при травмах: покой, компрессы, диуретики.
Артрит, артроз
Описание
Оба заболевания означают, что в суставах происходит патологический процесс. В случае с артритом – воспаление, в случае с артрозом – дегенеративные нарушения. Если одна из этих болезней повреждает систему сосудов в суставе, возникают периодические отеки, так как распухший сустав блокирует нормальный отток жидкости.
Характер боли
Болевые ощущения локализуются в суставе, а также немного выше и ниже его. Ноющие, тянущие боли беспокоят пациента ближе к вечеру, ночью или утром. Отек возникает преимущественно утром, локализуется выше или ниже сустава — в зависимости от самого сустава и того, какие сосуды зажаты.
Дополнительные симптомы
Артрит и артроз часто проявляют себя системно, то есть возникают сразу в нескольких суставах.
Кто и как диагностирует?
Ревматолог, ортопед. Методы: анализы крови и мочи, УЗИ, рентген, анализ синовиальной жидкости.
Лечение
Зависит от причин болезни: антибиотики, ЛФК, здоровый образ жизни, препараты с гиалуроновой кислотой, протезирование.
Посттравматическое воспаление тканей
Травмы опасны не только своим сиюминутным эффектом, но и отложенным действием. Если пациент столкнулся с открытой раной, которую не вылечил, то инфекция может проникнуть внутрь ноги и вызвать воспаление или (что еще хуже) затаиться в ожидании сбоя иммунитета.
В любом из этих случаев патогенные организмы вызовут воспаление, которое спровоцирует накопление жидкости в тканях ноги.
Характер боли
Болевые ощущения – средней силы, жгучие. Располагаются под кожей в месте воспаления. Отек распространяется там же.
Дополнительные симптомы
Температура, вторичные инфекции.
Кто и как диагностирует?
Терапевт. Методы: анализы крови.
Лечение
Антибиотики, противовирусные препараты.
Воспаление, нагноение, разрушение костей
Патологические процессы в костях возникают как по инфекционным, так и по неинфекционным причинам. А результат один – кость разрушается. Пострадать может любая часть ноги: и берцовая кость, и ступня. Процесс обычно протекает медленно и с выбросом большого количества продуктов распада в окружающие ткани.
Последние, смешиваясь с тканевой жидкостью, образуют припухлость.
Характер боли
Болевые ощущения нарастают от умеренных ломящих до крайне острых. В некоторых случаях боль сильнее, чем при переломе. Отек тоже формируется постепенно, не спадает, распространяется от поврежденного места по всей ноге.
Дополнительные симптомы
Изменение формулы крови, хрупкость костей. Иногда – температура.
Кто и как диагностирует?
Терапевт, хирург. Методы: сбор анамнеза, анализы крови, рентген, пункция, диагностическая операция.
Лечение
Медикаментозное – антибиотики, препараты с высоким содержанием кальция.
В сложных случаях показана операция.
При симптомах разрушения кости нужно срочно обратиться к врачу, так как последствия развиваются быстро и необратимо.
Болезни, поражения артерий и вен
Среди причин, по которым возникает долгосрочная или рецидивирующая отечность, по праву лидирует кровеносная система ног. Сужение и деформация просвета приводит к тому, что кровь застаивается в ногах.
Основных причин две: атеросклероз и варикоз.
При атеросклерозе в стенках вен или артерий прорастают атеросклеротические бляшки, которые сужают просвет сосуда — эта патология называется стенозом. Атеросклероз опасен не только сужением просвета сосуда, но и тем, что бляшка может оторваться и отправиться в свободное плавание по кровеносной системе.
Если она закупорит артерию, наступит инфаркт.
Варикозное расширение вен – это состояние, при котором вены расширяются из-за повышенного давления или генетических сбоев. Проблема в том, что расширение носит «насильственный» характер, вены повреждаются и не могут восстановиться. Как следствие – в венах скапливается больше крови, которая еще сильнее раздувает их и изымает часть жидкости из кровотока. В результате — нарастает отек, появляется боль при ходьбе, нарушается кровообращение.
Характер боли
Болевой синдром дает о себе знать ночью и утром, потому что в это время сердце работает слабее и мышцы не получают полноценного питания. Пациента мучают ночные судороги, сильные утренние боли. Последние носят жгучий характер и обволакивают всю ногу.
Отёчность нарастает медленно, но не проходит или проходит на непродолжительное время.
Дополнительные симптомы
Нарушения кровообращения, ИБС, инфаркты в анамнезе.
Кто и как диагностирует?
Флеболог. Методы: осмотр, допплерография, рентген с контрастом.
Лечение
Консервативное лечение заключается в правильном образе жизни, обязательном отказе от курения, умеренных физических нагрузках и поддерживающей медикаментозной терапии.
В случае, когда болезнь угрожает жизни пациента, врач назначает операцию.
Опухоли, метастазы в костях
Добро- и злокачественные опухоли в костях, как и метастазы, могут перекрывать кровоток. Стоит отметить, что при этой патологии опухает только одна нога.
Характер боли
Болевые ощущения нарастают на протяжении многих дней и недель. Давящие, сначала слабые. Отек на ранних стадиях возникает ночью, утром и после физической нагрузки, на поздних – существует сам по себе и сохраняется.
Дополнительные симптомы
Онкология по результатам анализа крови.
Кто и как диагностирует?
Методы: анализы, исследования с контрастом, МРТ.
Лечение
Химиотерапия или операция.
Застой крови
Описание
Сам по себе застой крови возникает редко. Чаще всего он связан с неправильной работой сердца или сосудов. Но в редких случаях причиной может быть и сама кровь – например, если она слишком густая.
Причиной могут быть как болезни кроветворной системы, так и нарушения обмена веществ.
Характер боли
Болевые ощущения в данном случае не возникают. Отек нарастает при отдыхе и неподвижности и спадает при активных движениях.
Дополнительные симптомы
Повышенный гематокрит, симптомы лейкоза в формуле крови (оба симптома встречаются редко).
Кто и как диагностирует?
Терапевт. Методы: анализ крови.
Лечение
Зависит от причины застоя крови.
Скопление жидкости при почечных болезнях
Почки – орган, который выводит жидкость из организма. Если почки перестают нормально работать, то у пациента появляются отеки. Сначала отечность проявляется в мешках под глазами, затем переходит на лицо, следующая стадия – конечности.
Здесь и начинают страдать ноги.
Отек от почек можно распознать следующим образом: он очень жидкий (то есть нижняя часть немного провисает под действием своей тяжести) и перетекает под кожей, если надавить на него. Ямки от нажатия не остаются.
Характер боли
Болевые ощущения проявляются усталостью ног, от постоянного трения об обувь начинает болеть кожа.
Дополнительные симптомы
Частые позывы к мочеиспусканию, отечность других частей тела.
Кто и как диагностирует?
Нефролог. Методы: осмотр, пальпация, анализы мочи.
Лечение
Почти всегда назначаются мочегонные препараты.
Остальная программа лечения зависит от патологии, вызвавшей проблему.
Нейропатия
Описание
Нервы вместе с головным мозгом выполняют две основные функции:
- реагируют на внешние раздражители;
- регулируют постоянство внутренней среды (гомеостаз).
Если мозг начинает посылать нервным окончаниям неправильные команды во время регулировки внутренних процессов, возникает нейропатия. Например, мозг может подать импульс на резкое расширение сосудов ног, и у человека резко упадет давление. Если обратной команды не будет, возникнет отек.
Причины чаще всего кроются в сахарном диабете или перенесенных вирусных заболеваниях.
Характер боли
Болевой синдром возникает внезапно, может локализоваться как в одной точке, так и по всему нерву — от мозга до ноги. Возможно, что никакой боли вообще не будет. Отек сопровождается спазмом или необычными ощущениями в ноге, возникает резко.
Дополнительные симптомы
Спазмы, непроизвольные сокращения мышц.
Кто и как диагностирует?
Невролог. Методы: тщательный сбор анамнеза, анализ крови на СОЭ, рентгенография грудной клетки.
Лечение
Курс лечения состоит из приема таблеток и подбирается строго индивидуально.
Проблемы с корешками нервов позвоночника
Описание
Если нижний отдел позвоночника пострадал от компрессионного перелома или межпозвонковой грыжи, возникают сразу две проблемы: зажимаются нервные корешки и сосуды. Боль появляется всегда, но при особо неудачном стечении обстоятельств еще и пережимаются вены, от чего появляется отечность.
Характер боли
Болевой синдром – острый, режущий, «простреливающий». Начинается с нижних отделов позвоночника и уходит вниз, чаще всего по одной из ног.
Нога отекает так же – от позвоночника и вниз.
Дополнительные симптомы
Ограниченная подвижность, судороги, онемение ног.
Кто и как диагностирует?
Невролог, хирург. Методы: КТ, МРТ.
Лечение
Консервативное – с помощью ЛФК, блокад и медикаментов. Хирургическое – путем высвобождения зажатых структур.
Отек с покраснением, боль и отек в одной ноге
Покраснение появляется в одном из двух случаев: либо при травме, когда кровь попадает в жидкость, либо при гиперемии кожных покровов — например, когда в артериях скопилась артериальная кровь.
Правая нога или левая нога (но не обе сразу) могут опухать при: травмах, злокачественных новообразованиях, деструктивных процессах в кости, проблемах с позвоночником, воспалении тканей, редко – при артрите и артрозе.
В остальных случаях под удар попадают обе ноги сразу.
Когда нужно идти к врачу?
Обязательно посмотрите следующее видео
Первая помощь при боли
Опухла нога и болит — что делать? Это зависит от того, как быстро она опухла. Если процесс развился быстро – вызвать скорую помощь. Если жидкость прибывает медленно, можно самостоятельно добраться до больницы.
В обоих случаях пациента нужно уложить на спину и подложить что-нибудь под ноги – это вызовет отток жидкости из ног.
Отдельно стоит упомянуть легкие травмы, так как их можно обработать самостоятельно. Нужно предоставить больной конечности покой и ограничить прием жидкости. Отек должен спасть через несколько часов. Можно приложить холодный компресс.
Не стоит назначать самому себе медикаменты, даже мочегонные, пока не выяснена причина отека.
Если болевой синдром осложнился отеком – это значит, что кроме нервов ног пострадали сосуды или почки. Отёк оказывает давление на внутренние структуры ноги и мешает нормально ходить, поэтому чем раньше он будет устранен, тем легче будет пациенту.
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