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Отекают ноги от колена до стопы

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17 августа 2019

Подобный симптом — отечность ног — весьма распространенное явление среди мужчин и женщин разных лет. Многие люди привыкли связывать отечность в ногах с усталостью, малоподвижностью и тяжелой работой. Вероятны и прочие причины. Особенно часто встречается опухлость нижних конечностей у людей пожилого возраста. Провоцирует отечность накопление лишней жидкости в тканях организма, появляется вследствие множества причин. Отечность ног ниже колена – разновидность симптоматики серьезных заболеваний и нарушений в работе внутренних органов.

Если отечность ног появляется часто, доставляет дискомфорт, визуально и на ощупь ступни и голени увеличиваются в размерах, трудно носить обувь, рекомендуется срочно обратиться к доктору и пройти комплексный медицинский осмотр.

Причины опухания ног ниже колен

Появление и постепенное развитие отека свидетельствует о венозном и лимфатическом нарушении оттока крови, увеличении капиллярной проходимости и неправильном соединении белков крови с жидкостью. Из-за увеличения давления в сосудах плазма выходит в пространство между тканями. Нарушение обратного поглощения приводит к накапливанию жидкости в тканях организма, увеличению размера.

Причины опухания ног ниже колена провоцируются первичными и вторичными факторами. Наиболее распространенными, серьезными причинами отека считаются:

  • Заболевания сердечно-сосудистой системы (к примеру, сердечная недостаточность);
  • Нарушения вен (тромбоз, варикоз, тромбофлебит);

В определении настоящих причин отечности важно вовремя отслеживать симптоматику. Внимательность поможет лечащему врачу определить происхождение отека ноги, назначить корректное лечение. Помните, отечность бывает разная, исключительно врач способен определить степень серьезности возникшей неполадки.

Диагностика причин опухания ног ниже колен

Чтобы определить истинные причины опухлости нижних конечностей, пальпации и осмотра врача часто оказывается недостаточно. Врач в подобных случаях назначает вспомогательное диагностическое обследование пациента, включающее:

  • Лабораторные исследования крови.
  • Анализ мочи.
  • Пробы на аллергическую реакцию.
  • Ультразвуковые исследования (сердце, почки, сосуды).
  • Электрокардиограмма.
  • Рентген сосудов и костей.

Важно в клинических условиях распознать причины отеков. Подобная диагностика считается исчерпывающим методом распознавания заболеваний на ранних стадиях.

Лечение опухания ног

Лечить опухания ног полагается комплексно, учитывая истинную причину и механизм возникновения. Опухлости ног считаются симптомом, а не основным заболеванием, воздействовать нужно на очаг болезни. Как правило, врач назначает медикаментозную терапию. Если болит левая либо правая конечность, назначаются дополнительные меры лечения. Основу терапии опухлости нижних конечностей составляют мероприятия:

  • Прием медикаментов;
  • Физические процедуры;
  • Лечебная физическая культура, массаж;
  • Хирургическое лечение.

Важной особенностью лечения отечности в ногах ниже колена станет соблюдение правильного режима питания. Важно ограничивать употребление соленых продуктов, жирных, острых, сладостей. Не рекомендуется принимать избыток жидкости, следует обогатить ежедневный рацион белковой пищей.

Если опухлость в ногах ниже колена возникла из-за получения травмы, рекомендуется исключить физические нагрузки на ногу. Иногда врач назначает процедуру пункции сустава голени либо колена, чтобы удалить лишнюю жидкость.

Медикаментозная терапия опухания ног

Выяснить причины опухлости нижних конечностей способен исключительно врач, больному полагается следовать рекомендациям, предоставленным в конкретном случае. Медикаментозная терапия – одна из традиционных, без которой трудно обойтись пациенту. Лекарственные препараты имеют свойство хорошо снимать симптомы, врач назначает этиотропные таблетки, способные лечить причины отечности ног. Известно множество факторов, провоцирующих опухлости ног, а также группы лекарств, способные искоренять источник нарушения.

  • Противоотечные средства;
  • Препараты, снимающие воспаление;
  • Препараты против аллергии;
  • Лекарственные средства, улучшающие ток крови;
  • Диуретики.

Если причины опухлости требуют особой терапии (к примеру, как при инфекционном артрите), лечащий врач назначает пациенту прием антибиотиков; если фактором возникновения отека становится гипотиреоз, больному прописывают гормоны для нормализации деятельности эндокринной системы. Лечение подбирается врачом строго индивидуально.

Дополнительные методы лечения

Если опухли ступни, суставы, кроме обязательной медикаментозной терапии врач назначает методы физиотерапевтического лечения, оказывающие стимулирующее действие на биохимические процессы в тканях, приводящие сосуды в тонус, улучшающие течение крови по венам. Врач обычно рекомендует пациентам процедуры:

  • Лечение грязями;
  • Лекарственный электрофорез;
  • Ультразвуковое воздействие;
  • Магнитотерапия;
  • УВЧ-терапия.

Однако у физиотерапии присутствуют противопоказания. Процедура не подходит больным, у которых причины отечности нижних конечностей кроются в сердечно-сосудистых заболеваниях, инфекционных поражениях, опухолях различного характера. Врач-физиотерапевт подберет подходящую конкретному пациенту физиотерапию.

Если причиной опухлости в ногах ниже колена становится нарушение опорно-двигательного аппарата (к примеру, механические травмы или артроз), пациенту назначается комплекс лечебной гимнастики. Она помогает восстановить нормальное функционирование движений и устранить болевые ощущения. Особые техники массажа разрешено применять при недостаточности венозного кровотока и лимфостазе. Массаж назначают при болезнях мышц и костей, вызывающих временную опухоль.

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Радикальным методом лечения опухлости ног, вызванной тромбоэмболиями и тромбозами в тяжелых стадиях, считается хирургическое вмешательство. Операция необходима для возобновления проходимости сосудов. Если опухлость вызвана травмой, нарушившей целостность кости и прилегающих тканей, либо причиной опухоли стал остеоартроз, врачи протезируют суставы, сшивают либо накладывают металлические конструкции (при переломах).

Народные методы лечения опухания ног

Уменьшить опухоли на ногах ниже колена помогут народные средства. Применять народную медицину следует после консультации врача. Если причина отечности позволяет использовать домашние средства лечения, стоит воспользоваться рецептами:

    Залить две столовые ложки льняного семени литром жидкости, дать закипеть и проварить на маленьком огне десять-пятнадцать минут. Кастрюлю с содержимым необходимо укутать теплым полотенцем, дать постоять в течение часа. Полученную жидкость следует выпить за день. Курс лечения семенами льна составляет две недели. Процедуру делать не затруднительно, но терпение понадобится.

Профилактические меры опухания ног ниже колен

Самое эффективное лечение любой болезни – профилактика. Предотвратить любые проблемы с ногами, включая различные отеки и опухоли, поможет комплекс упражнений, важно делать занятия регулярно.

  • Удобно сядьте на табурет или стул, поднимете обе ноги, совершайте движения ступнями по кругу.
  • Встаньте прямо, перемещайте вес тела с носка на пятку и наоборот.

Кроме упражнений, рекомендуется соблюдать правильный рацион, отказаться от большого количества соли и специй, наблюдать за здоровьем и самочувствием, вовремя обращаться за помощью. Результативны при опухании ног специальные лечебные мази, которые содержат активные вещества (рутин и гепарин), укрепляющие сосуды. Они уменьшают симптоматику, придают тонус, но не избавляют от основной причины отечности.

Отек левой ноги – распространенное явление, которое обычно возникает из-за скопления жидкости в тканях. Но иногда он является симптомом серьезных заболеваний, способных повлечь тяжелые осложнения. Поэтому если конечности регулярно отекают, нужно обязательно сходить к доктору.

1 Причины отеков

Если левая нога отекла, нужно обязательно определить возможные причины проблемы и незамедлительно устранить их. Их можно поделить на две категории: спровоцированные различными заболеваниями и не связанными с нарушениями в организме.

Патологические факторы

Основная причина, по которой возникает отек ступни или голени левой ноги – скопление жидкости или воспаление. Их развитию способствуют различные заболевания:

  1. Сердечнососудистые патологии – если отечность стремительно нарастает, это явный признак нарушений в работе сердца или печени. При этом развивается сердечная недостаточность и ухудшается кровообращение, вследствие чего появляется отек.
  2. Варикоз – при этой болезни стенки сосудов теряют свою эластичность, происходит закупорка вен. Из-за этого кровь застаивается и развивается отечность.
  3. Беременность – еще одна причина, почему левая нога отекает от колена до стопы. В третьем триместре подобное явление говорит о развитии гестоза, который опасен и для матери, и для малыша.
  4. Болезнь Гоффа – воспаление жировой ткани в области коленного сустава. Кроме отечности, наблюдаются резкие боли при ходьбе, чувство слабости при опоре на конечность. Заболевание обычно диагностируется у спортсменов из-за сильной нагрузки на ноги и травм.
  5. Патологии почек – если этот орган работает с нарушениями, в организме застаивается жидкость, что неизбежно приводит к отечности. Одновременно пациент жалуется на боль в пояснице и проблемы с мочеиспусканием.
  6. Артрит и артроз – распространенная причина отека стопы и лодыжки левой ноги, лечение которой строго обязательно. Застой жидкости провоцирует появление проблемы и негативно влияет на двигательную функцию человека.
  7. Травмы – механические повреждения и удары вызывают отечность у мужчин. Кроме того, наблюдаются гематомы.

Основная причина, по которой возникает отек ступни или голени левой ноги – скопление жидкости или воспаление

Все эти состояния требуют незамедлительного обращения к доктору. Он проведет необходимые обследования и назначит адекватное лечение. Более подробное описание приведено в таблице:

Причины, не связанные с заболеваниями

Если левая нога отекает в ступне, причиной является нарушение кровообращения в нижних конечностях. Кроме патологий, оно может быть вызвано следующими факторами:

  • продолжительные физические нагрузки;
  • неудобная или тесная обувь;
  • злоупотребление кислыми и солеными продуктами;
  • бесконтрольный прием медикаментов;
  • лишний вес.

Независимо от степени выраженности явления причины, почему отекает одна левая нога в стопе, может установить только врач.

2 Симптомы

Для отеков, поражающих нижние конечности, характерны следующие проявления:

  • припухлость кожи, при пальпации заметна вмятина;
  • покраснение на проблемном участке.

Отек ног

Клиническая картина может быть дополнена и другими симптомами, которые зависят от причины, которая привела к развитию патологии. К ним относятся:

  1. Отдышка, быстрая утомляемость – характерны для сердечных заболеваний. Появляется застой крови и отечность левой ноги ниже колена.
  2. Боль в области почек, высокая температура – проявления, которые сопровождают многие почечные патологии.
  3. Отек и боль в ноге, которые отмечаются в вечернее время – так проявляются проблемы с венами.
  4. Отечность только левой ступни, чувство скованности коленного сустава – признак ревматизма.
  5. Боли в пояснице – сигнализируют о болезнях печени.
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3 Что делать, если левая нога сильно отекает

Лечение проводится только после определения причины проблем. Отечность является проявлением болезни, поэтому терапия направлено именно на ее устранение. Она может включать физиопроцедуры, прием лекарств, массаж и т.д. Кроме того, пациенту рекомендуется соблюдать диету: ограничить количество употребляемой жидкости, поваренной соли, полностью отказаться от жирных и острых блюд. Также следует уменьшить нагрузку на ноги.

Первая помощь

Если стопа левой ноги опухает, лодыжка краснеет, нужно срочно идти к специалисту. Только он может точно определить причину болей и отеков и назначить адекватное лечение. До приезда врача можно облегчить самочувствие при помощи простых приемов:

  • ограничение двигательной активности;
  • отдых в положении полулежа, с чуть приподнятой ногой;
  • уменьшение количества выпиваемой жидкости – не более полулитра в сутки;
  • отказ от употребления газированных и спиртных напитков, копченых и соленых блюд;
  • массаж – быстро снимает боль.

Массаж – быстро снимает боль

Если отечность возникла внезапно и без явной причины, сопровождается головокружением, потерей сознания и затрудненным дыхание, следует вызвать бригаду скорой помощи.

Медикаментозная терапия

Определить, почему левая нога внизу опухает, можно только врач. Для этого проводится полное обследование, по результатам которого назначаются необходимые терапевтические мероприятия. Обычно пациентам выписывают такие лекарственные средства, как:

  1. Флеботоники – их действие направлено на укрепление стенок сосудов.
  2. Антикоагулянты – средства, разжижающие кровь.
  3. Мочегонные препараты.
  4. Средства для наружного применения – снимают боль и покраснение.

Если отечность вызвана варикозом, дополнительно рекомендуется носить компрессионное белье. Среди самых популярных медикаментов, используемых для устранения отеков, можно выделить:

  1. Эссавен – гель, укрепляющий капилляры. Он незаменим при образовании тромба. Активные вещества средства разжижают кровь, благодаря чему отечность проходит.
  2. Лиотон – мазь, которую часть выписывают при различных повреждениях. Она быстро снимает отек и боль, устраняет синяки.
  3. Венитам – содержит конский каштан, которые укрепляет стенки венозные и артериальные стенки.
  4. Троксевазин – хорошо обезболивает, охлаждает ноги и предупреждает повреждение кровеносных сосудов.

Такое явление как отек ноги ниже колена и голеностопа возникает часто и по разным причинам. Обычно это физиологические причины, однако иногда – свидетельство опасных патологий. Поэтому если отеки возникают часто, это причина посетить специалиста.

Почему происходит и чем опасно

Главные физиологические причины отечности ног ниже колена:

  • ожирение и избыточный вес;
  • беременность;
  • сидячий или стоячий образ жизни;
  • злоупотребление алкогольными напитками;
  • предменструальный синдром у женщин;
  • длительная тяжелая физическая нагрузка;
  • перегрев, длительное пребывание на солнце;
  • переедание соленой пищи;
  • использование тесной одежды и узкой обуви на высоком ВОз

Отечность ног, включая такой опасный симптом, как скопление жидкости под коленом сзади, может быть следствием разных заболеваний, некоторые из которых достаточно серьезны. Это:

  1. Тромбоз глубоких вен. Это заболевание часто поражает людей с варикозным расширением вен, а также тех, кто мало двигается, лежачих больных. Отек возникает потому, что тромб затрудняет отток крови в части вены. Происходит и лимфатический застой, приводящий к отекам с синюшностью покровов.
  2. Венозная недостаточность. Приводит к ухудшению оттока крови. Отек обычно образуется при продолжительной неподвижности, нахождении ног в статичном положении. При смене позы отеки начинают спадать.
  3. Сердечная недостаточность. При этой патологии затрудняется кровообращение в целом. Возникает опухоль на ноге ниже колена (как на фото), при нажатии некоторое время остается ямка на мягких тканях.
  4. Варикозное расширение вен. В результате расширения сосудов, их стенки растягиваются и становятся более легко проницаемыми. Жидкость попадает в пространство между тканями, возникает отек. Заболевание сопровождается усилением венозного рисунка, ощущением тяжести, усталости в ногах.
  5. Патологии работы почек. В результате трудностей с отводом жидкости возникает отек ноги от колена до стопы. Покровы остаются мягкими и эластичными, бледными.
  6. Сбои в работе печени, недостаточность. Отек при этом концентрируется в области голени.

Травмы – сильные ушибы, растяжения, переломы, вывихи – также вызывают отечность тканей. Это происходит потому, что вместе с костями и связками повреждаются и кровеносные, и лимфатические сосуды. Жидкость проникает в пространство между тканями, вызывая отек. Если есть сомнения в том, была ли травма, то верный признак – «опухло и болит».

Диагностика

По симптому «отекает правая нога от колена до стопы», к примеру, поставить диагноз трудно. Ведь подобное явление – признак разных патологий.

Например, в правой ноге засел тромб, мешающий оттоку крови. Или же такой отпечаток дает проблема с одной почкой. Поэтому как бы себя ни проявляли ножные отеки, нужно показаться врачу. Особенно если симптомы дают о себе знать регулярно и проявляются интенсивно.

Диагностика при этом нарушении включает в себя:

  • сбор анамнеза;
  • визуальный осмотр;
  • анализы мочи и крови;
  • УЗИ внутренних органов, если есть подозрения на их недостаточность;
  • электрокардиограмма;
  • ангиография (проверка сосудов);
  • рентген костей, если есть подозрение на травму;
  • аллергические пробы.
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На основании полученных данных врач поставит диагноз и назначит соответствующее лечение.

Важно! Попробовать народные методы или легкие гели и мази можно, если симптом дает о себе знать нечасто или беспокоит несильно. При серьезных случаях самолечение без консультации врача недопустимо.

Лечение

Как лечить опухоль под коленкой сзади, спереди или по всей ноге, зависит от того, какое заболевание ее вызвало.

В некоторых случаях достаточно комплексного медикаментозного лечения, а в других поможет только операция.

Условно основные методы лечения можно разделить на:

  • медикаментозный;
  • физиотерапия;
  • лечебная физкультура;
  • массаж;
  • хирургическое вмешательство;
  • народные методы.

Именно медикаментозное лечение подразделяется на терапию первопричины – болезни, вызвавшей отек, и на устранение следствия – то есть отечности. К последним относятся:

  • мочегонные препараты;
  • средства для оттока лимфы;
  • противоотечные;
  • противовоспалительные;
  • кортикостероиды и антигистаминные.

Кроме того, пациенту с такой проблемой нужно придерживаться определенной диеты: избегать всего, что вызывает задержку жидкости в организме. Это копчености, соления, жирное, жареное, переизбыток рафинированных углеводов. Пища должна быть насыщена клетчаткой, витаминами и минералами.

Народные средства

При припухлостях под коленом сзади лечение народными средствами призвано уменьшить выраженность симптомов, отеки, снизить неприятные ощущения в ногах. Такие способы приносят быстрое облегчение.

Попробовать можно следующие методы:

  1. Лечебные ванночки для ног. К ним нужно добавить морскую соль, эфирные масла (лаванды, мяты, апельсина и др.), хвойный экстракт. Также помогут справиться с отеками отвары трав – ромашки, крапивы, березового листа и другие. Главное условие – воды не должна быть горячей, а чуть теплой, лучше – прохладной.
  2. Кубики льда. Нужно заранее заготовить лед. Для него можно использовать просто воду или добавить перечисленные в предыдущем пункте травы. Кубики льда добавляют в ножные ванночки или просто протирают ноги снизу вверх.
  3. Массаж. Для него используют умеренно жесткую щетку с натуральной щетиной. Ноги растирают ею снизу вверх, плавными движениями. Для лучшего эффекта это делают после ванночки, в сочетании с противоотечными, охлаждающими гелями.
  4. Березовые гольфы. Для процедуры понадобятся удобные гольфы и свежие березовые листья. Их нужно поместить внутрь гольфов, равномерно распределить и надеть на ноги. Держать четыре часа. В это время лучше сидеть или лежать.
  5. Семя льна. Его отвар можно добавлять в ванночки и принимать внутрь. Пару столовых ложек сырья варят в литре воды на протяжении четверти часа, затем настаивают час. Этот объем нужно пить в течение суток небольшими порциями. Курс – две недели.
  6. Луковый сок с сахаром. Лук нужно порезать, засыпать сахарным песком, настоять несколько часов, пока активно не выделится сок. Лук после этого следует отжать, а получившееся средство употреблять по одной столовой ложке перед едой.

Также стоит включать в рацион побольше продуктов, способствующих выведению лишней жидкости из организма. Это петрушка, арбузы, виноград, чеснок. А в аптеке можно приобрести специальные сборы трав.

Упражнения

Если опухло под коленом спереди или сзади, а также для профилактики этого явления, можно делать специальные упражнения. Они способствуют лучшему оттоку крови и лимфы.

  • подъем на носочки с последующим перекатом на пятки;
  • велосипед – вращательные движения ногами, лежа на спине;
  • вакуум – полное втягивание живота на выдохе, лежа на спине.

Отлично действуют на кровообращение разнообразные вращательные движения стопой. В конце дня необходимо минут 15 полежать на спине, положив ступни на возвышение. Особенно это необходимо, если работа и образ жизни сидячие или стоячие. Полезны будут и умеренные пешие прогулки.

Хирургия

При вопросе: опухоль под коленом сзади, что делать? Последнее, что следует рассматривать, это хирургия. Применяется этот метод только в крайних случаях: тромбоз, тромбофлебит, сильная степень варикозного расширения вен, тромбоэмболия. То есть, если есть прямая угроза жизни и здоровью пациента. В этих случаях применяется оперативное удаление больных вен, тромбов.

Профилактика

Чтобы никогда не пришлось гадать, почему отекает правая нога ниже колена, нужно сделать все, чтобы этого не допустить. Основные принципы профилактики:

  • ношение удобной обуви – на небольшом каблучке, с комфортной подошвой;
  • избавление от лишнего веса;
  • сбалансированное питание;
  • умеренная физическая активность;
  • расслабляющие методики и массаж;
  • ношение компрессионного белья;
  • отказ от вредных привычек.

Лучшая профилактика любых заболеваний – это здоровый образ жизни, а также своевременное профилактическое посещение врача.

Заключение

Опухоль под коленом, что это может быть? Факторов, способствующих отечности ноги под коленом и ниже, множество. Если это временное явление, вызванное жарой, перееданием соленой еды, избыточным потреблением спиртного – то оно должно пройти само без особого вреда для организма.

Однако если подобное наблюдается регулярно, стоит обратиться к врачу и подобрать оптимальное лечение, ведь симптом может свидетельствовать о серьезных заболеваниях.

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