The approach to the treatment of leg edema in heart failure depends on the cause of the syndrome, the symptoms present and contraindications.. Puffiness of the lower extremities is most often observed in the chronic form of cardiac pathology, as reported by the Internet edition for girls and women from 14 to 35 years old Pannochka. net Myocardial dysfunction can occur in the absence of adequate treatment of a number of diseases of the cardiovascular system. In this case, stagnation of blood occurs in the venous bed, which leads to the accumulation of fluid in the tissues..

Swelling of the legs often accompanies chronic heart failure.

General recommendations It is more effective to deal with swelling of the legs in diseases of the cardiovascular system by implementing a number of measures:.

wearing compression stockings or stockings - may prevent or reduce swelling, but are generally not suitable for permanent use;

control and correction (if necessary) of body weight;

regular monitoring of blood pressure levels;

self-massage of the legs, especially when sitting for a long time;

performing physical therapy exercises, fast and slow walking is recommended every day for at least 15 minutes;

a full night's sleep (at least 8-9 hours).

Since a number of products are capable of retaining fluid in the body, nutritional correction is necessary.. Exclude spicy, fatty, fried foods from the diet, limit the intake of table salt. It is recommended to include pumpkin, cucumbers, cabbage, potatoes (preferably baked), raisins, dried apricots, nuts, buckwheat, cocoa butter, turmeric, coriander, ginger, carrots and carrot juice in the diet - foods that help reduce swelling.

As for the water regime, it should be discussed with your doctor.. Fluid restrictions are usually not required, as dehydration only worsens the condition..

Main treatment The main groups of drugs that can be prescribed to patients with edema of the lower extremities against the background of this pathology are presented in the table.. Without exception, all medicines should be prescribed only by a doctor, self-treatment of cardiopathology is unacceptable.

Medicine.

Explanation.

Diuretic drugs.

Loop and/or thiazide-type diuretics may be given. Co-administration of diuretics that act on different parts of the kidneys is more effective than the use of diuretics of any one group.

Angiotensin-converting enzyme inhibitors.

Contribute to the expansion of blood vessels, lower blood pressure and reduce swelling.

Antiarrhythmic drugs.

They are used to normalize the heart rhythm, the violation of which is caused by abnormal electrical activity of the heart..

Angiotensin II receptor blockers.

Improve blood circulation, reduce the accumulation of fluid and salt in the body.

Calcium channel blockers.

Have a vasodilating effect, reduce the load on the heart.

Beta blockers.

Reduce blood pressure, reduce heart rate and risk of arrhythmias. Relate to the main means of treatment of congestive heart failure.

Antiplatelet agents.

Prevent the formation of blood clots.

cardiac glycosides.

Have antiarrhythmic and cardiotonic effects.

In some cases, implantation of a pacemaker is required..

Folk methods In the early stages of the disease, foot baths help to relieve swelling of the limbs.. For their implementation, you can use infusions and decoctions of chamomile, peppermint, sage, birch leaves, as well as a solution of sea salt..

The patient may be advised to use infusions of such medicinal plants as tea:.

bearberry;

viburnum;

currant leaves;

dog-rose fruit;

cherry leaves.

To prepare an infusion of 10 g of dry raw materials, pour 400 ml of boiling water and insist in a thermos for 3 hours. The finished product is filtered and drunk throughout the day..

You can also use folk remedies prepared according to the following recipes:.

A decoction of birch leaves and needles. 2 tablespoons of spruce needles and birch leaves are placed in a suitable container, pour 500 ml of boiling water and cook over low heat for 20 minutes. Allow the product to cool, filter, drink 1/4 cup 3-4 times a day 30 minutes before meals.

Herbal Blend. Mix 40 g of flaxseed, 30 g of birch leaves and harrow roots. One tablespoon of the resulting mixture is poured with 1 glass of hot water, insisted for 30 minutes, filtered and taken 1 tablespoon 3 times a day before meals..

sour apple tea. The apple is peeled, cut into thin slices, pour 300 ml of boiling water and insist for several hours. Apple tea can be drunk hot or cold throughout the day.. The drink can be sweetened with sugar or honey..

Causes and risk factors The development of heart failure can occur against the background of arterial hypertension, coronary heart disease, heart defects and a number of other pathologies..

Risk factors are:.

anemia;

overweight and obesity;

cirrhosis of the liver;

pregnancy period;

having bad habits;

malnutrition;

excessive physical activity.

Often contributes to the emergence of a pathological process, work associated with the need for a long stay sitting or standing, therefore, representatives of the following professions are at risk:.

office workers;

teachers;

sellers;

hairdressers;

drivers.

PreventionPersons at risk are recommended:.

rest more often, keeping your legs elevated (for this you can use an ottoman, pillow, etc.).

ensure regular physical activity (walking, cycling, swimming, yoga, Pilates will do), but should not be excessive;

maintain normal body weight;

wear comfortable shoes, it is advisable to use orthopedic insoles;

to refuse from bad habits;

eat a balanced diet.

Signs of edema in heart failure With the development of edema against the background of pathologies of the cardiovascular system, they have a number of features:.

both lower limbs usually swell symmetrically;

swelling first develops on the legs, with the progression of the pathological process it can spread throughout the body;

swelling lasts for a long time (several weeks or months);

when pressing on the place of edema, a depression occurs, which does not immediately return to its original state;

the place of edema is dense to the touch.

One of the signs is that after pressing on the edema, the depression persists for some time. In the initial stages of the pathology, the feet and ankles usually swell, with the progression of the pathological process, the hips may also swell. In addition, in the initial stages of the disease, swelling becomes more pronounced towards the end of the day.. After sufficient rest, it subsides, then it can develop again in the evening..

In the absence of adequate treatment, swelling of the lower extremities in this pathology can be observed in the patient constantly (regardless of the presence or absence of proper rest).

If heart failure and swelling occur against the background of coronary heart disease, the patient may experience pain in the chest, shortness of breath. If the pathology is caused by heart defects, the patient may experience pallor of the skin, difficulty breathing. Patients may also complain of constant weakness and fatigue, palpitations.

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