Today we will talk about heart edema of the legs, which appear with heart failure. Of course, swelling of the legs have various causes, most of which are temporary and easily correctable.
However, with the inferior work of the heart muscle - the heart does not have time to pump all the necessary volume of blood. Gradually, within a few months, a few months begin to swell significantly, symmetrically, starting with the ankles, extending to the feet, shins.
Let's talk about what to do at home, when your legs are swollen.
CONTENTS
Causes of cardiac edema of the legs
Why swelling of the legs with heart failure?
As we have already said, with the defective functioning of the heart as a blood engine, its volume does not have time to be pumped. The reason lies in heart diseases related:
- with its muscular tone;
- resource generation( wear, fatigue);
- ability to evenly shrink.
About what we are talking about now you need to go to see a doctor-therapist, better - to the cardiologist for a thorough medical examination, including instrumental methods of examining the quality of the heart and assessing his condition.
Remember, if a person is suffering from coronary heart disease: angina pectoris, or in the past he suffered a myocardial infarction, with high blood pressure, a disturbed heart rhythm - no wonder that there are strong swelling of the legs.
For example, with atrial fibrillation - the heart trembles, shrinks chaotically, how then should it have a complete discharge of blood?
Therefore, feet swell, although at first people can not pay attention to leg swelling.
Symptoms of cardiac edema of the legs
With heart failure, the swelling of the legs has the symptoms of
- The swelling is symmetrical, the same on the left and right legs.
- Begins swelling from the legs and lower abdomen in walking patients, bedridden patients - from the waist and sacrum.
- Cardiac edema develops slowly, gradually, within weeks, months.
- Swelling is dense, leaving a hole when pressing.
- Accompanying the enlargement of the liver.
- In severe cases, cardiac edema is accompanied by ascites( accumulation of fluid in the abdominal cavity), spreading throughout the body.
- Combines with other symptoms of heart failure - dyspnea, worse in prone position, tachycardia, pallor, cyanosis of the lips, poor tolerance of the slightest physical exertion.
- Disappear when the heart failure is compensated.
What to do at home if your feet are very swollen
Remember that with cardiac edema of the legs, before practicing self-treatment you need:
- Visit the doctor.
- Treat the underlying disease, because swelling is a consequence, not a cause.
- Consult with your doctor for folk remedies, medications and medications.
Folk remedies
For edemas of any origin for a month or more, drink a decoction of 1 tablespoon of cherry fruit stalks on one third of a glass 3-4 times a day.
Garlic .
Odo from Mena in the poem "On the properties of herbs" writes about garlic: "With a gold-thinner, give Diocle prescribed with a dropsy garlic together, so he dries abundant moisture with water."
Collection 1 :
- root lover,
- licorice root,
- root of the stalk,
- fruit of the juniper.
Take it equally. A tablespoon of the ground mixture should be insisted on a glass of cold water. Drink a quarter cup 4 times a day.
Lovestock .
On the love of Odo from Mena writes: "Together with wine he heals the belly from bloating the stomach, and it helps with internal various ailments. It is a diuretic and regulary can clear. .. »
Collection 2 :
- licorice root - 30 g,
- bearberry leaf - 40 g,
- cornflower flowers - 30 g.
TABLE tablespoon of the mixture brewed with a glass of boiling water, insist 15 minutes, strain. Take 1 tablespoon 3-4 times a day.
Gathering 3 :
- birch leaf - 30 g,
- grass horsetail - 30 g.
Tablespoon of the mixture pour a glass of boiling water, boil for 3-5 minutes, infuse for 1 hour, strain. Drink one quarter of the glass 4 times a day.
The broth of oat straw , collected from the beginning of the grazing and before the ripening of the grain, 40 grams per liter of water, drink half the glass 3-4 times a day.
1 tablespoon root of wheatgrass boil in one third of a liter of water for 3 minutes and drink 2 tablespoons 3-4 times a day.
Juice of black radish with honey start to drink half the glass a day and gradually increase the dose to 2 glasses per day.
2 teaspoons roots of nettle , insist in a glass of boiling water for 1 hour and drink 3-4 times a day for half a cup.
Drink in the morning on 2 tablespoons onion juice .To do this, take two medium bulbs in the evening, cut them into thin slices, sprinkle with sugar, and in the morning, squeezing out the juice, drink.
Burn the stems from ordinary Russian beans on an iron sheet. Collect the ash, powder into powder and store in a glass jar with ground glass stopper. Mix 1 tablespoon of vodka with half a teaspoon of ashes and take three times a day.
Infusion on the water on a leaf of agave and wormwood in the same proportion. A teaspoon of the mixture for a glass of boiling water. Drink 1/2 cup twice a day.
Parsley ( root, fruit, grass) is used not only in plant mixtures, but also separately:
- 1 teaspoon of seeds or 1 tablespoon of the whole plant, 10 hours in 300 ml of water and drink 1 tablespoon 4 times a day.
- Pass through the meat grinder the root and parsley greens to get 1 cup of mass, add 0.5 liters of boiling water and wrap it for 6-8 hours. Then strain, wring out, add the juice.
Pumpkin ( porridge and juice from it) - with edema and heart, kidney and bladder diseases.
As a diuretic, take infusions from thyme , burdock , sporisha .
150 g of ground root of elderberry , pour 300 ml of vodka. Insist in a warm place for 10 days, strain. Take the first three days of 10 drops three times a day before meals, three days for 15 drops and three days for 20 drops three times a day. Drink until the end of the medication.
Wash and slice 800 g parsley, put in a pan. Fill with fresh milk and put in a not too hot oven. It should be allowed to evaporate the milk until half the original amount remains in the pan. Strain and let the patient drink in one day. This is a strong diuretic. It helps even when other diuretics are powerless.
Hemp flesh has long been considered a good diuretic. However, it should drink a lot and often.
Calendula .Calendula preparations are used for heart diseases to relieve edema, palpitations and dyspnea. Preparation and use see above.
Decoction of fruit from the calyx increases the urination and increases the power of the heart beat.
Infusion: 2 tablespoons of fruit, pour 200 ml of boiling water, heat on a water bath for 15 minutes, cool at room temperature for 45 minutes, strain. Take one third of the glass 3-4 times a day. The fruits of the viburnum are eaten with honey or in pure form with hypertension.
Kidney tea in the form of infusion has a diuretic effect. In this case, a large amount of uric acid, urea and chlorides is released from the body. Apply kidney tea for a long time( up to 6 months) with weekly monthly breaks.
Infusion : 2 tablespoons of herbs pour 300 ml of boiling water, boil in a water bath for 15 minutes, cool at room temperature 45 minutes, strain. Take in a warm form for half a glass three times a day. The effect of kidney tea increases if it is taken in conjunction with grass horsetail, cowberry leaves, birch leaves.
Kirkazon. Infusions, decoctions and tincture of Kirkazon are used in folk medicine as a diuretic, as well as with dropsy and dyspnea. In small doses, Kirkzona preparations lower blood pressure and relieve increased excitability.
Infusion: 1 teaspoon crushed roots pour a glass of boiling water, insist the night in a warm place, strain. Take the entire dose during the day in 3-4 divided doses.
Decoction: 2 teaspoons of chopped root pour 500 ml of boiling water and boil for 15 minutes on low heat. Insist 2 hours, strain. Drink one quarter of the glass 4 times a day.
Tincture: 1 teaspoon of dried herbs pour a glass of vodka and insist in a dark place for 7 days. Strain. Take 20 drops 3-4 times a day.
Odo from Mena writes about oregano as follows: "He will heal razozzheniya, if eaten or taken often, drunk - he treats dropsy, and swelling he drains."
On the healing effect of elderberry: "The root of the boiled her excellent help bestows those who are drowsy, the herb with the bites of an adder can help if to drink, il as a plaster top. .."
With edemas of any origin, drink the broth from cherry stems 1 tablespoon of pedicles brew 0.5 liters of boiling water, insist 1 hour, strain) 150 ml three to four times a day. Flax seed .4 teaspoons of seed per 1 liter of water. Boil for 15 minutes. Insist 1-2 hours. Take half a glass 6-8 times a day in a hot form. The result will start to appear after 1-2 weeks. It especially helps with internal swelling.
Means of official medicine: diet, diuretics, preparations
For cardiac edema, apple-curd fasting days are recommended, when per person a person eats only 600-800 g apples and 300-400 g cottage cheese .With large swelling, this diet is prescribed for five days.
Diuretin , Diuretin ( theobromine preparations), Novurite 10% solution( assigned 1-2 times a week for 1.02), Diakarb ( fonurit) - it is given on 0,25-0,5 g orally in the morning two or three days in a row.
A common diuretic is Hypothiazide ( available in 0.25-0.5 and 1 g).
Since hypothiazide causes an increased release of potassium salts from the body, then with its appointment to treatment add potassium preparations.
Using calendula tincture for 30-50 drops 3 times a day before meals during the month helps to get rid of dropsy and edema, strengthens the heart activity.
Diuretics: diuretics
Renal diuretics
The mechanism of action of renal diuretics is due to the ability to block the enzymes of the kidneys that provide transport of electrolytes and the inhibition of reabsorption in the end tubules, which leads to a significant increase in the excretion of sodium, chlorine, and potassium ions. Renal include:
- mercury diuretics - Merkuzal , Novurit ;
- inhibitors of carbonic anhydrase - Diakarb , Dichlorophenamide ( Diranid ), which are derivatives of sulfonamide, enhancing the release of bicarbonate from the body( alkaline reserve of blood decreases, acidosis may develop);
- derivatives benzothiadiazine sulfamoilantranilovoy and dichlorophenoxyacetic acid - Dihlotiazid ( Hypothiazid ), Furosemide ( Lasix ), ethacrynic acid ( Uregei ) - the strongest diuretics, sharply increasing sodium excretion, which have also a hypotensive effect;
- derivatives of pyrimidine and pteridine - Allacil and Triamteren ( Pterofen ), inhibiting the tubular reabsorption of sodium and chlorine ions and not affecting the release of potassium;
- aldosterone antagonists - Spironolactone ( Aldactone , Veroshpiron ), increasing the release of sodium and reducing the release of potassium and urea.
Extrarenal diuretics
The extrarenal diuretics depending on the mechanism of action are divided into:
- Osmotic - Potassium acetate, mannitol, urea, which are excreted by the kidneys and entrain water, excrete sodium and chlorine in proportion to the increase in the volume of urine and are used to reduce intracranial pressureand reduction of cerebral edema;
- acid-forming - ammonium chloride, calcium chloride and others, whose action is associated with the transformation of cations( ammonium ion in the liver turns into urea, calcium ion precipitates in the intestine in the form of phosphate or carbonate, chlorine ions are in excess in plasma and excreted by the kidneys togetherwith sodium).
As extracts and infusions from plants are sometimes used as diuretics: leaf of bearberry ( infusion, decoction), horsetail grass ( broth, liquid extract), sheet of orthosiphon ( infusion).
For use in clinical practice, classification is important, dividing the diuretics by the strength of action, the speed of the onset of the effect and the duration of the action.
Strongly acting diuretics: "ceiling"
Furosemide ( Furosemidum, in table 0.04, 1% solution in 2 ml amp) is considered a loop diuretic, since the diuretic effect is associated with inhibition of reabsorption of sodium and chlorine ionsall along the loop of Henle, especially in the ascending section of her.
Etacrynic acid ( Uregit, Acidum etacrinicum; Uregit; in the table of 0.05, 0.1).
Drugs in this group inhibit reabsorption of sodium by 10-20%, therefore, they are powerful, short-acting diuretics. The pharmacological effect of both drugs is almost the same.
The mechanism of action of Furosemide is associated with the fact that it significantly enhances the renal blood flow( by increasing the synthesis of prostaglandins in the kidneys).Furosemide moderately( twice) increases the excretion of urine from potassium and a hydrocarbonate ion, more calcium and magnesium.
Etacrynic acid has the same indications for use as Furosemide, with the exception of hypertensive disease, since it is unsuitable for long-term use.
When ingested, the effect occurs within an hour, and the duration of action is 4-8 hours. With intravenous injection, the diuretic effect occurs in 3-5 minutes( in / m after 10-15 minutes), reaching a maximum after 30 minutes. In general, the effect lasts about 1, 5-3 hours.
Side effects of : One of the most common adverse reactions is hypokalemia, which is accompanied by weakness of all muscles, anorexia, constipation and heart rate abnormalities.
This is also promoted by the development of hypochloremic alkalosis, although this effect is of no special importance, since the action of these drugs does not depend on the reaction of the medium.
Potassium-sparing diuretics: aldosterone antagonists
Spironolactone ( Veroshpiron, Spirono-lactonum, Verospironum, Gedeon Richter, Hungary, in the table of 0.025) is a weak potassium-sparing diuretic.
Spironolactone in chemical structure is very similar to aldosterone( steroid), and therefore blocks aldosterone receptors in the distal tubules of the nephron, which disrupts the return( reabsorption) of sodium into the cell of the renal epithelium and increases the excretion of sodium and water in the urine.
This diuretic effect develops slowly - after 2-5 days and is rather weakly expressed. The inhibition of reabsorption of the sodium filtered in the glomeruli is no more than 3%.
At the same time, the inhibition of potassium -urease manifests itself immediately after the administration of the drug.
The activity of spironolactone is independent of the acid-base condition. The drug has a significant duration of action( up to several days).It is a slow but long-acting drug. The drug raises calcium, has a direct positive inotropic effect on the heart muscle.
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This is perhaps the most powerful natural remedy for swelling of the feet!
Edema is called an increase in the volume of fluid in the intercellular space. Swelling of the legs can occur for various reasons: fever, vascular problems, kidney problems, pregnancy, heart failure, hormonal disruptions. ..
This issue should not be taken lightly, but it is better to see a doctor right away to determine what exactly led toswelling of the lower extremities.
Traditional medicine has a wide arsenal of all kinds of remedies for edema, but perhaps the most effective of them is the infusion of parsley, which effectively but gently removes excess fluid from the body.
To prepare an infusion of parsley to relieve puffiness, you will need both fresh herbs and root, that is, the plant as a whole. Carefully wash it and let it through the meat grinder. Place the mass in the thermos, pour in 500 ml of boiling water. Let the drink persist all night, strain it in the morning and squeeze it. This amount of fluid is calculated for 1 day, you should drink it in 3 divided doses.
Take infusion for 2 days in a row, then take a break for 3 days, and then drink again for 2 days. Literally the next day you will notice a decrease in swelling on your legs and you will be able to easily put on your favorite shoes!
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Swelling of the feet, namely the soles of the feet and ankles, is quite common and, as a rule, does not give cause for concern, especially if you spend a lot of time on your feet. But if the swelling does not go away during the night or is accompanied by other symptoms, then this can be associated with serious health problems.
Source: YNGorgov. Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.