The classification of compression hosiery

Hemodynamic studies have shown the use of compression hosiery that is no evidence that after the cessation of the use of compression risk of venous leg ulcers and other disorders is reduced. Patients need to understand that no compression restores the valves and calf muscles as the sediment; it has to be used for a long time - sometimes for a lifetime.

To help professionals determine the most appropriate level of compression for each patient, compression hosiery products were divided into three categories. It should be noted that there are some differences between the standards adopted in the United Kingdom in mainland Europe and the United States. Here we consider the classification of the corresponding European standards.

Compression stockings are the first, second, second or third grade, depending on the strength of the pressure that they have, and whether to treat any violation of their use is recommended. Although compression stockings Class 3 are the most effective in the treatment and prevention of venous leg ulcers, patients are more likely to wear stockings class 2 (experts talk about noncompliance, or the degree of adherence to treatment - that term is defined by the degree of how well the patient follows the recommendations of your doctor).

For patients with impaired motor skills of hands, as well as for the elderly an alternative compression stockings class 2 can be simultaneously wearing two pairs of tights Class 1. Such patients may be at bedtime Dreams: how to understand our dreams   shoot a pair of tights.

By way of manufacturing several types of compression hosiery Compression knitwear - observe the following rules :

• Circular knitting. This jersey is made of nylon and cotton yarn with the addition of elastane. The main drawback of such a knitted tights is relatively low elasticity, which is why they are difficult to put on. In some cases, patients bought tights, which are made very thick circular knitting - to pull them on their feet very hard, but for some violations, they are really needed.
• Flat knitting. Compression stockings made by this technique may be made from nylon, cotton, or mixtures of different materials with nylon. The most convenient are considered tights made of cotton. Furthermore, the flat-knitted compression stockings are more elastic and easier to put on and take off.
• Tights mesh material. For the manufacture of such a special net stockings used material for stockings which cuts out first, and then ligated. Generally, patients find their least preferred from an aesthetic point of view. Typically, these tights are made solely to order, by the standards of the patient.

Materials used for the manufacture of modern compression stockings, very rarely cause allergic reactions. Previously, the main cause of allergy in some patients tights were the elastic fibers.

Theme

Because of compression hosiery is made as the tights and stockings, stockings and long socks. The latter option is, as a rule, is most preferred for men. Currently, there is no scientific evidence to say with certainty that the compression stockings and stockings more effectively cope with various pathologies than loach or knee socks. At the same time, pantyhose and sizings wrong class can lead to the fact that blood will stagnate in the lower legs.

Patients have the opportunity to choose the compression tights in different colors, but the most popular for a long time is a solid color. Many women put on top of the compression stockings Compression stockings - check with your doctor   flesh-colored tights usual other colors.

Compression stockings can be either closed or open-toed - as a rule, it depends on the individual preferences of the patient. Finally, almost all manufacturers of compression hosiery can order pantyhose made in accordance with all requirements of the customer, but they will be much more expensive than ready-made stockings.

Appointment compression hosiery

Before you assign patient wearing compression stockings Compression stockings - check with your doctor   or other articles of knitwear, the physician should make sure that it fits a means of treatment. To do this, examine the history of the patient, a medical examination, as well as elaborate the patient about his diagnosis and why choose one or another type of therapy.

Applying a systematic approach helps a specialist to determine the most appropriate type and class of compression hosiery.

During the preliminary examination the doctor, as a rule, do the following:

• Rate peripheral circulation. For this purpose and held Doppler determined ankle-brachial index of systolic blood pressure Blood pressure - dangerous if his swing?   (LPI). If there are significant violations of blood circulation in the peripheral arteries, the high level of compression is contraindicated.
• Take into account the patient's age and overall health. It may depend on what type of compression jersey will be assigned to the patient.
• To assess the state of the skin. It is important to identify the areas of the skin that are particularly prone to damage - for example, those that are recently healed venous ulcers. Thus areas may require additional protection.
• To reduce the risk of allergic reactions Allergic reactions: how to understand why you tickle in the throat . The structure of almost all materials that make modern compression stockings, in a given amount includes lycra, nylon and lycra. To reduce the risk of allergies, all of the fibers during production covered by a layer of cotton. Some patients who have allergies to certain materials, under tights recommended to wear special bandages of pure cotton.

Size

To purchase compression stockings of appropriate size, it is necessary to properly measure the circumference and length of the patient's legs. Tights, suitable for the size of the patient, will create an effective gradient compression and provide maximum comfort. A wrong size can cause injury, discomfort and, sometimes, even to the appearance of ulcers.

Typically, metering feet done when compression stockings style is already selected. It is recommended to do in the morning, until the swelling had formed or immediately after compression bandages removed (if the patient wore them). During the measurement of the patient both feet should be flat on the floor. It is necessary to measure both feet as between them can be significant differences. If a patient plans to wear compression stockings to the knee, to be measured:

• Shin in its narrowest point;
• The distance from the heel to the knee;
• Ankle circumference at its widest spot.

To select a suitable size tights, to do all the measurements listed above, as well as measure the circumference of the widest portion of the thigh and the distance from the heel to the gluteal fold and up to your waist.

After all measurements are made, it is necessary to examine the size of the table, which provide manufacturers compression hosiery Compression knitwear - observe the following rules And find suitable tights or socks. Typically, the table can be found on the official website. If the measurement results do not match any of the sizes listed in the table have to do compression stockings or socks to order.

In most cases, according to doctors, compression tights, stockings and socks are equally effective, so the patient can decide for himself what he prefers to wear. Tights are appointed only in cases where the patient has swelling above the knee, or there is a deformation of the joint, but at his own request, he can wear them and, for example, for the treatment of mild forms of varicose veins.

Compliance

Compliance - is a commitment to the patient's prescribed treatment .  When using compression hosiery it is quite a serious problem .  For effective prevention of venous ulcers treatment compliance is crucial .  Very important is the motivation of the patient and his awareness of his own illness and the need to use the chosen method of treatment .  That is why it is important that doctors tell patients about the details of their illness and why it should be treated in this way .  In addition, the relationship of trust with the doctor to help the patient to follow the recommendations of the expert .  Patients should provide information not only verbally but also in writing; Many doctors give the addresses of sites where you can learn more about the disease and treatment methods set out in an accessible way .  This approach promotes deep involvement of the patient in the treatment process, and strengthens his sense of responsibility for their own health .

Some patients are too difficult to wear compression stockings class 2, and they eventually just stop wearing them. In such cases, we recommend wearing two pairs of tights Class 1 - it's much better than nothing.

You should also provide patients with information about nutrition, physical activity and the need to properly rest (including high lift his legs while resting) - these measures increase the effectiveness of treatment. It is particularly important that the patient is constantly getting exercise; very helpful brisk walking, jogging and sit-ups - such exercises help calves to serve as a pump, and complement the effect of compression stockings.