Treatment of varicose veins of the legsIt is a difficult task for both the doctor-photologist and the patient himself.This is due to different forms and phases of the disease, which require significantly different therapeutic measures.An important role is played by the principle of minimum injuries and the fastest rehabilitation of the patient.Indeed and, at the same time, the therapeutic procedures saved are high-tech and require modern medical equipment and qualified-photocolist specialists.
Ways for the treatment of varicose veins:
- Conservative events
- Sclerotherapy
- Surgical methods
Almost always, the treatment methods are used together, combined and are successfully completed with each other.
Conservative treatment of varicose veins.
This is a series of measures aimed at reducing the risk of complications of varicity and improving the quality of life of the patient.This method does not eliminate varicose veins and therefore requires constant use.
- Lifestyle correction-Moesure aimed at training the so-called muscle-venous pump.The muscle-vicolo pump is a kind of pump that provides a venous flow of venous blood with a lower limbs.The operation of this pump is possible thanks to the joint work of the muscles and the veins of the legs.With muscle contraction, the veins are compressed, passing between and inside the muscles, then the blood moves towards the heart.Training includes various exercises, full of dynamic sports.Swimming, lessons on a gymnastic bike, Scandinavian walk, ski running are very useful.Long static legs must be excluded.To improve venous outflow, the pastoral drainage thus called is useful during the day, that is, the adoption of the installation in which the legs are in a high position, which contributes to the venous outflow.For example, the semblance of a "cowboy pose" - when a person sitting on a chair puts his legs on the table.Respiratory gymnastics is useful, because correct deep breathing stimulates the venous blood flow.It is recommended to exclude the overheating of the body, since the tone of the veins decreases significantly.The venous stagnation deriving from this is a factor that damages the wall of the veins.
- DietIt is an important component of therapy.Food should contain a sufficient amount of vitamins and trace elements.Proper nutrition contributes to normal physiological departures.In the absence of constipation and frequent swelling of the abdomen, it remains a normal outflow of venous blood with the lower limbs and the probability of varicose veins is reduced.
- Compression therapyIt includes the use of various bandages, bandages, knitwear, mechanical devices.On the surface of the legs, pressure is created, which is transmitted to deep fabrics and has a therapeutic or preventive effect.
The main compression value is currentlyMedical compression knitwear.Elastic legs of the legs is now used much less often.The advantages of compression shirt products on bandages are evident: simplicity and ease of wearing while maintaining the necessary and physiologically dosed pressure.The leg of the legs is used in special cases: in a special form of the legs, in the case of a complex course of venous trophic ulcers, in some phases of the surgical treatment of varicity.The correct bandage is a complex process performed only under the supervision of a doctor.
The selection of the type, shape and knitting class should be made by a specialist.This is due to the fact that there are some contraindications to wear compression medical devices.For example:
- Cardiopulmonary insufficiency is a contraindication for the compression of the legs.
- The maximum efficiency of a particular product in a particular patient is important.
- In the treatment of chronic diseases of the veins, in particular the advanced cases of varicose veins, which are accompanied by a significant venous edema, the compression variable thus called, created using the dynamic system of pneumocompression.
- In the pharmacological treatment of varicose diseaseThe phlebotropic drugs thus called (synonyms are the main importance of active drugs, Fleboprotector).This is a large group of drugs that can reduce the severity of chronic venous edema and other manifestations of chronic veins.Unfortunately, the phlegrops drugs do not restore the modified varicosity of the veins.The medicines of this group are prescribed in the form of courses for 2-4 months.These funds are effective only when the oral administration.
- The most effective method of varicose veins of physiotherapy isElectric muscle stimulation of the lower limbs.This method can be used when drugs and compression knitwear are contraindicated for various reasons.Like other conservative measures, this method does not eliminate varicose veins, but reduces the manifestations of concomitant venous insufficiency.There are modern individual portable devices for independent electrical stimulation.
Sclerotherapy
Sclerotherapy - The main method without detecting the varicosity survey.The essence of the method is very simple: a special drug is introduced in varicose through the syringe and compression is applied to the feet.Consequently, the closure (occlusion) of the sick area of the ship occurs.In the future, the varicose vein disappears completely.Blood moves through healthy veins, improves blood circulation in the leg.At the same time, not only the expanded veins disappear, but also the clinical manifestations of the disease: pain, swelling, cramps, severity in the legs.The procedure for a long time, and often for life, guarantees a good treatment and a cosmetic result.Low cost, minimum risk of injury, a combination of a good functional result with a high cosmetic effect are the distinctive characteristics of this method.
ModernSclerotherapy large varicose veinsAnd the trunks of the subcutaneous veins are performed by a foam shape under the control of an eco-scanning of scanner-foam (foam form) with ultrasound.The "vascular stars" of micro sclerotherapy are performed under the control of a special apparatus - Transilluminator.
Sclerotherapy as an independent therapeutic procedure is performed with:
- Isolated varicose expansion of subcutaneous veins;
- reticular varicosity ("vascular grid");
- Tulangiectia.
In a number of patients, in order to reduce operational injury and increase the cosmetic result, sclerosis is performed after a certain time after surgery.PhleboscleroticUsed to treat the varicosity of relapse to stop and prevent bleeding from varicose veins, as well as in some forms of congenital AngiioDisplasia.
Contraindications for the use of sclerotherapy:
- Serious systemic diseases (heart failure or pulmonary, liver failure, etc.)
- Thrombofletas
- Local or general infection
- The need to respect bed rest
- Expressed allergic manifestations
- Period of pregnancy and breastfeeding
- Conditions in which the compression therapy of the legs is contraindicated
Surgical methods for the treatment of varicose veins
Surgical interventions with varicose veinsThe legs are the most radical treatment method.The vast majority of modern transactions can be performed on an outpatient basis or in the surgical hospitals of a one -day stay.
Scientific and technological progress has caused revolutionary changes in the treatment of varicose veins of the lower ends.After the introduction of high energy laser in the clinical practice of phlegologists,Endovasal laser obliteration (Elo)It has become a small invasive treatment of varicity.Elo's essence is the destruction of varicose veins with a laser beam.This technique is not an operation in the traditional sense.Unomed engravings, all manipulations are performed through micro punctures.The intervention is performed on an outpatient surface under local anesthesia and hospitalization does not require.All manipulations are carried out under the control of visual ultrasound.Through a small drilling in the lower part of the thigh or at the top of the lower part of the leg, a thin flexible laser light is introduced into the vein.Subsequently, an anesthetic solution for pain relief is administered around the vein.In operational mode, the strictly dosed thermal energy is provided through Svetovod, which causes the complete closure (occlusion) and the further prison ("growing growing").
The patient maintains a fairly active daily routine with minimal discomfort.In terms of efficiency and at the same time the smallest possibility of injury significantly exceeds the existing methods of classical operations.
There are restrictions for ELO use:
- Extremely neglected varicosity with a significant expansion and curved subcutaneous veins.In such cases, combined phleubectomy is shown.
- Repeated interventions on subcutaneous veins.In these cases, the possibility of using ELO is specified individually in each patient with an examination in depth.
Trunk trunk exploded with large varicosity are currently removed using a saving procedure such asOutpatulatory mini phleubectomy.This intervention is performed under local anesthesia with special tools via micro micro.As a rule, it is performed immediately after Elo or used as an independent method.Hospitalization in hospital and anesthesia is not required.Pain and discomfort in the postoperative period are minimal.With large varicose veins, a cosmetic result is often higher than sclerotherapy.
Classic operations
Classic operations are shown in casesWide varicose injury neglected.As a rule, hospitalization in a specialized hospital of vascular surgery is required.The interventions are performed using anesthesiological manuals: anesthesia or regional anesthesia (spinal).Such operations include combined phleubectomy, endosurgical dissection of piercing veins.This group of operations has a long period of rehabilitation, often an unsatisfactory cosmetic result.Often there are complications in the form of thrombophlebitis, damage to healthy fabrics, nerves, early recurrence of varicosity.
In conclusion, it must be said that, despiteA complex integrated approach in the treatment of varicose veins,This pathology is currently successfully treated.