Treatment of varicose veins of legsIt is a difficult task for both a doctoralologist and patient alone.This is due to different shapes and phases of disease, which requires significantly different therapeutic measures.An important role is played on the principle of minimal injuries and the fastest patient rehabilitation.Efficient and at the same time, saving therapeutic procedures are high-tech and require modern medical equipment and qualified experts-photock.
Ways to treat varicose veins:
- Conservative events
- Sclerotherapy
- Surgical methods
Methods are almost always used together, successfully combined and complement each other.
Conservative treatment of varicose veins.
This is a set of measures aimed at reducing the risk of complications of different abilities and improving the quality of the patient's life.This method does not remove varicose veins and therefore requires constant use.
- Correcting the lifestyle-Maze are aimed at training so-called muscular and venous pumps.Muscle-Venka pump is a type of pump that provides the outflow of venous blood from the lower extremities.The functioning of such a pump is possible thanks to the common work of the muscles and veins of their legs.With muscle contraction, the veins are compressed, passing between muscles, so the blood moves towards the heart.Training includes different exercises, dynamic sports loads.Swimming, Exercise classes, Scandinavian walking, running skiing are very useful.It is necessary to exclude long static legs.In order to improve the veny outflow, such a commited pastoral drainage is useful during the day, ie the adoption of poses in which legs are in an elevated position, which contributes to the venture.For example, the illusion of "Pose cowboy" - when a person sitting on the chair puts legs on the table.Respiratory gymnastics is useful, because properly deep breathing encourages the venous flow of blood.It is recommended to turn off the body overheating, because the vein tone falls significantly.The venous stagnation arising from this is a factor that damage the wall of veins.
- DietIt is an important component of therapy.The food should contain a sufficient amount of vitamins and trace elements.Proper nutrition contributes to regular physiological departure.In the absence of closure and frequent abdominal swelling, the normal outflow of venous blood from the lower extremities remains, and the probability of varicose veins has been reduced.
- Compression therapyIncludes the use of different bends, bend, knits, mechanical devices.The surface of the leg creates a pressure transferred to a deep-housed tissue and has a therapeutic or preventive effect.
The main value in pressure is currentlyMedical compression knits.Elastic foot sinking is now used much less often.The benefits of compression knitted products over the curves are obvious: simplicity and ease of placing with maintaining the necessary and physiologically dosed pressure.The leg of the leg is used in special cases: in a special feet, in cases of complex flow of the venous trophic ulcer, at certain phases of varicosism of surgical treatment.Properly twisted is a complex process that is performed only under the supervision of the doctor.
The selection of the type, form and class of knits should be performed by a specialist.This is due to the fact that there are certain contraindications for carrying medical compression devices.For example:
- Heavy cardiopulmonary failure is a contraindication for foot compression.
- The maximum efficiency of a particular product in a particular patient is important.
- In the treatment of chronic veins, especially advanced cases of varicose veins, which are accompanied by significant venous edema, thus - the corrected compression variable, created using a dynamic pneumocpression apparatus.
- In medications for drugs of varicose diseaseThus-calemed flebotropic drugs (synonyms are the main importance of active drugs, phlebrotects).This is a large group of medications that can reduce the severity of chronic venous edema and other chronic vein events.Unfortunately, phlebotropic drugs do not return changes to change veins.Medications from this group are prescribed in the form of courses in 2-4 months.These funds are effective only when the oral administration.
- The most effective method of physiotherapy of varicose veins isStimulation of lower extremity electrical muscles.This method can be used when drugs and knelt clothes are contraindicated for various reasons.Like other conservative measures, this method does not remove varicose veins, but reduces the manifestations of simultaneous venous insufficiency.There are modern individual portable devices for independent electrical stimulation.
Sclerotherapy
Sklerotherapy - the main method without a review treatment of variety.The essence of the method is very simple: a special drug is introduced in varicose through syringes, and compression is applied to their feet.As a result, the closure (occlusion) of the diseased area of the vessel occurs.In the future, varicose vein completely disappears.Blood moves through healthy veins, blood circulation in your leg improves.At the same time, only expandable veins disappear, but also clinical manifestations of disease - pain, swelling, cramps, severity in their legs.Procedure for a long time, and often for life guarantees good treatment and cosmetic result.Low costs, minimal risk of injuries, a combination of good functional results with high cosmetics are the characteristic characteristics of this method.
Fashionablesclerotherapy large varicose veinsAnd subcutaneous vein trunks are performed by a foam form under the control of the ultrasonic scanner-micro-foam (foam) echo-skysleteer.Micro sclerotherapy "Vascular Star" is performed under the control of a special apparatus - Transillominator.
Sklerotherapy as an independent therapeutic procedure is done with:
- Isolated variabar extension of subcutaneous veins;
- Reticular variance ("vascular network");
- Tulangiectsia.
In a large number of patients, in order to reduce work injury and increase the cosmetic result, sclerosis is performed after a certain time after surgical intervention.FleboscleroticIt is used to treat the diameters on the relapse to stop and prevent varicose veins bleeding, as well as in some forms of innate angiodysplasia.
Contraindications for sclerotherapy use:
- Heavy systemic diseases (heart or pulmonary failure, liver failure, etc.)
- Thrombophlebitise
- Local or general infection
- Need to reserve rest
- Expressed allergic manifestations
- Pregnancy and breastfeeding
- Terms in which the compression therapy of the legs is contraindicated
Surgical methods of treatment of varicose veins
Surgical interventions with varicose veinsThe legs are the most radical method of treatment.The vast majority of modern transactions can be performed on an ambulance basis or in surgical hospitals one day.
Scientific and technological progress caused revolutionary changes in the treatment of varicose veins of the lower extremities.Following the introduction of high-energy lasers in the clinical practice of the fleetboard,Endovasal Laser polilated (ELO)It became a little invasive treatment of variants.Elona is the destruction of varicose veins with laser beam.This technique is not an operation in the traditional sense.No resolutions are needed, all manipulations are carried out through micro breaks.The intervention is performed on an outpatient basis under local anesthesia and hospital hospitalization does not require.All manipulations are carried out under the control of the visual ultrasound.Through a small break in the lower thigh or upper leg of the lower leg, a thin flexible laser light is introduced in the vein.After that, the anesthetic solution for the pain of the pain is given around the vein.In the mode, strictly dosed heat energy is delivered through the world, which causes full closure (occlusion) and further prison ("frighten").
The patient retains a fairly active daily routine with minimal discomfort.Efficiency elo and at the same time the smallest chance of injuries significantly exceeds existing methods of classic operations.
There are restrictions for the use of ELO:
- An extremely neglected variant with significant expansion and curved main subcutaneous veins.In such cases, the combined fleubectomy is displayed.
- Repeated interventions on subcutaneous veins.In these cases, the possibility of using the ELO is determined individually in each patient with the POPTH examination.
Large variant extended trunk trunk trunk is currently being removed using such a harmful procedure asAmbulance mini feleubectomy.This intervention is carried out under local anesthesia with special tools through micro-train micro.As a rule, it is performed immediately after ELO or is used as an independent method.Hospital hospitalization 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 with sclerotherapy.
Classic operations
Classic operations are shown in casesHuge neglected varicose lesions.As a rule, hospitalization is needed in a specialized hospital of vascular surgery.Interventions are performed using anesthesiological manuals - anesthesia or regional (spinal) anesthesia.Such operations include combination fleubeubectomy, an endochurting dissection of perforent veins.This group of operations has a long period of rehabilitation, often unsatisfactory cosmetic result.There are often complications in the form of thrombophlebitization, damage to healthy tissues, nerves, early relapse differences.
Conclusively, it must be said that, in spite ofComplex integrated approach in the treatment of varicose veins,This pathology is currently being treated at the moment.