Treatment of varicose veins of the legsThis is a difficult task for both a physician and the patient himself.This is due to various forms and stages of the disease, which requires significantly different therapeutic measures.An important role is played by the principle of minimal injuries and the fastest rehabilitation of the patient.Effective and at the same time, the sparing therapeutic procedures are high-tech and require modern medical equipment and qualified photheobologist specialists.
Ways to treat varicose veins:
- Conservative events
- Sclerotherapy
- Surgical methods
Almost always treatment methods are 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 from varicose veins and improving the quality of life of the patient.This method does not eliminate varicose veins and therefore requires constant use.
- Lifestyle correction-Messers aimed at training the so-called muscular pump.A musculoskeletal pump is a type of pump that provides leakage of venous blood from the lower limbs.The functioning of such a pump is possible thanks to the joint work of the muscles and veins of the legs.With muscle contraction, the veins are compressed, passing between and inside the muscles so that the blood moves to the heart.The training includes various exercises, dynamic sports loads.Swimming, exercise classes, Scandinavian walking, skiing are very useful.It is necessary to exclude long static legs.To improve the venous outflow, so -called Pastoral tranage is useful during the day, that is, taking the posture in which the legs are in an increased position, which contributes to the venous outflow.For example, the resemblance to a cowboy pose - when a person sitting in a chair puts his feet on the table.Respiratory gymnastics is useful as proper deep breathing stimulates the venous flow of blood.It is recommended to exclude body overheating as the tone of the veins falls significantly.The venous stagnation resulting from this is a factor that damages the wall of the veins.
- DietIt is an important component of therapy.Food should contain enough vitamins and monitors elements.Proper nutrition contributes to regular physiological departments.In the absence of constipation and frequent bloating, there remains a normal outflow of venous blood from the lower limbs and the likelihood of varicose veins is reduced.
- Compression therapyIt includes the use of various dressings, dressings, knitwear, mechanical devices.A pressure is created on the surface of the legs, which is transmitted to deep tissues and has a therapeutic or preventative effect.
The basic value in the compression is currentlyMedical compression knitwear.Elastic leg collection is now much used much.The advantages of compression knit products above dressings are obvious: the simplicity and ease of taxation, while maintaining the necessary and physiologically dosed pressure.The use of legs is used in special cases: in a special leg form, in cases of a complex course of venous trophic ulcers, at certain stages of surgical treatment with the variant.Proper dressing is a complex process done only under the supervision of a doctor.
The choice of type, shape and class of knitwear should be made by a specialist.This is due to the fact that there are certain contraindications for wearing medical devices for compression.For example:
- Severe cardiopulmonary insufficiency is a contraindication to leg compression.
- The largest efficiency of a particular product in a particular patient is important.
- In the treatment of chronic diseases of the veins, more specially advanced cases of varicose veins, which are accompanied by significant venous edema, the variable for compression of the SO, created with the help of the dynamic pneum compression apparatus.
- In the treatment of varicose diseasesSO -the administered phlebotropic drugs (synonyms are the main importance of active drugs, phleboprotector).This is a large group of medicines that can reduce the severity of chronic venous edema and other manifestations of chronic veins.Unfortunately, phlebotropic drugs do not restore altered veins.The medicines in 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 physiotherapy varicose veins isElectric muscle stimulation of the lower limbsSThis method can be used when medicines and knitting compression 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 examining treatment with verificationSThe essence of the method is very simple: a special medicine is introduced into varicose veins through the syringe and the compression is applied to the legs.As a result, the closure (occlusion) of the diseased area of the court happens.In the future, the enlarged vein disappears completely.The blood moves through healthy veins, the blood circulation in the leg improves.At the same time, not only varicose veins disappear, but also the clinical manifestations of the disease - pain, swelling, cramps, weight in the legs.The procedure for a long time and often for life guarantees good treatment and a cosmetic result.Low cost, minimal 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 steadfast form in the control of the ultrasound scanner-micro-faam (foam-form) echo-scarotherapy.Micro sclerotherapy "vascular stars" is performed under the control of a special apparatus - a transluminator.
Sclerotherapy as an independent therapeutic procedure is performed with:
- isolated expansion of varicose veins of the subcutaneous veins;
- reticular varicose veins ("vascular grille");
- Tulangiectasia.
In a number of patients, to reduce surgical injury and to increase the cosmetic result, sclerosis is performed after a certain period of time after surgery.PhlebosleicIt is used to treat relapse to stop and prevent varicose veins, as well as in some forms of congenital angiodisphesia.
Contraindications to the use of sclerotherapy:
- Severe systemic diseases (heart or pulmonary failure, liver failure, etc.)
- Thrombophlebitis
- Local or general infection
- The need to observe rest in bed
- Allergic manifestations
- Pregnancy and lactation period
- Conditions in which compression therapy of the feet is contraindicated
Surgical methods for the treatment of varicose veins
Surgical interventions with varicose veinsThe legs are the most radical method of treatment.The bigger part of modern transactions can be performed on an outpatient basis or in surgical hospitals with one day.
Scientific and technological progress has caused revolutionary changes in the treatment of varicose veins of the lower limbs.After the introduction of high -energy lasers in the clinical practice of phlebologists,Endovasal laser charging (ELO)It has become a little invasive treatment of varicoseness.The essence of Elo is the destruction of varicose veins with a laser beam.This technique is not an operation in the traditional sense.No cuts are required, all manipulations are performed by micro puncture.The intervention is performed on an outpatient basis for local anesthesia and hospital hospitalization does not require.All manipulations are performed under visual ultrasound control.By small drilling at the bottom of the thigh or upper lower part of the lower part, a thin flexible laser light is introduced into the vein.The anesthetic solution is then applied around the vein to relieve pain.The operating mode supplies strictly dosed heat through Svetodod, which causes full closure (occlusion) and an additional prison ("hanging").
The patient retains a fairly active daily routine with minimal discomfort.ELO in terms of efficiency and at the same time, the less chance of injury significantly exceeds existing methods of classical operations.
There are restrictions on using ELO:
- Extremely neglected varicose veins with significant expansion and curved major subcutaneous veins.In such cases, a combined phlebectomy is indicated.
- Repeated interventions of subcutaneous veins.In these cases, the possibility of using ELO is determined individually in each patient with an obligatory examination.
At present, trunk trunk trunk is removed using such a saving procedure asOutpatient mini phlebectomy.This intervention is performed under local anesthesia with special tools by micro -lets.As a rule, it is performed immediately after ELO or is used as an independent method.Hospitalization in hospital and anesthesia is not required.The pain and discomfort in the postoperative period are minimal.With large varicose veins, the cosmetic result is often higher than in sclerotherapy.
Classic operations
Classic operations are shown in casesA huge neglected varicose lesion.As a rule, hospitalization is required at a specialized hospital for vascular surgery.Interventions are performed with the help of anesthesiological manuals - anesthesia or regional (spinal) anesthesia.Such operations include combined phlebectomy, endocurgical dissection of perforative veins.This group of surgery has a long rehabilitation period, often an unsatisfactory cosmetic result.There are often complications in the form of thrombophlebitis, damage to healthy tissues, nerves, early recurrences of varicose veins.
In conclusion, it should be said that despiteA complex integrated approach in treating varicose veins,This pathology is currently being treated successfully.