Treatment of varicose veins of the legsIt is a difficult task for both the doctor's photologist and the patient himself. This is due to different forms and stages of the disease that require significantly different therapeutic measures.The principle of minimal injury and the fastest rehabilitation of the patient plays an important role.Effective and at the same time economical therapeutic interventions are high-tech procedures and require modern medical devices and qualified specialists photobologists.
Possibilities for treating varicose veins:
- Conservative events
- Sclerotherapy
- Surgical methods
Treatment methods are almost always used together, successfully combined and complement each other.
Conservative treatment of varicose veins.
This is a number of measures that aim to reduce the risk of complications in Varios and improve the patient's quality of life.This method does not remove varicose veins and therefore requires constant use.
- Correction of the lifestyle-Meitures that aim at the so -called muscle pumpto train.The muscle -friendly pump is a kind of pump that offers a drainage of venous blood from the lower extremities.The functioning of such a pump is possible thanks to the joint work of muscles and veins of the legs.In muscle contraction, the veins are compressed and walk between and inside the muscles so that the blood moves to the heart.The training includes various exercises, dynamic sports loads.Swimming, lessons on an exercise wheel, Scandinavian walking, running skiing are very useful.It is necessary to rule out long static legs.To improve venous drainage, the so -called pastoral drainage is useful during the day, ie the introduction of the pose, in which the legs are in an increased position that contributes to the venous drain.For example, the appearance of a "pose cowboy" - if a person sits in a chair puts his legs on the table.Breathing gymnastics is useful because the proper deep breathing stimulates venous blood flow.It is recommended to rule out the overheating of the body because the tone of the veins falls significantly.The resulting venous stagnation is a factor that damages the wall of the veins.
- dietIt is an important part of therapy.The food should contain a sufficient amount of vitamins and trace elements.The right nutrition contributes to regular physiological deviations.In the absence of constipation and frequent swelling of the abdomen, a normal drainage of venous blood remains from the lower extremities, and the likelihood of varicose veins is reduced.
- Compression therapyIt includes the use of various bandages, bandages, knitting and mechanical devices.A pressure is generated on the surface of the legs, which is transferred to deep tissue and has a therapeutic or preventive effect.
The main value for compression is currentlyMedical compression knitting paths.The elastic binge of the legs is now used much less often.The advantages of compression knitting products to bandages are obvious: the simplicity and simplicity of putting on while maintaining the necessary and physiologically dosed pressure. In special cases, the bushing of the legs is used: in a special form of legs in a complex course of venous trophic ulcers in certain stages of surgical treatment of varios.The right bandaging is a complex process that is only carried out under the supervision of a doctor.
The selection of the type, shape and class of knitwear should be carried out by a specialist.This is due to the fact that there are certain contraindications for wearing compression doctors.For example:
- A heavy cardiopulmonary failure is a contraindication for the compression of the legs.
- The greatest efficiency of a certain product in a certain 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, is the so -called compression variable, which is generated using the dynamic pneumocompression apparatus.
- In the drug treatment of disease diseasesThe so -called phlebotropic drugs (synonyms are the most important importance of the active drugs, phlebraprotector).This is a large group of medication that can reduce the severity of chronic venous edema and other manifestations of chronic veins.Unfortunately, phlebetrop drugs do not restore changed variceal changes.Medicines from this group are prescribed in the form of courses for 2-4 months.These funds are only effective if oral administration.
- The most effective method of physiotherapy varicose veins isElectrical muscle stimulation of the lower extremities.This method can be used if medication and compression knitting paths are contraindicated for various reasons.As with other conservative measures, this method does not remove varicose veins, but reduces the manifestations of a simultaneous venous insufficiency.There are modern individual portable devices for independent electrical stimulation.
Sclerotherapy
Sclerotherapy - The main method without Varios of the survey treatment.The essence of the method is very simple: a special medicine is inserted by the syringe in the cramp, and compression is applied to the feet.As a result, the closure (occlusion) of the diseased area of the ship takes place.The varicose veins will disappear completely in the future.The blood moves through healthy veins, the blood circulation in the leg improves.At the same time, not only expanded veins disappear, but also the clinical manifestations of the disease - pain, swelling, cramps and severity in the legs.The procedure for a long time and often for life guarantees good treatment and cosmetic results.Low costs, a minimal risk of injury, a combination of a good functional result with a high cosmetic effect are the characteristic features of this method.
ModernSclerotherapy large varicose veinsAnd the tribes of subcutaneous veins are carried out by a polished shape under the control of echosotherapy of ultrasound scanner-micro-foam (foam shape).The "Vascular Stars" microsclerotherapy is carried out under the control of a special apparatus - Transilluminator.
Sclerotherapy as an independent therapeutic procedure is carried out with:
- Isolated varicose expansion subcutaneous veins;
- reticular varicosity ("vascular network");
- Tulangiektasie.
In a number of patients, sclerosis after a certain time after a surgical intervention, sclerosis is carried out to reduce the injury and increase the cosmetic result.PhleboscleroticIs used to treat relapse varicosity to stop and prevent bleeding from varicose veins as well as in some forms of congenital angiodysplasia.
Contraindications for the use of sclerotherapy:
- Serious systemic diseases (heart or lung failure, liver failure, etc.)
- Thrombophlebitise
- Local or general infection
- The need to adhere to the bed rest
- Expressed allergic manifestations
- Pregnancy and breastfeeding
- Diseases under which 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 carried out on an outpatient basis or in surgical hospitals of a daily stay.
Scientific and technological progress led to revolutionary changes in the treatment of varicose veins of the lower extremities.After the introduction of lasers with high energy into the clinical practice of phlebologists,Endovasal laser obliteration (ELO)It has become a small invasive treatment of Varios.The essence of ELO is the destruction of varicose veins with a laser beam.This technology is not an operation in the traditional sense.Cuts that are not required, all manipulations are carried out by microp functions.The intervention is carried out on an outpatient basis under local anesthesia and hospital stays in the hospital are not required.All manipulations are carried out under visual ultrasound control.Due to a small puncture in the lower thigh or in the thigh of the lower leg, a thin flexible laser light is inserted in the vein.After that, a solution to the anesthetic for pain relief around the vein is administered.In operating mode, strictly dosed thermal energy is delivered via the Svetovod, which leads to a complete closure (occlusion) and another prison ("overgrown").
The patient retains a fairly active daily routine with minimal discomfort.Elo in terms of efficiency and at the same time the smallest probability of injury exceeds the existing methods of classic operations significantly.
There are restrictions on the use of ELO:
- Extremely neglected varicosity with a significant expansion and curved main earth of the main skin.In such cases, a combined phleubectomy is shown.
- Repeated interventions on subcutaneous veins.In these cases, the option of using ELO is specified individually for each patient with the intestine examination.
Large varicosity expanded trunk rivers are currently being removed using a sospiting procedureOutpatient mini phleubectomy.This intervention is carried out under local anesthesia with special tools via Micro -Kin -Mikro.As a rule, it is carried out immediately according to ELO or used as an independent method.Hospital stay in a hospital and anesthesia is not required.Pain and symptoms in the postoperative period are minimal.With large varicose veins, a cosmetic result is often higher than in sclerotherapy.
Classic operations
Classic operations are shown in casesHuge neglected Krampfläsion.As a rule, hospital stays in a specialized hospital with vascular surgery is required.Interventions are carried out with anesthesiological manuals - anesthesia or regional (spinal) anesthesia.Such operations include a combined phleubectomy, endosurgical dissection of performing veins.This group of operations has a long rehabilitation phase, which is often unsatisfactory cosmetic result.There are often complications in the form of thrombophleitids, damage to healthy tissues, nerves and early relapses of variety.
Finally, you have to be said anywayA complex integrated approach in the treatment of varicose veins,This pathology is currently being successfully treated.