Treatment of varicose legsIt is a difficult task for the photologist and the patient himself.This is due to different forms and stages of the disease, requiring significantly different therapeutic measures.An important role is played by the principle of minimum injuries and the fastest rehabilitation of the patient.Effective procedures and, at the same time, saving therapeutic procedures are high technology and require modern medical equipment and skilled-photo 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.
These are a set of measures aimed at reducing the risk of complications of varicosity and improving the patient's quality of life.This method does not eliminate varicose veins and therefore requires constant use.
- Lifestyle correction-Memaism aimed at leading to the so-called muscle pump.The star muscle pump is a kind of pump that provides an outlet of venous blood from the lower limbs.The functioning of such a 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, so that the blood moves to the heart.The training includes various exercises, dynamic sports charges.Swimming, lessons on an exercise bike, Scandinavian walking, racing skiing are very useful.It is necessary to exclude long static legs.To improve venous flow, SO-Salled pastoral drainage is useful during the day, that is to say the adoption of the installation in which the legs are in a high position, which contributes to the venous flow.For example, the semblance of a "cowboy installation" - when a person sitting on a chair puts his legs on the table.Respiratory gymnastics is useful because good deep breathing stimulates the venous blood flow.It is recommended to exclude overheating from the body, because the tone of the veins falls considerably.The venous stagnation follows is a factor that damages the wall of the veins.
- DietIt is an important element of therapy.Food must contain a sufficient amount of vitamins and origin.Good nutrition contributes to regular physiological departures.In the absence of constipation and frequent swelling of the abdomen, a normal output of venous blood from the lower limbs remains, and the probability of varicose veins is reduced.
- Compression therapyIt includes the use of various bandages, bandages, knitting, mechanical devices.On the surface of the legs, a pressure is created, which is transmitted to the tissues deeply located and has a therapeutic or preventive effect.
The main compression value is currentlyMedical compression knit.The elastic leg shovel is now much less used.The advantages of compression knit products on bandages are obvious: simplicity and ease of implementation while maintaining the necessary and physiologically dosed pressure.The leg shovel is used in special cases: in a particular form of the legs, in the event of a complex course of venous trophic ulcers, at certain stages of surgical treatment of varicosity.Appropriate bandage is a complex process carried out only under the supervision of a doctor.
The selection of the type, shape and knitting class must be made by a specialist.This is due to the fact that there are certain contraindications to carry medical compression devices.For example:
- Severe cardiopulmonary insufficiency is a contraindication for leg compression.
- The greatest 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 significant venous edema, the SO Called compression variable, created using the dynamic pneumocompression device.
- In the drug treatment of varicose diseasePhlebropic drugs so called (synonyms are the main importance of active drugs, phleboprotector).It is a large group of drugs that can reduce the severity of chronic venous edema and other manifestations of the chronic veins.Unfortunately, Phlebropic drugs do not restore the veins modified by varicosity.The drugs in this group are prescribed in the form of lessons for 2 to 4 months.These funds are only effective when oral administration.
- The most effective method of varicose physiotherapy isElectric muscle stimulation of the lower limbs.This method can be used when compression drugs and knitting is contraindicated for various reasons.Like other conservative measures, this method does not eliminate varicose veins, but reduces manifestations of concomitant venous insufficiency.There are modern individual portable devices for independent electrical stimulation.
Sclerotherapy
Sclerotherapy - The main method without variations in survey treatment.The essence of the method is very simple: a special drug is introduced into varicos 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, varicose veins disappear completely.The blood moves through healthy veins, blood circulation in the leg improves.At the same time, not only the enlarged veins disappear, but also the clinical manifestations of the disease - pain, swelling, cramps, severity of the legs.The procedure for a long time, and often for life, guarantees good treatment and a cosmetic result.The low cost and the 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 made by a foaming form under the control of a ultrasonic scanning scanning therapy.Micro sclerotherapy "vascular stars" is carried out under the control of a special device - transilluminator.
Sclerotherapy as an independent therapeutic procedure is carried out with:
- Expansion of isolated varicose veins of subcutaneous veins;
- Reticular varicosity ("vascular grid");
- Tulangiectasia.
In a certain number of patients, in order to reduce operational injury and increase the aesthetic result, sclerosis is carried out after a certain time after surgery.PhleboscleroticUsed to treat the varicosity of relapses in order to stop and prevent bleeding from varicose veins, as well as in certain forms of congenital angiodysplasia.
Contraindications for the use of sclerotherapy:
- Severe systemic diseases (heart or pulmonary insufficiency, liver insufficiency, etc.)
- Thrombophlebitities
- Local or general infection
- The need to comply with bed rest
- Allergic demonstrations expressed
- Period of pregnancy and breastfeeding
- The conditions under which leg compression therapy is contraindicated
Surgical methods to treat 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 for a 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 obliteration (Elo)It has become a small invasive treatment of varicosity.Elo's essence is the destruction of varicose veins with a laser beam.This technique is not an operation in the traditional sense.Incisions not required, all manipulations are carried out by micro-perforations.The intervention is carried out on an outpatient under local anesthesia and hospitalization in the hospital does not require.All manipulations are carried out under visual ultrasound control.Thanks to a small puncture at the bottom of the thigh or the upper leg of the lower leg, a thin flexible laser light is introduced into the vein.After that, an anesthetic solution for pain relief is administered around the vein.In the operating mode, strictly dosed thermal energy is supplied by the Svetovod, which causes a complete closure (occlusion) and another prison ("pregnant").
The patient retains a fairly active daily routine with a minimum of discomfort.Elo in terms of efficiency and at the same time, the smallest chances of injury considerably exceed the existing methods of conventional operations.
There are restrictions for Elo use:
- Extremely neglected varicosity with significant expansion and main curved subcutaneous veins.In such cases, a combined phleubectomy is shown.
- Repeated interventions on the subcutaneous veins.In these cases, the possibility of using ELO is specified individually in each patient with an in -depth examination.
Large tributaries of the Trunk Trunk Trunk Varicosity are currently deleted using a procedure as saving asAmbulatory mini-phléubectomy.This intervention is carried out under local anesthesia with special tools via micro -skin micro.As a rule, it is carried out immediately after Elo or used as an independent method.Hospitalization in a hospital and anesthesia is not necessary.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 indicated in casesVast neglected varical lesion.As a rule, hospitalization is necessary in a specialized hospital of vascular surgery.Interventions are carried out using anesthesiological manuals - anesthesia or regional (vertebral) anesthesia.These operations include combined phleubectomy, endosurgical dissection of the perforating 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 tissues, nerves, early relaroes of varicosity.
In conclusion, it must be said that, despitea complex integrated approach in the treatment of varicose veins,This pathology is successfully treated at present.