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Modern methods to treat varicose veins of the legs

Treatment of leg vein varicose veinsIt 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 minimal injury and the faster rehabilitation of the patient.Effective and, at the same time, the savings of therapeutic procedures is of high technology and requires modern medical equipment and qualified-fotobologists.

Varicose veins

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 designed to reduce the risk of varicose complications and improve the patient's quality of life.This method does not eliminate varicose veins and therefore requires constant use.

  • Lifestyle correction-Madras designed to train the so-called custom-made muscle pump.The muscle pump is a type of pump that provides a venous blood outlet from the lower ends.The operation 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 toward the heart.The training includes various exercises, dynamic sports loads.Swimming, classes on an exercise bike, scandinavian walk, running skiing are very useful.It is necessary to exclude long static legs.To improve venous output, pastoral drainage so -called is useful during the day, ie the adoption of the pose where the legs are in a high position, which contributes to the venous output.For example, the appearance of a "cowboy pose" - when a person sitting in a chair puts his legs on the table.Respiratory gymnastics is useful because proper deep breathing stimulates the venous flow of blood.It is recommended to exclude the overheating of the body, since the tone of the veins drops significantly.The venous stagnation resulting from this is a factor that damages the vein wall.
  • DietIt is an important component of therapy.Food should contain enough vitamins and tracking elements.Proper nutrition contributes to regular physiological matches.In the absence of constipation and frequent swelling of the abdomen, there remains a normal venous blood output from the lower extremities, and the probability of varicose veins is reduced.
  • Compression therapyIncludes the use of various bandages, bandages, meshes, mechanical devices.On the surface of the legs, a pressure is created, which is transmitted to deeply localized tissues and has a therapeutic or preventive effect.

The main value in compression is currentlyMedical compression meshes.The elastic banning of the legs is now used much less frequently.The advantages of bandage compression mesh products are obvious: simplicity and ease of performing, maintaining the necessary and physiologically dosed pressure.Leg bingo is used in special cases: in a special form of the legs, in cases of a complex course of venous trophic ulcers, at certain stages of the surgical treatment of varicosity.Proper bandage is a complex process performed only under the supervision of a doctor.

The selection of the type, shape and class of meshes must be performed by a specialist.This is due to the fact that there are certain against -indications to use compaction medical devices.For example:

  • Severe cardiopulmonary failure is a against -indication for leg compression.
  • The greater efficiency of a particular product in a particular patient is important.
  • In the treatment of chronic veins diseases, in particular the advanced cases of varicose veins, which are accompanied by significant venous edema, the requested compression variable, created using the dynamic pneumocompression tract.
  • In the drug treatment of varicious diseaseThe phlebotopic medications so called (synonyms are the main importance of active medicines, phlegoprotective).This is a large group of medications that can reduce the severity of chronic venous edema and other manifestations of chronic veins.Unfortunately, phlebotropic medicines do not restore changed varicosity of veins.The medicines of this group are prescribed in the form of courses for 2-4 months.These funds are effective only when oral administration.
  • The most effective method of physiotherapy varicose veins isElectric muscle stimulation of the lower ends.This method can be used when drug meshes and compression are against -Indicated 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 varicosity of research treatment.The essence of the method is very simple: a special medicine is introduced into varicose veins through the syringe and compression is applied to the feet.As a result, the closing (occlusion) of the sick area of the vessel occurs.In the future, the varicose vein completely disappears.Blood moves through healthy veins, 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, gravity in the legs.The procedure for a long time, and often for a lifetime guarantees good treatment and cosmetic result.The minimum low -cost risk of injury, a combination of a good functional result with a high cosmetic effect is the distinct characteristics of this method.

ModernBig Sclerotherapy Large varicose veinsAnd subcutaneous veins trunks are performed by a foaming form under the control of an ultrasound-pspuma (foam-shaped) eco-wit therapy scanner.Micro sclerotherapy “vascular stars” is performed under the control of a special - transiluminator device.

Sclerotherapy as an independent therapeutic procedure is performed with:

  • Isolated expansion of subcutaneous veins varicose veins;
  • reticular varicosity ("vascular grid");
  • Tulangiectasia.

In several patients, to reduce operational injury and increase cosmetic result, sclerosis is performed after a while after surgical intervention.PhlexcleroticUsed to treat relapse varicosity in order to stop and prevent bleeding of varicose veins as well as in some forms of congenital angiodysplasia.

Against -indications for the use of sclerotherapy:

  • Severe systemic diseases (heart or pulmonary failure, liver failure, etc.)
  • Thrombophlebitis
  • Local or general infection
  • The need to comply with rest in bed
  • Express allergic manifestations
  • Pregnancy and breastfeeding period
  • Conditions under which leg compression therapy is against -

Surgical methods of varicose veins treatment

Surgical interventions with varicose veinsThe legs are the most radical treatment method.The vast majority of modern transactions can be performed on an outpatient patient or surgical hospitals of a day's stay.

Scientific and technological progress caused revolutionary changes in the treatment of varicose veins of the lower extremities.After the introduction of high energy lasers in the clinical practice of phlebologists,ENDOVALA LASER OBLITERATION (ELO)It became a little invasive treatment of varicosity.The essence of link is the destruction of varicose veins with a laser beam.This technique is not an operation in the traditional sense.Not necessary incisions, all manipulations are performed through micro punctures.The intervention is performed on an outpatient patient under local anesthesia and hospitalization at the hospital does not require.All manipulations are performed under ultrasound visual control.Through a small puncture on the lower thigh or upper leg of the 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 mode of operation, strictly dosed thermal energy is provided through Svetovod, which causes complete closure (occlusion) and additional arrest (“excessive growth”).

The patient maintains a very active daily routine, with minimal discomfort.In terms of efficiency and, at the same time, the lowest chance of lesion significantly exceeds existing methods of classic operations.

There are restrictions for use:

  • Extremely neglected varicosity with significant expansion and main subcutaneous veins.In these cases, combined flubectomy is shown.
  • Repeated interventions in subcutaneous veins.In such cases, the possibility of using the link is specified individually on each patient with a deep examination.

Currently expanded trunk trunk tributes are removed using a savings procedure asMini -ambulatory fileubectomy.This intervention is performed under local anesthesia with special tools through micro.As a rule, it is performed immediately after the link or used as an independent method.Hospitalization in a hospital and anesthesia is not necessary.Pain and discomfort in the post -operative period are minimal.With large varicose veins, a cosmetic result is usually larger than with sclerotherapies.

Classic operations

Classic operations are shown in casesvast injury of neglected varicose veins.As a rule, hospitalization is required in a specialized hospital of vascular surgery.The interventions are performed using anesthesiological manuals - anesthesia or regional anesthesia (spinal).Such operations include combined flower, endoscurgical dissection of piercing veins.This operations group has a long period of rehabilitation, usually the unsatisfactory cosmetic result.Often, there are complications in the form of thrombophlebitizations, damage to healthy tissues, early nerves and relapses of varicosity.

In conclusion, it should be said that, despitea complex integrated approach to the treatment of varicose veins,This pathology is successfully treated at the moment.