Modern methods of treating veins with varicose legs

Treatment of veins with varicose legsIt is a difficult task for both the doctor 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 damage and faster rehabilitation of the patient.Effective and, at the same time, saving therapeutic procedures are high-tech and require modern medical equipment and qualified-photobologist specialists.

Ways to treat varicose veins:

• Conservative
• Sclerotherapy
• Surgical methods

Almost always, treatment methods are used together, successfully combined and complement one another.

Conservative treatment of varicose veins.

This is a set of measures aimed at reducing the risk of varicosity complications and improving the quality of life of the patient.This method does not eliminate varicose veins and therefore requires constant use.

• The lifestyle correction-Masins aimed at training the so -called muscle pump.Venous muscle pump is a type of pump that provides a venous blood flow from the lower extremities.The functioning of such a pump is possible thanks to the joint work of the muscles and veins of the legs.With the contraction of the muscles, the veins are compressed, passing between and inside the muscles, so the blood moves towards the heart.Training includes various exercises, dynamic sports loads.Swimming, class on an exercise bike, Scandinavian walking, skiing is very useful.It is necessary to exclude long static legs.To improve the venous outlet, the so -called pastoral drainage is useful during the day, that is, the approval of the position in which the legs are in an elevated position, which contributes to the venous outlet.For example, the appearance of a "cowboy position" - when a person sitting in a chair puts his feet on the table.Respiratory gymnastics is useful because proper deep breathing stimulates venous blood flow.It is recommended to exclude the overheating of the body, as the vein tone drops significantly.The venous stagnation that derives from this is a factor that damages the vein wall.

• DietIt is an important component of therapy.Food should contain a sufficient amount of vitamins and trace elements.Proper nutrition contributes to regular physiological departures.In the absence of constipation and frequent abdominal swelling, there is a normal flow of venous blood from the lower extremities, and the possibility of varicose veins is reduced.
• Compression therapyIt involves the use of various bandages, bandages, knitwear clothing, mechanical equipment.On the surface of the legs, a pressure is created, which is transmitted to deeply placed tissues and has a therapeutic or preventive effect.

The main value in the compressive is currentlyWearing medical compression knitwear.Elastic foot binting is now used much less frequently.The advantages of knitted products with compression on bandages are obvious: simplicity and ease of coating while maintaining the necessary and physiologically dosed pressure.Binting of the feet is used in special cases: in a particular form of the feet, in the case of a complex course of trophic venous ulcers, at certain stages of 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 knitwear should be performed by a specialist.This is due to the fact that there are some contraindications for wearing medical compression equipment.For example:

• Severe cardiopulmonary failure is a contraindication for leg compression.
• The greatest efficiency of a particular product in a particular patient is important.
• In the treatment of chronic vein diseases, in particular the advanced cases of varicose veins, which are associated with significant venous edema, the so -called, created compression variable created using the dynamic pneumocompression apparatus.
• In the treatment of varicose disease medicationSo -called folk 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, phlebobropitis does not restore changed varicosity veins.Medicines from 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 varicose veins of physiotherapy isStimulation of the electrical muscles of the lower extremities.This method can be used when the drug and coating of compression knitures are contraindicated for various reasons.Like other conservative measures, this method does not eliminate varicose veins, but reduces manifestations of simultaneous venous insufficiency.There are modern individual portable equipment for independent electrical stimulation.

Sclerotherapy

Sclerotherapy - the main method without varicosecies of survey treatment.The essence of the method is very simple: a special medicine is inserted into varicose veins through the syringe, and the compression is applied to the foot.As a result, the occlusion of the sick area of the ship occurs.In the future, the varicose vein disappears completely.Blood moves through healthy veins, blood flow to the legs improves.At the same time, the veins not only enlarged disappear, but also the clinical manifestations of the disease - pain, swelling, cramps, severity in the legs.The procedure for a long time, and often for life, guarantees a good treatment and cosmetic result.The low cost, the minimum risk of damage, a combination of a good functional result with a high cosmetic effect are the distinguishing features of this method.

Modernsclerotherapy large varicose veinsAnd subcutaneous vein drawers are performed by a foaming form under the control of an ultrasound-foam (foam-form) Echo-sclerotherapy scanner.Micro sclerotherapy "vascular stars" is carried out under the control of a special apparatus - transilluminator.

Sclerotherapy as a standalone therapeutic procedure is performed with:

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

In a number of patients, to reduce damage damage and increase cosmetic result, sclerosis is performed after a certain time after surgical intervention.BackerIt is used to treat the varicosity of the relapse in order to stop and prevent bleeding from varicose veins as well as in some forms of congenital angiodyplasia.

Contraindications for the use of sclerotherapy:

• Severe systemic diseases (heart or pulmonary failure, liver failure, etc.)
• Thromboflebitis
• Local or general infection
• Need to meet bed rest
• Allergic manifestations expressed
• Pregnancy and period of breastfeeding
• Conditions in which leg compression therapy is contraindicated

Surgical methods of varicose vein treatment

Surgical interventions with varicose veinsFeet are the most radical method of treatment.The vast majority of modern transactions can be performed on outpatient basis or on surgical hospital stays one day.

Scientific and technological progress caused revolutionary changes in the treatment of varicose veins of the lower extremities.After presenting high -energy lasers in the clinical practice of phlebologists,Obliteration Laser Endovasal (ELO)Hasten made a slightly invasive treatment of varicosity.The essence of ELO is the destruction of varicose veins with a laser beam.This technique is not an operation in the traditional sense.Swimming required cuts, all manipulations are performed through micro puncture.The intervention is performed on outpatient basis under local anesthesia and hospital hospitalization does not require.All manipulations are carried out under visual ultrasound control.Through a small puncture in the lower thigh or the upper leg of the lower leg, a thin flexible laser light is inserted into the vein.After that, an anesthesia solution to relieve pain is administered around the vein.In the mode of operation, the thermal energy with a dose strictly is supplied through Svetovod, which causes complete closure (occlusion) and further prison ("overload").

The patient maintains a very active daily routine with minimal discomfort.ELO in terms of efficiency and at the same time less damage chance of damage exceeds existing methods of classical operations.

There are restrictions on ELO use:

• Extremely neglected varicosity with a significant expansion and the main subcutaneous curved veins.In such cases, combined phleubectomy is indicated.
• Repeated interference in the subcutaneous veins.In these cases, the possibility of using Elo is individually specified in each patient with depth examination.

The enlarged luggage luggage varicosity, the baggage branches are currently removed using such a savings procedure asMini Phleubectomy outpatient.This intervention is performed under local anesthesia with special tools through micro micro micro.As a rule, it is performed immediately after Elo or used as a standalone method.Hospitalization in a hospital and anesthesia is not required.Pain and discomfort in the post -surgery period are minimal.With large varicose veins, a cosmetic result is often higher than sclerotherapy.

Classic

Classic operations indicated in casesWide lesion neglected with varicose veins.As a rule, hospitalization is required in a specialized vascular surgery hospital.Interventions are performed using anesthesiological manuals - anesthesia or regional (spinal) anesthesia.Such operations include combined phleubectomy, endos -resolgical dissection of perforant veins.This group of operations has a long period of rehabilitation, often a unsatisfactory cosmetic result.There are often complications in the form of thrombophlebitizes, damage to healthy tissue, nerves, early relaps of varicosity.

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