Varicose veins swelling treatment
Current section: Extension of veins
Treatment of varicose veins modern methods
There are several generally accepted methods of treating varicose veins: conservative and surgical.
The most effective conservative agenttreatment and prevention of varicose veins doctors consider elastic compression - the use of special compression knitwear (stocking, golf, tights). When wearing this knitwear, uniform pressure on the lower limbs is provided, which promotes normal circulation of blood and improvement of its outflow, thus forming, as it were, an outer frame that supports weakened vascular walls. As a result, the burden on veins decreases, the outflow of venous blood improves, and the rate of further progression of the disease decreases, and the risk of thrombosis develops.
Modern compression knitwear is divided intotwo types: therapeutic and preventive. Each medical device is marked in mm Hg, according to which it is divided into classes I to IV. At different stages of the disease, compression of a certain force is used and it is necessary to consult a doctor, since only a doctor can prescribe and correctly pick up compression knitwear, taking into account the nature of the pathology and according to certain individual measures.
With a sedentary lifestyle, as well as withprolonged physical exertion, during pregnancy or with hereditary predisposition, it is recommended to wear compression preventive stockings and pantyhose. When even minor signs of varicose veins appear, you should immediately contact a specialized clinic.
Drug therapy can reduceclinical manifestations of the disease - pain, swelling, discomfort, cramps and so on, but can not completely stop the progression of the disease and is used today only as part of complex therapy during basic surgical treatment. Unfortunately, most of the drugs offered today in the pharmaceutical market for the treatment of varicose veins have a rather low efficiency, despite the theoretically justified expediency of use. One of the reasons for this is low digestibility by the body of the therapeutic substances underlying these drugs. It is possible that in this situation an increase in the dose of the drug would help, but this is associated with an increased risk of complications and side effects. Another reason for the low effectiveness of these drugs is that the spectrum of their action is relatively narrow and directed to one or another link involved in the development and progression of the disease (trental reduces the aggregation activity of platelets, venotonics improve the tone of the venous wall, etc.). And to achieve the optimal effect, a complex effect on the disease and the use of several drugs is necessary. The ideal drug for the treatment of venous insufficiency and varicose veins should affect as much of the pathogenetic links of chronic venous insufficiency, while having a minimal amount of side effects and being well absorbed by the body. Close to the ideal drug for the treatment of venous insufficiency detraleks, which is based on the micro-ionized purified flavonoid fraction. The drug is well absorbed. When it is taken, inflammatory intravascular reactions are suppressed, the permeability of the venous wall decreases, the tone of the veins increases, blood microcirculation and lymphatic drainage of tissues improve. In combination with elastic compression detraleks is effective in the treatment of chronic venous and lymphatic insufficiency.
Surgical treatment of varicose veins.
To date, surgical treatmentVaricose veins do not require a long stay in the hospital. Thanks to the use of modern invasive methods of treatment, the removal of varicose veins can be carried out not only under anesthesia with complete switching off of the patient's consciousness, but also under local anesthesia, when the patient is in clear consciousness, only the pain sensitivity of the lower extremities is disconnected.
Women should remember that the varicose veins arising during pregnancy and childbirth disappear for 3 months after delivery, without any treatment.
There are the following surgical methods of treatment:
1. Sclerotherapy. During this procedure, a solution is introduced, under the influence of which the scar is formed on the site of the damaged vein. This method is applicable only for varicose veins of small and medium caliber. Occasionally, not one, but several injections of the sclerosing solution may be required for the complete disappearance of the vein. Sclerotherapy is quite effective when properly performed, it is not traumatic, leads to a good therapeutic and cosmetic effect, and it is also a significant advantage that sclerotherapy is performed under local anesthesia (ie, without anesthesia), directly in the doctor's office.
2. Laser surgery. To remove varicose veins of any diameter and, in particular, the venous network, laser radiation can be used. The essence of the method is to irradiate the inner surface of the vein with a laser beam. Through a small puncture of the skin and vein walls, a special device is inserted - a light guide, through which a laser beam is guided by ultrasound. The inner surface of the vein is irradiated by a laser, then its gluing takes place. When applying this method, the doctor injects a laser beam onto that vein, which must be removed, a slow decolorization and complete disappearance of the vein. An important advantage of this method is the fact that neither an incision of soft tissues nor skin is carried out. Using a laser method, you can eliminate the affected veins and heal trophic ulcers of the shins.
3. Removal of varicose veins surgically. With surgical removal, a series of small cuts of the skin and soft tissues are made through which the damaged vein is removed and the perforator veins of the lower leg are bandaged. When applying this technique, an essential condition is anesthesia. This method is used to remove varicose veins of large diameter.
4. Ambulatory phlebectomy (removal of varicose veins). This method is applicable for the removal of veins of small diameter. With this method, the vein is removed through several small incisions on the skin under local anesthesia. Scars formed after removal are of small size and almost invisible.
5. Endoscopic removal of varicose veins. This method is particularly suitable for the formation of skin defects in the form of ulcers. During this method, a special video micro-camera is inserted inside the vessel, which allows you to see the vessel from the inside and observe its entire removal procedure. Then, the vein is removed by observation through this chamber.
Thanks to the application of modern methods of treatment, it is possible to achieve complete cure and a good cosmetic effect. But it should be remembered that varicose veins may appear again.
How is the hirudotherapy session?
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Varicose disease continuously progressive disease
Varicose disease occurs in 20-40% of the populationdeveloped countries of the world. For a long time, varicosity manifests itself only as a cosmetic defect, but the progression of the disease leads to the appearance of painful sensations, edema of the feet and shins, and in advanced stages to darkening of the skin in the lower third of the shin, inflammatory changes and trophic ulcers.
Diagnosis of varicose veins
Conducting ultrasound diagnostics in the "CenterPhlebology "exactly corresponds to the recommendations of the UIP (International Union of Phlebology). This means that any patient during the initial reception of a phlebologist necessarily undergoes all the diagnostic procedures necessary to establish an accurate diagnosis and choose the optimal scheme of prevention or treatment of varicose veins. The necessary volume of research includes Doppler and, if necessary, duplex angioscanning.
Varicose disease: treatment methods
Varicose disease (WB) is manifested by sinuousor nodal enlargement of the subcutaneous veins of the lower extremities. With the gradual expansion of the lumen of the hypodermic and communication (connecting the superficial and deep venous systems of the lower extremities), veins develop deficiency of the valves ("the valves do not close"). There is a reverse (pathological) blood flow in the veins of the lower extremities. Later, dystrophic and inflammatory changes of affected veins and other limb tissues join: chronic venous insufficiency occurs.
Prevention of varicose veins
With varicose tried to fight even Ancient Egypt: First cauterized veins, then tightly bandaged feet with a linen cloth. In the Middle Ages, prototypes of modern compression pantyhose appeared - leather stockings with lacing. Today, there are significantly more methods of treating this disease.