Treatment of varicose veinsIt is a difficult task for both photos and patients themselves.This is due to various forms and stages of the disease, which requires different therapeutic measures.An important role is played by the principle of minimum injury and the fastest recovery of the patient.In force and, at the same time, gradual therapeutic procedures are high tech and require modern medical equipment and qualified photobologists.

How to treat varicose veins:
- Conservative events
- Sclerotherapy
- Surgical methods
Almost always, the method of treatment is used together, successfully combined and complementing each other.
Conservative treatment of varicose veins.
This is a set of steps 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 continuous use.
- Lifestyle correction-Measures aimed at training the so-called-venous muscle pumps.The venus pumps are a type of pump that provides venous blood flow from the lower leg.The function of such pumps may be thanks to the work of the muscles and the veins.With muscle contraction, the veins are compressed, passing between and inside the muscles, so the blood moves towards the heart.Training includes a variety of exercises, dynamic sports loads.Swimming, class on exercise bikes, scandinavia walking, skiing is very useful.It is necessary to exclude long static feet.To improve the outflow of the vein, the coordinated pastoral drainage during the day, the use of the pose in which the feet are in high position, contributing to the flow of veins.For example, the appearance of "cowboy pose" - when someone sitting on the chair puts his feet on the table.Respiratory gymnastics is useful, as deep breathing stimulates venous blood flow.It is recommended to exclude overheating the body, as the vein tone drops significantly.The movement of the veins arising from this is a factor that damages the vein wall.
- DietIt is an important component of therapy.Food should contain enough vitamins and trace elements.Proper nutrition contributes to normal physiological release.In the absence of constipation and frequent swelling of the stomach, normal venous flow of the vein from the lower part remains, and the possibility of varicose veins is reduced.
- Compression therapyIt includes the use of various bandages, bandages, knitwear, mechanical devices.On the surface of the foot, pressure is created, which is transmitted to deep tissue and has a therapeutic or prevention effect.
The main value in compression is nowMedical compression clothing.Elastic feet are now used more often.The advantages of compression knit products on the bandage are obvious: simplicity and ease of use of needed pressure and physiology.Foot binting is used in special cases: in special foot form, in cases of complex trophic trophic ulcer, at certain stages of varicosity surgery treatment.Proper manufacturing is a complex process that is done only under the supervision of a doctor.
The selection of types, shapes and classes of knitwear should be conducted by a specialist.This is due to the fact that there is a specific contraindication to wearing compression medical devices.For example:
- Severe cardiopulmonary failure is a contraindication for foot compression.
- The biggest efficiency of certain products in certain patients is important.
- In the treatment of chronic vein disease, especially cases of developed varicose veins, which are accompanied by significant vein edema, compression variables, which are made using dynamic pneumocompression tools.
- In the treatment of varicose disease drugsCoordinated phlebotropic remedies (synonyms are the main importance of active drugs, phleboprotector).It is a large group of drugs that can reduce the severity of chronic vein edema and other manifestations of chronic veins.Unfortunately, phlebotropic remedies do not restore varicosity of the veins.Medicines from this group are prescribed in the form of 2-4 months.This fund is only effective when oral administration.
- The most effective varicose vein method isElectrical muscle stimulation from lower legs.This method can be used when medicines and compression knitwear are contraindicated for a variety of reasons.Like other conservative steps, this method does not eliminate varicose veins, but reduces the manifestation of the venous deficiency.There are modern individual mobile devices for free electric stimulation.
Sclerotherapy
Sclerotherapy - a major method of no varicosity of a survey treatment.The essence of this method is very simple: a special drug is introduced into the varicose through the syringe, and the compression is applied to the feet.As a result, the closure (occlusion) of a diseased area occurs.In the future, the varicose veins are actually lost.Blood moves through healthy veins, blood circulation improves.At the same time, not only the expanded veins disappear, but also the clinical manifestations of the disease - pain, swelling, cramps, severity in the legs.Procedures for a long time, and often for survival, guarantee good treatment and cosmetic outcomes.Low cost, minimal injury risk, good functional functional revenue with high cosmetic effects is a distinctive feature of this method.
Modernsclerotherapy of a large varicose veinAnd subcutaneous veins are made by foaming forms under the control of EFO-FOAM ultrasound (bubbles) echo-sclerotherapy.Micro sclerotherapy "vascular star" is performed under the control of special apparatus - transilluminator.
Sclerotherapy as an independent therapeutic procedure is performed with:
- Development of subcutaneous veins;
- Reticular varicosity ("vascular grid");
- KituiECTASIA.
In some patients, to reduce surgical injuries and increase cosmetic outcomes, sclerosis is performed after a certain period of time after surgical intervention.PhleboscleroticUsed to treat recurrent varicosity to stop and prevent bleeding from varicose veins, as well as in some form of congenital angiodysplasia.
Contraindications for sclerotherapy use:
- Severe systemic disease (heart failure or pulmonary, liver failure, etc.)
- Thrombophlebites
- Local or general infection
- The need to comply with the bed break
- Expressing the manifestation of allergies
- The duration of pregnancy and breastfeeding
- A condition in which foot compression therapy is contraindicated
Surgical methods treat varicose veins
Surgical intervention with varicose veinsFeet is the most radical treatment method.Most modern transactions can be made on outpatients or in surgical hospitals one day.
Scientific progress and technology have led to revolutionary changes in the treatment of varicose veins in the lower leg.After high laser introduction into clinical practice of phlebologists,The destruction of the endovasal laser (ELO)It has become a bit of invasive treatment for varicosity.The elo core is the destruction of varicose veins with laser beams.This technique is not an operation in the traditional sense.No incisions are required, all manipulations are carried out through micro sources.Interventions are made to outpatients under local anesthesia and hospitalization in hospitals does not require.All manipulation is carried out under the control of the visual ultrasound.Through small punctures in the lower thighs or lower legs, thin flexible laser light is introduced into the veins.Subsequently, anesthetic solution to relieve pain is administered around the veins.In operating mode, strict thermal energy is supplied through svetovod, which results in complete closure (occlusion) and further imprisonment ("overgrowing").
Patients maintain a relatively active daily routine with minimal discomfort.Elo in terms of efficiency and at the same time the smallest chances of injury beyond the existing classical operating method.
There are restrictions for elo use:
- Varicosity is highly overlooked with significant expansion and curved main subcutaneous veins.In such cases, combined phlubectomy is indicated.
- Repeated intervention on subcutaneous veins.In this case, the likelihood of using an ELO is determined individually in each patient with an inner examination.
Large varicosity expanded trunks are now removed using such proceduresMini Patient Patient Patient.This intervention is done under local anesthesia with special tools through micro micro.As a rule, it is done immediately after ELO or used as an independent method.Hospitalization in hospitals and anesthesia is not required.Pain and discomfort during the postoperative period are minimal.With large varicose veins, cosmetic outcomes are often higher than sclerotherapies.
Classical operation
Classic operations are shown in the case -KesVast varicose lesions.As a rule, hospitalization is required at a special hospital of vascular surgery.Intervention is done using anesthesiological - regional anesthesia or anesthesia (spine).Such surgery includes a combination of phlubectomy, perforant vein endosurgical surgery.This group of operations has a long recovery period, usually unsatisfactory cosmetics.There are usually complications in the form of thrombophlebitis, damage to healthy tissue, nerves, early varicosity tremors.
In conclusion, it must be said that, evenA complex integrated approach in the treatment of varicose veins,This pathology is successfully treated at this time.