Methods of treatment of varicose veins

This direction is devoted to the doctor-phlebologist — specialist in vein diseases. A mandatory condition of recovery and a holistic approach.

The main objectives of the treatment:

• Compensation symptoms of venous insufficiency and improve the quality of life;
• complications of prevention and resolution of Problems in case d';
• correction of aesthetic component.

By all means get rid of the disease can be divided into 2 groups:

1. Sense surgery (conservative);
2. surgical.

Conservative course includes the adaptation of the style of life, diet, medications, the use of compression hosiery. These actions reinforce the vascular wall and eliminate the violation of the venous outflow.

Surgical intervention should always be accompanied by elements of conservative treatment. This speeds up the process of recovery from the surgery original works of art and improves the results.

Sense surgery

This therapy of varicose veins should not oppose to the surgical treatment. Both directions are used together and complement each other. Non-surgical treatment as the only method's contraindications when used for surgery, or in the absence of the need to do so. Conservative methods will not cure varicose veins, but the improvement of the health and can reduce the rate of progression of the disease.

When you use s:

• Prepare For yourself for the surgery of patients with advanced forms of chronic venous insufficiency (CVI);
• there is an absolute or temporary contraindications for surgical intervention;
• for the fast of the signs of elimination impairment of blood flow;
• at the beginning of the rehabilitation in the postoperative period.

The main goals of the conservative movement:

• Complications of Prevention and disease recurrence;
• restoration and conservation work;
• the symptoms of CVI;
• the improvement of the quality of life.

Surgical intervention

Serious When only varicose veins conservative, of course not. The fact that the effect persists, it is necessary to maintain it constantly. This and due to the fact that bezoperatsionnye methods only have un effect support in l d stop treatment and the symptoms slowly start to return.

When the surgery required?

• The disease has a duration of several years, and there is a negative dynamics, despite the course of therapy;
• surgery need for other diseases;
• varicose veins "evitar" elimination of co-morbidities;
• there are un-high risk of thromboembolic complications;
• there were complications.

Surgical method s used for:

• Get rid of the need for a permanent (lifetime) maintenance treatment;
• to eliminate the possible complications and symptoms of venous insufficiency;
• quick on the recovery and the improvement of the efficiency of the therapy;
• achieve stable and lasting results;
• quickly achieve aesthetic effect.

Principles of surgical intervention

The meaning of the treatment process and remove the affected veins. When planning surgery, the surgeon that determines the blood vessels it is not for to remove, and select the most appropriate method of extraction. The most common are: phlebectomy, miniphlebectomy, the impact of laser (EVLT) or radiofrequency (FRG), sclerotherapy. Read more about the indications and contraindications procedures of these can be found here.

Suppression scientifically called phlebectomy. Traditionally, it is considered that combined phlebectomy, which includes several components:

• Elimination of the source of the reflux (reverse blood flow) through the sapheno-femoral or sapheno-popliteal anastomosis;
• get rid of the reflux in incompetent perforating veins,
• the removal of the main saphenous vein vein and tributaries extended.

Modern surgical techniques

Surgeons use modern methods are less traumatic and can be performed on an outpatient basis. The rehabilitation period in minimally invasive procedures and faster and easier than original work of art from the surgery traditional. Remember, before handling surgical requires formacio.

Sclerotherapy — elimination of spider veins by the injection of un special drug inside which glues them. The process is carried out under ultrasound control.

Miniphlebectomy — elimination through the fins of punctures 2-3 mm. sense the need for stitches, and scars practically are absent.

Laser treatment Endovenous (EVLT) — a technique the non-invasive minimally "stamps" vein main defect with a special laser device. The light guide installed in the boat I transmits the laser energy to the wall. It is performed with local anesthesia, meaning incisions and hospitalization.

The ablation by radiofrequency — ADRS and similar EVLO, except for the fact that in the vascular wall and does not affect the radiation of the laser and the heat source of which are the radio-frequency of the oscillations.

GERMAN-EVLO – the two most common endovenous procedures for the correction of varicose veins. Your goal and a reflux eliminating in a large and/or small saphenous vein vein. Performed on an outpatient basis, under local anesthesia with ultrasound control, sense incisions I was in the hospital.

Treatment of varicose veins in the legs of a house

Start with lifestyle changes that eliminate the causes that provoke the development of the disease. Add physical activity, to develop a balanced diet, treatment of diseases concomitant, they increase varicose veins manifestations (hypertension, obesity, diabetes, constipation, diarrhea, cough), choose the proper footwear and orthotics, get rid of bad habits (Smoking, alcohol abuse).

Physiotherapy

The un sedentary lifestyle can cause disease. To reduce symptoms, strengthen your leg muscles. Helps to restore the proper functioning of the muscle-venous pump.

It is recommended to walk more, go for a swim, do exercises that the legs reinforce: "the Bicycle", "scissors", the rotation of the feet, rolls with the foot on the heel and the back, alternately walking on the toes and the claw, all kinds of exercises with a rope. The practice of Hiking, try less to use a Lift.

In carrying out the work, which involves periods of any other time, in a sitting position or standing, regularly organize adventures for the realization of physical exercises. Warm-up needs to be done every hour for 5-10 minutes. At this moment in time stagnant in the extremities of the blood-and "bomb" and the legs become more easy.

See power sports, lift weights – it can worsen the symptoms of the disease to its accelerated progression. They are the best way to avoid examine.

Compression therapy

Simple, effective and treatment of varicose veins lower extremities – compression. For one of the mechanics of the vessels of compression diameter is reduced in the folds of the valves are closed, and the reverse flow becomes impossible. This method and good in the initial phase, and a component of the un-necessary removal varicose veins of any gravity.

The compression can be achieved by bandaging with a bandage stretchy or with the help of special wear underwear. The use of gauze is now NOT recommended.

Depending on the level and extent of the lesion of the vessels provided by the compression socks, stockings, tights. All these products differ from each other by the compression level, color scheme, appearance, durability, quality of material.

Tights Wear compression from morning to night, all day, removing it only to sleep. Like any piece of clothing, that requires attention: correct washing and drying.

The normalization of body weight

Excess weight, in addition, to the strain of the circulatory system. Bring the body weight to normal with a diet low in calories, and augment physical activity. Weight 5 kg already and the leader of a tangible effect. This reduces the heaviness in the legs, night cramps disappear and everything becomes easier.

To calculate the optimum weight according to the formula: supply = growth– 100 +/- 10%. For example, with the"height of 170 cm house must weigh from 63 to 77 kg (170-100 +/-7).

The diet

In the preparation of the diet, it is considered that "antivarikozny" the food serves a husband destinations purposes:

• Improvement of the vascular wall and reduce the risk of thrombosis;
• prevention of constipation;
• the normalization of weight.

The Group should contain a sufficient amount of fiber. And useful food for sea food, vegetable oils, especially unrefined.

Drinking regime

Drinking enough water helps prevent to examine constipation and formacio of blood clots. It is recommended to drink at least 2 litres of fluid a day. Do not consider drinking liquid, objects not only a suffer set. As soon as you want to drink, have immediately to do it, not leaving for later. The organism itself knows when and what amount of water you need that gives us a sense of the whole.

Exaction and templates of shoes

Make the treatment of those who are varicose veins done medical advice, including correct selection of the shoes. Has to be un comfortable and have a heel no more than 5 cm.

Use of orthotic insoles are very useful. Take support to the arch of the foot, unload it and ensure the correct biomechanics of movements. Muscle-venous pump works more efficiently.

Physical therapy

Help the dish – physiotherapy. These include a cold shower, magnetic therapy, BIOPTRON, ultrasound. In the home use device "Almag", "Vitafon".

Sauna, Solarium, hot s wraps when varicose veins should be discarded to avoid consideration of the development of the pathology and the appearance of complications.

Folk remedies to combat varicose veins

Traditional drugs, can be used as a Complement basic therapy. Well established decoctions of herbs (chamomile, field horsetail, horse chestnut, Hypericum, nettle). S used for administration and oral in the form of the foot pads and baths.

Unfortunately, the majority of folk remedies have un effect weak and have un effect short period, requires the making of a long and regular use. Are withdrawal before modern methods and lose their relevance.

All of these elements (Group, Shoe selection, exercise) are suitable for the initiation of the therapy. But modern that there are no surgical techniques that require the stay in the hospital – many of them performed on an outpatient basis. The most important to adhere strictly to medical advice and, in case of doubt, consult your doctor.

Antivarikozny medication

The medications prescribed for the disease, divided into several groups, according to their mechanism of action:

• Antiplatelet agents. It is believed that reduce the risk of blood clots, however, convincing scientific evidence is available only in relation to the preventive effect in the formacio of atheroma plaques in the arteries.
• Venotonic. Reinforce the wall venous, reduces inflammation. This offers an un, the most frequently used group of drugs.
• Anticoagulants. Drugs based on the fine the heparin blood, s that it uses and to prevent and treat formacio of blood clots. There is in the form of pills, injections and ointments.
• Angioprotectors and proofreaders microcirculation. Improve the blood circulation, microcirculation and the vascular system.

In case of complications in the form of trophic ulcers using remedies for healing and bandages for destinations purposes. Treatment of ulcers depends on the stage of the process, the volume of the defect tissue and other factors. Each situation In the course of the treatment s assigns individual.

A possible cure varicose veins doctors sense?

There is a perception that going to the doctor and necessary when the "itch". Don't forget, however, that the early initiation of treatment provides the best results, and recovery easier.

Treated at the doctor's clearly more efficient. But no, a clear that, a cheaper. The costs of drugs and procedures are lower than in the self-medication, because he directed and take into account the specific characteristics of your body.

Come to me, patients who were using ineffective methods of treatment of varicose veins in the legs. They spend in a single trip to the pharmacy a little bit of money, but the effect of short duration. The patients have to buy medicines often and for a long time. All of this translates into considerable amounts.

If you decide to self-medicate, completely eliminating the assistance of a doctor, original works of art ask yourself: "if this I win"?

Tasks phlebologist:

1. Make sure that the problems with the lower limbs caused only by varicose veins, and to them. If the cause of the disease in different, or there are other diseases, the effectiveness of the course, without taking into account the comorbidity would be low.
2. Pick efficient drugs that you can accept the presence of and other diseases exist. And necessary to consider the interaction of all the medications that you take.
3. To pick up the compression of the medium. Before purchase it is necessary for the right to decide how it should be (knee, thigh), as well as to understand the degree necessary compression.

The effectiveness of struggle with the dilation of the veins can be estimated by the senses. If the treatments and drugs that is made easy and comfortable, you can continue using them. If sent discomfort, there are no side effects, there are other complaints, be sure to consult your doctor! Maybe something goes wrong and requires correction treatment.

Statistics

There are many methods. And the task of the doctor – the choice of tactics will provide the un fast, stable and result. I objects a combination therapy that includes a variety of procedures and instructions. The complexity helps to defeat the appearance of varicose veins.