This direction is engaged in the doctor-phlebologist — specialist in vein diseases. Katja hämäläinen: a prerequisite for recovery is the holistic approach.
The main objectives of the treatment:
- Child protection social worker has received venous insufficiency symptoms and improve quality of life;
- prevention of complications and Troubleshooting in the event;
- correction of aesthetic component.
By all means get rid of the disease can be divided into 2 groups:
- Without surgery (conservative);
- surgical.
The conservative course includes the adjustment of lifestyle, diet, medication, the use of support stockings. Such strengthen the vascular wall function and eliminate the violation of the venous outflow.
Surgical procedures always come be elements of conservative treatment. This speeds up recovery after surgery and improve the results.
Without surgery
This should not be treatment of varicose veins to resist surgical treatment. Both ways are used together and complement each other. Non-surgical treatment like a unnecessary method, which is used when surgery or without the need of. Conservative methods do not improve the varicose veins, and improve your health but may slow the progression of the disease.
Used Kun:
- To prepare for surgery of patients with advanced forms of chronic venous insufficiency (CVI);
- there is an absolute or temporary against surgical intervention;
- the rapid removal of signs of impaired blood lad flow;
- early rehabilitation after surgery.
The main objectives of conservative children:
- Prevention of complications and recurrence of the disease;
- the restoration of preservation of the work and;
- symptoms of CVI;
- improving the quality of life.
Surgical intervention
When severe varicose veins in vain for a conservative, of course not. Its effect continues, the man must hold it constantly. This is due to the fact that bezoperatsionnye methods are unnecessary to support the internet pages the effect is to stop the and symptoms treatment gradually begin to return.
When surgery is necessary?
- Disease and lasts several years is a negative dynamics, while the continuous treatment;
- need surgery other diseases;
- varicose veins "to prevent" the removal of concomitant diseases;
- it is a high risk of thromboembolic complications table;
- was complications.
Surgical method is to use:
- Get rid of the need for a permanent (lifetime) maintenance treatment;
- removal and possible complications of the symptoms of venous insufficiency;
- speedy recovery to the additional device management and efficiency;
- stable and achieve sustainable results;
- to achieve fast cosmetic effect.
Principles of surgical intervention
Treatment Importance of the process is to remove the diseased veins. When planning surgery, the surgeon determines which blood vessels must be removed and selects the most appropriate method of removal. The most common are: phlebectomy, mini phlebectomy, the impact of the laser (evlt there) or radiofrequency (RFA), sclerotherapy. Read more about indications for and against these procedures can be found here.
Removed scientifically called phlebectomy. Traditionally, combined phlebectomy, which includes several components:
- Removal 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 main saphenous vein removal and extended to the tributaries.
Modern surgical techniques
Surgeons use modern methods that are less traumatic and can be performed on an outpatient basis. Rehabilitation during minimally invasive procedures is faster and easier than after traditional surgery. Remember, before surgical manipulation requires training.
Sclerotherapy — removal of spider veins by injecting a special drug, inside which glues them. Process the entire ultrasound control.
Mini-phlebectomy — removal of through punctures up to 2-3 mm. without the loop, and almost the scars are gone.
Endovenous laser treatment (evlt there) — a minimally invasive technique that "seals" the faulty main vein special laser laite. Light-guide the ship installed and transmits laser energy to the wall. All under local anesthesia, and without incisions in the hospitalization.
Radio frequency ablation — RFA is similar to the EVLO, except that it affects on blood vessels in the wall of the laser-radiation of heat and the source, which are radio-frequency oscillations.
RFA and EVLO – the two most common endovenous procedures for correction of varicose veins. The goal is to eliminate Their reflux big and/or small saphenous vein. The whole on an outpatient basis, under local anesthesia with ultrasound guidance, without surgery and being in the hospital.
The treatment of varicose veins in legs at home
Start with lifestyle changes – eliminate the causes that provoke the development of disease. More physical activity, develop a balanced diet, the treatment of other diseases that increase the manifestations of varicose veins (hypertension, obesity, diabetes, constipation, diarrhea, cough), choose the right shoes and orthotics, to get rid of bad habits (Smoking, alcohol abuse).
Occupational therapy
Lack of exercise can cause diseases. To reduce symptoms, strengthen the leg muscles. It helps restore proper muscle function and venous pump.
It is recommended, walk, swim, do exercises that strengthen the legs: "bicycle", "scissors", the rotation of the foot, roll the heel of the foot and back, and walk alternately on toes, heels, all sorts of exercises with a rope. Practice Hiking, try less Elevator.
In carrying out the work, involving long periods in a sitting position or a standing position, regularly organize short breaks to perform physical exercises. Warm-up should be performed every hour for 5-10 minutes. Currently, the stagnant blood moisture is "pumped pois" and the legs become easier.
See power sports, lift weights – it can exacerbate the symptoms of the disease, accelerating its progression. They are best avoided.
Compression therapy
Simple and effective in the treatment of varicose veins of the lower limbs – packaging. Mechanical compression of the blood vessels diameter is reduced, the folds of the valves are closed and the reverse flow is impossible. This is the method and good in the early stages and treating the part to remove varicose veins at any time in severity.
Compression bandaging may be achieved by elastic bandage or by wearing special underwear. The use of gauze is now not recommended.
Depending on the level and extent of injury of the vessels provided by the compression socks, stockings, tights. All these products differ in compression level, color, appearance, durability, quality material.
Wear compression stockings from morning to night, all day, removing it in vain to sleep. Like any garment, it requires care: washing and proper drying.
Normalization of body weight
In addition, excess weight puts a strain to the circulatory system. To bring body weight to normal low calorie diet and increased physical activity. Weight in vain 5 kg already, what concrete effect. This reduces the heaviness of the lower limbs, cramps disappear in the night and the whole becomes easier.
To calculate the optimal weight according to the formula: supply = growth– 100 +/- 10%. For example, the height 170 cm the man should press 63 77 kg (170-100 +/-7).
Diet
When drafting diet, consider that the "anti varikozny" food serve several purposes:
- The vascular wall Improvement and reduce blood clots;
- prevention of constipation;
- normalization of weight.
Food should contain adequate amount of fiber. It is useful to eat sea food, vegetable oils, especially unrefined.
Drinking system
Enough to Drink water and helps prevent constipation blood clots. It is recommended to drink at least 2 liters of fluid a day. Not considering drinking the liquid, I recommend in vain did not suffer from thirst. As soon as you want to drink, is to do it immediately, not leave it for later. Separate at ny it to know how much water it needs, the feeling gives us a thirst.
Exaction shoes and insoles
Do not treat varicose veins the one who performs the medical advice, including the right Ah shoes. It should be comfortable and the heel is not more than 5 cm.
The use of rehabilitation insoles are very useful. They support the arch of the foot, disassemble and make sure it's the correct biomechanics of movements. Muscle-venous pump works more efficiently.
Occupational therapy
Help the main course – occupational therapy. These are a cold shower, magnetic therapy, BIOPTRON, ultrasound. State use the equipment, "Almag", "Vitafin".
Sauna, Solarium, hot wraps when varicose veins are disposed, in order to avoid the development of pathology and the appearance of complications.
Folk remedies to combat varicose veins
Traditional medicines can be used as a supplement to the basic treatment. Stabilized decoctions of herbs (chamomile, field horsetail, horse chestnut, Hypericum, nettle). They are used orally and packed in the form and foot baths.
Unfortunately, most folk remedies have a weak effect, it is short and effect, which requires a long and regular use. He retreating before the and of modern methods lose their meaning.
All of these items (diet, Shoes, Ah, exercise) are suitable for home-treatment. Modern surgical techniques But do not require you to stay in the hospital – many of them performed on an outpatient basis. The main thing – to strictly follow the doctor's advice and if in doubt contact your doctor.
Anti varikozny medication
Drugs prescribed pathology, divided into several groups according to their mechanism of action:
- Antiplatelet agents. It is believed that to reduce the risk of blood clots, however, there is convincing scientific evidence is available for nothing of their impact in relation to preventing the formation of atherosclerotic plaques in the arteries.
- Venotonic. To strengthen the venous wall, reduces swelling. This group is the most commonly used drugs.
- Anticoagulants. Drugs based on heparin blood thinners used to prevent to treat and blood of the son of clotting. There are tablets, injections and ointments.
- Angioprotectors and proofreaders microcirculation. Improves blood circulation, microcirculation and vascular system.
When complications in the form of trophic ulcers, using the healing remedies and bandages for different purposes. Treatment of ulcers depends on the stage of the process, the volume of the tissue defect and other factors. In each situation, the course of treatment is prescribed individually.
It is possible to without improve varicose veins doctors?
There is a perception that going to the doctor is necessary when the "itch". But don't forget that starting therapy at an early stage, that better results, recovery is easier.
Treatment the doctor is clearly more efficient. But it is not clear that it is also cheaper. Drugs and the cost of procedures is less than self-medication, because I have been guided by and take into account the peculiarities of the body.
Came to my patients, who used ineffective methods to treat varicose veins in the legs. He did not spend a single trip to the pharmacy a little money, but the effect is short-lived. Patients have to buy medicine for a long time and often. All this leads to considerable sums.
If you decide to self-medicate, completely removed with the help of a doctor, so ask yourself: "if this Victory"?
Phlebologist Tasks:
- Make sure that the lower extremities caused by varicose veins problem and to no avail. If the cause of the disease is different, or there are other diseases, the effectiveness of the course was without taking into account accompanying diseases low.
- To choose effective drugs that you can accept the English and the others are dwight diseases. It is necessary to consider the interaction of all medicines taken.
- Pick up the stockings. Before purchase it is necessary to decide how it should be (knee, thigh), as well as to understand the necessary degree of compression.
The effectiveness of self-struggle dilated veins can be assessed by the senses. If it comes to treatments and medications easy and comfortable, you can continue to use them. If you feel pain, there are side effects, there are other complaints, be sure to consult with your doctor! Maybe something less wrong and requires correction treatment.
Insights
There are many methods. The task And a doctor – Ah tactics, which gave fast and stable results. I recommend the combination treatment, which includes a number of procedures and instructions. It helps to have a complex to win the varicose veins.