This direction deals with medical flebologo — specialist in diseases of the veins. Essential to recovery is an integrated approach.
The main objectives of the therapeutic:
- Compensation of the symptoms of venous insufficiency and improvement of quality of life;
- prevention of complications and their removal in case of;
- correction of aesthetic component.
All means get rid of the disease can be divided into 2 groups:
- No-operation (conservative);
- surgical.
Conservative the course provides an adjustment of lifestyle, diet, intake of medicines, the use of compression stockings. These actions strengthen the vascular walls and to eliminate the violation of the venous outflow.
Surgery should always be accompanied by elements of the conservative treatment. This speeds up the recovery process after surgery, and improves its results.
Without operations
This treatment of varicose veins should not oppose surgical treatment. Both directions apply in the complex, and complement each other. Non-surgical treatment as the only method, which is used when contraindications to surgery, or in the absence of need. Conservative ways do not heal from varicose veins, however, improve health and can slow the rate of progression of the disease.
When it is used:
- In preparation for surgery, patients that perform the forms of chronic venous insufficiency (IVC);
- there are absolute or temporary contraindications to surgery;
- to quickly resolve the signs of impaired outflow of blood;
- for a rapid rehabilitation in the postoperative period.
The main activities of the conservative tendency:
- Prevention of complications and relapse of the disease;
- the restoration and preservation of working capacity;
- resolution of symptoms CVI;
- improve the quality of life.
Surgical interventions
In case of severe varicose veins the possession of a course only the conservative is not enough. The effect has been maintained, you need to keep constantly. This is due to the fact that bezoperatsionnye techniques have the effect of support – it would be appropriate to stop therapy, and the symptoms gradually begin to return.
When intervention is necessary?
- The disease lasts for several years and observed the negative trend, in spite of the current therapy;
- from surgery or other illnesses;
- varicose veins impedes the resolution of the concomitant diseases;
- there is a high risk of thromboembolic complications;
- there were no complications.
The surgical technique used for:
- The elimination of the need for lifelong treatment of the support;
- the resolution of any complications and the phenomena of venous insufficiency;
- a speedy recovery, and improve the effectiveness of the therapy;
- achieve durable and long-lasting result;
- achieving rapid cosmetic effect.
Principles of intervention
The meaning of the therapeutic process consists in the removal of pathologically altered veins. During surgical planning, the surgeon determines which blood vessels you want to remove, and choose the most suitable for the removal. The most common are: flebectomia, the effects of the laser (EVLT) or radiofrequency (RFA), sclerotherapy. Read more on indications and contraindications of these procedures you can read here.
Removing scientifically called flebectomia. Traditional is considered to be combined flebectomia, which includes a number of components:
- Source resolution of reflux (return current of the blood) because of the large femoral or the great policealne connection;
- get rid of reflux to the unsustainable drilling in the veins;
- removing the dorsal vein to the saphenous vein and advanced tributaries.
Modern surgical techniques
Surgeons use modern methods less traumatic and can be performed on an outpatient basis. Period of rehabilitation with minimally invasive procedures runs faster and more easily, after the classical operation. Remember, before handling surgical requires preparation.
Hardening — advanced troubleshooting of the blood vessels through the introduction to the special internal medication, that unites them. The process is performed under the ULTRASOUND control.
It is precisely the removal through holes up to 2-3 mm. it is not necessary to mend, and the scars are practically absent.
Therapy endovenous laser coagulation (EVLT) — minimally invasive technique that "seals" the defective section of the vein with the help of special laser devices. The photoconductor is installed in a container, and transmits the laser energy on his wall. It takes place under local anesthesia, without cutting and hospitalization.
Radiofrequency ablation — RCA similar with EVLO, except for the fact that, with him, on the vascular wall acts, not the laser radiation and high temperature, the source of which are radio frequency fluctuations.
RFA and EVLO – the two most common intravenous treatments for the correction of varicose veins. Their goal – to eliminate the reflux of great and/or small saphenous vein. Are performed as an outpatient procedure, under local anesthesia, with ultrasound guidance, without cuts and to stay in the hospital.
Treat varicose veins on legs at home
Starts with lifestyle changes – eliminate the causes that provoke the development of the disease. Enter the physical activity, develop a well-balanced diet, to heal its disorders, that reinforce their manifestations (hypertension, obesity, diabetes, constipation, diarrhoea, coughing), to find the right shoes and orthotics, get rid of bad habits (smoking, alcohol abuse).
Therapeutic exercise
Sedentary lifestyle can result in illness. To reduce symptoms, strengthen the muscles of the legs. This helps to restore the proper functioning of the muscle venous pump.
It is recommended that you more to walk, swim, do exercises to strengthen the legs and "bicycle", "scissors", a rotation stop, side splits with the feet on the heel and back, walk alternately on toes and heels, all types of exercises with the rope. Go hiking, try to use the elevator.
When you run the job, combined with a long found in a sitting position or standing, regularly arrange short breaks for the performance of physical exercises. Warm-up should be performed every hour for 5-10 minutes. At this time stagnant in the arts blood "pumped" and the legs become easier.
Careful with the weights, water sports, lifting of heavy loads – this can worsen the symptoms of the disease, hasten its progression. From them it is better to give up.
Compression therapy
Simple and effective treatment of varicose veins of the lower limbs and compression. Thanks to mechanical compression, the diameter of blood vessels decreases, the swing valves are closed, and the flow of blood becomes impossible. This technique is good in the initial phase and is a component necessary to eliminate varicose veins any event.
The compression can be achieved by means of a bandage bandages elastic, or with the help of wearing underwear special. The application of bandages now, it is NOT recommended.
Depending on the level and grade of injury of the blood vessels are foreseen, compression socks, stockings, tights. All these products differ in the level of compression, colour, appearance, resistance to wear, the quality of the material.
Wear compression stockings from morning to night, all day, takes away its just before going to sleep. Like any piece of clothing, which requires some care: proper washing and drying.
Normalization of body weight
Excess weight extra charge the circulatory system. Foods body mass to normal with the help of reduced calorie diet and increase physical activity. Reduce excess weight of just 5 kg, leading to a significant effect. This reduces the heaviness of the lower limbs, disappear nocturnal leg cramps and, in general, becomes easier.
Calculate the optimal weight can be according to the following formula: weight = growth– 100 +/- 10%. For example, with an increase of 170 cm, a man should weigh from 63 to 77 kg (170-100 +/-7).
Diet
For the preparation of the diet, keep in mind that "antivarikozny" services pursues a number of objectives:
- Improvement of the vascular wall and reduction of the risk of thrombosis;
- prevention of constipation;
- the normalization of the weight.
The food must contain a sufficient amount of fiber. Useful to consume fish, vegetable oils, in particular.
Mode of drinking
The use of a sufficient amount of water is the prevention of constipation and the formation of blood clots. It is recommended that you drink at least 2 litres of water a day. Not to mention that I drink the liquid, I recommend just not to suffer thirst. Come just want to drink, we should do it, not leaving for later. The body knows when and how much he is in need of water, and informs us of this sense of thirst.
Collection of shoes and orthotics
It is in reality varicose veins who performs professional medical advice, including the correct selection of shoes. Must be comfortable and have a heel of not more than 5 cm
Application of orthotic insoles are very useful. They support the arch of the foot, they occupy and provide the correct biomechanics of the movements. Muscle-venous pump works more efficiently.
Physiotherapy
Help the main course – physiotherapy treatments. These include contrast showers, magnetic therapy, bioptron, ultrasound. Home-use device "Almag", "Vitafon".
To visit the sauna, solarium, hot compresses with varicose veins you should not give up, to avoid the development of malocclusions and the onset of complications.
Folk remedies to fight varicose veins
The remedies of the folk medicine can be used as an adjunct to the basic therapy. Well demonstrated decoctions of herbs (chamomile, horsetail, horse chestnut, st. john's wort, nettle). Their use for the reception inside, even in the form of wraps and foot baths.
Unfortunately, most of the folk remedies have a weak action, and have little effect, which requires a long and regular application. Take a position in front of modern methods and lose their relevance.
All of the above elements (diet, selection of shoes, physical activity) are suitable for home therapy. But modern methods do not require you to be in the hospital – many of which take place in outpatient settings. The main thing – to adhere strictly to medical advice and in case of doubt consult the doctor.
Antivarikozny drugs
Medicines given during the malocclusions, divided into several groups according to the mechanism of action:
- Agents antiplatelet. Considered to reduce the risk of formation of blood clots, however, convincing scientific evidence is available only in relation to their preventive action on the formation of atherosclerotic plaques in the arteries.
- Venotonic. Strengthen the vein wall, reduce the swelling. This is the most often used group of medicines.
- Anticoagulants. Drugs based on heparin blood-thinning, are used for the prevention and treatment of blood clots. Exist in the form of tablets, injections and ointments.
- Angioprotektory and proofreaders microcirculation. Improve the blood circulation, the circulation and condition of blood vessels.
When you see complications such as venous ulcers apply the tools of healing and of bands of different destination. The treatment of ulcers depends on the stage of the process, the volume of a defect of the tissues and other factors. In each situation, therapy exchange assigned individually.
It is possible to cure varicose veins without doctors?
There is the belief that going to the doctor is necessary, when the "itch". But do not forget that the early beginning of therapy brings the best results, the recovery is easier.
Treated by a doctor the most efficient. But it is not obvious that it is still cheaper. The costs for medicines and procedures that are lower than the self-treatment, because they opted for action and taking into account the characteristics of your body.
To me are patients, who for years used inefficient methods of treatment of varicose veins in the legs. In this way, they will spend for a day trip to the pharmacy a bit of money, but they get the short-term effect. Patients are forced to buy medicines often and for a long time. All of this translates into considerable sums of money.
If you have decided to self-medicate, completely eliminating the assistance of the medical doctor, then ask yourself: "if I Win this"?
Activities phlebologist:
- Just make sure that the problems with the lower extremities caused by varicose veins, and only to them. If the cause of the disease is different, or there are other evils, then the effectiveness of the course, without distinction of co-morbidities will be low.
- Take effective drugs that you can take, and in the presence of other diseases exist. You have to consider the interaction of all the drugs prescribed.
- Choose compression socks. Before buying a product, must decide how it should be (up to the knee, at the hip), but also to understand whether the necessary degree of compression.
The effectiveness of an independent fight with the distended veins can appreciate the sentiments. If procedures and drugs becomes easy and comfortable, you can continue to use them. If you feel discomfort, have been observed side effects, there have been additional complaints, be sure to consult your doctor! Maybe something is wrong and therapeutic adjustment.
Conclusions
There are a lot of methods. And the task of the doctor – the choice of tactics, that will provide fast and stable direct. I would highly recommend the combined therapy, which includes the different procedures and indications. Its complexity helps to defeat varicose veins.