According to the focus deals with the doctor-phlebologist — specialist in diseases of the veins. The condition of healing is a comprehensive approach.
The main objectives of the therapeutic course:
- Compensation of the symptoms of venous insufficiency and improve the quality of life;
- prevention of complications and their removal in the event of the occurrence;
- correction of aesthetic component.
All means how to get rid of the disease can be divided into 2 groups:
- Without surgery (conservative);
- surgical.
Conservative course includes an adjustment in lifestyle, adherence to diet, taking medications, use of compression of the knitted fabric. Such actions strengthen the vascular walls and remove the violation of the venous outflow.
Surgical intervention should always follow the elements of conservative treatment. It speeds up the recovery process after surgery and improves its results.
Without surgery
Such therapy of varicose disease there is no need to compare the surgical treatment. Both directions are applied in a complex and complement each other. Non-surgical treatment as the only method used when contraindications to surgery, either without the need of her. Conservative ways to heal from varicose veins, however, improve mood and may slow the rate of progression of the disease.
When it is used:
- For the preparation to the surgical intervention of patients with advanced forms of chronic venous insufficiency (CVI);
- there is an absolute helena temporary contraindications to surgical intervention;
- for rapid removal of signs of a broken outflow of blood;
- for the fastest possible rehabilitation in the postoperative period.
The main objectives of conservative guidelines:
- Prevention of complications and recurrence of the disease;
- the restoration and preservation of ability to work;
- removal of the symptoms of CVI;
- enhance the quality of life.
Surgical procedures
In severe varicose veins holding only the conservative course is not enough. To effect stored, it is necessary to carry out permanently. This is due to the fact that bezoperatsionnye methods have only a supporting effect is worth it to stop the therapy, and the symptoms gradually begin to return.
When surgery is needed?
- The disease lasts for several years and are observed negative changes, despite ongoing therapy;
- it should be a quick hit on the other disease;
- varicose veins are "prevented" the removal of the related pathologies;
- have a high risk of thromboembolic complications;
- there was a complication.
Surgical method is used for:
- How to get rid of the need for a permanent (lifetime) supportive treatment;
- removal possible complications and phenomena of venous insufficiency;
- speedy recovery and improving the efficiency of therapy;
- achieve strong and long-term outcome;
- the rapid achievement of cosmetic effect.
Principles of operative intervention
The importance of the therapeutic process is the removal of pathologically changed veins. When planning the operation, the surgeon decides what kind of vessel it is necessary to remove, and selects the most appropriate method of removal. The most common are: phlebectomy, miniphlebectomy, the exposure of the laser (evlt there) helena rf (RFA), sclerotherapy. More information about indication and contraindications of these procedures can be found here.
Removal scientific the so-called phlebectomy. Traditional is considered to be a combination of phlebectomy, which includes several components:
- Remove the source of the reflux (reverse blood flow), through the safeno-femoral helena safeno-policealne anastomosis;
- how to get rid of the condensation on the unsustainable perforating veins;
- removal of the backbone of the subcutaneous veins and the enlarged tributaries.
Modern surgical methods
Surgeons using modern methods that are less traumatic and can be done outpatient. The rehabilitation period in minimally invasive procedure takes place faster and more easily, than after classic surgery. Remember that prior to surgical manipulation requires preparation.
Hardening — removal of dilated blood vessels by introducing inside of a special drug that keeps them together. The process is carried out under ULTRASOUND control.
Miniphlebectomy — removal through the needle to 2-3 mm. Their is not required to sew, and the scars are virtually absent.
Endovenous laser coagulation (evlt there) — a minimally invasive technique that "seals" the faulty trunk vein using a special laser device. A light tube installed in the vessel, and transmitting laser energy at his wall. Takes place under local anesthesia without incisions and hospitalization.
Radiofrequency ablation — RFA similar to the EVLO, with the exception that when the vascular wall is not laser radiation, high temperature sources, which are RF fluctuations.
RFA and EVLO – the two most common endovenous procedures correction of varicose disease. Their goal is the elimination of reflux in the large and/helen small subcutaneous vienna. Performed outpatient, under local anesthesia, with ultrasound guidance, without the cuts and location in the hospital.
Treat varicose veins on legs at home
Start by changing the life style – elimination of the causes inducing the disease. Write to physical activity, develop a balanced diet to cure related ailments that worsen varicose manifestations (hypertension, obesity, diabetes, constipation, diarrhea, cough), select the correct footwear and orthopedic insoles, get rid of bad habits (smoking, alcohol abuse).
Therapeutic physical education
A sedentary lifestyle can trigger the disease. To reduce symptoms, strengthen the muscles of the legs. It helps to restore the proper functioning of the muscle-venous pump.
It is recommended to walk more, to engage in swimming exercises, strengthening of the legs: "bicycle", "scissors", the rotation of the feet, the contradictions of the feet to the heel and back, walk alternately on the tips of the feet and heels, all kinds of exercises with the rope. Outside of hiking, try to less use of the elevator.
In carrying out the work, the dual with a long finding in a sitting position, helena in a standing position, regularly organise small breaks for the organisation of physical exercise. Warm-up should be carried out every hour for 5-10 minutes. At this time stagnant in the extremities blood "pumped" and your legs are becoming lighter.
Be careful with the force, lifting weights – it may aggravate the manifestations of the disease, hasten its progress. From them it is best to give up.
Compression therapy
Simple and effective treatment of varicose veins of the lower extremities – compression. Thanks to the mechanical shrink the diameter of the blood vessels is reduced, the wings of the valve connects, and a reverse flow of the blood becomes impossible. This technique is good at the initial stage and is an indispensable part of the solution to varicose veins every the severity.
Compression can be achieved by bandaging elastic bandages helena by wearing special underwear. The use of bandages is not recommended.
Depending on the level and the degree of damage to the blood vessels prescribed compression socks, stockings, tights. All of these products can differ according to the compression level, color scheme, appearance, wear and tear, the quality of the material.
Wear compression stockings from morning to night, all day, removing it only at bedtime. Like all clothing, it requires care: proper washing and drying.
Normalization of body weight
Overweight extra load on the system, the blood circulation. Bring body weight to normal using a low-calorie diet and increased physical activity. Reduce excess weight of only 5 kg already see a significant effect. At the same time reduces the feeling of heaviness in the lower extremities, disappearing night cramps and overall becomes easier.
Calculate the optimum weight you can according to the formula: weight = growth– 100 +/- 10%. For example, during the growth of 170 cm, a man must weigh from 63 to 77 kg (170-100 +/-7).
Diet
When drawing up your diet please remember that the "antivarikozny" food has several goals:
- Improve the condition of the vascular wall and reduce the risk of thrombosis;
- prevention of constipation;
- normalization of body weight.
Food should contain sufficient amount of fiber. Helpful to eat seafood, vegetable oils, in particular whether or not.
Drinking regime
Drinking sufficient amount of water is used as a prevention against constipation and blood clots. It is recommended to drink at least 2 liters of fluid a day. To assume drunk the liquid, I recommend simply endure thirst. As soon as they want to drink, it must be done immediately, and not to leave on then. The body of the uncle he knows when and how much needs water, informing us about the feeling of thirst.
Enforcement of shoes and insoles
Really heals varicose veins the one who carries out a medical recommendations, including the proper selection of footwear. It should be comfortable and have a heel of no more than 5 see
The use of orthopedic insoles very helpful. Support the arch of the foot, to interpret it and provide the correct biomechanics of movements. Muscle-venous pump works more efficiently.
Physiotherapy
Help the main course – rehabilitation procedures. These include showers, magnetic therapy, BIOPTRON, ultrasound. In home conditions by using the device "Almag", "Vitafon".
From visits to the sauna, the solarium, the hot wraps when varicose veins need to surrender, to prevent the development of disease and occurrence of complications.
Folk remedies to combat varicose veins
The means of folk medicine can be used as a supplement to the basic therapy. Well proven mixture of herbs (chamomile, horsetail field, horse chestnut, st. john's wort, nettle). Their use for oral, but also as poultices and foot baths.
Unfortunately, most folk remedies have a weak action and have a short effect, which requires their long and regular application. They surrender to the position before the modern methods and lose their meaning.
All of the above items (diet, shoe selection, physical load), suitable for home therapy. But even modern operating methods do not require from you to be in the hospital – many of them performed on an outpatient basis. The main thing – to strictly adhere to the medical recommendations, and when any doubt exists, consult with your doctor.
Antivarikozny drugs
Drugs to receive during the disease divided into several groups according to mechanism of action:
- Antiplatelet agents. It is believed that they reduce the risk of blood clots, however, convincing scientific evidence is available only in terms of their preventive action on the education of atherosclerotic plaque in the arteries.
- Principles venotonicos. Strengthen the vein wall, reduce the swelling. It is often used group of drugs.
- Anticoagulants. Products based on heparin thins the blood, are used for the prevention and treatment of blood clots. There are in the form of tablets, injections and ointments.
- Angioprotektory and proofreaders microcirculation. Improve blood circulation, microcirculation and the condition of the blood vessels.
Upon the occurrence of complications in the form of venous leg ulcers apply healing tools and bandages a variety of purposes. Treatment of ulcers depends on the stage of the process, volume, fabric defects and other factors. In each situation, the treatment course is assigned individually.
You can cure varicose veins without doctors?
There is a view that to go to the doctor, maybe, when the "itch". But remember that early initiation of therapy brings better results, healing becomes easier.
Treat the the doctor is clearly more efficient. It is not clear, however, that it will be even cheaper. The cost of drugs and procedures are obtained lower than in I, because they have specifically targeted actions and taking account of the features of your your body.
Come to me patients, who for years used inefficient treatment of varicose veins on the legs. When this is spent on one-time trip to the pharmacy a little bit of money, but the effect is short-term. Patients are forced to get your medications frequently and for a long time. All this is reflected in a respectable amount.
If you have decided to engage self-heal, completely eliminate the support of a doctor, then ask yourself: "Win I"?
Tasks phlebologist:
- To make sure that the problems with the lower limbs are caused by varicose veins and only them. If it is the cause of the disease is different, helena do you have any other ailments, then the effectiveness of the course regardless of the attendant pathology will be low.
- Choose effective drugs that can be taken even in the presence of other available disease. Certainly it is necessary to take into account the interaction of all accepted drugs.
- Pick up a compression stocking. Before buying goods, it is necessary to decide how it must be (up to the knees in the thigh), and also to understand the necessary degree of compression.
The effectiveness of self-struggle with advanced vein can be estimated according to feelings. If from the procedures and drugs is becoming easy and convenient, and it is possible to continue to use. If a person feels discomfort, are the observed side effects, there were other complaints, be sure to contact your doctor! It is possible that something goes wrong and the necessary correction of the therapeutic course.
Conclusions
There are many methods. And the task of the doctor – the choice of tactics, which will provide a fast and stable result. I recommend the combined therapy, which includes a variety of procedures and directions. Just the complexity of it helps to beat the varices.