There are two main methods of treatment of varicose veins:
- conservative,
- operational.
The type of treatment depends on the disease phase.In patients with small caliber lesions in the form of vascular networks or feet, as well as with isolated local lesions of some subcutaneous veins, inhuman methods are used.
In the event of damage to large troops of subcutaneous veins, such as large or small subcutaneous veins, as well as their large tributaries on the thigh and the lower, operational methods are used.
In which cases can varicose veins be modified conservatively?
Any form of varicose vein requires conservative treatment.In case of large subcutaneous veins are not affected, but there is only a small vein disease on the skin in the form of vascular networks or stars, the conservative approach in treatment is in charge.If the disease affects greater subcutaneous veins, then the conservative treatment is used as an appendix to the operational manual.
Features of conservative treatment of varicose veins
The conservative treatment of varicose veins includes the following components:
- Drug therapy.
- Changing the risk factor for varicose veins.
- Carrying clicks for compression or use of elastic bandages.
- Sclerotherapy.
How to deal with varicose vein risk factors?
The treatment of varicose veins should begin to eliminate the risk factors of the disease:
- The fight against hypodynamies is a class of mobile sports, such as swimming, bicycles, runs, sports walk, skiing, etc.
- elevated leg position during rest
- Body weight control
- Rejecting static loads, severe physical works, frequent exposures to high temperatures - visiting the sauna, taking hot baths.
- Refusal by getting hormonal contraception
- Refusing to wear a high-fifth shoe (more than 5-6 cm)
Compression knits
Carrying clicks for compression or use of elastic bandages during static loads, I.E.Long stay in a constant or sitting position, it is an integral part of the treatment of varicose veins.You should choose the linen compression, because many patients inadequately apply the elastic bandage, withdrawing on different levels or vice versa.
Compression knits are selected individually and has the level of compression in them by the manufacturer, most natural for limb.Medical compression products (leggings, socks, golf) have several compression classes.Compression type, the doctor determines the results of the patient examination and, if necessary, an instrumental examination.
- Grade and used to prevent varicose veins,
- II - with existing signs of the disease,
- III - In cases of complicated varicose veins (trophic ulcer, hyperpigmentation).
The only significant limit of the use of clicks on compression is difficulty in progress.Therefore, in order to facilitate the process of overflow plaintives, it is advisable to use a separate device - butler.In case compression knitting is difficult to select a diameter of limbs (non-standard leg configuration) or there are other restrictions in its use - it is necessary to use the elastic bandages of medium or short stretching.
Therapy of the drugs of varicose veins
Patients who suffer from varicose veins are recommended regularly implement preventive drug courses.These drugs are used for at least 1 year 2-3 months per year.In summer.Drug therapy does not heal the patient from already developed varicose veins, however, allows you to reduce patient complaints of a sense of seriousness and fatigue in your legs.
Preparations also reduce the pace of the disease advancement, I.E.Developing further development of varicose veins is slowed down, protection of healthy veins.The most effective treatment is taking drugs inside the form of tablets, capsules or drops.The drug use is less efficient in the form of gel, fat, the local use, allows you to reduce the symptoms of disease at once at the time of their use and are often used as the first help when they expressed discomfort, sense of severity or fittings.
Sclerotherapy for varicose veins
Sclerotherapy is the method of treatment of varicose veins in which special medicine is applied in lumen varicose veins.
After the introduction to the vessel, its bunch is kept together, which leads to "shutting down" of the vessel, I.E.They occur a carpet of varicose veins.As a result, the blood is redirected to healthy vessels, and the glued veins "exclude" from the bloodstream.
Sclerotherapy is an ambulance procedure that can be reported without hospital patient hospitalization.After each sclerotherapy session, it is necessary to wear a compression clipper or elastic bandages for a few days or weeks.In the case of large veins, sclerotherapy does not give a reliable long-term result, and the glued veins often appear again.In patients with impairment only with small venous vessels, on the contrary, this technique is very effective.It is therefore most often used for thus-are calculated "intradermal varicose", when only small -diameter veins are manifested by vascular mesh or stars on the skin.
Complications after sclerotherapy
Complications after sclerotherapy are extremely rare (less than 1%).The main type of complication is skin blackout in the field of treatment.What can be preserved for several months, and in some cases forever.Other, less rare complications are possible - skin necrosis, etc.