The data management takes care of phlebology physician specialist in diseases of the veins. The mandatory condition of healing is a holistic approach.
The main objectives of the treatment:
- The compensation of the symptoms of venous insufficiency and the improvement of the quality of life;
- the prevention of complications and their disposal in the case of;
- the correction of the component of the aesthetic.
All the ways to get rid of the disease can be divided into 2 groups:
- Without surgery (conservative);
- surgical.
Conservative course includes adjustments in life style, diet, medication, the use of compression hosiery. These actions are strengthening vascular wall and eliminate the violation of the outflow of venous.
Surgical intervention should always be accompanied by the elements of a conservative treatment. This speeds up the process of recovery after surgery and improves its results.
Without operation
Such treatment of the varicose disease should not object to surgical treatment. The two directions are applied in the complex and complement each other. Non-surgical treatment as the only method is used when contraindications to surgery, or in the absence of needs. Conservative means do not cure varicose veins, but improving the well-being and may slow down the progression of the disease.
When it is used:
- For the preparation to the surgical intervention in patients with chronic venous insufficiency (VI);
- there are absolute or temporary contraindications to surgery;
- for a rapid resolution of symptoms of disorders of the blood flow;
- for as full rehabilitation as possible in the postoperative period.
The main tasks of the conservative:
- The prevention of complications and relapse of the disease;
- the restoration and maintenance of the working capacity;
- eliminate symptoms VI;
- improving the quality of life.
Surgical procedures
In the case of varicose veins of the conservative course is not enough. For that the effect is sustained, it is necessary to switch constantly. This is due to the fact that bezoperatsionnye methods have only supports the effect of just stopping the treatment, and the symptoms eventually return.
When surgery is necessary?
- The disease usually lasts for several years and negative trend momentum, despite the therapy;
- it will take quick intervention on the other diseases;
- varicose veins "prevents" the elimination of co-morbidities;
- a high risk of thromboembolic complications;
- appeared complications.
The surgical method is used for:
- Get rid of the need (for life) supports the treatment;
- possible complications, and the phenomena of venous insufficiency;
- a speedy recovery and the improvement of the effectiveness of the therapy;
- achieve firm and long-term;
- the fastest way to achieve a cosmetic effect.
The principles of intervention
The meaning of the treatment process is to remove the pathologically changed veins. During the planning of the operation, the ben the ado determines the vessels, you need to remove, and chooses the best way to remove it. The most common are: phlebectomy, minila phlebectomy, the impact of the laser (EVLT) or rf (RFA), of sclerotherapy. More info on indications and contraindications of these procedures, you can read here.
The suppression of science is called phlebectomy. Traditional is considered to be a combined phlebectomy, which includes several components:
- The elimination of the source of the reflux (reverse flow of blood) by safeno-femoral or safeno-policealne anastomosis;
- the issue of reflux by untenable perforation veins;
- the removal of the dorsal saphenous vein and extensive tributaries.
The surgical techniques
Surgeons use modern means, which are less traumatic and can be performed in an outpatient setting. The period of the rehabilitation of the minimally invasive procedures leak faster and easier than after classic surgery. Remember, before surgical manipulations necessary for the preparation.
The hardening of the elimination of the dilated vessels by the introduction in a special drug that sticks. The process is done under ultrasonographic control.
Minila phlebectomy — removal of the perforations, up to 2-3 mm not in need of mend, and the scars are almost absent.
Endovenous laser photocoagulation (EVLT) — mini-invasive technique that "seals" defective trunk of the vein using a laser. The optical fiber is installed in the container, and transmits the energy of the laser on his wall. Is under local anesthesia, without an incision and hospitalization.
Radiofrequency ablation — RFA is similar to EVLO, except that it on the vascular wall is not of laser radiation, and high temperature, the source of which are radio frequency fluctuations.
The FRG and EVLO – the two most common are: endovenous treatment of the correction procedure of the varicose disease. Their goal is to eliminate the reflux of the great and/or small saphenous vienna. Are performed on an outpatient basis, under local anesthesia, with ultrasound guidance, without incisions, and hospital stay.
We treat spider veins on legs at home
Start with lifestyle changes – eliminate the causes that lead to the development of the disease. Add of motor activity, develop a balanced diet, to treat categories of diseases, which reinforce the varicose manifestations of hypertension, obesity, diabetes, constipation, diarrhea, cough), choose the right pair of shoes and orthotic insoles, get rid of bad habits (smoking, alcohol abuse).
Physiotherapy
A sedentary lifestyle can cause the illness. To reduce symptoms, strengthen the muscles of the legs. This helps all restore the proper functioning musculo-venous pump.
It is recommended to walk, swim, do exercises that strengthen the feet: "bicycle", "scissors", the rotation of the stop, crevices with the feet flat on the heel and back, the walk alternately on toes and heels, all kinds of exercises with skipping rope. Carry out hiking, try to less use of the elevator.
During the execution of work involving prolonged exposure in sitting or standing position, regularly there are also small breaks for physical exercises. The training should be done every hour for 5 to 10 minutes. At this time the flow into the ends of the blood "pumped" and feet economic easier.
Be careful with the security forces of water sports, lifting heavy objects – this may worsen the manifestations of disease, hasten its progression. To refuse them.
The Compression of the therapy
Simple and effective, the treatment of varicose veins of the lower limbs – the rate of compression. Thanks to the mechanical compression diameter of the vessels decreases, the valves are closed, and reverse the flow of blood becomes impossible. This method is good in the initial phase and is a component necessary to eliminate the varicose veins all gravity.
The compression can be achieved by means of a bandage of elastic bands request for information, or with the help of a port special lingerie. The application of bandages now is NOT recommended.
Depending on your level and the degree of vascular injury are provided for contention-mid-low, low, tights. All of these products among themselves are distinguished by the level of compression, the colors, the appearance, the durability, the quality of the materials.
Bad omen of compression from morning until night, all day, removing it just before sleep. Like all clothing, it requires care: proper washing and drying information request.
The normalization of the mass of the body
Excess weight advanced of the load on the circulatory system. Operate the mass of the body to normal using a low-calorie diet and increased physical activity. The reduction of the excess weight of only 5 kg results are already tangible effect. This reduces the severity of the lower limbs, disappear in the night cramps and in general becomes easier.
Calculate the optimal weight, you can by the following formula: weight = growth– 100 +/- 10%. For example, during the growth of 170 cm the person has to weigh from 63 to 77 kg (170-100 +/-7).
The plan
During the development of the ration, consider the fact that "antivarikozny power has several objectives:
- Improving the state of the vascular wall and a reduction in the risk of thrombotic events;
- prevention of constipation;
- the normalization of the weight.
The food should contain an adequate amount of fiber. It is useful to use seafood, vegetable oils, in particular even.
Drinking mode
Drinking enough water helps to prevent constipation and the formation of blood clots. It is recommended to drink at least 2 liters of fluid per day. For not to consider drunk liquid, I simply recommend not to suffer from thirst. Like just want to drink, you must immediately do, do not let the sweat. The body itself knows when and how it needs water, by informing us of that feeling of thirst.
Exaction of shoes and soles
Really the treats varicose veins, the one who makes the recommendations, in particular on the selection of shoes. It must be comfortable and have a heel no more than 5 see
The application of orthotic insoles is very useful. They support the arch of the foot, relieve sound and ensure the proper biomechanics of the movements. Disorders musculo-venous pump to work effectively.
Physiotherapy
Help the main course of physiotherapy. These include showers, magnetic field therapy, BIOPTRON, ultrasound. At home, use devices "Almag", "Vitafon".
The visit to the sauna, solarium, warm wraps when varicose veins, one must reject in order to avoid the development of pathology and the occurrence of complications.
Folk remedies for the fight against varicose veins
Traditional medicine can be applied to complete the treatment. Well-established herbal teas (chamomile, horsetail, horse chestnut, st. john's wort, nettle). They are used for the indoor reception, as well as in the form of compresses and the foot pedal valve.
Unfortunately, most of the funds have low action and have an effect of short duration, which requires a long and regular use. They pass from the position before the modern methods and lose their relevance.
All of these points (food, the selection of shoes, physical activity) are men for a home treatment. But and modern, and the operational methods do not require you to be at the hospital – many of them take place in an outpatient setting. The main thing – to adhere strictly to the recommendations and if in any doubt consult a doctor.
Antivarikozny drugs
Prescribed medications for the disease, are divided into several groups according to their mechanism of action:
- Antiplatelet drugs. It is believed that reduce the risk of formation of blood clots, but strong scientific evidence is available only in respect of their preventive action on the formation of atherosclerotic plaques in the arteries unite their efforts.
- Venotonics principles. Reinforce the venous wall, reduces swelling. It is most often used by a group of drugs.
- Anticoagulants. The drugs based on heparin to thin the blood, are used for the prevention and treatment of blood clots. It exists in the form of tablets, injections and ointments.
- Angioprotektory, and correctors of the microcirculation. Improve blood circulation, microcirculation and the condition of the blood vessels.
When complications in the form of venous ulcers apply the healing tools and dressings of various destinations. Treatment of ulcers depends on the phase of the process, the default volume of the tissue and other factors. In each situation, the course medical supplies is awarded individually.
Is it possible to cure varicose veins without doctors?
There is an opinion that to go to the doctor needs it, when "prispichit". But don't forget that the early treatment brings the best results, healing occurs more easily.
Is treated by a doctor is more effective. But it is not obvious that it is even less expensive. The costs of drugs and procedures are obtained below that when the self-medication, because they have a targeted action and take into account the characteristics of your body.
I come patients, the years that followed the ill-treatment of varicose veins on the legs. They spend time hiking, at the pharmacy a bit of money, but the effect get short-term. Patients are forced to buy medicines often and for a long time. All of this translates into considerable amounts.
If you decide to do it yourself, eliminating the promotion of a doctor, you ask yourself: "Win, if I"?
The task phlebologist:
- Ensure that the problems with the lower limbs are caused by varicose veins, and only them. If the cause of the disease is different, or there are other diseases, the effectiveness of a course without taking account of comorbidity will be low.
- Pick efficient drugs you can take, and in the presence of other diseases. It is absolutely necessary to take into account the interaction of all the taken of medication.
- Choose compression. With the purchase of a product, it is necessary to decide what it should be (up to the knee, at the hip), as well as to understand the necessary degree of compression.
The effectiveness of the self-control of advanced veins can be evaluated sensations. If the procedures and the medication is easy and comfortable, you can continue to use them. If you feel discomfort, notice any other side effects, have other complaints, please contact your doctor! Perhaps, something is wrong and requires correction processing.
Conclusions
There are many methods. And the task of the doctor – the choice of the tactic, which will provide a fast and a stable result. I recommend the combined therapy, which includes procedures and management. It is the complexity of a help to defeat the spider veins.