The varicose veins not just a cosmetic issue. This is a serious risk to your health or even your life. At the first sign of the disease, it is necessary to consult a doctor and start the treatment.
Let's see what are the methods of treatment which can give the medicine.
The modern approach to the treatment of varicose veins
It is difficult to underestimate the prevalence of this condition, as according to statistics, it affects about 75% of women and 60% men. And that's just among the people of the developing countries. To explain the reasons for the occurrence of varicose veins, you will need to have an idea about the anatomy of the veins of the lower extremities. The venous blood in the foot continually moves upwards, overcoming the laws of gravity, to the implementation of the process, the vienna is equipped with flaps, a special, which can prevent the liquid falling to a low in the range for the trembling of the heart. The malfunctioning of this mechanism that causes the return current of venous blood, and, owing to the greater quantity of the vienna spread out, it decreases your muscle tension.
In the first stage of the varicose veins usually pass with no the special symptoms, is accompanied by a slight discomfort in the toe area and on the "net" for the night. It may be noted that the legs are tired, even after a small walk. In the second part, a sub-plan of the compensation, the phase of these two signals is amplified, and it is also manifest, pain, soreness, swelling, numbness in legs, cramps.
The third, a period characterised by irreversible changes of the skin, crural:
- the swelling, which is completely not covered, even after you go to sleep,
- of hyper pigmentation;
- indurate — acting seal with the skin.
When the skin and it makes it easier for you to vulnerable, and it is possible for varicose veins, and eczema, as of the end of trophic violations, bad place. Ignoring the condition will also experience such complications, as a venous thrombosis, and thromboembolism.
The sooner you start treatment, the more promising will be the likely outcome. But after your success, you will need to adjust your lifestyle, leaving you time for preventive procedures.
The suspicion of varicose veins should be a reason to request a visit to a doctor, who will help you to identify the disease and to identify the student.
Diagnosis is the first step to recovery
First of all, a specialist with the patient — which is necessary for the collection of the history. In the following, it should be the standard for the inspection, and palpation of affected by the disease in the area. For more details, and a precise diagnosis to apply, ultra-sound, full-duplex, angio-scan, in color, in addition to mapping the blood stream. The procedure is simple, ultra-sound, but with the difference that, in addition to the two-dimensional images, the doctor to see the speed and the direction of movement of the mapping of the flow of blood in the vessels. The latest ultra-sound equipment allow us to identify the broken valve, the parts sale with the muscles in the direction of the motion of the blood, precisely in order to make a projection on to the skin.
After diagnosis, up-to-date, it is time for you to start taking steps to get rid of varicose veins.
The conservative treatment of the varicose veins
With the help of the methods of non-surgical, it is possible to prevent, delay or alleviate disease and illness. As the primary form of treatment and use it only in the case where the operation is not possible.
The conservative methods include the following:
- The compression of the therapy, that is to say, the use of a special compression garment or bandage of elastic bands. The impact of the close in vienna, making it easier to work the valve and improving blood flow. The effectiveness of compression therapy is proven in several studies. There are indications and contra-indications, among them atherosclerosis, aortoarteritis, inflammatory disease of the skin.
- Medical therapy involves the use of medications such as oral and local use (in the form of ointments). In a group of drugs for the treatment of varicose veins in the legs venotonic and anti-inflammatory drugs, anticoagulants (drugs to thin the blood). The medication that your doctor prescribes individually. It is important to remember that each and every one has indications and contra-indications. For example, the majority of the pre-formed venotonic may not be taken during pregnancy and breast-feeding. And when is the intake of oral anticoagulants should be regular analysis of the coagulation of the blood.
As a primary treatment if there is no obstruction and the indications and contra-indications prescribed in one of the treatment options right away.
In the traditional operation. (venectomy)
Currently this is only used in some cases related to the special construction of the veins and a complex chain-of-illness, for example, by the use of different forms of acute thrombophlebitis.
The operation is the dressing up place, where the trunk is affected, the subcutaneous vein of the deep system (crossectomy), and then mechanically removing the body. Manipulation is performed under general anaesthesia using a spinal anesthesia and lasts between 1 and 2 hours. Due to the high rate of post-operative complications — bruising at the sites of the removal of the stem from the long-term, the starting point of the pain syndrome, the cutaneous of neuralgia, and paresthesia (numbness) — most recently, the traditional surgical operation is giving way to modern methods. To them, it belongs to the endo-venous laser coagulation.
After the operation they recommend, regular physical activity, no heavy loads, one by one-one and a half months, showing the compression therapy.
In addition to this, the method of treatment, there are other, more "tolerant" ways to get rid of varicose veins in the legs.
The minimally-invasive methods
There are a variety of less-traumatic techniques for the treatment of varicose veins. On the basis of data relating to the patient, and the characteristics of the disease, the doctor makes the decision about possibility of carrying out of the procedure.
The Endo-venous laser coagulation
The operation of the endo-venous coagulation, the laser has become a method for the treatment of varicose veins, and disease of any severity. Nor is the manifestation of venous insufficiency, or the thickness of the lumen of the venous trunk, currently, there are not limitations for endo-venous-laser coagulation. This has been made possible through the use of the following tools:
- the two-wavelength laser with the absorption of a new wave of a complete blood count, and the second of the vascular wall;
- the radial fibers of the optic, which allows for the processing of the circumference of the entire inner surface of the vein;
- the automatic pump allows you to pump the solution from the anesthetic all around the vienna, providing for the relief of pain, reduction in the diameter of the portal vein, and protection of the surrounding tissues.
A special preparation of endo-venous coagulation, the laser doesn't need to. Prior to the operation, necessarily carried out on ultrasound duplex scan. It is also necessary for the delivery of blood to the standard of a septoplasty set of analyses of the global, biochemistry, coagulogram.
During the procedure, the physician to puncture the affected vienna, after which it enters the thin (1 mm thick) of a catheter with fiber. Throughout this process, as well as the position of the tip of the probe in the centre of vienna, and it's still "brewing" vienna-controlled, intra-operative USE: the machine. The operation lasts approximately 40 minutes and requires only local anesthesia.
After being in the hospital, it is not necessary, the patient may need the use of a mesh-compression within 3 to 5 days, and for a couple of weeks and they recommend a daily quiet walks.
Radiofrequency ablation
The operation is in its very essence, is similar to laser coagulation. The only difference is that on the wall of the portal vein to the "lock" and the subsequent re-absorption of action of RF radiation. The preparation of the special, in addition to the standard pre, on the other hand, it is not necessary.
Currently, the communication systems, the laser is no advantage to be gained prior to the endo-venous laser coagulation and radiofrequency ablation does not have it. However, the procedure is more expensive compared with the prices of high waveguide.
The operation could not be carried out during the period of pregnancy and lactation, when the atherosclerosis of the arteries of the lower extremities, and the inability of the later training activities, are available on request.
The possible complications and the remedies during a period of rehabilitation, similar to the above procedure.
A Mini-phlebectomy
The principle of this operation is to remove, its tributaries, and the sites of vienna and through the holes or slits in the skin with the help of special tools. It is used isolated varicose tributaries, or the like, a procedure is added after the coagulation, laser, radiofrequency ablation, or surgical phlebectomy.
The preparation is similar to the previous one with the same procedures as the standard set from the analysis, as well as the ultra-sound examination of the veins. Contra-indications pregnancy and breast feeding, acute infectious diseases, venous thrombosis, breach of the special olympics motor activity training, the pathology of clotting in the blood.
Duration of the mini-phlebectomy is a 20-to 40-minutes, during a period of rehabilitation, it is necessary to use compression stockings.
Sclerotherapy
A non-surgical technique for treatment of varicose veins, suitable for all varicose veins, and for the sake of aesthetic — and to the destruction of the vascular "stars" and "veins".
The contraindications to serve as thrombophlebitis at the individual, allergic reactions, infections, pregnancy, and breast-feeding, and the inability to make a shot.
Sclerotherapy is injected into a vein through a venipuncture for a substance, they adhere to the wall of the vessel, in order to, later on, we had the re-absorption. One of the most recent innovations — a method of foam-the foam that surrounds the use of the foam, in the form of the drug. So, he and, to a lesser extent, washed away in the blood, which makes it possible to reduce the concentration and amount of the substance in their effectiveness. The operation to pass through without anesthesia, as well as to the punch it is only necessary to thin insulin needle.
Side effects of sclerotherapy can be awarded the benefit, which will take place sklerozirovanie of the city. In some cases, there may be incomplete bonding of vienna, which would require the repetition of procedures.
After the sclerotherapy is the use of the fabric to compression, as well as how to avoid physical stress, and at elevated temperatures (for example, when a visit to the sauna).
Price of sclerotherapy depends on the execution of the volume. For the removal of large varicose veins, stems sclerotherapy is now, practically, it is not used. And the session sclerotherapy of the small nodules or venous loops will cost from 7 000 to 20 000 rubles.
With the development of the medicine and struggle with varicose veins in the legs, from the category of "one hundred years of war", in the category of "quick wins". Sophisticated surgical techniques, has given way to minimally invasive procedures safer and more efficient. Today's varicose veins is not a sentence, but it's just the opportunity to consult with an expert.