There are two main methods of treating varicose veins:
- conservative,
- operating.
The type of treatment depends on the level of the disease.In patients with small caliber lesions in the form of vascular nets or stars on the feet, as well as with isolated local lesions some subcutaneous veins, non -Kurgia methods are used.
In the case of damage to the large subcutaneous veins, such as large or small subcutaneous veins, as well as their large streams in the thighs and lower legs, the operation method is used.
In what case, varicose veins can be treated conservatively?
Any form of varicose veins requires conservative treatment.In cases where large subcutaneous veins are not affected, but only there are small veins on the skin in the form of vascular nets or asterisks, a conservative approach to treatment is the main.If the disease affects the larger subcutaneous veins, then conservative treatment is used in addition to the operating manual.
Characteristics of conservative treatment on varicose veins
Conservative treatment of varicose veins includes the following components:
- Drug therapy.
- Modification of risk factors for varicose veins.
- Wear compression knitwear or use elastic bandage.
- Sclerotherapy.
How to address the risk factors of varicose veins?
Varicose vein treatment should begin to eliminate the risk factors of the disease:
- The struggle against hypodynamia is a mobile sports class, such as swimming, bicycles, running, running sports, skiing, etc.
- high foot position during rest
- weight control
- Rejection of static loads, heavy physical labor, frequent exposure to high temperatures - visit the sauna, take a hot bath.
- Refusal to take hormone contraceptives
- Refusal to wear high-quality shoes (more than 5-6 cm)
Compression knitwear
Wearing compression knitwear or the use of elastic bandages during static loads, which is with long accommodation in standing or sitting, it is an important part of the treatment of varicose veins.You should choose compression linen, as many patients are not sufficient to apply elastic bandages, attract them to different levels or vice versa.
Compression knitwear is individually selected and has a level of compression in it by the manufacturer, the most physiological for the limbs.Medical compression products (tight, socks, golf) have several compression classes.The compression type is determined by the doctor with the results of the patient's examination and, if necessary, the instrumental examination.
- Grade I is used to prevent varicose veins,
- II - with the signs of an existing disease,
- III - in the case of complex varicose veins (trophic ulcer, hyperpigmentation).
One of the most important restrictions on the use of compression knitwear is difficulty in dressing.Therefore, to facilitate the process of dressing knitwear, it is advisable to use a special device - Butler.If the compression knitwear is difficult to choose from with the diameter of the limbs (non -standard foot configurations) or there are other restrictions in their use - it is necessary to use medium or short elastic bandage.
Varicose vein therapy
Patients suffering from varicose veins are recommended to periodically conduct preventive courses with medication.These drugs are used for at least 1 year a year 2-3 months.In the summer.Drug therapy does not cure patients from the developed varicose veins, however, it allows you to reduce the patient's complaints about the severity and fatigue in the feet, their swelling.
Preparation also reduces the rate of development of the disease, which is the development of further development of varicose veins to slow down, protecting healthy veins.The most effective treatment is to take medications in the form of tablets, capsules or drops.The use of drugs -Medicines are less effective in the form of gels, ointments, creams or aerosols, however, local use allows you to reduce the symptoms of the disease at the time of its use and therefore often used as first aid when expressed discomfort, severity or fatigue in the foot.
Sclerotherapy for varicose veins
Sclerotherapy is a method of treating varicose veins, where special drugs are administered into the lumen of the varicose veins.
After introducing it to the ship, the arrangement is attached together, which leads to "turning off" the vessel, which is the carpet varicose vein.As a result, blood is directed to a healthy vessel, and the veins are "turned off" from the bloodstream.
Sclerotherapy is an outpatient procedure that can be performed without being admitted to a hospital in a hospital.After each sclerotherapy session, it is necessary to wear compression knit or elastic bandage for several days or weeks.In the case of large vein damage, sclerotherapy does not provide reliable long results, and glued veins often appear again.In patients with damage to only small vessels, on the other hand, this technique is very effective.Therefore, it is most commonly used for so -called "varicose intradermal", when only small -small veins, which are shown by vascular mesh or stars on the skin, are affected.
Complications after sclerotherapy
Complications after sclerotherapy are extremely rare (less than 1%).The main type of complication is the darkness of the skin in the treatment area.which can be stored for several months, and in some cases for a while.Other, more rare complications are possible - skin necrosis, etc.