There are two main methods of treating varicose veins:
- conservative
- OPErATiONAl
The type of treatment depends on the stage of the disease.In patients with small caliber lesions in the form of vascular nets or standing stars, as well as local insulated lesions of some subcutaneous veins, non -surgical methods are used.
In the case of damage to large luggage of subcutaneous veins, such as a large or small subcutaneous vein, as well as their large branches in the thigh and lower leg, operating methods are used.
In which cases can varicose veins be treated conservatively?
Any form of varicose veins requires conservative treatment.In the case where large subcutaneous veins are not affected, but there is only a disease of small veins in the skin in the form of vascular nets or asterisks, a conservative approach to treatment is the main one.If the disease affects the larger subcutaneous veins, then conservative treatment is used as an addition to an operational manual.
Characteristics of conservative treatment of varicose veins
Conservative varicose vein treatment includes the following ingredients:
- Medication therapy.
- Modifying risk factors for varicose veins.
- Wearing knitwear clothing or using elastic bandages.
- Sclerotherapy.
How to deal with varicose vein risk factors?
Treatment of varicose veins should begin to eliminate the risk factors of the disease:
- The fight against the hypodynamia is the class of mobile sports, such as swimming, bicycles, jogging, sports walking, skiing, etc.
- the raised position of the legs during the break
- Control of body weight
- Rejection of static loads, heavy physical work, frequent exposure to high temperatures - visiting the sauna, taking hot baths.
- Refusing to obtain hormonal contraceptives
- Refusing to wear high-heeled shoes (more than 5-6 cm)
Knitwear
Wearing compression knitwear clothing or the use of elastic bandages during static loads, ie.With a long standing in the standing or sitting position, it is an integral part of varicose veins treatment.You need to choose compression linen, as many patients apply an elastic bandage inadequately, pulling it to different levels or vice versa.
The coating of compression knitting is individually selected and has a compression level in them by the manufacturer, more physiological for the limb.Medical compression products (tanga, socks, golf) have several compression classes.The type of compression is determined by the physician by the results of the patient's examination and, if necessary, instrumental examination.
- The scale is used to prevent varicose veins,
- II - with existing signs of the disease,
- III - in cases of complex varicose veins (trophic ulcer, hyperpigmentation).
The only important restriction on the use of compression knitwear dresses are the difficulties in its wearing.Therefore, to facilitate the process of wearing knitwear, it is advisable to use a special device - Butler.In case the coating of compression knit it is difficult to choose with the diameter of the limbs (non -standard foot configuration) or there are other restrictions on its use - it is necessary to use elastic bandage with medium or short stretching.
Varicose vein therapy
Patients suffering from varicose veins are recommended to perform regular medication courses.These medicines are used at least 1 year a year 2-3 months.In summer.Drug therapy does not cure the patient from varicose veins already developed, however, allows you to reduce patients' complaints about the feeling of severity and fatigue in the legs, swelling.
Preparations also reduce the rhythm of the progression of the disease, ie the development of further development of varicose veins slows down, protecting healthy veins.The most effective treatment is to take medication inside the form of tablets, capsules or drops.The use of medicines is less effective in the form of gel, ointments, creams or aerosols, however, local use allows you to reduce the symptoms of the disease immediately at the time of their use and are therefore often used as first aid when expressed discomfort, a feeling of severity or fatigue in the foot.
Sclerotherapy for varicose veins
Sclerotherapy is a method of treating varicose veins, in which a special drug is administered in the varicose veins lumen.
After inserting it on the boat, its stacks climb together, leading to the "switching off" of the ship, ie.Varicose veins occur with carpets.As a result, blood is redirected to healthy vessels, and the adjacent veins are "turned off" by the bloodstream.
Sclerotherapy is an outpatient procedure that can be performed without a hospital hospitalization in a hospital.After each session of sclerotherapy, it is necessary to wear elastic compression knitwear or bandage for a few days or weeks.In the case of damage to large veins, sclerotherapy does not give a reliable long -term result, and the adjacent veins often appear again.In patients with only small venous vessel damage, on the contrary, this technique is very effective.Therefore, it is most commonly used for so -called "intradermal varicose veins" when only small diameter veins, manifested by a vascular mesh or stars on the skin.
Complications after sclerotherapy
Complications after sclerotherapy are extremely rare (less than 1%).The main type of complications is skin darkening in the field of treatment.which can be saved for several months, and in some cases forever.Other, rarer complications are possible - skin necrosis, etc.