There are two main methods for the treatment of varicose veins:
- conservative,
- operating.
The type of treatment depends on the stage of the disease.In patients with small caliber lesions in the form of vascular networks or stars on the legs, as well as with isolated local lesions of some subcutaneous veins, non -surgical methods are used.
In the event of damage to the large trunks of subcutaneous veins, such as a large or small subcutaneous vein, as well as their large tributaries on the thigh and the lower part of the leg, operational methods are used.
In which cases can varicose veins be treated conservative?
Any form of varicose veins requires conservative treatment.In the event that large subcutaneous veins are not affected, but there is only a small vein disease on the skin in the form of vascular or asterischi networks, a conservative approach in the treatment is the main one.If the disease affects larger subcutaneous veins, conservative treatment is used as added to an operating manual.
Characteristics of the conservative treatment of varicose veins
The conservative treatment of varicose veins includes the following components:
- Drug therapy.
- Change of risk factors for varicose veins.
- Wear compression knitwear or the use of elastic bandages.
- Sclerotherapy.
How to deal with the risk factors of varicose veins?
The treatment of varicose veins should begin to eliminate the risk factors of the disease:
- The fight against hypodynamia is the classes of mobile sports, such as swimming, bicycle, running, sports walk, skiing, etc.
- high position of the legs during rest
- Body weight control
- Refusal of static loads, heavy physical labor, frequent exposure to high temperatures - visiting the sauna, making hot baths.
- The refusal to take hormonal contraceptives
- The refusal to wear high heel shoes (more than 5-6 cm)
Compression knitwear
Wearing a compression knitwear or the use of elastic bandages during static loads, that is, with a long stay in place or seat, is an integral part of the treatment of varicose veins.You should choose compression linen, as many patients inadequately apply an elastic bandage, pulling it at different levels or vice versa.
The compression knitwear is selected individually and has a level of compression in them by the manufacturer, the most physiological for the limb.Medical compression products (tights, socks, golfs) have several compression lessons.The type of compression is determined by the doctor by the results of the patient's examination and, if necessary, instrumental examination.
- Grade I is used to prevent varicose veins,
- II - With existing signs of the disease,
- III - In the case of complicated varicose veins (trophic ulcer, hyperpigmentation).
The only significant restriction in the use of compression knitting are the difficulties in dressing it.Therefore, to facilitate the knitwear process, it is advisable to use a special device: Butler.In the event that the compression knitwear is difficult to choose with the diameter of the limb (configuration of the non -standard legs) or there are other restrictions in its use: it is necessary to use elastic bands of the middle or short degree of stretching.
Drug therapy of varicose veins
Patients suffering from varicose veins is recommended to regularly carry out preventive courses with drugs.These drugs are used at least 1 year a year 2-3 months.In summer.Drug therapy does not heal the patient from the varicose veins already developed, however it allows you to reduce the patient's complaints for the feeling of severity and fatigue in the legs, their swelling.
Preparations also reduce the rhythm of the progression of the disease, i.e. the development of the further development of varicose veins slows down, protecting healthy veins.The most effective treatment is to take drugs inside in the form of tablets, capsules or drops.The use of drugs is less effective in the form of gel, ointments, creams or aerosols, however, local use allows you to reduce the symptoms of the disease simultaneously at the time of their use and therefore are often used as an emergency room when expressed discomfort, a sense of severity or fatigue in the legs.
Sclerotherapy for varicose veins
Sclerotherapy is a method for the treatment of varicose veins, in which a special medicine is administered in the lumen of varicose veins.
After introducing it into the ship, its batteries attach themselves, leading to the "shutdown" of the ship, that is, varicose veins of carpet occur.Consequently, the blood is redirected to healthy vases and the veins glued "turns off" from the bloodstream.
Sclerotherapy is an outpatient procedure that can be performed without hospitalization in hospital.After each sclerotherapy session, it is necessary to wear compression knitwear or elastic bandages for several days or weeks.In the case of the damage of large veins, sclerotherapy does not give a long -term reliable result and the glued veins often appear again.In patients with damage to only small venous vessels, on the contrary, this technique is very effective.Therefore, it is more often used for the so -called "intradermal varicose", when only the small diameter veins are affected, manifested by a vascular network or stars on the skin.
Complications after sclerotherapy
The complications after sclerotherapy are extremely rare (less than 1%).The main type of complications is the darkening of the skin in the treatment area.which can be saved for several months and in some cases forever.Other rare complications are possible: skin necrosis, etc.