There are two main methods of 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 stars in the legs, as well as isolated local lesions of some subcutaneous veins, non -surgical methods are used.
In the case of damage to large subcutaneous vein trunks, such as a large or small subcutaneous vein, as well as its large thigh and leg tributaries, operational methods are used.
In what cases can varicose veins be treated in a conservative way?
Any form of varicose veins requires conservative treatment.In the event that large subcutaneous veins are not affected, but there is only a disease of small veins on the skin in the form of vascular nets or asterisks, a conservative approach to treatment is the main one.If the disease affects larger subcutaneous veins, conservative treatment is used as an addition to an operational manual.
Characteristics of conservative varicose veins
Conservative varicose vein treatment includes the following components:
- Drug therapy.
- Modification of risk factors for varicose veins.
- Using compression meshes 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 risk factors of the disease:
- The fight against hypodynamamia is moving sports classes such as swimming, bicycle, running, sports walking, skiing, etc.
- High leg position during rest
- Body weight control
- Refusal of static cargo, heavy physical work, frequent exposure to high temperatures - visiting the sauna, taking hot baths.
- Refusal to take hormonal contraceptives
- Refusal to wear high-heeled shoes (over 5-6 cm)
Compression mesh
Using compression mesh or the use of elastic bandages during static loads, ie with a long stay in the standing or sitting position, is an integral part of the treatment of varicose veins.You should choose compression linen, as many patients inadequately apply an elastic bandage, pulling -at different levels or vice versa.
Compression meshes are selected individually and have a compression level in them by the manufacturer, the most physiological for the limb.Medical compression products (fair pants, socks, golf) have several compression classes.The type of compression is determined by the doctor for the results of the patient's examination and, if necessary, instrumental examination.
- Grade I is used to avoid varicose veins,
- II - with existing signs of the disease,
- III - In cases of complicated varicose veins (trophic ulcer, hyperpigmentation).
The only significant restriction on the use of compression meshes is the difficulties in dressing it.Therefore, to facilitate the process of dressing the meshes, it is advisable to wear a special device - Butler.If compression meshes are difficult to choose from the limb diameter (non -standard leg configuration) or there are other restrictions on its use - it is necessary to use medium or short stretching elastic bandages.
Varicose veins drug therapy
Patients suffering from varicose veins are recommended to regularly conduct preventive drug courses.These medications are used at least 1 year a year 2-3 months.In summer.Drug therapy does not heal the patient of already developed varicose veins, however, allows to reduce the patient's complaints about the feeling of severity and fatigue in the legs, their swelling.
Preparations also reduce the pace of disease progression, that is, the development of the additional development of varicose veins decreases, protecting healthy veins.The most effective treatment is to take medicines in the form of tablets, capsules or drops.The use of medications is less effective in the form of gels, ointments, creams or aerosols, however, local use allows to reduce the symptoms of the disease at the same time when it is often used as first aid when expressing discomfort, a sense of severity or leg fatigue.
Sclerotherapy for varicose veins
Sclerotherapy is a method of treatment of varicose veins, in which a special drug is administered to the varicose veins.
After introducing it to the vase, its batteries come together, leading to "turn off" the vessel, that is, occurs carpet varicose veins.As a result, the blood is redirected to healthy vessels, and the veins glued to "turn" from the bloodstream.
Sclerotherapy is an outpatient procedure that can be performed without patient hospitalization in a hospital.After each sclerotherapy session, it is necessary to use compression meshes or elastic bandages for several days or weeks.In case of great damage to the veins, sclerotherapy does not provide a reliable long -term result, and glued veins usually 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 “intradermal variza”, when only small diameter veins, manifested by a 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 complications is the darkening of the skin in the treatment area.which can be saved for several months and, in some cases, forever.Other rarer complications are possible - skin necrosis, etc.