- Treatment for varicose veins - the way to solve the problem
- Methods
Patients with varicose veins do not always need to be treated; If the disease does not cause them any discomfort, they can be seen quite regularly by a doctor. Treatment of varicose veins is required in certain cases.
Treatment of varicose veins is used when:
- Varicose veins can cause pain or discomfort;
- Varicose cause complications such as leg ulcers, swelling, and skin diskoloratsiyu;
- The patient wants to eliminate varicose veins for cosmetic reasons.
The method of treatment of varicose veins will depend on the patient's general health, how pronounced the symptoms of the disease, and where it is located veins.
In some cases, the symptoms of varicose veins is possible to alleviate with the help of exercise and some lifestyle changes (eg, the patient is not recommended to sit or stand for several hours, and during the rest need to raise the legs so that they are above the level of the heart). However, many patients require different treatment methods, the most common of which are described below.
Radiofrequency ablation
During this procedure, the walls of varicose veins are heated using RF energy. First, above or below the knee makes a small incision through which a thin tube is introduced - a catheter. In order to facilitate the procedures and increase its effectiveness, used ultrasound machine through which the doctor can see well where to move the catheter. The catheter is inserted into a special tool, which emits radio frequency energy. Under its influence the vein wall are joined, and the blood flow through the vein becomes impossible. Immediately thereafter, the blood is redirected to the naturally healthy veins.
Radiofrequency ablation is performed under local anesthesia. The procedure may cause some short-term side effects such as tingling in the legs. Within a week after the procedure, patients are usually advised to wear compression stockings or tights.
Endovenous laser therapy
This procedure, as well as radio-frequency ablation is performed using a catheter inserted into a vein and ultrasound or fluoroscopy. The catheter is inserted into a device which short bursts of laser irradiates the vein from the inside. The catheter is slowly moving the entire length of the vein, and under the influence of light energy is completely closed.
Endovenous laser therapy is also performed under local anesthesia; After therapy, the patient may feel some tension in the legs. Sometimes the side effects of treatments are pain, hematoma and nerve damage, but usually they are in a short period of time.
Sclerotherapy
Sclerotherapy usually offer to make patients who for any reason do not fit the above two methods of treatment of varicose veins. During the procedure, in the vein of the patient is administered a special preparation. It leads to the formation of scar tissue, causing the veins are blocked. This type of therapy is not recommended for patients with a history of deep vein thrombosis has.
To the doctor can see exactly where you need to inject, using ultrasound. During one session can be injected directly into the veins of a few. For sclerotherapy is used local anesthesia.
Varicose veins disappear gradually over a few weeks after sclerotherapy
Sclerotherapy
. Some patients need to undergo several treatment sessions before varicose veins disappear; There is a slight chance that after a while they will re-emerge.
Sclerotherapy may cause the following side effects:
- The formation of blood clots in the veins of the legs;
- Headache;
- Lower back pain;
- Fainting;
- Changing the color, for example, the appearance of brown spots on the skin
Brown spots on the skin, and other pigmentation disorders: how to get rid of them
over the vein into which the injection was made;
- Temporary vision problems.
The patient can walk and return to work immediately after sclerotherapy, but about a week after the procedure, he should wear compression stockings or bandages from special elastic bandages.
In very rare cases, sclerotherapy can cause dangerous side effects such as stroke and transient ischemic attack.
Surgery
If the above methods for treating varicose veins for any reason it is not suitable to a patient, it can be assigned to surgery. It is performed under general anesthesia. As a rule, the patient is already discharged the day of surgery, and only in some cases it can leave the hospital until the morning (usually required if the operation was carried out on two feet).
In most cases, surgical treatment of varicose veins, use the following technique. The groin area - at the top of varicose veins, as well as on the leg, usually near the knee or shin make two cuts a length of approximately five centimeters. The upper part of the vein is ligated so as to completely block blood flow through it, and then through a lower slit in a vein type tool resembling a thin, flexible wire, through which a vein gently removed through the same incision lower.
The operation does not violate the circulation in the legs, as the function of removing the veins take the other veins. The most common complications of this surgery include pain, bruising and bleeding. More serious complications are rare; among them - the nerve damage and the development of deep vein thrombosis.
Usually, patients can return to work within 1-3 weeks after surgery; the exact date depends on the health of the patient and the nature of his work. For a week after the surgery, patients are advised to wear compression stockings.
Read more
→
Methods
Related Articles
Spider veins - can we change something?
Varicose veins - when to consult a surgeon?
- Compression knitwear - how effective is it?
-
|
|
- Postpartum depression - psychological problems of young mothers
-
|
|