Treatment варикоза on the feet by means of medications is not always a positive effect.
Particularly difficult to treat varicosity, when it is launched at the stage. In this case, being the operative intervention the only way to eliminate the pathology.
For many people, the surgery seems scary procedure, therefore are they for a long time are afraid of the doctor on the go, relying on some kind of self-made forms of treatment. The disease is doing this continues to progress and the patient's condition deteriorates.
Operation if the varicosity of the lower extremities is determined by the following conditions:
- if the subcutaneous veins are enlarged as a result of physiological pathology;
- if the disease has been launched at the stage, when treatment varicosity medications or people of means, already does not help;
- formation in the venous ulcers on your skin покровах;
- if violations occur in the blood vessels of the circulatory problems, which resulted in the patient is currently, constant fatigue, quickly утомляется feels pain and heaviness in the legs;
- if are experiencing acute thrombophlebitis;
- if you have trophic skin lesions.
For some patients surgery варикозном varicose veins on the legs may be contraindicated. Factors, препятствующими to make a surgical intervention, is:
- hypertension;
- serious infectious diseases;
- coronary artery disease;
- the patient's age (over 70 years);
- diseases of the skin – eczema, erysipilatous inflammation and t. p.;
- the second half of pregnancy.
Surgery is the most effective and safest treatment options for varicosity. An experienced doctor will be able to quickly eliminate патологию and the patient back to normal life, do not experience the suffering, which is причиняла him the disease.
Types of intervention
This rapid intervention is determined depending on the individual specific characteristics of the leakage disease. Certain types of operation that suits one person, may be completely suitable for another. Before you define the operation, the doctor will examine the form of the disease, симптоматику and also the likelihood of complications.
Surgical
The most time-consuming and complex procedure, which is related to the high probability of complications, is phlebectomy operation instructions varicose veins. Its provided only if other therapies are not able to disclose how much something has a favorable effect.
During the operation, the groin area of the patient are small (3-5 mm) incisions, through which the dirty vein in the place where he fell into a deep vein, then his рассекают and spin out off the feet of special probes. After the removal of the vein in places cuts set рассасывающие the seams. The operation takes 1 to 2 hours, with the patient in the hospital is no longer days, then it is placed on the home.
Option phlebectomies is such a procedure as miniphlebectomy, in which the body is made of, no incisions and punctures. This method allows to carry out the operation in less травмированием the skin of the lids and shorten the rehabilitation.
Expoliantes – another kind of surgical treatment, varicosity. This course is in accordance with the procedure extracted is not the whole way is completely and only a small part, which was varico expand. Removal is carried out through punctures in the skin, which allows to avoid the overlay stitches.
Sclerosing
Less traumatic method for rapid intervention is considered склеротерапия. It lies in this, that where the aid of ultrasound studies have determined the exact location is enlarged vein, which injected a substance (sclerosant). Given the substance binds to damaged blood vessels, which prevents the flow of blood over. After this operation, the spot sick of the vein forming scar tissue, eliminates swelling. The patient end of the pain severity and pain in the legs, and if there have been trophic ulcers, they quickly heal.
Склеротерапия are of two types:
- Echo-deduxit sclerotherapy. This operation is used when the diameter of the diseased veins has reached 1 cm and more. First vienna обследуются using a special device – a duplex scanner, then under his control take place of the puncture, after which the vein is injected sclerosant. This procedure allows to reduce the diameter of damaged blood vessels and restore normal blood movement to him.
- Sclerosing foam. The most safe and completely painless view склеротерапии. Is the damaged blood vessel to inject a special foam, which it fills and stops the flow of blood inside it all.
The maximum effect usually through the several procedure склеротерапии. Relapses varicosity after it almost did not happen.
Laser коагуляция
Operation instructions varicosity varicose veins on the legs laser is considered the most технологичным view fight varicosity and helps to eliminate патологическое varicose veins is 90% of the patients. During this procedure cuts the tissues are made, which allows to avoid cosmetic defects.
Through the puncture of the skin injected into the laser light guide, which emits light waves. Their action takes place in the dissolving of the sick will agree in. This method differs from the low number of frequently – recurring cases education varicosity occur only 5% of patients.
As the laser коагуляцию treatment method varicosity is a radio frequency contrite account. The main method is the impact on the patient's vein микроволн, which heated the vessel, causing it to "спаивание". This way of treatment is considered most easy and painless. It can be used and in severe cases, if the vein to reach large sizes.
The possible consequences and the state of the postoperative period
Almost all kinds of operations do, in order to remove the varicosity of the legs, pass safely and cause no complications very rare cases.
The largest probability of complications and difficult to leakage rehab period observed phlebectomies. In the region remote vein may occur hematoma, and sometimes from the cuts may be to flow the blood, because the next remain in the tributary of the other veins.
2-3 days after surgery in some patients can rise the temperature. This happens because of aseptic inflammatory process in the blood, which accumulates under the skin.
If скопившейся blood must be very much, the veins may occur in lumps, painful to the touch. If the skin over the clumps acquired a reddish tone, then the beginning of bacterial inflammation. In this case, need immediate hospitalization.
Other possible complications after surgery may include:
- Numbness, skin -, valuaisting. These occur when the operation process is corrupted nerve endings. Over time, the pains disappear and the skin sensitivity can be restored.
- Bruises. Form phlebectomies, as it is enough traumatic the operation. Through some time, usually not more than a month of time, they disappear completely. If малоинвазивных treatments (склеротерапия or laser коагуляция) bruising almost never ice.
- Swelling. They may occur then, if the patient should not doctors prescribe postoperative period – a lot of moves, do not wear special clothes, or has put himself into great physical burden.
After the operation most patients lead a passive lifestyle. Since гиподинамии may arise in such a dangerous phenomenon, such as acute deep vein thrombosis of the lower extremities. To avoid this, it is necessary to do special exercises, follow the diet and take the medications that prevent thrombosis.
Rehabilitation after the removal of the varicosity of the lower extremities
Compliance with the testimony of the medical postoperative period – an important part of treatment and relapse prevention of varicosity. Most patients are recommended to:
- Closely connect the leg elastic bandage.
- Wearing a special компрессионное wash – põlvikud or sukkpükse.
- Do not lift heavy more than 10 kg in the first half of the years after the operation.
- Sports with a moderate physical load – the sport ahead of, плаваньем, bike.
- Control your weight if you have problems with excessive weight.
- Each year takes place in learning reception venotonic medications.
Within 3 days after drawn surgery patients are strictly prohibited to smoke and consume alcohol, sunbathe, lift heavy, drive a car and take a hot bath.
If you pain прооперированной leg helps in easy to massage, which is perfectly possible to carry out independently.
Recommendations for the prevention relapses
Even if the operation of the disposal varicosity of the veins is carried out successfully, there is always the risk of re-disease development. To reduce the possibility to encounter relapses, should be to follow preventive measures:
- lead an active lifestyle – to do sport, often walk in the fresh air;
- sitting position it is necessary to track, that posture is lame, not to put one foot to the other, because it causes a disruption of the venous blood flow;
- to combat excess weight;
- moderately consume coffee and tea;
- every morning to do the exercises the feet;
- abandon is too tight and tight shoes and clothes.
Varicose veins – it is a disease, which, even after full healing requires compliance with a certain lifestyle.
Preventive measures after the operation it is necessary to follow not in the first couple of months, but for the whole life. The only way it is possible to normalize the state of your body and rule out the possibility of again disease development.