Kinds of treatment of the veins of the legs in men and women do not differ, however, the frequency of postoperative recurrence women more in relation to in addition to the effect of hormones (estrogenic effect).
Venous diseases of the legs should be treated by a doctor-phlebologist, that does exactly this pathology. Various methods of treatment of varicose veins is not radical, since it is not intended to address the main pathogenetic causes – failure device valve of vienna. Surgical and conservative treatment delayed disease progression in long rows. The recurrence rate is high and reaches from 10 to 50% at 5 years after surgery.
The treatment of varicose veins, should be incorporated. There are three groups of methods of treatment of varicose veins:
- surgical,
- conservatives.
Each type of treatment has its own advantages and disadvantages, a certain frequency of recurrence. Choice of method is arbitrary, as well as phlebologist to achieve the most favorable outcome often need to combine the three methods.
Characteristic symptoms of varicose veins in women
Common events, typical for women
The symptoms of varicose veins begin with the appearance of these functional disorders such as heaviness in the legs, swelling of ankle joints at the end of the working day. In the skin of the foot first formed veins.
The main symptoms of the disease – association of esophageal varicose subcutaneous veins which appear within a few years from the onset of the disease.
If left untreated at this stage, presented symptoms such as cramps in calf muscles, itching of the skin on the feet.
Signs of trophic disorders: skin pigmentation in the lower third of the tibia, cyanosis, sclerotic changes of the subcutaneous tissue, eczema, in the framework of which is formed trophic ulcers.
Characteristic symptoms of varicose veins are women
- Symptoms appear repeat, is enhanced before the period, associated with the changing levels of sex hormones in?
- during pregnancy resulting symptoms of varicose veins after childbirth can disappear?
- during the second half of the menstrual cycle, due to the action of progesterone diameter of varicose veins is increased, therefore, the symptoms are swelling and heaviness in the legs expressed the most?
- symptoms of varicose veins worsen during hormone therapy.
Now we will talk about methods of treatment.
The best treatments
The radiofrequency ablation and laser photocoagulation
The radiofrequency ablation veins
The method is based on the introduction of, under ULTRASOUND control, the special lump-sum in the lumen of the catheter extended veins.
The catheter is equipped with a special electrode, operating part of which is under the influence of radio-frequency emission is heated to 120 degrees. The advancement of the catheter during the vienna leads to adhesion of the vascular wall. The affected veins are deactivated from the system of blood circulation in the legs.
Venous laser photocoagulation
Technical intervention is made by puncture of the affected veins and the introduction of the clearance under ultrasound guidance a laser fiber optic. Under the influence of laser radiation occurs coagulation of the proteins of the vascular wall, with the result that the vein subside and after a while it gets closed connective tissue.
The radiofrequency ablation and the vein laser nothingness is on new methods for the treatment of varicose veins in the legs. Despite the differences in technical execution, they have common features.
The advantages and disadvantages of radiofrequency ablation and venous laser elimination
Advantages:
- Don't require hospitalization?
- The speed of implementation (from 30 minutes to 1 hour);
- Painless you?
- Bloodless it?
- Performed under local anesthesia?
- No postoperative scar (desirable for women aesthetic result);
- A short time recovery.
Cons:
- High price?
- The frequency of recurrence of up to 10 percent?
- The impossibility of carrying out the process in a number of anatomical peculiarities of the veins (strong tortuosity of vessels).
The radiofrequency ablation and the vein laser elimination, choose the women who want the treatment of varicose veins in the outpatient with minimal restriction of physical activity in the postoperative period and to maintain the aesthetic appearance of the foot.
Fleboskleroterapija
In the lumen of the section of vienna introduced a specific drug with a specific action in the vascular wall. Sclerosing agent can be used in liquid form or in the form of a foam. Priority should be given to foam sclerotherapy from the region of contact of the substance with the wall of the vein.
The advantages and disadvantages Fleboskleroterapija:
- No postoperative scar?
- Is performed on outpatient it?
- The surgery is performed without anesthesia?
- The handling is almost painless (slight tingling sensation in place of the hole);
- It is possible to permanent staining of the skin at the position of the hole (up to 2 years)?
- In rare cases, post-operative inflammation of the veins (phlebitis);
- Swelling and redness of the tissues during the 2 days after the procedure?
- An allergic reaction in rejecting the drug?
- In 20% of cases appear spider veins in the legs (telangiectasia);
- The frequency of recurrence by up to 50%.
Recurrence of varicose veins after the sclerotherapy depends on the lumen of the vessel - the wider the lumen, the higher the risk to the artery of the lumen in this. This treatment should be selected when the treatment of recurrence of varicose veins after surgical phlebectomy.
Surgical phlebotomy
Surgery is a more radical way for the treatment of varicose veins. Early surgical treatment is the elimination of pathological restore the blood from the deep to the superficial veins of the legs and the abolition of the same enlarged blood vessels. Stages combination of phlebectomy:
- Crossing and bandaging mouth possibility of subcutaneous veins (incision in the groin) or small subcutaneous veins (incision in the popliteal fossa);
- Removal of logs of varicose veins. Made with a special metal catheter, which pulls the vein in the incision of the skin.
Advantages:
- The radical in it?
- The execution of the operation at any stage of the disease.
Cons:
- Hospitalization of 5 to 7 days
- Tripe in the feet?
- Anesthesia spinal or general you?
- Damage of surrounding tissue during the pulling vienna?
- Possible complications: bleeding, infection of the wound;
- The frequency of recurrence of up to 20%.
Treatment understood the preference for a particular type of disaster, when it happens varicose deformation of large or small subcutaneous veins in a significant duration. And also, when there is evidence of trophic disorders of soft tissues and symptoms of decompensation of the venous insufficiency.
Miniflebjektomija
Miniflebjektomija – a special choice of surgery, in which you can treat varicose veins in the legs in the initial stages. Usually applied when there are a few esophageal varicose nodes on the shins. Is puncture skin above the pathological formation, and with the help of the hook is pulled and passed through vienna. The surgery does not require general anesthesia and overlay skin stitches.
Conservative treatment
To start the treatment of varicose veins disease in the legs, with the use of drugs and compression therapy. The appointment of improves the circulation of blood and wearing medical compression stockings – the basic conditions that determine the effect of each surgery on the veins of the legs.
Medical treatment
Drugs cut symptoms of venous insufficiency, apply as a preoperative preparation and postoperative rehabilitation.
Treatment with specific medications varicose veins in the legs is essential for a long period of time in a continuous operation, either in the form of repeated courses.
Neuropathy compression therapy
Elastic compression of the legs – the leading method of treatment in these cases, the, when surgery is contraindicated. As compression tools you can use elastic bandages and special medical knitted: socks, stockings, tights. Medical products are characterized by high durability, for a long time retain their original compression level, comfortable when wearing, which is important for women.
There are 4 categories of elastic knitted fabric, depending on the degree of compression. It is recommended that the treatment of varicose veins with the use of goods 2 class in the absence of disease progression for a period of up to 6 months and with a further use of during physical exercise or prolonged stay on the feet. If there are any signs of the destruction of valves, venous thrombosis, or are expressed from the symptoms of lymphatic drainage, shall be appointed jerseys 3 class up to stop the evolution of varicose veins.
The therapeutic effect of compression stockings is due to:
- reduction in the volume of vienna, leading to less relief of the blood in the vessels varicose veins it?
- increase suction tissue fluid to the circulation of the bed, so that the signs of edema and the symptoms of gravity in the legs disappear?
- the improvement of blood flow, which prevents the formation of blood clots.