Types of treatment of the veins of the legs men and women do not differ, however, the frequency of postoperative recurrence in women above communication with an effect of hormones (estrogenic influence).
Venous diseases of the feet should be treated by a doctor-phlebologist, who treats exactly of this pathology. Different methods of treatment of varicose veins are not radical, because they do not address the main pathogenetic cause – and- ineptitude valve device of vienna. Surgical and conservative treatment to delay the progression of the disease in long chains. The percentage of recurrence is high and reaches 10 to 50% in 5 years after the operation.
The treatment of varicose veins should be complex. There are three groups of methods of resolution of varicose vein:
- surgical,
- conservative.
Each type of treatment has its advantages and disadvantages, a frequency of recurrence. The choice of the method is conditional, as well as phlebologist to achieve a favorable result often have to combine all three methods.
The characteristic symptoms of varicose veins women
General presentation, specific to women
The symptoms of varicose veins, the disease start with the appearance of such functional disorders as the feeling of heaviness in the legs, swelling of the ankle joints up to the end of the work day. The skin of the feet, first, form varicose veins.
The main signs of the disease – association varicose extended hypodermic veins, appear after a few years of the onset of the disease.
In the absence of treatment in this phase, symptoms occur such as pain in the calf muscles, itching in the skin and in the legs.
Signs of trophic violations: the pigmentation of the skin in the lower third of the leg, cyanosis, sclerotic changes of the subcutaneous tissue, eczema, which is formed by trophic ulcer.
The characteristic symptoms of the varicose veins is to women
- The painful symptoms appear in cycles, are amplified before monthly, which is related with the change of the level of sex hormones;
- during pregnancy found signs of varicose veins after delivery may disappear;
- during the second half of the menstrual cycle due to the action of progesterone diameter of varicose veins increases, therefore, the symptoms of swelling and heaviness in the legs, are expressed more;
- signs of varicose veins aggravated during hormonal therapy.
Now let's talk about the methods of therapy.
The best methods of treatment
Radiofrequency ablation and laser coagulation
Radiofrequency ablation of the vein
The method is based on the introduction, under the ultrasound control special single-use catheter into the lumen extended from vienna.
The catheter is equipped with a working electrode that, under the action of radiation of radio frequency heats up to 120 degrees. The advancement of the catheter along the vein leads to the join have already been executed of the vascular wall. The dead of vienna, turn off of system of blood circulation in the feet.
Venous laser coagulation
The technique of the operation consists in puncturing the affected vein and injected into its lumen under ultrasonic control, laser tip of the guide. Under the action of laser radiation occurs, the coagulation of proteins of the vascular wall, resulting in vienna decrease and after some time covered the connective tissue.
Radiofrequency ablation and vein laser obliteration are relatively new methods of treating varicose veins in the legs. Despite the differences in technical execution, they have features in common.
The advantages and disadvantages of radio frequency ablation and venous laser obliteration
Advantages:
- Not require hospitalization;
- The speed of execution (from 30 min to 1 hour);
- Painless;
- Without the shedding of blood;
- Are performed under local anesthesia;
- The absence of the postoperative scar (desired for women aesthetic effect);
- Short rehabilitation time.
Disadvantages:
- High price;
- The frequency of recurrence of up to 10%;
- The impossibility to carry out the procedure when some anatomical features of the vein (the strong tortuosity of the vessels).
Radiofrequency ablation and vein laser obliteration choose the women who want to treat varicose veins in the outpatient setting, with a minimum of restriction of physical activity in the perioperative period and the preservation of aesthetic types of feet.
Fleboskleroterapija
In the light of the victim segment of vienna introduced a special substance, has a specific action in the vascular wall. Sclerosing agent can be used in liquid form or in the form of foam. Preference should be given foam sclerotherapy due to a greater area of contact of the substance with the wall of the vein.
The advantages and disadvantages of Fleboskleroterapija:
- The absence of the postoperative scar;
- It is performed on an outpatient basis;
- The operation was performed without anesthesia;
- The handling is almost painless (a mild burning sensation at the site of the puncture);
- It is possible to long-lasting and the pigmentation of the skin at the site of puncture (up to 2 years);
- In rare cases of post-operative inflammation of the vein (phlebitis);
- The swelling and redness of the tissue within 2 days after the procedure;
- Allergic reaction to the individual intolerance of the drug;
- In 20% of cases appear varicose veins in the legs (telangiectasia);
- The frequency of recurrence of up to 50%.
Recurrence varicose after sclerotherapy depends on the lumen of the vessel affected - the greater the soil, the greater is the risk to reconnect the vans in it. This therapy choose to treat recidivism varicose veins after surgical phlebectomy.
Surgical phlebectomy
A surgical operation is the most radical form of solution for varicose veins, disease. Principles of surgical treatment are to eliminate pathological replacement of blood from the deep to the surface of vienna's feet and remove ourselves extended the blood vessels. Stages combined phlebectomy:
- The cross and the ligation of the mouth of the great fabric of vienna (incision in the region of the groin) or small subcutaneous vienna (incision in the popliteal fovea);
- Removal of trunk varicose veins. Is carried out with the help of a metal probe, which pulls a vein in the incision of the skin.
Advantages:
- Radical;
- The possibility of running an operation at any stage of the disease.
Disadvantages:
- The hospitalization of 5 to 7 days;
- The double podium in the legs;
- The anesthesia cerebrospinal or total;
- Detachment of tissue surrounding an extension of vienna;
- Possible complications: bleeding, infection of the wound;
- The frequency of recurrence of up to 20%.
Treat operating through a and preferably with a certain type of injury, when it occurs varicose deformation is large or small hypodermic veins in considerable size. And also, when there are signs of trophic violations of the soft tissues and symptoms of decompensation venous insufficiency.
Miniflebjektomija
Miniflebjektomija an option for an intervention that can heal varicose veins of the feet in the early stages. It is most often used when the presence of isolated varicose advanced sites in the shins. Perform the puncture of the skin on the pathological education and using the hook is withdrawn and is passed through vienna. The operation does not require general anesthesia, and the overlay of the skin seams.
Conservative therapy
To begin to treat varicose veins are a disease in the legs, has application drug and compression therapy. The assignment of medicines improve the circulation and use of compression of knitted fabrics – the main conditions that determine the outcome of any intervention in the veins of the legs.
Medical therapy
Medicines to stop symptoms of venous insufficiency, are applied as pre-operative preparation and post-operative recovery.
A special treatment drug varicose veins in the legs need a break in continuous or in the form of cycles repeated.
Compression therapy
Elastic compression of the feet is the primary treatment method in cases where the operational intervention is contra-indicated. As compression tools that you can use bandages and a medical doctor mesh: socks, socks. Medical products feature high durability, time maintain the level of compression, are easy to use, which is important for women.
There are 4 class fabrics, elastic mesh, depending on the degree of compression. Recommended to treat varicose veins with the use of products of class 2 in the absence of disease progression for a period of up to 6 months and with the continuation of the application during physical exertion or prolonged standing. If there are signs of lesion of the valves, the deep veins or express symptoms of a disturbance in lymphatic drainage poor, then, are assigned the sweater class 3 up to the stop of the progression of the varicose veins.
The therapeutic effect of compression of knitted fabrics conducted by:
- a decrease in the volume of vienna, which results in less return the blood in the varicose vessels;
- the increase of the suction of the tissue fluid in the blood stream, allowing signs of swelling and symptoms of severity in the feet away;
- the improvement of fluidity of the blood, which prevents the formation of blood clots.