LASER TREATMENT OF VARIUKOSIS
Varicose veins (varicose veins) - widening and lengthening of the veins (vessels carrying blood to the heart) of the lower extremities from the thin venous wall and the formation of nodes from them. Nodules are formed as a result of the pathology of the venous walls, as well as the insufficiency of their valves, due to a genetic defect.
The most common place of manifestation of the disease is - varicose veins of the lower extremities.
Today, varicose veins are one of the most common diseases that every 3 women and 10 people suffer from. Statists note that most often this disease begins at a young age - 30-40 years.
Causes of varicose Causes of varicose veins
The main causes of varicose veins:
- Lifestyle or work associated with heavy physical exertion, long stay in one position (standing or sitting) or constantly high ambient temperature;
- Significant increase in body weight
- Hereditary predisposition;
- Hormonal effects (pregnancy and taking hormonal drugs).
Stress and nervous disorders. They affect the condition of the vessels. In the wall of veins, the nerve endings, which give them firmness. With increasing pressure in them, the effect of various toxins and alcohol, the lumen of the vessels loses its tonus and expands.
Uncomfortable clothes and shoes. Strongly tight clothing, such as tight jeans, can cause varicose veins. Also harmful are narrow shoes and high heels. When choosing shoes, give preference to a wide sole, the wider the sole, the less the load on the feet. When we walk on thin stiletto heels, we expose the vein to a huge load, and if we add heavy bags from the grocery store to the heels, the harmful effect increases.
All these factors contribute to the expansion of veins, increased venous pressure and disruption of the normal operation of venous valves. The consequence is pathological blood flow in the veins of the lower extremities - refluxes (reverse flow of venous blood, which cause the disease to increase with time, increasing the pressure on the venous system many times.
The symptoms of varicose veins are directly related to the stages of varicose veins.
I and II stage of varicose veins
- The appearance of venous patterns on the legs
- Feeling of heaviness of legs and raspiraniya;
- Cramps, especially at night;
III stage of varicose veins
- Swelling of the feet, after a day's work;
- Pain in the legs
- Increased fatigue.
IV stage of varicose veins
- Vascular asterisks (telangiectasia)
- Pains of a different nature (hot pulsating, itching in muscles, pain during walking, pain along venous trunks, general pain and aching in the legs);
- Twisted, elongated varicose veins protruding above the skin of the shins and feet;
- Skin changes (the skin becomes dry and pigmentation occurs, after the skin of the legs darkens and becomes covered with brown spots). Further to these symptoms, dermatitis, eczema and trophic disorders can occur in the form of poorly healing wounds before ulceration.
V stage of varicose veins
- Healed ulcer
- Open sore
- When complicating varicose veins, you may experience:
- Severe venous bleeding at the slightest wound
- Trophic ulcer
When there are symptoms of varicose veins, to determine the correct diagnosis or refutation it is necessary to consult a phlebologist, surgeon.
Procedures for the diagnosis of varicose veins: ultrasound (ultrasound) or phlebography.
How to treat varicose veins?
This question is answered by the doctor after the diagnosis. After all, only correctly diagnosed increases the positive result of treatment of varicose veins.
In turn, the doctor can prescribe the following treatment options:
I Conservative treatment of varicosity is a complex of procedures, depending on the symptomatology and stage of the development of the disease.
The conservative methods of treatment include:
- Compression therapy - the regular use of compression knitwear is considered an incredibly effective technique to combat this disease.
Recent researches of scientists confirm that thanks to the use of such compression knitwear, the pressure on all tissues of the lower extremities can be equalized, and, as a result, quick normalization of the full (healthy) circulation of blood flow directly over the affected veins of the legs. In addition, due to the tight fit to the skin of the legs, such a special elastic (compression) knitwear, we can talk about the prevention (prevention) of the occurrence of dangerous thrombi in the vessels of the legs.
Therapeutic knitwear for varicose veins
Speaking in more detail about compression knitwear, we note that such elastic therapeutic knitwear is prescribed for the treatment of varicose ailment can be of two kinds. Namely - strictly curative and of course, preventive. And in this case, what kind of knitwear will be optimal for you - only an experienced highly qualified doctor, a specialist in phlebology, will be able to tell.
- medicamentous likuvannya.
Tablets vid varicose dopomagayut:
- Polishshiti tonus sudin;
- Zanyat firing process;
- Priskorjujut blood circulation and lymphology;
- Illuminated microcirculation.
II Minimally invasive treatment (laser ablation). Refers to: radiofrequency ablation and sclerotherapy.
ІІІ Surgical treatment (removal of affected veins):
- Outpatient phlebectomy;
- Stripping of the large and small saphenous veins
- Transgression "a viscous saphenofemoral message
- Subfascial endoscopic dissection of perforating veins.
Currently, these methods are used in those centers where it is not possible to perform minimally invasive procedures.
Endovenous laser coagulation
The technology of varicose veins treatment with the help of high-energy lasers, called EVLK (endovenous laser coagulation), is currently the most modern and effective method of treating varicose in the world.
The modern development of laser technologies in medicine has led to significant changes in the treatment of varicose veins. Traumatic surgeries are gone, when a sick vein was pulled along the entire length, after which long bruises remained. Today, to achieve not only therapeutic, but, no less importantly, good cosmetic effect, an intravascular laser is used.
Endovenous laser coagulation (EVLK) is a minimally invasive procedure that is performed to treat varicose veins. During the procedure, the laser light guide is inserted into the lumen of the affected (varicose veins), and "welds" its inner lining. This leads to a cessation of blood flow through the vein and in the future - to its resorption. As a result, the venous blood flows through healthy veins, the phenomena of venous congestion disappear, symptoms such as heaviness and swelling of the legs, trophic disorders.
After the laser coagulation phase is completed, the stage is no less important. This is a postoperative compression period. In this period, special compression knitwear and special elastic stockings are used.
Laser treatment of varicose veins:
- Without cuts;
- Without general anesthesia.
Among the advantages of using laser treatment for varicose veins are:
- Quick Recovery
- Low traumatism
- High cosmetic effect
- Absence of traces on the skin
- Treatment is performed under local anesthesia (tumescent anesthesia)
- Absence of persistent pain syndrome
- High therapeutic effect
What awaits you after the procedure?
Ordinary life. The only restriction is not to raise a large weight within 1 week after the intervention.
How it works?
During the appointment, the doctor determines the indications for laser coagulation and offers the optimal amount of manipulation for a speedy recovery.
Duration of manipulation from 1.2 to 2.5 hours. At the same time, the usual way of life and working capacity is not disturbed. The recovery period after laser treatment of veins is very easy. After the end of the procedure, compression stockings are used, and the patient immediately goes home.
An important aspect of the postoperative period is the observance of simple but necessary recommendations:
- It is compulsory to wear compression jersey;
- Hourning walks 1-2 hours;
- Exclusion of excessive physical exertion (training in gyms, lifting of goods)
- Physioprocedures (spa, sauna, solarium)
- Refusal from alcohol;
- For women - wearing shoes with a low heel.
Observance of these rules is the key to successful treatment.
There is no such form of varicose, with which we could not cope!
More on when laser ablation is required
Strangely enough, one of the most common diseases, according to statistics, is varicose veins of the lower extremities (second place after caries). Manifestations of this disease are observed, according to various sources, in 30-50% of representatives of the white race.
The head of the Medical Center "Zhittya" Shimechko Orest Stepanovich tells about the state of the problem.
I have been studying the state of the human venous system for more than 33 years. I want to note that over the past decade there has been a qualitative leap in the treatment of this ailment. If earlier for treatment it is necessary to spend a lot of time in a hospital and even more time to give rehabilitation after treatment, now this illness is treated out-patient and the person, without changing the way of life, for 1 hour. After visiting our center, we can continue our active work. It should be noted that the propensity to varicose is inherited (in 70-80% of our patients this dependence is traced). Therefore, people whose parents have varicose manifestations need to understand that they are at risk. We advise you to undergo ultrasound examination of the veins of the lower extremities and consult a specialist-phlebologist. If this is not possible, I advise such people to prophylactically wear compression knitwear, which reduces the risk of the disease several times. If necessary, you should undergo laser treatment of varicose veins, before doing a detailed diagnosis.
Who else is at risk?
These are people with excess body weight, pregnant women, women taking hormonal contraceptives, as well as those whose professional activities are associated with a static load on the lower limbs (waiters, hairdressers, teachers, surgeons, dentists, representatives of some sports). In our treatment center is carried out by a mini-invasive method - that is, the treatment process passes without open intervention (without incisions and without general anesthesia).
Preference is given to laser methods of treatment.
How is laser treatment of varicose and how does it affect health
This is one of the most modern methods that allows, eliminating open surgical intervention, to eliminate varicose veins.
Why they need to be eliminated?
In varicose veins, the valves do not function or function poorly, creating blood stasis in a certain area. This site can be compared with the floodplain of the river, in which a swamp is formed. In our case, the swamp is a clot. Therefore, this "swamp" must be eliminated in order to avoid stagnant phenomena and the associated consequences.
How will the outflow of blood from this site occur after the intervention?
In the human body, there are a large number of "spare" subcutaneous veins that will be used after the elimination of dysfunctional or poorly functioning veins, through which the blood flow to the deep vein system will occur (in open surgery, these veins are cut with a scalpel, with all the negative consequences of cuts, before all - traumatizing the lymph vessels and nerve endings). The advent of laser technology led to a revolution in the treatment of veins.
Under local anesthesia, we pierce the varicose veins and insert a conductor through which laser radiation proceeds, this action leads to ablation of the vein, first the vein is "brewed" inside, and later our immunity dissolves it. A year later, even in the ultrasound study, in the vast majority of cases, we do not find it. This method of treatment allows for rapid rehabilitation. Right after the procedure a person goes home.
Often people, turning to us with neglected forms of varicose veins, ask if laser treatment is still possible?
With full responsibility I assure you that any forms of varicose veins can be treated with a laser. Even in the presence of trophic ulcers, laser treatment is the most indicated in comparison with other methods. In the vast majority of cases, ulcers disappear until a month.
The only contraindication for laser ablation of varicose veins, as for other liquidation techniques, including for open surgery, is acute phlebothrombosis (deep vein thrombosis). Therefore, quality ultrasound diagnosis of veins before and during treatment is so important. Often people ask whether it is possible to cure varicose veins with the help of tablets and various kinds of gels. Here, an unambiguous answer is "no", because the mechanical failure of the valves, these tools will not fix it. I want to emphasize that ointments and gels do not help at all, and pills such as, for example, "Normoven", help to stop the development of the disease, but not to eliminate the veins already affected by varicose veins.
Very often people are wondering whether it is possible to exercise in case of varicose veins.
Contraindicated in sports, which increases nadirishnocherezhny pressure, that is, when you need to strain. I recommend such kinds of sports in compression jersey. But some types of physical activity are not only not contraindicated, but are useful for people with varicose veins: walking, running, any water sports, tennis, badminton and other outdoor sports where there is no direct contact with the enemy. It should be noted that abroad, in Western Europe and the United States, 80% of all interventions are performed by a mini-invasive method, only 20% using a scalpel.
In our country, so far the situation is less optimistic about interventions by the laser method. This is due to the fact that places and specialists who could perform such interventions are much less than the situation requires. In conclusion, I want all readers health. If medical questions arise, then I recommend, not hesitant, to see a doctor. Strong to you health!
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