Phlebology – the medical discipline studying an anatomic structure of veins, normal and pathological physiology of a venous blood-groove. The phlebology studies ways of diagnosis, prevention and treatment of various acute and chronic diseases of venous vessels.
The phlebologist – the diagnosis, prevention specialist and treatment of diseases of venous system. Judging by responses, usually address the phlebologist at emergence of heavy feeling in legs, at hypostases, spasms, fatigue of legs, expanded veins, vascular grids and darkening of skin standing, at consolidation of hypodermic cellulose.
The phlebologist treats a posttromboflebitichesky disease, a trophic ulcer, thrombosis and varicosity of veins, an angiodysplasia, limfedy, chronic venous insufficiency, vascular tumors, Pedzheta-Shretter's syndrome, a flebopatiya, and also deletes birthmarks, papillomas and other skin educations.
Proceeding from responses, the phlebologist during consultation attentively listens to complaints and in detail asks the patient on diseases of the immediate family. Tendency to diseases of veins most often passes from father to son. Then the doctor examines the patient's legs a special lamp. Very often the method of ultrasonic doppler sonography allowing to see through veins and the blood flowing on them is applied to diagnosis. By means of this method the phlebologist estimates a condition of venous valves and measures blood-groove speed in veins. The procedure of doppler sonography is absolutely painless and no more than 25-30 minutes last.
After preliminary survey the doctor usually directs the patient to biochemical and general blood test, to a research of coagulant system of blood. Further the phlebologist by results of inspection selects the individual scheme of treatment.
It is regularly very desirable to register in consultation of the phlebologist during pregnancy, at a sedentary or slow-moving way of life, at obesity, at genetic predisposition to diseases of veins, at flat-footedness.
Consultation of the phlebologist is necessary to the athletes who are engaged in run, a raising of weights, skiing and also people of old age.
Depending on disease severity phlebologists appoint medicamentous therapy (tablets, ointments), sclerotherapy, foam sclerotherapy, an ekhoskleroterapiya, compression massage (special golfs, panty hoses, stockings), a venectomy, a phlebectomy.
Varicose asterisks are usually soldered by the thinnest electrode with a teflon or gold covering with a high-frequency impulse (the procedure of microthermocoagulation). Similar treatment takes place without use of medicines. Microsclerotherapy allows to delete vascular asterisks which diameter exceeds 0,2 mm. In this case a superfine needle administer the drug closing a capillary gleam.
In particularly complex situations operational intervention is required. Usually with such cases patients are helped by sclerotherapy. This method allows to keep selectively healthy vessels and to delete the affected veins.
However sclerotherapy is inefficient at trophic ulcers, eczema, thrombophlebitis. Then, judging by responses, phlebologists use the combined technique combining sclerotherapy and surgery.
The varicosis is considered the most widespread disease of legs. This disease sometimes leads to such complications as a phlebothrombosis and thrombophlebitis. The separation of blood clot can lead to a lethal outcome. The laser microsurgery is considered one of the most advanced ways of treatment of varicosity. Similar treatment consists in processing of the damaged site of a vein a laser beam from within. The laser microsurgery differs in efficiency, safety and painlessness.
Medical ways of treatment allow to exclude for a long time from a blood-groove the affected veins and to lower load of healthy vessels.
Correctly picked up treatment can only slow down development of a disease, remove all its manifestations. However in the future the disease can prove again.
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