Хочу выразить огромную благодарность хирургу Головановой О.В. и всем, кто участвовал в операции. Настоящие профессионалы. Все знакомые поразились, насколько аккуратно выглядит моя нога после операции, даже без синяков. Операция прошла очень быстро, безболезненно и спокойно. Прекрасные анестезиологи. Во время операции делают успокоительное. Комфортные палаты и скучать не приходится. Спасибо, что вы есть!
Ужасно. Наблюдалась там в 2011, понадобилось прийти в 2017 — небо и земля. Все хорошие флебологи уже давно там не работают, приемы ведут вчерашние студенты без опыта, зато с гонором и чувством превосходства над пациентами. Словно они светила мировой медицины. Больше в этот центр ни ногой.
18.11.2016 года я попала на прием к врачу Багиряну М. С. У меня врожденное заболевание сосудов. О уверил меня, что может мне помочь, но у них большая очередь на УЗИ и чтобы я не записывалась. Он сам запишет и перезвонит. А воз и ныне там. Может это у них так заведено, чтобы было меньше бесплатных пациентов.
По направлению из своей поликлиники попала к хирургу Сорокваша И. Н. За 10 минут он принял 5 человек, а перед этим опоздал на час на прием. Пациентов он не осматривает, анализы и УЗИ, с которым пришли, не читает. Сам никуда не направляет. Сразу предложил два варианта операции. Бесплатный: выдернуть вену старым дедовским способом, располосовав ногу, со страшным спинальным наркозом и неделей в стационаре, с синяками и в бинтах. И второй: платный за 80000 р., бескровный, безболезненный, домой можно уже через час. И все это не глядя на пациента! Без обследований. Вышла в шоке, настроение на 0, поднялось давление! Это так я сходила н консультацию в именитую больницу им. Пирогова. А дома обнаружила, что этот чудо доктор дал мне заключение на имя совершенно другой женщины!
Обратилась в Диагностический центр, очень всем довольна, никакой проволоки, осмотрели, рекомендовали операцию, госпитализировали. Все молодцы, профессионалы.
Не дай бог Вам попасть на прием к профессору Филлимонову. Я не получила никакой консультации. Мало того, что он изучал мои анализы и УЗИ в течении 10 минут, и потом заявил, что у меня все в порядке, и мне вообще делать УЗИ не нужно! Я страдаю серьезным заболеванием (посттромботическим синдромом и паховым лимфаденитом). Осмотрев мои ноги, он сказал, что я на себя наговариваю, хотя у меня имеются стойкие отеки и деформация нижних конечностей. Я пришла за помощью, а вышла с испорченным настроением и в результате Филлимонов переписал назначенное мне лечение в поликлинике на свое заключение, и сказал, что больше мне приходить не нужно! Я и сама больше туда ни ногой!
Диагноз тромбофлебит — уже не шутки. На проблемы с состоянием вен долго не обращал внимание. Работа стоячая. Ну, примешь таблетку обезболивающего и дальше работаешь. Да только со временем проблема перетекла в серьезное заболевание. Лечиться я пришел во флебологический консультативно-диагностический центр. Обследование, назначенное, к счастью только консервативное лечение — и я опять трудоспособен. Спасибо врачам за помощь и заботу!
Если Вы пришли на приём в диагностическое отделение на "бесплатной" основе, то Вас будут "диагностировать" месяца 2! То к одному специалисту запишитесь, то к другому, а потом придите за результатами. И везде тебя встречают "любезные" сотрудники. Но если Вы пришли "на платной основе". То перед Вами открывается спектр нереальных возможностей — сделать всё максимум за 2 часа! И сотрудники становятся действительно любезными и улыбаются тебе искренне, и анализы сразу расшифровывают, и сами за картой ходят. "Уважаемая" администрация! Мы тоже люди, нам тоже нужна помощь! А Вы предлагаете хамоватых "врачей" и долгие очереди.
Все плюсы и минусы. Стоит ли делать? Как все проходит? С чего начать? Опыт в ГКБ №1 им. Пирогова
Все рекомендации написаны исключительно под меня, советую обговорить все нюансы со своим врачем и подходить к этому с умом!
Проблемы с ногами могут возникнуть у каждого, не смотря на возраст и пол. У меня, например, торчали вены из-за чрезмерных физических нагрузок, т.е. мои проблемы носили чисто эстетический характер. От себя добавлю — занимайтесь спортом в чулках/колготках с компрессией. И ноги будут вам благодарны. Еще один момент — проходите хотя бы 1-2 раза в год сеансы лимфодренажа, либо можно купить аппарат для лимфодренажа домой и получать удовольствие чаще.
Операцию можно сделать как платно, так и бесплатно. Разница лишь в том, как вам будут ее делать. Если бесплатно — будут резать и удалять. Если платно — запаивать. В Москве цены на платную — от 50 и в небо. Естественно самая лучшая в этом плане больница — 1 Градская им. Пирогова. Делают и платно и бесплатно. Обращаться за плату в другие места я бы не советовала. Мало ли.
Чтобы попасть в эту больницу придётся выполнить квест — записаться по месту жительства к хирургу и от него получить направление в эту больницу к флебологу. Далее звоним в 1 Градскую, просим соединить с отделением флебологии, набираемся терпения (трубку они берут ну очень долго) и ждём. Обычно запись на неделю вперёд. С собой взять направление, паспорт и страховку. Приехать за полчаса и завести карту. Не перепутайте, консультативно-диагностический корпус расположен на территории Б. От м. Октябрьская (кольцевая) можно доехать до остановки Травмпункт, либо дойти пешком (около 1,5 км). Ленинский проспект 10к2. Регистратура флебологии находится отдельно, от входа налево, до конца коридора и направо. Раздевалка при входе справа.
Флеболог вас осмотрит и даст своё заключение. Будьте готовы, что вас сразу спросят — оперироваться будем или нет? Если нет, тут все понятно. Если да, вам дадут памятку с анализами и заключениями, которые нужно собрать. Предложат на выбор — платно/бесплатно. И в том и в другом случае анализы нужны, разница лишь в том, что на платной основе не нужно заключение гинеколога.
Что нужно будет собрать (все анализы по месту прописки. Приходим в свою поликлинику и даём этот лист на пост, там нас запишут):
- клинический анализ крови (срок годности месяц),
- общий анализ мочи (срок годности месяц),
- биохимический анализ крови: сахар, билирубин, мочевина, креатинин (срок годности месяц),
- кровь на сифилис (RW)/вич/гепатит С(HCV)/В(HBsAg) (срок годности месяц),
- протромбиновый индекс (срок годности 10-14 дней),
- группа крови и резус-фактор (обязательно лабораторный бланк),
- ЭКГ (срок годности месяц),
- флюорография (срок годности 6 месяцев),
- заключения от терапевта (развёрнутый диагноз), хирурга-флеболога (из Первой Градской после приема), гинеколога/уролога.
Обязательна прививка от дифтерии — без неё в стационар не положат! Все анализы имеют срок годности, не тянем с ними. Дольше всего делается анализ на вич, гепатит а/в, сифилис.
Как только мы все собрали — снова едем в 1 Градскую, чтобы записаться на операцию (очереди и там и там). Если платно — подходим к своему врачу и говорим. Если бесплатно — с пн по пт с 9 до 13 приезжаем с анализами в кабинет 221 (уточните в регистратуре, иногда меняется). Перед тем, как занять очередь, берём свою карту в регистратуре флебологии. Запись, как правило, на месяц вперёд. Можно приехать с начальным набором анализов, предварительно записаться и потом приехать снова со всем списком анализов/заключений. Тут уже ничего страшного, если у вас анализа годны ещё 2 недели, а запишут через месяц, главное, чтобы при подаче все было ок.
Как только вас запишут на операцию, вам дадут направление на госпитализацию и памятку. В памятке указано что нужно взять (паспорт/полис + их копии, халат, тапочки, гигиенические принадлежности, анализы, бинты Лаума 6 шт (их можно купить в 5 корпусе в Ортеке. Если у вас уже они были, то 3 новых и 3 старых), чулки/колготки 2 степени компрессии (важно — чулки/колготки обычные, не послеоперационные белого цвета! Вам конечно скажут, что лучше всего Bauerfeind, но на деле можно купить любой фирмы. О чулках Венотекс можно прочитать тут. Не слушайте консультанта, если он Вам скажет, что чулки брать сразу не надо. Их можно будет носить уже с первой перевязки (по усмотрению врача)). Добавлю, что лучше всего с собой взять кружку/ложку, воды и перекусить. На этаже есть холодильники.
Госпитализация проходит в будние дни с утра в корпусе 5, и в воскресенье через корпус 7 днём. В субботу госпитализации нет. Вещи берёте с собой (для этого из дома берёте 2 пакета), в кабинете сможете их сдать, либо взять в палату. В гардероб не сдаём! Рекомендую брать в палату, при выписке не нужно будет ждать когда их принесут. Далее вас проводят на 3 этаж и распределят по палатам. Дома, заранее, бреем ногу, которую будем оперировать и паховую область. На всякий случай берём бритвенный станок с собой (в крайнем случае дадут одноразовый). За один раз можно прооперировать только 1 ногу, так как большая нагрузка на организм. Вторую можно только через полгода. Там же вам дадут подписать бумажки о вашем согласии на операцию и тд. Посещение родственников с 17 до 20. Раньше не пустят, только если спуститесь к турникету на 1 этаж. Курилка на -1 этаже. С 15 до 16 тихий час, выходить из палаты нельзя. Отбой в 22, тогда же закрывают двери в отделение. Подъем в 6. В течение дня (после операции) вам будут ставить укол в живот (с утра, днём, вечером) — гепарин и мерить температуру. Могут поставить обезболивающее (в 5 точку). Палаты, как правило, на 6 человек.
В первый день вам проведут УЗИ (дополнительно могут выписать направление на УЗИ перед операцией, тоже в диагностическо-консультационном центре. Ленинский проспект 10к2), где нарисуют точки, будет встреча со врачом, он вам тоже нарисует точки/линии, с анастезиологом (спросит рост/вес, аллергические реакции), возможно, с зав.отделением. Если вы поступили в воскресенье — все эти манипуляции будут в пн с утра перед операцией.
Операции проходят в 9/11/13 плюс минус как пойдёт. В день планово госпитализируют порядка 8 человек (на бесплатной основе) + неплановые операции (кого привезут на скорой) и платные. Кормят сразу скажу — не фонтан. Но внизу есть платный «буфет». В первый день у вас будет урезанный рацион, поскольку вы только поступили. Кормят 3 раза — завтрак (примерно в 9-10), обед (13-14), ужин (17-18). В первый же день после ужина вас пригласят на клизму. После неё нельзя есть и пить после 12 часов ночи (если операция не в 1ю очередь, то можно сделать глоток воды с утра). К моменту операции (время скажет врач) за вами приедут с каталкой. Раздеваетесь догола, берёте 3 бинта и на кушетку. Перед операцией опять подписываете согласие на анестезию, в руку вводят катетер и капельницу. Далее спинальная анестезия. Поворачиваетесь на бок и вас уколят. Главное не двигаться. При хорошем раскладе вы будете в полуотрубе и ничего не почувствуете. На палец одной руки оденут датчик и манжету на вторую руку. Опять-таки, если с наркозом все ок, проснетесь только под конец, если нет — будете смотреть на часы и думать как не замерзнуть (в операционной холодно). В отражении ламп, можно понаблюдать за операцией. Разрез будет один большой в паху и несколько маленьких по всей ноге (может быть и 8 и 10 и больше, зависит от случая). Сразу могу сказать — через полгода вы их и не заметите, если только не любите загорать до режима «негр», тогда будут видны небольшие «точки». Далее вас бинтуют (обе ноги), перекладывают на каталку (в этом процессе поучаствовать тоже придётся, передвигая туловищем и помогая руками) и везут в палату, тут все повторяется, но уже с кроватью. К ногам и в пах положат бутылки со льдом. Время у каждого разного. Но обычно — ноги держим час (только прооперированную), час отдыхаем и так до ночи. Пах либо один раз — час, либо по 20 минут. С бутылками смогут помочь соседки по палате (если они есть), либо придётся самой. После наркоза каждый отходит по разному, кого-то тошнит, кого-то клонит в сон и т.д. Ноги сможете почувствовать часов через 4-5. Тогда же можно по-тихонько встать и дойти до туалета. Ногу не щадим, наступаем полностью на стопу! Покушать/попить по ощущениям, хоть сразу. Если вы не можете встать, то еду вам привезут. Не забываем до отбоя про лёд! И начинаем потихоньку ходить. После всех операций к вам зайдёт ваш врач, спросит про состояние, даст рекомендации и анастезиолог. Перед отбоем укол в живот и пытаемся уснуть. На следующий день с утра укол в живот и ближе к 9-10 на перевязку + снимут пластырь со спины (смотря как со временем у вашего врача), туда берём бинты и чулки. Оденут либо то, либо другое (зависит от врача). Скажу сразу, чулки одевать в первые 2 недели то ещё удовольствие (при выписке может быть вариант, что чулки придётся носить неделю круглосуточно). А дальше не забываем ходить/уколы/лёд. На следующий день (второй после операции и третий после поступления) с утра — укол, перевязка, завтрак, выписка. Как правило — до 11.30 (к этому времени уже нужно покинуть больницу). Выписку сохраняем, в ней рекомендации. Если чулки вам ещё не положены — придётся ходить на перевязку к хирургу по месту прописки. Записываться не нужно, просто приходите на пост, показываете выписку и говорите про перевязку.
В рекомендации будет указано — первые 5 дней колем в живот эноксапарин натрия или надропарин кальция (раз в сутки). Можно колоть самому, проблем в этом я не вижу. Боитесь — идём в поликлинику. И сразу же начинаем пить Детралекс 2 месяца (ещё есть варианты — венарус и флебодиа). Его, кстати, нужно будет пить чуть ли не до конца жизни курсом 2 раза в год по 2 месяца. Суточная дозировка 1000мг (либо одна таблетка в сутки 1000, либо две по 500). Ноги мажем гепарин содержащими мазями или гелями (10 дней). Можно просто купить гепариновую мазь. Далее нам рекомендуют сходить к хирургу. На деле — он просто спросит соблюдаете ли вы все предписания/пьёте таблетки/носите ли чулки. И скажет — приходите через полгода, сделаем УЗИ, проверим как все прошло.
А далее — два месяца восстановления. Не забываем ходить + делать упражнения для ног (их можно посмотреть на стендах/постерах на этаже, да даже в интернете), мазать ранки зеленкой, не носим ничего тяжелее 2-3 кг, каждый день как проснулись — чулки. Дома первое время тоже прикладываем лёд (3-4 дня), по крайней мере к ногам (я брала мешки для льда и пеленку, клала ее под ногу и на неё замороженные мешки со льдом). Мыться можно только через 3 дня! На 2 месяца ограничиваем себя в статических и физических нагрузках. Лучше всего не летать на самолетах, но если очень нужно — с таблетками/уколами и в чулках. Да и вообще, летать лучше всегда в чулках, ноги отекают меньше. Синяки спадут через месяц с небольшим. К концу 2 месяца все будет ок. Помните, что болезнь не ушла, не забываем и дальше следить за ногами. По прошествии этих месяцев, вы сможете либо забыть о чулках и натягивать их только при нагрузках, либо сменить класс компрессии на 1.
От меня — не затягивайте с ногами, очень многие приезжают сюда уже с осложнениями в виде тромбозов и тд, лучше выделите время и сделайте все до таких запущенных случаев. Если нет денег/вам из жалко — и бесплатно делают хорошо, не спешите бежать за кредитом!
Ходят слухи, что АНТИРЕФЛЮКС и Веносан – это аналоги института флебологии им Пирогова, отзывы свидетельствуют о распространенности этого ошибочного мнения.
Центр «АНТИРЕФЛЮКС» действительно был открыт сотрудниками НМХЦ им. Н. И. Пирогова. Еще в 2011 году Флебологический центр «Пироговки» стал лидером по количеству проведенных эндовенозных вмешательств в столице. Накопленный опыт послужил для нас стимулом основать принципиальное новое медицинское учреждение, специализирующееся на проведении лазерной облитерации варикозных вен, а также на высокоточной диагностике сосудистой патологии.
Однако открывая Центр, мы не планировали создавать аналоги института флебологии им Пирогова, отзывы о котором гремят не только в нашей стране, но и далеко за ее пределами:
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