Запускать варикоз ни в коем случае нельзя: со временем болезнь приобретает угрожающую форму для здоровья и жизни пациента. Заболевание так видоизменяет венозные сосуды, что в любой момент может образоваться тромб, а чем чревато наличие тромба, знают все: если он отрывается, летальный исход неизбежен. А ведь варикоз – это заболевание, которое можно победить. Современная медицина предлагает большой выбор методов лечения.
Лечение варикозного расширения вен лазером – одна из самых современных и эффективных методик устранения пораженных вен. Ее суть заключается в тепловом воздействии лазера на просвете вены. В результате такого воздействия вена как будто склеивается – и варикозный участок исчезает. Вена «проваривается» по всей стенке и через некоторое время превращается в тяж соединительных тканей.
Лазерная облитерация («спаивание» вены)
ЭВЛО вен проводится под местной анестезией и сопровождается непрерывным контролем УЗИ. Благодаря этому вероятность повреждения других сосудов приближена к нулю. Разрезы во время операции не делаются. Вена пунктируется иголкой в подколенной области, и вводится местный анестетик. Затем по бедру проводится лазерный световод, после чего начинается процесс «выжигания» вены. Длина волны воздействует только на венозную стенку, абсолютно не нагревая окружающие ткани. Режим лазерного воздействия определяет специальная компьютерная программа на основании диаметра варикозной вены и толщины ее стенки.
По длительности процедура занимает не более 1 часа. После ее завершения надевается специальное компрессионное белье – и через пару минут пациент уже может идти домой. Учитывая минимальную травматичность данного метода лечения варикоза, реабилитационный период также не требуется.
Однако важным условием постоперационного этапа является выполнение нескольких простых правил. Если после обычных хирургических вмешательств пациентам рекомендуется лежать, то после лазерного – ходить. После процедуры необходимо совершить пеший променад. Не менее 4–5 километров шагом. В течение нескольких недель ходить нужно не менее 1 часа. Также следует отказаться на время лечения от физических нагрузок в спортзале, походов в сауну, спа-кабинеты, солярий.
Таким образом, лечение варикоза лазером в Москве не требует пребывания пациента в стационаре.
Преимущества методики
- самый низкий процент выявленных послеоперационных осложнений по сравнению с другими методами лечения варикозной болезни ног;
- отсутствие синяков и гематом;
- отличный косметический эффект;
- отсутствие болевых ощущений во время процедуры;
- отсутствие тяжелого послеоперационного периода, сопровождающегося болями и ограничениями в движениях;
- возможность вернуться к привычному образу жизни в тот же день;
- практически в 100% случаев методика позволяет добиться абсолютного избавления от варикоза.
Однако при недостаточном профессионализме врача, проводящего операцию, лечение варикозного расширения вен лазером может не дать ожидаемых результатов. Опытный врач-флеболог перед началом лазерного лечения учитывает несколько факторов: протяженность и диаметр пораженного сегмента, соотношение с окружающими тканями и степень извитости. Все эти сведения специалист получает с помощью ультразвукового дуплексного сканирования. На основании результатов составляет так называемую «флебокарту», которая и является основанием для выбора лечебной тактики.
Показаниями для проведения ЭВЛО являются:
- варикозное расширение магистральных вен любого диаметра;
- трофические нарушения голени;
- расширение боковых притоков магистральных вен и перфорантов;
- в случае если ствол пораженной вены делает изгиб, вводят два световода.
Но существует и ряд противопоказаний:
- запущенная ишемическая болезнь сердца и стенокардия;
- аритмия;
- недавно перенесенные инсульты и инфаркты миокарда;
- критическая ишемия нижних конечностей;
- тромбофилия (заболевание проявляется в склонности к образованию тромбов);
- наличие сопутствующей патологии, которая требует первостепенного лечения;
- случаи, когда пациент не в состоянии встать и ходить самостоятельно.
Серьезные соматические состояния являются серьезными противопоказаниями для проведения операции лазером у пациентов с варикозным расширением вен.
Многих интересует вопрос, как подготовиться к операции лазером? Пациент должен сдать анализы крови, мочи и анализ крови на коагулограмму. При себе также нужно иметь заключение результата УЗИ вен нижних конечностей и знать свою группу крови. Заранее необходимо позаботиться о компрессионном госпитальном белье, которое надевается сразу после проведения операции.
Доктор Семенов А. Ю. окажет Вам квалифицированную помощь в лечении варикозного расширения вен лазером в Москве. Сегодня специалиста называют одним из лучших хирургов-флебологов в России, основываясь на его колоссальном опыте в области лечения варикоза эндовазальными методами. Он также является уважаемым экспертом в области ультразвуковой диагностики. За свою многолетнюю карьеру доктор Семенов помог избавиться от варикоза уже более чем 7000 человек. Применение лазера в борьбе с недугом в его клинике эффективно в 100% случаев.
Результаты лечения
Лечение пациентки лазерной процедурой ЭВЛК Biolitec с минифлебэктомией
Вашему вниманию я хочу предоставить с одной стороны уникальный, а с другой стороны абсолютно рядовой случай лечения варикозного расширения вен левой нижней конечности с помощью процедуры эндовазальной лазерной коагуляции ЭВЛК Biolitec радиальным световодом 2-Ring с минифлебэктомией по Варади на голени и бедре.
История болезни пациентки Л., 55 лет, которой было проведено лечение варикоза без операции
Лечение варикоза лазером (ЭВЛК): быстро, доступно, комфортно
В третьем тысячелетии технологии, которые внедряются в медицину, обеспечивают качественное лечение любых заболеваний. Варикоз – недуг, который заметно помолодел, ведь сегодня его диагностируют не только у пожилых, но и у молодежи. Прогрессивные методики позволяют сделать борьбу с такой патологией безболезненной и эффективной, и лазер является передовым. Эндовазальная лазерная коагуляция – инновационный и впечатляюще результативный подход .
Стоимость процедуры:
Лазерная коррекция вен с использованием лазерного немецкого оборудования BioLitec (I категории)
Лазерная коррекция вен с использованием лазерного немецкого оборудования BioLitec (II категории)
Лазерная коррекция вен с использованием лазерного немецкого оборудования BioLitec (при остром тромбофлебите)
Лазерная коррекция перфорантных вен с использованием немецкого оборудования BioLitec
Эндовенозная лазерная коагуляция и ее суть
Существующая сегодня методика лечения варикоза лазером основана на использовании лазерной тепловой энергии – производится так называемая эндовенозная термооблитерация/коагуляция, термическая абляция. По сути – патологическая вена попросту «заваривается». Технология в действии выглядит так:
Первый этап – анестезия. Здесь достаточно местного обезболивания.
В венозный просвет вводится инструмент – оптоволоконный световод, который благодаря своему крохотному диаметру будет продвигаться внутри вены, воздействуя на нее высокоинтенсивным излучением.
Путь следования светодиода (лазера) начинается в области под коленом, а заканчивается в соустье паха.
Удаление вен лазером происходит при непосредственном участии флеболога, который контролирует весь ход благодаря передаче на экран изображения с допплера.
Суть методики в том, что за счет действия лазера происходит ожог внутренней венозной стенки и так называемое заклеивание просвета вены. Говоря обычным языком: больной сосуд закупоривается, происходит его заклеивание. При этом, такое лечение может производиться на венах любого диаметра. И происходит оно комфортно и эффективно.
Плюсы процедуры
Лечение вен описываемым методом становится все более популярным среди разных слоев населения. Если еще пять-семь лет назад процедура была малодоступной, то сегодня в Москве сделать ее не составит труда. Положительными качествами этой инновационной методики справедливо считают:
Быстроту ее проведения в сочетании с минимальными неприятными ощущениями и общим комфортом больного.
Высокоточные результаты и возможность достичь поставленной цели за один сеанс.
Отсутствие болей в процессе и после проведения лазерной коагуляции. У пациента не остается неэстетичных следов на коже, он не теряет работоспособность.
Длительность процедуры занимает от получаса до часа, а проводят такое лечение исключительно в амбулаторном режиме. Чем раньше пациент запишется к флебологу, тем проще будет устранить недуг, сделать ноги здоровыми.
Так же Вас может заинтересовать инновационная технологи Радиочастотная абляция (облитерация), которая позволяет эффективно, быстро, безболезненно устранить патологической венозный рефлюкс магистральных вен.
Лечение варикоза лазером гарантирует успешный результат: до 98%, как показывает статистика. Этот показатель ушел далеко вперед, если сравнивать с другими методиками, однако есть и один минус – стоимость процедуры. Инновационное оборудование вкупе с высокими результатами оправдывают ее размеры, ведь пациенту не нужно тратить свое время и средства на другие сопутствующие моменты традиционного лечения – длинный список медикаментов, исследования, повторные консультации, стационарную реабилитацию.
Диагноз за один прием со 100% точностью
Поставим диагноз со 100% точностью, благодаря применению инновационного оборудования и современных технологий
Укажите контактный номер, чтобы получить консультацию или записаться на первичный прием.
Время проведения:
10-14 минут
Контраст. вещество:
по показаниям врача
Подготовка:
в некоторых случаях
Варикоз – болезнь, которая имеет различные стадии. Определить, какая из них у конкретного пациента может только врач – никакие самодиагностики или народные средства здесь не работают. Инновационное лечение для вен показано как на ранних стадиях, так и в сложных случаях, когда варикоз у человека уже давно. В зависимости от того, какие вены повреждены, выбирают и лазерные волокна (они бывают разных типов).
Торцевые световоды – первоначальный вариант, на сегодняшний день они считаются устаревшими, и в нашей клинике они не применяются.
Радиальные световоды, которые в свою очередь делятся на:
Ультратонкие (slim) – используются при коагуляции тонких вен, например, перфорантов или притоков;
Двухколечные (2 ring) и класические – применяються в лечении крупных извитых вен;
Лазерная коагуляция варикозных вен – востребованная процедура, доказавшая свою высокую эффективность. Кроме варикоза лечение лазером назначается:
При врожденной ангиодисплазии.
Если есть трофические поражения кожи в сочетании с перфорантным сбросом.
Хотя такой тип воздействия показан многим пациентам, страдающим от варикозного расширения вен и других проблем с сосудами, есть ряд случаев, когда лазерную коагуляцию вен делать не рекомендуют:
Если у пациента диагностировано атеросклеротическое поражение.
Есть сахарный диабет, который не компенсирован препаратами.
Имеются соматические расстройства тяжелого характера.
Пациент имеет сложные формы аритмии, перенес один или несколько инфарктов или инсультов.
Как и любой медицинский протокол, лазерное лечение варикоза требует определенных мер накануне:
Обязательно нужно сообщить флебологу о том, какие препараты принимает пациент (гормоны, кардио- или другие). Женщинам надо обсудить с доктором менструальный цикл и его периодичность, в зависимости с чем определить лучшие дни для проведения процедуры.
Перед проведением коагуляции надо поесть (меню облегченное), принять душ.
Одежда должна быть комфортной – из натуральных тканей, без резинок и молний.
Стоит отказаться от применения определенных косметических средств (в особенности в зоне проведения процедуры).
В течение 15 дней после процедуры следует соблюдать ограничения на физические нагрузки, отказ от посещения SPA-салонов, бань и соляриев, приема спиртных напитков, ношения обуви на высоком каблуке. Обязательны ежедневные паручасовые пешие прогулки и ношение компрессионного трикотажа.
Вся процедура занимает немногим больше получаса. Последующие за лазерной коагуляцией 15 дней будут сопряжены с некоторыми незначительными ограничениями: физические нагрузки снижены, никаких спа-салонов и саун, солярий и баня также под запретом. Не рекомендуется алкоголь (любой), курение. А вот ежедневные прогулки на воздухе при условии ношения специального компрессионного трикотажа (подбирается в ходе лечения доктором-флебологом) только приветствуются.
Стоимость процедуры доступна широкому кругу пациентов, которые имеют проблемы с сосудами и венами. Лазер сделает вены здоровыми вне зависимости от того, какова причина болезни. Варикоз перестанет пугать вас, а услуга избавления от него займет один прием. Да и подготовка не станет камнем преткновения для проведения медицинских манипуляций на инновационном оборудовании. Обращаясь в нашу клинику, вы уже очень скоро поймете, что сделали правильный выбор: здоровые сосуды ног будут напоминать об этом каждый день!
Подробные цены можно посмотреть здесь.
Процедуру ЭВЛК нижних конечностей выбирает всё больше и больше людей. Непрестанно возрастает количество положительных мнений об ЭВЛК. Отзывы о такой методике впечатляют, доказывая её неоспоримые преимущества и высочайшую эффективность.
Эндовазальная лазерная коагуляция (ЭВЛК) – малоинвазивная методика лечения варикозного расширения вен малого таза и нижних конечностей. В «Бест Клиник» используют лазер, работающий в гемоглобиновом и водном спектрах, с точным дозированием мощности луча. С его помощью врач устраняет расширенную вену, не затрагивая здоровые ткани. Частота повторного появления варикоза при использовании лазеров не превышает 5%.
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Содержание
Механизм действия ЭВЛК.
Показания и противопоказания.
Подготовка к процедуре.
Как проходит лечение вен лазером.
Акция
Акция
Цены на услуги
Преимущества «Бест Клиник»
Врачи
Оборудование
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Подробнее о лазерном лечении варикоза
Механизм действия ЭВЛК
В просвет вены помещают лазерный световод, проводящий от генератора световое излучение в двух спектрах – гемоглобиновом (970 нм) и водном (1560 нм). Жидкая фракция и клетки крови поглощают излучение в гемоглобиновом спектре, а затем выделяют тепло. Непосредственно сама стенка поглощает и коагулирует под излучением в водном спектре. В результате происходит коагуляция сосуда, его стенки склеиваются, он выключается из кровотока.
Вокруг вены вводят холодный озонированный физраствор. Он помогает избежать нагревания соседних тканей под действием лазера, поэтому они не травмируются. После лечения не остается косметических дефектов: шрамов или следов удаления вен. Процедура проходит под контролем ультразвука, хирург видит движение световода по сосуду, что исключает вероятность ошибок.
Показания и противопоказания к ЭВЛК
Эндовазальная лазерная коагуляция подходит каждому пациенту, если нет противопоказаний. Врач порекомендует ЭВЛК, если выявлено небольшое количество расширенных венозных сосудов, а ствол большой подкожной вены расширен не более, чем на 15 мм. Если диаметр вены больше 15 мм, ее отделяют от здоровых вен с помощью поперечного разреза, а потом также коагулируют с помощью лазера. Больная вена должна иметь ровный просвет, без изгибов и препятствий для продвижения световода.
Противопоказания к лазерному лечению варикоза:
- повышенная свертываемость крови;
- острые заболевания и хронические болезни в стадии обострения;
- воспалительный процесс в пораженной вене;
- нарушение артериального кровоснабжения нижних конечностей;
- беременность.
Подготовка к процедуре
Подготовка к процедуре заключается в диагностике состояния вен и лабораторном скрининге: анализы крови и мочи, госпитальный комплекс (ВИЧ, сифилис, гепатит). Затем пациент получает консультацию флеболога, который рекомендует подходящий метод лечения. В «Бест Клиник» вы можете пройти обследование и осмотр врача в один день без очередей и ожидания, операция назначается на удобное для вас время.
В диагностику вен входит:
- дуплексное сканирование на УЗ-сканере Logiq S6 – помогает врачу оценить состояние глубоких и поверхностных вен;
- ультразвуковая допплерография – метод оценки венозного кровотока.
Перед процедурой примите гигиенический душ, нельзя делать эпиляцию или пользоваться кремом для тела. Наденьте свободную одежду, так как после операции на конечность накладывают бандаж. Заранее подберите компрессионный трикотаж, его носят не менее двух месяцев после лечения.
Как проходит лечение вен лазером?
Процедура проводится амбулаторно в дневном стационаре «Бест Клиник». Используется СО² лазер LUMENIS ЗОС – он обладает достаточной мощностью, работает в водном и гемоглобиновом спектре.
Врач обрабатывает кожу анестетиком и делает прокол, через который в просвет вены вводится лазерный световод. Лазерная коагуляция проводится под тумесцентной анестезией – анестезирующий раствор вводят в пространство вокруг сосуда. Световод лазера проводят до конца вены, затем подают на него энергию и постепенно вынимают из сосуда, коагулируя его. Врач контролирует ход процедуры с помощью УЗ-сканера. После лечения на конечность накладывают повязку и компрессионный бандаж.
Перед уходом домой проводится итоговый осмотр врача и консультация по послеоперационному восстановлению.
Послеоперационный период
После операции нет значительных ограничений, но в течение рекомендованного времени нужно:
- носить компрессионный трикотаж – первые двое суток он нужен даже ночью, позже его надевают, не вставая с постели и снимают только на период сна;
- отказаться от посещения бани, сауны, загара в солярии и на пляже;
- избегать интенсивных физических нагрузок, при этом обязательна ходьба не менее, чем 1.5 часа в день.
В послеоперационном периоде пациента наблюдает флеболог, первый осмотр с обязательным ультразвуковым сканированием назначают через сутки.
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