Center for veins
Varicose veins is the most common peripheral circulation disease, present in a large extent in about 30% of the adult world population, while 80% has enlarged venous capillaries. The most frequent changes are on the vein superficial system, less pronounced on deep and perforated veins.
Disturbances that indicate disease include the feeling of severe and painful legs, swellings of the leg, night cramps, rapid fatigue during standing and walking, anemia and skin itching. With visible enlarged veins, this is the most important reason and recommendation to perform a clinical and ultrasound examination of the veins and diagnosed with the diagnosis, recommend therapy and tips for lifestyle.
The medical examination is also important for the prevention of complications that can be acute and chronic. The most significant acute complication of varicose veins is vein thrombosis, common after injury, surgery, tumor, infection, pregnancy, after long journeys, in people with increased incidence of thrombosis (thrombophilia). Thrombosis, especially deep veins, can be complicated by the occurrence of pulmonary thromboembolism.
Thrombolytics, low molecular weight heparins, fibrinolytics, anticoagulant therapy and compressive therapy are used in the therapy. Common acute complications are dermatitis (skin damage), rupture of the vein (breaking of the venous wall and external bleeding) and cellulitis (skin and subcutaneous tissue infections), with elevated temperature, redness of the skin and the island. Late complications are a chronic swellings, eczema, dark brown overgrown and thickened skin, and the appearance of wounds on the lower leg (post-thrombotic syndrome, venous ulceration).
Varicose veins can be seen in more members and generations of a family, which also applies to the occurrence of complications. Therefore, early diagnosis, an insight into the history of personal and family illnesses, ultrasound examination of peripheral circulation, identification of high risk factors for thrombosis and wounds, protection of patients with established risk during surgery, long journeys by plane, during childbirth
Treatment is based on recommendations and contemporary protocols based on multicentre, randomized and controlled studies based on the classification of diseases and consensus of the world and European forums in this field of medicine.
There are six stages of the disease, therefore prevention of severe forms and complications is important. Both therapy and prevention are based on the holistic principle, the use of personalized medicine (each patient’s custom therapy), with the use of surgery (classical or laser surgery), and several drug treatment methods that involve the use of venotonics for the systemic and local use of anticoagulant drugs, compressive therapy , biostimulative lasers, lymphokinetics, linings for bandaging and other methods of phlebological therapy. Especially important are high-risk patients with abdominal, gynecological and other major operations, with malignant tumors, during radio or chemotherapy, with hereditary tendency for vein thrombosis, increased arterial pressure and coronary disease and after injuries. Their treatment requires a multidisciplinary approach and regular controls. At first medical examination and during control, patients are provided with all the necessary explanations related to therapy, nutrition, physical activity and risk factors.
It is also possible to hold lectures and workshops for patients, with detailed explanations regarding the occurrence of the disease, using special forms of therapy (elastic compressive therapy, linings for bandaging , etc.) and answers to all questions that are important for their treatment and maintenance of health .
prim dr Javorka Delić