Doctor-phlebologist that treats? Phlebologist - who is it that heals?

Who is a phlebologist? What doctor treats this? About this mysterious medical profession do not hear everything. People usually find out about it only after they make a diagnosis, subject to the competence of such a specialist, and sent to the treatment directly to him. Despite the fact that phlebological diseases are not uncommon, doctors of this specialization in the usual clinic is very difficult to find.

What is phlebology phlebologist and who is this?

Phlebology – it is a medical specialty that studies not only the function and structure of veins, but also develops the methods of treatment of venous diseases, their diagnosis and prevention. A special area in vascular surgery, which is preferably specializiruetsya on the veins in the lower extremities. In recent years, the phlebology develops with special intensity. The fact that the modern pace of life, environment, stress, bad habits, overwork often cause exacerbation of many diseases, including vascular. Just a few decades ago some of them didn't even know. New methods of diagnosis and careful study was given more opportunities to doctors, among whom and phlebologist. What cures this unknown doctor? This is a specialist who deals with the diagnosis, treatment and prevention of vascular diseases of the lower extremities.

History phlebology

The existence of diseases of the veins was known from the time of Ancient Egypt. Repeatedly researchers have noticed the appearance of varicose veins during the examination of excavated mummies. In addition, there were evidence that the Egyptians developed the methods of treatment of this pathology. Also confirmation of its existence was recorded in the works of ancient scientists and physicians of Hippocrates and Avicenna.

The Cause of varicose veins was able to find the Trendelenburg position only in the 19th century. According to his observations, this deviation occurs because of violations of blood circulation in the veins. In a healthy person the process occurs in such a way that receives blood from the saphenous veins into the femoral. In the case of pathology, there is reverse flow, which overflows the veins, and formed varicose. Then asked the only effective solution to the problem – removal of the great saphenous vein crossing or ligation. In the early 20th century, there have been several of these surgical interventions, but not all of them ended positively. Gradually doctors were able to develop techniques that allow to reduce the trauma of transactions to a minimum.

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When did the x-ray machine, doctors found more opportunities to investigate venous disease. To this end they injected the contrast and took a photo, which evaluated the complexity, character and specific place of the dislocation of the disease. An important role in studies of phlebology deviations belongs to domestic physicians: the Reinberg Askerkhanov, Filatov, Krakow and Bakuleva.

A Little later in medical practice there is now an innovative method of diagnostics, which everyone knows under the name ultrasound. Thanks to him it became possible to investigate not only the pathology but also the General topography of the blood vessels of patients, including recording the speed and direction of blood flow in the veins. This diagnosis significantly reduced the number of operations that have replaced the more conservative and pharmacological treatment. It was called sclerotherapy and is in the inward effect on the blood vessels through special medicines.

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Most common vascular disease

So we understand who the doctor phlebologist. What specialist treats this exactly? The most common venous diseases are varicose, thrombophlebitis and spider veins. With such pathologies most often occur in practice. A little less appeal to phlebologist with trophic ulcers, phlebopathy and venous insufficiency.

Symptoms of diseases of the veins in the legs

When you must appeal to phlebologist? Treatment of varicose veins, thrombophlebitis treatment – his specialty. But it is better not to wait for the development of the pathology and complications associated with it. Noticing the first symptoms, you should always consult with a physician to prevent the development of chronic disease. Signs that should alert patients not always obvious, and many do not take them seriously enough, starting the disease and thereby complicating its further elimination.

Noticing the protruding veins on the legs, crimson or blue shade, a dark pigmentation on the skin near the ankles or lower legs, sores in your joints, you should immediately visit a specialist. Less suspicious symptoms, e.g., pain, swelling, or intermittent cramping in the legs, also should not be attributed to fatigue or overexertion. They may indicate upcoming serious problems.

Current diagnosis

Diagnosis of the condition includes Doppler or angiography. If necessary, you will also need to undergo duplex scanning of the veins, venography or flavomaculata. On reception the doctor will certainly palpatedthe affected areas and examines visible pathological changes. Also have to do some tests. What is needed, prescribed by your doctor. For cardiovascular diseases can be checked thromboplastin or partial thrombin time, speed of blood coagulation, fibrinogen, prothrombin index, and others.

The Treatment of veins in the legs

And that cures the doctor phlebologist, certainly interested in people who are faced with pathologies that are associated with the veins. For treatment modern medicine can offer conservative and surgical methods. It is possible that for this reason, many do not know about who they can help: phlebologist or surgeon what kind of doctor treats varicose veins and thrombophlebitis.

Conservative methods include medication, compression, sclera and herbal medicine. Surgery is required in cases when therapeutic interventions are unable to cope with the disease. Then surgeons perform flebectomia, and remove the trunk of a large vein beneath the skin, eliminate reflux of blood or resort to plastic surgery of the deep veins. Varicose vein disease has several stages of development, which determines the speed and complexity of treatment.

Sclerotherapy in the treatment of diseases of the veins of the first stage

At the initial stage of the disease affects only the small vessels that has not spread to the main trunks. In such a situation the doctor is likely to insist on sclerotherapy. She has several varieties. For example, to remove veins on the legs and small veins used microsclerotherapy. It consists in the introduction into the veins with thin needles special substance sclerosant.

During echo-controlled microfoam sclerotherapy of the same substance is injected in the form of foam. This method is effective even in the treatment of pathologies thick veins and the presence of varices. Anonoscillatory involves the use of ozone-oxygen mixture, which helps to eliminate teleangiectasy. Small vessels and gears can be removed and by using a coagulation-thermal or laser. Last used even if you want to remove blood vessels on the face and other parts of the body.

Phlebectomy as a method of treatment of diseases of the veins of the second stage

This version of the doctor phlebologist in Kiev or any other city recommends that patients with stage of the disease. It differs from the first progressive destruction of the valve apparatus veins, which are the backbone and under the skin. Classic phlebectomy is performed under General anesthesia stationary. Its essence lies in removing damaged veins through incisions in the groin and at the bottom of the feet. Sometimes it is possible to avoid such interference, replacing it with radio frequency ablation, laser photocoagulation or miniphlebectomy Varadi.

Treatment of veins in the third stage of the disease

The Appropriateness of a particular method of treatment is determined by phlebologist. What heals and what techniques are usually recommended by the specialist at the third stage of varicose disease? It is accompanied by impaired venous blood flow, which formed trophic ulcers on the legs. They can have different dimensions and a depth that depends on the patient. The longer he postponed a visit to a specialist, the harder the pathological changes.

Often to the third stage leads to the negligence of the other doctors, to which the patient referred to earlier, but did not receive effective treatment, losing valuable time. Many phlebologists are trying to resort to conservative treatment and the tactics of expectations. This is necessary in order to heal ulcers, reduce inflammation and reduce their volumes. Only after that start to operate using a combined phlebectomy.

Prevention of vascular diseases of the feet

As a preventive measure for people prone to diseases of vessels of lower extremities, it is recommended to reduce the load on the legs. Homework to do in a sitting position. During the holidays use a roll of blankets or pillows placed under your legs straight. Not always, of course, but several times during the day such break, at least 15 minutes must be made. Will definitely need to exclude hot baths and forget about the Russian bath and the Finnish sauna. It is better to douche feet with cool water at least once a day. If you have excess weight, it is desirable urgently to let him go. You also need to avoid heavy lifting, wearing too tight clothes and uncomfortable shoes. You should look for a special pantyhose or stockings which is intended for fixing the vessels and reduce the load on them.

In the workplace should sit up straight, keeping your back straight, without throwing a leg over the other. The most optimal variant-to use a low footstool, or put them on the crossbar under the table, if available. Avoid flow off of the muscles from time to time change the position of the feet, move them, rotate the feet, and at least every half hour stand up from his chair to walk a bit and stretch. In the vacation, it is recommended to go to the sea. There try more to walk barefoot on grass, gravel or sand. If you have varicose veins, thrombophlebitis, venous insufficiency, ulcers, sunburn is absolutely contraindicated. More shade, less sun – now is your law. And get strengthen veins cream or geldaily use.

A Visit to a phlebologist

To treat and bring rapid results, was the most gentle and effective, it is very important to choose a specialist. Since in the normal state clinic to find it almost impossible, need personal phlebologist. Good phlebologist needs to be not only a theorist and therapist, but also a practicing surgeon. Competent advice – is the first step on the road to recovery.

That should be able phlebologist? What cures the doctor already figured out, but how he does it know, too. It is known that all the organs in the human body are linked, because any disease cannot be restricted to treatment only one of them, and should be comprehensive. So, in diseases of the vessels under attack not only the venous system but other. In addition, the effectiveness of the treatment to a greater extent is not to eliminate the consequences and manifestations, and reasons why the failure occurred. It is very important to make that connection, find the source of problem and resolve it as soon as possible and painlessly.

Most of the specialists of this area vascular surgeons. Now that you already know the expert phlebologist (who is it and what treats we wrote above), you should be well informed about the procedures that are followed by a specific doctor in your practice. Therefore it is better to ask about this at the reception to clarify the principles according to which treatment is performed, classic or surgical. Or maybe he is fluent in other innovative methods of varicose vein treatment or uses non-traditional, experimental techniques of foreign colleagues. In any case, to determine this only after a thorough diagnosis, tailored to the individual case.

The Myths of folk medicine

To Know who phlebologist that treats and what methods we can inform that in case of problems with the veins in the legs to contact without wasting time on useless wandering around the rooms of public health clinics. It is worth remembering the seriousness of the problem and in any case not to self-medicate, and especially not to use dubious folk remedies. There are many misconceptions about methods of fight against diseases of the venous system. It is necessary to dispel these myths, which has already seduced thousands of people, than hurting yourself.

So, disease of the feet is not treated by using hirudotherapy. Leeches thin the blood for a while, because it is accelerating. The patient may notice some relief, and partial disappearance of the symptoms inherent in venous insufficiency. But this is a temporary phenomenon, because the cause is still not eliminated, and the disease returns again, only in a more severe form.

You should Not believe and advertising allegedly miraculous drugs and the latest devices. If they existed, surely modern medicine would take into consideration these methods to eliminate the need of surgical operations. But they continue to be held, and phlebology is in constant search for new effective means to alleviate the suffering of patients and simplify the work of doctors. All achievements are now actively practicing professionals, and as soon as invented another drug or device, he will be in the Arsenal of private clinics.

No cabbage leaf, plantain, infusions and decoctions, and especially urine therapy will not help to heal diseased blood vessels, despite the beliefs of adherents of alternative medicine. Until the person conducting such experiments on themselves, further developing varicose veins, thrombophlebitis progresses, and spider veins on the legs grow. To help eliminate such ailments can only a good experienced phlebologist.