Phlebology is the department of vascular surgery, which deals with the treatment of diseases of the veins of the lower extremities. The question, phlebologist - who it is, is interested in those who have problems in this area, which are subject to immediate elimination in order to avoid complications and deterioration of well-being.
Phlebologist - who is this and what heals?
About this specialist, many learn, only having encountered diseases of the veins of the lower extremities. A phlebologist is a specialist who conducts an examination, diagnoses a disease and appoints appropriate treatment for each individual case. The diseases that this doctor treats are gaining momentum in recent years, so it is important not only to seek help in time, but also to know about preventive measures.
Who is a phlebologist doctor, what does he do?
Considering in more detail, what the phlebologist is doing, one must first understand the specialization and orientation. Phlebologist is a vascular surgeon, that is, a specialist in a narrow profile who treats only the veins of the lower extremities. His scope of activity includes examining the patient to identify a disease related to his profile and further treatment. If you consider the diagnosis more carefully, what the phlebologist does to detect the disease, contains several methods:
- Ultrasonic angioscanning of veins. This is a simple method that is only needed to detect blood clots in the largest vessels.
- Ultrasonic dopplerography of venous blood flow and veins. An improved version of ultrasound of veins helps to determine not only the state of the vessels, but also how much they have intensive blood flow.
- Flabonometry. Using this method, blood pressure is measured on venous walls in different states. This method helps the specialist to correctly choose the type of surgical manipulation.
- Phleboscintigraphy. In this case, the methods introduce safe radionuclides into the bloodstream, and their luminescence is observed. This helps to determine the state of microcirculation, the presence of plaques and lumen in the veins.
- Duplex scanning of veins. This is the most informative method by which diseases are diagnosed and the condition of valves, vessels and the quality of blood flow in them are determined.
- Venography. Conducting phlebography, a contrast is introduced into the bloodstream and X-rays are made. The method shows thickening and narrowing of the venous walls.
What does the phlebologist treat?
The list of diseases falling into the category, which is involved in phlebology, is extensive. Phlebologist - who is this, we figured out, but there is also a vascular surgeon - this is the one who deals with the treatment of such problems with the veins of the lower limbs:
- venous insufficiency , which has a chronic form;
- thrombophlebitis ;
- phlebitis;
- phlebeurysm;
- acute forms of vein thrombosis;
- trophic ulcers of very different localization;
- venous bleeding;
- "Elephant" of the legs (lymphaden);
- postthrombotic disease;
- intradermal varicose veins (subcutaneous dilations, venous asterisks and meshes);
- thromboembolism of the pulmonary artery .
When to contact a phlebologist?
The phlebologist will help with certain impairments in the well-being to understand their nature and prescribe a comprehensive therapy if the patient's address was at the address. Knowing the phlebologist - who it is and what diseases it treats, with the symptoms described below, you can without hesitation make an appointment with this specialist.
- frequent nocturnal cramps of the lower extremities;
- Dark legs appear on the legs;
- if there are vascular nets and asterisks;
- puffiness, fatigue, heaviness in the legs and soreness;
- If the subcutaneous tissue is markedly compacted;
- Visible nodes and venous extension on the legs;
- an unusual sensation of warmth in the muscles of the legs after minor physical exertion or after a change of posture.
There is a category of people who are shown visiting this doctor even without the presence of the symptoms listed above, in order to prevent and identify vein problems in their embryonic state.
- if in a family someone had venous diseases;
- in the presence of excess weight;
- lovers of fatty and spicy food;
- pregnancy (2-3 trimester);
- those who are regularly subjected to physical stress;
- those who lead a sedentary lifestyle;
- elderly people who do not move enough;
- abusing alcohol and having other bad habits.
How is the phlebologist's appointment?
Many who go to see this doctor for the first time are interested in how the vascular surgeon is receiving. The first thing to begin with is the collection of detailed information about the patient and anamnesis. To do this, you need to remember the maximum of information and better summarize it so as not to miss anything at the reception.
- When and how did the first symptom appear, how did they manifest themselves and under what circumstances?
- What factors influenced the symptoms positively or negatively?
- What did the patient do, did he use any medications?
How is the examination performed by a vascular surgeon?
Phlebologist and who is the vascular hurricane, we considered, but it will be useful to have an idea of how the examination is conducted by a phlebologist to prepare for him physically and morally. It is recommended that you take the necessary tests and tests before taking it, so that the reception of a phlebologist can give more complete answers to questions, including the diagnosis:
- activated partial thromboplastin time (APTT);
- prothrombin time test;
- international normalized attitude (INR);
- prothrombin index (PTI);
- fibrinogen.
Due to the fact that the specialist will conduct an external examination (physical), you need to properly prepare for it, especially in the hygienic plan: take a shower or bath, put on clean underwear and clothes, put your feet in order. This will help to avoid feelings of shame or embarrassment and will not cause unpleasant feelings in the doctor who conducts the examination.
What operations are performed by a vascular surgeon?
When the patient deteriorates, when drug therapy is powerless, the vascular surgeon phlebologist conducts surgical interventions. This is not always the usual operations, but gentle methods:
- Radiofrequency obliteration / ablation (RFO). With this method, a special electrode is treated with a vessel from the inside, which helps to get rid of pathologies.
- Sclerotherapy. Introduce a special sclerosing drug, which helps get rid of small vascular nets.
- Laser treatment (EVLK - endovenous laser coagulation of the veins of the lower extremities). This method involves a puncture of the vein and the introduction of a laser, which helps to eliminate painful formations.
- Traditional phlebectomy. This is the removal of veins and tributaries through notches.
Phlebologist advice
The advice that a phlebologist can give will help not only in the treatment of diseases, but also to prevent their appearance. Preventative measures, in particular for the risk group, are an indispensable condition for maintaining vascular health, in this case, the veins of the lower limbs. In the presence of diseases, such advice will help not to aggravate the situation and take measures to promote a speedy recovery.
Tips phlebologist for varicose veins
For those who have varicose veins, the recommendations of a phlebologist for varicose can help ease the condition and speed up the recovery process.
- Too long to stand is very harmful, so if there is no other way out, then you should try to walk around every 30 minutes.
- Periodic tossing up the feet will help improve the outflow.
- When sitting, the legs should be placed on a hill of 15-20 cm and in no case should they throw a foot on their feet.
- It is useful to arrange a contrast shower for the vessels, which contributes to their strengthening.
- Shoes with high heels, narrow and uncomfortable, are the best friend of varicose veins.
- If you have excess weight, you need to try to get rid of it, in order to reduce the excess burden on your legs.
- You must observe the water balance to avoid thickening of the blood.
- You need to eat so as to avoid constipation, which contributes to the occurrence of varicose veins.
- Excessive consumption of alcohol and smoking contribute to the emergence of varicose veins.
Tips phlebologist for thrombophlebitis
Recommendations phlebologist for a disease such as thrombophlebitis, are similar in the case of varicose veins, so the advice will be reduced to the implementation of exercises and recommendations that contribute to the prevention of the disease.
- Exercise "birch" is an excellent prevention, so it is recommended to perform regularly.
- With frequent puffiness of the lower extremities, it is recommended to put a roller at night under the feet.
- Flexibility exercises improve blood circulation and increase the elasticity of muscles, ligaments and blood vessels.
- At any convenient time, it is recommended to perform a circular rotation with stops in a counterclockwise direction.
Recovering veins - advice phlebologist
It takes a lot of time to restore the veins, but everything is possible if you approach the problem in a comprehensive manner. It is possible and necessary to use the best venotonic - phlebologist advice in this case is reduced to a list of effective remedies that are used for both treatment and prevention.
- Escuzan;
- Detraleks ;
- Angionorm;
- Venoruton;
- Glivenol;
- Dopellerts;
- Shungite;
- Ginkor Fort;
- Troxevasin;
- Antistaks;
- Venolek;
- Eszin.