Author/Editor		Šikovec, Andrej
Title		Konzervativno zdravljenje kronične venske insufience
Translated title		Nonoperative treatment of chronic venous insufficiency
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 2
Publication year		2000
Volume		str. 141-9
Language		slo
Abstract		The treatment of chronic venous insufficiency is a considerable problem for the health care system because of the prevalence of this condition and its relatively poor prognosis. Patients presenting chronic venous insufficiency can be offered conservative or surgical treatment. Conservative treatment is the only option for those patients who cannot or will not undergo surgery. For other patients, conservative treatment is useful before surgery in order to assure the success of surgery, prevent and treat relapses and relieve symptoms. Compression therapy is the basis of conservative treatment, but it must be carefully selected and performed. To obtain the desired effect, the patient must walk on a regular basis. For some cases, especially in relapses after surgery, sclerotherapy is also available and is combined with compression therapy. Certain drugs are available to relieve the symptoms of chronic venous insufficiency. They act on the venous tone and microcirculation and successfully relieve certain symptoms of chronic venous insufficiency, especially edema. Flavonoids are the representatives of this group of drugs.
Summary		Zaradi pogostosti obolenja in relativno slabe napovedi predstavlja kronična venska insuficienca velik zdravstveni problem. Bolnikom lahko razen kirurškega zdravljenja ponudimo konzervativne oblike zdravljenja. Konzervativno zdravljenja je za nekatere bolnike, ki ne želijo ali niso primerni za kirurško zdravljenje, edina oblika zdravljenja. Pri drugih bolnikih pa ga uporabljamo za prehodno obdobje pred opracijo, za vzdrževanje željenega stanja po operaciji, za preprečitev in zdravljenje ponovitev ter za lajšanje simptomov. Temelj konzervativnega zdravljenja je zunanja kompresija, ki pa mora biti primerno izbrana in izvajana. Primerne učinke ima le ob redni hoji. V nekaterih primerih, zlasti ob ponovitvah po operativnem zdravljenju, ima pomen tudi zdravljenje s sklerozacijo. Izvajamo jo v kombinaciji z zunanjo kompresijo. Na razpolago so tudi zdravila, ki preko svojega delovanja na napetost ven in mikrocirkulacijo uspešno lajšajo nekatere simptome kronične venske insuficience, zlasti edem. V to skupino zdravil spadajo zlasti flavonoidi.
Descriptors		VENOUS INSUFFICIENCY CHRONIC DISEASE OCCLUSIVE DRESSINGS SCLEROTHERAPY SCLEROSING SOLUTIONS PATIENT SELECTION RECURRENCE TREATMENT OUTCOME CALCIUM DOBESILATE EXERCISE MUSCLE CONTRACTION