Under Advanced thrombophlebitis
(Varicose Veins).VIETNAMESE TRANSLATE ENGLISH BY=THICH CHAN TANH.

Concept

General introduction about the disease

Thrombophlebitis is a disease characterized by inflammation in the walls of the veins in the presence of thrombosis. Inflammations, to varying degrees, can join the surrounding blood vessel tissues. Venous veins are not life-threatening, only cause discomfort, pain and interfere with activity. In addition to taking medication, it is necessary to combine with lifestyle changes. Clinically often combined treatment of both eastern and western medicine to improve the patient's condition.

Define:

Thrombophlebitis (TM) of the lower limb venous thrombosis is a condition of obstruction of the lower extremity veins, the location usually in the veins of the lower leg, thigh, ring, pelvic vein due to blood clot formation that fills the lumen.

Reason

Acute thrombophlebitis has not been clearly identified. However, a number of risk factors for leg thrombophlebitis caused by impaired functioning of the bypass valves of the peripheral vein system have been identified as:

The degenerative process due to age, due to the living or working posture must stand or sit for a long time, sedentary, have to carry heavy, obese people, ...

The above causes have caused the blood to flow down the legs, increasing the pressure in the leg veins, which will cause long-term damage to the venous valves. When these valves are weakened, the ability to prevent blood flow from flowing backwards is reduced due to the force of gravity, leading to blood stasis in the legs;

Risk factors such as: working regime (having to stand a lot, working in a humid environment), obesity, a diet low in fiber and vitamins ..

Western medicine diagnosis

General diagnosis

Clinical manifestations in venous thrombotic legs are signs of swelling, heat, redness, pain, increased muscle tone. However, because the symptoms may be unclear, special attention should be paid to favorable circumstances that increase the risk of varicose veins of the lower extremities.

Need to distinguish thrombophlebitis from lower limbs with a number of other causes that cause swollen and painful legs:

- Hematoma in muscle: usually appears after trauma

- Rupture of cocoon synovial fluid after flexion: usually in elderly patients, osteoarthritis.

Accurate diagnosis of venous blood clots is quite simple. Just using an ultrasound machine can easily detect blood clots in the veins of the lower extremities, making the venous pressure not collapse. Further diagnosis, such as finding congenital causes of coagulation disorders, or other causes (cancer, chronic disease), or diagnosing pulmonary embolism complications, often requires a baseline cardiologist, available necessary subclinical investigations for diagnosis.

Clinical symptoms

a. Functional symptoms:

- Pain or pain 1 2 feet, cramping feeling.

- Weighing 2 feet after lying, standing, sitting for a long time or decreasing when patients walk

- Pain sometimes associated with thrombophlebitis.

b. Systemic symptoms:

- Having infectious syndrome if there is thrombophlebitis

- Cardiovascular, respiratory diseases

c. Physical symptoms:

- Lower extremities with venous tufts.

- Hemorrhage on the skin.

- Ulcers.

- Touch the veins, show sclerotic vein.

- Examining other organs: Cardiovascular, respiratory, digestive, ...

- Test method: Schwarz, cough, Trendelenburg and Perthe test.

Clinical test

+ Measurement of venous pressure in the lower extremities:

- Normally, 9 out of 10 blood flow of the legs is due to deep veins.The operation of these deep veins is greatly influenced by the movement of the muscles in the legs. thrust blood back to the heart and draw blood from the shallow vein into the deep vein system.

- When measuring the deep vein pressure in the lower leg, you will see: normally in the standing position, the venous pressure is about 100 cm H2O, when the motor pressure is reduced to 50-90% compared to the original within 9-26 seconds, when resting, the pressure returns to its original level after 23-40 seconds. In deep vein occlusion, venous pressure is higher than normal, the higher the pressure movement.

+ X-ray of the lower limb veins

- Using super liquid contrast drug, dissolved in water; You can inject the drug into the vein in the inner vein shown in front of the inner ankle (for specific intravenous vein capture), inject the medicine into the vein under the vein for external vein deep vein in the waist and thigh, injecting medication into the heel bone or vein in the instep (Garo also presses the superficial vein in the ankle) to take a deep vein system. Enter the femoral vein in the inguinal fold from top to bottom in an upright position.

- Can determine the morphology, location, level of varicose veins. Especially can identify the location of the blockage or blockage of the vein.

+ Method of measuring the change of volume (Plethysmography):

A variety of methods of measuring change in volume are used in the diagnosis of superficial varicose veins:

- Method of measurement of varicose veins: because the flow of venous blood is inversely proportional to the resistance of a vein, it is possible to assess the level of venous occlusion by measuring the volume change. of the vein of the leg at the time before and after the removal of the vein at the base of the thigh.

- Measurement method of changing the volume of the lower leg: when exercising, the contractile muscles act as a suction pump, increasing the venous blood flow to the heart and thus reducing the volume of the lower leg. If the venous valve is impaired, the venous flow in the bloodstream will quickly increase the overall volume of the lower leg. Therefore, measuring the rate of change in the volume of the shin before and after exercise will assess the level of failure. of venous valves.

+ Dual Doppler ultrasound method:

-This is a method of combining Doppler ultrasound and B-mode ultrasound (B-mode): type B ultrasound allows you to see the underlying blood vessels, so you can accurately locate the static Doppler pulse circuit assesses the blood flow of those veins. This is currently the most accurate method for assessing venous dysfunction (through the regurgitation of venous blood flow).

Symptoms:

If not treated well, the disease can cause the following complications:

+ Overtreatment of legs with superficial varicose veins: leading to dermatitis, ulcers, infections, bleeding at the ulcer ... loses the patient's ability to work, even when amputated legs.

+ Thrombosis of deep veins (as a result of malnutrition ulcers and ulcerative infections in the legs): makes the disease worse, in some cases, it may cause a blockage to move up, causing obstruction of the artery, leading to death. casualty.

Preventive

+ Thrombophlebitis of the lower limb is a social disease that involves a lot of diet and work. Therefore, the general recommendation is to avoid standing long, sitting a lot, especially office workers, should not sit in one place continuously during the work session, take advantage of taking a few minutes during a working time from 30 -60 minutes. While sitting, you can coordinate leg exercise exercises to help blood circulation. Eat more vegetables, fiber, vitamins. Should exercise to lose weight such as walking at a fast pace, swimming, cycling, nourishing.

+ To slow the progression of the disease, it is necessary to eliminate harmful habits of standing, sitting for long periods, carrying heavy loads ... If the disease is in a mild stage, it can be treated to relieve symptoms with tonic drugs veins, combined with wearing elastic stockings (venous socks), create pressure to prevent blood from flowing back (bas contention). If the disease is severe, causing severe pain and bulging, it may be necessary to have surgery to remove some leg veins.

+ For office workers, typing more often should avoid sitting motionless during 8 hours of work as this will not be good for chronic venous insufficiency, as well as coronary artery disease. Should take advantage of travel around 30-60 minutes / time. While sitting, you can coordinate exercises to exercise your legs, such as: stretching your toes, flexing your ankles, tiptoing your heels, etc. to help blood flow better. Exercising by walking briskly while walking, resting, high foot is also good for venous disease. Get enough by a diet rich in fresh fruit and vegetables.

+ Walking is an important training method. However, in the lower limb venous disease, walking is not the best solution, and if walking improperly can make it worse. Should walk less, do not go too far, must walk at a high speed, avoid going continuously but should just go on vacation, resting legs high. If you have a lot of varicose veins, wear socks while walking. If possible, swimming is the most suitable sport for this pathology.

Varicose Veins Of Inflammation (下肢 静脉曲张)

Outline

A partial vein state, often in superficial areas with occlusive inflammation, emerging, reddish, shaped like a cow worm, hard, painful. This disease belongs to the category of evidence. "Weigh pomegranate", "Low-" "," Cum-injection "," Malice "," Malignant Disease "," Sickness Disease "," Thanh Xa Tien "," Thanh Po Xa Xa "," Hoang Thu Rotten".

The pomegranate scale is inscribed in Linh Khu, like foot-secreting: write, "The scale shrinks without stretching, because the evil air is hidden in the so called Pomegranate.

Foreign apexist cardboard wrote: the weight of the pomegranate shrinks with red-green color, hardens into the mass, clinically showing lower limb veins running zigzag on the skin.

In 'The Paths of Theravada' wrote: "Due to the spring, the winter must feel evil, enter the meridians, causing congested blood to cause disease".

In 'Chuan Tri Chuan, item Duong Y' wrote: “The barbaric bar, ie the barbarium above the calf, shaped like a snake, the big one has the head, the small one has the tail, at the beginning no sweat ”.

Reason

Low Temperature Aggregate: eating without moderation, like to eat delicacy (fat), hot spicy makes the Spleen lose its function of transport, low water is not transported away, faintly turned into heat , into fire poison, low heat accumulated into the circuit causing disease.

Low Welding Stagnation: infection with low welding for a long time, low colds, stall in the meridians. Low ties are sticky, fat and dirty; Welding has stagnant properties, damages the lower body, and positive air damage, causing blood gases in the legs to stop causing illness.

Can Gas Concentration: The situation of resentment, anger harming Can, Can losing the function of regulating, circulating airlessness, long-term mood that makes blood and coherent blood unintentional, congested blood congregate causing disease .

Spleen Losing Function: Long-term illness, standing for long periods or walking a lot, working too hard to make him become exhausted. Spleen master, master blood. If the spleen does not control the blood, the stasis is in the coherent or because the spleen has a low sputum production that stops in the coherent causing the disease.

Vein Injury: Due to falls, trauma, sword slash ... makes the peanut is damaged or poisoned or the blood stagnates, accumulates, does not dissolve, faints on the chemical heat cause disease.

Dialysis therapy dialectic:

Low Heat Aggregate:

Symptoms:  Severe legs, pressure, fever, skin in red areas, pain, like cold, fear of heat or poor zigzagness, depression, thirst, refusal to eat, little urine, redness, dark red tongue, moss yellow or yellow.

French treatment:  Low heat, low benefit, detoxification, connective.

- Book 'Trung Y Cuong Section' Using the article of Meditation on Lower Meditation Lower Scale:

Spleen 15g, Of course 15g, Hoàng bá 12g, X subdued spirit 15g, Dan 12g, Trach 10g, Thạch Thạch 10g, Thông Thảo 12g.

Reduction:  More heat, Honeysuckle Flower, Lien Kieu; More aches and pals Dao, Hong hoa, Nguyen.

Overlay:  Cao Hoang Kim

- The book 'Biological Medicine of Chinese Medicine Diagnosis' using the article Nhan Tran Chich Dau Thang Thang reduced: Nhan Tran 24g, Chained beans 18g, Italian people 30g, Ginseng 12g, Atractylodes, Hoang Ba, Chamber, Trach description, Boi lan, Cardamom are 9g, Locality, Dandelion are 15g, Licorice 3g. Sac drink.

Welding Low Stagnation:

Symptoms : Severe foot, pressing down deep, light, heavy, afraid of cold, uneven skin tone, calf pain, difficulty stretching, heavy leg, no strength, hesitation, poor appetite, tongue white, Te Nhu or Tram Te.

French treatment:  Wen, stagnation, low benefits, connective.

- The book 'Trung Y Cuong Muc' uses the article "Food Eaters" to decrease:

Bach 15g, Phuc Linh 15g, Moc 12g, Hau 12g, Thao nut 12g, Dai pham 15g, Moc huong 15g, Widow (prepared) 12g, Can khong 10g, Licorice 6g, Sinh khong 10g, Dai 3 apples.

Medication: An  Duong Duong Ngoc Long Cao.

- The book 'Biology of Chinese Medicine Diagnosis' uses the article Dong Quai Thang Nui Thang reduced:

Dong quai, Xich thuong, Tiu all, Trach lan Diep are 30g, Cinnamon 9g, Te Tan, Moc Thong, Chich licorice are 6g. Sac drink.

Or use Hoat Chien Thong Canopy: Herbal extract, Huyen Ho book, Quy vi, Khuong hoang diem, Xuyen pepper, Hai dong bi, Uy linh fair, Niu all, Frankincense, A medicinal, Khuong activ, Bach only, To carpentry, penthouse, Hong hoa, Tho Phuc Linh are 9g. Boil, rush and apply the affected area, 1-2 times a day, 30-60 minutes each time.

Blood stagnation stasis

Symptoms:  External skin pain, severe, tight, reddish-purple skin color, movement is painful, calf area is painful or there are poor zigzag marks, slight pressure to see tension, tongue with purple rash, deep vascular or waxy wax.

French treatment:  Activate blood stasis, air discharge approval.

- The book 'Trung Y Cuong Muc' used the song To Contemporarily decrease: Thuy Dam, Mang Trung (remove wings, legs, stars), Dao people (remove shell and sharp points), Rhubarb (remove alcohol).

Poultice:  Pulse Hoa Cao.

- Book 'Packaging of Chinese Medicine Diagnosis' uses the article "Activated Blood Circulation: Decreased: Dong quai, Dan ginseng, Ngan hoa all 30g, Chuyi, Dao nhan, Nguu all, Frankincense, An medicinal, Xuyen son" Armor, Huyen Ho book are 9g, millet blood 15g. Sac drink.

Or use Thanh Doanh Uac Thang Thang: Useful samples of draft 60-100g, Licorice, Xichthong, Dan envelope are 15g, Ornamental flower Hoa, Licorice (live) are 30g. Sac drink (Chinese medicine dermatologist).

Or use Activated Blood Stomach Stomach: Dong regulation 18g, Xich thuong, Dao Nhan, Hong hoa, Que chi, Chamber century are 9g, Dan ginseng 15g, Hoang Ky (live) 30g. Sac drink (Chinese medicine dermatologist).

Or use Hoat Huyet Khau Pham: Deposited slave 45g, Dong quai, Xich thuong, Khuong activities 30g, Dao peach, Hong hoa, Xuyen son painted, Tho nguyen 24g, Cong clove, Rhubarb (living) are 15g , Anonymous abnormalities (preparations) 60g, Moc Huong 18g ,. Finely puree, make into slabs, 0.3g each. Take 3 times a day, 10 tablets at a time (Biological Diagnosis).

Spleen weakness

Symptoms:  loss of muscle function, swollen skin area, press on concave, whitish or pale skin color, heavy legs, no strength, discomfort in upper abdomen, yellow face, stretching of legs, cold feet, loose pepper, pale white tongue, moss white tongue or dander, Tram deng.

French treatment:  Phu Ty sue Vi, useful blood oxygen.

- The book 'Trung Y Cuong Muc' uses the article Ky Ky Ky Thang reduced: Chamber, Hoang Ky (living), Bach Tram, Licorice (injection), Sinhh Khuong, Dai apple. Sac drank on a ladder twice a day

Poultice:  Pulse Hoa Cao.

- The book 'Packaging of Chinese Medicine Diagnosis' uses the article "Huong Sa Luc Quan Tu Thang" reduced: Party ginseng, Bach Trach, Phuc Linh, Hoang Ky, Moc Huong are 10g, Dan ginseng, Eastern rings, Hoat blood behind all 15g, Tran envelope, Sa nhan (for later) are 6g, Ha Thu o, Dong Quy are 12g. Sac drink.

The courage to end

Symptoms:  Chest, abdomen, ribs have unstable deadlocked blood vessels, pain like needle puncture, pain or sudden pain, often depression, sigh, with signs of Can, mossy tongue pale white, dark red tongue or purple, vein Huyen or Huyen Sap stains.

French treatment : Thanh Can, antipyretic, active blood, detox.

- Book 'Trung Y Cuong Muc' uses the article “Phuc Nguyen Hoat Thang Thang Thang”: Sai Ho 20g, Dong quai 15g, Thien hoa pollen 12g, Peach blossom 12g, Rose flower 12g, Xuyen paint armor 12g, Rhubarb 6g, Licorice 6g. Sac drinks with alcohol.

Poultice:  Pulse Hoa Cao.

- The book 'Biological Medicine of Chinese Medical Diagnosis' using the article Sai Ho Thanh Can Thang reduced: Sai Ho 6g, Hoang Cam 6g, Pepper painted 6g, Licorice 6g, Xich thuoc, Dong quai 10g, Lien Kieu 10g, Thien Hoa 10g, Tam ventilated chalk 4.5g (put in to drink), Millet blood 30g, 30g Eastern rings, Ty over 3g peanut. Sac drank on a ladder twice a day

The blood of bipolar damage

Symptoms:  clinical manifestations of veins in the lower extremities with slight swelling of the calf skin, skin color in the slightly darkened areas of the lower extremity sometimes feels as heavy as the force of the whole body. concave, well-shaped sore-like ulcer, the skin around the ulcer is dark purple. Very rarely there is a burning sensation, the skin around the ulcerative fibrosis difficult to shrink mouth ulcer red tongue moss white tongue thin depressions.

French treatment:  tonic and blood tonic clearance meridians

Using the complementary post Yang completed steps reducing white flesh 9g cinnamon 9g geo long 12g equivalent 12g knitting ginseng 15g cross frame 9g white ginseng 15g ginseng 15g royal ginseng 30g.

Topical ointment for patients with ulcer that has rotten flesh residues

Special remedies:

New Circulation Management Complete Inflammation (Scrotum Chinese Medicine Diagnosis).

Trach lan 60g, Xuyen frame, Hong hoa are 15g, Dong quy, Niu all, Moc qua are 30g, poppy body is 9g. Powder, mix with honey to make 9g, Day 2 drink in the morning and evening.

Activated Blood Of Stomach (Chinese Medicine):

Depository slaves 45g, Dong quyen, Xich thuong, Khuong activ, all 30g, Dao workers, Hong hoa, Xuyen Son (Chau), Tho nguyen all 24g, Clove of incense, Born troops all over 15g, Finished into no more than 60 tablets. Rustic 18g. Crush. Recycle into slabs, 0.3g each. Each drink 10 tablets, 3 times a day.

Using the article Dong Quy Activated Blood Thang Seasoning:

Treatment of 30 cases of vein occlusion. In which male 22, female 8, aged 25-40 is 7 people, 41 years old or older is 23 people. The youngest is 20, the oldest is 71.

Cause: due to foreign trade 9 people, infectious disease 8, after birth 1, unknown cause: 11.

Clinical condition: right calf: 19, left calf 11. Calf swelling 2cm with 14 cases, the remaining swollen 3.7cm, 4.7cm, 5.1cm, 7.1cm. Calf swelling a little (+) 12 cases, swollen to 18 cases. Heel swelling 21 cases, 9 cases. Light pressure on the calf was painful 19, strong pressure was painful 11. Duration of illness: shortest is 4 days, most of more than half a year.

Treatment:  using the article of Quy Quy Hoat Thang Thang: Dong Quy, Dan ginseng, Hong hoa are 30g, 50g Chuyi, Taurus all 20g, Xichthong 50g, Xich thuoc 50g, Xuyen Son armor (baked) 15g, Wang in circulation 40g. Sac drink. Decreasing: Due to foreign trade, blood congestion becomes more and more painful To Moc, Dao Nhan; Low heat more Hoang Spread, Trauma, Italy, Trach cholera, Pi award; Further shrinkage of model rate, Toan coincidence, Ngo Cong; Additional air damage Hoang Ky, Party ginseng, Bach Tram, Easter spirit.

Topical medicine:  Pepper 100g, Single active 30g, Herbal extract 40g, Wormwood 30g. Sac takes water, blot into towel, apply twice a day. Result: In 30 cases, from 19, reaching 63.3%, effective 9, reaching 30%, There are good changes 2, reaching 6.6%. Time to cure: at least 1 month, at most 4 months. Out of 3 months: 18 cases.

Acupuncture

Based on the business route, choose How to travel, Thai Uyen. With: Chi on Hop Coc, Khuc maintenance. Forearm selecting Introspection, Khach Trach Lower extremities: the inside of the legs select Amen Tuyen, Tam tram delivered. In the waist of the abdomen, choose Internal organs, Duong lang tuyen.Cham Binh comment. Save the needle for 30 minutes. Every 2-3 days.

Local select:

A acupuncture point. Hopes with Coc Coc, Internal Affairs, Thu Tri Ly, Khuc Tri (Chi on). Tuc tam tam, Lang lang tuyet, Tam tram giao (Chi below). Add comment to comment. Save the needle for 30 minutes. Once a day (Chinese Medicine Society Diagnosis).

Low Welding Back:

Canopy welding, low past, communication, only system. Proverbs Yang positive, Tuc tam theory, Bonded, Freedoms, Hainan, Par subjects.

Blood Impulse Blood Vessels:

Activate blood stasis, moderate blood flow. Acupuncture Blood Sea, Tam Yin delivered, Duong Lang Tuyen, Bonded, The du.

Heat Injury:

Clear heat detoxification, capital, communication. Proverbs Mace, Interior, Hop, Khuc, Chieu hai.

Unique Heat Low:

Heat detoxification, low benefit communication. Home Interior, Action, Yin, Tuyen Tam, Duong Lang Tuyen, Khuc Tri.

Blood Damage:

Useful qi, blood maintenance, communication. Cham Tuc tam, Trung Quan, Tu du, Can du, Kidney du. On one day, 20 minutes each time. 10 times is one course (Acupuncture).

Assist:

The way du, Chien trung, A acupuncture points. Use Sagebrush for 7-15 minutes, see if your skin is red. Save once a day (Chinese Medicine Doctor Diagnosis).

Revival, Thai Khe, Con lon, Chieu hai, Khau nau, Than ma, Trung phong. Use warm wormwood every 5 minutes. One day, 10 times a day is a course (Acupuncture). Note: The disease in stage 3, 4 should not use rescue.

Giac Le

The blood was released and sensed the points of the Central Committee, Tuc Lam. Do it once a day, every 10 minutes. 10 times is 1 course (Acupuncture).

Treating Lower Varicose Vein Inflammation By Western Medicine

Internally medical treatment

The primary goal of treatment for thrombophlebitis is to prevent the spread of blood clots, to prevent pulmonary embolism. The long-term goal is to avoid the risk of recurrent venous thrombosis of the lower extremities, minimizing the risk of post-thrombotic deep vein disease.

The measures used include:

- Anticoagulants, there are two types: intravenous or subcutaneous anticoagulants, heparin and low molecular weight heparin. Low-dose Heparrin TLPT is more commonly used, in a hospital setting or at home with some patients (medicine administered subcutaneously, administered by trained medical personnel or patient's family members), in within 5 - 7 days, and pillows with an oral anticoagulant called vitamin K antagonist, long-term use.

- Pressure elastic band, or medical pressure socks, has high elasticity and pressure from 20 - 30 mmHg when worn, helping to maintain a constant pressure on the veins of the lower extremities, contributing to lysis blood clots, reducing the risk of movement of blood clots, on the other hand, prevents chronic venous insufficiency complications.

Motor and nutrition regimes:

Usually, patients with thrombophlebitis of lower extremities are required to stay in bed, but after 24 - 48 hours and wear socks or pressure bandages, patients are advised to get up and walk gently. In terms of nutrition, patients are often advised to avoid foods that can cause constipation. It is important that the diet is consistent with the anticoagulant treatment regimen, limiting the foods likely to affect the effectiveness of the medication. While taking anticoagulants, patients are advised to avoid vigorous physical activity, at risk of bleeding, to avoid using nonsteroidal anti-inflammatory analgesics, aspirin, and oriental medicine because of an increased risk of bleeding. blood.

Duration of treatment:

During the course of treatment with parenteral anticoagulants, the patient will be hospitalized, on average 7 to 10 days, if there is no complication of pulmonary embolism. When switching to oral anticoagulants, patients will be monitored and outpatient. The effectiveness of oral vitamin K anticoagulants is assessed based on the INR, which requires it to be 2-3. Usually the INR is tested once a month. An INR below 2 indicates that anticoagulants are not effective, an INR above 3 indicates an overdose of the drug, there is a risk of bleeding complications. The duration of drug therapy depends on the cause, at least 3 months if thrombophlebitis has clear and temporary risk factors, over 12 months, even lifetime, if the cause is not known, thrombophlebitis recurrent vessels, or caused by coagulation disorders.

- Medical treatment with drugs to stabilize vascular walls such as Daflon, Rutin C, Veinamitol but most of them only work in the early stages of varicose veins. Some specialized physicians also apply the local method of injecting fibrosis with drugs that cause vascular fibrosis.

Surgical treatment:

Less invasive intervention:

- Currently, the method of cooling with a negative liquid nitrogen of 90 degrees to block the veins of the veins through a catheter in the veins of the veins, however, this method has a relatively high recurrence rate up to 30% of cases.

- Radiofrequency Ablation: RFA (Radiofrequency Ablation) is a method of thermal tissue destruction caused by the friction of ions in the tissue under the impact of alternating current with frequencies in the sound wave range. (200 - 1,200 MHz). The electric current is transferred to the body tissue through a needle electrode, the radio wave is transferred to the needle and generates heat. The heat caused by friction dries the surrounding tissue, leading to dehydration in the cell and the necrosis of the tissue that needs to be destroyed.

RFA aims to eliminate venous reflux blood in the large vein, usually performed for patients with leg varicose veins of level 2 or higher on CEAP. Patients with venous insufficiency who have undergone intensive medical treatment with medication and wearing pressure stockings for more than 1 month but have not relieved symptoms or did not improve clinical severity, ultrasound with reflux in the vein system, also Can be treated with RFA.

Stripping surgery, Chivas surgery:

Removal of superficial dilated veins called the Stripping method with a special device that allows the removal of veins as we make the chicken's heart and the Chivas method takes the dilated veins of the piercing system, this is the method The treatment is quite thorough and has the lowest recurrence rate.

**************************************END=NAM MO SHAKYAMUNI BUDDHA.( 3 TIMES ).GOLDEN AMITABHA MONASTERY=VIETNAMESE BUDDHIST NUN=THICH CHAN TANH.AUSTRALIA,SYDNEY.23/2/2020.