Роль комплексного применения компрессионного трикотажа в лечении пациентов с хроническими заболеваниями вен

В статье приведен обзор литературы о роли применения компрессионного трикотажа в комплексном лечении хронических заболеваний вен (ХЗВ). Проанализирован патогенез ХЗВ и их осложнений с вытекающей необходимостью соблюдения точно выверенного профиля давления (градуированной компрессии) при выборе компрессионного трикотажа. На основании данных литературы показано, что именно строго подобранный градиент давления гарантирует течение крови к сердцу, а не в обратном направлении или распределение крови по поверхностным венам. Корректная градуированная компрессия снижает венозную гипертензию, улучшает работу скелетно-мышечного насоса, облегчает венозный возврат и улучшает лимфодренаж, оказывая положительные физиологические и биохимические эффекты, затрагивающие венозную, артериальную и лимфатическую системы. Необходимо учитывать тот факт, что у пациентов с выраженным нарушением венозного оттока повышается чувствительность кожи, склонность к атопическим реакциям, раздражениям и различному дискомфорту при ношении компрессионного трикотажа. Это часто приводит к нерегулярному его использованию, что увеличивает сроки лечения. Таким образом, эффективность компрессионной терапии может обеспечить только компрессионный трикотаж высокого качества, подтвержденного клиническими исследованиями, имеющий международные сертификаты соответствия и широкий размерный ряд, позволяющий подбирать компрессионный трикотаж для каждого пациента индивидуально. Приведена внушительная доказательная база, включающая как международные клинические исследования, так и отечественные наблюдения, свидетельствующая о соответствии компрессионного трикотажа mediven® elegance стандартам качества RAL-387. ХЗВ и плоскостопие – связанные между собой состояния. При плоскостопии сильно страдают мышцы голени, которые вынуждены находиться в повышенном напряжении, работая с усиленной нагрузкой. Именно их работа обеспечивает нормальный отток венозной крови. Для снижения риска развития ХВН при плоскостопии рекомендуется использовать ортопедические стельки в сочетании с компрессионным трикотажем, что снижает нагрузку на ноги и способствует замедлению развития варикоза. Совместное использование ортопедических стелек и компрессионного трикотажа уменьшат боль, отеки и тяжесть в ногах, создадут комфорт, повысят уверенность при ходьбе, за счет своей конструкции обеспечат правильное положение стопы, улучшат работу мышц голени и в итоге – венозный отток.

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