Leczenie żylaków z refundacją NHS

Leczenie żylaków w Polsce z refundacją NHS

Przewlekła niewydolność żylna występuje w ok. 25% dorosłej populacji. Owrzodzenia podudzi zdecydowanie częściej występują u kobiet niż u mężczyzn, zazwyczaj w przedziale wieku od 50 do 80 lat.

Wiele osób pyta nas o leczenie żylaków za granicą z refundacją NHS.

Zacząć należy od tego, że według zaleceń NHS, jedynie pacjenci z objawami chorobowymi powinni być kierowani na zabiegi naczyniowe, a chirurgia estetyczna w większości przypadków nie będzie finansowana przez CCG (Clinical Commissioning Groups).

CCG zwykle finansują zabiegowe leczenie żylaków, jeśli dolegliwość ta zostanie potwierdzona za pomocą ultrasonografii duplex i kiedy występuje refluks.

Według wytycznych NHS, pacjenci powinni być kierowani na zabieg tylko jeśli dotknięci są co najmniej jedną z następujących dolegliwości:

-Pierwotne lub nawracające żylaki w połączeniu z objawami chorobowymi w kończynach dolnych (zazwyczaj ból, bolesność, dyskomfort, obrzęk, uczucie ciężkości lub świąd) poważnie wpływającymi na jakość życia pacjenta, co zostało w pełni udokumentowane (dokumentacją medyczną)

-Zakrzepica żył powierzchownych (charakteryzująca się pojawieniem się twardych, bolesnych żył) i podejrzenie niewydolności żylnej.

-Zmiany w skórze kończyn dolnych, takie jak pigmentacja lub egzema, które są prawdopodobnie spowodowane przewlekłą niewydolnością żylną

-Owrzodzenie nóg z żylakami (przerwa w skórze poniżej kolana, która nie zagoiła się w ciągu 2 tygodni)

-Wyleczone owrzodzenie nóg z żylakami

Leczenie

Techniki leczenia, które są zwykle zatwierdzane przez NHS, to techniki endovenous [typu laparoskopowego), takie jak endovenous laser ablation (EVLA) i ablacja przezskórna (RFA). Zapewniają one minimalnie inwazyjne alternatywy dla podwiązania chirurgicznego żył i usuwania żyły odpiszczelowej.

Skleroterapia piankowa zwykle nie jest finansowana, chyba że ablacja endotermiczna jest nieodpowiednia.

Otwarte operacje (podwiązanie i usuwanie żył) jest zarezerwowana dla przypadków, w których minimalnie inwazyjne opcje są nieodpowiednie. Pończochy uciskowe powinny być oferowane tylko wtedy, gdy leczenie interwencyjne nie jest odpowiednie lub pacjent odmówił takiego leczenia.
Jeśli borykają się Państwo z żylakami i kwalifikują się do leczenia zabiegowego w świetle wytycznych NHS, istnieją spore szanse, że mogą Państwo leczyć się za granicą (np. w Polsce) z późniejszą refundacją kosztów leczenia z NHS.

W razie jakichkolwiek pytań na temat leczenia za granicą z ramienia Dyrektywy EU lub usług świadczonych przez Med4EU, nasi konsultanci pozostają do Państwa dyspozycji. Prośby o kontakt prosimy wysyłać za pomocą formularza kontaktowego.

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