{"id":13040,"date":"2023-10-06T14:17:14","date_gmt":"2023-10-06T14:17:14","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13040"},"modified":"2023-10-09T09:34:17","modified_gmt":"2023-10-09T09:34:17","slug":"llr-policy-for-surgical-treatment-of-varicose-veins","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-surgical-treatment-of-varicose-veins\/","title":{"rendered":"Polityka LLR dotycz\u0105ca chirurgicznego leczenia \u017cylak\u00f3w"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>\u017bylaki to opuchni\u0119te i powi\u0119kszone \u017cy\u0142y, kt\u00f3re zwykle wyst\u0119puj\u0105 na nogach i stopach. Mog\u0105 by\u0107 niebieskie lub ciemnofioletowe i cz\u0119sto maj\u0105 guzowaty, wybrzuszony lub skr\u0119cony wygl\u0105d.<\/p>\n\n\n\n<p>Objawy obejmuj\u0105<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bol\u0105ce, ci\u0119\u017ckie i niewygodne nogi<\/li>\n\n\n\n<li>Opuchni\u0119te stopy i kostki<\/li>\n\n\n\n<li>Pieczenie lub pulsowanie n\u00f3g<\/li>\n\n\n\n<li>Skurcze mi\u0119\u015bni n\u00f3g, szczeg\u00f3lnie w nocy<\/li>\n\n\n\n<li>Sucha, sw\u0119dz\u0105ca i cienka sk\u00f3ra nad dotkni\u0119t\u0105 \u017cy\u0142\u0105<\/li>\n<\/ul>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje leczenie \u017cylak\u00f3w (poprzez ablacj\u0119 \u015br\u00f3db\u0142onka, skleroterapi\u0119 piankow\u0105 lub stripping chirurgiczny) tylko wtedy, gdy zostanie spe\u0142nione jedno lub wi\u0119cej z poni\u017cszych kryteri\u00f3w klinicznych *:<\/strong><br>A. Wyprysk \u017cylakowaty<br>B. Lipodermatoskleroza lub owrzodzenie \u017cylak\u00f3w<br>C. Co najmniej dwa epizody udokumentowanego powierzchownego zakrzepowego zapalenia \u017cy\u0142<br>D. Powa\u017cny epizod krwawienia z \u017cylak\u00f3w.<br>&nbsp;<br>*Kryteria te odpowiadaj\u0105 w przybli\u017ceniu etapowi klinicznemu, etiologicznemu, anatomicznemu i patofizjologicznemu (CEAP) C4 i wzwy\u017c lub klasie 4 i 5 wytycznych Nottingham\/Derby (opublikowanych w 2001 r.) \u201e\u017bylaki \u2013 kogo i co leczy\u0107\u201d.<br>&nbsp;<br>Pacjentom, kt\u00f3rzy nie spe\u0142niali kryteri\u00f3w okre\u015blonych w zasadach (tj. CEAP 2-3), mo\u017cna by\u0142o zaoferowa\u0107 porady dotycz\u0105ce wyrob\u00f3w uciskowych i stylu \u017cycia. Bior\u0105c pod uwag\u0119 naturaln\u0105 histori\u0119 \u017cylak\u00f3w, kt\u00f3ra u niekt\u00f3rych pacjent\u00f3w powoduje post\u0119p, pacjent mo\u017ce zosta\u0107 skierowany do lekarza w p\u00f3\u017aniejszym terminie, je\u015bli jego rozw\u00f3j kliniczny b\u0119dzie spe\u0142nia\u0142 kryteria.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 100: 2026 r <\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Varicose veins are swollen and enlarged veins that usually occur on legs and feet. They may be blue or dark purple and are often lumpy, bulging or [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57,1],"tags":[63,83,77],"class_list":["post-13040","post","type-post","status-publish","format-standard","hentry","category-policies","category-uncategorized","tag-general-surgery","tag-threshold","tag-vascular"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Surgical Treatment of Varicose Veins - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-surgical-treatment-of-varicose-veins\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Surgical Treatment of Varicose Veins - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Varicose veins are swollen and enlarged veins that usually occur on legs and feet. 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