{"id":18628,"date":"2026-04-30T15:18:41","date_gmt":"2026-04-30T12:18:41","guid":{"rendered":"https:\/\/evc.ee\/?p=18628"},"modified":"2026-07-06T15:20:13","modified_gmt":"2026-07-06T12:20:13","slug":"suonikohjujen-laserhoito-molemmat-jalat-samalla-kaynnilla-ilman-nukutusta-ja-sairauslomaa","status":"publish","type":"post","link":"https:\/\/evc.ee\/fi\/suonikohjujen-laserhoito-molemmat-jalat-samalla-kaynnilla-ilman-nukutusta-ja-sairauslomaa\/","title":{"rendered":"Suonikohjujen laserhoito: molemmat jalat samalla k\u00e4ynnill\u00e4, ilman nukutusta ja sairauslomaa"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]  <\/p>\n<div class=\"meta\">\n    <span class=\"meta-tag\">Laserablaatio EVLA<\/span><br \/>\n    <span class=\"meta-tag\">Suonikohjujen hoito<\/span>\n  <\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||on||||||&#8221; custom_padding=&#8221;|||20px|false|false&#8221; hover_enabled=&#8221;0&#8243; border_width_left=&#8221;3px&#8221; border_color_left=&#8221;#97CC06&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]Suonikohjujen hoito on muuttunut perusteellisesti viime vuosina. Aiemmin suonileikkaus tarkoitti yleisanestesiaa, sairaalahoitoa ja poissaoloa t\u00f6ist\u00e4. Nykyaikainen endovenoosinen laserablaatio (EVLA) tehd\u00e4\u00e4n sen sijaan paikallispuudutuksessa \u2014 potilas k\u00e4velee kotiin samana p\u00e4iv\u00e4n\u00e4 ja palaa arkeen jo seuraavana. Sairauslomaa ei tarvita.<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]Viel\u00e4 t\u00e4rke\u00e4mp\u00e4\u00e4: laserhoito soveltuu my\u00f6s potilaille, joille perinteinen avoleikkaus ei olisi vaihtoehto. Kerromme, keille ja miksi.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|10px|20px|10px|true|true&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#c9c9c9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|700|||||||&#8221; text_text_color=&#8221;#97CC06&#8243; text_font_size=&#8221;30px&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]~45 min[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]toimenpiteen kesto[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|10px|20px|10px|true|true&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#c9c9c9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|700|||||||&#8221; text_text_color=&#8221;#97CC06&#8243; text_font_size=&#8221;30px&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]0[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]sairauslomap\u00e4iv\u00e4\u00e4, arkeen seuraavana p\u00e4iv\u00e4n\u00e4[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|10px|20px|10px|true|true&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#c9c9c9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|700|||||||&#8221; text_text_color=&#8221;#97CC06&#8243; text_font_size=&#8221;30px&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]95%[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]suljetuista laskimoista pysyy suljettuna viel\u00e4 vuosien kuluttua<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Mit\u00e4 endovenoosinen laserablaatio (EVLA) on?<\/h2>\n<p><a href=\"https:\/\/evc.ee\/fi\/hoito\/suonikohjujen-laserhoito-evla\/\">Endovenoosinen laserablaatio (EVLA)<\/a> on minimaalisesti invasiivinen suonikohjujen hoitomenetelm\u00e4, jossa vaurioitunut laskimo suljetaan sis\u00e4lt\u00e4p\u00e4in laserenergialla. Toimenpide tehd\u00e4\u00e4n paikallispuudutuksessa (tuumeenanestesiassa) ultra\u00e4\u00e4niohjauksessa, ja se kest\u00e4\u00e4 noin 45 minuuttia. Yleisanestesiaa ei k\u00e4ytet\u00e4.<\/p>\n<p>Menetelm\u00e4 on Euroopan verisuonikirurgisen seuran (ESVS) vuoden 2022 hoitosuositusten mukaan ensisijainen hoitovaihtoehto potilaille, joilla on hemodynaamisesti merkitt\u00e4v\u00e4 suuren tai pienen safeenalaskimon refluksi.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_team_member name=&#8221;Dr Eeva-Liisa R\u00e4tsep&#8221; position=&#8221;laskimokirurgi \u00b7 Estonian Vein Clinic&#8221; image_url=&#8221;https:\/\/evc.ee\/wp-content\/uploads\/2026\/04\/EVC_sygis2025_2.png&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#f7f9f5&#8243; custom_padding=&#8221;20px||20px|20px|true|false&#8221; hover_enabled=&#8221;0&#8243; custom_css_member_image=&#8221;width: 100px;||height: 100px;&#8221; border_width_left=&#8221;3px&#8221; border_color_left=&#8221;#97CC06&#8243; border_radii_image=&#8221;on|100px|100px|100px|100px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_team_member][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Imett\u00e4ville \u00e4ideille \u2014 hoitoa ei tarvitse lyk\u00e4t\u00e4<\/h2>\n<p>Yksi v\u00e4hemm\u00e4n tunnettu etu: endovenoosinen laserablaatio voidaan tehd\u00e4 my\u00f6s imett\u00e4ville \u00e4ideille. Koska toimenpide tehd\u00e4\u00e4n paikallispuudutuksessa ja l\u00e4\u00e4kekuormitus on minimaalinen, imetyst\u00e4 ei tarvitse keskeytt\u00e4\u00e4. Yleisanestesiassa teht\u00e4v\u00e4 avoleikkaus sen sijaan edellytt\u00e4\u00e4 imetyksen v\u00e4liaikaista keskeytt\u00e4mist\u00e4.<\/p>\n<p>Suonikohjujen hoitoa ei siis tarvitse lyk\u00e4t\u00e4 imetysaikana \u2014 jos hoitoaihe on olemassa, toimenpiteeseen voidaan ryhty\u00e4 heti.<br \/>\n[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Verenohennusl\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00e4 ei tarvitse keskeytt\u00e4\u00e4<\/h2>\n<p>Monet verenohennusl\u00e4\u00e4kkeit\u00e4 \u2014 kuten varfariinia, rivaroksabaania (Xarelto) tai apiksabaania (Eliquis) \u2014 k\u00e4ytt\u00e4v\u00e4t potilaat olettavat, ett\u00e4 heid\u00e4n suonikohjuhoitoaan pit\u00e4\u00e4 lyk\u00e4t\u00e4. <strong>Laserhoidon kohdalla tilanne on p\u00e4invastainen.<\/strong><\/p>\n<p>Endovenoosinen laserablaatio tehd\u00e4\u00e4n paikallispuudutuksessa, eik\u00e4 liit\u00e4nn\u00e4issairauksien hoitoa yleens\u00e4 tarvitse keskeytt\u00e4\u00e4. Verenohennusl\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00e4 suositellaan usein jatkamaan my\u00f6s toimenpiteen aikana \u2014 t\u00e4m\u00e4 v\u00e4hent\u00e4\u00e4 tromboosiriski\u00e4 toimenpiteen j\u00e4lkeen.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#eef6e8&#8243; custom_padding=&#8221;|20px||20px|false|true&#8221; border_width_top=&#8221;3px&#8221; border_color_top=&#8221;#97CC06&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||on||||||&#8221; text_text_color=&#8221;#3d7a25&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]\u201eMonet potilaat olettavat, ett\u00e4 heid\u00e4n suonikohjuhoitoaan pit\u00e4\u00e4 lyk\u00e4t\u00e4, koska he k\u00e4ytt\u00e4v\u00e4t verenohennusl\u00e4\u00e4kkeit\u00e4. Todellisuudessa laserhoidon kohdalla tilanne on p\u00e4invastainen \u2014 antikoagulaatiohoidon jatkaminen leikkauksen ymp\u00e4rill\u00e4 on suositeltavaa, koska se v\u00e4hent\u00e4\u00e4 tromboosiriski\u00e4 toimenpiteen j\u00e4lkeen.&#8221;[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]\u2014 Dr Eeva-Liisa R\u00e4tsep, laskimokirurgi, Estonian Vein Clinic[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Laserhoito on siksi mahdollinen my\u00f6s potilaille, joilla on eteisv\u00e4rin\u00e4, aiemmin sairastettu syv\u00e4 laskimotukos, mekaaniset syd\u00e4nl\u00e4p\u00e4t tai muu pysyv\u00e4 antikoagulaatiohoidon tarve.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Molemmat jalat samalla k\u00e4ynnill\u00e4 \u2014 laserhoito mahdollistaa sen, avoleikkaus yleens\u00e4 ei<\/h2>\n<p>Kun suonikohjuja on molemmissa jaloissa, her\u00e4\u00e4 luonnollinen kysymys: voiko molemmat jalat hoitaa samalla kertaa?<\/p>\n<p>Avoleikkauksen kohdalla vastaus on yleens\u00e4 ei. Molemminpuolinen leikkaus yleisanestesiassa aiheuttaa suuremman verenhukan, pidemm\u00e4n toipumisajan ja huomattavasti suuremman rasituksen elimist\u00f6lle. Siksi avoleikkauksella hoidetaan yleens\u00e4 yksi jalka kerrallaan.<\/p>\n<p><strong>Estonian Vein Cliniciss\u00e4 molemmat jalat voidaan tarvittaessa hoitaa samalla k\u00e4ynnill\u00e4.<\/strong> Koska toimenpide tehd\u00e4\u00e4n paikallispuudutuksessa ja rasitus yleistilalle on v\u00e4h\u00e4inen, kahdenv\u00e4linen hoito yhden p\u00e4iv\u00e4n aikana on mahdollista. T\u00e4m\u00e4 v\u00e4hent\u00e4\u00e4 merkitt\u00e4v\u00e4sti potilaan ajank\u00e4ytt\u00f6\u00f6n, matkustamiseen ja toipumiseen liittyv\u00e4\u00e4 kuormitusta.<\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/evc.ee\/wp-content\/uploads\/2026\/04\/Fokin_siseturundus3.png&#8221; title_text=&#8221;Fokin_siseturundus3&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||on||||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]Toimenpide tehd\u00e4\u00e4n avohoidossa \u2014 potilas poistuu klinikalta samana p\u00e4iv\u00e4n\u00e4. Kuva: Estonian Vein Clinic[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Laserhoito vs. avoleikkaus<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]    <\/p>\n<div class=\"compare\">\n<table>\n<thead>\n<tr>\n<th><\/th>\n<th>Laserablaatio (EVLA)<\/th>\n<th>Avoleikkaus<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Anestesia<\/td>\n<td><span class=\"yes\">\u2713<\/span> Paikallispuudutus<\/td>\n<td><span class=\"no\">\u2717<\/span> Yleisanestesia<\/td>\n<\/tr>\n<tr>\n<td>Sairausloma<\/td>\n<td><span class=\"yes\">\u2713<\/span> Ei tarvita<\/td>\n<td><span class=\"no\">\u2717<\/span> Yleens\u00e4 tarvitaan<\/td>\n<\/tr>\n<tr>\n<td>Molemmat jalat samalla kertaa<\/td>\n<td><span class=\"yes\">\u2713<\/span> Kyll\u00e4<\/td>\n<td><span class=\"no\">\u2717<\/span> Yleens\u00e4 ei<\/td>\n<\/tr>\n<tr>\n<td>Verenohennusl\u00e4\u00e4kkeet<\/td>\n<td><span class=\"yes\">\u2713<\/span> Jatketaan<\/td>\n<td><span class=\"no\">\u2717<\/span> Keskeytet\u00e4\u00e4n<\/td>\n<\/tr>\n<tr>\n<td>Imett\u00e4v\u00e4t \u00e4idit<\/td>\n<td><span class=\"yes\">\u2713<\/span> Sopii<\/td>\n<td><span class=\"no\">\u2013<\/span> Rajoituksin<\/td>\n<\/tr>\n<tr>\n<td>Toipumisaika<\/td>\n<td><span class=\"yes\">\u2713<\/span> Minimaalinen<\/td>\n<td><span class=\"no\">\u2717<\/span> Pidempi<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<style><!-- [et_pb_line_break_holder] -->\/* \u2500\u2500 COMPARE TABLE \u2500\u2500 *\/<!-- [et_pb_line_break_holder] -->.compare{margin:24px 0;overflow-x:auto}<!-- [et_pb_line_break_holder] -->table{width:100%;border-collapse:collapse;font-size:14px}<!-- [et_pb_line_break_holder] -->thead tr{background:var(--green)}<!-- [et_pb_line_break_holder] -->thead th{padding:11px 14px;text-align:left;color:#ffffff !important;font-weight:800;font-size:11px;letter-spacing:.08em;text-transform:uppercase}<!-- [et_pb_line_break_holder] -->tbody tr{border-bottom:1px solid var(--border)}<!-- [et_pb_line_break_holder] -->tbody tr:nth-child(even){background:var(--off)}<!-- [et_pb_line_break_holder] -->tbody td{padding:10px 14px;color:var(--ink-mid);font-weight:300}<!-- [et_pb_line_break_holder] -->tbody td:first-child{font-weight:700;color:var(--ink)}<!-- [et_pb_line_break_holder] -->.yes{color:var(--green);font-weight:800}<!-- [et_pb_line_break_holder] -->.no{color:#c0392b}<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->  \/* \u2500\u2500 META \u2500\u2500 *\/<!-- [et_pb_line_break_holder] -->.meta{display:flex;align-items:center;gap:12px;font-size:12px;color:var(--ink-light);padding-bottom:20px;border-bottom:1px solid var(--border);margin-bottom:28px;flex-wrap:wrap}<!-- [et_pb_line_break_holder] -->.meta-tag{background:var(--green-pale);color:var(--green-dark);padding:3px 9px;font-size:11px;font-weight:700;border-radius:2px}<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->:root{<!-- [et_pb_line_break_holder] -->  --green:#95CC07;<!-- [et_pb_line_break_holder] -->  --lime:#97cc06;<!-- [et_pb_line_break_holder] -->  --green-dark:#3d7a25;<!-- [et_pb_line_break_holder] -->  --green-pale:#eef6e8;<!-- [et_pb_line_break_holder] -->  --green-light:#d4edbe;<!-- [et_pb_line_break_holder] -->  --off:#f7f9f5;<!-- [et_pb_line_break_holder] -->  --ink:#1e2a1a;<!-- [et_pb_line_break_holder] -->  --ink-mid:#3a4a32;<!-- [et_pb_line_break_holder] -->  --ink-light:#6b7a60;<!-- [et_pb_line_break_holder] -->  --border:#d8e8cc;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Miksi potilaat hakeutuvat hoitoon liian my\u00f6h\u00e4\u00e4n?<\/h2>\n<p>(Seuraavat luvut perustuvat Viron sairausvakuutuskassan \u2014 Haigekassa \u2014 hoitolaskuanalyysiin ja kuvaavat tilannetta Virossa.)<\/p>\n<p>Analyysi paljastaa huolestuttavan trendin. C4-vaiheen eli ihon troofisten muutosten kanssa el\u00e4vien potilaiden m\u00e4\u00e4r\u00e4 kasvoi 196:sta vuonna 2023 aina 326:een vuonna 2024. C6-vaiheen eli aktiivisen laskimohaavan potilaiden m\u00e4\u00e4r\u00e4 kaksinkertaistui samana aikana \u2014 31:st\u00e4 62:een.<\/p>\n<p>Yleiskirurgi ja European Venous Forumin j\u00e4sen dr Edgar Lipping selitt\u00e4\u00e4: &#8221;Potilas tottuu usein jalkojen raskauden tunteeseen tai turvotukseen ja hakeutuu l\u00e4\u00e4k\u00e4riin vasta, kun oireet alkavat haitata arkiel\u00e4m\u00e4\u00e4. Varhaisessa vaiheessa hoito olisi yksinkertaisempaa ja tulos parempi.&#8221;<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Milloin kannattaa hakeutua laskimokirurgin vastaanotolle?<\/h2>\n<p>Konsultaatiota kannattaa harkita, jos:<br \/>\n[\/et_pb_text][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x4e;||divi||400&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_line_height=&#8221;1.9em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]jaloissa on raskauden tunnetta, kipua tai \u00f6isi\u00e4 krampteja, jotka eiv\u00e4t helpotu tukisukilla<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x4e;||divi||400&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_line_height=&#8221;1.9em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]nilkoissa on toistuvaa tai jatkuvaa turvotusta<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x4e;||divi||400&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_line_height=&#8221;1.9em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]s\u00e4\u00e4ren alueella on ihon v\u00e4rimuutoksia, ekseemaa tai paksuuntumista<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x4e;||divi||400&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_line_height=&#8221;1.9em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]n\u00e4kyv\u00e4t suonikohjut haittaavat arkiel\u00e4m\u00e4\u00e4[\/et_pb_blurb][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x4e;||divi||400&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_line_height=&#8221;1.9em&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]pinnallinen laskimotulehdus (tromboflebiitti) toistuu<br \/>\n[\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Kaikille potilaille tehd\u00e4\u00e4n ennen hoidon suunnittelua kaksoisultra\u00e4\u00e4nitutkimus (<strong>duplex-tutkimus<\/strong>), joka n\u00e4ytt\u00e4\u00e4 laskimoston tilan ja auttaa valitsemaan sopivan hoitomenetelm\u00e4n.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Yhteenveto \u2014 laserhoito Estonian Vein Cliniciss\u00e4<\/h2>\n<p>Endovenoosinen laserablaatio on n\u00e4ytt\u00f6\u00f6n perustuva ensisijainen hoitomuoto suonikohjujen hoidossa. Sen edut avoleikkaukseen verrattuna korostuvat erityisesti kolmen potilasryhm\u00e4n kohdalla: imett\u00e4v\u00e4t \u00e4idit, verenohennusl\u00e4\u00e4kkeit\u00e4 k\u00e4ytt\u00e4v\u00e4t potilaat ja potilaat, joilla suonikohjuja on molemmissa jaloissa.<\/p>\n<p>Estonian Vein Cliniciss\u00e4 endovenoosinen laserablaatio tehd\u00e4\u00e4n paikallispuudutuksessa \u2014 ilman yleisanestesiaa, ilman sairauslomaa ja tarvittaessa molemmat jalat samalla k\u00e4ynnill\u00e4.<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;|40px||40px|false|true&#8221; border_width_all=&#8221;3px&#8221; border_color_all=&#8221;#97CC06&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Varaa konsultaatioaika<\/h2>\n<p>Ensik\u00e4ynnist\u00e4 diagnoosiin ja hoitoon keskim\u00e4\u00e4rin 7\u201330 p\u00e4iv\u00e4\u00e4<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/evc.ee\/fi\/online-ajanvaraus\/&#8221; button_text=&#8221;Varaa aika verkossa&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;width: 100%;&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/evc.ee\/fi\/hoito\/suonikohjujen-laserhoito-evla\/&#8221; button_text=&#8221;Lue lis\u00e4\u00e4 laserhoidosta&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_text_color=&#8221;#97CC06&#8243; button_bg_color=&#8221;#FFFFFF&#8221; button_border_color=&#8221;#97CC06&#8243; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;width: 100%;&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Puhelin: <strong>(+372) 619 0022<\/strong> \u00b7 Tallinn \u00b7 Tartu \u00b7 P\u00e4rnu \u00b7 Narva<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Laserablaatio EVLA Suonikohjujen hoito Suonikohjujen hoito on muuttunut perusteellisesti viime vuosina. Aiemmin suonileikkaus tarkoitti yleisanestesiaa, sairaalahoitoa ja poissaoloa t\u00f6ist\u00e4. Nykyaikainen endovenoosinen laserablaatio (EVLA) tehd\u00e4\u00e4n sen sijaan paikallispuudutuksessa \u2014 potilas k\u00e4velee kotiin samana p\u00e4iv\u00e4n\u00e4 ja palaa arkeen jo seuraavana. Sairauslomaa ei tarvita. Viel\u00e4 t\u00e4rke\u00e4mp\u00e4\u00e4: laserhoito soveltuu my\u00f6s potilaille, joille perinteinen avoleikkaus ei olisi vaihtoehto. Kerromme, keille [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":18472,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_padding=\"0px||0px||true|false\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"]  <div class=\"meta\">\r\n    <span class=\"meta-tag\">Laserablatsioon EVLA<\/span>\r\n    <span class=\"meta-tag\">Veenilaiendite ravi<\/span>\r\n  <\/div>[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"||on||||||\" custom_padding=\"|||20px|false|false\" hover_enabled=\"0\" border_width_left=\"3px\" border_color_left=\"#97CC06\" global_colors_info=\"{}\" sticky_enabled=\"0\"]Veenilaiendite ravi on viimastel aastatel p\u00f5hjalikult muutunud. Kui varem t\u00e4hendas veenioperatsioon \u00fcldnarkoosi, haiglaravi ja t\u00f6\u00f6lt eemalolekut, siis kaasaegne endovenoosne laserablatsioon (EVLA) toimub kohaliku tuimestusega \u2014 patsient k\u00f5nnib koju samal p\u00e4eval ja naaseb tavaellu j\u00e4rgmisel. Haiguslehte ei ole vaja.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\"][et_pb_column _builder_version=\"4.27.6\" _module_preset=\"default\" type=\"4_4\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]Veelgi olulisem: laserravi on v\u00f5imalik patsientidele, kellele traditsiooniline lahtine operatsioon ei sobiks. Selgitame, kellele ja miks.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_3,1_3,1_3\" use_custom_gutter=\"on\" gutter_width=\"1\" make_equal=\"on\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"1_3\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_padding=\"20px|10px|20px|10px|true|true\" border_width_all=\"1px\" border_color_all=\"#c9c9c9\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"|700|||||||\" text_text_color=\"#97CC06\" text_font_size=\"30px\" text_orientation=\"center\" custom_margin=\"||10px||false|false\" global_colors_info=\"{}\"]~45 min[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_orientation=\"center\" global_colors_info=\"{}\"]protseduuri kestus[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_padding=\"20px|10px|20px|10px|true|true\" border_width_all=\"1px\" border_color_all=\"#c9c9c9\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"|700|||||||\" text_text_color=\"#97CC06\" text_font_size=\"30px\" text_orientation=\"center\" custom_margin=\"||10px||false|false\" global_colors_info=\"{}\"]0[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_orientation=\"center\" global_colors_info=\"{}\"]haiguslehte \u2014 tavaelu j\u00e4rgmisel p\u00e4eval[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_padding=\"20px|10px|20px|10px|true|true\" border_width_all=\"1px\" border_color_all=\"#c9c9c9\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"|700|||||||\" text_text_color=\"#97CC06\" text_font_size=\"30px\" text_orientation=\"center\" custom_margin=\"||10px||false|false\" global_colors_info=\"{}\"]95%[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_orientation=\"center\" global_colors_info=\"{}\"]suletud veenidest p\u00fcsib suletuks aastate p\u00e4rast[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h2>Mis on endovenoosne laserablatsioon (EVLA)?<\/h2>\r\n<p><a href=\"\/?page_id=782\">Endovenoosne laserablatsioon (EVLA)<\/a> on minimaalselt invasiivne veenilaiendite ravimeetod, mille k\u00e4igus suletakse kahjustunud veen seestpoolt laserienergiaga. Protseduur tehakse kohaliku tuimestuse ehk tumestsentanesteesia abil ultraheli kontrolli all ning kestab ligikaudu 45 minutit. \u00dcldnarkoosi ei kasutata.<\/p>\r\n<p>Meetod on Euroopa Vaskulaarkirurgia Seltsi (ESVS) 2022. aasta ravijuhistes soovitatud esmavalikuna patsientidel, kellel on hemod\u00fcnaamiliselt oluline vena saphena magna v\u00f5i vena saphena parva refluks.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_team_member name=\"Dr Eeva-Liisa R\u00e4tsep\" position=\"Venooskirurg \u00b7 Estonian Vein Clinic\" image_url=\"https:\/\/evc.ee\/wp-content\/uploads\/2026\/04\/EVC_sygis2025_2.png\" _builder_version=\"4.27.6\" _module_preset=\"default\" background_color=\"#f7f9f5\" custom_padding=\"20px||20px|20px|true|false\" custom_css_member_image=\"width: 100px;||height: 100px;\" border_width_left=\"3px\" border_color_left=\"#97CC06\" border_radii_image=\"on|100px|100px|100px|100px\" global_colors_info=\"{}\"][\/et_pb_team_member][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h2>Imetavatele emadele \u2014 ravi ei pea edasi l\u00fckkama<\/h2>\r\n<p>\u00dcks v\u00e4hem teadaolevaid eeliseid:<strong> endovenoosset laserablatsiooni saab teha imetavatel emadel<\/strong>. Kuna protseduur toimub kohaliku tuimestusega ja ravimikoormus on minimaalne, ei ole rinnaga toitmist vaja katkestada. Lahtine operatsioon \u00fcldnarkoosis seevastu n\u00f5uab toitmise ajutist katkestamist.<\/p>\r\n<p>Veenilaiendite ravi ei pea imetamisperioodil edasi l\u00fckkama \u2014 kui n\u00e4idustus on olemas, saab tegutseda kohe.<\/p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h2>Verevedeldajate v\u00f5tmist ei pea katkestama<\/h2>\r\n<p>Paljud patsiendid, kes v\u00f5tavad verevedeldajaid \u2014 nt varfariini, rivaroksabaani (Xarelto) v\u00f5i apiksabaani (Eliquis) \u2014 eeldavad, et nende veenilaiendite ravi tuleb edasi l\u00fckata. <strong>Laserravi puhul on olukord vastupidine.<\/strong><\/p>\r\n<p>Endovenoosne laserablatsioon tehakse kohaliku tuimestusega ning kaasuvate haiguste ravi ei pea reeglina katkestama. Verevedeldajate v\u00f5tmist palutakse tihti j\u00e4tkata ka protseduuri ajal \u2014 see v\u00e4hendab tromboosiriski protseduurij\u00e4rgselt.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" background_color=\"#eef6e8\" custom_padding=\"|20px||20px|false|true\" border_width_top=\"3px\" border_color_top=\"#97CC06\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"||on||||||\" text_text_color=\"#3d7a25\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]\u201ePaljud patsiendid eeldavad, et nende veenilaiendite ravi tuleb edasi l\u00fckata, kuna nad v\u00f5tavad verevedeldajaid. Tegelikult on laserravi puhul olukord vastupidine \u2014 antikoagulatsiooni j\u00e4tkamine on n\u00e4idustatud perioperatiivses perioodis, kuna see v\u00e4hendab tromboosiriski protseduurij\u00e4rgselt.\"[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"]\u2014 Dr Eeva-Liisa R\u00e4tsep, venooskirurg, Estonian Vein Clinic[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\"][et_pb_column _builder_version=\"4.27.6\" _module_preset=\"default\" type=\"4_4\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]Laserravi on seet\u00f5ttu k\u00e4ttesaadav ka patsientidele, kellel on kodade virvendusar\u00fctmia, s\u00fcvaveenitromboos anamneesis, mehaanilised s\u00fcdameklapid v\u00f5i muu p\u00fcsiva antikoagulatsiooni vajadus.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h2>M\u00f5lemad jalad samal seansil \u2014 laserravi v\u00f5imaldab, lahtine operatsioon reeglina mitte<\/h2>\r\n<p>Kui veenilaiendid on m\u00f5lemal jalal, tekib loomulik k\u00fcsimus: kas saab ravida m\u00f5lemad jalad korraga?<\/p>\r\n<p>Lahtise operatsiooni puhul on vastus reeglina eitav. Kahepoolne operatsioon \u00fcldnarkoosis on seotud suurema verekaotuse, pikema taastumisaja ja oluliselt suurema koormusega. Seet\u00f5ttu ravitakse lahtise meetodiga reeglina \u00fcht jalga korraga.<\/p>\r\n<p><strong>Estonian Vein Clinicus saab vajadusel ravida m\u00f5lemat jalga samal seansil.<\/strong> Kuna protseduur tehakse kohaliku tuimestusega ja koormus \u00fcldseisundile on v\u00e4ike, on kahepoolne ravi \u00fchel p\u00e4eval teostatav. Patsiendi ajaline, logistiline ja taastumisega seotud koormus v\u00e4heneb oluliselt.<\/p>[\/et_pb_text][et_pb_image src=\"https:\/\/evc.ee\/wp-content\/uploads\/2026\/04\/Fokin_siseturundus3.png\" title_text=\"Fokin_siseturundus3\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_font=\"||on||||||\" global_colors_info=\"{}\"]Protseduur on ambulatoorne \u2014 patsient lahkub klinikust samal p\u00e4eval. Foto: Estonian Vein Clinic[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"]<h2>Laserravi vs lahtine operatsioon<\/h2>[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"]    <div class=\"compare\">\r\n      <table>\r\n        <thead><tr><th><\/th><th>Laserablatsioon (EVLA)<\/th><th>Lahtine operatsioon<\/th><\/tr><\/thead>\r\n        <tbody>\r\n          <tr><td>Anesteesia<\/td><td><span class=\"yes\">\u2713<\/span> Kohalik tuimestus<\/td><td><span class=\"no\">\u2717<\/span> \u00dcldnarkoosi<\/td><\/tr>\r\n          <tr><td>Haigusleht<\/td><td><span class=\"yes\">\u2713<\/span> Ei ole vaja<\/td><td><span class=\"no\">\u2717<\/span> Tavaliselt vajalik<\/td><\/tr>\r\n          <tr><td>M\u00f5lemad jalad korraga<\/td><td><span class=\"yes\">\u2713<\/span> Jah<\/td><td><span class=\"no\">\u2717<\/span> Reeglina ei<\/td><\/tr>\r\n          <tr><td>Verevedeldajad<\/td><td><span class=\"yes\">\u2713<\/span> J\u00e4tkatakse<\/td><td><span class=\"no\">\u2717<\/span> Katkestatatakse<\/td><\/tr>\r\n          <tr><td>Imetavad emad<\/td><td><span class=\"yes\">\u2713<\/span> Sobib<\/td><td><span class=\"no\">\u2013<\/span> Piirangutega<\/td><\/tr>\r\n          <tr><td>Taastumisaeg<\/td><td><span class=\"yes\">\u2713<\/span> Minimaalne<\/td><td><span class=\"no\">\u2717<\/span> Pikem<\/td><\/tr>\r\n        <\/tbody>\r\n      <\/table>\r\n    <\/div>[\/et_pb_text][et_pb_code _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"]<style><!-- [et_pb_line_break_holder] -->\/* \u2500\u2500 COMPARE TABLE \u2500\u2500 *\/<!-- [et_pb_line_break_holder] -->.compare{margin:24px 0;overflow-x:auto}<!-- [et_pb_line_break_holder] -->table{width:100%;border-collapse:collapse;font-size:14px}<!-- [et_pb_line_break_holder] -->thead tr{background:var(--green)}<!-- [et_pb_line_break_holder] -->thead th{padding:11px 14px;text-align:left;color:#ffffff !important;font-weight:800;font-size:11px;letter-spacing:.08em;text-transform:uppercase}<!-- [et_pb_line_break_holder] -->tbody tr{border-bottom:1px solid var(--border)}<!-- [et_pb_line_break_holder] -->tbody tr:nth-child(even){background:var(--off)}<!-- [et_pb_line_break_holder] -->tbody td{padding:10px 14px;color:var(--ink-mid);font-weight:300}<!-- [et_pb_line_break_holder] -->tbody td:first-child{font-weight:700;color:var(--ink)}<!-- [et_pb_line_break_holder] -->.yes{color:var(--green);font-weight:800}<!-- [et_pb_line_break_holder] -->.no{color:#c0392b}<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->  \/* \u2500\u2500 META \u2500\u2500 *\/<!-- [et_pb_line_break_holder] -->.meta{display:flex;align-items:center;gap:12px;font-size:12px;color:var(--ink-light);padding-bottom:20px;border-bottom:1px solid var(--border);margin-bottom:28px;flex-wrap:wrap}<!-- [et_pb_line_break_holder] -->.meta-tag{background:var(--green-pale);color:var(--green-dark);padding:3px 9px;font-size:11px;font-weight:700;border-radius:2px}<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->:root{<!-- [et_pb_line_break_holder] -->  --green:#95CC07;<!-- [et_pb_line_break_holder] -->  --lime:#97cc06;<!-- [et_pb_line_break_holder] -->  --green-dark:#3d7a25;<!-- [et_pb_line_break_holder] -->  --green-pale:#eef6e8;<!-- [et_pb_line_break_holder] -->  --green-light:#d4edbe;<!-- [et_pb_line_break_holder] -->  --off:#f7f9f5;<!-- [et_pb_line_break_holder] -->  --ink:#1e2a1a;<!-- [et_pb_line_break_holder] -->  --ink-mid:#3a4a32;<!-- [et_pb_line_break_holder] -->  --ink-light:#6b7a60;<!-- [et_pb_line_break_holder] -->  --border:#d8e8cc;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/style>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\"][et_pb_column _builder_version=\"4.27.6\" _module_preset=\"default\" type=\"4_4\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]<h2>Miks j\u00f5uavad patsiendid ravile liiga hilja?<\/h2>\r\nTervisekassa raviarvete anal\u00fc\u00fcs n\u00e4itab murettekitavat trendi. C4 staadiumis ehk naha troofiliste muutustega patsientide arv kasvas 2023. aasta 196-lt 2024. aastal 326-ni. C6 staadiumis ehk aktiivse veenihaavandiga patsientide arv kahekordistus samal perioodil \u2014 31-lt 62-ni.\r\n\r\nDr Edgar Lipping, \u00fcldkirurg ja European Venous Forumi liige, selgitab: \u201eSageli harjub patsient jalgade raskustunde v\u00f5i tursega ja p\u00f6\u00f6rdub arsti poole alles siis, kui s\u00fcmptomid hakkavad igap\u00e4evaelu segama. Varajases staadiumis oleks ravi lihtne ja tulemus parem.\"\r\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h2>Millal p\u00f6\u00f6rduda veenikirurgi poole?\r\n<\/h2>\r\nKonsultatsiooni tasub kaaluda j\u00e4rgmistel juhtudel:\r\n[\/et_pb_text][et_pb_blurb use_icon=\"on\" font_icon=\"N||divi||400\" icon_placement=\"left\" content_max_width=\"100%\" _builder_version=\"4.27.6\" _module_preset=\"default\" body_line_height=\"1.9em\" global_colors_info=\"{}\"]Jalgade raskustunne, valu v\u00f5i \u00f6ised krambid, mis ei parane kompressioonsukkadega[\/et_pb_blurb][et_pb_blurb use_icon=\"on\" font_icon=\"N||divi||400\" icon_placement=\"left\" content_max_width=\"100%\" _builder_version=\"4.27.6\" _module_preset=\"default\" body_line_height=\"1.9em\" global_colors_info=\"{}\"]Korduv v\u00f5i p\u00fcsiv pahkluude turse[\/et_pb_blurb][et_pb_blurb use_icon=\"on\" font_icon=\"N||divi||400\" icon_placement=\"left\" content_max_width=\"100%\" _builder_version=\"4.27.6\" _module_preset=\"default\" body_line_height=\"1.9em\" global_colors_info=\"{}\"]Naha pigmentatsioon, ekseem v\u00f5i paksenemine s\u00e4\u00e4re piirkonnas[\/et_pb_blurb][et_pb_blurb use_icon=\"on\" font_icon=\"N||divi||400\" icon_placement=\"left\" content_max_width=\"100%\" _builder_version=\"4.27.6\" _module_preset=\"default\" body_line_height=\"1.9em\" global_colors_info=\"{}\"]N\u00e4htavad veenilaiendid, mis h\u00e4irivad igap\u00e4evaelu[\/et_pb_blurb][et_pb_blurb use_icon=\"on\" font_icon=\"N||divi||400\" icon_placement=\"left\" content_max_width=\"100%\" _builder_version=\"4.27.6\" _module_preset=\"default\" body_line_height=\"1.9em\" global_colors_info=\"{}\"]Korduv pindmine tromboflebiit[\/et_pb_blurb][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<p>K\u00f5igile patsientidele tehakse enne ravi planeerimist <strong>dupleks-ultraheliuuring<\/strong>, mis n\u00e4itab veenis\u00fcsteemi seisundit ja aitab valida sobiva ravimeetodi.<\/p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" hover_enabled=\"0\" sticky_enabled=\"0\"]<h2>Kokkuv\u00f5te - laserravi Estonian Vein Clinicus<\/h2>\r\nEndovenoosne laserablatsioon on t\u00f5endusp\u00f5hine esmavalik veenilaiendite ravis, kuid selle peamised eelised lahtise operatsiooni ees ilmnevad eriti selgelt kolme patsiendir\u00fchma puhul: imetavad emad, verevedeldajaid v\u00f5tvad patsiendid ja m\u00f5lema jalaga patsiendid.\r\n\r\nEstonian Vein Clinicus tehakse endovenoosne laserablatsioon kohaliku tuimestusega \u2014 ilma \u00fcldnarkoosita, ilma haigusleheta ja vajadusel m\u00f5lemat jalga samal seansil. [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.27.6\" _module_preset=\"default\" background_enable_color=\"off\" custom_padding=\"|40px||40px|false|true\" border_width_all=\"3px\" border_color_all=\"#97CC06\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_orientation=\"center\" global_colors_info=\"{}\"]<h2>Broneeri konsultatsioon<\/h2>\r\n<p>Esmasest p\u00f6\u00f6rdumisest diagnoosini ja ravini keskmiselt 7\u201330 p\u00e4eva<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_2,1_2\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_padding=\"0px||0px||true|false\" global_colors_info=\"{}\"][et_pb_column type=\"1_2\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_button button_url=\"https:\/\/evc.ee\/broneeri-online\/\" button_text=\"Broneeri aeg online \" button_alignment=\"center\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_button=\"on\" button_text_size=\"16px\" custom_css_main_element=\"width: 100%;\" global_colors_info=\"{}\"][\/et_pb_button][\/et_pb_column][et_pb_column type=\"1_2\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_button button_url=\"https:\/\/evc.ee\/ravi\/ravi-veenide-laserravi-evlt\/\" button_text=\"Loe laserravi kohta l\u00e4hemalt\" button_alignment=\"center\" _builder_version=\"4.27.6\" _module_preset=\"default\" custom_button=\"on\" button_text_size=\"16px\" button_text_color=\"#97CC06\" button_bg_color=\"#FFFFFF\" button_border_color=\"#97CC06\" custom_css_main_element=\"width: 100%;\" global_colors_info=\"{}\"][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.6\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.6\" _module_preset=\"default\" text_orientation=\"center\" global_colors_info=\"{}\"]<p>Telefon: <strong>(+372) 619 0022<\/strong> \u00b7 Tallinn \u00b7 Tartu \u00b7 P\u00e4rnu \u00b7 Narva<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[24],"tags":[],"dipi_cpt_category":[],"class_list":["post-18628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-fi"],"_links":{"self":[{"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/posts\/18628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/comments?post=18628"}],"version-history":[{"count":2,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/posts\/18628\/revisions"}],"predecessor-version":[{"id":18631,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/posts\/18628\/revisions\/18631"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/media\/18472"}],"wp:attachment":[{"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/media?parent=18628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/categories?post=18628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/tags?post=18628"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/evc.ee\/fi\/wp-json\/wp\/v2\/dipi_cpt_category?post=18628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}