Table of contents:
- Vascular mesh: how to get rid of an unsightly "pattern" on the eve of summer
- Why does someone get varicose veins, and someone does not?
Video: Vascular Mesh: How To Get Rid Of An Unsightly "pattern" On The Eve Of Summer
Vascular mesh: how to get rid of an unsightly "pattern" on the eve of summer
The quarantine will end and the issue of wearing shorts and skirts will become relevant. Here are the ways to remove vascular patterns
Chronic venous insufficiency or varicose veins of the legs is a common problem in girls and women of all ages, as well as in men, although it is somewhat less common. Based on the data of the Russian study SPECTRUM, we today say that about 80% of patients with chronic venous insufficiency are women, the proportion of men is about 20%.
It all starts with someone with non-transient telangiectasias - thin cobwebs - blood vessels of blue or red color on the thighs or lower legs, someone with bulging saphenous veins, often under the knee. In either case, the legs look ugly, you have to say goodbye to short skirts and shorts.
It also happens that there are no external manifestations, just by the evening the legs get very tired, "buzz", swell, and the person does not even understand that this is not at all a sudden onset of old age, but a consequence of impaired venous outflow. Heaviness in the legs and fatigue are the most common complaints, occurring in 75 and 72% of patients, respectively, 56% complain of pain.
The good news is that it is fixable and treatable, and the state of health and appearance, do not rush to throw out short skirts and shorts.
There is also bad news, you have to accept that this is a disease caused by the imperfection of your vascular apparatus and will stay with you forever. Therefore, you need to treat your legs all your life, to be observed by a special doctor regularly, in much the same way as we visit a dentist.
Varicose veins can be of other localizations, for example, the scrotum, pelvis, esophagus. But today we are talking about legs.
Why does someone get varicose veins, and someone does not?
Now the causes of varicose veins are being studied using high-precision modern methods at the cellular and molecular levels.
The research results suggest a great importance in the development of pathology of dysfunction of the endothelium (inner layer) of the vascular wall as a result of its damage by leukocyte metabolites, changes in reparative processes, deformation of smooth muscle cells. (V.S.Saveliev, 2001; Yu.L. Shevchenko, 2005).
The reasons are deep, they cannot be fixed forever, a hereditary factor is important in the occurrence of pathology, because the structure of your vessels is about the same as that of your ancestors.
Risk factors for chronic venous insufficiency and the appearance of ectasias (enlargement) are pregnancy and childbirth - in first place in frequency, sedentary work - in second place, standing work (for hairdressers, teachers, salespeople) - in third place, followed by hard physical labor taking female hormonal drugs. Overweight is found in 60% of patients. However, the manifestation of the disease also occurs in thin, athletic athletes, because, as mentioned above, there is a hereditary predisposition.
The disease has several stages, the set of symptoms is different for everyone. Someone is worried about an ugly vascular network, someone is swollen and bursting in the legs in the evening, there may be cramps, pain, burning along the veins.
Chronic venous insufficiency is by no means harmless, it is not only an ugly streak of varicose veins. The disease progresses over time and if not treated, by the patient's old age it can significantly worsen the quality of his life, accompanied by a feeling of fullness in the legs, swelling and pain, cause dangerous conditions, thrombophlebitis and thrombosis. Therefore, it is important not to let the venous blood flow on its own.
In any incomprehensible situation, the most sure thing is to contact a specialist. We asked Anastasia Andreevna Akulova, a doctor, cardiovascular surgeon (she is also an insta blogger on the topic of health doctor_akula):
- Anastasia Andreevna, is it possible to cure varicose veins so that the legs are beautiful again, without visible veins, without swelling and pain?
- It is possible, modern methods allow you to achieve good results. And you need to start with an accurate diagnosis. It is imperative to do an ultrasound examination of the legs with a detailed description. It is important how the vein passes, what diameter it is, the condition of its valves throughout, the osteal valve (large), there are additional veins. The doctor must examine the patient and the ultrasound results, find out all the details of the course of the disease, and then choose the optimal treatment.
This includes compression hosiery and medicines for external and internal use. Wearing compression hosiery (special stockings, knee-highs, tights) is recommended for physical exertion, pregnancy, standing or sitting for a long time (in a car, plane). And not only for those who have a diagnosis (knitwear prevents the progression of the disease), but also for healthy people without complaints in the presence of risk factors. Compression hosiery exerts a certain pressure on the limbs, due to which the blood flow from the feet to the heart improves.
Venotonics are drugs that strengthen and heal the vascular wall. Topical creams and gels can help relieve pain and heaviness in your legs.
If you are concerned about the external manifestations of the disease, when the legs are lined with threads of red and blue or bulging veins, conservative treatment is not enough.
This is the actual operation - phlebectomy, surgical removal of the affected veins and a number of techniques, the essence of which is to turn off the affected veins from the bloodstream by sclerosing them.
We will not now talk in detail about phlebectomy, this is a separate topic, there are a lot of nuances in it, we will just mention what is used in the last stages of chronic venous insufficiency, there are pronounced venous nodes, thrombophlebitis, trophic ulcers, severe edema.
Sclerotherapy is performed in several ways.
Injection. The doctor injects a special substance - sclerosant into the lumen of the affected vein and it sticks together, small vessels that feed from it disappear, and new healthy ones are formed instead of them over time. Today drugs are used in the form of foam, it fills the lumen of the vessel more effectively. The doctor seals the injection site, making a tight bandage, a compression stocking is put on the leg, in which the patient will have to walk for about a week. Two or three sessions of sclerotherapy are most often enough to remove visible veins of medium diameter in case of non-advanced stages of the disease.
By laser minimally invasive surgery. This is the introduction of a thin light guide into the lumen of the vein, through which laser radiation acts on the walls of the vessel, the vessel is coagulated and excluded from the bloodstream. Such an operation is carried out stationary without special preparation.
Using a laser system. The very same vascular network, consisting of small vessels into which the syringe needle cannot be inserted, is removed using a laser system without puncture and any damage to the skin. Outside, the doctor uses equipment to affect the changed areas of the vessels, the impact is targeted. Their walls heat up and stick together. After the procedure, there is sometimes a slight redness and tingling sensation, everything goes away without treatment within a few days. Depending on the area of the vascular network, several treatment sessions are required, on average 2-4. Compression stockings are not required after the procedure.
Anastasia Akulova recommends avoiding direct sunlight after laser sclerotherapy for about two weeks.
It is important to understand that if you have varicose veins, you have to live with it. Not paying attention is a bad tactic, fraught with unpleasant complications in the future.
In order not to bring the matter to blood clots and trophic ulcers in old age, it is wiser to go to a vascular surgeon from a young age, take prescribed medications, wear compression hosiery, coagulate blood vessels and prevent the progression of the disease.