It is believed that varicose veins can represent a purely aesthetic problem, and a matter of self -acceptance like pop star Nelly theftoDo, That on Instagram he wrote “I have varicose veins and my mother, my aunts and life remind me, so I think it is why I have not yet separated from them”. Actually, explains the Professor Edoardo Cervi, Vascular surgeon at the San Camillo nursing home in Milan “Varicose veins are a I disturb which must be treated, because otherwise we meet complications such as the trombosthe”.
The varicose veins I am a chronic venous pathology Very common, which mainly affects the lower limbs. They present themselves as dilated veins, swollen and visible under the skin. In Italy, about the 50% of women suffers from some form of venous insufficiency, with a greater impact between the 40 and 60 years. However, the disorder can also occur in the younger age, especially in the presence of predisposing factors as heredity, pregnancies, sedentary life or Activities that force to stay up for a long time.
Symptoms of varicose veins
Varicose veins can manifest themselves with signs visible and symptoms functionalwho tend to worsen during the day or in summer, especially after having been standing for a long time.
The most common symptoms are:
-Seration of heaviness in the legs (More marked in the evening, after many hours standing or sitting.
-ankle and feet noise (edema) It worsens in the heat and can be intermittent or chronic.
-Wolor or burning along the course of the veins
-Forms or cramps, especially at night
-Prier on the skin in correspondence of the veins
-dry, red or dark apest
-Lence venous (in serious or neglected forms) : painful lesions, often around the malleolus (internal ankle).
The summer season represents a particularly critical moment for those suffering from varicose veins, making the prevention and adoption of strategies even more important to relieve symptoms.
“In particular,” warns Professor Cervi, “it’s really in the summer months that specialists observe greater complications of this pathology “.
The problems caused by the heat
High temperatures cause a natural dilation of the blood vessels. This process makes the return of the blood to the heart more difficult, promoting the venous stagnation in the legs and therefore the aggravation of the varices.
In summer, symptoms such as:
-Ceck in the legs
-Agonfiore (especially to ankles and feet)
-Formiculi and cramps, especially at night
-Procrito or burning sensation along the dilated veins
With the heat and the lighter clothing, the varicose veins become more visible, with a psychological and aesthetic impact, which can create discomfort in those who suffer from it.
Graduated compression stockings, essential to manage venous insufficiency, are often poorly tolerated during the summer due to the heat. This leads many people to suspend their use, further worsening the symptoms.
The heat promotes the retention of liquids in the tissue, contributing to swelling and a sense of fatigue in the lower limbs.
Summer is also the holiday period: long car trips, train or plane, with many hours in the seat, further slow down the circulation, increasing the risk of swelling and worsening of varices. A solution is to get up every now and then and walk (with the excuse maybe to go to the toilet) by plane and on the train, or if you are in the autistrada stop and take a walk.
Exposing yourself to the sun for long periods without protection or without adequate cooling of the legs can worsen venous dilation and the feeling of heat and discomfort.
Varicose veins: the “strategy” for the summer
The therapeutic path that works for the summer it includes to put very high protection (at least 50) and Avoid sun exposure in the hottest hours“But the question also concerns heat and not only the sun,” underlines Professor Cervi. «Even being under the umbrella, therefore, during the hottest hours is harmful, better then walking in the water or making frequent showers to cool the skin. Personally, I always recommend going to the sea the early hours of the morning and then late in the afternoon ».
Varicose veins are eliminated or treated When they cause important disorders such as Flebititi (inflammation of the veins), superficial or deep venous thrombosis, venous ulcers (chronic skin lesions, often near the ankle, or a strong aesthetic discomfort (Very evident veins, serpiginous, branched, visible on thighs or calves). However, these are “procedures that are reserved, except exceptional cases, exclusively to the period between September to April/May, that is, in the season with lower temperatures”.
But how is the type of treatment decided to eliminate varicose veins? “Beyond the aesthetic factor, we try to understand If the symptoms have become persistent, if they have worsened over time or if they appeared signs of complications (Persistent swelling, intense pain, skin changes, ulcers) », explains Cervi. “A angiological visit with the vascular specialist it is the first step, followed by a ecoocolordoppler (ultrasound that also makes use of colorful visual values ​​to analyze blood vessels), an examination that is fundamental for the diagnosis and to establish how and with which treatment proceed”.
Final treatments: which are?
1. mini-invasive fees Transdermal lasermainly used for surface capillaries. It is the emission of laser energy that coagulates the vase, making it disappear.
Radio frequencyused for the closure of the large Safena vein and for the treatment of varicose veins in general. RadioFrequency generates heat, through which the vein is coagulated
Both The techniques have the advantages of leaving less visible scars, of presenting quick recovery times, and of being performed under local anesthesia.
«It is a procedure that consists in theinject a sclerling substance transformed into foam directly in the varicose vein. This foam irritates the internal wall of the vein, causing its closure and subsequent reabsorption by the body “.
«The sclerosante foam – underlines Cervi – is certainly one of the Latest innovations In the phlegmological field, it is a painless procedure, it does not require anesthesia, this too is really Opoco invasive. It is also important to say that the patient can immediately resume his daily activity “.
In the Cases more gravi, when venous ulcers are risked, deep venous thrombosis, superficial phlebitis, «it is performed – Cervi concludes – the surgical treatment, which can consist of Safenectomywith rimottion or occclusion of the vena safena (the vein mainly involved in the varices, surgery often performed with the method of stripping (removal via a thread) or with endovascular techniques (laser or radio frequency). It is also possible to resort to phlebectomythat is to Removal of varices through small skin engravings ».
Non -definitive therapies (for the winter months)
In winter, the problems related to varicose veins tend to attenuarsI respect the summer, but do not disappear completely. Indeed, there are some specific critical issues of the cold season that can negatively affect the venous circulation. The main problems for those suffering from varicose veins during the winter: the greater sedentary lifestyle, heavy and adhering clothes (which often compress tissues, causing venous stasis), richest diet and weight gain (overweight is an aggravating factor for varicose veins, as it exerts greater pressure on the legs and veins), the less hydration (in the cold months it drinks less, consequently the blood becomes less fluid and more dense).
“First we owe take care of the nutrition “says Deer. “It is now clear that the weight worsen The venous insufficiency, because the blood of the veins goes from the feet to the heart and to go up it must win the force of gravity, let alone if it must also fight with the extra pounds! Then it is useful to reinforce the venous walls with the so -called phlegonics, Fruit -derived concentrates acting on the venous system by improving the vasal tone and reducing the symptoms of heaviness and swelling. For example, the bromelinewhich derives from the pineapple, the meliotthe centella asianall substances that have their scientificity, which derive from natural substances. Also to be taken, also i drugs anti -inflammatory venous wall. We use the non -summer months also for the use of compressive socks. All patients with venous insufficiency of the lower limbs must put the elastic socks that exist of two types: preventivethose who measure themselves in money and can be purchased in clothing stores, suitable for those who have to stand all day for work, and those and those therapeutic who are prescribed by the doctor to patients with a pathology and are measured in mm of mercury or compression class: these are found in pharmacies and health and orthopedic parapharmacies, they are a therapeutic medical garrison and therefore deductible from health expenses “.
And what about lifestyle? “Surely Alcohol and smoke aggravate the situation. A correct lifestyle is fundamental for the entire cardiovascular system, therefore also for the veins ». I see patients who are 20-25 years old with a few varicose veins, but then smoke and take the pill and with this combination they run a very high risk of thrombosis. So absolutely no smokingespecially in combination with the birth control pill ».
Source: Vanity Fair
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