What is varicose veins and how to deal with it

Health Tips

I think the only reason people don’t put up a desperate fight with her is Latin. If you google or get into Wikipedia, you will find out that varix means “bloating”, and nobody seems to have died from swelling (and such a local one, too). Well, why panic?

Let’s not be clever – and consider the picture at a completely everyday level.

What is varicose veins

Veins are essentially thick, flexible, stretchy pasta. And through them the blood flows up to the heart. According to the law of attraction, going down would be much easier and more logical. Surely this is exactly what blood would do if veins really were just pasta. But these are pretty tricky engineering systems. The blood rises through them due to the muscular-venous pump: the muscles around the veins contract, the veins too – their contents are squeezed upwards, like a paste in a tube. So that it does not immediately collapse back, a system of valves works in each “pasta”: they open only upwards, and when they try to move in the opposite direction, they close.

Varicose veins occur if gravity is stronger, blood flows down through the veins. This is possible in two cases: either the pump has failed, or the valves.

Then the flow going up meets the flow going down. At the point of their confluence, such pressure is formed that the vein bursts open – this is your first varicose vein. Having expanded in one place, the venous wall stretches further – and now, in other segments of it, the valves do not close (the size does not reach), the blood, having passed into the gap formed, begins to flow down … In the end, the upward flow stops altogether. The blood stagnates and a clot forms. Do you know what will happen if one of these blood clots (as a result of great physical exertion or, for example, during pressure drops) suddenly breaks away from its stagnant “pasta” area, enters the current flow and rushes to the lungs and heart?

Yes, varicose veins are not fatal in and of themselves, but their complications (for example, pulmonary embolism) can lead to a sad outcome. But the good news is that varicose veins can be prevented. And it can be cured.

How to prevent varicose veins

From all of the above, it should be clear: in order to avoid varicose veins, it is necessary that the blood strictly moves in a given direction. It’s generally easy. All you need is:

  1. cheat gravity;
  2. constantly activate the musculo-venous pump;
  3. keep the valves in order.

Gravity is the easiest thing to cheat. If you stand on your head, stretching your socks to the sky, then the blood flows through the veins from the legs to the heart without any additional pumps – from top to bottom (that is, anatomically just from the bottom up). Yogis don’t get varicose veins.

Well, in extreme cases, you can just lie on your back with your legs up on the wall – blood will still flow from your legs, but keep in mind that there is such a diagnosis as “varicose veins of the pelvis.”

We have to admit that living upside down is not very convenient. Especially girls, especially in skirts. So let’s look at other options.

Muscular venous pump

In order for the musculo-venous pump to constantly work and pump blood up, the calf muscle must contract. Therefore, do not forget about your legal 10,000 steps a day: you need them not only to fight excess weight. You can walk, run, swim, squat, jump and rise on your toes – the main thing is that the muscles are in good shape.

Alas, the recommendation is not particularly universal. That is, to run and jump, of course, it is necessary. But if you have flat feet, then this simple technique will not save you from varicose veins.

So in addition to just walking, you will have to add exercises to prevent flat feet.

And so that the veins are in good shape, there are creams and tablets – venotonics. True, you should not count on them as magic balms.

When there is no varicose veins, then there is no particular point in taking these drugs. And when there are varicose veins, then creams and pills are no longer enough. They are only an integral part of complex therapy, they must be taken in the pre- and postoperative period. A true varicose vein with valvular insufficiency must be operated on.

Khachatur Kurginyan

Venous valves

Compression hosiery helps to prevent them from loosening and sagging: it maintains a certain level of pressure in the lower part of the lower leg and provides blood pressure from the bottom up. But this is unlikely to be enough if heredity intervened.

Varicose veins in parents is an absolute indication for the dynamic control of the state of your veins. That is, you need to undergo duplex scanning annually. If both of your parents had varicose veins, then your chances of a similar diagnosis are 90%. If one of the parents, then this figure for women is 62%, and for men – 25%.

Khachatur Kurginyan

How to treat varicose veins

If venotonics and compression hosiery did not save you, the only thing left is surgery. Calmly! In our century, veins are not pulled out. You don’t even have to go to the hospital: everything will be done in an hour, put on compression stockings and go to work. This is called endovenous laser superficial vein ablation (EVLA).

EVLA is performed under local anesthesia, always under ultrasound control and without a single incision. A laser light guide is inserted into the vein. Then an anesthetic. It is injected from the bottom up, thereby squeezing the blood out of the vein. The wavelength of the laser beam is such that it affects only the walls of the vein. They heat up and stick together.

Khachatur Kurginyan

Voila! The walls stuck together – your pasta turned into flat noodles. It does not stick out under the skin with ugly knots, blood clots do not form in it, it does not threaten your life. Of the external injuries – only a trace of an injection. The question remains: where will the blood that used to flow through it go now?

This is a standard question. But the blood on it has not flowed for a long time. In the changed vein there is no blood flow – only stagnation. The body has already redistributed itself, sending blood into the deep vein pool. So, by gluing a varicose vein, you do not lose anything (except, perhaps, the risks of thrombosis, thrombophlebitis, trophic ulcers, bleeding from varicose veins).

Khachatur Kurginyan

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