Integrated approach
With a lesion of this magnitude, it is important to exclude a systemic cause: a pronounced network of telangiectasia in young patients is often associated with hormonal factors, contraceptive use, pregnancy, and may also accompany incompetence of the main veins. Therefore, before the course, a duplex scan of the entire venous system is mandatory. Treatment is planned as a course of several sessions, and after its completion, maintenance compression therapy is prescribed - without it, new stars appear faster.
Skleroterapiya qanday ishlaydi?
Sklerozant tomirning ichki qoplamiga nazorat ostida zarar yetkazadi. Kema yiqilib, bir-biriga yopishadi va bir necha hafta ichida eriydigan va ko'rinmas holga keladigan nozik bir shnurga aylanadi.
Usul kesmalar yoki behushlik talab qilmaydi, ambulatoriya sharoitida amalga oshiriladi va darhol normal hayotga qaytishga imkon beradi. Biroq, bu universal emas: aniq teskari qon oqimi bo'lgan katta magistrallar skleroterapiya bilan davolanmaydi - u erda lazer obliteratsiyasi kerak.
Muvaffaqiyatning muhim sharti
O'rgimchak tomirlari va mayda tomirlar ko'pincha muammoning faqat uchi hisoblanadi. Agar ularning ostida qobiliyatsiz oziqlantiruvchi magistral mavjud bo'lsa, yuzaki tomirlarning sklerozi vaqtinchalik natija beradi: bir necha oy ichida ular yana paydo bo'ladi. Shuning uchun davolanishdan oldin dupleks skanerlash majburiydir va reflyuks aniqlanganda birinchi navbatda uning sababi yo'q qilinadi.
Jarayondan keyin nimani kutish kerak
- tomirlar qorayadi va dastlabki 2-3 hafta ichida sezilarli bo'ladi - bu normaldir
- vena bo'ylab engil ko'karishlar va siqilish mumkin
- yakuniy natija 4-8 haftadan keyin baholanadi
- To'liq ta'sir odatda 2-4 seansni talab qiladi