硬化疗法是改善腿部静脉曲张和蜘蛛静脉外观最常见的治疗方法. 它也用于治疗由这些病症引起的症状, such as aching, swelling and burning.
Sclerotherapy
硬化疗法包括直接向静脉曲张或蜘蛛静脉注射化学溶液. The solution causes the vein walls to swell, stick together and seal shut, stopping the flow of blood. As a result, the vein fades within a few weeks.
静脉曲张是由静脉瓣膜的薄弱或损坏引起的. 心脏通过动脉将富含氧气的血液输送到身体. Veins then carry the blood from the body back to the heart. As your leg muscles squeeze, 它们将血液从你的下半身推回到心脏,对抗重力的流动.
静脉有瓣膜,充当单向皮瓣,防止血液在腿部向上流动时回流. If the valves become weak, blood can leak back into the veins and collect there, causing veins to enlarge and become varicose.
Spider veins can develop from weak or damaged valves as well. 它们也可能由激素变化、暴露在阳光下和受伤引起.
Preparation
If you are considering sclerotherapy, 您将与皮肤科十大赌博平台排行榜进行会诊,讨论您的美容目标,并确定硬化疗法是否是满足您需求的最佳方法. Your surgeon will examine the veins you would like treated, 还会检查你是否有更严重的静脉问题. Photographs may be taken for before and after results.
You will also discuss your medical history, including previous surgeries, present and past health problems, medications, 以及你正在服用或曾经服用过的营养和草药补充剂.
If you decide to have sclerotherapy, 你的十大赌博平台排行榜会在手术前给你具体的指导. 你的十大赌博平台排行榜也会检查你经常服用的药物,并告诉你是否需要在治疗前停止服用.
你的十大赌博平台排行榜可能会建议你在硬化治疗后穿紧身衣,以帮助愈合和减少肿胀. You will be told where you can buy them before your procedure.
Procedure
硬化疗法不需要麻醉,通常在皮肤科十大赌博平台排行榜的办公室进行. The procedure takes about 15 to 30 minutes, 但确切的时间长短取决于治疗区域的大小和静脉的数量.
根据静脉的大小,一条静脉可能需要注射多次. Treatment must be performed weeks or months apart. Multiple veins may be injected during one treatment session.
在手术过程中,你要仰卧,双腿稍微抬高. 在用细针将溶液插入目标静脉之前,你的十大赌博平台排行榜会清洗要治疗的区域. The solution causes the vein walls to swell, stick together and seal shut, stopping the flow of blood. As a result, the vein fades within a few weeks.
当针头插入静脉时,你可能会感到轻微的刺痛或痉挛. Be sure to tell your doctor if you have any discomfort.
After the injections, 你的十大赌博平台排行榜会按压和按摩治疗部位,以防止血液进入注射静脉并分散溶液. 可将压缩垫贴在注射部位以保持该区域的压缩.
Recovery
After the procedure, 重要的是要四处走走,以防止在腿部形成血栓. Most people return to their normal activities on the same day.
你的十大赌博平台排行榜会给你具体的康复指导,包括:
- 手术后两周内避免暴露在阳光下. 注射引起的炎症加上阳光照射会导致皮肤上出现黑斑, especially if you already have a dark skin tone.
- 穿紧身衣以保持对治疗静脉的压迫.
Side Effects
Sclerotherapy is a simple and typically safe procedure. 然而,与任何手术一样,它确实有一些风险,可能会产生副作用.
注射部位可能出现的暂时性副作用包括:
- Stinging or pain at the sites of injection
- Swelling of the ankles or feet, or muscle cramps
这些副作用通常发生在使用高渗盐水溶液时.
- Red, raised areas at the injection sites
这些类似于荨麻疹,应该在一天左右消失.
- Brown lines or spots on the skin at the injection sites
Darkened areas may result when blood escapes from treated veins. They are probably formed from iron in the blood. 这些深色区域更常出现在静脉较大或容易晒黑的患者身上. 在大多数情况下,它们会在一年内消失,但有时会持续更长时间.
- 大血管注射部位附近的细红血管群
大约三分之一的患者会形成血管群,尤其是在大腿上. Most disappear by themselves, some need additional injection treatments or laser therapy, and a few vessels may not disappear with treatment.
- Small, painful ulcers at treatment sites, 哪一种会在治疗后或几天后立即出现
当一些溶液逃逸到周围皮肤或进入治疗部位的小动脉时,就会发生这种情况. They can be successfully treated, 但重要的是要立即告诉你的皮肤科十大赌博平台排行榜,如果他们发展.
- Temporary bruises
瘀伤通常发生在激光治疗后,可能与血管壁薄有关. They usually disappear in a few weeks. Occasionally, bruising occurs after sclerotherapy.
- Allergic reactions to sclerosing solutions
Although allergic reactions are uncommon, they can be treated. 如果你确实有过敏反应,立即通知你的皮肤科十大赌博平台排行榜.
- Inflammation of treated blood vessels
这是非常罕见的,但可以用阿司匹林等药物治疗, compression, antibiotics or heat.
- Lumps in injected vessels
Lumps are caused by coagulated blood. 它们是不危险的,注射后几周可能会被皮肤科十大赌博平台排行榜排出.
- Burning with discoloration of the skin
UCSF Health medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.