Preciso tratar minha safena. O que tem de melhor?

Pacientes de ambos os sexos podem relatar dores, cansaço, queimação, formigamento, inchaço e ardência nas pernas tendo ou não varizes. Em alguns casos, eles podem ter problemas nas veias safenas e não saber. Este quadro pode afetar tanto pacientes de 20 quanto de 70 anos.

Existem diversas técnicas para tratar estes casos, mas a escolha deve ser feita pelo cirurgião vascular. O profissional irá avaliar a localização, o tamanho e a extensão das varizes, além da presença ou ausência de refluxo venoso.

 

O que podem ser estes problemas nas veias safenas?

Devemos ter em mente que toda a circulação sanguínea dos membros inferiores é mantida pelos sistemas superficial e profundo. O primeiro é composto por dois troncos principais: a veia safena interna e a safena externa. A interna é utilizada na cirurgia cardíaca de ponte-safena. A externa percorre desde a porção posterior do tornozelo até a região inguinal.

Já o sistema profundo ocorre dentro dos músculos e é responsável pelo transporte de 90% do sangue oriundo nos membros inferiores. Em seguida, o sangue segue para os pulmões a fim de ser oxigenado.

O sistema superficial e o profundo se comunicam por veias chamadas perfurantes, que impulsionam o sangue para cima. Elas possuem válvulas que impedem o retorno do sangue. As varizes podem surgir quando estas válvulas apresentam irregularidades, fazendo com que as veias se dilatem. Em outras palavras, o sangue pode se movimentar na direção errada quando as válvulas deixam de funcionar.

O termo técnico utilizado é “Refluxo de Safena”. Esse refluxo é diagnosticado pelo ultrassom venoso, que mapeia as principais veias dos membros inferiores. Caso haja indicação, a safena deve ser tratada, pois pode piorar progressivamente.

 

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Como é o tratamento do refluxo de safena?

Quando falamos em tratamento, significa que temos que fazer com que o sangue pare de passar por dentro da safena. Desde 1907 o tratamento vem sendo feito arrancando-se a veia da coxa e da perna através de cirurgia. Alguns dos métodos disponíveis para tratamento das varizes são laser cutâneo, escleroterapia, radiofrequência, ablação e ablação por laser endovenoso. Estes procedimentos podem ser aplicados isoladamente ou em combinações de cirurgia com técnicas menos agressivas.

Porém, nos dias atuais, a termoablação é considerada a melhor abordagem, além de ser menos invasiva. A termoablação consiste em, através de uma fibra de laser, queimar a safena dentro da coxa e da perna. Esse procedimento pode ser feito apenas com uma leve sedação e anestesia local, oferecendo baixos índices de complicações. Isso permite que o paciente vá para casa algumas horas depois do procedimento, retornando às suas atividades em poucos dias. Os pacientes submetidos a esta técnica relatam pouca dor e pequenos hematomas após o procedimento.

Na clínica, este é nosso tratamento de escolha. A cirurgia é separada para casos isolados em que o laser não pode ser utilizado. Se você vai tratar a sua veia safena, tire suas dúvidas sobre esse método. Faça o que há de melhor e mais moderno para sua vida.

 

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