two wonderful doctors, sergei nikolaevich yakushkin, vascular surgeon, phlebologist, iliana arturovna, we will. talk about a serious medical problem called trophic ulcers. right now you see a trophic ulcer on the screen. this is an absolutely dramatic event, people have been walking for 10-20 years, everything is oozing from them, no one knows what to do, and laana arthurna. leana vasilievna, look at the screen, you see, these are hypoechoic stigs, these are... late transformed tributaries of the great saphenous vein, can you see? i also want to show that here you can clearly see that our guest’s skin is changing color, that’s right, sergei nikolai, yes, she is swollen, she is dry , in some places she is changing and darkened, this means there are huge trophic problems. so, look, our skin is already darkened in some places, we see here these vessels are enlarged, that is, we have visible... trophic changes in the skin, which will inevitably lead to trophic ulcers. i want to distract sergei nikolaevich, let’s leave here liana arturna our doctors with the patient, because today we will

yakushkin deals with veins, this is a completely separate profession, he is a vascular surgeon, we work nikolaevich, we find among them not the best ones, where do we have varicose veins, the third, third legs, third legs, with pronounced varicose veins, veins are directly visible everywhere. what is the main examination for varicose veins? ultrasonography. ultrasound examination of the legs, girls, what methods of treating varicose veins to prefer, we’ll tell you right now, let’s go back to our patient, what methods of treating varicose veins you already know about, unfortunately, lina vasilyevna, i don’t know about any methods, i’m just now got busy with this problem, but because aesthetically it began to bother me, i specifically came to your program to find out... to start treatment , which means, first, varicose veins are not an aesthetic problem, this is an extremely serious problem, and this problem is connected with the fact that that... with varicose veins, deep vein thrombosis can develop, and with thrombosis, pulmonary artery thrombobolism , so varicose veins are treated, and

right now i am inviting a doctor who deals with the problem of beautiful legs, sergei nikolaevich yakushkinenna. a vein has valves, but does not have a sufficient muscular layer, unlike arteries; an artery can contract, but what does a vein contract in order to lift blood up? the vein is contracted by the muscles in which it is located, like this, this is how the veins are contracted by the muscles, dear friends, that’s why you have good muscles, go out a lot , do physical exercise, and your legs are beautiful, the veins don’t stick out, the bad ones are the other way around, that’s right, like that. blood is difficult to pump because it is pumped from below up from bottom to top, and therefore when working muscles, our doctor is an absolute supporter of compression underwear, do healthy people need compression underwear? yes, compression hosiery is not only for the sick, for patients, compression hosiery also helps healthy people whose work, for example, involves static conditions, that is, teachers, hairdressers, these are the people, accountants, these are the people with us german Šajić

yakushkin, who deals with the problems of women’s legs, hello, they say and the leg is ready, i justning our girls, these are spider veins, in general , sergei nikolaevich shocked me at one time, sergey nikolaevi, now we will instruct your assistants to continue, and i will invite you to the central platform, i asked him, spider veins, this is varicose veins, what the doctor answered me, he answered that this is not varicose veins, he said: to me, no, this not varicose veins, i say how, but what is this in the international classification of the disease, i asked slyly, and this is the international classification of the disease - this is the reticular vein and spider vein, which is an aesthetic problem, but not a health problem. a then i ask the doctor a question, do they need to be removed - i ask, from a medical point of view there is no need to remove them, well, women remove them anyway. they remove them, of course, women always want to be even more beautiful, so let’s go and show you what the essence of removing spider veins is, we will keep in mind that they can be removed or n

sergey nikolaevich yakushkin, please come to us., sergey, it presses the subcutaneous tissue of the muscle, they already press the top, yes, absolutely right, the first question i want to ask is this, we kind of know that compression hosiery exists for the sick, but it also exists for the healthy, in what situations, what... knitwear with what marks should the healthy wear, for example, say, vascular surgeons , who stand for 7 hours, and we have all the vascular surgeons in compression stockings in the operating room, too, of course , they know everything, these guys know everything, for those who are healthy, compression stockings are for healthy people, if there are no problems with the veins, you can use preventive, it so it’s called and labeled as preventive or first treatment class , that’s exactly it... prevention preventive knitwear, inscription, here’s prevention and treatment, here the degree of compression is written, 15-17 to 20 mm standard, this, in principle, can be bought even without a doctor's prescription, because t

, largely because i met an amazing doctor, as for spider veins, he amazed me, sergey nikolaevich yakushkin say, here are spider veins, he says, this is not varicose veins, i say, if not varicose veins, but what is it in the international classification of the disease, i asked sternly, he said: “this is another vein disease, we have these names: another vein disease, i say, okay, but the asterisks must be removed, what did you answer me, sergey no? there are no medical indications for removing asterisks, only... aesthetically, it completely amazed me, because these stars, in my opinion, completely remove everything, and before the summer, in my opinion, everyone goes straight in formation, here is an asterisk, here there is all sorts of things, it turns out that they don’t need to be removed, they are no threat to our life and health they can’t imagine, you have just taken away your bread, it’s true, dear women, but i love such doctors even more, because the interests of the patient are higher than mercantile interests, i’ll tell you now what that is. it's dangerous, everyone will come to m