Varicose veins

Varicose veins

Description of varicose veins

Varicose veins are most common venous disease and currently ranks among the diseases of civilization.

Their incidence is significantly dependent on age. Their emergence has significant influence genetic predisposition, as well as female hormones and pregnancy. The varices suffer twice as many women than men.

Varicose veins most often occur on the leg veins. From blood namely they have to get back to the heart, “flow” against the action of terrestrial gravity. Healthy veins are therefore equipped with several systems that prevent backflow and facilitate proper venous return. These include e.g. specific storing deep vein between the muscles, which are constantly “massaged”, numerous valves on the inner walls of veins, which prevents blood flowing back, and finally, coupling between the deep and superficial venous system.

For various reasons, mostly because of weakened vein walls, missing or nedomykavé flap, takes the stasis of blood in the veins. Increased pressure on the vein wall and vein in the long term damages. Cores were then expand, creating additional folds protrude above the surface of the skin and generally fulfills its function less than healthy vein.

Although varices in most patients ugly cosmetic problem, it should be remembered that long-term neglect of varicose veins, we can even inflict serious problems such as venous thrombosis, orvaricose ulcer. Therefore, they should definitely not underestimate their treatment, which will of course be easier in a less advanced stage of varicose veins.


Risk factors for varicose veins

Varicose veins are one of the most common diseases in the civilized countries.

Their incidence increases significantly with age, so while children and young people suffering from varicose veins rarely, the population over 60 years of age, their incidence increases to every other individual.

As already mentioned, the most common patients as regards varices are women. Statistics even states that women are twice higher incidence of varicose veins than men. Although women have a greater predisposition to varicose veins, this figure may be slightly skewed by the fact that it is the women who are their (partly cosmetic) issue more likely to seek specialist.

Often the vein wall is already inherently weakened. In this case we are talking about a genetic predisposition to varicose veins. These individuals then have a greater incidence of varicose veins in the family and a high probability of disease.

In addition to genetic predisposition (to match the appearance of varicose veins in the family’s 80%) and the varicose veins significantly contributes to female hormones and pregnancy. During pregnancy increases blood volume and flow rate, as the mother nourishes the growing fetus.Hormonal changes in the body of the mother contribute to the expansion of veins and eventually enlarging uterus in a small pan can partly oppress the vein leading from the lower extremities and this again worsen their flow. Overall, female hormones also increase blood clotting, so there is that směstnaná blood in the vein collide and create a thrombus (blood clot).

Other factors for varicose veins, obesity may be where the excess fat and less muscle load do not provide sufficient support for proper venous return.

Less important factors can then be generally known “reasons” varicose veins as long standing,little active movement or extreme physical stress.


Signs and symptoms of varicose veins

Varicose veins are bluish, and enhanced coil wires protruding above the surface of the skin, usually on the legs, on the inner side of the calf or ankles.

Patients most often indicate a feeling of “heavy legs” can also occur cramps (hence the name of varicose veins). Other symptoms include tingling, swelling, increased muscle fatigue or pain.

There are two types of varicose veins, and primary and secondary varicose veins. Primary varicose veins are known městkovitá she enlargement of superficial veins of the lower extremities. The main cause of primary varicose veins are weakened vein walls, for whatever reasons. Gradually, based on the extended veins develops incompetence of venous valves and therefore overall deterioration of flow through the vessel.

Secondary varicose veins occur only on the basis of another disease, which has its origins in the deep venous system. If the deep venous system is clogged e.g. deep venous thrombosis, blood with varicose veins pressed into the surface of which is again městkovité vein.


Preventing Varicose Veins

This question is controversial. Some experts consider to be the main cause of genetic predisposition and therefore precludes any possibility of preventive procedures.

Other doctors turn to prevention of varicose veins suggest changes in lifestyle, diet, movement habits and a similar regime measures.

It is understood that the absolute prevention is not possible. But what can affect the restriction feeling heavy legs and optionally leg pain. The most common recommendations include active movement, which repeated muscle contractions promote proper blood flow in the veins. On site there are sports such as running, walking, cycling or even ordinary walking. Further it offers gymnastics, in which the legs are raised up (candle, riding a “bicycle” on the back, etc.).

Legs in an elevated position at rest certainly nothing spoil, promote venous return from the lower extremities and are also quick relief at the feeling of heavy legs.

Downloading lived and better assist the return leg showering with cold water, and finally partially damaged veins visible in their function to support special astringent stockings.

The risk of varicose veins may also be a reason to stop smoking, since smoking can not only assist in the formation of varicose veins, but also promotes blood clotting, thereby giving rise to dangerous venous thrombosis.


Treatment of Varicose Veins

Treatment of varicose veins can be divided into conservative and surgical. In case of mild or early stages of varicose veins is chosen conservative treatment.

Conservative treatment consists in supporting lived example. Astringent stockings, lifestyle measures and the administration so. Venofarmak. These drugs are mostly natural-based, supported by relaxing the blood vessels and increase their strength.

In this case, the doctor himself recommends walking, movement, and probably will ask you to limit long standing. These measures can prevent further formation of varicose veins, relieve the unpleasant symptoms but not cure already formed varices.

In the latter case, if přistoupí- to surgical therapy to eliminate already formed varicose veins.Surgical treatment offers a few ways to remove varicose veins. The suitability of particular procedures by your doctor based on the examination. One common method is called.Sclerotherapy. This method of operation is suitable for smaller veins to 4 mm. Not therefore for varicose veins on the main surface of the system. Sclerotization means injected into a vein such substances that vein inside irreparably damaging it and the body itself degraded. This procedure is performed on an outpatient basis and the patient at least reduced.

Another option is typically surgical removal of the main venous trunks. Older methods yanking entire cores are gradually being replaced by less invasive methods such as CHIVA when removing only the affected part lived and postoperative complications are minimal. Also, the cosmetic effect is a minimally-invasive methods improved.


Complications of varicose veins

Already partly mentioned complications of varicose veins are the main reason why not to delay in seeing a doctor, who will determine the most effective treatment depending on the type and stage of the disease.

One of the more common complications can be superficial phlebitis, varicose vein which painfully swell appears redness. The inflammation can also spread to the deep venous system. Commonly treated conservatively, ie elastic bandage and cold compresses.

Another, more serious complication is dreaded leg ulcer. The emergence of venous ulcer is subject to a long neglected and untreated varicose veins. Definitely occurrence varicose veins mean that a patient will in future suffer stasis ulcers.

Stasis ulcers is called the opening of varicose veins on the skin surface. The immediate cause may be, for example, a minor injury. The physician in the treatment of not only trying to prevent further blood stasis conservative methods, but it is also necessary to treat an open wound against the ingress of bacteria. For this purpose they are used special gels and bandages.

Finally, we should mention, as a complication of varicose veins venous thrombosis. Thrombosis is actually vascular precipitate that had formed at the place where the blood does not flow, or flows insufficient speed. If the clot breaks off from its place of origin, can travel through the bloodstream and clog some less important catheter in the body. This creates, for example, pulmonary embolism, which is considered a critical condition.

Varicose veins are definitely not the only reason for the embolism, these complications is conditioned by several factors. Still, varicose veins, pay more attention, because it will at least their treatment or operation successful if they start to heal in time.

Other names: varices, vascular veins

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