It is a chronic disease of the portal vein, which is characteristic of the thinning of their walls, the extension of the beam, and the formation of the us. It occurs in up to 40% of women and 20% men.
It is a dangerous disease, mainly because of its complications. Warning the use of incorrect or late treatment may develop as the most formidable in the state, such as thrombosis and thrombo-phlebitis, and bleeding in the extended veins.
Thrombosis total or partial closure of the lumen of the vein, blood clots) or thrombophlebitis (inflammatory disease of the wall of the vein when thrombosis occurs suddenly and is not related to the exercise. The swelling is spreading rapidly in the lower limbs, and is accompanied by arching in pain. It may occur or redness or bluish discoloration, and the sensitivity of the skin. In the case of the separation of a blood clot with a stream of blood, and it enters into the vessels of the lungs, and, in the case of a total or partial or a closure of a vessel that is capable of causing serious disease - arterial thromboembolism. This is a complication, and often deadly. When it is suspected that the data on the complications, then you should immediately take a horizontal position, lift one leg up, on the phone, get in touch with the first-aid medical care. A lesion in the area of advanced vessels, can occur in heavy bleeding. In this case, there is an urgent need to impose a rate above the site of the bleeding, the whip, a doctor, or lodged out of time, is strong enough to do it, in order for the bleeding to stop and an urgent call to an emergency response team of a medical practitioner.
The weakness in the muscle layer of the walls of vein and insufficiency of the valve of the device become for the reason that, under the influence of the action of "muscle pump" in the blood begins to flow in the opposite direction, down. This results in an increase in the pressure on the walls of the blood vessels, plus the progression of the failure from the valves from the expansion of the lumen of the vein, and the formation of the us. The muscle fibers of the vein wall, it is stunted, stopped the work of the receptors in the nerve that regulates the tonus of the venous, which, in turn, reinforces even more the manifestation of venous insufficiency. Risk factors for the development of the disease are: hereditary predisposition, pregnancy, obesity, daily for long periods in a seated position or standing, and the activities that are associated with the lifting of weights, a systematic and wearing tight clothes, corsets, and poor nutrition with a lack of local content in the diet, dietary fiber, and vitamins a, disturbances of the hormonal status.
Clinical manifestations of
The main visible sign of the varicose veins, and disease of the SAC or of the cylindrical extension of the surface of the vessel. Varicose veins in the legs become dikarya, acting on the surface of the skin in the area of the lower legs and feet. The most varicose veins, site cast, and after a serious a long to physical load. In the early stage of the disease bothered by fatigue, feeling of heaviness in the legs, burning, burst the gravity of what is at its peak after a year. May experience transient swelling, pain, pain along the course of the vein. Appropriate to contact a professional, even at the initial stage will prevent the spread of the disease. During the course of the disease, it is formed by chronic venous insufficiency.
The diagnosis of varicose veins
The "gold standard" for diagnosis is considered to be ultrasound imaging of the veins of the lower extremities, in which are set out in the affected areas of the sale. On this principle, it shall be constructed to the anatomical classification of varicose veins, the disease, with the indication of the modified vessel. For example, the defeat of the great fabric, of vienna, on, above, or below-the-knee, a small subcutaneous vienna. When the bad data of non-invasive methods rely on surgery, in the methods of the research, for example, by phlebography (intravenous administration of contrast medium, in order to assess the state of the venous system).
The treatment of varicose veins
Non-surgical treatment of varicose veins of the lower limb give good results only at the beginning of the disease, when the skin manifestations are not very pronounced, and only a mildly reduced ability to work.
That is a surgical, of the disease, and the cure-all which is only possible after the emergency treatment is:
- Phlebectomy - the immediate removal of the varicose veins extended from the city. The goal of the surgery is the solution of a pathological problem of the replacement of the blood by the removal of the main stems of large or small subcutaneous vienna, as well as the ligation of communication veins. There are many different types of operations. They are applied, most of the time, even in the most difficult cases. When all of these methods, it is removed as a party to the vienna, which had been wounded, and a healthy segment of the vienna is now saved. Vienna how to carefully exfoliate, and it is not carved out from the fabric, which would also reduce the operating injury. The same is true if you are using a surgical procedure, and, in addition, when it is formed, the less the bruising is because of the cold weather tightness and reduces the bleeding.
- Work hardening - an introduction to a blood vessel for a substance (sclerosant) which causes a "glue" to the wall of the vein, with the interruption of the flow of blood through it. A result, there is no other pathology of the reset of the blood, and to solve the problem of cosmetic defects, as well as vienna and lower, and it becomes invisible. Sclerotherapy can be effective only when the expansion of the small branches of the main trunks, which limits its application to the great outpouring of the process. The advantage of sclerotherapy is the lack of scarring, the need for hospitalization. After the sclerosing a vein-specific rehabilitation, it is not necessary.
- Laser coagulation - this is a method that is based on the destruction of the vein wall by the hot impact of the laser light, causing the 'point' of the stroke of the vein lumen. It is displayed only when the expansion of vienna-not more than 10 mm in diameter. The method associated with the conduct of an anaesthetic. Aesthetically it is better, but how, and after the removal of the vein requires that the initial process of revitalization of the patient, as well as the long-term elastic compression.