Of all the famous species of vascular pathology, varicose veins are most often.We follow the article's attention: the most common material is considered in this material - in turn, the localization of "varicosis", namely the spread of veins on their feet.Other options are relatively less common, however, in the field with a view of specialized and related experts, they also constantly fall;These are, for example, the spread of the vein of esophagus, seeds, small pelvis, etc.In other words, that the concept of "varicose expansions" is only exclusively with the lower limbs, who are practiced in everyday speech, would be incorrect.However, a certain terminological variety is still noticed in some sources, "varicose veins" is used in some sources, in others "varicose spread" is separately from "varicose disease", etc.
Varicose veins of the lower extremities are very unpleasant polysymptomatic disease, accompanied by visible external events.The cosmetic fault on their feet usually advances over the years, and many patients (primarily women) are much more concerned than hemodynamic disorders and organic changes in venous walls.Such patients or rather, patients tend to resort to various methods and methods of intramemeration and methods "Eliminating varicose veins", in the best endless, and sometimes significantly make it difficult.Meanwhile, neopreased, neglected forms of venous pathology are full of the most serious consequences, and on the first symptoms (see below), as possible: like a huge majority of other diseases, varicose veins are much better to treat the initial phases.
Return to the prevalence issue should be noted a wide range of published epidemiological assessments.This is partly Due to Regional Differences and Age-Related Trends, The More The Share of Clinically Significant Cases in IT), Partly the Difference in Diagnostic Approaches, But The Main Reason for Statistical Ambiguity Is, Apparently, The Design Of The Conducted Studies: Insome cases, reporting medical documentation is analyzed (which is reflected, in essence, not in the prevalence, and the frequency of Calls for help with this disease), in others, certain categories of the population are specifically tested, during which characteristic symptoms and is then evaluated by realThe frequency of their occurrence in the general population.Even if you reject extreme estimates, the situation with varicose veins of the lower extremities is very depressed: into one measure, at least 55-65% of women and 15-25% of men suffer.Such a deep imbalance between the floor was created for anatomical and hormone differences, as well as the reproductive function of a woman (pregnancy, childbirth), which in many cases becomes a direct prerequisite for the development of venous disorders.
The tendency of "rejuvenation" of such pathology cannot be disturbed by the age of the beginning of the disease, however, on the call of the 20 to 30 years, including eating people) and nutritional activities) and nutritional activities, chips, Štkrt and others affect small gray substances).
Reasons
First of all, it should be noted that the expansion of varicosis is not diagnosed in terms of arteries: this "curse" lies on the veins.The arteries are also predisposed into various pathological changes, but in this case aneurysm (local skeleses), atherosclerosis, various types of obstructions, throating of lumens), thromboembolism, etc.They are more often noticed.Compared to the artery, the venous walls are less durable and elastic, less resistant to stretching deformations under load or internal pressure;They are easier to become thinner and become partially permeable, as a result that can start sealing blood or its individual factions through the vein wall.The fact that varicose veins are most often noticed in the lower extremities, many researchers consider one of the side effects of the evolutionary transition to directness (other difficult "tribute" that humanity paysHand release is the pathology of the spinal column).The whole body weight is based on your feet, which creates an abnormally high load on the compounds and circulatory system.It is reliable to know that people suffered from varicose veins, but in ancient times;Then the dominant cause was, obviously, constantly wearing weights.This factor is relevant today (some types of sports and working activities), as the civilization developed, especially in the last hundred or two years, increased several times with the phenomenon of "sitting" profession: any stagnant phatal phenomena.Direct risk factors include obesity, a lack of plant in diet, injuries, injuries (including surgical, e.g., consequences of orthopedic operation), inherited vascular anomalies, hereditary predispositions and gender (see above).Thrombose of deep veins and concomitant inflammation (thrombophlebitis) leads to severe changes in the waun system;Thus, as a special form of varicose plant plant in western literature, posttrumbophilebic syndrome is considered.A large group of challenging factors consists of diseases and conditions that determine the increased intra -abriminal pressure: the tendency to constipate, chronic coughs, etc.;In such cases, varicose expansion, as a rule, reveals, not only in the limbs.
Separately, it should be said about Tobacco-Naurcities, which is rightly referred to as "murdering veins".The connection is so obvious and cramped that many experts strongly place a state for completely rejection smoking before the start of any treatment.The ethical aspects of such a medical position may be claimed (recently, the demagogical expression "No -Smoking" even appeared), but in the fact that if this condition is not noticed, the treatment automatically becomes meaningless and useless, there is no doubt.Avid smoker, which in this case requires the exercise of the right to medical assistance, is similar to drug addicts, which expects to eliminate addiction and withdrawal syndrome, but will continue to take drugs.
On organic, anatomical level, the main cause of varicose veins is the failure of the valve for the valve, which should turn off reflux (blood flow counter-normal, which creates excessive pressure in the veins).In fact, with the study of the causes and mechanisms for the development of the dysfunction of the venous valve, at the end of the 19th century methods, modern phlephology began as medical science of vein diseases, their treatment and prevention methods.
In general, it is necessary to acknowledge that the abundance of the reasons described above - significance from each of which is any more repeatedly confirmed by great - still does not form a unique system.Therefore, under almost equal conditions, under absolutely, the seemingly combination of risk factors, in one person are developed and progressing quickly and quickly progress, and in the second veins still intact.This suggests that today Ethiopathogenesis did not explain in the end, and any, even the most efficient than modern therapeutic strategies, in fact, actually palliative.However, phlebology is developing extremely dynamically today, and "missing connections" in our knowledge of varicose veins will identify and study in the foreseeable future.
Symptoms
They are often harbinger or the first symptoms of the venous circulation of blood circulation by the subcutaneous star or mesh of small blood vessels extended and visible and visible.Then the calves are or found nodes for swelling, winding or placed on clusters.Legs with varicose veins are swollen and many patients complain about frequent painful convulsions in their feet (including at night), heating, heating, etc.In the absence of treatment, etc.In non-existence with acute thromboflebitis and node perforation, so they relieved and diluted and the wedding wall of the vein took out);Bleeding in this case can be very strong and lead to mass loss of blood.
Diagnostics
The experienced flexologist recognizes varicose veins from the first cursor.However, of course, additional testing is as needed as collecting detailed history and complaints.There are a number of special functional samples, and from instrumental methods is the most important angiography of X-ray and ultrasound in the Duplex Doppler scanning mode.
Treatment
In the previous decades, the specialty of "phlebology" is usually interpreted as a synonym for vascular surgery.Thus, implicitly involved that it could not be an inishurement treatment of venology.However, until today, the situation has changed drastically, and the main shifts relate to the last 15-20 years.The course for use - wherever possible and shown - are slightly high - over - and microinival methods in all surgical specializations, and the treatment of varicose veins on their feet do not necessarily mean "great" work.As a rule, the therapy is comprehensive and starts with conservative measures - according to the indications, the drugs, anticoagulants and anti -acents, and the anti-painting medications are prescribed.You can use an elastic braid or text compression only after consulting the doctor (especially the coiled bend should be explained in detail - starting with fingers, with mandatory heel capture and gradually attenuation closer to the knee).Therapeutic physical education, water, diet (also needed to normalize body weight), and hyrudothoutapy are effective.
However, varicose veins remain surgical disease, ie.Radical performance can only be achieved by surgery.There are many specific phlebectomy techniques - removal of veins, remaining functional sustainability that does not reach 10% of the norm.At the same time, the above mentioned minimum invasive methods are more widespread, which have several advantages (less traumatic, the possibility of outpatient treatment "one day", absence of cosmetic damage, etc.).The most promising and more efficient than these methods include sclerotherapy (artificial spraying, a special solution, which is managed by microeds), laser therapy (including intravenous misleading (a thin probe was introduced into the vein, because the walls are "sealed").
It should realize that the effectiveness of any treatment in this case directly depends on which patient's stage turns into assistance.It is not necessary to take a thing to "Great" operation: the varicose veins of the lower extremities are completely cured today, but this disease does not pass.