Of all known types of vascular pathology, the most common is varicose veins.Let's note the title of the article: The most common material is considered in this material - in turn, the positioning of "varicose veins", i.e. the expansion of the veins on the legs.However, other options are less common in the horizon of professional experts and relevant experts, and they are also declining.For example, these are the expansion of esophageal veins, seeds, small pelvis, etc.However, in a professional setting, a certain term can still be observed: in some sources, “varicose veins” are used in some sources, while in others, “dilation of varicose veins” is separated from “varicose veins disease.”
Varicocele in the lower limbs is a very unpleasant multi-symptom disease accompanied by obvious external manifestations.Over the years, cosmetic defects in the legs often progress, and many patients (mainly women) are more concerned about hemodynamic diseases and organic changes in the venous wall.Such patients, or rather, tend to adopt various endocore methods and “elimination of varicose veins” methods, are harmless at best, sometimes significantly exacerbating the condition.Meanwhile, untreated, neglected venous pathology is full of the most serious consequences, and the first symptoms (see below) should be consulted as much as possible: Like most other other diseases, varicose veins are better treated in the initial stage.
When returning to the issue of prevalence, attention should be paid to extensive epidemiological assessments.This is partly due to regional differences and age-related trends (the older the age examines, the more share of clinically important situations), and partly to differences in diagnostic approaches, but the main reason for statistical ambiguity is clearly the design of the study conducted: in some cases, in some cases, in some cases, in some cases, in some cases, in some cases, in some cases, in essence, in some cases, in some cases, in some cases, in some cases, in essence.The disease), in other cases, special examinations were performed on certain categories of populations during which characteristic symptoms were recorded and then the actual frequency of their occurrence in the general population was evaluated.Even if you discard the extreme assessment, the situation of varicose veins in the lower limbs is very frustrating: to some extent, at least 55-65% of women and 15-25% of men of mature age suffer.This profound imbalance between floors is due to anatomical and hormonal differences as well as women’s reproductive function (pregnancy, delivery), which in many cases becomes a direct prerequisite for the development of venous diseases.
The tendency to “rejuvenate” of such pathologies cannot but be disturbed by the average age of the onset of the disease, most sources call the interval of 20 to 30 years, however, cases of varicose veins on the feet of schoolchildren, including young men, are increasing from year to year: growing changes in lifestyle (reduction of physical activity) and food diets, chips, hiss and others are affected Little graysubstances).
reason
First, it should be noted that dilation of varicose veins is not diagnosed in the arteries: this "curse" lies in the veins.Of course, arteries are also susceptible to injury and are susceptible to various pathological changes, but in this case, aneurysms (local spinous processes), atherosclerosis, various obstacles (stenosis of the cavity), thromboembolism (occlusion), etc.Compared with arteries, the venous walls are durable and less elastic, and are less resistant to stretching deformation under load or internal pressure.They are more likely to become thinner and become partially permeable, so the sealing of blood or a single portion of its venous wall may begin.Many researchers believe that varicose veins are most commonly observed in the lower limbs, a fact that evolutionary transitions are one of the straightforward side effects (another serious "tribute" that humans pay for the pathology of the spine that releases the hands).The entire weight is based on the legs, which creates unusually high loads on the joints and circulatory systems.As we all know, people have suffered from varicose veins in ancient times.Then, the main reason is obviously the continuous loading of weight.However, this factor is crucial as civilization develops (some types of sports and labor activities), especially in the past one hundred or two years, with the emergence of "sitting" and "standing" occupations, the load has increased a lot: any vein stagnation is fatal.Direct risk factors include obesity, plant-based deficiency in the diet, injury (including the consequences of surgery, such as orthopedic surgery), congenital vascular abnormalities, hereditary tendencies and gender (see above).Thrombosis of deep veins and accompanying inflammation (thrombus mass) leads to severe changes in the venous system in the legs.Therefore, as a separate form of varicose plant expansion in Western literature, periosteal plankton syndrome is considered.A large number of outrageous factors are composed of diseases and diseases that determine the increase in abdominal pressure: trends in constipation, chronic cough, etc.; in this case, dilation of varicose veins is usually detected in the limbs.
In addition, it should be said that about the road to tobacco, this is called the "slayer of veins".This connection is so obvious and cramped that many experts have strong conditions for a complete refusal to smoke before starting any treatment.The moral aspects of this medical position can be argued (and recently, even the inflammatory term for “non-chaotic chauvinism” has emerged), but in fact, if this is not observed, this treatment will automatically become meaningless and useless, without doubt.An avid smoker in this case needs to exercise his right to medical assistance, similar to drug users who want to eliminate dependence and withdrawal syndrome but will continue to take drugs.
At the organic anatomical level, the main cause of varicose veins is the failure of the venous valve, which should be ruled out for reflux (blood flow is in the opposite direction of the normal direction, which creates excessive pressure in the veins).In fact, with the study of the causes and mechanisms of the development of venous-valve dysfunction, with the development of its first method of surgical correction in the late 19th century, modern wandering began with the medical science of venous diseases in the treatment and prevention methods.
In general, it is necessary to acknowledge the richness of the above causes – the importance of each of which has been repeatedly and reliably confirmed by large-scale studies – and still has not formed a single system.Thus, under almost equal conditions, under absolutely identical, seemingly risk factors, one person in one person develops and progresses rapidly in the lower limbs, while in another person, for decades, in another person, the varicose veins remain intact.This suggests that today's pathogen generation has not been elucidated to the end, and that even any of the most effective modern therapeutic strategies are actually palliative.However, today’s bleeding is developing extremely dynamically, and the “missing links” in our knowledge of varicose veins are likely to be identified and studied for the foreseeable future.
symptom
Typically, the pioneer or initial symptom of venous blood circulation disease is the subcutaneous star or reticular shape of small blood vessels that extend, visible and visible.Then, swollen lymph nodes form on the calf, tangle or located in clusters.Varicocele legs are swollen and tired, and many patients complain about frequent pain in the legs (including at night), itching, calories, crawling "chicken skin c" and so on, etc.In the absence of treatment, venous veins may cause smaller veins (sometimes extend) due to acute thrombotic swelling and therefore remain still (sometimes extend), so this is such a literacy, so this is such a literacy, so it can be extended through, so it is certainly present.In this case, the bleeding can be very powerful and lead to a large amount of blood loss.
diagnosis
An experienced phlebotomist identified varicose veins from the first rough eye.But, of course, additional inspections are as necessary as collecting detailed history and complaints.There are many special functional samples, from the instrumental method, most importantly X-ray contract angiography and ultrasound in duplex Doppler scanning mode.
treat
Over the past few decades, special “wandering” has been often interpreted as synonyms for vascular surgery.Therefore, it is implicitly implied that non-surgical treatment of intravenous pathology is impossible.However, things have changed dramatically so far, with the main shifts related to the past 15-20 years.The courses used – as shown as possible – are rarely high-tech – have endured microscopic infestation methods in all surgical specialties, and today’s treatment of varicose veins in the leg does not necessarily mean “large” surgery.Typically, treatment is initiated according to the signs, following conservative measures and according to the prescription of drugs - enhancers, anticoagulants and anti-drugs and anti-inflammatory drugs.You can only use elastic bandages or compressed knitted garments after consulting a doctor (especially, the technique of bandages should be carefully explained from the fingers and the heels are forced to capture and gradually weaken the compression pressure closer to the knee).Therapeutic sports, water methods, diet (must also normalize weight), and Hirudhotherapy works.
However, varicose veins are still a surgical disease, that is, fundamental effects can only be achieved through surgery.There are many specific veinectomy techniques - removing veins, whose residual functional feasibility is not up to 10% of the norm.Meanwhile, the minimally invasive approach mentioned above is more extensive, with several advantages (less traumatic, the possibility of outpatient treatment "one day", lack of curvy cosmetic defects, etc.).The most promising and effective of these methods include sclerotherapy (artificial sprinkles, "adhesive" venous walls with special solutions, administered by microscopic), laser therapy (including intravenous injection), radiofrequency ablation (because the walls are "sealed").
It should be understood that in this case, the effectiveness of any treatment depends directly on what stage the patient turns to for help.There is no need to perform a "major" operation on the matter: the varicose veins in the lower limbs have been completely cured, but the disease itself has not passed.