Varicose veins, which are much more common in women than in men, are the most common vascular disease. Varicose veins increase with age; It causes complaints such as pain, itching, ankle swelling, night cramps, superficial thrombophlebitis, venous ankle skin changes and bleeding.
WHAT ARE VARICORES?
Varicose veins are defined as the enlargement, elongation and tortuosity of the veins without any organic cause.
WHICH AGE GROUP IS IT MOST SEEN?
Varicose veins are an important health problem. Although its frequency in adults shows different geographical variations, it gradually increases with age. Leg varicose veins are the most common vascular disease in office practice. It affects 15-20 percent of the adult population. While it is 2-4 times more common in women than in men, the familial transmission rate is more than 50 percent.
WHAT KINDS ARE VARICOSES ARE?
Varicose veins can be primary or secondary. The primary is about varicose veins. Today, the most accepted theory is hereditary vein wall weakness and valve insufficiency in the veins, venous hypertension. Secondary or acquired varicose veins occur as a result of damage to the venous valves due to reasons such as trauma, deep skin thrombosis or inflammation. In addition to obvious varicose formations that are curved on an extremity, smaller telangiectatic, reticular formations may also be found. These formations appear as blue or red linear color changes that cannot be felt by hand, are located superficially on the skin, and are 1 millimeter or smaller in diameter. They are locally widespread star-shaped or spider web-like linear formations and can cover the entire leg. Although it varies from patient to patient, these formations may be located together or separately in an extremity.
FACTORS THAT FACILITATE THE FORMATION OF VARICORES:
Many factors play a role in the pathophysiology of varicose veins in epidemiological studies. has been suggested. In these studies, family history (heredity), risky lifestyle and smoking were shown as leading risk factors because they were detected at higher rates in patients with venous insufficiency. In patients with a positive family history, varicose veins The risk of occurrence is 4.4 times higher. Standing for a long time or doing work sitting for a long time is a risk factor, and it increases the risk of developing high-grade venous insufficiency by 2.7 times in those who stand for more than 4 hours a day.
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Standing for a long time.
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Pregnancy
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Obesity
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Working sitting down
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Inactivity
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Old age
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Medication use (Birth control pills, used during menopause hormone replacement therapies)
VARICOSE DISEASE AND COMMON COMPLAINTS
The most common symptoms of patients are the deterioration of the appearance of their legs and long-term It is leg pain and a feeling of heaviness in the legs that occurs when standing. Symptoms may not be related to the degree of anatomical defect. Sometimes the patient may injure varicose veins. In this case, significant bleeding may occur. A complication of leg varicose veins is superficial thrombophlebitis; It can cause serious pain and limitation of movement. Chronic ankle swelling, stasis dermatitis and leg ulcers may develop in long-term leg varicose veins. Standing for long periods of time or obesity cause all leg varicose veins to become more symptomatic.
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Pain
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Itching
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Ankle swelling
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Night cramps
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Superficial thrombophlebitis
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Venous ankle skin changes (pigmentation, eczema, lipodermatosclerosis and open wound)
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Bleeding
VARICOSE TREATMENT
The aim of varicose vein treatment is to improve the quality of life. If symptoms seriously affect the patient's quality of life, treatment should be considered. Sometimes, in patients with large varicose veins, if complications such as bleeding or ulceration develop, more aggressive surgical treatment methods may be tried.
Unless the causative causes are eliminated (excess weight, long standing, estrogen use), varicose vein formation will recur after a certain period of time. It should not be forgotten.
Treatment is under two headings.
Firstly, laser or foam therapy applied externally to visible varicose veins. davisi. This treatment is generally for cosmetic purposes and has almost no contribution to deep vascular insufficiency.
The main treatment is the intervention for the deep vessels that cause the insufficiency, as mentioned above. Removing only externally visible varicose veins without treating this will never be a permanent solution and the disease will continue to progress.
CLOSED METHOD IN VARICOSCOPE TREATMENT; EMBOLIZING AGENT TREATMENT
Without any incision on the leg, a needle is entered into the deep vein above the kneecap, under ultrasound guidance, and is reached through the vein to the groin area. This method, which is based on the intravenous application of a liquid called an embolizing agent, takes 10-15 minutes and the patient is discharged walking within half an hour after the intervention.
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