VARICES
Varicose veins, the disease of modern societies
Varicose vein disease is the most common vascular disease. It is found in approximately 15% of the adult population.
The meaning of the word is; It is the veins under the skin that expand, become curved and become visible.
Varicose Veins, a Disease of Modern Societies
Doing gymnastics that strengthens the leg muscle, elevating the foot, varicose veins. using socks, changing diet and lifestyle (weight loss, avoiding excessive sitting or standing for long periods of time), protection from extreme heat, cold shower (twice a day, starting from the heel upwards) Applications such as strong> can slow down the progression of varicose veins and provide relief to the patient.
Despite all these precautions, advanced treatments may be recommended for both functional and cosmetic reasons.
Laser Treatment
It is useful for very thin, capillary varicose veins. This treatment is performed in the Skin Diseases Department of our hospital.
Before and After Laser Treatment
Sclerotherapy (Drying with Injection)
Injection drying can be done without hospitalization. In some cases, it is frequently used as a complementary treatment after surgery and in the treatment of recurrences.
When injecting into the varicose veins – Before Sclerotherapy – After Sclerotherapy
- Microsurgery
In this method performed for aesthetic purposes, existing varicose veins are cleaned with very small incisions.
- Macrosurgery
For very advanced varicose veins and varicose wounds, extensive surgeries can be performed to remove the main veins of the existing varicose veins.
For female patients with varicose veins, it increases the risk of superficial and deep vein occlusions. It is dangerous for people to use oral birth control pills.
Carotid artery and stroke
Stroke, which is the third cause of death in Western countries, is caused by cardiovascular system diseases. heart infarction in related causes of death It ranks second after stroke.
In addition to death, the negative effects of stroke on the patient and society, as well as the disability it causes, are another dimension of the event.
Stroke
In a study conducted at Mayo Clinic, the annual chance of developing a stroke in the population between the ages of 55 and 64 was found to be 276.8 per 100,000, and for those between the ages of 65 and 74, this probability was found to be 632 per 100,000. As can be seen, the possibility of stroke increases with age.
Stroke occurs as a result of a blockage in the arteries feeding the brain tissue, resulting in cessation of circulation and the inability to nourish the brain tissue in that area.
Brain tissue, which is very sensitive to lack of oxygen, loses its functions in a short time and loss of function occurs in the relevant organ (hand, arm, leg, speech and swallowing center, etc.).
The leading cause of stroke is atherosclerosis. . Atheroma plaques, formed by calcium deposits along with the deposition of some fat molecules in the blood, especially cholesterol, on the vessel wall, cause the inner diameter of the vessel to narrow. Atheroma plaques may ulcerate over time and small clots may accumulate on them. These clots can sometimes become loose and block the small vessels in the brain, and sometimes the carotid artery itself can be completely blocked, resulting in a stroke.
The clot that blocks these vessels can occur locally within the vein, or it can originate from the heart cavities as a result of a heart disease.
Heralds, Symptoms
Stroke can develop suddenly, without any preliminary symptoms.
Important clinical symptoms that should be emphasized by the patient and the doctor. These are:
- Temporary loss of strength, numbness and tingling occurring in one half or part of the body (such as hand, arm, face, tongue),
- Temporary vision loss, blackout, lightning in the eye,
- Dizziness, loss of balance
Transient Ischemic Attack (TIA) These symptoms, called symptoms, are very short-lived and may disappear without leaving a trace. These symptoms are of great importance in terms of bringing the patient to the doctor and warning the doctor about this danger.
Color Doppler Ultrasonography
Color Doppler Image obtained with pler ultrasonography.
Before your scheduled open heart surgery, be sure to have your jugular veins checked with “Color Doppler Ultrasonography”.
Coronary Vascular Disease and Stroke
The risk factors that cause the development of coronary artery disease and the factors that increase the risk of stroke are almost the same. Risk factors such as high blood cholesterol levels, smoking, high blood pressure, and diabetes play an important role in the development of both diseases.
The incidence of carotid artery disease is quite high in those with coronary heart disease(8% – 12). For this reason, it is vital that the jugular veins of every patient over the age of 40 who needs to undergo coronary bypass surgery be examined by color Doppler ultrasonography.
Before the surgery, 70 – 80% In patients with stenosis, the carotid artery is operated either before heart surgery or (in special cases) together with heart surgery.
In this surgery, the hard plaques that narrow the carotid artery are removed and, if necessary, the carotid artery is removed. It is expanded with a patch. These surgeries have been performed successfully in our country for a long time.
Result
In the examination performed before the surgery, more than 50% of the carotid artery was detected. It is very important for patients with severe stenosis to be checked with "doppler ultrasonography" every 6 months after the surgery, and for patients with less than 50% stenosis once a year to prevent the risk of a future stroke.
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