Varicose vein disease is an extension of saphenous veins with a diameter more than 3 mm of Varicose veins develop due to the violation of work of venous valves and of the weakness of the vein wall; thus there is a slowing of the blood flow of the lower limbs, an increase of the pressure inside the vein, which can lead to chronic venous insufficiency.
Sometimes, telangiectasia and reticular vienna confused varicose veins advanced.
It is the vein with a diameter of 3 mm and less, they do not affect the venous reflux, but cause explicit cosmetic defects.
Varicose saphenous veins present in 30% of women and 15% of men of middle age. The prevalence of varicose veins of the lower limbs increases substantially with age and is present in most people aged over 60 years. The proportion of patients with trophic disorders in the adult age is only 1.8%, while in the old age, the rate rises to 20%. In this case, every fifth patient in the life of a meeting with thrombophlebitis. Among the reasons that lead to loss of work capacity, the share of debilitating forms of disease of the veins more than the arteries.
The main risk factors of varicose veins are:
The additional risk factors:
The literature data by other risk factors are conflicting. The risk of development of venous disease is low.
The most common manifestation – bulging above the surface of the skin uneven dilated veins. In some cases, they can be barely noticeable or determined only by the touch, others take sinuous forms with the formation of knots or similar to those of the great vine the cluster.
Often the varicose disease is accompanied by the following symptoms:
Rarely varicose vein disease can cause the restless legs syndrome and nocturnal leg cramps.
In the absence of treatment, the progression of the varicose veins can lead to chronic venous insufficiency (CVI). The presence of CVI, bear witness to the serious violations of the lymph in the venous return (the clinical classes C3-C6 CEAP classification), which include: a swelling (chronic lymphedema), to change the colour of the skin (hyperpigmentation), venous eczema, the skin of a seal, trophic venous ulceration.
Thrombophlebitis – the formation of a blood clot in the superficial venous system, is an event faced by the 20% of patients with varicose veins-dilated veins. This thrombosis is accompanied expressed by painful sensations, redness of the skin, the seal of the road to vienna on the tibia and/or of the hip. In the absence of treatment it is possible to distribute to the masses thrombotic deep venous.
Deep vein thrombosis (DVT) – in most cases, the beginning of a process asymptomatic. During the broadcast of the thrombosis on the segment and the veins of the basin disrupted the main flow of blood in the lower extremities, which is accompanied by the edema is pronounced and the syndrome, and is considered life-threatening situation.
Thrombosis of the pulmonary arteries (EP) - in 10% of cases thrombotic mass in the deep veins of the lower limbs and fragmented, with a current of blood migrate into the pulmonary arteries, as a cause of death.
Given the diversity of forms of diseases of the veins, for a diagnosis, every detail is important to the history of the development of the disease and of the life of the patient, presence of comorbidities carried over from the operation, the result of the external inspection by your doctor and most importantly - ultra-duplex scanning of the vein. The latter is, to this day, is the most informative, accurate and non-invasive method of the study of the veins of the lower limbs.
Varicose veins treatment the most common ways: