Varicose veins (varices)
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Varicose veins (varices) affect almost everyone: At about 90 percent Deutsche change some veins throughout life and can develop into a vein disorders. Women are more affected than men. The bluish veins occur mainly at or in the legs.
In general, however, varicose veins are mostly harmless changes. Most sufferers have more than occasional mild discomfort. Only every sixth it is necessary to treat the varicose veins doctor.
What are varicose veins?
Varicose veins are places nodular Advanced and often wavy veins. Form lots Varicose veins, doctors refer to this as
come for varicose veins (varices) different causes question. Here, a distinction is whether a varicose vein primary (I.e., the original disease), or secondary (Ie as a result of another disease) results:
Mostly (About 95%) are formed varicose veins (varices) from not fully clarified Causes (ie idiopathic) - then it is called primary varicose. You can make the following vein:
Venenklappen practice during return of blood to the heart one important function out. While the heart pumps blood at high pressure through the arteries, the blood flows in the veins under low pressure against gravity to return the heart. The venous valves provide a kind Valve that the blood in the veins in spite of the low blood pressure in the right direction flows. They work like sailing: the blood flows towards the heart, are they close to the wall of the vein on. If the blood still or threatens to flow back, the flaps inflate and lie to each other, so that the vein is closed. The venous valves prevent so that the blood due to gravity again flow back. Wherefore, they are primary varicose veins as causes of central importance.
At a disturbed venous valves function (E.g., due to a weakness of the tissue of the vein or the flaps), the flow direction is reversed. as a result, jams blood in the blood vessels and the Veins stretch out. These veins expansion leads to a Domino effect, which is ultimately responsible for primary varicose veins:
long-term the backflow of blood into the superficial veins to the fact that the vein wall increasingly expands - there arise primary varicose veins. The causes also play certain Behaviors and life circumstances a role which the formation of varicose veins favor - for example:
Less common have (in about 5% of cases) varicose veins (varices) their causes in a acquired disease - they are then referred to as secondary varicose. in this case, the affected veins are usually so extended nodular because the blood does not really superficial to deeper vein (so-called. deep venous system) drain.
As a cause of secondary varicose veins is, for example, a blood clot (Thrombosis) in question, which closes the deep vein of the leg, or a tumor, the veins in the abdominal area narrows. To compensate, the body directs the blood through other veins back to the heart. The blood flow in these veins increases and the veins expand. The venous valves can not close completely, the blood accumulates - and there are secondary varices.
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but varicose veins can not only in the legs, but also in other body regions arise - for example in connection with an advanced liver failure (so-called Here, the veins extend below the esophageal lining, so varices develop in the esophagus. esophageal varices).
Stammvarizen be due to the surface the legs. There run two major veins, also saphenous veins called:
The saphenous veins are the superficial venous system. are both extended to varicose veins, this is called varicosis. In a venous disease but can only a Vene be affected. The Stammvarizen form on the inside of the upper or lower leg, and provide about 85 percent of the common form of varicose represents.
Most Stammvarizen caused by a Malfunction of the last vein valves, which connect the superficial veins of the lower-lying veins. These venous valves are in the range of the groin and the knee.
Another form of varicose veins in the legs, called side branches, develops from smaller veins, the saphenous veins astförmig depart from the (so-called. side branches). these side branches extended morbid, it is called a Seitenastvarikose. Especially from the side branches of the great saphenous vein varices frequently arise. In many cases, side branches occur along with Stammvarizen. Side branches are also on the inside of the upper and lower leg.
Some common varicose veins in the legs also feature Spider veins and reticular veins. These forms relate to small veins in the skin, which have a diameter of less than one millimeter.
reticular veins are reticulated arranged (lat. reticularis = reticulated). As Spider veins Varicose veins are often called ramified and blue and red. Spider veins and reticular veins are formed mainly on the outer side of the thigh and lower leg and on the inside of the knee.
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Often occur: spider veins in the legs.
The varices (varicose veins) are typical symptoms bluish, nodular thickened veins that can be seen through the skin. As first signs for developing varicose veins often appear small, bluish-colored spider veins under the skin. Often these first signs of varicose veins already in adolescence or early adulthood develop.
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Varicose veins at an advanced stage (varicose veins)
Form lots Varicose veins (so-called. Varicosity or varicose Veins), And proceeds the venous disease, come other symptoms added:
under certain circumstances can the costs associated with varicose veins symptoms aggravate. So does this affect typically prolonged standing or sitting strengthening of the venous disease. The symptoms also take in the evenings as under heat to why varicose veins can be very annoying especially during the summer months. In women with varicose veins complaints can also before menstruation increase.
In varicose veins (varices) to diagnose at first a physical examination, to examine the superficial vein extending. In addition, the doctor asks about how much the symptoms are and whether other family members have varicose veins. The subsequent diagnostic measures aim to recognize the full extent of the vein changes. Only then is it possible to initiate appropriate therapy.
On suspicion of varicose veins are for the diagnosis especially imaging procedures important. By default occurs in the veins duplex examination used - a combination of ultrasound (sonography) and so-called Doppler examination. Use the duplex examination can represent the morbid vein color. An additional probe provides information on the flow rate of blood through the veins.
In certain cases, the so-called venography a useful method to diagnose varicose veins: This imaging method is an X-ray examination of the leg veins, when you get injected into a vein an iodine-containing contrast agents. The contrast agent is used to make the veins and any pathological changes on X-ray visible.
In addition to the diagnostic imaging are in varicose veins to diagnose another method to disposal. They include the Trendelenburg test, the Pratt test and the Perthes test: These diagnostic tests can provide clues as to whether the function of the venous valves is faulty and if there are deeper varices. They come today, however, only Rare used - the imaging techniques have replaced them.
With varicose veins, the doctor can with the Trendelenburg test check the functioning of certain venous valves. Here it is with bare legs on his back and stretches the leg to be examined straight up. The doctor removes from the blood and then sets a narrow pressure bandage around his thigh.
After that you're on. The doctor now observed, how fast the superficial veins fill with blood. Based on his observations, he can deduce whether the function of the venous valves in the superficial or connecting veins is disturbed. Communicating veins (so-called. Perforating) are a kind of bridge between the superficial and deeper veins.
To find out in varicose veins, whether the function of the venous valves in the connecting veins is disturbed, is the Pratt's sign. In this test it is initially on the back and holding the affected leg up so the blood can flow in the veins. The doctor removes from the blood and then sets a stretchable bandage from the foot to the bar.
After a short time you stand on. The doctor then wraps the bandage on the bar. At the same time it defines a second wrap of the strip of starting, so that continually a strip of skin of five to ten centimeters in width remains free between the two napkins. He then observed the veins filling in each case exactly this vacancy.
Whether in varicose veins a disorder of the blood outflow in deep venous system exists, the Perthes test Show: This one gets wrapped around a narrow bandage around his thigh. While going around, the doctor observes the filling of the superficial veins.
In varicose veins (varices) one can possible early treatment possible future avoid damage. If larger quantities of blood strain on the veins for years, this can lead to complications - for example to phlebitis.
Secondly, the therapy may be that your remove varicose veins to let:
In varicose veins in addition to medical therapy helps many things herself can do. Although you can by general measures Not achieve that already disappearing existing varices. But the inherent measures contribute to the costs associated with varicose veins complaints (E.g. heavy legs) clearly alleviate.
An important measure for varicose veins is: sufficient physical movement to care! If you exercise regularly, you will support the outflow of blood in the veins that lie just under the skin (so-called. Superficial veins). Especially sports like Jogging, cycling and swimming suitable for varices, as they called muscle pump encourage particularly well. Because with the change between tension and relaxation especially the calf muscles pump the blood in your veins back to her heart.
Every now and then the Feet Up is not only good for relaxation: Regular elevating the legs unblocks your veins and makes for a good outflow of your blood. By water showers You can increase your blood flow and also decongest the veins. In mild varicose veins especially cold knee or leg casts are recommended: It costs only a few seconds, so you can integrate into the personal hygiene slightly (for example, during the morning showers), and stimulates both blood circulation in the leg as well as the circulation generally.
In varicose veins (varices) different vein supplements in capsule or tablet form are available on the therapy vegetable Basis. These funds help each swollen and heavy legs, incurred as a result of varicose veins.
Veins agents increase blood circulation and ensure that the vessel walls are less permeable. An example of this is the active ingredient troxerutin obtained from the Japanese pagoda tree. Veins means with horse chestnut extracts (aescin) rutosides or red vine leaves (flavonoid) achieve a similar effect.
Take this medication but possible for a longer period of time (At least several months) in order to deal with the problems associated with varicose veins complaints successful. Because the treatment is stopped too early, the symptoms can quickly return.
veins albums You get in your pharmacy in different versions. These veins agents usually contain ingredients such as escin, tannin or heparin. Essential oils that you win as rosemary, mountain pine, sage or arnica flowers are available in combination products for the treatment of varicose veins.
If you have varicose veins (varices) remove want to, provides for the therapy a desolation (Sclerosis) of affected veins to: Usually you can so especially reticular and spider veins and side branches Remove successful. Less recommended it, larger varicose veins is to obliterate (so-called trunk varicose veins.): Return after sclerotherapy often again. For large varicose veins a surgery for treatment is more appropriate.
To obliterate your varicose veins, splashes the doctor a special fluid or a foam into the appropriate vein: Both damage the inner wall of the varicose veins - they stick and evolve over time to a connective tissue strand. After the obliteration of varices, it is important that you make a difference, to increase blood flow in the veins remaining stimulate.
In varicose veins (varices) of the large veins (the so-called. saphenous veins) The treatment of a surgery consist. There are two operating methods available to remove large varicose veins:
For one, you can use the infuse varicose veins. The so-called stripping (eng. To strip = strip) draws the surgeon with a probe out the varicose veins from the leg. After drawing a large varicose veins can also obliterate smaller side branches. Following the surgery, it is advisable for a time compression stockings (or support stockings) to wear.
Secondly, you can operate your varicose veins through crossectomy: Here severed the surgeon a stem varicose veins (saphenous vein) on the so-called Crosse, ie the point where it opens into the deep leg vein (vena femoralis). This prevents the backflow of blood. The procedure is performed under local anesthesia. Therefore, the crossectomy is also suitable for older people with large varicose veins, where the risk of general anesthesia is too high. After this operation, it is also advisable for a while to wear compression stockings.
For some time, are varicose veins for the treatment and two so-called endovenous method to disposal. The treatment is based in both cases on the varicose veins by heat from the inside to to seal - either by using laser beams (Endovenous laser treatment), or by electromagnetic waves (Radiofrequency ablation):
Surgical removal of varicose veins is in this treatment Not necessary. In contrast to the classical methods of operation, the endovenous procedures may outpatients and without anesthesia respectively.
Both endovenous methods achieve results that are comparable to those of surgery of varicose veins. As side effects the treatment by radio frequency ablation or endovenous laser treatment can cause pain and bruises occur.
In varicose veins (varices) can be used for therapy and the compression (= Compressibility) contribute. With the compression therapy can varicose veins, however, Not remove. The treatment consists in the veins with a bandage or compression stocking compress - the blood can flow more quickly.
Compression therapy is carried out at large varicose veins than basic therapy, if other methods (e.g., sclerotherapy for varices or OP) for certain reasons Not are applicable for the treatment of varices.
In severe varicose veins (varices) or severe edema come to therapy individually made to measure compression stockings (also support stockings called) are used. Of the pressure, to the tight-fitting compression stockings exert on the leg,
Compression stockings usually range from the knee to the thigh. Thus, there is no risk that they slide down during physical exercise and pinch single vessels (e.g., the knee).
On the contrary, stockings enhance the effect of the pumping action of the calf and foot muscles. So if you wear compression stockings for existing varicose veins, wear it best during the walk or at the gym. Otherwise, the varicose veins can even worsen under certain circumstances.
take varicose veins (varices) mostly a harmless course. Who early on is doing something against the first bluish veins, can a good prognosis expect and often prevent varicose veins. untreated varicose veins tend over time to further progress and at some stage clear complaints trigger - such as heavy legs.
But even then the prognosis is even more favorable when treating the varicose veins responsible for complaints and eliminated:
untreated can varicose veins (varices) in the further course with different complications be connected:
Varicose veins (varices) you can prevent! Even if the cause is usually a congenital weakness of the connective tissue, varicose veins have Not lead to a varicose veins (varicose veins). To prevent varicose veins occur or worsen existing varicose veins, are many different measures suitable:
Would you like varicose veins early prevent, there are some things you in business and everyday life can do. It is particularly important that you exercise regularly and avoid obesity: To ensure that the blood flows well from the veins. This is especially true when you sit or professional reasons are plenty: Make then at your leisure on adequate exercise. Because varices often arise when physical activity is too short. As a general principle: a lot of running and walking, sitting little and stand. for example, so better to take the stairs than use the elevator!
Set quietly in between sometimes your legs up or pamper yourself with a cold foot bath: Even so you support your venous system while strengthening your circulation. prevent varicose veins also means: casual clothing carry. Because constricting garments can pull the trigger veins at individual locations (knee, ankle). Thus they impede blood flow and increase the risk of varicose veins.
If you want to prevent varicose veins (varices), is especially: Do you exercise? After all, who appears regularly in the pedals of his bicycle or jogging goes, prevents vein extensions before, prevent its progression and alleviate already existing symptoms.
Challenge your muscles away as possible over a longer period. Who wants to prevent varicose veins, must not perform peak performance in sports - key is regularity: You must reauthorize the muscle pump repeatedly to take effect. Regular exercise also leads it to a training effect for the muscles. The muscles grow and thus increase the pressure on the veins circulation. Small changes affect the fight against varicose veins have a positive impact.
but note in an existing venous disease that not all sports positive effect on varicose veins. Especially if you are playing sports short quick movements Run and then stand again have (such as in tennis or badminton), promote the flow of blood in the veins Not permanently: The increased activity stimulates the circulation and blood circulation, so that an increased blood flow created. the pumping action of the calf muscles in the standing breaks suddenly goes off, sags the blood in the previously damaged veins and extends this further. In addition, increase certain exercises during weight training the abdominal pressure excessively (so-called. abdominal pressure), Which the flow of blood in the veins to the heart temporarily with special needs.
Talk so with your doctor first if you want to pursue sports such as tennis, badminton and weight training: He can advise you personally and check with you which sport is useful for you - especially if you have already isolated varicose veins.
Another method by which you have varicose veins (varices) can prevent is, vein gymnastics. Prevents bad weather for a walk, for example, during the lunch break, you can bring your blood flow in the veins with specific exercises in motion.
The following Exercises for varicose veins You can learn easily and run in between next desk and office chair:
Also in the supine position, about the evening before going to sleep, you can support your veins with exercises to prevent vein problems such as varicose veins, for example:
Another preventive exercise for varicose veins is to lift the toes with the legs raised against the foot to lift the buttocks and to hook several seconds. It is important to continue to breathe in small trains. Repeat this exercise for a short break twice more.
Even with already existing is varicose veins (varices) Prevention important: If you already have pronounced varicose veins or severe edema, you can prevent the varicose veins progresses through regular wear-to-measure custom-built support stockings (compression stockings). You get the support stockings prescribed by the doctor. They increase the pumping action of the calf and foot muscles. Therefore, it is important that you also support stockings while walking and playing sports carry. Do not do this, you risk that your varicose veins may worsen.
a Varicose veins You can (varices) in already existing varicose veins also prevented by water casts: To increase your blood circulation and decongest the veins. In mild varicose veins are mainly cold knee or thigh-gushes recommended. You just take few seconds, so you can easily incorporate into your personal hygiene (for example, during the morning showers), and stimulate both blood flow in the leg as well as your circulation generally on.
Even with the Treading water Kneipp You can prevent varicose veins - but this method is somewhat time-consuming as water showers. Treading water occurs in one Storch step, a minute through a basin, which is knee-high filled with 15 to 20 degrees cold water.
A special form of treading water is the Tautreten, wherein the morning walking barefoot through dewy meadows.
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