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EST, March 28, 2012|By Dr. Celeste Robb-Nicholson, Florida Jewish Journal I have varicose veins and would like to get rid of them. Could that lead to venous insufficiency? Having varicose veins removed doesn't make you any more likely to develop venous insufficiency. It might even help to reduce the likelihood of developing chronic venous insufficiency by removing a source of increased pressure in the leg veins. Whether you go ahead with treatment or not, there are some things you can do to help reduce the risk of vein problems progressing or recurring. Venous insufficiency is a decrease in blood flow from the leg veins to the heart that comes about because the veins aren't functioning properly. It's actually a range of conditions, including tiny spider veins (telangiectasias) that may be unsightly but cause no discomfort; moderate-sized, swollen, twisted veins (varicose veins) that cause achy, tired legs and occasional ankle swelling; and severe chronic venous insufficiency, which causes swollen legs, skin color changes, itchy skin, leg cramping and pain, and ulcers on the legs and ankles. In a normal leg vein, one-way valves prevent blood from flowing backward. In a varicose vein, the valves don't close properly, permitting blood to flow backward, pool, and enlarge the vein. Normally, leg veins send blood from the legs back to the heart by means of muscle contraction and a series of one-way valves that open to allow blood to flow toward the heart and close to keep it from flowing back down into the legs. When the valves are damaged or don't close properly, blood can pool in the legs, increasing pressure in the veins and causing them to dilate. The risk of developing leg vein problems increases with age, but at every age, it is greater for women than men. Other risk factors include a family history of vein problems, pregnancy and hormones (which can weaken vein walls), prolonged standing, obesity, lack of exercise, traumatic injury to the leg (such as a fracture or surgery), and a past blood clot in a leg vein. There are several ways to eliminate varicose veins. First, the physician will usually do an ultrasound to determine the source, or feeding vessel, that is causing the pressure in the varicose veins. Surgical removal, called ligation and stripping, was once regarded as the most effective treatment, but now it has largely been replaced by less invasive approaches that cause the veins to collapse and shut down. These include injections (sclerotherapy) and the use of laser and radiofrequency energy. After any of these treatments, varicose veins can recur because the deep veins are connected in numerous ways to the superficial vein system. As a result, the underlying vein condition may persist or new vessels may form and become dilated, creating a need for further treatment down the road. For now, your best bet after a procedure is to reduce pressure on your treated veins and take steps to prevent the underlying process from progressing in both your treated and untreated veins. Avoid sitting or standing in one place for long periods. Wear compression hose and elevate your legs a few times each day to reduce blood pooling and leg or ankle swelling. Exercise your toes and feet while sitting at a table or desk, and don't cross your legs. Take walks to get your leg muscles moving; they help squeeze veins and pump blood back to the heart. Maintain a healthy weight. — Celeste Robb-Nicholson, M.D., editor in chief, Harvard Women's Health Watch. PRESIDENT AND FELLOWS OF HARVARD COLLEGE. ALL RIGHTS RESERVED. DISTRIBUTED BY TRIBUNE MEDIA SERVICES, INC.
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Prema US Department of zdravstvo i ljudska Services , oko 55 posto američkih žena i 45 posto američkih muškaraca razviju nekakvu vena problema . Od onih u dobi od 50 godina , proširene vene utjecati na otprilike polovicu . Za neke ljude , proširene vene su jednostavnokozmetički problem . Za druge , one mogu izazvati nelagodu ili bol . Ponekad , proširene vene susimptom neke temeljne krvožilni problem koji zahtijeva liječenje . Uzrokuje Gravitacija jeprimarni uzrok proširenih vena . Pritisak tjelesne težine , kada je u kombinaciji s gravitacijom , zahtijeva vene u nogama i stopalima raditi da se presele krv natrag u srce . Kada se taj pritisak je jači od jednosmjernim ventilima nalazi u venama , krvnih bazenima i uzrokuje simptome proširenih vena . Rizik od razvoja proširenih vena raste s dobi, obiteljske povijesti , pretilost i trudnoću . Hormonalne promjene koje se događaju tijekom puberteta i menopauze i tijekom korištenja hormonskih lijekova koji sadrže estrogen i progesteron također mogu povećati rizik . Ozljeda ili trauma na noge, zanimanja koja zahtijevaju dugotrajno sjedenje ili stajanje, i izlaganje suncu može povećati šanse za formiranje proširenih vena kod nekih ljudi . Simptomi U mnogim slučajevima , proširene vene ne uzrokuje nelagodu i pojavljuju se kao tamno plave ili ljubičaste moždina poput vene . Oni mogu biti podignuta ili se pojavljuju upletena . Kada su simptomi prisutni , proširene vene može uzrokovati teške , bolne senzacije u nogama i stopalima koji se pogoršava s dugotrajno sjedenje ili stajanje . Lupanje , gori , otekline i grčevi mogu također biti prisutni . Ponekad , proširene vene svrbež , pogotovo kada se pojave na potkoljenicama i stopalima . Liječenje Liječenje blagih slučajeva je sa vježbom, nogu uzdizanje i sažimanja zavoje na bolovi i spriječitipogoršanje simptoma . Za više teškim slučajevima , pogotovo ako kožne promjene ili kada bol je značajan , liječenje može biti potrebno . Vaš liječnik će obaviti ultrazvuk kako bi se utvrdio uzrok vaših proširenih vena , a možete biti upućeni na vaskularne stručnjaka . Najčešći tretman za proširene vene jepostupak nazvao skleroterapija , koja uključuje injekciju rješenje izravno u pogođenim vene koje uzrokuju ih da nabubri , držati zajedno i pečat zatvorena . Ovaj postupak se zaustavlja protok krvi kroz žile , nakon čega se vene će se pretvoriti u ožiljak tkiva i nestati . Laserska kirurgija , ambulantno phlebectomy , kirurško podvezivanje i endoskopska operacija vena i drugi tretmani . Prevencija Prevencija proširenih vena uključuje načina života i aktivnosti promjene . Ograničavanje izlaganje suncu i nosi krema za sunčanje može pomoći u prevenciji proširenih vena u razvoju , osobito na licu i gornjem dijelu tijela . Dnevna tjelovježba poboljšava cirkulaciju i snagu vena , te gubitka težine ograničava pritisak na nogama , a stoji i sjedi . Nemojte prekrižiti noge dok sjedi , i podići noge , što je češće moguće, kako bi poboljšali cirkulaciju i spriječiti krv iz udruživanju . Elastična crijeva podršku su koristan u nekim slučajevima , ihigh - vlakno , low - sol dijeta će spriječiti zatvor i zadržavanje vode , od kojih su obje povećati rizik od proširenih vena . From:http://hr.265health.com/conditions-treatments/medical-conditions/1016128008.html