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VARICOSE VEINS During PREGNANCY Some women have found that they develop varicose veins during pregnancy. This is because the hormones that assist in safe delivery also affect vein walls, and increased weight means greater pressure on veins. VARICOSE VEINS Varicose veins are enlarged veins, often seen on the thigh and leg. Sometimes these large superficial veins just a cosmetic problem. But since these veins help transfer blood to the heart, they are important for health, too. How common are varicose veins? The majority of affected individuals are females and at least 50-60% of females suffer to some degree from varicose veins. Varicose veins commonly occur on the legs and thighs but may also occur in the vulva or vagina. Hemorrhoids and varicoceles are other examples of varicose veins. What are the symptoms of varicose veins? Burning, itching, swelling, tenderness and aching are all symptoms of varicose veins. In addition, restless legs may be the result of varicose veins. Do varicose veins lead to clots? Clots formed in the varicose veins of the legs rarely move to the lungs. The blood clots in varicose veins tend to remain in place and cause irritating symptoms. Are varicose veins serious? In the majority of cases, varicose veins are cosmetically displeasing. But untreated vein disease can progress, leading to possibility of infection, easy bleeding of legs, skin changes on the legs and ulcers or sores that cannot heal. How are varicose veins diagnosed? A simple physical can diagnose varicose veins. Doppler ultrasound may be used to determine the presence of backflow or blood clots. This painless test assesses vein function and can identify if backflow is present. What problems can occur without treatment? - Superficial thrombophlebitis – A tender and painful vein holding a clot. - Bleeding – Veins under pressure can bleed quite profusely after only minor contact. - Venous Eczema – Skin that is very dry and itchy. - Venous Pigmentation – Blood leaking into tissues causes brown stains on skin. - Venous Ulceration – Sores at the ankle or shin. What treatments are there for varicose veins? There are various types of surgery procedures to treat varicose veins in the leg. These include: - Surgical Ligation and Stripping: An older procedure, it means the surgical removal of veins through incisions, stripping and tying of veins. These procedures include the risk of scarring. - Ligation and stabs: With the patient under anesthesia, the vein is tied, and only the very large prominent varicosities in the leg and thigh are removed. Small stabs are made and superficial veins removed. - Ultrasound Guided laser ablation: The large vein in the thigh is accessed through a tiny incision with a laser probe. The doctor views the probe in the vein on an ultrasound screen. With local anesthesia and on an outpatient basis, this only requires one tiny incision. - Radiofrequency Ablation: Similar to Laser ablation, but using a radiofrequency probe instead of a laser. Can varicose veins benefit from sclerotherapy? No, sclerotherapy only treats smaller spider veins. Larger veins cannot be treated in this manner. Can varicose veins return after treatment? Yes. Removal of the large superficial vein and treatment of the remaining branches will ensure a very low return rate for these problem veins. Only small spider veins should recur. Varicose Veins During Pregnancy What happens to varicose veins during pregnancy? In the majority of cases, varicose veins become worse over time. Valves that have started backflow do not spontaneously heal. Leg veins do not improve without treatment, and may begin to show symptoms such as aching, swelling, tenderness or restlessness. Varicose veins on the vulva/vagina often do get better once the baby has been delivered. Who develops varicose veins during pregnancy? Many women develop varicose veins in pregnancy. Factors influencing development of varicosities are pregnancy, obesity, prolonged standing and trauma. Varicose veins are more common in females and this has been linked to estrogen. With multiple pregnancies, if veins have started to be affected, the veins always worsen in size, shape and severity of symptom. Why dosome women develop varicose veins during pregnancy? Increased pressure in the veins from weight gain and fluid buildup are linked to the cause. Valves in the veins prevent blood pushing back downward into the legs. Pressure can weaken these valves, causing blood to pool. This leads to swelling and engorgement of the veins. Also, female hormones are thought to weaken vein walls, causing them to swell with blood. Where do some women develop varicose veins during pregnancy? Varicose veins can become prominent in legs during pregnancy but can also develop near the vulva or vagina. The baby in utero also compresses some parts of the lower abdomen and put pressure on pelvic veins and the veins in the legs. What is treatment for vulvar varicose veins? There is no treatment required for vulvar/vaginal varicosities. Once the baby is delivered, swollen veins usually diminish. Sometimes there may be a ropy vein remaining. For those with varicosities on the vulva that remain, treatment should be delayed until after delivery, just as with the varicose vein of the legs. Is Varicose Vein Surgery covered by insurance? Symptomatic vein disease is often covered by insurance. If the surgery is only for cosmetically displeasing veins without medical symptoms it is not covered. Visit Dr. Wright to Help Prevent Varicose Veins During Pregnancy Varicose veins during pregnancy can cause a host of uncomfortable symptoms and can even lead to more serious health problems if left untreated. If you are pregnant or planning on becoming pregnant and are at high risk for developing varicose veins during pregnancy, visit Dr. Wright in St. Louis for ways to help prevent and/or treat those unsightly veins.
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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