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Vircosa veins

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Vircosa veins

Vircosa veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing.  Severe long-standing varicose veins can lead to leg swelling, venous eczema, skin thickening (lipodermatosclerosis) and ulceration. Varicose veins are more common in women than in men

Signs and symptoms

  • Aching, heavy legs
  • Telangiectasia
  • Ankle swelling, especially in the evening.
  • A brownish-yellow shiny skin discoloration near the affected veins.
  • stasis dermatitis or venous eczema:- Redness, dryness, and itchiness of areas of skin, termed  because of waste products building up in the leg.
  • Cramps may develop especially when making a sudden move as standing up.
  • Minor injuries to the area may bleed more than normal or take a long time to heal.
  • lipodermatosclerosis : In this condition people the skin above the ankle may shrink,  because the fat underneath the skin becomes hard.
  • Restless legs syndrome appears to be a common overlapping clinical syndrome in patients with vircose veins and other chronic venous insufficiency.
  •  atrophie blanche. : Whitened, irregular scar-like patches can appear at the ankles.

Complications

Most varicose veins are reasonably benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.

  • Pain, tenderness, heaviness, inability to walk or stand for long hours, thus hindering work
  • Skin conditions / Dermatitis which could predispose skin loss
  • Skin ulcers especially near the ankle, usually referred to as venous ulcers.
  • Development of carcinoma or sarcoma in longstanding venous ulcers. Over 100 reported cases of malignant transformation have been reported at a rate reported as 0.4% to 1%.
  • Severe bleeding from minor trauma, of particular concern in the elderly.
  • Blood clotting within affected veins, termed superficial thrombophlebitis. These are frequently isolated to the superficial veins, but can extend into deep veins, becoming a more serious problem.
  • Acute fat necrosis can occur, especially at the ankle of overweight patients with varicose veins. Females are more frequently affected than males.

Causes :

  • Heridity,
  • pregnancy,
  • obesity,
  • menopause,
  • aging,
  • Prolonged standing, : Veins have pairs of leaflet valves to prevent blood from flowing backwards (retrograde flow or venous reflux) Leg muscles pump the veins to return blood to the heart (the skeletal-muscle pump), against the effects of gravity. When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work (valvular incompetence). This allows blood to flow backwards and they enlarge even more. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing.
  • leg injury and
  • abdominal straining
  • Obesity
  • Chronic Constipation

Diagnosis

  • Diagnosis may be done by examine your legs and visible veins while sitting and standing. It also depends on pain and symptoms you are having.
  • ultrasound to check your blood flow
  • venogram may be done by depending on location for further assess your veins. During this test, your doctor injects a special dye into your legs and takes X-rays of the area. The dye appears on the X-rays, giving your doctor a better view of how your blood is flowing.

Treatment

  • Doctors suggest you to make changes to your lifestyle, instead of aggressive treatment. Change in lifestyle like Avoid standing for extended periods of time, Lose weight or maintain a healthy weight, Exercise to improve your circulation, Use compression socks or stockings.
  • Elevate your legs whenever you’re resting or sleeping when you are already suffering from Vircosa veins.
  • Surgery : If life style changes not working doctor may suggest you for surgery. Surgery like Vein ligation and stripping is a surgical treatment that requires anesthesia. During the procedure, your surgeon makes cuts in your skin, cuts the varicose vein, and removes it through the incisions.
  • Other treatments like
    • sclerotherapy
    • microsclerotherapy,
    • laser surgery
    • endovenous ablation therapy
    • endoscopic vein surgery

 

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