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Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, [1] although varicose veins can Krampfadern Problem elsewhere. Veins have pairs of leaflet valves to source Krampfadern Problem from flowing backwards retrograde flow or venous reflux. 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 Krampfadern Problem are most common in Krampfadern Problem superficial veins of the legs, which are subject to high pressure when standing.

Besides being a cosmetic problem, varicose veins can be painful, especially when standing. Severe long-standing varicose veins can lead to leg swelling, venous eczemaskin thickening lipodermatosclerosis Krampfadern Problem ulceration.

Krampfadern Problem life-threatening complications are uncommon, varicose veins may be confused with deep vein thrombosiswhich may be life-threatening.

Non-surgical treatments include sclerotherapyelastic stockings, leg elevation Krampfadern Problem exercise. The traditional surgical treatment has been vein stripping to remove the affected veins.

Newer, less invasive treatments which seal the main leaking vein are available. Alternative techniques, such Krampfadern Problem ultrasound-guided foam sclerotherapyradiofrequency ablation and endovenous laser treatmentare available as well. Secondary varicose veins are those developing as collateral pathways, typically after stenosis or occlusion of the deep veins, a common sequel of extensive deep Krampfadern Problem thrombosis DVT. Treatment options are usually support stockings, occasionally sclerotherapy and rarely, limited surgery.

Varicose veins are distinguished from reticular veins blue veins and telangiectasias spider veinswhich also involve valvular insufficiency, [6] by the size and location of the veins. Many patients who suffer with varicose veins seek out the assistance of physicians who specialize in vein care fötalen Plazenta von Blutfluß peripheral vascular disease. These physicians include vascular surgeons, phlebologists Krampfadern Problem interventional radiologists.

Most varicose veins are reasonably benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb. Traditionally, varicose veins were investigated Krampfadern Problem imaging techniques only if there was a clinical suspicion of deep venous insufficiency, if they were recurrent, or if they involved the saphenopopliteal junction.

This practice is not now widely accepted. Patients with varicose veins should now be investigated using lower limbs venous ultrasonography. The results from a randomised controlled trial on patients with and without routine ultrasound have shown a significant difference in recurrence rate and Krampfadern Problem rate at 2 and 7 years of follow-up.

Varicose veins are more common in women than in men, and are linked with heredity. Varicose veins are unlikely to be caused by crossing the legs or ankles. More recent research has shown the importance of pelvic vein reflux PVR in the development Krampfadern Problem varicose veins. Hobbs showed varicose veins in the legs could be due to ovarian vein reflux Krampfadern Problem and Lumley and his team showed recurrent varicose veins could be due to ovarian vein reflux.

There is increasing evidence for the role of incompetent Perforator veins or "perforators" in the formation of varicose veins. Varicose veins could also be caused by hyperhomocysteinemia in the body, which can degrade and inhibit the formation of the three main structural components of the artery: Homocysteine permanently degrades cysteine disulfide bridges and lysine amino acid residues in proteins Krampfadern Problem, gradually affecting function and structure.

These long-term effects are difficult to establish in clinical trials focusing on groups with existing artery decline. Klippel-Trenaunay syndrome and Parkes-Weber syndrome are relevant for differential diagnosis. Another cause Krampfadern Problem chronic alcohol consumption due to the vasodilatation side effect in relation to gravity and blood viscosity. Treatment Krampfadern Problem be either conservative or Krampfadern Problem. Active continue reading can be divided into surgical and non-surgical treatments.

Newer methods including endovenous laser treatmentradiofrequency ablation and foam sclerotherapy appear to work as Krampfadern Problem as surgery for varices of the greater saphenous vein. The National Institute for Health and Krampfadern Problem Excellence NICE produced clinical guidelines in July recommending that all people with symptomatic varicose veins C2S and worse should be referred to a vascular service for treatment.

The complications include deep vein thrombosis 5. There is evidence for the great saphenous vein regrowing after stripping. In addition, since stripping removes the saphenous main Krampfadern Problem, they are no longer available for use as venous bypass grafts in the future coronary or was mit Geschwüren zu trinken artery vital disease.

There is tentative evidence that Krampfadern Problem hemodynamic correction of venous insufficiency method CHIVA which works to save the veins, decreases varicose veins and is safer than vein stripping in those with chronic venous insufficiency. A commonly performed non-surgical treatment for varicose and "spider" leg veins is sclerotherapyin which medicine sclerosant is injected into the veins to make them shrink. Foams may allow more veins to be treated per session with comparable Krampfadern Problem. Their use in contrast to liquid sclerosant is still somewhat controversial.

Sclerotherapy has been used in the treatment of varicose veins for over years. Complications of sclerotherapy are rare but can read article blood clots and ulceration.

Anaphylactic reactions are "extraordinarily rare but Krampfadern Problem be life-threatening," and doctors should have resuscitation equipment ready. There are three kinds of endovenous thermal ablation treatment possible: Complications for ELA Krampfadern Problem minor skin burns 0. The longest study of endovenous laser ablation is Krampfadern Problem months. Two prospective randomized trials found speedier recovery and fewer complications after radiofrequency ablation ERA compared to open surgery.

Complications for ERA include burns, paraesthesia, clinical phlebitis and slightly higher rates of deep vein thrombosis 0. Steam treatment consists in injection of pulses of steam into the sick vein. This treatment which works with a natural agent water has similar results than laser or radiofrequency. ELA is performed as an outpatient procedure and does not require an operating theatre, nor does the patient need я?" trophischen Geschwüren als Heilmittel ругатель general anaesthetic.

Doctors use high-frequency ultrasound during the procedure to visualize the anatomical relationships between the saphenous structures. Some practitioners also perform phlebectomy or ultrasound guided sclerotherapy at the time of endovenous treatment. Follow-up treatment Krampfadern Problem smaller branch varicose veins is often needed in the weeks or months after the initial procedure. Steam is a very promising treatment for Krampfadern Problem doctors easy introduction of catheters, efficient on recurrences, ambulatory procedure, easy and economic procedure and patients less post-operative Krampfadern Problem, a natural agent, fast recovery to daily activities.

This condition is most common after age There is a hereditary role. It has been seen in smokers, those who have chronic constipation and in people with occupations which necessitate long periods of standing such as lecturers, nurses, conductors musical and busstage actors, umpires cricket, javelin, etc.

From Wikipedia, the free encyclopedia. For other uses, see Varices. This section needs additional citations for verification. Please help improve this article by adding citations more info reliable sources.

Unsourced material may be Krampfadern Problem and removed. January Learn how and when to remove this template message. Archived from the original on July 6, Zakrzepica — Medycyna Praktyczna: J Dermatol Surg Oncol. Hardcover Text, 2nd Ed. Journal of Medical Genetics. Duke University Health System.

Retrieved March 1, Int J Clin Pract. Journal of Vascular Surgery: Venous and Lymphatic Disorders. European Journal of Vascular and Endovascular Surgery. The Cochrane database of systematic reviews. The diagnosis and management of varicose veins. National Institute for Health and Care Excellence. Retrieved August 25, In Davy A and Stemmer R eds. Eur J Vasc Surg. The Cochrane database of systematic http://m.gampert-webdesign.de/chicore-warum-krampfkontra.php 6: Annals of Vascular Surgery.

Tisi, Paul V, ed. Injection sclerotherapy for varicose veins". Cochrane Database Syst Rev 4: Australian and New Zealand Krampfadern Problem of Phlebology. Rigby, Kathryn A, ed. J Vasc Interv Radiol. Eur J Vasc Endovasc Surg. Krampfadern Problem of the Human Body. Cardiovascular disease vessels I70—I99— Carotid artery stenosis Renal Krampfadern Problem stenosis. Arteriovenous fistula Arteriovenous malformation Telangiectasia Hereditary hemorrhagic telangiectasia.

Cherry hemangioma Halo nevus Spider angioma.


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