mevclinic.net clinica medicina estetica e cirurgia vascular

VEINS AND SPILLS

INTRODUCTION

The arteries bring blood from the heart to the extremities and the veins, fitted with valves, channel blood back to the heart. If the valves do not work well the blood does not circulate efficiently. The veins become dilated, because they are congested with blood. This dilation of the veins constitutes the varicose veins and the spills. Spills are small red, blue or purple vessels on the surface of the skin. Varicose veins are thicker and located more deeply. The most frequent location is in the lower limbs.

 

While some people seek treatment only for cosmetic reasons, many seek relief for the symptoms that afflict them like aches, swelling, tingling and cramping. Leg pain accompanies the onset of varicose veins and strokes. This symptom is aggravated by prolonged periods of standing and is accompanied by feeling of heaviness, malaise, cramps, pruritus, eczema and even ulcer if the situation is not resolved.

 

Venous problems are not always easy to detect. Physical examination and diagnostic tools (ultrasound echo Doppler, digital photoplethysmography) are indispensable tools for determining the cause and severity of the problem.

 

Inheritance is the main factor that contributes to the onset of varicose veins and strokes. Women are more susceptible to this pathology. Hormonal factors, including puberty, pregnancy, menopause and the use of contraceptives, estrogens and progesterone affect the progression of the disease. It is common for pregnant women to develop varicose veins during the first trimester. Pregnancy causes increased levels of hormones and blood volume which, in turn, causes venous dilation. In addition, increased uterine volume causes increased pressure in the abdominal veins, impairing venous return and consequently increasing pressure in the veins of the lower limbs. Varicose veins caused by pregnancy tend to improve or disappear during the first trimester after delivery.

 

However, with successive pregnancies, varicose veins are most likely to recur. Other factors predisposing to the disease include age, occupations in which one is always on foot, obesity, and trauma. Veins that are unaesthetic or cause pain or other symptoms are the first candidates for treatment.

 

Conservative treatment can be used, through the use of elastic stockings and postural therapy or opt for methods such as sclerosis, laser, IPL, radiofrequency, phlebotomy , Endovascular surgery or traditional surgery.The most frequent is a combination of these methods.

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