Among the main causes are fatigue, pain and swelling in the legs, among the most obvious statements of hormone changes and prolonged standing, immobility, and sitting sickness. Venous reflux, one of the biggest questions of women, can cause serious discomfort if not treated.
What is reflux in the legs?
There are many venoms in our legs. The unidirectional flaps in the healthy leg veins open and close, allowing the dirty blood to be carried back from the feet. When the veins are broken, this journey, which must be from top to bottom, changes direction and starts a back-up to the feet, up and down. This is called venous reflux.
What is the frequency of reflux in the legs?
75% of women 60 years of age, and 45% of men.
What are visual indications?
The first symptom of venous reflux is edema (swelling), which is seen under the knee and in the wrists and increases during the day. The traces of the tires of our socks that we take out in the evenings are the most concrete indication of the swearing in the bows. As the disease progresses, the veins that do not develop should begin to develop, which never actually occurs in the stools. First, blue-green-red capillary vessels appear in the spider foot or tree root view, 1-3mm in diameter. Untreated time darkens its color as it increases the diameters and numbers of these capillaries. Beneath the skin are large, veins called venous pakes that resemble spaghetti macaroni. In the last stages of the disease, color changes in the skin and wounds develop at the level of the wrist and are not healed for months. All this visual indication is called varis.
What is the statement that disrupts daily comfort?
In the rising character from morning to evening, from the foot to the string, almost in the style of a boot, burning-fatigue-feeling of pain; under the hip, under the stomach, itching; cramps on feet or fingers when immobilized; It is the desire to stretch out the feet from the tiredness, to cool or stretch or to put a pillow underneath, in the evening before sleeping in the evening.
Can it come to the point where it can threaten our life?
When venous reflux develops, pressure builds up due to the backward withdrawal of the valves in the veins in the legs, turning these vessels into a twisted structure. In a curved vein, the fluidity of the blood slows down. In long journeys, bumpy bumps, in the case of the body being dehydrated, the already slow blood flow in the veins stops completely and clots form. This clot can lead to the occlusion of a vessel in the lung when not being treated.
Who are they good at?
In the family there is this disease; the use of hormonal disorders or drugs containing hormones; a lifestyle that requires long sitting or standing; pregnancy; excessive weight; long sun baths, sauna, spa; heeled shoes; cosmetic approaches that require local or general heat-pressure application to the legs may lead to the appearance of reflux.
How do you diagnose?
A cardiovascular surgeon must first make a preliminary diagnosis; Ultrasonography (venous doppler imaging) is performed by a radiologist with special training and experience in visualization of the leg veins and definitively diagnosed; Which veins, which valves, and which show severe reflux should be placed in a way that will cure the treatment.
How is the treatment of visible capillary vessels 1-5mm in diameter?
Very thin needles are injected into these veins by mixing them with carbon dioxide and oxygen. This method called superficial foam sclerotherapy shrinks the vein and allows it to be completely absorbed and destroyed by the body. There is no trace at the end of the absorption process. Depending on the density of the capillary capillaries, all undesirable superficial veins are destroyed in one or several seanstans. Laser devices used to treat capillary vessels in the legs are far from ideal, as they often lead to permanent burn marks.
What is the method of treatment of veins that appear larger than 5mm?
Under local anesthesia, small cuts of 1mm in diameter are made at regular intervals along the line where the vein is seen. These instruments, called venous pakes, are removed from the body by a lace crochet-like instrument extended through these incisions. Since the cuts are very small, they do not require repair with suture and they heal rapidly.
What should be done in the severe reflux of the invisible veins which are deep in the vein?
In the case of reflux in these veins, called the Great and Small Safen Veni, the treatment of visible veins on the surface should be left to the second plan and priority should be given to them. It is possible to address this as an 'iceberg phenomenon'. The main problem is to think over the surface while in the depths of the foot, to get away from the solution. When reflux is present in the Large or Small Safen Veni, it is necessary to disable them and ensure that the function that they do not fulfill due to the disease is undertaken by the many healthy volunteers from the leg.
How is the venus removed from the body showing deep reflux?
There are two methods. The first is the classic surgical procedure that has been practiced for 100 years. Anesthesia, incision and suture need, long-lasting bruising and aching should not be practiced unless it is compulsory because it can increase the recurrence rate of the disease to over 70% within 5 years. The second and most recent method is the EVTA method which is applied when local anesthesia and patient awake do not require any incision and suture.
How is EVTA organized?
Under the doppler imaging, a very thin catheter is inserted into the vessel where the reflux is detected. With the help of this catheter, radiofrequency energy is applied to the inner walls of the vein and the vein shrinks on itself; it is aimed that the shrinking vein is absorbed and destroyed by the body within 8-10 months. The 5-year recurrence rate after this method is only 14%. The complication rate is 1% when treatment-experienced teams are employed.
How is normal life after EVTA?
The patient can return to his daily life 1-3 days after intervention and without any bruise or pain in any kind of spore or pussy.
Who should treat venous reflux?
Venous reflux and the resulting varicose veins are not cosmetic but circulatory diseases. For this reason, the treatment is a specialty of cardiovascular surgery. A review of the Venous Doppler ultrasound that would be done without a diploma and / or an inexperienced person leads to loss of time and money; A treatment with no diploma and / or inexperienced person on current hearing care can cause irreversible damage.
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