disruption of the valves in the leg veins, ‘Chronic Vein Disease-CVD’ causes vascular disease. Initially, this disease causes the formation of unwanted veins in the legs with a diameter of 1-5 mm. Then the obvious manifestation of sock marks on the ankles; redness-brown-white color changes; with the development of sores ‘Chronic Venous Insufficiency CVI’ reaches the advanced stage. In general, all symptoms can be seen in this process ‘Arrival’named.

Is varicose veins a genetic condition?

Genetic factors are very important in varicose veins, but not only genetic factors but also life circumstances are effective in the development of varicose veins. Statistics show that the rate of varicose veins on the legs of people whose parents don’t have varicose veins is around 20 percent. This rate increases when varicose veins run in the family, that is, in the parents. If only one parent has varicose veins, the incidence rate is 60 percent for girls and 20 percent for boys. If both parents have varicose veins, 90 percent of their children, regardless of gender, will have the same problem.

Is it more common in women than men?

If we look at the distribution of varicose veins between men and women, 2 out of 3 varicose veins are female and 1 is male. If you only count women in proportion today, 7 out of 10 women have varicose veins. This number is quite high considering its place among all health problems. Hormonal fluctuations in women, previous pregnancies and births (and the number of births), taking birth control pills mean that this problem is more common in women.

In which age group are varicose veins more common?

This is not an old age disease. Varicose veins can also occur in childhood. However, if we give the rate, the rate of varicose veins in people under 50 years old is 25%, and the rate of varicose veins over 60 years old is about 46%.

How to diagnose the disease?

It’s a vascular disease. For this reason, the patient’s symptoms should be queried and examined by a specialist cardiac surgeon. To clearly determine the severity of the disease (mild-moderate-advanced) and from which vessels it originates. ‘Venous Ultrasound Doppler’ The examination should be performed in a lying and standing position. When there is an underlying moderate to advanced problem, simply removing the visually evident veins in the legs without clarifying and prioritizing their treatment will result in incomplete treatment.

In which cases is an operation necessary?

If you have one or more of the following problems in your legs, your varicose veins need medical attention:

vascular prominence: Veins that are 5mm or thicker, look like spaghetti noodles, are tortuous, and can form blood clots at any time may have developed in the legs.

leg pain: Poor blood flow can disrupt neighboring structures and organs. Increasing from morning to evening; radiating from sole of foot to leg; when you sit, especially when you go to bed at night “the desire to move the legs, to pull them out of the quiltIt can cause leg pain, which manifests itself in the form of ‘.

leg swelling: It’s another indicator of poor circulation. It occurs when there is a problem pumping dirty blood from the legs to the heart and lungs to be cleaned. It occurs below the knee, more commonly in the wrists. ‘stocking scars’It could be the first alarm bell.

Skin Changes: Varicose veins on the legs appear if left untreated and as the disease progresses. These can present as itchy rashes, brownish discoloration, and sores near the wrist that do not last 2-3 months.

Are there ways to prevent varicose veins?

There is no “preventive” method of inheritance. Because no matter it is our living and working conditions, a perfect event like pregnancy, some diseases or some medicines that are inevitable will be part of our life. Above all, genetic transmission from the family is the most concrete cause. Venous insufficiency and varicose veins are not diseases of old age. They can be seen in any period from childhood to old age. Avoid wearing high heels, tight pants, long-term sunbathing and heat; The use of “gradual compression stockings” designed to replace the old stockings for varicose veins known as “granny socks”, which are easy to wear, do not interfere with leg ventilation and have an aesthetic appearance, can help cause the problem to manifest itself a later period.

What are the latest innovations in the treatment of varicose veins?

The EVTA method currently offers the patient a comfortable treatment option. Whether radiofrequency or laser energy is used, heat is introduced “non-surgically” through a catheter, which can be defined as “thin plastic tubing,” into the vein (vein) of the patient with varicose veins. No cuts are made that require stitches. The heat directed at the target during imaging affects the vein wall, the vein contracts and closes itself. This dormant vein is absorbed and destroyed by the body within 8-12 months. The procedure takes about 9-17 minutes. The success of the method varies between 80-90%.

Is there a risk of recurrence?

One of the most important reasons for not undergoing classic varicose vein surgery is the 40-70% chance of recurrence within 5 years after surgery. According to the EVTA method, the same rate is 9-14 percent. The capillaries in the leg, on the other hand, can recur in other places depending on the person’s risk factors and may require cosmetic treatment at certain intervals.

Can one speak of this disease as life-threatening?

If venous insufficiency is left alone, it can pave the way for clots to form in the leg veins. Such a clot, whether in the main veins in the innermost parts of our legs ( deep vein thrombus DVT ), whether in the more superficial veins, the first destination it reaches is the lungs. This pulmonary embolism It’s called a clot in the lungs. Pulmonary embolism is a very serious picture and creates a life-threatening condition.

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