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Varices in the lower limbs

• defined: a genetic and a lack of venous valves, which resulted from a vein wall weakness and is a disease that barbers and dentists. Most varicose veins initial Tewardha between 17-31%.

• Risk factors: Age - The number of pregnancies - long standing - obesity - which only occurs in women. And often "Mattravq with varicose veins and hemorrhoids varicocele.

• secondary causes: deep venous thrombosis DVT - tumors of the pelvis - pregnancy - arterial and venous fistulas.


• types:
1 - varicose Reddy on the trunk and major. (Example: varicose saphenous Aloridal Kabarwalsgar or their branches and are often incidental).
2 - network and is usually accidental. (Example: superficial veins under the skin; twisted and widening that do not return to the main branches of veins Alsafna).
3 - capillaries: usually asymptomatic. (Example: spider veins).

• Symptoms:
- Increased pain when standing and in the evening and improve the use of brace and raise the party.
- Itching.

• complications:
Hemorrhage - inflammation of a vein thromboid - edema - skin pigmentation - white scars - Varicose eczema - hardening of the skin when fat ankles - ulceration.

• pathological case:
Previous surgery - varicose injections or hardener - pregnancy - the story of inflammation and Reid thromboid - venous thrombosis - contraception - hormonal treatment Almaadh - family history of DVT

• Treatment
- Reassure the people of the patient.
- If the symptoms are bothersome:
 Lift Party
 avoid prolonged standing.
 walking regularly.
 lose weight.
- When there are complications or severe symptoms should consult the surgeon immediately. "

- Resort to surgery: the surgery is characterized as a quick recovery, but his seat, allowed to walk the second day of the operation and returns to his during / 10 days / and the surgery is performed in the following cases:
 Dsamat case of failure of the basic surface veins or Alsoaagaf.
 or sclerotherapy in the event of veins and sub-poetic failure is associated superficial veins.
 or laser micro-cases of veins and capillaries.

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