Vein diseases ofa bamberg

Venous disordersVenous disorders are a widespread disease. The causes for diseases of the veins are manifold. The spectrum ranges from inherited or age-related connective tie weakness to changes in hormone balance (z. B. pill, pregnancy, menopause) and obesity to constrictive clothing, alcohol, smoking, lack of exercise or intense sun exposure.

However, the reason why we humans are so susceptible to vein disorders in the first place goes back a long way in evolution. What was of crucial importance for the development of mankind was to become a decisive disadvantage for our venous system: the upright gait. Since then, about 7000 liters of blood have to be pumped against gravity from the feet to the heart every day.

Complex mechanisms interlock to ensure that vein function is unrestricted. If one of the engines is disturbed, there can be considerable problems. For example, the lack of exercise in typical office jobs leads to little activation of the calf muscles, causing the calf muscle pump, which is so important for transporting blood back, to lose its propulsive power. If the blood is only transported back to the heart with a delay, this initially manifests itself as heavy and swollen legs and can indicate a wide variety of clinical pictures.

Homonal changes in the body can have a negative influence on the veins.

These factors favor the development of varicose veins:

– Impairment of the blood flow z. B. due to lack of exercise or tight clothing. – Sagging vein walls z. B. Alcohol, excessive heat (sauna, solarium, hot baths, etc.), etc.) or hormonal changes (e. B. Pill, pregnancy, menopause). – Impairment of the calf muscle pump z. B. due to high heels. Lack of exercise. by high heels and lack of exercise.

In addition, there are uninfluenceable risk factors such as z.B. Age, gender and hereditary predisposition.

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Why it no longer works properly

In a healthy vein, blood is transported in the direction of the heart and lungs (Fig. 1). With every muscle movement, blood is transported through the venous valves to the next chamber of the vein. Backflow is prevented by closing the valves, which act like check valves. If the vein walls are dilated, curved or out of shape, z. B. in varicose veins (Fig. 2), the venous valves can no longer close properly. The blood flows back. congestion in the veins. The overall picture of the associated complaints. changes is called varicosis.

Forms of venous disease

There are different manifestations of venous disorders, although they usually all start with the typical complaints: A feeling of heaviness and tension in the legs accompanied by nightly cramps in the calves and swollen lower legs. Apart from these symptoms, vein problems are usually invisible at first.

Nevertheless, these complaints should not be taken lightly. What exactly is behind the individual clinical pictures – from varicose veins to thrombosis – you will learn below.

Varicose veins: spider veins and varicose veins

The so-called varicose veins (med.Varicose veins) occur mainly in the superficial venous system and are visibly visible as tortuous and uneven veins in the subcutaneous fat tie. They develop when the venous valves no longer close properly. Thus, the blood cannot be transported fast enough and sinks back again and again. Especially when sitting or standing, it is hardly possible to transport the blood against the force of gravity from the legs back to the heart. Instead, the blood accumulates in the veins.

Without proper treatment, varicose veins can lead to serious complications such as phlebitis, chronic venous insufficiency and vascular occlusion. However, if detected early and treated consistently, existing symptoms can be alleviated and patients can be protected from serious consequential damage.

In contrast to varicose veins, which are often very pronounced, the so-called spider veins are small and very fine veins that become visible on the surface of the skin. Most of them are only a few centimeters long, have a diameter of just one millimeter and are very finely branched. Often it is a purely cosmetic problem. Spider veins, however, can also be the first sign of dilated vessels and reflux disorders. A visit to the doctor can clarify whether there are more serious underlying causes and how to counteract them.

About 7000 liters of blood have to be pumped to the heart against gravity every day.

Vein inflammations can become chronic!

Common complication of extensive varicose vein disease (med.Varicose veins (varicose veins) are inflammations of the vein walls that can occur due to the disturbed blood flow in the diseased and dilated veins. As a result of the inflammation, blood clots (med.: thrombi) can form. You can even see and feel the inflamed areas, as they are hardened and reddened, as well as radiating excessive heat and aching severely. An inflammation of the vein (med.Phlebitis) should be treated immediately, otherwise it can develop into a chronic venous disease (medically known as phlebitis).: chronic venous insufficiency) up to the "open leg" (med.: ulcus cruis) may develop.

In the case of an open leg (med.Ulcus cruis) is, as the name suggests, an open wound on the leg. As a result of the blood stasis, not all cells are properly supplied, the affected tie gradually dies and open and difficult-to-heal wounds develop. To prevent this from happening, the first signs of varicose veins should be followed up in any case.

Another possible concomitant of phlebitis is thrombosis. This is when a blood clot breaks loose and forms in the vein, obstructing blood flow. This can lead to blockage of the bloodstream by a blood clot. If this clot comes loose, there is a risk of a life-threatening pulmonary embolism.

If you suspect or notice that something is wrong with your veins, you should see a specialist (phlebologist or vascular surgeon). Nowadays, venous disorders are treatable in many ways. Which therapy is used depends on the severity of the disease and, of course, on the physician's assessment.

Enjoy more legroom!

Widespread disease venous disorders – over 20 million people are affected in Germany alone. Spider veins, varicose veins, thromboses or the so-called open leg (ulcus cruris) – venous diseases appear in many and sometimes even life-threatening forms. But there are also numerous possibilities to prevent, alleviate and heal – z.

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