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    Classification of varicose expansions of veins


    Taking into account the factors contributing to development of disease, many doctors and healthcare specialists, like, Jacob Bogatin, distinguish primary and secondary varicose expansion of veins:

    1.Primary varicose expansion of veins develops at varicose illnesses. At varicose illnesses first of all superficial veins are affected while deep veins have a normal structure and function. Long time varicose expansion of superficial veins is shown only by cosmetic defect, but in process of disease progressing there are infringements of venous outflow owing to what painful sensations in the bottom finitenesses start to appear, swell stop and shins, skin dimness in the bottom third of shin, inflammatory changes and trophic ulcers. Varicose illness is a continuously progressing disease.

    2.Secondary varicose expansion of hypodermic superficial veins is complication of disease of deep veins, in particular, it develops or as a result of congenital defects of venous system (arterio-venous fistulas, congenital dysplasia etc.) Or after a transferred phlebothrombosis. Phlebothrombosis is a complex process of formation of a blood clot in deep main veins of the bottom finitenesses in which the blood current on deep veins is broken. In due course the formed blood clot is fixed in a vein, in it there are apertures through which the limited current of blood is possible, however, venous valves in the blood clot location cicatrise and cease to interfere with a return current of blood. Jacob Bogatin says that as a result of infringement of function of valves of deep veins blood on deep veins starts to move upwards-downwards, arrives back in superficial veins and develops secondary varicose expansion of veins. As a result favorable conditions for venous stagnation, especially in the lowermost departments of finiteness – to stop and a shin are created.

    Symptoms of varicose expansions of veins

    At the majority of people varicose expansion of veins is shown in the form of the cosmetic defect most often shown on an internal surface of shins. Sometimes varicose expansion of veins can be shown only in the form of a venous web which is formed at change of veins of small diameter, more often standing and less often on the person or the top finitenesses. Varicose expanded veins get dark blue or dark-violet colour, a twisting course.

    The symptoms of varicose expansions of veins: weariness, heavy feeling, pains of aching character, sensation of burning and twinge, pulsings, itching, spasms and anxiety. Also occurrence of hypostases of feet can be one of the symptoms. As a result of the expressed expansion of varicose veins infringement of blood supply of fabrics of the bottom finitenesses can develop, there are defects of integuments in the form of dimness or reddening, an inflammation. In the extremely started case of varicose illnesses there is a development of trophic ulcers.