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Varicose Veins and Degrees And Classification

Varicose veins, due to the deterioration and wear of the valves on the vein, the dirty blood is waiting in the vessel to expand the structural damage in the vessels. Extensions formed in veins are called varicose veins.

Varicose veins are examined in 3 groups. These are capillaries, medium and large varices.
In addition, varicose veins are universally rated between 0 and 6 according to the ceap classification. Capillaries, large and medium varices are graded according to ceap classification.

Capillary Vascular Cracking

In the human body there are two main groups of arteries, arteries and veins. There are also thin capillaries that connect these main veins. These capillaries are normally 0.5 mm wide structures. However, it reaches a width of 1.2 mm with the cracking of the veins.

Vascular dilations in the veins cause serious complaints. However, the expansion of the capillaries does not cause any health complaints. They create more aesthetic problems.

It is usually seen in the face and legs. Especially the ones in the face area are in the foreground because of their concern as esthetics.
In the vein dilation, the veins become curved and become deeply visible. However, the capillaries do not become fluffy from the skin. They only spread like spider webs.

Medium Size Varicose Veins

They are 2-3 mm enlargements in veins. It is called reticular veins. Dark green and purple color. They have a curved shape because they are structurally deteriorated.
In addition to being visually disturbing, it also causes health problems such as cramps.
Medium-sized varices can become large varices over time if left untreated. If the capillaries are not treated, they do not grow, they only spread.

Large Size Varicose Veins

Vascular dilatations that are clearly raised from the skin larger than 3 mm. Medium-sized varices become large varices when left untreated.
As varicose veins progress, there is an increase in the complaints and the dose of the complaints. As the problem progresses, large varicose veins may cause bleeding complaints. In addition, untreated varicose veins may become ulcers in time.

Ceap Classification

Varices are graded between 0 and 6 according to the universally accepted ceap classification.

  • C0> indicates that there are no symptoms of varicose veins.
  • C1> indicates that spider web-like capillary varices are detected. Capillaries generally do not cause complaints. However, it may cause slight tingling in some patients.
  • C2> means that variceal onset is detected. Varicose veins at this stage cause complaints in some patients but not in others. Generally, pain and fatigue are seen in the feet due to fatigue and cramps occur at night.
  • C3> Untreated reticular veins cause swelling and edema. C3 level means swelling and edema were detected.
  • C4> Medium varices are transformed into large varicose veins, with color change and hardening of the legs. This step is classified as C4. It means that the disease has reached advanced stages.
  • C5> Untreated mid-size varices progress and become large varices. Bleeding can occur in well dilated vessels. While some bleeding is small, in some cases it may be necessary to have a doctor’s intervention to stop the bleeding.
  • C6> The last and most dangerous stage of the disease. At this stage, blood flow in the veins stops completely and leg wounds occur. As there is no blood flow, the wounds do not pass or they are difficult even with treatment. These wounds are called leg ulcers

The sooner varicose veins are treated, the more advantageous for the patient. As treatment is postponed, it progresses to varices and becomes larger varices. In the end, leg wounds are difficult to pass. For this reason, varicose veins are recommended to be treated without delay and to take precautions to prevent new varicose veins. Otherwise, wounds may occur on the legs as in the shared image.

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