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When portal vein occlusion causes portal hypertension and forms collateral circulation, the varicose veins stretch around with the umbilicus as the center, which is called the sea snake head, also known as the jellyfish head. Direction of blood flow: upward above umbilical level, umbilical level.
The following is downward, in the same direction as normal blood flow.
When the inferior vena cava is occluded, most of the varicose veins are distributed on both sides and behind the abdominal wall, and the blood flow direction of the abdominal wall veins above and below the umbilicus is from bottom to top.
When the superior vena cava is occluded, the direction of venous blood flow in the upper and lower abdominal walls of the umbilicus is from top to bottom.
Under normal circumstances, the abdominal wall veins above the umbilical level line enter the superior vena cava from the bottom up through the superficial veins and axillary veins of the chest wall and flow back into the heart; The veins in the abdominal wall below the umbilical level flow from top to bottom through the saphenous vein.
The inferior vena cava flows back into the heart.
Determine the direction of blood flow: Use the index finger and middle finger together to compress a section of non-bifurcated varicose veins, push the umbilical cord blood to both ends to empty the blood vessels, and then lift one finger alternately to observe where the blood flows from to make the blood vessels.
Filling, you can determine the direction of blood flow.
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Normally, the blood flow of the abdominal wall veins above the umbilical level into the superior vena cava from bottom to top through the chest wall vein and axillary vein, and the abdominal wall veins below the umbilical level flow into the inferior vena cava from top to bottom through the saphenous vein. When the hepatic portal vein is occluded and there is portal hypertension, the varicose veins of the abdominal wall often extend around the umbilicus as the center, and the blood flows into the superficial veins of the abdominal wall through the umbilical foramen of the umbilical vein in all directions.
The examiner presses the index finger and middle finger of the hand together on the vein, and then squeezes the vein with one finger to slide outward to squeeze out the blood in the vein, relaxes the finger to a certain distance, and the other finger is pressed to see whether the vein is quickly filled, and then the other finger is relaxed with the same method, and the direction of the bleeding flow can be seen. Cirrhosis, portal hypertension, abdominal wall varices and their blood flow characteristics, esophageal and gastric varices are characteristic of cirrhosis. Hepatitis, cirrhosis and other liver lesions are characterized by abdominal wall varicose veins centered on the umbilicus, the blood flow on the umbilicus is upward, the blood flow below the umbilicus is downward, and the periumbilical veins are obviously varicose, and the appearance is jellyfish head-shaped.
Varices caused by obstruction of the inferior vena cava are directed upwards in both the supraumbilical and inferior umbilicus, and the varices are mostly distributed in the lateral abdominal wall.
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How to care for the elderly with varicose veins:
One. Leg massage is often performed, with both hands on both sides of the calf, from the ankle to the knee joint, rubbing the calf muscles to help venous blood return.
Two. A simple squat exercise not only builds muscles, but is also good for the joints. It can not only effectively prevent symptoms such as varicose veins and calf cramps, but also promote blood circulation and enhance physical fitness.
Don't look at the squatting action is very simple, but there is a certain amount of attention to it, otherwise it will be the opposite.
Three. When lying down to rest, elevate your legs above heart level and keep your knees bent for about 15 minutes. to promote blood circulation in the legs and relieve the symptoms of varicose veins in the lower limbs.
Four. Before going to bed, you can do special intravenous exercises, lift the lower limbs, keep the soles of the feet parallel to the body, and then let the legs and feet shake gently. It is best to take the left side decubitus position when sleeping, because lying on the left side can avoid compressing the inferior vena cava of the abdomen and reduce the pressure on the veins of both legs, and it is recommended to use a pillow to lean on and raise the varicose lower limbs at an angle of 30-40 degrees.
Five. Workers who bear weight or stand for a long time can use elastic bandages to tie their legs, and when tying their legs, they should first raise their legs and feet and tie their calves with elastic bandages to prevent venous congestion and dilation of the lower limbs. When tying, it should be tied from the ankle upwards and try to tie it slightly tighter.
If possible, you can wear special health elastic stockings for varicose veins.
Six. Walking briskly 4 times a day for 15 minutes each time can effectively alleviate symptoms. Because the movement of the gastrocnemius muscles increases during a brisk walk, the veins act like pumps to supply blood from the varicose veins to the heart.
At the same time, due to the acceleration of local microcirculation, the metabolism of varicose veins is also accelerated, and the veins can return to normal quickly.
Seven. Don't always use your two legs together to support your whole body weight when standing for a long time, you can focus on it, let the two legs take turns to rest, stand on tiptoe often, let the heels fall together, or do squat exercises frequently. All of these actions can cause strong contractions of the calf muscles and reduce the accumulation of blood in the veins.
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Varicose veins** method.
First: shrimp.
Shrimp is a common dish in life, rich in nutrients, which is rich in 20% protein, which is several times or even more than ten times that of fish, eggs and milk. Studies have shown that regular consumption by varicose veins can enhance the body's resistance, promote the recovery of damaged cells in the body, and also help reduce the body's cholesterol levels, prevent arteriosclerosis and protect blood vessel health. Shrimp is rich in potassium, iodine, magnesium, phosphorus and other trace elements and vitamin A, which can help the human body soften blood vessels, relieve venous pressure, and play a role in relieving varicose veins.
If you want to calm varicose veins, it is not enough to rely on shrimp, daily exercise should do some leg exercises, running, skipping rope, playing ball, give full play to the role of lower limb calf muscle pumps, help dredge calf vein congestion; Correct some unhealthy lifestyle and control weight so as not to bring unnecessary pressure on the lower limbs to aggravate varicose veins; The most important point is in the area of calf varicosion.
Second: konjac.
Konjac is a kind of food that we often eat, but in fact, it also has medicinal value, can prevent and treat a variety of common chronic diseases, has the effect of invigorating blood stasis, detoxifying and reducing swelling, lowering blood pressure and blood sugar, konjac can also play its role in regulating nutritional imbalance of dietary fiber, has the effect of preventing and treating constipation and controlling weight.
Third: tomatoes.
Tomatoes are also tomatoes, which are rich in lycopen, have a good antioxidant effect, can prevent free radicals from damaging body cells, can help damaged tissues repair themselves, can also reduce blood pressure, prevent platelet aggregation, antibacterial and anti-inflammatory, assist **** ulceration, protect blood vessel health, and have a certain effect on relieving varicose veins.
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What to do with varicose veins.
1. In the first method of varicose veins, the first method of traditional Chinese medicine is mainly traditional Chinese medicine, and it pays attention to treating it from the inside, the purpose is to completely improve varicose veins, and the first method of traditional Chinese medicine is very small and will not cause harm to the human body. Drink plenty of water every day, bask in the sun, walk, do some moderate exercise, and don't stay up late.
2. Wear compression stockings. Varicose vein patients wear elastic stockings every day, which can promote the blood return of venous vessels and effectively prevent varicose veins from aggravating, but this only plays a preventive role, and can not make varicose vein patients **, can not achieve the purpose of varicose veins from the root cause of varicose veins.
3. Surgery. Surgery** is to completely peel the saphenous vein trunk from the body through a venous exfoliator, but in the process of peeling it will cause damage to the surrounding tissues, and if it is not properly treated during the operation, it will cause deep vein thrombosis, and once the thrombus runs to the lungs, it will cause pulmonary embolism and endanger the life of varicose vein patients.
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Abdominal vein examination refers to the examination of abdominal wall varicose veins and the diagnosis of whether the abdominal wall veins are normal or not, and related diseases. The abdominal wall veins are generally not exposed under normal circumstances, and are faintly visible in thinner or fair-skinned people, and the veins can be seen in the elderly who are obviously emaciated and the abdominal wall is lax, but they are straighter and not tortuous and distended. If the abdominal wall veins are obvious and varicose, it means that collateral circulation has been established, which is more common due to occlusion of the portal vein, superior vena cava and inferior vena cava.
Venous exposure may also be seen in conditions of increased abdominal pressure, such as ascites, large abdominal masses, and pregnancy.
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When the inferior vena cava is occluded, most of the varicose veins are distributed on both sides and behind the abdominal wall, and the direction of venous blood flow in the abdominal wall above and below the umbilical cord is from bottom to top.
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Varicose veins, commonly known as "fried tendon legs", are the most common diseases of the venous system, and the main reason for the formation is that the congenital vascular wall membrane is relatively weak or maintains the same posture for a long time and rarely changes, blood accumulates in the lower limbs, and varicose veins are formed in the case of accumulation, so at this time, you must go to the hospital for examination in time**.
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I guess it's cirrhosis. To be performed for cirrhosis**.
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Abdominal varicose veins are commonly caused by portal hypertension and circulatory disorders or obstruction of superior and inferior vena cava return, and superficial veins of the abdominal wall around the umbilicus are tortuous, thickened and exposed, resembling a "sea snake head". It can be seen that the periumbilical veins are significantly dilated, radiating from the umbilical cord as the center to the surroundings, and the venous blood flow above the umbilical cord is upward, and the venous blood flow below the umbilical cord is downward. Common in patients with portal hypertension.
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Answer]: Abdominal wall, veins, varices are often seen in the circulation disorder caused by portal hypertension, or the upper and inferior vena cava return is blocked, and the collateral circulation is formed. When portal vein occlusion has portal hypertension, abdominal wall varicose veins often extend around the umbilicus as the center, and blood flows from the umbilical vein through the umbilical foramen to the periphery, which is in the same direction as the normal blood flow. When the inferior vena cava is occluded, the abdominal wall veins below the umbilical cord flow upward into the chest wall veins and axillary veins; In superior vena cava obstruction, the superior abdominal wall vein or chest wall vein flows down into the abdominal wall vein and saphenous vein.
Varicose veins are seen in vascular surgery.
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