I ke hi a rit tih i hre fo em? An hrehawm em? Hei hi Chronic Venous Insufficiency (CVI) a ni mai thei!

A chang chuan i ke chu lungpui ang maia rit ang maiin i inhria em? I ding emaw, i kal emaw hian hrehawm i ti zual sauh em? I ke a hring a, hmun thenkhatah a rawn sen em? Hengte hi random thil mai a ni lo. A chhan chu i ke chhunga thisen bawlhhlawh, thinlunga thisen bawlhhlawh phurtu vein te hian hna a thawk tha lo vang a ni thei. Vawiin hian he natna hi kan sawi dawn a, chu chu Chronic Venous Insufficiency (CVI) . Lungngai suh, hei hi awlsam takin i hrethiam ang u.

CVI chu eng nge ni? A awlsam zawngin...

Chronic venous insufficiency, a nih loh leh CVI tih hi i kea thisen zam natna a ni a, chu chu thisen zam chhiatna avanga lo awm a ni. Ngaihtuah teh, kan kea thisen hman tawhte chu thinlungah a phur kir leh thin. Heng vein chhungah hian valve te tak te, kawngkhar ang maia awm a ni. Chûngte chuan thisen chu kawng khatah chauh, chu chu chung lam hawiin, thinlung lam hawiin a kaltîr a ni. CVI-ah chuan heng valve te hi a chhe vek a ni. Tichuan thisen chu chunglam hawia luang tha lovin keah a inzawm khawm tan ta a ni. Hei hian veins chhunga pressure a tisang a ni.

CVI hi i ke chhunga vein eng pawh a chhiat vang a ni thei. Chung zingah chuan:

• Deep veins: Hei hi i taksa chhung thuk tak, i taksa ruh inkara kal chhuak vein lian tak takte an ni.
• Superficial veins: Hei hi vun hnaih, vun hnuai chiaha awm vein a ni.
• Perforating veins: Hengte hi vein thuk leh chunglam inzawmkhawmtu bridge ang chi vein te tak te te an ni.

CVI hian a tir lamah chuan natna lan chhuahna tenau chauh a thlen thei a, mahse hun kal zelah he natna hian i nitin nun a nghawng thei a, harsatna lian tham a thlen thei bawk.

CVI leh post-thrombotic syndrome hi eng nge an danglamna?

Tunah chuan i ngaihtuah mai thei, he CVI nge ‘post-thrombotic syndrome’ hi thil hrang hrang pahnih a ni em? Dik tak chuan heng pahnih hian kea thisen zam chhiat chungchanga harsatna inang a kawk a ni. Amaherawhchu, ‘post-thrombotic syndrome’ tih hian vein thuk takah thisen zam (Deep Vein Thrombosis - DVT) avanga CVI lo awm chu a kawk a ni. ‘Post-thrombotic’ tih awmzia chu thisen zam (‘thrombus’ an tih bawk) a lo awm hnua tih a ni. He thisen zam hi a chhiat hnuah chuan chu lai hmuna veins te chu a chhe thei a, scar tissue pawh a awm reng thei bawk.

Post-thrombotic syndrome hi DVT vei zinga 20% atanga 50% ah a awm a, a tlangpuiin kum khat emaw kum hnih emaw chhungin a awm thin.

CVI hi engtiang chiahin nge a hluar?

Venous disease hi a tam hle. Entirnan, varicose vein hian puitling pathum zinga pakhat vel a nghawng a ni. Kum tin varicose veins vei mi 50 zinga pakhat velin CVI an nei ang.

CVI hi kum 50 chunglam ah a awm tam zawk tlangpui a, kum upat rualin he hlauhawmna hi a sang chho zel a ni.

A pum puiin CVI hian puitling 20 zinga pakhat vel a nghawng a ni.

CVI nei taksaah eng nge thleng?

Chronic venous insufficiency (CVI) hian i ke atanga i thinlunga thisen kal chu a tikhawtlai a ni. Enkawl loh chuan CVI hian i ke ruh chhunga pressure a tipung nasa hle a, i taksaa thisen kalna (capillaries) te ber pawh a puak thei a ni. Chutiang a nih chuan chu lai hmuna vun chu a sen-a rawng a lo chang a, a hliam tenau emaw, a hliam emaw chuan awlsam takin a tikehsawm thei a ni.

Heng burst capillaries te hian a hnuaia thilte hi a thlen thei a ni.

• Chu hmunah chuan tissue inflammation a awm .
• Tissue tihchhiat a ni .
• Venous stasis ulcer a awm thin a ni . Hengte hi vun chunglama hliam lo awm a, a dam theih nan hun rei tak a ngai a ni.

Heng venous ulcer te hi a dam awlsam lo va, a kai thei bawk. He natna hi a chhehvel tissue-ah a darh chuan cellulitis an ti a ni. Hei hi enkawl vat loh chuan a hlauhawm thei hle.

CVI natna lan chhuah dante chu engte nge ni?

Chronic venous insufficiency (CVI) chhinchhiahnate chu:

• Ke na emaw, hah emaw hriatna: Ke rit leh na, nilengin i chau tawh a, i che thei lo ang maiin.
• Kang, rilru hah, emaw kea "pins and needles" tih hriatna.
• Zanah ke ruh a na (cramping) thin.
• Vun rawng danglam: A rawng sen-brown angin a lang.
• Ke leh ke ruh hring (Edema): Hei hi a bik takin rei tak ding hnuah emaw, ni tawp lamah emaw hmuh theih a ni. Bus mipui tam tak atanga i chhuk hnua i ke a hring chhuak ang mai a ni.
• Ke emaw ke emaw vun vawt, flaky emaw itchy emaw.
• Keah a khat leh a rit tih hriatna.
• Ke vun chu a hring leh savun ang maiin a lang.
• Ulcers: Hengte hi ke ruh (ankles)-ah a awm tlangpui. Heng ulcer te hi a na hle a nih chuan a kai thei a ni.
• Varicose veins: Vein, vun chunglam atanga chhuak leh inher chhuak ang maia lang.

I groin area-ah edema na tak i neih chuan scar tissue a lo awm thei. He scar tissue hian i tissue chhungah tui a siam khawm thin. I groin chu a lian thei a, khawih pawhin a nghet thei bawk. Chutiang a nih chuan i vun chu a chhe thei zawk.

Heng symptoms zawng zawng hi vawi khatah i neih vek a ngai lo. Pakhat emaw pahnih emaw chauh i nei mai thei. I natna lan chhuah dan chu i dinhmun a lo zual zel danah a innghat ang.

CVI stage hrang hrangte chu engte nge ni?

Venous disease hi stage 0 atanga 6 ah then a ni a, "Venous disease" tih hi i vein-a harsatna tam tak awm thei tihna tlangpui a ni a, CVI pawh a tel. Heng stage te hi doctor-in i ke a enfiah huna a hmuh (clinical signs) atanga thliar hran a ni.

Venous disease stage hrang hrangte chu hetiang hi a ni:

• Stage 0: Hmuh theih loh chhinchhiahna a awm lo a, mahse ke na leh hah ang chi symptoms i nei thei.
• Stage 1: Thisen kalna kawng hmuh theih te, spider vein te, spider vein te hmuh theih a ni.
• Stage 2: Varicose veins hi millimeter 3 aia zau a ni.
• Stage 3: A hring (edema) a awm a, mahse vun a danglam lo.
• Stage 4: Vun rawng leh/ emaw vun rawng a inthlak danglam thin.
• Stage 5: Hliam dam tawh a awm.
• Stage 6: Hliam active (dam lo) a awm.

I doctor chuan stage 3 emaw a aia sang emaw i nih chuan chronic venous insufficiency (CVI) i nei tih a hrilh ang che. Hei hian varicose veins i neih vang mai mai chuan CVI i nei tihna a ni lo tihna a ni. Mahse varicose veins hi thisen kal danah harsatna a awm tih chhinchhiahna a ni a, hun kal zelah a na zual thei bawk. Chuvangin, varicose vein thar i hmuh chuan i doctor hnenah i hrilh a pawimawh hle.

CVI awm chhante chu engte nge ni?

Chronic venous insufficiency (CVI) hi i ke vein chhunga valve te hnathawh that loh vang a ni. Ka sawi tawh ang khan heng valve te hian thisen chu kawng khatah (thinlung lam hawiin) a kal zel theih nan a pui thin. Heng valve pakhat hi a chhiat chuan a khar tha lo. Gravity hian thisen chu chunglam pan a harsat phah a. Chu ai chuan thisen chu hnunglam hawiin a luang tan ta zawk a ni. Hei hi venous reflux an ti a .

Valve hnathawh that loh chhan chu congenital, primary, secondary emaw a ni thei.

• Congenital causes: Hengte hi i pianpui i ke vein-a chhiatna awmte a ni. Entirnan, mi thenkhat chu an ke vein-ah valve nei lovin an piang a.
• A chhan bulpui ber: Hengte hi i ke ruh (veins) hnathawh dan inthlak danglamna eng pawh a ni a, chu chuan hna a thawk tha thei lo. Entirnan, i vein pakhat chu a zau lutuk thei a, a valve pawh a khar kim lo thei bawk.
• Secondary causes: Hengte hi natna dang avanga i ke a thisen zam (veins) tihchhiatna te hi a ni. Deep Vein Thrombosis (DVT) hi a chhan ber a ni. Thisen zam (thrombus) a chhiat hnuah chuan chu hmunah chuan scar tissue a awm reng a, chu chuan valve te chu a tichhia a ni.

CVI awm chhan ber chu eng nge ni?

Deep vein thrombosis (DVT) hi chronic venous insufficiency (CVI) thlentu ber a ni. He thisen zam hian i ke ruh chhunga valve te a tichhia a ni. DVT vei tawhte chu CVI vei theihna a sang zawk.

Engtin nge CVI tan doctor ka hmuh theih ang?

Chronic venous insufficiency (CVI) hi taksa enfiahna leh ultrasound hmanga hriat theih a ni. Taksa enfiahna neih chhung hian doctor chuan:

• I ke chu uluk takin enfiah a ni ang:Doctor chuan CVI chhinchhiahna, hliam leh vun rawng danglam te a zawng ang.
• Vascular ultrasound: Hei hi natna nei lo test a ni a, sound wave hmangin i thisen kalna (veins) thlalak a la thin. Hei hian i thisen kalna kawng engte nge a chhiat tih hriat theih nan a pui thei a ni.

Doctor chuan i natna lan chhuahna chhan dang awm leh awm loh a enfiah bawk ang. Hei hian test dang, MRI ang chi te pawh a huam thei.

CVI vei tam tak chuan Peripheral Artery Disease (PAD) tih natna an nei bawk. Chuvangin, i doctor chuan zawhna a zawt thei a, PAD i neih leh neih loh hriat tumin test a ti thei bawk. CVI leh PAD i neih ve ve chuan i doctor chuan compression therapy i hman huna enkawl dan tur leh fimkhur dan tur a hrilh ang che .

CVI enkawlna tur engte nge ni?

Nunphung thlak danglam leh compression therapy hi chronic venous insufficiency (CVI) enkawlna ber a ni. Chungte chu a tawk lo a nih chuan i doctor chuan tih dan emaw, operation emaw tih a rawt thei ang. I tana enkawlna tha ber chu i dinhmun a lo hmasawn dan leh damdawi lam natna dang i neih danah a innghat ang. I doctor chuan i enkawlna tur ruahmanna chu i mamawh angin a siam ang.

Enkawlna tumte chu:

• I thisen kalna kawng titha tura puitu.
• Hliam tihdam leh a lo awm leh tur tihtlem nan tanpui.
• I vun hmel tihchangtlun.
• Natna leh hliam tihziaawmna.

Nunphung a inthlak danglam thin

A tlangpuiin doctor-te chuan CVI enkawlna hmasa ber atan nunphung thlak danglam an rawt thin. Chung zingah chuan:

• Leg elevation: I ke chu i thinlung level aia sang zawka chawi sang chuan i ke chhunga vein-a pressure tihziaawmna a pui thei a ni. I doctor chuan ni khatah vawi thum tal minute 30 emaw a aia rei emaw chutiang ti turin a hrilh thei che a ni.
• Exercise: Kea kal leh exercise dangte hian i ke vein-a thisen kal dan a titha thei a ni. Step i lak apiangin i calf muscle te chu a inzawm khawm a, veins te chu i thinlungah thisen pump let leh turin a pui thin. He "calf muscle pump" hi i "second heart" an ti bawk. Gravity laka thisen chu i ke chungah a kal chho a, chu chu i thisen kalna atana pawimawh tak a ni. Chuvangin, i calf muscles tihchak hian i thisen kal dan a ti tha thei a ni. I doctor chuan i ke leh kekawrte tizau leh ben thei exercise te pawh a rawt thei bawk.
• Weight management: I thau lutuk hian i veins ah pressure a siam thei a, i valve te pawh a tichhe thei bawk. I tan chuan taksa rihna hrisel chu eng nge ni tih i doctor zawt rawh. Chutiang rihna thleng tur chuan i doctor nen thawk ho la, ruahmanna hrisel leh enkawl theih tak siam rawh.

Compression hmanga enkawlna a ni

Doctor-te chuan CVI enkawlna atan compression therapy an rawt fo thin. Compression therapy hian i ke a hring leh a nuam lo tihziaawm nan a pui a ni.

Compression stocking leh socks chi hrang hrang a awm a. Ṭhenkhat chu a dang aiin an tight zawk. Stocking tight tak tak tan chuan doctor hnen atanga prescription lak a ngai a ni. Stocking thenkhat chu "graduated" an ni a, chu chu ke ruh (ankle)-ah a tight a tipung a, ke atanga i kal chhoh chuan a tight a tlahniam tihna a ni. Eng ang compression nge i mamawh tih leh engtikah nge i hman tur tih i doctor thupek zawm a pawimawh.

CVI vei tam tak chuan hun rei tak chhung compression stocking hak harsa an ti hle. Mahse compression therapy hi i veins te hnathawh that nan leh i symptoms tihziaawm nan a pawimawh hle. Compression therapy lama harsatna i neih chuan doctor nen inbia ang che. Stocking chi dang i mamawh mai thei. A nih loh leh, i doctor chuan i enkawlna ruahmanna tlem a ti awlsam thei tur thurawn a pe thei che a ni.

Socks hian a puih loh chuan i doctor chuan intermittent pneumatic compression (IPC) tih hman dan tur a rawn rawt thei ang. IPC devices hi inflatable sleeve ang mai a ni a, i keah i bun thin. Chungte chuan i thisen kalna kawng (veins) kal tlanga thisen kal zel turin a pui thin.

Peripheral arterial disease (PAD) vei te hian compression therapy hi an fimkhur hle tur a ni. I PAD nasat dan azirin i doctor chuan hmang lo turin a hrilh thei che a ni. I doctor thupek ang chiah kha zawm rawh.

Damdawi chi hrang hrang

CVI enkawlna atana damdawi hmante chu:

• Antibiotics: Vun natna emaw, CVI vanga hliam emaw enkawl. Heng damdawi te hian natna hnuaia awm chu a tidam lo.
• Anticoagulants (thisen tithianghlimtu): Thisen zam enkawl a, nakin lawka thisen zam tur venna.
• Unna boot : He bandage hi bandage tight tawk tak a ni a, compression layer tam tak hmanga siam a ni a, hliam dressing-ah zinc oxide gel a awm bawk.

Nonsurgical hmanga enkawl a ni

CVI enkawlna non-surgical treatment hrang hrangte chu:

• Sclerotherapy: I doctor chuan i spider veins emaw varicose veins emaw ah foam emaw liquid solution emaw a inject thin. Hei hian vein chu a ti tlem a, a bo ta a ni.
• Endovenous thermal ablation: Hetiang method hian vein lian tak tak a target thin. Laser beam emaw high-frequency radio wave emaw hmangin lumna nasa tak a siam thin. He lumna hian vein natna chu a seal off a, mahse taksa chhunga a awm avangin thisen chhuah emaw, hliam emaw a awm tlem hle.

Surgery hmanga enkawl a ni

CVI atana surgical option hrang hrangte chu:

• Ligation leh stripping te hi:Heng kalphung pahnih hi tih dun a ni fo thin. Vein ligation-ah chuan doctor chuan harsatna nei vein te chu a tikehsawm a, a titawp bawk. Stripping chu vein lian tak chu incision te tak te pahnih hmanga surgery hmanga lakchhuah a ni.
• Microincision/ambulatory phlebectomy: Hei hi a invasive tlem ber a ni. Vun chunglam chiaha awm varicose veins te a target thin. Doctor chuan i vein-ah hian needle hmangin incision te te emaw, puncture emaw a siam thin. Tichuan, phlebectomy hook hmangin harsatna nei veins te chu an paih chhuak thin.
• Subfascial Endoscopic Perforator Surgery (SEPS): Hei hi a invasive tlem hle bawk. I ke ruh chunga perforating veins te chu a target thin. Doctor chuan thisen a chhuah loh nan thisen chhia te chu clip hmangin a khar thin. SEPS hian hliamte chu a tidam a, a lo awm leh tawh loh nan a pui bawk.
• Vein bypass: Hei hi heart bypass surgery nen a inang a, mahse hmun dangah tih a ni. I doctor chuan i taksa peng dang atanga thisen hrisel tak a la a, chu chu thisen kalna kawng thar siam nan a hmang a, chu chu thisen kalna tur kawng thar a siam a ni. Doctor-te chuan he procedure hi natna khirh tak takah chauh an hmang a, chutih lai chuan enkawlna dang zawng zawng a hlawhchham vek a ni.

Tute nge CVI vei theihna chance sang zawk?

CVI vei theihna tur risk factors i neih chuan midang aiin natna hi i vei tam zawk a ni. Risk factors te chu:

• Deep vein thrombosis (DVT) history nei (hei hi a pawimawh ber a ni).
• Varicose veins emaw chhungkaw history-a varicose veins awm tawh emaw.
• Thau lutuk.
• Naupai lai.
• Taksa tihchak tawk loh.
• Meizial leh zuk leh hmuam hman.
• Hun rei tak ṭhut emaw, ding emaw (e.g. zirtirtu, dawr puitu, security guard, etc.).
• Chair emaw armchair emaw-a mut.
• May-Thurner natna a ni.
• Hmeichhia nih hi.
• Kum 50 aia upa a nih.

CVI hi ven theih a ni em?

A chang chuan CVI hi a dang thei lo. Mahse nunphung tihdanglamna engemaw zat siamin CVI leh thisen kalna lama harsatna dang i neih theihna chu i tihtlem thei a ni. Chung zingah chuan:

• Meizial zu leh zuk leh hmuam hman loh tur.
• Thawmhnaw tight hak loh tur a ni a, chu chu girdle tight emaw belt emaw bun tihna a ni.
• Hun rei tak thut leh ding reng suh. Tho la, a theih ang anga inher kual rawh.
• Thinlung hrisel ei tur ei rawh. Hei hian i chi (sodium) ei tlem pawh a huam tel.
• Exercise tih fo thin ang che .
• I taksa rihna hrisel tak vawng reng rawh.

DVT i vei tawh a nih chuan i doctor chuan thisen tithianghlimtu (anticoagulants) a pe thei che a ni.

CVI nei mi pakhat chungah eng nge thleng?

CVI hi a tlangpuiin nunna atana hlauhawm leh nunna atana hlauhawm a ni lo. Amaherawhchu, natna zual zel a ni a, hrehawmna a thlen thei a, hrehawmna a thlen thei a, nun nuam tihna a ti tlem thei bawk. Enkawlna hian i natna lan chhuah dan a thunun thei a, i nunphung a tichangtlung thei bawk.

Venous ulcer hi tihdam a harsa a, enkawl pawhin a lo lang leh thei. Doctor appointment zawng zawngah kal a, doctor thupek dik taka zawm a pawimawh hle.

CVI hi a dam kim thei ang em?

Treatment hian i vein valve chhiatna chu a tidanglam thei lo. Mahse i symptoms te chu i tihtlem thei a, nunphung tha zawk i hmang thei bawk. Procedure leh surgery thenkhatah chuan thisen a kal loh nan thisen a kal loh nan vein chhia chu target-in a paih chhuak thei bawk.

Tin, chronic venous insufficiency (CVI) hi a dam kim thei lo bawk. Mahse nunphung thlak danglam leh doctor-in a rawtna enkawlna dang hmangin i dinhmun hi i enkawl thei a ni.

CVI nei hian engtin nge a in enkawl?

I doctor chuan in lama CVI enkawl dan tur a hrilh ang che. Tips tlangpui thenkhat chu hetiang hi a ni:

• Hun rei tak ding leh thut suh. Car rei tak emaw, thlawhnaah emaw chuan minute 30 danah vawi 10 vel i ke, ke leh ke ruhte chu flex la, tizau rawh. Hei hian i kea thisen kalna kawng a pui a ni. Hun rei tak i din a ngai a nih chuan chawlh hahdam fo la, i ke chawi sangin thu rawh.
• I vun enfiah rawh. I inbual apiangin i vun enfiah thin ang che. Thil danglam, hliam thar ang chi i hmuh chuan doctor ko rawh.
• I ke chu sang takin dah la. Thut emaw, mut emaw hian i ke chu i thinlung level aia sangah dah tur a ni.
• Exercise tih fo thin ang che . Kea kal hi i ke ruh (veins) tan a tha hle.
• I rihna control rawh. I tan taksa rihna hrisel tak vawng reng rawh. Chu rit chu eng nge a nih tih chu i doctor nen sawiho rawh.
• Vun thianghlimna tha tak vawng reng rawh. Nitin i vun sil la, moisturizer hnawih bawk ang che. I vun tan eng moisturizer nge tha ber tih doctor zawt rawh. I vun a hnim reng hian a vawt lo va, a chhe lo va, a natna a veng thei bawk. I doctor chuan i vun natna tihziaawmna tur, i vun venhimna tur emaw, fungal infection laka invenna tur cream te pawh a rawt thei bawk.
• I doctor-in a rawt chuan compression stockings ha rawh. Hei hi CVI enkawl dan tha ber pakhat a ni. A chi hrang hrang a awm a, chuvangin i doctor-in eng chi nge i tan a tha ber tih chu zawm rawh. Tin, i stocking silfai dan leh enkawl dan tur doctor zawt bawk ang che.

Engtikah nge Doctor ka hmuh ang?

Chronic venous insufficiency (CVI) vei theihna tur risk factor i neih chuan doctor pan rawh. I doctor chuan i risk factors te chu a zirchiang thei a, a tihziaawm theih nan a pui thei bawk che a ni.

CVI i neih chuan i doctor appointment zawng zawngah kal la, engtikah nge lo haw tur tih doctor-in a hrilh ang che.

Hetih lai hian doctor ko rawh:

• I dinhmun chungchanga zawhna i neih chuan.
• Symptom thar i neih emaw, i symptoms a inthlak emaw chuan.
• I compression stockings a tight tawk lo a nih chuan a wrinkled emaw crumpled emaw a ni tur a ni lo. Elastic stockings a tight tawk lo chuan i dinhmun a tichhe thei a, a chhan chu a hrualna hmuna thisen kal a tikhawtlai thei a ni.

Emergency care-a kal hun tur

Pulmonary embolism symptoms i neih chuan i local emergency number ah call nghal rawh. Hei hi deep vein thrombosis (DVT) avanga nunna atana hlauhawm tak a ni. Damdawi lam pan vat a ngai a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Chronic venous insufficiency (CVI) chungchangah hian zir tur tam tak a awm a. Zawhna i neih chuan i doctor hnenah zawt hreh suh. Heng zawhnate hi i zawt thei bawk ang:

• Chronic venous insufficiency (CVI) hi eng stage-ah nge ka awm?
• Engtin nge in lamah CVI hi ka enkawl theih ang?
• Engtin nge compression therapy chhunzawm zel turin min puih theih ang?
• Procedure emaw surgery emaw ka mamawh em?
• Ka CVI dinhmun a nasat loh nan eng nge ka tih theih ang?

A tawp berah chuan thil hriat reng tur

Vein lama harsatna hi cosmetic issue mai ni lovin a tam zawk fo. Chronic venous insufficiency (CVI) hi hun kal zelah a zual zel a, i nunphungah nghawng lian tak a nei thei bawk.

Hun engemaw chen varicose veins i vei tawh a nih chuan i lungawi lo mai thei a, a bo thuai se i duh mai thei. Vanneihthlak takin i natna lan chhuah dan enkawl dan tur leh hrisel taka awm theihna turin nangmah chauha tih theih tam tak a awm. Mahse ruahmanna zawm tlat a pawimawh. Nitin enkawlna ruahmanna vawn reng theihna tur leh compression therapy hi i tih theih tur atana siam dan tur ruahmanna (strategies) chungchang i doctor nen sawiho rawh. Nangmah chauh i ni lo a, tanpuina dil pawh hlau suh.

` Chronic Venous Insufficiency, CVI, ke hring, varicose veins, vein natna, ke na, DVT