{"id":885,"date":"2025-05-06T18:30:58","date_gmt":"2025-05-06T15:30:58","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/varikoznoe-rasshirenie-ven-nizhnih-konechnostej\/"},"modified":"2025-11-06T15:48:46","modified_gmt":"2025-11-06T12:48:46","slug":"varizes-extremidades-inferiores","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/vasculares\/varizes-extremidades-inferiores\/","title":{"rendered":"Varizes dos membros inferiores: Etiologia, patog\u00e9nese, classifica\u00e7\u00e3o, diagn\u00f3stico, m\u00e9todos de tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>As varizes dos membros inferiores (varizes) s\u00e3o uma doen\u00e7a em que a parede das veias se dilata e as veias ficam irregularmente dilatadas.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/1-Varicoz_20_1%2B2.webp\" alt=\"Veias safenas tortuosas dilatadas (veia safena magna e veia safena parva)\"><figcaption class=\"wp-element-caption\">Veias safenas tortuosas dilatadas (veia safena magna e veia safena parva) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/c312e176-42d8-4fb1-bc70-045e779fffee\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"epidemiologia\">Epidemiologia <\/h2>\n<p>As varizes dos membros inferiores (VLE) s\u00e3o uma das doen\u00e7as cr\u00f3nicas mais comuns do sistema vascular. De acordo com estudos epidemiol\u00f3gicos: <\/p>\n<ul class=\"wp-block-list\">\n<li>A preval\u00eancia na popula\u00e7\u00e3o \u00e9 de 20-30% nos adultos.<\/li>\n<li>As mulheres sofrem 2-3 vezes mais do que os homens, o que \u00e9 atribu\u00eddo aos efeitos das hormonas e da gravidez.<\/li>\n<li>A frequ\u00eancia da doen\u00e7a aumenta com a idade: em pessoas com mais de 60 anos, mais de 50% das mulheres e 30% dos homens apresentam sinais de varizes.<\/li>\n<li>As diferen\u00e7as \u00e9tnicas s\u00e3o m\u00ednimas, mas existem provas de uma incid\u00eancia ligeiramente inferior de DRGE na popula\u00e7\u00e3o afro-caribenha em compara\u00e7\u00e3o com os caucasianos.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"a-etiologia\">A etiologia<\/h2>\n<p>O desenvolvimento de varizes deve-se a um conjunto de factores, entre os quais as principais causas s\u00e3o:<\/p>\n<ul class=\"wp-block-list\">\n<li>Hereditariedade \u2013 muta\u00e7\u00f5es que afectam a estrutura da parede venosa e das v\u00e1lvulas.<\/li>\n<li>Sexo feminino e altera\u00e7\u00f5es hormonais \u2013 a progesterona reduz o t\u00f3nus da parede venosa.<\/li>\n<li>Gravidez \u2013 aumento da press\u00e3o intra-abdominal e influ\u00eancias hormonais.<\/li>\n<li>Profiss\u00f5es com perman\u00eancia prolongada \u2013 o fluxo venoso \u00e9 prejudicado.<\/li>\n<li>Um estilo de vida sedent\u00e1rio e a obesidade \u2013 contribuem para o congestionamento.<\/li>\n<li>Traumatismo e trombose venosa profunda \u2013 prejudica a fun\u00e7\u00e3o da v\u00e1lvula.<\/li>\n<\/ul>\n<figure class=\"wp-block-video\" id=\"animacao-3d-varizes-da-veia-safena-magna\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/varicose-dilation-of-great-saphenous-vein.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 Varizes da veia safena magna<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"patogenese\">Patog\u00e9nese<\/h2>\n<p>A base da patog\u00e9nese \u00e9 a hipertens\u00e3o venosa causada pela insufici\u00eancia da v\u00e1lvula venosa e pela diminui\u00e7\u00e3o da elasticidade da parede venosa.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Insufici\u00eancia valvular prim\u00e1ria<\/strong>: <\/li>\n<\/ul>\n<p>Perturba\u00e7\u00e3o do fecho da v\u00e1lvula venosa \u2192 fluxo sangu\u00edneo retr\u00f3grado (refluxo).<\/p>\n<p>O refluxo aumenta a carga sobre a parede venosa, provocando a sua dilata\u00e7\u00e3o, sobretudo no sistema venoso superficial (v. saphena magna, v. saphena parva).<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Destrui\u00e7\u00e3o da parede venosa<\/strong>:<\/li>\n<\/ul>\n<p>Perda de colag\u00e9nio e elastina na camada m\u00e9dia \u2192 diminui\u00e7\u00e3o do t\u00f3nus \u2192 transforma\u00e7\u00e3o em varizes.<\/p>\n<p>Ativa\u00e7\u00e3o de metaloproteinases, citocinas inflamat\u00f3rias (IL-6, TNF-\u03b1) \u2192 remodela\u00e7\u00e3o vascular.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Danos na microcircula\u00e7\u00e3o<\/strong>:<\/li>\n<\/ul>\n<p>A hipertens\u00e3o venosa leva \u00e0 estase capilar, hipoxia, efluxo transendotelial de plasma e gl\u00f3bulos vermelhos. Isto provoca <span class=\"glossary-term\" data-title=\"Edema\" data-tooltip=\"O edema \u00e9 uma acumula\u00e7\u00e3o excessiva de l\u00edquido nos espa\u00e7os intercelulares (intersticiais) dos tecidos ou nas cavidades serosas do corpo. Clinicamente, manifesta-se por incha\u00e7o, aumento do volume de um \u00f3rg\u00e3o ou de uma parte do corpo. \" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/edema\/\">edema<\/span>, altera\u00e7\u00f5es tr\u00f3ficas na pele e, se progressivas, \u00falceras varicosas, especialmente no tornozelo medial, onde a resist\u00eancia hidrost\u00e1tica \u00e9 mais baixa. <\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-desenvolvimento-da-varicosidade-da-veia-safena-magna\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/development-of-varicose-dilation-of-small-saphenous-vein.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 Desenvolvimento da varicosidade da veia safena magna<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"classificacao\">Classifica\u00e7\u00e3o<\/h2>\n<p>Para avaliar o est\u00e1dio e a gravidade das varizes dos membros inferiores, \u00e9 utilizado o sistema internacional <strong>CEAP<\/strong>, que tem em conta quatro aspectos: C \u2013 manifesta\u00e7\u00e3o cl\u00ednica, E \u2013 etiologia, A \u2013 localiza\u00e7\u00e3o anat\u00f3mica, P \u2013 mecanismo fisiopatol\u00f3gico.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>C \u2013 Descri\u00e7\u00e3o<\/strong>\n<ul class=\"wp-block-list\">\n<li>C0 \u2013 Sem sinais vis\u00edveis ou palp\u00e1veis de doen\u00e7a<\/li>\n<li>C1 \u2013 Telangiectasias ou veias reticulares<\/li>\n<li>C2 \u2013 Varizes (>3 mm de di\u00e2metro)<\/li>\n<li>C3 \u2013 Incha\u00e7o sem altera\u00e7\u00f5es cut\u00e2neas<\/li>\n<li>C4a \u2013 Pigmenta\u00e7\u00e3o ou eczema<\/li>\n<li>C4b \u2013 Lipodermatosclerose ou atrofia branca<\/li>\n<li>C5 \u2013 \u00dalcera venosa curada<\/li>\n<li>C6 \u2013 \u00dalcera venosa ativa<\/li>\n<\/ul>\n<\/li>\n<li><strong>E \u2013 Valor<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ec \u2013 Cong\u00e9nita<\/li>\n<li>Ep \u2013 Adquirido<\/li>\n<li>Es \u2013 Secund\u00e1rio<\/li>\n<li>En \u2013 N\u00e3o especificado<\/li>\n<\/ul>\n<\/li>\n<li><strong>A \u2013 Zona afetada<\/strong>\n<ul class=\"wp-block-list\">\n<li>As \u2013 Veias superficiais<\/li>\n<li>Ap \u2013 Veias perfurantes<\/li>\n<li>Ad \u2013 Veias profundas<\/li>\n<li>An \u2013 Desconhecido<\/li>\n<\/ul>\n<\/li>\n<li><strong>R \u2013 Mecanismo<\/strong>\n<ul class=\"wp-block-list\">\n<li>Pr \u2013 Refluxo (refluxo de sangue)<\/li>\n<li>Po \u2013 Obstru\u00e7\u00e3o (por exemplo, trombose)<\/li>\n<li>Pro \u2013 Refluxo + obstru\u00e7\u00e3o<\/li>\n<li>Pn \u2013 Desconhecido<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/2-Varic_20_1%2B2.webp\" alt=\"Veia safena I.V.D.\"><figcaption class=\"wp-element-caption\">Veia safena magna IVD \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/c312e176-42d8-4fb1-bc70-045e779fffee\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/3-Varicoz_20_1%2B2_noSkin.webp\" alt=\"Veia safena I.V.D.\"><figcaption class=\"wp-element-caption\">Veia safena parva TPV \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/4bb9c078-6da0-411f-b02d-78f828654e35n\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestacoes-clinicas\">Manifesta\u00e7\u00f5es cl\u00ednicas<\/h2>\n<p>O quadro cl\u00ednico varia desde altera\u00e7\u00f5es cosm\u00e9ticas a dist\u00farbios tr\u00f3ficos graves:<\/p>\n<ul class=\"wp-block-list\">\n<li>Veias safenas dilatadas e tortuosas;<\/li>\n<li>Sente peso, press\u00e3o e ardor nas pernas;<\/li>\n<li>Dores que se agravam \u00e0 noite;<\/li>\n<li>Incha\u00e7o dos tornozelos e das canelas;<\/li>\n<li>C\u00e3ibras e parestesias durante a noite;<\/li>\n<li>Altera\u00e7\u00f5es cut\u00e2neas: hiperpigmenta\u00e7\u00e3o, endurecimento, eczema;<\/li>\n<li>\u00dalceras tr\u00f3ficas (mais frequentes no tornozelo medial).<\/li>\n<\/ul>\n<p>Os sintomas aumentam com a perman\u00eancia prolongada em p\u00e9 e diminuem em repouso ou quando as pernas est\u00e3o elevadas.<\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-de-varizes\">Diagn\u00f3stico de varizes<\/h2>\n<p><strong>Exame f\u00edsico<\/strong>: Exame e palpa\u00e7\u00e3o das veias na posi\u00e7\u00e3o de p\u00e9.<\/p>\n<p>Avalia\u00e7\u00e3o do refluxo (teste de Troyanov-Trendelenburg, teste de Sheinis).<\/p>\n<p><strong>M\u00e9todos instrumentais<\/strong>: A angioscanning por ultra-sons (ultra-sons duplex) \u00e9 o padr\u00e3o de ouro do diagn\u00f3stico.<\/p>\n<ul class=\"wp-block-list\">\n<li>Identifica: refluxo, oclus\u00f5es, di\u00e2metro da veia, carater\u00edsticas anat\u00f3micas.<\/li>\n<li>Crit\u00e9rio de refluxo patol\u00f3gico: dura\u00e7\u00e3o >0,5 s ap\u00f3s a compress\u00e3o.<\/li>\n<\/ul>\n<p><strong>Exames laboratoriais<\/strong> (em caso de complica\u00e7\u00f5es):<\/p>\n<ul class=\"wp-block-list\">\n<li>Coagulograma \u2013 se houver suspeita de trombose;<\/li>\n<li>Glicose, HbA1c \u2013 se houver suspeita de angiopatia diab\u00e9tica;<\/li>\n<li>Um estudo do microbiota das \u00falceras nas infec\u00e7\u00f5es.<\/li>\n<\/ul>\n<p>A <strong>classifica\u00e7\u00e3o CEAP<\/strong> \u00e9 utilizada para estratificar e selecionar as t\u00e1cticas de tratamento<\/p>\n<h2 class=\"wp-block-heading\" id=\"tratamento-de-varizes\">Tratamento de varizes<\/h2>\n<h3 class=\"wp-block-heading\" id=\"1-tratamento-conservador\">1. Tratamento conservador<\/h3>\n<p><strong>Terapia de compress\u00e3o:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>As meias el\u00e1sticas existem em diferentes graus de compress\u00e3o e s\u00e3o selecionadas em fun\u00e7\u00e3o da fase da doen\u00e7a e da gravidade dos sintomas. Uma pe\u00e7a de vestu\u00e1rio mal ajustada pode ser ineficaz ou mesmo prejudicial, pelo que o tipo e a classe de compress\u00e3o devem ser prescritos por um m\u00e9dico com base num exame. <\/li>\n<li>Melhora o retorno venoso, reduz o edema e os sintomas subjectivos.<\/li>\n<\/ul>\n<p><strong>Drogas flebotr\u00f3picas:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Diosmina, hesperidina, troxerutina \u2013 reduzem a permeabilidade capilar, melhoram a microcircula\u00e7\u00e3o.<\/li>\n<li>S\u00e3o utilizados como tratamento sintom\u00e1tico, mas n\u00e3o tratam a causa.<\/li>\n<\/ul>\n<p><strong>Estilo de vida:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Controlo do peso corporal;<\/li>\n<li>Atividade f\u00edsica moderada;<\/li>\n<li>Evita estar de p\u00e9 ou sentado durante muito tempo.<\/li>\n<\/ul>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h3 class=\"wp-block-heading\" id=\"2-tratamento-cirurgico-e-invasivo\">2. Tratamento cir\u00fargico e invasivo<\/h3>\n<p><strong>Indica\u00e7\u00f5es:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Varizes assintom\u00e1ticas com refluxo confirmado;<\/li>\n<li>CEAP C2-C6;<\/li>\n<li>Inefic\u00e1cia da terapia conservadora.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-1-\u044d\u043d\u0434\u043e\u0432\u0435\u043d\u043e\u0437\u043d\u0430\u044f-\u043b\u0430\u0437\u0435\u0440\u043d\u0430\u044f-\u043a\u043e\u0430\u0433\u0443\u043b\u044f\u0446\u0438\u044f-\u044d\u0432\u043b\u043a\">2.1.  <strong>Fotocoagula\u00e7\u00e3o endovenosa a laser (EVLP)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>O m\u00e9todo mais comum;<\/li>\n<li>Minimamente invasivo;<\/li>\n<li>A energia laser provoca a necrose da coagula\u00e7\u00e3o e a esclerose da parede da veia;<\/li>\n<li>\u00c9 realizada sob controlo de ultra-sons e anestesia tumescente.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-2-\u0440\u0430\u0434\u0438\u043e\u0447\u0430\u0441\u0442\u043e\u0442\u043d\u0430\u044f-\u0430\u0431\u043b\u044f\u0446\u0438\u044f-\u0440\u0447\u0430\">2.2.  <strong>Abla\u00e7\u00e3o por radiofrequ\u00eancia (RFA)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Uma alternativa ao EVLC;<\/li>\n<li>O princ\u00edpio \u00e9 semelhante, mas utiliza energia de radiofrequ\u00eancia;<\/li>\n<li>Frequentemente melhor tolerado, mas mais caro.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-3-\u0441\u043a\u043b\u0435\u0440\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044f\">2.3.  <strong>Escleroterapia<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Inje\u00e7\u00e3o de esclerosante (espuma ou l\u00edquido) \u2192 colagem da veia;<\/li>\n<li>\u00c9 utilizado para veias reticulares e telangiectasias.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-4-\u043c\u0438\u043d\u0438\u0444\u043b\u0435\u0431\u044d\u043a\u0442\u043e\u043c\u0438\u044f-\u043f\u043e-\u043c\u044e\u043b\u043b\u0435\u0440\u0443\">2.4.  <strong>Miniflebectomia (Mueller)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Remo\u00e7\u00e3o de varizes atrav\u00e9s de micro pun\u00e7\u00f5es.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-5-\u043a\u0440\u043e\u0441\u0441\u044d\u043a\u0442\u043e\u043c\u0438\u044f-\u0438-\u0441\u0442\u0440\u0438\u043f\u043f\u0438\u043d\u0433-\u0442\u0440\u0430\u0434\u0438\u0446\u0438\u043e\u043d\u043d\u044b\u0435-\u043c\u0435\u0442\u043e\u0434\u044b\">2.5.  <strong>Crossectomia e decapagem (m\u00e9todos tradicionais)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Ressec\u00e7\u00e3o do tronco da veia safena magna;<\/li>\n<li>S\u00e3o utilizados com menos frequ\u00eancia, quando existem contra-indica\u00e7\u00f5es para os m\u00e9todos endovenosos.<\/li>\n<\/ul>\n<p><strong>Contra-indica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Trombose aguda;<\/li>\n<li>Doen\u00e7as cr\u00f3nicas descompensadas;<\/li>\n<li>Gravidez (contraindica\u00e7\u00e3o relativa);<\/li>\n<li>Infec\u00e7\u00f5es cut\u00e2neas activas na zona de interven\u00e7\u00e3o.<\/li>\n<\/ul>\n<p><strong>O progn\u00f3stico<\/strong> em caso de tratamento atempado e correto \u00e9 favor\u00e1vel. Os m\u00e9todos endovenosos modernos permitem a remiss\u00e3o em 90-95% dos casos. A recorr\u00eancia \u00e9 poss\u00edvel em caso de viola\u00e7\u00e3o da t\u00e9cnica ou de progress\u00e3o da doen\u00e7a.  <\/p>\n<p><strong>Poss\u00edveis complica\u00e7\u00f5es<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Tromboflebite;<\/li>\n<li>Trombose venosa profunda;<\/li>\n<li>Pigmenta\u00e7\u00e3o e hiperqueratose;<\/li>\n<li>Altera\u00e7\u00f5es cut\u00e2neas necr\u00f3ticas e ulcerativas;<\/li>\n<li>Sangramento de uma veia varicosa.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. As varizes podem ser curadas sem cirurgia?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u00c9 imposs\u00edvel eliminar completamente as veias dilatadas sem interven\u00e7\u00e3o, mas a terapia conservadora (meias de compress\u00e3o, venot\u00f3nicos) pode aliviar os sintomas e retardar a progress\u00e3o da doen\u00e7a.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Que meias de compress\u00e3o s\u00e3o melhores e posso compr\u00e1-las eu pr\u00f3prio?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">As meias s\u00e3o selecionadas de acordo com a classe de compress\u00e3o, a fase da doen\u00e7a e as carater\u00edsticas anat\u00f3micas. A auto-sele\u00e7\u00e3o pode ser ineficaz ou mesmo prejudicial \u2013 \u00e9 prefer\u00edvel que sejam prescritas por um m\u00e9dico. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3 Quais s\u00e3o os perigos das varizes se n\u00e3o forem tratadas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sem tratamento, a doen\u00e7a pode progredir e levar a complica\u00e7\u00f5es: tromboflebite, edema, hiperpigmenta\u00e7\u00e3o, \u00falceras tr\u00f3ficas e at\u00e9 trombose venosa profunda.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Qual \u00e9 o m\u00e9todo de cirurgia mais seguro e eficaz?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A fotocoagula\u00e7\u00e3o endovenosa a laser (EVLC) e a abla\u00e7\u00e3o por radiofrequ\u00eancia (RFA) s\u00e3o considerados os m\u00e9todos mais seguros e eficazes \u2013 minimamente traum\u00e1ticos, ambulat\u00f3rios, com recupera\u00e7\u00e3o r\u00e1pida.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Posso fazer exerc\u00edcio quando tenho varizes?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, mas \u00e9 prefer\u00edvel um exerc\u00edcio din\u00e2mico moderado (caminhar, nadar, andar de bicicleta). Evita as cargas est\u00e1ticas pesadas e os levantamentos pesados sem compress\u00e3o. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. As varizes podem voltar a aparecer depois da cirurgia?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A recorr\u00eancia \u00e9 poss\u00edvel, especialmente se houver uma predisposi\u00e7\u00e3o gen\u00e9tica ou se as recomenda\u00e7\u00f5es p\u00f3s-tratamento forem violadas, mas os m\u00e9todos modernos proporcionam um efeito a longo prazo com as t\u00e1cticas corretas.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. \u00c9 necess\u00e1rio tratar as varizes se n\u00e3o tiveres dores e s\u00f3 tiveres \u201casteriscos\u201d?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">As telangiectasias e as veias reticulares s\u00e3o uma forma precoce da doen\u00e7a. Embora muitas vezes tenham um significado est\u00e9tico, \u00e9 importante fazer um exame para excluir um refluxo oculto. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Os comprimidos para as varizes ajudam?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os medicamentos flebotr\u00f3picos ajudam a reduzir o incha\u00e7o, o peso e as c\u00e3ibras, mas n\u00e3o eliminam o refluxo patol\u00f3gico. S\u00e3o utilizados como parte de uma terapia combinada ou quando a cirurgia n\u00e3o \u00e9 poss\u00edvel. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fontes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fontes<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cat\u00e1logo VOKA.<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ. The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II: Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine. J Vasc Surg Venous Lymphat Disord. 2024 Jan;12(1):101670. doi:10.1016\/j.jvsv.2023.08.011.     <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ. The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part I. Duplex Scanning and Treatment of Superficial Truncal Reflux: Endorsed by the Society for Vascular Medicine and the International Union of Phlebology. J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):231-261.e6. doi: 10.1016\/j.jvsv.2022.09.004.     <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019 Mar;34(2):269-283. doi: 10.3904\/kjim.2018.230.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gwozdzinski L, Pieniazek A, Gwozdzinski K. Factors Influencing Venous Remodeling in the Development of Varicose Veins of the Lower Limbs. Int J Mol Sci. 2024 Jan 26;25(3):1560. doi: 10.3390\/ijms25031560.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Chung JH, Heo S. Varicose Veins and the Diagnosis of Chronic Venous Disease in the Lower Extremities. J Chest Surg. 2024 Mar 5;57(2):109-119. doi: 10.5090\/jcs.23.110.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Adler C, Mousa A, Rhee A, Patel MD. Varicose Veins of the Lower Extremity: Doppler US Evaluation Protocols, Patterns, and Pitfalls. Radiographics. 2022 Nov-Dec;42(7):2184-2200. doi: 10.1148\/rg.220057.    <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gawas M, Bains A, Janghu S, Kamat P, Chawla P. A Comprehensive Review on Varicose Veins: Preventive Measures and Different Treatments. J Am Nutr Assoc. 2022 Jul;41(5):499-510. doi: 10.1080\/07315724.2021.1909510.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>As varizes dos membros inferiores (varizes) s\u00e3o uma doen\u00e7a em que a parede das veias se dilata e as veias ficam irregularmente dilatadas. Epidemiologia As varizes dos membros inferiores (VLE) s\u00e3o uma das doen\u00e7as cr\u00f3nicas mais comuns do sistema vascular. De acordo com estudos epidemiol\u00f3gicos: A etiologia O desenvolvimento de varizes deve-se a um conjunto [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[303],"class_list":["post-885","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-vasculares"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Varizes (varizes ou varicoses): Sintomas, causas, diagn\u00f3stico, fases, tratamento<\/title>\n<meta name=\"description\" content=\"As varizes (varicoses) s\u00e3o uma doen\u00e7a em que a parede das veias se dilata e as veias ficam irregularmente dilatadas. Sintomas, causas, diagn\u00f3stico e tratamento.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varizes dos membros inferiores: Etiologia, patog\u00e9nese, classifica\u00e7\u00e3o, diagn\u00f3stico, m\u00e9todos de tratamento\" \/>\n<meta property=\"og:description\" content=\"As varizes (varicoses) s\u00e3o uma doen\u00e7a em que a parede das veias se dilata e as veias ficam irregularmente dilatadas. 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