医学英语听力Oh,veins! 静脉血管的秘密

小白老师2015/11/27英语学习

摘要: 静脉曲张是指由于静脉瓣膜功能不全导致血液回流、淤积,使静脉扩张、扭曲的一种常见血管疾病,多发生于下肢,但也可见于食管、睾丸和膀胱等部位。

  • 静脉负责将血液从身体各部位输送回心脏,通常位于皮肤下方不易察觉。
  • 静脉曲张是因静脉瓣膜失效导致血液淤积,使血管膨胀、扭曲并变得可见。
  • 虽然常见于老年人,但静脉曲张具有遗传倾向,也可能由过紧衣物压迫诱发。
  • 多数静脉曲张属于良性,但若引起不适或影响外观,可采取支持袜、手术等方式治疗。
  • 静脉曲张不仅限于腿部,也可能出现在食管、睾丸和膀胱等其他部位。

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Oh, Veins!

Veins are pretty important. After all, they carry blood from various parts of the body to the heart. But for all their significance, veins are modest, too. Yours are probably content to work behind the scenes, tucked away beneath the skin.

Twisted And Filled

Sometimes, however, veins take center-stage and become visible as blue lines on the skin, often resembling an unmarked roadmap. If you haven’t guessed by now, we’re talking about varicose veins. Have you ever wondered what are they are and how they form?

Basically, a varicose vein is one that is twisted and filled with backed-up blood. Although they most commonly occur in the legs, varicose veins can also happen in the esophagus, testes and the urinary bladder.

Varicose veins in the legs occur when the valves in a vein near the surface of the skin malfunction.

Faulty Valves

Valves usually keep blood from flowing backwards in the vein once it’s been pumped towards the heart. When the valves don’t work properly, blood gets stuck, causing the vein to swell and kink.

Although varicose veins are usually associated with senior citizens, not every older person has them. Weak valves are often inherited, and can also be caused by wearing clothing that squeezes the legs and veins too tightly.

Varicose veins may seem unsightly, but they’re not usually a cause for major concern. Still, if you have them and want to do something about it, talk to your doctor. Treatments range from wearing strong support stockings to surgery.

噢,血管!

血管相当的重要。毕竟,它们从身体的各个部分向心脏运输血液。虽然血管很重要,但是它们也很谦逊。血管甘愿在幕后工作,在皮肤下默默运输血液。

扭曲的,饱满的

然而,有时候血管成为主角,在皮肤上可以看到蓝色的线,很像未被标记的地图。如果你还没有猜到,我们讨论的正是静脉曲张的血管。你是否想知道它们是什么并怎样形成的么?

通常,静脉曲张的血管充满回流的血液并因此扭曲。它们不仅多见于腿部,也会表现在食管、睾丸、膀胱上。

当皮肤表面下的血管的阀门不起作用时,腿上的静脉曲张开始显现。

受损的瓣膜

阀门的作用是防止有心脏送出的血液回流。当阀门不正常工作时,血液不能流动,导致血管膨胀和扭结。

虽然静脉曲张多发生在老年人身上,但是不是每个老年人都患有这种病。脆弱的阀门通常是遗传的,或者身上的衣服把腿和血管勒的太紧导致的。

静脉曲张是很难看的,但是它们通常不会引起强烈的关注。然而,如果你有这种病并想要治疗,和你的医生聊聊。治疗方法包括从穿修复性的长筒袜到做外科手术。

常见问题

什么是静脉曲张?

静脉曲张是由于静脉瓣膜功能障碍导致血液回流淤积,使静脉扩张、扭曲并常表现为皮肤下突出的蓝色血管。

静脉曲张只发生在腿部吗?

不是,虽然最常见于腿部,但静脉曲张也可能出现在食管、睾丸和膀胱等部位。

静脉曲张会遗传吗?

是的,静脉瓣膜薄弱或功能不全常有遗传因素,家族史是重要风险因素之一。

静脉曲张需要治疗吗?

大多数情况下静脉曲张无严重健康风险,但若出现疼痛、肿胀或影响生活质量,应咨询医生,可选择穿戴医用弹力袜或接受手术等治疗。

参考资料

Varicose Veins

美国国家心肺血液研究所关于静脉曲张的权威说明

Chronic Venous Insufficiency and Varicose Veins

《Harrison's Principles of Internal Medicine》中关于静脉瓣膜功能不全与静脉曲张的病理机制描述