靜脈曲張不只是外觀問題：五個常見症狀
Varicose veins: five symptoms beyond appearance
中文版
靜脈曲張不只是腿上看得到血管。有些人外觀看起來不嚴重，卻常覺得腿沉、痠、腫，甚至影響睡眠和日常活動。
- 腿部沉重
- 痠痛或灼熱
- 腳踝腫脹
- 夜間抽筋
- 皮膚搔癢
1.哪些情況值得安排檢查？
- 不舒服在久站或久坐後更明顯。
- 腳踝開始變色、皮膚變硬或反覆搔癢。
- 傷口不容易癒合，或曲張血管曾經出血。
2.看診時會做什麼？
- 先了解症狀、工作型態與過去病史。
- 以站立式下肢靜脈超音波找出逆流來源。
- 依症狀和血管狀況討論是否需要治療。
💡 常見症狀快速整理
| 你可能感覺到 | 常見情況 | 下一步 |
|---|---|---|
| 沉重、痠痛、灼熱 | 久站後更明顯 | 可安排血管評估 |
| 腳踝腫脹、夜間抽筋 | 傍晚或活動後出現 | 記錄發作時間與頻率 |
| 變色、皮膚變硬、傷口 | 可能代表疾病較進展 | 建議儘早就醫 |
| 突然單腳腫痛 | 需排除血栓等問題 | 立即就醫 |
⚠️ 溫馨提醒：如果不舒服在久站後更明顯，或腳踝已出現變色、皮膚變硬、傷口不易癒合，可以安排血管超音波，把原因弄清楚。
ENGLISH
Varicose veins are not only visible veins. Some people have mild-looking veins but significant heaviness, aching, swelling or sleep disturbance.
- Leg heaviness
- Aching or burning
- Ankle swelling
- Night cramps
- Itching
1.When is an assessment helpful?
- Symptoms worsen after standing or sitting.
- The ankle becomes darker, itchy or firm.
- A wound is slow to heal or a vein has bled.
2.What happens at the visit?
- We discuss symptoms, work and medical history.
- Standing leg-vein ultrasound locates reflux.
- Treatment is discussed according to symptoms and anatomy.
💡 Common symptoms
| What you may feel | Common pattern | Next step |
|---|---|---|
| Heaviness or aching | Worse after standing | Arrange vascular assessment |
| Swelling or cramps | Often later in the day | Note timing and frequency |
| Skin change or wound | More advanced disease may be present | Seek care early |
| Sudden one-sided swelling | A clot must be excluded | Seek urgent care |
Note: Skin discoloration, firmness or a slow-healing wound deserves ultrasound assessment.
References
本文提供一般衛教，不取代個別診斷或治療。若有急性不舒服，請先就近就醫。
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