The varicose veins of the pelvis in women are characterized by their increase in diameter and stimuli.Most often, this condition is associated with impaired venous valves.Despite sufficiently high spread, this disease is rarely diagnosed.
This is due to the variety of symptoms, the main thing is always the pain syndrome.It is characteristic of gynecological, neurological, gastrointestinal pathologies.Sometimes VRVMT is disguised as diseases of the musculoskeletal system, in which it is more special, under the Rooser syndrome and arthrosis of the hip joints.
Description and reasons
The elongated veins in the pelvis are not always visualized as they are often located deep under the skin.This is one of the reasons for the complexity of the diagnosis.With VRVMT the elasticity and tone of the veins decreases, blood circulates worse and begins to stagnate.As a result of blocking and swelling of the abdomen of the veins, an obstacle to blood flow is created.
The BRVMT mechanism is based on the failure of the ovarian veins, which is why the blood goes back and reflux occurs.This leads to an increase in intravenous pressure and stagnation of the blood, as well as the formation of additional circulatory circles - collaterals.
The most important initial factor is dysplasia - underdevelopment of connective tissue, which is approximately one -third of the population.Diplasia is a congenital defect in which the level of collagen required for the strength of the vessels is reduced.
In the post -menopausal period, the severity of varicose veins decreased, which shows in favor of the theory of hormonal influence on the condition of the veins.
Significantly weakening the tone of the venous system is capable of progesterone, a female hormone, also called the "pregnancy hormone".On the one hand, it reduces uterine tone, thus preventing miscarriage, and on the other it weakens the walls of the blood vessels and causes them to expand.The situation is worsened by the growth of the uterus, which squeezes more and more on large veins and provokes the formation of bypass pathways of blood flow, security.Therefore, VRVMT is very common during pregnancy.
Increased risk factors include the following:
- too high or, conversely, insufficient physical activity;
- multiple;
- Multiple or complicated birth;
- Gynecological diseases - endometriosis, fibroids, etc.;
- Long -term intake of steroid hormones, including contraceptives.
Species and degrees
The varicose veins in the pelvis are of two types.The first type is called varicose veins of the vulva and perineum, the second is the pelvic venous syndrome.Both types can develop in isolation or combine with each other, which is most common.Pregnant women are mainly confronted with damage to the vulvar veins, which in more than 91% of cases passes independently after birth.
VRVMT is also classified by origin and localization.By origin, varicose veins are divided into primary and secondary.Primary varicose veins develop due to the insufficiency of venous valves.Pregnancy becomes his trigger.Secondary varicose veins are due to systemic diseases.
According to the location of VRVMT, it is total when all pelvic veins are affected by partially, which selectively affects one or more veins.Depending on the diameter of the veins, 3 degrees of weight are distinguished:
- 1 tbsp.- up to ½ cm;
- 2 Tbsp.- 0.6 - 1 cm;
- 3 Tbsp.- More than 1 cm.
Symptoms
Symptoms of varicose veins include:
- painful cracking and heaviness in the lower abdomen;
- increase in the number of disposal;
- various urinary disorders;
- Rapid weight gain is already at the beginning of pregnancy.
Soreness as a rule increases after intercourse, hypothermia, long walking or standing.With damage to the surface veins, veins and bluish-red vascular network can appear on the genitals and at the upper thighs.
Often signs of varicose veins resemble cystitis: abruptly painful urination in small portions.
Closer to the end of pregnancy, burning and swelling in the genitals may occur.Such a symptom requires special attention, since the development of inflammation or rupture of veins that can lead to severe bleeding is not excluded.
What is the dangerous VRVMT
Varicose veins can give several complications that pose a danger to life.First, it is thrombophlebitis or thromboembolism - inflammation of the dilated veins, which leads to the formation of blood clots.If the blood clot - a blood clot - will clog the vessel, the blood supply to the placenta will be blocked.The result of the blocking will be fetoplacental insufficiency and fetal hypoxia.
Another serious complication is the threat of miscarriage and premature birth due to a circulatory disorder.
Due to the varicose veins, doctors may forbid the birth naturally to minimize the risk of vein rupture, threatening internal or uterine bleeding.
Treatment
In pregnant women, drug therapy is limited to taking phlebotonics and antithromboid drugs.In case of pronounced pain, the use of non -steroidal anti -influence (NSAIDs) is allowed.If there is a threat of starvation of the child's oxygen, the treatment is performed in a hospital using antihipoxi preparations.
Starting from the fourth month, you can perform a phlebo -processing operation, during which the venocclass agent is introduced into the affected veins.The effect of the procedure is evaluated after 7 days, if necessary, it is repeated.The whole week after surgery, it is necessary to wear compression linen.You can achieve vein involution in one session, but more often you need to perform 3-4 phleboslerosis procedures.
Permanent pain syndrome and large diameter of advanced veins above 1 cm are an indication of surgery.It can only be performed during the first 2 trimesters of pregnancy with gentle methods of laser or radio wool coagulation.If VRVMT is caused by retroflexia of the uterus, plastic surgery is performed on uterine ligaments.
Doctors advise pregnant women with diagnosed varicose veins of the pelvis more and do exercises that prevent stagnation in the pelvis.Wearing a compression dressing and diet will help slow the progression of VRVMT.
The menu should be made in such a way that it mainly contains plant foods, as well as fermented dairy products and cereals in sufficient volume.
The good effect gives the upward contrast or the perineal shower.During the procedure, a woman sits in a special place in the form of a ring, the water is delivered from below and directed to the crotch.The duration of the procedure is 3-5 minutes, the course of treatment includes from 15 to 20 sessions.
The prevention of the development and progress of varicose veins is mainly reduced to optimization of motor activity and nutrition.The most important thing is to exclude long -term static and dynamic loads, as well as to adjust the diet, to introduce more fruits and vegetables into the diet.In the initial stages of varicose veins, exercises and respiratory gymnastics, wearing knit compression products.