Varicose veins of the small pelvis in women are characterized by their increase in diameter and their incentive.Most of the time, this state is associated with impaired venous valves.Despite a sufficiently high prevalence, this disease is rarely diagnosed.
This is due to the variety of symptoms, of which the main level is always pain syndrome.It is characteristic of gynecological, neurological, gastrointestinal pathologies.Sometimes VRVMT is disguised as diseases of the musculoskeletal system as part of the rooser syndrome and the arthrosis of the hip joints.
Description and reasons
Extended veins in the pool are not always made visible because they are often deep under the skin.This is one of the reasons for the complexity of the diagnosis.With VRVMT, the elasticity and the tone of the veins decrease, the blood circulates and stagnates.Due to the blockade and bloating of veins, an obstacle to blood drainage is generated.
The BRVMT mechanism is based on the failure of the ovarian veins, which is why the blood flows back and the return flow occurs.This leads to an increase in intravenous pressure and the stagnation of blood as well as the formation of additional blood circle circles - collateral.
The most important starting factor is the dysplasia - underdevelopment of the connective tissue, which is about a third of the population.Dyplasia is a congenital defect in which the collagen level necessary for the strength of the vessels is reduced.
In the period after menopause, the severity of the varicose veins decreases, which indicates in favor of the theory of hormonal influence on the condition of the veins.
Progesterone can weaken the tone of the venous system significantly - a female sex hormone that is also referred to as the "hormone of pregnancy".On the one hand, it reduces the uterine tone, which prevents miscarriage, and on the other hand, it weakens the walls of blood vessels and causes its expansion.The situation is reinforced with the growth of the uterus, which is increasingly pressing large veins and provoking the formation of bypass paths of blood flow, collateral,.That is why VRVMT is very common during pregnancy.
The factors of an increased risk of developing varicose veins include the following:
- Too high or vice versa inadequate physical activity;
- several;
- Multiple or complex birth;
- Gynecological diseases - endometriosis, myoma, etc.;
- Long -term absorption of steroid hormones, including contraceptives.
Types and degrees
Varicose veins in the pool are two types.The first type is called Vulva and Perineum varicose veins, the second, the syndrome of the berbian venous abundance.Both types can develop in isolation or connect with each other, which occurs most frequently.Pregnant women are mainly exposed to damage to vulvaraes, which are independent in more than 91% of cases after birth.
VRVMT is also classified by origin and localization.According to origin, varicose veins are primarily divided into primary and secondary ones.Because of the inadequacy of venous valves, primary varicose veins develop.Pregnancy becomes your trigger.Secondary varicose veins are due to system diseases.
After the localization of VRVMT, it is overall when all veins of the pelvis are affected, and in part in part in terms of one or more veins.Depending on the diameter of the veins, a distinction is made between 3 degrees of the severity:
- 1 el.- up to ½ cm;
- 2 el.- 0.6 - 1 cm;
- 3 el.- More than 1 cm.
Symptoms
The symptoms of varicose veins include:
- Painful bursts and heaviness in the lower abdomen;
- an increase in the number of discharge;
- different violations of urination;
- A quick weight gain is already at the beginning of pregnancy.
Pain usually increases after sexual intercourse, hypothermia, long walking or standing.With damage to surface veins, veins and a bluish-red vessel network can occur on the genitals and top of the hips.
Signs of varicose veins of the flowering period often resemble: sharply painful urination in small parts.
Burning and swelling in the genitals can occur closer at the end of pregnancy.A similar symptom requires special attention, since the development of inflammation or breaking 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 of all, it is thrombophlebitis or thromboembolism - inflammation of the diluted veins that lead to the formation of blood clots.If the blood clot - a blood clot - clogs the vessel, the blood supply to the placenta is blocked.The result of a blockade will fail fetoplacental and be fetal hypoxia.
Another serious complication is the risk of miscarriages and premature birth due to a violation of blood circulation.
Due to the extended veins, doctors can prohibit the naturalness born in order to minimize the risk of a break of veins and to threaten the internal or uterine bleeding.
Treatment
In pregnant women, drug therapy is limited to taking phlebotonics and anti -tromboid medication.In the case of pronounced pain, the use of funds from the group of non -steroidal anti -inflammatory (NSAIDS) is permitted.If there is a risk of an oxygen hunger of the child, an anti -hypoxy preparations are treated in a hospital.
From the fourth month you can carry out a phlebosclerization process in which a venous clerosis agent is inserted into the affected veins.The impact of the procedure is assessed if necessary after 7 days.The whole week after the operation it is necessary to wear compression lines.You can achieve the involution of veins in one session, but more often you have to carry out 3-4 phlebosis.
The persistent pain syndrome and a large diameter of advanced veins of more than 1 cm are an indication of surgical intervention.It can only be carried out in the first 2 pregnancy trimester with gentle laser or radio wave coagulation.If the VRVMM is caused by retroflexion of the uterus, the plastic surgery on the uterine bands is carried out.
Doctors advise pregnant women with diagnosed varicose veins of the small pelvis more and do exercises that prevent blood stagnation in the pool.The wearing of a compression association and diets helps to slow down VRVMT's progress.
The menu should be made in such a way that it mainly contains vegetable foods as well as fermented dairy products and grain in sufficient volume.
A good effect gives the rising contrast or the perineal shower.During the procedure, a woman sits on a special seat in the form of a ring, water is delivered from below and directed to the crotch.The duration of the procedure is 3-5 minutes, the course of treatment comprises 15 to 20 sessions.
Prevention of the development and progress of varicose veins is mainly reduced to the optimization of motor activity and nutrition.The most important thing is to exclude long -term static and dynamic stress and adapt the nutrition, to introduce more fruit and vegetables into nutrition.In the early stages of varicose veins, training therapy and breathing gymnastics that wear compression products of knitting goods.