The varicose veins of the small pelvis in women are characterized by their increase in diameter and uncertainty.Very often, this condition is associated with altered venous valves.Despite a sufficiently high prevalence, this disease is rarely diagnosed.
This is due to the variety of symptoms, whose main is always pain syndrome.It is characteristic of gynecological, neurological, gastrointestinal pathologies.Sometimes VRVMT is masked by diseases of the musculoskeletal system in particular, under the rooser syndrome and the arthrosis of the hip joints.
Description and reasons
The extended veins in the pelvis are not always displayed, since they are often found in depth under the skin.This is one of the reasons for the complexity of the diagnosis.With VRVMT, the elasticity and tone of the veins decrease, the blood circulates worse and begins to stagnate.As a result of the blocking and swelling of the veins, an obstacle is created for the outflow of blood.
The Brvmt mechanism is based on the failure of ovarian veins, which is why blood flows back and reflux occurs.This leads to an increase in intravenous pressure and blood stagnation, as well as the formation of additional circles of blood - collateral circulation.
The most important starting factor is the dysplasia - underdevelopment of the connective tissue, which is approximately in a third of the population.Dyplasia is a congenital defect in which the level of collagen necessary for the strength of the vessels is reduced.
In the postmenopausal period, the gravity of the varicose veins decreases, which indicates in favor of the theory of hormonal influence on the state of the veins.
It significantly weakens the tone of the venous system is able to progesterone - a female sex hormone, which is also called "pregnancy hormone".On the one hand, it reduces the uterine tone, thus preventing an abortion and the other, weakens the walls of the blood vessels and causes their expansion.The situation is aggravated by the growth of the uterus, which presses more and more on large veins and causes the formation of blood flow bypass paths, collateral.That's why Vrvmt is very common during pregnancy.
The factors of increased risk of development of varicose veins include the following:
- too high or, on the contrary, insufficient physical activity;
- multiple;
- multiple or complex birth;
- Gynecological diseases - endometriosis, myoma, etc.;
- Long -term intake of steroid hormones, including contraceptives.
Types and degrees
The varicose veins in the basin are of two types.The first type is called Varicose veins of vulva and perineum, the second - the syndrome of the Pelvica Venosa Pletora.Both types can develop in isolation or combine with each other, which happens most often.Pregnant women mainly face with damage to the vulvar veins, which in over 91% of cases pass independently after childbirth.
VRVMT is also classified for origin and location.By origin, varicose veins are divided into primary and secondary.Primary varicose veins develop due to the insufficiency of the venous valves.Pregnancy becomes its trigger factor.Secondary varicose veins are due to system diseases.
According to the location of VRVMT, it is total when all the veins of the pelvis are interested and for partial, which selectively affects one or more veins.Depending on the diameter of the veins, 3 degrees of gravity are distinguished:
- 1 tablespoon.- up to ½ cm;
- 2 tablespoons.- 0.6 - 1 cm;
- 3 tablespoons.- more than 1 cm.
Symptoms
The symptoms of varicose veins include:
- painful outbreak and heaviness in the lower abdomen;
- an increase in the number of resignation;
- various violations of urination;
- A quick weight gain is already at the beginning of gestation.
The pain, as a rule, increases after sexual intercourse, hypothermia, long walk or position.With damage to the surface veins, veins and a bluish red vascular network can appear on the genitals and at the top of the sides.
Often, the signs of varicose veins resemble cystitis: strongly painful urination in small portions.
They may appear closer to the end of pregnancy, burn and swell in the genitals.A similar symptom requires particular attention, since the development of inflammation or breaking of the veins that can lead to severe bleeding is not excluded.
What is the dangerous VRVMT
Varicose veins can give different complications that represent a danger to life.First of all, it is thrombophlebitis or thromboembolia - inflammation of the dilated veins, leading to the formation of blood clots.If the blood clot - a blood clot - will obstruct the vase, the flow of blood to the placenta will be blocked.The block result will be fetoplacital insufficiency and fetal hypoxia.
Another serious complication is the threat of spontaneous abortion and premature birth, due to a violation of blood circulation.
Due to the expanded veins, doctors can prohibit childbirth naturally to minimize the risk of breaking the veins, threatening internal or uterine bleeding.
Treatment
In pregnant women, drug therapy is limited to the intake of phlebotonic and anti -stromboid drugs.With pronounced pains, the use of funds of the anti -inflammatory group (NSAIDs) is allowed.If there is a threat of a child's hunger for oxygen, the treatment is carried out in a hospital using antihypoxy preparations.
Starting from the fourth month, it is possible to perform an operation of phlegoskleresire, during which a venosclerical agent is introduced into the interested veins.The effect of the procedure is assessed after 7 days, if necessary, is repeated.For the whole week after surgery it is necessary to wear compression linen.You can get the involution of the veins in a session, but more often you have to perform 3-4 phlegalosis procedures.
Persistent pain syndrome and a large diameter of advanced veins above 1 cm, are an indication for surgery.It can only be performed in the first 2 trimester of pregnancy with delicate laser or radio coagulation methods.If the VRVMT is caused by the retroflexion of the uterus, plastic surgery on uterine ligaments is carried out.
Doctors recommend pregnant women with varicose veins diagnosed with the small pelvis and do exercises that prevent blood stagnation in the basin.Wearing a compression bandage and a diet will help to slow down the progression of VRVMT.
The menu should be made in such a way that it mainly contains vegetable foods, as well as products -fermented dairy products and cereals in sufficient volume.
A good effect gives the ascending contrast or perineal shower.During the procedure, a woman is on a special seat in the form of a ring, the water is supplied by the bottom and directed to the horse.The duration of the procedure is 3-5 minutes, the course of the treatment includes 15 to 20 sessions.
The prevention of development and progress of varicose veins is mainly reduced to the optimization of motor activity and nutrition.The most important thing is to exclude static and dynamic long -term loads, as well as adjust the diet, introduce more fruit and vegetables into the diet.In the initial stages of varicose veins, of the therapy of exercise and respiratory gymnastics, wearing compression products from the knitwear.