The varicose veins of the small pelvis in women are characterized by their increase in diameter and incentability.Very often, this condition is associated with deteriorated venous valves.Despite a sufficiently high prevalence, this disease is rarely diagnosed.
This is due to the variety of symptoms, the main one of which is always pain syndrome.It is characteristic of gynecological, neurological and gastrointestinal pathologies.Sometimes, VRVMT disguises the diseases of the musculoskeletal system in particular, under Rooser syndrome and the osteoarthritis of the hip joints.
Description and reasons
The extended veins in the pelvis are not always visualized, since they are often deeply 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 worse and begins to stagnate.As a result of blocking and swelling of the veins, an obstacle to blood exit is created.
The BRVMT mechanism is based on the failure of ovarian veins, so blood flows back and reflux occurs.This leads to an increase in intravenous pressure and blood stagnation, as well as the formation of additional blood circulation circles: collateral.
The most important initial factor is dysplasia: underdevelopment of connective tissue, which is found in approximately one third of the population.Dipasia is a congenital defect in which the necessary collagen level for vessel resistance is reduced.
In the postmenopausal period, the severity of varicose veins decreases, which indicates in favor of the theory of hormonal influence in the state of the veins.
Significantly weakens the tone of the venous system is capable of progesterone: a female sex hormone, which is also called a "pregnancy hormone."On the one hand, it reduces the uterine tone, thus avoiding a spontaneous abortion, and on the other, weakens the walls of the blood vessels and causes its expansion.The situation is aggravated with the growth of the uterus, which presses more and more in large veins and causes the formation of blood flow, collateral roads.That is why VRVMT is very common during pregnancy.
The factors of greatest risk of varicose vein development include the following:
- Too high or, on the contrary, insufficient physical activity;
- multiple;
- multiple or complex birth;
- Gynecological diseases: Endometriosis, Myoma, etc.;
- Long -term steroid hormone intake, including contraceptives.
Types and titles
The varicose veins in the pelvis are of two types.The first type is called varicose veins of vulva and perineum, the second: the pelvic venous plethora syndrome.Both types can be developed in isolation or combined with each other, which happens more frequently.Pregnant women face them mainly with damage to vulvar veins, which in more than 91% of cases pass independently after childbirth.
VRVMT is also classified by origin and location.By origin, varicose veins are divided into primary and secondary.Primary varicose veins develop due to insufficiency of venous valves.Pregnancy becomes its trigger.Secondary varicose veins are due to system diseases.
According to VRVMT location, it is total when all the veins of the pelvis are affected, and partially, 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 and heaviness exploding at the bottom of the abdomen;
- an increase in the download number;
- various urine violations;
- A rapid weight gain is already at the beginning of pregnancy.
The pain, as a rule, increases after sexual relations, hypothermia, the long walk or standing.With damage to the superficial veins, the veins and a bluish red vascular mesh can appear in the genitals and in the upper part of the hips.
Often, the signs of varicose veins resemble cystitis: abruptly painful urination in small portions.
Closer to the end of pregnancy, ardor and swelling may appear in the genitals.A similar symptom requires special attention, since the development of inflammation or rupture of veins that can cause severe bleeding is not excluded.
What is the dangerous VRVMT?
Varicose veins can give several complications that represent a danger to life.First, it is thrombophlebitis or thromboembolism: inflammation of dilated veins, leading to the formation of blood clots.If the blood clot, a blood clot, will obstruct the glass, the blood supply will be blocked to the placenta.The result of the blockage will be the fetopleal fault 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 giving birth naturally to minimize the risk of rupture of the veins, threaten internal or uterine bleeding.
Treatment
In pregnant women, medication therapy is limited to taking phlegotonia and anti -gum medications.With pronounced pains, the use of funds from the non -steroidal anti -inflammatory group (NSAIDs) is allowed.If there is a threat of a hunger for the child's oxygen, the treatment is carried out in a hospital using anti -domium preparations.
From the fourth month, you can do a Flebosklerizing operation, during which a venosclerosis agent is introduced into the affected veins.The effect of the procedure is evaluated after 7 days, if necessary, is repeated.All week after surgery it is necessary to use compression linen.You can achieve the participation of the veins in a session, but more frequently you must carry out 3-4 Flebosclerosis procedures.
Persistent pain syndrome and a large diameter of advanced veins greater than 1 cm, is an indication of surgical intervention.It can only be carried out in the first 2 pregnancy quarter with soft methods of laser or radio coagulation.If the VRVMT is caused by the uterus retroflection, plastic surgery is performed in uterine ligaments.
Doctors advise pregnant women with varicose veins diagnosed with the small pelvis and do exercises that prevent blood stagnation in the pelvis.Using a bandage and a compression diet will help stop VRVMT's progression.
The menu must be done in such a way that it mainly contains plant foods, as well as products and cereals with milk fermented in sufficient volume.
A good effect gives the ascending contrast or perineal shower.During the procedure, a woman sits in a special ring in the form of a ring, the water is supplied from below and goes to the crotch.The duration of the procedure is 3-5 minutes, the treatment course 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 loads in the long term, as well as adjust the diet, introduce more fruits and vegetables in the diet.In the initial stages of the varicose veins, exercise therapy and respiratory gymnastics, the use of point garment compression products.