Varicose veins of the small pelvis in women are characterized by their increase in diameter and encouragement.Most often, this condition is associated with damaged venous valves.Despite a very high prevalence, this disease is rarely diagnosed.
This is due to the variety of symptoms, the main of which is always the pain syndrome.Characteristic of gynecological, neurological, gastrointestinal pathologies.Sometimes VRVMT is disguised as disease of the muscular-skeletal system in particular, under Rooseer syndrome and arthrosis of the hip joints.
Description and reasons
Prolonged veins in the pelvis are not always visualized, as they are often deep under the skin.This is one of the reasons for the complexity of the diagnosis.With VRVMT, elasticity and vein tone decreases, blood circulates worse and begins to stagnate.As a result of blockage and bloating of veins, a barrier to blood flow is created.
The BRVMT mechanism is based on the failure of the ovary 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 blood circulation circles - collateral.
The most important initial factor is dysplasia - connective tissue underdevelopment, which is approximately one -third of the population.Dyplasia is a congenital defect in which the collagen level needed for shipping strength is reduced.
In the post -menopausal period, the severity of the varicose veins decreases, which indicates in favor of the theory of hormonal impact on the state of the veins.
Significant weakening of the venous system tone 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 preventing an abortion, and on the other, it weakens the walls of the blood vessels and causes them to expand.The situation has exacerbated the uterus growth, which is increasingly suppressed in the large veins and provokes the formation of blood flow pathways, collaterals.That is why VRVMT is very common during pregnancy.
Increased risk factors of varicose vein development include the following:
- very high physical activity or, conversely, insufficient;
- Very multiple;
- multiple or complex birth;
- Gynecological diseases - endometriosis, myoma, etc.;
- Long -term intake of steroid hormones, including contraceptives.
Types and ranks
The varicose veins in the pelvis are of two types.The first type is called varicose veins of the vulva and perineum, the second - the pelvic venous abundance syndrome.Both types can develop in isolation or combine with each other, which happens more often.Pregnant women mainly face the damage to the vulvar veins, which in more than 91% of cases pass independently after childbirth.
VRVMT is also classified by origin and localization.Of origin, varicose veins are divided into elementary and secondary.Primary varicose veins develop due to insufficient venous valve.Pregnancy becomes her cause.Secondary varicose veins is due to system diseases.
According to VRVMT localization, it is total when all pelvic veins are affected, and by partial, which selectively affects one or more veins.Depending on the diameter of the veins, 3 degrees of severity 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 explosion and aggravation in the lower abdomen;
- an increase in download number;
- various violations of urination;
- A quick weight gain is already at the beginning of the gestation.
Pain, as a rule, increases after intercourse, hypothermia, long walking or staying.With damage to the surface veins, veins and a bluish-red vascular mesh can appear on the genitals and on top of the buttocks.
Often, varicose vein signs resemble cystitis: painful urination in small parts.
It may appear closer to the end of pregnancy, burning and swelling in the genitals may appear.A similar symptom requires special attention, as the development of inflammation or rupture of veins that can lead to severe bleeding is not excluded.
What is the hazardous vrvmt
Varicose veins can give some complications that pose a risk to life.First of all, it is thrombophlebitis or thromboembolism - inflammation of the diluted veins, leading to the formation of blood clots.If blood clots - a blood clot - will block the vessel, the blood supply to the placenta will be blocked.The result of the blockage will be fetoplacental failure and fetal hypoxia.
Another serious complication is the threat of abortion and premature birth due to violation of blood circulation.
Due to enlarged veins, doctors may stop born in a natural way to minimize the risk of rupture of the veins, threatening internal or uterine bleeding.
Treatment
In pregnant women, medication therapy is limited to taking phlebotonics and anti -tromboid drugs.With pronounced pain, it is permissible to use funds from the non -steroidal anti -inflammatory group (NSAIDs).If there is a threat of a child's oxygen hunger, treatment is performed in a hospital using antihypoxy preparations.
Starting from the fourth month, you can do an operation with a phlebosclerizing, during which a venosclerosis agent is inserted into the affected veins.The effect of the procedure is evaluated after 7 days, if necessary, repeated.Throughout the week after surgery it is necessary to wear compression linen.You can achieve the inclusion of veins in a session, but more often you need to perform 3-4 phlebosclerosis procedures.
Continuous pain syndrome and a large diameter of advanced veins exceeding 1 cm, is an indicator of surgical intervention.It can only be performed in the first 2 trimester of pregnancy with soft methods of laser coagulation or radio wave.If VRVMT is caused by uterine retroflexion, plastic surgery is performed in the uterine ligaments.
Doctors advise pregnant women on veins diagnosed with small pelvis varicose and do exercises that prevent blood stagnation in the pelvis.Wearing a bandage and compression diet will help slow down the progress of VRVMT.
The menu should be done in such a way as to contain mainly herbal foods as well as fermented dairy products and cereals in sufficient volume.
A good effect gives the contagious contrast, or perineal shower.During the procedure, a woman sits in a special place in the form of a ring, the water is supplied from below and directed to the claws.The duration of the procedure is 3-5 minutes, the course of treatment includes from 15 to 20 sessions.
Preventing the development and progression of varicose veins has been reduced mainly in optimizing motor activity and food.The most important thing is to exclude long -term static and dynamic loads, as well as adjust the diet, present more fruits and vegetables in the diet.In the initial stages of varicose veins, exercise therapy and respiratory gymnastics, wearing compression products from knitwear.