In reporting on this disease, such as varicose veins, most people imagine pathological processes in the lower extremities, which is visible to the naked eye. Varicose veins of the pelvis – for a variety of disease say and write much less. Often signs are charged as the presence of inflammatory processes in the organs of the reproductive areas, certain hormonal disorders, abnormalities of organs of the urinary system, lumbar sciatica.
Women varicose veins of the pelvis caused by the distension of the walls of veins, reduction of power. Peak incidence in reproductive age from 25 to 50 years. Sometimes varicose can be set in adolescent girls during the period of rapid growth and the formation of the hormones of the background and the menstrual cycle. At this age, the disease may be asymptomatic.
Another feature of pathology – tendency towards increased and active event during the period of reproductive age.
Symptoms and causes
Obstruction of the veins, and glitches in the system to the normal blood circulation in the ovaries lead to dysfunction of the circulatory system. Causes factor for the development of the disease can be the dysplasia of the connective tissue, which leads to a decrease in the quantity of collagen and consequently, the elasticity and strength of blood vessels.
General negative factors and causes for the development of varicose veins of the pelvis:
- the duration of pregnancy in relation to the increase in the volume of blood in the vessels, elevated levels of progesterone, the large sizes of the uterus;
- regular intense exercise?
- multiple prior pregnancy and childbirth?
- the sedentary way of life, with a mostly sedentary activity?
- gynecological diseases: abnormal structure of the uterus, endometriosis, inflammation?
- practice throughout the a long time of the interruption of sexual contact for the purpose of protection from unwanted pregnancy?
- the long reception some hormonal money?
- the lack of satisfaction from sexual life.
Cause the development of varicose veins can be hormonal imbalance, in particular, the increase in the level of estrogen.
As already mentioned, pelvic varicose veins manifested similarly diseases of the female reproductive system. The main feature that makes you wary, it's a constant pain. It is felt in the lower abdomen, can be so weak, almost a tangible event, and intensely steep. Very often severe pain, resulting in the pelvis, apply to the area of the waist or of the sanctuary. The pain is intense after physical exertion or, on the contrary, after a long stay in the same position (sitting or standing).
I must point out the following symptoms, which manifested varicose enlargement of the veins of the pelvis:
- enhanced bleeding after childbirth or gynecological procedures is caused by the thinning of the venous wall, to stop this bleeding is difficult?
- painful sexual intercourse, feeling of sexual dissatisfaction, fear and disgust for sexual life, in general, the emergence of strong spasm of the muscles during the effort to come in sexual contact?
- painful or frequent urination, which is caused by exuberant bladder;
- the increase of the veins of vulva and perineum, accompanied by intense itching, swelling, burning sensation;
- thrombophlebitis of the vein, characterized by swelling or redness of the skin of the perineum, increasing the temperature and general weakness.
There are varicose veins of the vulva and the development of the disease as a result of venous plethora. The disease can have three degrees of intensity.
In phlebitis:
- 1 degree – diameter vienna is 4-5 millimeters?
- 2 degree – vienna grows to 6-10 m?
- 3 degrees – diameter of vienna more than 10 mm.
Determination of the severity of the pathology – one of the most important steps for the diagnosis, as that helps to determine the methods of treatment. In the first two cases are usually quite conservative treatment, changes in the feeding system, applications of therapeutic exercise. The third degree of the gravity of the disease requires surgery, a ring of large veins.
During pregnancy
This disease – a problem repeatedly parous women. Changes thrombosis can happen during the first pregnancy, and with each subsequent the risk increases. At a certain stage of vienna's organs cease to function fully, preventing the normal outflow of blood.
The risk is increased if the woman:
- diagnosed abnormal structure of reproductive organs (mainly the uterus);
- is there a genetic predisposition?
- excessive weight or speed dial pounds in the whole pregnancy?
- there are bad habits (smoking);
- job that requires little physical effort, prolonged stay sitting or standing in one place.
This pathology of the suffering of the women in the third trimester, as the rising uterus puts pressure on the nearby organs, creating barriers to normal activities.
Normal volume of blood circulating in the body during pregnancy increases by almost 50 %. It's not always vienna cope with increased for the load, especially if the situation is worsened by several predisposing factors, discussed above.
Characteristic changes in the metabolism of hormone background on the mother's body can also be a bad influence on the elasticity of the walls of the blood vessels.
From dangerous pathological increase of the veins during the pregnancy?Varicose veins of the uterus and other organs poses a serious threat to birth with serious consequences. Thin walls of veins can injure and even torn, causing pain and bleeding. These phenomena are harmful and dangerous, not only for the health of the woman, but for the life of the.
One of the most common disorders – the risk of blood clots. Block blood vessels, reducing or do not interfere with the normal supply of placental blood. This dysfunction leads to aging of the placenta, and oxygen starvation in the fetus.
1 and 2 stages of varicose veins of the pelvis giving birth, usually, spend with natural way. During efforts of medical staff helps to reduce the pressure on the walls of blood vessels. It is necessary the simultaneous administration of anticoagulants.
Heavy (3-i) form requires a cesarean section.
If you have this problem pregnant should close in order to prepare for future delivery, and in particular:
- starting from the second quarter wearing prenatal bandage?
- to move actively, to eliminate prolonged sitting or standing in one place (e. g., while computer);
- to reduce the pressure in the vessels during sleep to place between the legs of a special pillow?
- in the swimming pool or regularly take a contrast shower.
Mothers will need to review your diet, ensuring the timely evacuation of the bowel.
Diagnosis
External gynecological examination allows you to easily determine varicose of the vulva and perineum. But how to check if there are any similar pathology in the internal genitalia? For an accurate determination of the problem is given an additional examination, such as ULTRASOUND diagnosis, phlebography, laparoscopy, ct scan or MRI.
Treatment
The disease does not belong to the gynecological pathologies. The treatment is carried out the doctor-phlebologist (vascular surgeon). But because pathology is often detected during the passage of ULTRASOUND, in the future, the woman observed the two specialists – a gynecologist and phlebologist. Varicose veins treatment of the pelvis should be incorporated, including medication and treatment, without the use of medication, use of medical gymnastics, the normalization of the supply system and the revision of the mode of the day.
Drugs effectively eliminate the symptoms at an early stage. Patients prescribed medications in the period of exacerbation. The long-term use of these drugs undesirable, since they tend to cause side effects. The drugs improve blood circulation, relieves inflammation and pain, to reduce the risk of blood clots.
How to treat dilated veins of the pelvis in pregnant women, and how justified the pharmaceutical treatment in this case?Taking into account the possible negative consequences for the fetus and high risk of adverse reactions, drugs prescribed, not earlier than the second trimester of pregnancy, and only in exceptional cases. If before the start of the pregnancy, the women there never were any similar medical problems, often recommending restricted drugs, methods of treatment, for example, wearing a special underwear.
Eliminate congestion in the pelvis help the gym. Most of the exercises performed in the supine position. This can be known "birch", "bicycle", "scissors". During the implementation of the evidenced enough load in the lower part of the abdomen, contributing to the outflow of blood. Physical therapy is complemented by the wear compression stockings.
Among the therapies that they use and hirudotherapy, treatment with leeches, placed in the region of the coccyx.
Folk remedies
In folk medicine it is effective for the treatment of symptoms of the disease, if their implementation is in the early stages. Great effectiveness have tea and broths chagi and dandelion root, tinctures on the basis of horse chestnut.
The most affordable way for applications chagi – therapeutic tea for the base. For this 3 tablespoons of dried chagi pour 0.5 liters of boiling water and insist in a warm place for a few hours. Taken half an hour before eating more often, 2-3 times a day.
Dessert spoon of finely chopped dandelion root poured a glass of boiled water, insist for several hours and drink it three times a day 10-15 minutes before meals. The tea is contraindicated in people who suffer from gastritis or disease of the bile ducts.
To prepare the tincture of the horse chestnut fruit clean from the skin, chopped it, put it in a bottle of dark glass and pour the vodka in a ratio of 1:10. The duration of the extraction – 14 days. 25-30 drops taken tincture mixed with a little water and taken three times a day. The duration should not exceed 30 days.
Diet
Of great importance in the treatment of the disease has a balanced diet, with the exception of fatty foods and alcoholic drinks. The menu should include food with high fiber content, and fats of plant origin. The main products in the diet should be vegetables, fruits, natural juices, green tea. Not recommended sweet muffin, dishes with lots of spices, fast food. Meals should be frequent, but in small portions.
Useful are foods with a high content of vitamin c (citrus fruits, black currant), seafood (oysters, shrimp, seaweed). The dishes need to cook with a minimum amount of salt.
Prevention
The conservative treatment methods to facilitate the condition of patients and the elimination of the risk of developing serious consequences. The main goal of treatment is to prevent relapse and the need for surgery. Of great importance is the prevention of the disease and of relapse.
Between the medical recommendations need to be distinguished:
- Using hormonal drugs only with a doctor's prescription and under his control.
- To lead the mobile lifestyle with moderate exercise.
- To eliminate bad habits, such as smoking and drinking alcoholic beverages.
- Regularly perform the gymnastic exercises to support the health of blood vessels.
- Stick to a healthy diet with lots of vegetables and fruits.
- Wearing compressive knit with the first signs of varicose veins.
Execution of preventive recommendations is also important during pregnancy, especially during the second half of the.
Review power, active lifestyle, regular visit to the doctor, treatment of extensive veins of the pelvis immediately after the detection of the disease will eliminate painful symptoms and help to avoid surgery for a long time.