At the mention of this disease varicose veins, most people imagine the pathological processes in the lower extremities, which are visible to the naked eye. Varicose veins of small pelvis – this variety of the disease I speak and write much less. It is often considered to be signs of the presence of inflammatory processes in the genital organs, some hormonal disorders, pathology of the urinary tract, lumbar sciatica.
In women varicose veins of small pelvis caused by stretching of the vein walls, reducing their strength. The incidence of peak reproductive years of 25 to 50 years. Sometimes varicose veins can be determined by the young girls of rapid growth and the formation of hormones and the menstrual cycle. At this age, the disease can be asymptomatic.
Another feature of the pathology – tend to aggravate and active manifestation of the period of carrying a child.
Signs and causes
Blockage of veins and faults in system normal blood circulation to the ovaries leads to disruption of blood circulation. Provoking factor in the development of the disease can be the connective tissue dysplasia, which reduces the amount of collagen and, as a consequence, the elasticity and strength of blood vessels.
Common negative factors and reasons for development of varicose veins of small pelvis:
- during pregnancy increase the volume of blood in the vessels, high concentration of progesterone, large uterine size;
- regular intense exercise;
- previous multiple pregnancy and childbirth;
- sedentary, mainly sedentary activities;
- gynecological disorders: abnormal structure of the uterus, endometriosis, inflammatory processes;
- the practice of big-time withdrawal for the purpose of protection from unwanted pregnancy;
- long-term use of some hormonal methods;
- the lack of happy sex life.
Provoke the development of varicose veins can be hormonal imbalance, especially a rise in estrogen level.
As already mentioned, pelvic varicose veins occurs as well diseases of the female reproductive system. The main symptom that alarming, it is a constant pain. They are felt in the lower abdomen can be weak, fragile and strong, sharp. Very often, the severe pain from the pelvis, extending to the lumbar region or sacrum. The pain becomes sharper after physical exertion or, on the contrary, after a long stay in the same position (sitting or standing).
The following are symptoms that occur in varicose veins of small pelvis:
- excessive bleeding after childbirth or gynecologic procedures caused by a thinning of the venous wall to stop this bleeding, difficult;
- painful intercourse, a feeling of sexual dissatisfaction, fear and aversion to sex life, the emergence of a strong spasm of the muscles, when trying to intimacy;
- painful or frequent urination caused by a full-blooded bladder;
- add the veins of the vulva or perineum, accompanied by severe itching, swelling, burning sensation;
- thrombophlebitis, which is characterized by swelling or redness, the skin of the perineum, fever and General weakness.
Distinguish between varicose veins of the vulva and development of the disease as a result of venous plethora. The disease can be three degrees of intensity.
Varicose veins:
- 1 degree – the vein has a diameter of 4-5 mm;
- 2 degrees – Vienna increase of 6-10 meters;
- 3 degree – diameter veins more than 10 mm.
The definition of the severity of the disease is one of the most important stages of the diagnosis, because it helps to determine treatment methods. In the first two cases it is usually enough to conservative treatment, changes in diet, use of physiotherapy. Third, the severity of the disease requires surgery, ligation of large veins.
During pregnancy
Disease – a problem repeatedly parous women. Changes in the veins can occur already in the first pregnancy, and each subsequent higher risk. At a certain stage I took the body stops functioning completely, blocking the normal outflow of blood.
The risk increases if the woman:
- diagnosed with abnormal structure of the reproductive organs (particularly the uterus);
- there is a genetic predisposition;
- overweight or fast set pounds the entire pregnancy;
- there are bad habits (Smoking);
- the work requires little physical exertion, prolonged sitting sitting or standing in one place.
This disease affects women in the third trimester because the growing uterus puts pressure on the nearby organs and prevents their normal functioning.
The normal amount of blood, which circulates in the body during pregnancy increased nearly 50 %. Not always the veins to cope with the increased workload for them, especially if the situation is aggravated by various aggravating factors, which were discussed above.
Characteristic changes in the hormonal background in the body of the mother can also be bad for the elasticity of blood vessel walls.
How dangerous abnormal veins increase during pregnancy?Varicose veins of the uterus and other organs faced with a difficult birth with serious consequences. Thin-walled veins may be injured, and even torn, causing pain and bleeding. These phenomena are harmful and dangerous, not only women, but his life.
One of the most commonly occurring disorders – the risk of blood clots. They prevent the blood vessels, to reduce or even prevent the normal security of the placenta blood. Such dysfunction leads to the aging of the placenta and the oxygen starvation of the fetus.
1. and 2. stages of varicose veins of the pelvis postpartum, as a rule, are in a natural way. During the attempts of medical staff to ensure that the lower the pressure the vessel walls. Concomitant use of drugs that thin the blood.
Heavy (3-I) in the form of requiring a caesarean section.
If you have this problem, pregnant women should carefully prepare for the upcoming birth, namely:
- starting from the second trimester of pregnancy wearing prenatal bandage;
- to move actively, in order to avoid long-term stay in a sitting or standing position (e.g. from a computer);
- to reduce the pressure in the vessels during sleep between the leg pillow;
- access to the swimming pool or regularly take a contrast shower.
Expectant mothers need to check your diet, ensure timely bowel movement.
Diagnosis
External pelvic examination will allow you to easily identify the varicose veins and vulva and perineum. But how to check whether a similar pathology of internal genitals? To determine the exact problem also order other tests, such as ultrasound, phlebography, laparoscopy, CT or MRI.
Treatment
The disease does not belong to gynecological diseases. His treatment of the doctor-phlebologist (vascular surgeon). But because the disease is often observed during the passage of the ultrasound, a woman observed two specialists – a gynecologist and phlebologist. Treatment of varicose veins of the pelvis should be comprehensive, including medical care and treatment without medication, the use of therapeutic exercises, the normalization of the power system and revision of the mode of the day.
Medications effectively resolve the symptoms in the early stages. Patients prescribed medicines, in the period of exacerbation. Long-term use of such means are undesirable because they tend to cause side effects. Medication to improve blood circulation, reduce inflammation and pain, reduce the risk of blood clots.
How to treat varicose veins of the pelvis in pregnant women, and how justified medical treatment in this case?Taking into account the potential harm to the fetus and the risk of side effects, drugs are prescribed not earlier than the second trimester, and only in exceptional cases. If before pregnancy a woman has never been so medical problems, often it is recommended to be limited to no means of non-pharmacological methods of treatment, for example, wearing special underwear.
Eliminate congestion in the pelvic to help gymnastics. Most of the exercises are performed lying down. It can be known, "birch", "bicycle", "scissors". If their performance is adequate for the load in the lower abdomen, which promotes blood circulation. Physiotherapy is complemented by wearing support stockings.
Among the methods of treatment used in hirudotherapy, leech therapy, which I put on the coccyx.
Folk remedies
Traditional medicine effective in removing the symptoms of the disease, when applied in the early stages. High efficiency is tea and broths of the fungus and the roots of dandelion, tincture on the basis of horse chestnut.
Inexpensive way to use chaga – tea is its basis. You can do this, 3 tablespoons of dried chaga pour 0.5 liters of boiled water and insist in a warm place for several hours. Take a half an hour before meals 2-3 times a day.
Dessert spoon of crushed roots of dandelion pour a glass of boiled water for a few hours, and drink three times a day 10-15 minutes before meals. This tea is contraindicated for people suffering from gastritis or diseases of the bile ducts.
To prepare the tincture of the horse chestnut fruit, peel away skin, finely chop, put in a bottle of dark glass and pour vodka in a ratio of 1:10. Infusion duration – 14 days. 25-30 drops of tincture obtained is mixed with a small amount of water and take three times a day. The duration of intake should not exceed 30 days.
Diet
Great importance in the treatment of the disease is a balanced diet excluding fatty foods and alcoholic beverages. The menu should include meals with a high content of fiber, fats of vegetable origin. The main products of the diet should be vegetables, fruits, natural juices, green tea. Not recommended for sweet pastry dishes with lots of spices, fast food. Meals should be frequent, but small portions.
Useful products with a high content of vitamin C (citrus fruits, black currant), seafood (oysters, shrimp, algae). Food you need to cook with a minimal amount of salt.
Prevention
Conservative treatments significantly facilitate the condition of patients and eliminate the risk of getting serious consequences. The main goal of treatment is to prevent relapse and the need for surgical intervention. Of great importance is the prevention of the disease and its recurrence.
Among the medical recommendations should be highlighted:
- Use of hormonal medicines only on prescription and under his supervision.
- An active lifestyle with moderate physical exercise.
- Eliminate bad habits such as Smoking and intake of alcoholic beverages.
- Regularly perform complex gymnastic exercises to support vascular health.
- Stick to a healthy diet with lots of vegetables and fruits.
- Wear support stockings, when the first signs of varicose veins.
The implementation of preventive recommendations is also important during pregnancy, especially in its second half.
Inspection nutrition, active lifestyle, regular doctor visits, treatment of varicose veins of the pelvis immediately after the detection of the disease to remove the painful symptoms and avoid surgery for a long time.