In this article, you will learn: why varicose veins of the small pelvis is considered to be a separate disease and not a type of varicose veins of the legs; who can occur this disease and why. Symptoms and diagnosis of this disease, how to treat it correctly, chances of a cure.
Varicose veins of the pelvis, the weakening of the walls of the inner or outer venous vessels of the pelvic region, resulting in excessive expansion of their diameter. Varicose veins to invoke the Vienna is not able to drain blood from the pelvis, what causes it to Stagnation, and the complete destruction of the vessel wall. As a result of a violation of the structure and the functions of the female reproductive organs.
The initial phase of the disease cause only mild discomfort in the area of the external genitalia and the lower abdomen. Women with started forms of pelvic varicose veins suffer from constant severe pain, various gynecological diseases, sterility, beauty errors in the Form of a spiral extended venous node on the perineum, the labia or at the entrance of the Vagina.
The disease can be completely cured, but to prevent relapse, life-long prophylaxis is necessary. To deal with this Problem together gemchirurgen obstetrician-gynecologists.
Warikosnoje the enlargement of the veins of the small pelvis in men in this Form, as in the case of women there is not. But such a disease – varicocele. Formation mechanisms and manifestations are similar to those varicose veins in tasowom. The enlargement of the veins occurs in the left testicle and spermatic cord due to the fact that in the Vienna egg stagnates the blood. You back will be thrown out of the left renal vein in which flows of Vienna.
The essence of the pathology, and how serious it is
The outer and inner female sex organs perfused well. A sufficient outflow of blood, you need a powerful network of venous vessels. So the venous System of the pelvis in women is well developed. Each vein has solid walls, with valves, associated with a number of passing cores. All this forms a smoothly-functioning venous network of the pelvic region which collects blood from the perineum, external genital organs (Vulva, Vagina), specific structures (ovaries, uterus), and transported it in the bottom of the rührete Vienna.
Varicose veins, altered veins of the pelvis differ from the healthy, that you:
- Expanded in diameter;
- Overflowing with the blood;
- Overly convoluted;
- The projections have the Form of nodes;
- Limp and weak.
Pelvic veins, the affected varicose veins, collect the blood from the external genitalia and other organs, but will not be able to normally transport vessels in the larger blood (Vena cava). This causes the blood to stagnate in the basin, and penetrates the venous wall, relates to those substances of which it must flow. You will be swollen, inflamed and lose their function.
But, above all, warikosnoje the enlargement of the veins of the small pelvis dangerous:
- A variety of diseases of the ovaries;
- Uterine bleeding, and various problems;
- Infertility, the threat of interruption of pregnancy and the impossibility of natural birth;
- The formation of thrombi in the Lumen of the esophagus is altered veins, threatening their distance from the place of education and Migration in the heart and the blood vessels of the lungs. It is the most dangerous complication that is life-threatening lung embolism (pulmonary embolism).
Causes
Especially varicose veins of the pelvis occurs in sexually Mature women:
- Up to 20 years – 20%;
- 20-30 years – 30%
- 30 – 45 years – 50%
Mechanisms of re-births venous system of the pelvis:
- (80%). They are the largest Backbones veins collect blood from the uterus and of the ovaries and run it directly in cavity (right) or renal (left) of Vienna. If you have a breakdown, it completely blocks the venous return.
- A uniform weakening or destruction of the vein wall, all of the pelvic veins to promote, expand, and not shrink at the same time in the situation, blood in the overlying sections.
- Skip back the blood from the deep vein hips in superficial sexual vein, which collect the blood from Perineum and Vulva, prevents the outflow. As a result, the pressure in it increases, and its stem and all the tributaries of varicose veins to expand.
The immediate reasons for the Start of these mechanisms can be like this:
- Congenital weakness or dysplasia (faulty development) of the venous wall and valves.
- Hormonal restructuring of the female body (puberty, pregnancy, menopause, diseases of the ovaries).
- Frequent inflammation, endometriosis, surgeries, adhesions in the pelvis.
- Migrated thrombosis and Thrombophlebitis of the pelvic veins.
- Heavy physical labor.
- Long stay in the prone position or in a sitting position.
- Overweight.
- The pregnancy and birth.
- Regular interruption of the intercourse for many years, especially in the absence of orgasm.
- Bends of the uterus backward or forward.
- Tumors of the small pelvis.
- Prolapse of the uterus.
Degree Of Varicose Veins Classification
According to anatomical aspects (prevalence) warikosnoje the enlargement of the veins of the small pelvis share on three types:
- Venous hyperemia in the pelvic;
- Perineal varicose veins etc;
- Game-Form.
For the reflection of the nature of the pathological changes of the disease is divided into three grades:
- The first advanced blood vessels of an organ Plexus of the pelvis does not exceed 0.5 cm in diameter, in a Redundant tortuous.
- The second diameter of the veins increases up to 1 cm, the process is distributed not only on the Plexus organs(uterus, ovaries), but in addition to them (parauterine fiber).
- The third expansion (ectasia) of more than 1 cm, the effects on all devices – intra-organ, such organs, and trunk (trunk ovary Vienna).
The higher the degree of the disease, the worse is expanding the veins and severe congestion in the pelvis.
The characteristic symptoms.
Women with varicose veins of the pelvis note:
- Permanent or recurring pain in the abdomen, worse in the evening or after physical efforts, especially in the second half of the cycle (closer to months). In the case of 3 degrees of pain can be very strong.
- Itching, burning, swelling and blue coloration of the genital organs.
- Painful menstruation and sexual intercourse.
- Abundant Menstruation and uterine bleeding, irregular cycle.
- The inability to become pregnant.
- Thickened tortuous Vienna in the perineum and labia.
- Frequent painful urination.
- Pronounced symptoms of premenstrual syndrome.
Diagnosis
To confirm the diagnosis carried out:
- Ultrasound of the abdomen and through the Vagina (vagina) with the help of special sensors, Doppler sonography and Duplex treatment of veins of the pelvis. The easiest and most informative method.
- Endovascular venography – the introduction of specific drugs in ovarian vein.
- Computed tomography with contrast.
- Diagnostic Laparoscopy.
Treatment methods
To treat varicose veins of the pelvis together vascular surgeons or obstetrician-gynecologists. According to the modern concepts, the treatment consists of these areas:
- The normalization of the way of life;
- The conservative drug treatment;
- Compression well, and other therapy;
- Surgical Treatment.
Heal varicose veins of the pelvis. For these specialists, the individual treatment plan, and the sick, women must adhere to a lifetime of therapeutic and preventive recommendations.
1. Normalization of lifestyle
Because incorrect way of life are veins the pelvic condition and immediate cause of the varicose veins, its normalization helps heal:
- Connect a longer stay in a standing and sitting Position (more than 2-3 hours without a break).
- Do not lift heavy weights and avoid strenuous physical work.
- In the course of the day, you run unloaded exercises for the pelvic (exercises birch, Bicycle), or just lie down for 10-15 minutes with the egg above the level of the body pool.
- You reduce weight (if overweight).
- You take a hot bath, replace with shower.
- Eliminating the use of alcohol and Smoking.
2. Drug Therapy
Treatment of varicose veins, pelvic veins any degree is not possible without the assistance of medication. In the first stage, it is the most important therapeutic measures in the case of the second and third, the comprehensive treatment supplements.
Such medicines are:
- Special drugs – strengthening of the venous vessels.
- Anticoagulants thin the blood, facilitate their promotion through the vessels.
- Drugs to improve the microcirculation.
Other groups of drugs to prescribe, in view of the existing abnormalities in the body:
- Preparations female sex hormones (in the case of dishormonal violations).
- Painkillers and anti-inflammatories.
- Medicines to stop the blood – hemostatic drugs for the treatment of uterine bleeding.
3. Compression therapy
One of the most effective agents in the treatment of varicose veins in the Vulva and Perineum a compression garment. The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. Compression (compression) of the superficial veins from the outside contributes to the draining of the blood. Such an effect in the location of goods, special tights or Shorts from the compression of the therapeutic knitting. You can buy them in specialized pharmacies, shops, Showrooms, medical devices, individual selection of the proper size and strength of the compression
Sclerotherapy – puncture varicose veins with the introduction into the Lumen of specific drugs that cause her to cling to. This treatment is performed when an external (subcutaneous), pelvic varicose veins without hospitalization, to the hospital. The internal veins are also treated, but this procedure is technically more difficult and in an op.
4. Surgical Treatment
Warikosnoje to treat the enlargement of the veins of the small pelvis better operationally:
- 2-3 degrees of the disease;
- The rapid Progression of the disease;
- The planning of the pregnancy;
- Bolevom Syndrome;
- Constant uterine bleeding and other gynecological diseases.
The main types of surgery for pelvic varicose veins:
- Laparoscopic Operation through a puncture of the abdomen. You meet the requirement, intersection, or removal of the ovary Vienna. This backward leap of the blood is eliminated.
- The removal of varicose veins via small punctures or incisions of the skin are removed to invoke the subcutaneous veins, and Optional Outdoor Sex Vienna, at the junction of thigh vessels.
- Gynecological interventions – removal of tumors, the elimination of bends of the uterus.
Prediction
If not at all varicose veins of the pelvis, it extends in the course of time, even more (95%), leading to dangerous complications treated. For the remaining 5% of women with subcutaneous varicose veins of perineum 1-2 degrees, in which he was born after the birth, the pathology is not reinforced, but will never by itself.
If the disease is treated, it can reach full recovery (10-50%, depending on the degree) or a significant improvement of the condition (45-50%), especially in the case of a combination of surgical with conservative methods. But in any case, after the comprehensive treatment of life-long prophylaxis, consisting performed should be in compliance with the lifestyle recommendations, regular medication asked for, or support of the weakened veins.