Small pelvic varicose veins: treatment

This disease is poorly studied, although several thousand observations were described with a diagnosis and subsequent treatment.

Many diversity and unnecessary clinical images of varicose veins pelvis lead to rough errors from the diagnosis, which in the future affects the consequences.

Characterization of varicose veins Small pelvis

Vene pelvis are several times longer than the arteries, which determines their large capacity.This is due to the phylogenesis of the vascular system of the pelvic region.Vene pelvis have high adaptation skills and are potentially predisposed to restructuring, which contributes to the formation of a densely intertwined network.

The speed and direction of blood flow are regulated by valves that control complex humoral mechanisms.Valves Baliate pressure in different parts of the vein network.

When valves cease to perform their functions, blood stagnation is developing, it leads to the pathology of blood vessels and form varicose veins.The uniqueness of the small pelvis lies in the fact that wide ligaments of the uterus, which support the lumen wide vessel, can also be tied and causing pathology.

Causes

The pathological dilation of the pelvic vein can be due to the following reasons:

• Breach of trails from interference with blood;
• Wedding Barrel Prison;
• Compression of collateral troops for the intended position of the uterus, for example, in retroflexia;
• Failed valve ovarian (innate or acquired);
• Obstructive post -Pplebic syndrome;
• Connective tissue pathology;
• Arteriovenous angiodisplasia;
• Extended sitting, hard physical work;
• Varicose veins of lower extremities;
• Pregnancy (3 or more) and childbirth (2 or more);
• Diseases of the female genital area (chronic salpinooforite, ovarian tumors, uterus and genital endometriosis);
• The process of adhesive in pelvic authorities;
• Obesity.

Classification of disease degrees

In terms of extended veins, the following degrees are characterized:

• Up to 0.5 cm, "Corkscrew" vascular gait;
• 0.6-1 cm;
• More than 1 cm.

Disease Course Options

• Varicose veins of perineum and vagina vestibule;
• Venously full-gliman pelvic syndrome;

Symptoms

1. The most common - frequent pain in the lower abdomen, perineum after a long static and dynamic canopy.Pain is amplified in the second phase of the cycle, after hypothermia, fatigue, stress, deteriorating various diseases.
2. The feeling is "not easy,", pain with sex and after that.
3. Dysmenorrea - menstruation disorders, including pain syndrome.
4. Secretaria, more than normal, bile genital tracts.
5. Blood stagnation leads to infertility, incapacity, pregnancy termination.
6. Violation of urination as a result of the spread of the vein of the bladder.

Diagnostics

Diagnosis of diseases only complaints is successful in only 10% of cases.

The palpation of the internal pelvic walls, allows the feeling of oblong seals and veins.When examined in the mirrors, the cinanosis of the mucous membrane of the vagina is visible.

The selection procedure is an ultrasonic study with color doppler, which allows you to identify not only varicose ovarian extensions, but also venous thrombosis, posttrombophlebic occlusions.With ultrasound, it is visible, "worms", structure without rejection of signals, localized on the sides of the uterium.

The effect of the Doppler study is based on "shades" in blue and red, venous and arterial blood, appropriate.

The Ultrasonic Testing device using a special program recognizes blood movement from the sensor and in the other direction calculates the speed of blood flow and the type of container.

But the exact definition of the vein is either the artery remains behind the doctor.The Doppler method works in almost all cases, our body dictates the exceptions to the rules, because the blood flowing from the heart is not always arterial and vice versa.

Thus, the ultrasonic diagnostic doctor sees arterial or venous container, size, blood flow in it and many indicators that an ordinary person does not need, but plays an important role in making diagnosis.To do this, use transabdominal and transvaginal sensors.

In 5.7% of cases, the disease is recognized by accident during the projection.Normally, the diameter of Vene Jarić is 0.4 cm.

CT and MRI have a great accuracy.Using these methods you can find the accumulation of varicose veins in the ligaments of the uterus, ovaries and around these organs.It is possible to determine simultaneous pathology.

A very reliable method is phlebographic research.

The contrast is done at the height of the sample of Valsalve, against blood flow.This allows you to see the valve failure.

Consuming on the left side, renal phlebography, superfenic phlebovarioscopy and flelebovarography on both sides are also used.These methods allow you to determine hemodnum and anatomical change in kidney veins and places to fall into them gonadny veins.

Super -Spent Phlebovarioscopy performs catheterization of gonad veins through countertating femur or subclavian vein, with subsequent contrast introduction.

Most of the blood from a varicose forest without the Brebet is thrown through the vein of ovarian.But in the conditions of hypertension, it occurs through non-tent veins in the internal Iliac vein.Plexus veins, through which the outflow can occur, include a sacral and plexus bladder.

In the left Farlebo -Ikography, 3 phases of venous stagnations differ in the cluster of the Plexus of the left ovary:

1. There is no outflow of a plexus of the left ovary or performed with an additional short time.
2. There is an extra long way.
3. Two extra path trails or one additional and auxiliary are visible.

At 2 and 3 phases, varicose veins of the right ovary plexus cluster are formed.

Laparoscopy is used for differential diagnosis.Pathologically bent veins are located in Jajra, in the direction of round and wide ligaments.They look like big cyanotic conglomers with a thin and tense wall.

The complexity of the diagnosis lies in the fact that the disease is often hidden behind the signs of the inflammatory process, is characterized by clinical events, masked under endometriosis, prolapse of internal bodies, postoperative neuropathy and many extragenital diseases.

Treatment

The main goal of treatment is to remove reflux in veins.Conservative treatment is used in the initial phases of the disease.In the late phases of the disease, the treatment of elections is operations.

Conservative treatment

It consists of a normalization of tons of veins, improving hemodynamics and trophic processes.

Symptomatic treatment for removing individual symptoms.Non-steroidal anti -infalmatory for pain, with bleeding - hemostatic therapy.

The main medications in the conservative treatment are venotonic medications and antiplatelets.

Phebotonics - Improve the vascular wall tone and improve blood flow.With this disease, it is better to consult a gynecologist about certain drugs.

An important method is physiotherapy exercises.

Surgical treatment

1. Revival varicose veins.
2. Gonado-Caylry Shunting.
3. Sclerosis for laparoscopy.
4. OCCRAMES FROM PISH VINA using X-ray X-ray methods.

National medications

Since the main thing in the occurrence of the disease is the weakness of the valve device, all folk drugs used to spread faith with low extremities are used for this pathology.

Most often used: common hazelnuts, hops, horses, root, dandelion root, mushroom tea, willow, oak, sv.John's Wort, series, pollen flowers and many more plants.

It is effective: treatment of oak bathrooms, chestnut, tip, chamomile, doctor, drying herb, Sveti John.

Prevention

1. The first thing that needs to be done if there are complaints, predictors, or the above mentioned diseases - Contact your gynecologist.
2. It is necessary to normalize the working mode and rest, try not to remain in an upright position for long, physical stress.
3. Execute exercises to prevent "pedal", "stand-up stock", "foot legs"
4. Follow the diet: Eat food with high vitamin E, R, C, try to eat only white meat, less fat, replace it with fruit, vegetables, cereals.
5. Drink a sufficient amount of liquid, but not less than 1.5 liters a day.
6. Get rid of excess weight, bad habits.
7. Consult a doctor who attends carrying bedding compression, will improve the outflow of blood from the lower extremities, thus will be less stagnation in the pelvis.
8. Avoid bathing baths, saunas, steam rooms, warm baths.

Not to ill be sick of such a difficult disease, it is necessary to follow the above preventive recommendations.Treat your health as the most precious in life.

At the smallest suspicious symptoms you can't get rid of a few days, you should consult a doctor.It must provide you with highly qualified help and save you from suffering.