If the expectant mother swollen leg and ankles, a feeling of numbness, skin tingling like a run and all this is accompanied by heaviness in the legs, especially in hot weather, especially in the afternoon, there is reason nastorozhitsya.Varikoznym veins called them irreversibleexpansion and elongation occurring as a result of gross pathological changes of venous wall and valve apparatus veins.Similar symptoms occur most often in the development of venous insufficiency (blood stagnates in the veins, it slowed the outflow), which is a precursor of varicose veins.The more dangerous varicose veins during pregnancy and swelling, learn in the article titled "Varicose veins during pregnancy, edema."
Varicose veins of the legs is seen in 20-40% of pregnant women, with more than half of them the disease occurred during pregnancy, not before it.Varicose veins often seen on the 5-6 th month of pregnancy.Each subsequent pregnancy increases the likelihood and severity of varicose veins.
manifestations of varicose
In the initial stages, they do not cause any concern, except for the aesthetic, and gradually disappear after the birth.Net expansion of the small saphenous veins of the legs may persist after birth, although these veins become less visible.At the beginning of the disease patients are concerned only a cosmetic defect, and then there are complaints of feeling of heaviness, tiredness, preserver, fullness in the legs and swelling after exercise (long standing) or the second half of the day, especially in the hot season.In the future progression of the disease not only leads to an increase in the number and size varices, but also to the occurrence of trophic disorders: pigmentation, skin tightening.Heaviness in the legs often accompanied by a feeling of discomfort, sometimes a woman worried dull and aching pain, which occurs mainly in the feet and legs and has no clear localization.
Causes of varicose veins during pregnancy
One of the main causes of varicose veins are hereditary disorders of elasticity of the venous wall.The risk of developing varicose disease increases with family history, with the number of pregnancies and age of the woman.During pregnancy, the venous system of the legs is experiencing maximum load.Leading factors in this period are hormonal changes, increased circulating in the body fluid, squeezing the veins uterus weight increase.
outward signs of varicose veins at the beginning of the disease are telangiectasias - dilation of small superficial veins of the skin up to a diameter of 1.5 mm, marked at the examination.They appear on the skin of pregnant women leg, rarely the face, neck, upper body, arms.Telangiectasia appear as expanded or burst small blood vessels, "cobweb", "asterisk", "mesh", "arc" on the thighs, behind the knees or calves.Mostly women notice telangiectasia on the evening nogah.Inogda feet - feet and legs - swollen by increasing the blood pressure in the veins.Often, the swelling can be almost imperceptible, and the only sign of fluid retention are the marks on the skin of socks or shoes.Can your fingertips to press on the shin in the place where the detectable bone.If this swelling should stay depressed traces of fingers.Heaviness in the legs often accompanied by seizures (often at night), it is difficult to relieve tension leg muscles, the feeling of "pins and needles."
• Changes in hormonal levels.The appearance of varicose veins of the legs in early pregnancy is associated with hormonal influences, particularly progesterone.The amount of this hormone rises during pregnancy.Progesterone reduces the tone of the venous wall and increases its extensibility to 150% of normal, returning to it only after 2 h months after childbirth.It is physiologically necessary as gradually increasing the volume of blood required to increase the capacity of the vascular bed, and the veins are more thin-walled than arteries are stretched to a greater extent.
• Increased blood volume.During pregnancy significantly increases the amount of blood circulating in vessels.It starts from the first trimester of pregnancy, peaking at 36 weeks.These changes lead to a substantial increase in the load on the walls of the veins of the lower extremities, it becomes much harder to push blood to the heart.And develop varicose veins.
• Squeezing the uterus.In the development of varicose veins enlarged uterus plays a role only in the third trimester of pregnancy, putting pressure on the iliac and inferior vena cava, causing a slowdown of blood flow in the femoral veins of up to 50%.
• Weight gain.In normal pregnancy the expectant mother putting on weight 10-12 kg.A more significant weight gain (some pregnant recover 20-30 kg) varicose veins changes occur more frequently.This is due to the fact that obesity is slightly increased venous blood pressure due to slow blood flow from the large veins and the right heart.As a result of developing varicose veins with a tendency to the formation of varicose changes.
Diagnosis of varicose disease
For the diagnosis often does not require any special methods - diagnosis is based on the analysis of complaints and inspection of the pregnant woman.In addition, an ultrasound Doppler sonography study of the main veins of the lower extremities.The method of ultrasound allows the doctor to see the structure and evaluate the function of the veins of the lower limbs, their valves and to identify venous thrombi.
To remove the tired legs useful to do self-massage of the feet with any cream, preventing a rush of blood.Do it at home before going to bed.Rubbing cream, massaging ankles, calves, thighs from bottom to top: it improves blood flow.If you have uncomplicated varicose disease (without vein thrombosis, thrombophlebitis, ulcers on the skin), light foot massage you also allowed and helpful.It is light stroking his hand across his legs from the bottom up - from the foot to the groin.The procedure is best done not only at night but in the morning, within 5-7 minutes after physiotherapy.The measure would be more effective if carried out in parallel courses of massage lumbosacral spine, as neuro-reflex influence on this zone has beneficial effects on vascular tone of veins.Massage is contraindicated in inflammatory changes in the veins: phlebitis (inflammation of the vein wall) and thrombophlebitis (inflammation of the vein wall in conjunction with a clot that closes its lumen), with signs of wet eczema (an inflammatory disease of the skin, has neuro-allergic nature) .Polezny water treatments:douche for the feet - alternating tight jets of warm and cold water (5-10 minutes on each leg).The positive effect on the veins also provides walking (walking in comfortable shoes) and swimming.If you start to notice the heaviness in the legs, you need to consult a doctor-phlebologist.Only a specialist can prescribe the correct treatment and prevention, to prevent the development of serious illnesses such as varicose veins.
can not use the jersey only occasionally or only in the winter time, as so many patients - must be worn at all times.Elastic compression of the veins is shown all patients with chronic venous insufficiency, regardless of the cause.Wearing a medical knitwear - this is the only means of preventing the onset and progression of varicose veins and also the prevention of thrombosis (blood clots in the veins) .If phlebologist recommend should wear special compression stockings, tights or socks (knitted medical compression).These products are doctor prescribes individually picking up on the degree of compression.They are evenly compress the leg, preventing the veins and expand.thereby increasing the speed of blood circulation and preventing the development of varicose veins.Jersey worn in a prone position before getting up and wear during the day, as when lowering the leg veins overflowing their blood, and no knitted this situation will not change.The key to the success of compression therapy is its regularity.
effective means of influencing the tone of veins are so-called flebotoniki.They must be prescribed by a doctor for the results of the inspection and survey.Pregnant women at risk of developing varicose veins, for the prevention of venous insufficiency of the lower limbs or alleviate symptoms of varicose veins is recommended to take the drug in capsules troksevazin.It should be 2 times (morning and evening) apply on troksevazingel caviar in the popliteal region, and then lie down for 10-15 minutes, lifting his feet.Troxevasin eliminates swelling, pain, trophic disorders and various pathological phenomena associated with venous insufficiency.Troxevasin approved for use in the second and third trimester of pregnancy.
When a feeling of heaviness in the legs, pains, "pins and needles" in his legs before going to bed can be used Ginkor Fort capsules in the morning and vecherom.Pri systematic (constant) use of the drug reduces the severity of clinical manifestations of chronic venous insufficiency of the lower limbs.It is indicated for venous insufficiency of the lower limbs: a feeling of heaviness in the legs, pain, cramps, trophic disorders (brown skin pigmentation, ulceration).Take the drug in tablets (afternoon and evening during meals).Use of the drug is possible from the second trimester of pregnancy.
Varicose veins of the legs during pregnancy does not allow the use of all methods used outside of pregnancy.Surgical treatment (step) is shown only in those cases when the varices accompanied by chronic venous insufficiency, combined with complications varicosity.Pregnant contraindicated the use of sclerotherapy (sclerosant substance injected into a vein and its wall sticks together, the current venous blood on it is stopped).During pregnancy and the first year after childbirth preferred conservative (drug) therapies.Delivery of pregnant women with chronic venous insufficiency should be made in an elastic bandage with a mandatory extension of their use in the postpartum period for 4 months.drug increases venous tone, reduces vascular permeability to water, has analgesic effect.It can be used in the second and third trimesters of pregnancy.Another acceptable during pregnancy means a Lioton 1000 Gel.The product features a safety when used in pregnant women in all trimesters.It is rapidly absorbed, which provides a high concentration of heparin in the tissues as compared with other local means, creams and ointments.A feature that distinguishes this drug from other similar means used is pronounced anticoagulant (which reduces blood clotting), anti, anti-inflammatory, analgesic and flebotonichesky (increases the tone of veins) effect.
also used the drug Detraleks.He has venotonic action: reduces elongation veins, increases their tone and reduces venous congestion.
Slow blood flow in the varicose veins of the legs, pelvis, uterus, vagina, combined with damage to the vessel walls creates the optimal conditions for thrombus formation.Added to this is a violation of the blood coagulation system.The risk of thromboembolic complications in patients with chronic venous insufficiency reaches 10%.Venous thrombosis (or phlebothrombosis) - Education in the lumen of the vein blood clots - clots.When complete blockage of the lumen of the vein appears a sharp pain in all the limbs, with fever and chills, with a decrease in skin temperature of the affected leg.The finiteness becomes pale and cyanotic.It appears swelling throughout the leg, extending to the abdomen and lumbar region.However, sometimes the only clinical manifestation of thrombosis can be a pain when walking.Treatment is usually successful phlebothrombosis and rarely leads to complications.Venous thrombosis may be complicated by pulmonary embolism.Thrombophlebitis - inflammation of the vein wall with the formation of blood clots in the vein.Thrombophlebitis tends to migrate and spread up and down the vein, sometimes penetrating from the surface to the deep veins.When this complication suddenly appear sharp pain along zatrombiro bath varicose veins.May increase the temperature to 38 ° C.The skin around a vein becomes reddened and edematous, Vienna palpable as a thick strand painful.Thrombophlebitis - a dangerous disease and without proper treatment often leads to complications that threaten a woman's life: pulmonary embolism, sepsis (getting into the blood and tissues of pathogenic bacteria and their toxins), deep vein thrombosis, gangrene of the feet.
Pulmonary embolism - a very serious complication.The most common reason for his blood clots are caused in the deep veins of the lower extremities.The most dangerous blood clots, which are attached at one end to the vessel wall, and the other, free, floating in the lumen of the vein.With a little effort: cough, sudden movement, straining - the clot breaks off and falls with the blood flow to the pulmonary artery.Is developing acute heart failure or myocardial infarction.The patient suddenly there is shortness of breath, chest pain, coughing up blood may appear.The skin of the nose, lips, ears becomes pale or bluish color.The lungs are heard wheezing.On echocardiogram are thrombi in the right heart and the pulmonary arteries, signs of dysfunction of the right ventricle of the heart.Suddenly developed a serious condition can lead to death if not performed immediate surgery.Timely prevention and treatment of chronic venous insufficiency can prevent the development of pregnant women varicose veins and more serious diseases, such as thrombophlebitis, venous thrombosis and thromboembolism.Now we know how dangerous varicose veins during pregnancy, edema.