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Varicose veins: signs and prophylaxis during pregnancy

Varicose veins: signs and prophylaxis during pregnancy

Varicose veins – one of the manifestations of chronic venous insufficiency. Recall the lessons of biology.

The circulatory system uses arteries, veins and capillaries. Through the arteries, blood moves from the heart to the organs, and through the veins comes back.

The valves with which the veins are supplied let the blood flow in portions and close, preventing it from flowing down. If this mechanism fails, the blood begins to stagnate in the vein, and over time its walls stretch.

The first symptoms of varicose veins usually appear on the legs. First, a small network of vessels (“stars”) appears through the skin, then swelling appears, sometimes convulsions, and in the end veins swell and swell. But this is only the tip of the Aiberg.

Very often, invisible eye veins of the uterus, ovaries, small pelvis, large and small labia and other organs are also in the same “neglected” state.

A major role is played primarily by unsuccessful heredity: usually, varicose veins are transmitted along the female line from the mother or grandmother. Hormonal contraceptive preparations with a high content of estrogens can provoke the disease.

Full and high people, smokers, hostages of sedentary lifestyles and women also fall into the risk group (the weaker sex faces a similar problem 4–5 times more often than the strong one).

During pregnancy, there are several other reasons: in the body increases the volume of circulating blood, which means that the load on the circulatory system increases. At the same time, the pressure in the veins rises and the blood flow velocity in the vessels of the lower extremities slows down (the same happens with varicose veins, only on a grander scale).

The situation is complicated by changes in hormonal levels, due to which the blood supply to organs and tissues slows down somewhat. It is clear that on such a “prepared” soil, varicose veins develop more often: according to various estimates, it occurs in 20–40% of expectant mothers.

If problems began before conception, pregnancy may be complicated by preeclampsia, placental insufficiency, chronic hypoxia of the fetus. The risks of premature detachment of the correctly located placenta, bleeding, early discharge of amniotic fluid, and weakening of labor contractions during labor are also increasing.

Varicose veins: signs and prophylaxis during pregnancy

If the obstetrician-gynecologist finds signs of varicose veins, he will prescribe a hemostasiogram (an examination that monitors disturbances in the blood coagulation system) and ultrasound dopplerometry to measure blood flow parameters in the veins in the legs. A blood test for hereditary thrombophilic mutations will allow you to identify a predisposition to thrombosis or, conversely, to bleeding. This information will help doctors prepare for possible complications during pregnancy and childbirth.

Cardiotocogram (CTG) and Doppler ultrasound of the uterine arteries, the umbilical artery and the mid-cerebral artery of a child are called to check baby’s well-being.

For the treatment of varicose veins during pregnancy, mainly ointments are used (Lioton-1000, troxevasin and heparin ointments, etc.), which need to be rubbed into the affected area several times a day. They are resolved at any time and, as a preventive measure, help prevent the appearance of phlebitis (inflammation of the venous walls) and thrombophlebitis (inflammation of the venous wall with the formation of blood clots).

If phlebitis is still formed – a thickening, swelling, redness and pain appeared in the vein area, with the doctor’s approval, you can do “cold bandages” 2 times a day: treat the “causal” place with a water-soluble ointment (for example, Levomekol), put it on top a piece of transparent cling film and a leg wrapped with a rag bandage.

If tests show changes in the blood coagulation system, anticoagulant medications (Fraxiparin, Glaxo; Clexane, Aventis) may be required, which thin the blood and prevent blood clots. Pick up the medicine and the dose should be a doctor.

In this case, the treatment process is controlled by a hemastaciogram: if the blood becomes too thin, there may be bleeding in the uterus or hemorrhage in the placenta.

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