Чем опасен варикоз и его последствия

Варикоз – распространенное заболевание нижних конечностей и малого таза, это всем известные места локализации недуга. А вот то, что варикозная болезнь во время вынашивания ребенка может поражать 37-1другие органы, многие даже не догадываются. Чем опасен варикоз при беременности?

Факторы, способствующие возникновению

Основные причины возникновения варикоза на ногах и других органах во время беременности – меняющийся гормональный фон и вес женщины. В организме падает количество эстрогенов, увеличивается количество прогестеронов, которые снижают тонус сосудов и вен, расслабляюще действуя на венозную стенку. В результате, увеличивающееся количество жидкости опасно растягивает и деформирует вены, давая начало развитию варикоза у беременных. Другими причинами являются:

  • увеличение объема крови;
  • увеличение размеров матки, которая затрудняет отток крови, способствуя образованию застойных явлений;
  • давление увеличивающегося плода на крупную полую вену, а также более мелкие сосуды;
  • меняющийся гормональный фон организма;
  • нагрузка во время родов.

Все эти факторы способствуют не только развитию варикоза ног, но и шейки матки, половых губ, органов малого таза, прямой кишки. Кроме того, во время беременности на поздних сроках женщины вынуждены ограничивать себя в движениях, принимать вынужденные позы, способствующие отекам, растяжению вен.

Развитию варикозной болезни и ее последствий способствует наследственная предрасположенность.

В чем заключается риск?

Чем опасен варикоз при беременности, как он может угрожать здоровью женщины? Последствиями заболевания могут быть осложнения, опасные как для мамы, так и для ребенка. Во время беременности 37-2сокращается время свертывания крови, под влиянием гормонов происходит ее «загущение». Этот механизм призван предотвратить серьезные потери крови во время родов. Но одновременно это может привести к застоям жидкости, образованию тромбов и серьезному осложнению варикозной болезни – тромбофлебиту.

Последствия тромбофлебита при беременности опасны тем, что при физическом напряжении тромб может оторваться, перекрыв легочную артерию, приведя к тромбоэмболии. Опасность сохраняется в течение всей беременности, во время родов, а также спустя полтора – два месяца после рождения малыша.

Во время вынашивания ребенка, родов опасными могут стать последствия разрывов варикозных вен влагалища, матки, малого таза. Поскольку стенки под влиянием прогестерона теряют эластичность, истончаются, становятся хрупкими, то малейшее напряжение может вызвать их повреждение. Особенно опасными можно назвать разрывы крупных вен, которые могут спровоцировать обильное внутреннее кровотечение. Неприятными последствиями чреваты разрывы геморроидальных узлов, вен прямой кишки.

При другом осложнении варикоза ног – глубоких трофических язвах, опасным последствием может стать вторичная инфекция раны, заражение крови, гангрена, сепсис. Обычно такие симптомы можно наблюдать во время беременности у женщин с большим весом, или с запущенным варикозом, которому не уделялось должного внимания до беременности.

Симптомы и диагностика

Чтобы не запустить варикоз, а начать бороться с ним на ранних стадиях, необходимо знать симптомы, которые сопровождают заболевание:

  • усталость, тяжесть, зуд, ночные судороги, боль в мышцах нижних конечностей;
  • отеки после длительного стояния на ногах;
  • чувство «распирания» в зоне промежности, сопровождающееся болевыми ощущениями и дискомфортом;
  • внешние проявления в виде звездочек, ретикулярной сетки, расширенных капилляров, кровоизлияний на ногах;
  • увеличение размера видимых вен, появление узлов, специфической «извитости» русла вены.

Это внешние проявления и признаки варикоза вен на ногах. Внутренний, например, на матке, диагностировать сложнее. При отсутствии внешних признаков и симптомов варикоза, гинеколог должен назначить следующие диагностические процедуры:

  • допплерографию;
  • УЗИ сосудов;
  • ангиосканирование вен.

При наличии изменений стенок вен, клапанов, увеличения диаметра сосудов и других признаках варикоза, беременную консультирует врач-флеболог, который назначает лечение, соответствующее степени тяжести варикозной болезни.

При осложнениях заболевания

Чтобы предотвратить развитие последствий во время вынашивания, родов и в послеродовой период, врач-флеболог может посоветовать удаление варикоза лазером. Это сравнительно молодая методика, которая приобрела популярность около 10 лет назад. Она поможет безболезненно удалить варикоз и его последствия на ногах, других жизненно важных органах.

Для применения лазерной коагуляции могут быть такие противопоказания:

  • сопровождающие заболевания в стадии обострения;
  • нарушения обмена веществ, сахарный диабет;
  • нарушения коагуляции крови;
  • слишком крупные устья вен;
  • неровный рельеф вены;
  • ожирение;
  • неспособность двигаться после операции, так как послеоперационный восстановительный период предусматривает обязательное движение.

При увеличении устья сосудов до размера более чем 1 см, лазерная коагуляция назначается совместно с флебэктомией, такие вены подлежат хирургическому удалению участков. Как видите, беременность не является противопоказанием для поведения лазерной коррекции варикоза на ногах, однако процедура должна проводиться на ранних сроках, тогда опасность развития последствий болезни значительно снижается.

Суть процесса

В чем суть процесса? Зонд с тепловым светодиодом вводится в порез или прокол в вене, производится тепловое «запаивание» вены. Процедуру производят под местной анестезией, которую предварительно вводят в вену.

У лазерной коагуляции несколько преимуществ:

  • нет глубоких разрезов на коже;
  • операция безболезненная и короткая;
  • реабилитационный период небольшой, правда, предусматривает ношение специального компрессионного белья, которое у некоторых пациентов вызывает ощущение дискомфорта;
  • минимальная травматичность процедуры сводит к минимуму все послеоперационные последствия;
  • коагуляция производится в амбулаторных условиях;
  • сразу после нее можно двигаться, чтобы процесс реабилитации проходил успешно;
  • операцию можно проводить на ранних стадиях, не дожидаясь развития опасных форм варикоза.

Ношение компрессионного белья после процедуры позволяет восстановить кровоснабжение ног, тонус вен, исключить воспалительный процесс.

Другие случаи

Лазерная коагуляция эффективна не только при опасных варикозных поражениях ног, но и при варикозе 37-3яичек у мужчин, органов малого таза, шейки матки. Это наименее травматичная, безопасная операция, при должной квалификации специалиста.

Такая процедура позволяет избежать опасных последствий варикоза яичек у мужчин:

  • водянки яичка, когда скапливающая жидкость увеличивает мошонку в несколько раз;
  • рецидивов варикоза, из-за неэффективного лечения;
  • атрофии яичек, из-за нарушения кровоснабжения тканей, которое может привести к полному бесплодию;
  • разрывов склерозированных вен, внутренних кровотечений.

Этот же метод эффективен при варикозе шейки матки, органов малого таза. Он используется для теплового повреждения варикозных сосудов, а также здоровых вен, питающих миоматозные образования. Метод является одним из самых действенных, безболезненных при лечении геморроя и геморроидальных узлов прямой кишки, которые тоже являются опасными последствиями естественных родов.

Сразу нужно оговориться: беременной женщине делать коррекцию вен шейки матки лазером противопоказано, это может навредить плоду. При своевременной диагностике заболевания, такая операция делается до того, как вы запланировали беременность, так как естественные роды при такой разновидности варикоза невозможны. Он опасны разрывами сосудов, отрывом тромбов, обильными кровотечениями, тробоэмболией, поэтому, как правило, гинекологи предпочитают кесарево сечение.

Если вы запланировали беременность, пересмотрите свой образ жизни: примите меры профилактики развития варикоза ног, малого таза, других органов, чтобы избежать опасных последствий болезни.

Если на нижних конечностях стали появляться сосудистые звездочки или синий рисунок вен – обратитесь за консультацией к врачу-флебологу. Он поможет выбрать метод обследования внутренних органов, профилактику и коррекцию варикоза, для того чтобы избежать опасных осложнений во время беременности, родов и в послеродовой период. То же самое нужно сделать, если в семье кто-то болел варикозом, так как генетическая предрасположенность – один из факторов возникновения варикозной болезни ног.

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