Cимптомы варикозной болезни ног и других органов

Так уж сложилось, что когда заходит речь о варикозной болезни, сразу возникает ассоциация с больными 29-1ногами. Хотя это не совсем так, следуя традиции, мы начнём рассматривать вопрос варикоза с нижних конечностей. Симптомы варикозной болезни ног проявляются отёками стоп, голеней, сосудистыми звёздочками, рассыпанными по коже, расширенными узловатыми венами, тяжестью ног, ночными судорогами.

Патогенез (развитие) болезни

Это достаточно серьёзное заболевание, не обходящее стороной ни мужчин, ни женщин, подоплёкой имеет застой крови – нарушение её оттока от ног. Причём поражаются не только поверхностные вены, которые манифестируют о начинающейся болезни увеличением плотности стенок, выпячиванием узлов, извитым характером рисунка кожи голеней, но также глубокие, которые от глаз скрыты.

Скрыта от глаз и ямка под коленом, в глубине которой располагаются сосуды. Лица, много времени проводящие сидя за столом, особенно, любители закидывать ногу на ногу, должны знать, что такая поза ухудшает кровоток по сосудам, а это способствует застою венозной крови с последующим развитием варикоза. Поскольку под коленку редко кто заглядывает, следует помнить – начало заболевания проявится сильным зудом, заставляющим почёсывать кожу. Потом возникнет сосудистая сеточка, начнётся выраженная пульсация, затем всё остальное, характерное для варикозного расширения вен голени. При поражении глубоких вен визуальных признаков может не наблюдаться.

Всем известно, кровь по венам поднимается к сердцу, лёгким благодаря подпору артериальной крови, сокращениям мышечного аппарата ног да ещё собственному тонусу. Перемещению крови вниз препятствуют венозные клапаны, которые периодически – во время сердечной диастолы – смыкаются. Когда венозные стенки теряют упругость, клапаны перекрывают просвет сосуда не полностью, тогда остающийся зазор часть крови пропускает вниз. С этого начинается болезнь.

Варикоз и беременность

Однако мишенью варикоза могут являться не только ноги, что касается представителей обоих полов, правда, по большей части, женщин. Причины такого неравноправия, главным образом, объясняются беременностью, когда увеличенная матка сдавливает сосуды малого таза, нарушая тем нормальный отток крови по яичниковой вене. Виновна к тому же гормональная перестройка организма, когда увеличивается содержание прогестерона крови, действующего на вены расслабляющим образом. Такая патология характерна для женщин рожающих часто, причём, с небольшими перерывами. Правда, причины недостаточности венозно-клапанного аппарата сосудов полости матки могут иметь и врождённый характер, беременность же лишь провоцирует ускорение развития патологического процесса.

Из приобретённых причин данной патологии следует выделить:

  1. Воспаления матки.
  2. Частые аборты.
  3. Гормональные противозачаточные препараты.

Вообще-то, варикоз периода беременности суть состояние физиологическое, возникающее на поздних сроках и самостоятельно проходящее после родов. А вот если патология наблюдалась раньше, но носила скрытный характер, беременность состояние усугубит, что позже может разразиться различными осложнениями. Такие случаи рекомендуют проведение родов путём кесарева сечения, обеспечивающего безопасность матери и плода. В случае естественных родов длительные, выраженные потуги могут привести к фатальному последствию – разрыву вены.

Чтобы благополучно пройти путь от зачатия до появления малыша на свет, женщина должна при варикозе вовремя получить необходимые рекомендации по профилактике, провести соответствующее лечение заболевания. Поэтому важно знать первые симптомы, говорящие о недуге, внимательно к ним относиться. Главными будут – боль, ощущение дискомфорта в низу живота либо поясничной области. Усиливаются неприятные ощущения незадолго до месячных. Даже небольшая физическая нагрузка либо стресс моментально начинают доставлять беспокойство, обеспечивают тянущие боли в животе. А вскоре боль станет постоянной. Обращение к специалисту при данных симптомах обязательно.

Неприятным сюрпризом, появляющимся, как правило, на стадии второго – третьего триместра 29-3беременности, будет варикозное расширение вен половых губ, влагалища. Места поражения начнут утомлять женщину зудом, болью, отёками. Венозные узелки вырастают до величины, которая не позволит свободно ходить. Даже сидеть будет проблематично. Затруднительным становится половой акт. Но другое, в первую очередь, будет занимать женщину, а именно, сможет ли ребёнок родиться естественным путём. Если узелки небольшие, не будут мешать продвижению плода, то с аккуратным разрезом промежности всё закончится благополучно. Отсутствие таких условий является показанием для операции кесарево сечение.

Ещё одним грозным осложнением во время беременности может стать тромбоз подвздошной вены, который проявит себя наряду с другими симптомами болью в правой подвздошной области.

Шейка матки

Варикозное расширение вен шейки матки представляет большую опасность потому, что достаточно продолжительный период времени протекает почти бессимптомно или симптомы напоминают таковые при других заболеваниях. Страдают взрослые женщины, но недуг также может быть у подростков. С появлением дискомфорта во время полового акта или после него; скудной, но продолжительной – до полутора месяцев – менструации, сильных болей в низу живота нужно немедленно показаться акушеру-гинекологу, флебологу, которые дадут необходимые рекомендации. Они же назначат лечение, чтобы будущие роды прошли без осложнений. Во время обязательного наблюдения будет решаться вопрос по методике ведения родов. Осложнениями этой коварной патологии могут проявиться тромбофлебит, тромбоз вен яичников, проблемы со стороны плаценты.

Яичники

Среди тазовых органов, которые поражает варикозная болезнь, не остаются вне поля зрения яичники. Причём, заболевание, встречающееся во время репродуктивного возраста девушек, не менее опасно, чем всё перечисленное выше. Так же, как при уже упомянутой ранее патологии, пусковым механизмом здесь будет являться беременность. Но имеют место случаи, когда болезнь затрагивает девочек подросткового возраста.

Среди симптомов: те же острые, тянущие боли, касающиеся области малого таза, зачастую отдающие в крестец. Боли усиливаются во время полового акта или после него. Болезненные ощущения во влагалище, промежности. Могут появиться нарушения мочеиспускания.

Проблемы мужские

Если, как говорилось, мужчины в зоне риска присутствуют значительно реже, нежели женщины, то мучаются они патологией более сложной. Чаще всего врачи выявляют варикоз паховой области или расширение вен яичек.

Причинами будут:

  1. Опухоли малого таза
  2. Тяжёлый физический труд
  3. Паховая грыжа
  4. Частые запоры
  5. Врождённая сосудистая патология паха
  6. Ожирение, вредные привычки

Проявляется варикоз тянущими болями в паху, отёчностью тканей вокруг изменённого сосуда, усилением боли во время незначительной физической нагрузки, быстрой утомляемостью. На ранних стадиях болезни выявить патологию весьма проблематично, лишь плановое УЗИ позволяет это сделать. А ведь расширенные вены яичка встречаются почти у 20% молодых людей. В более позднем периоде можно уже ощутить тяжесть и значительно увеличенную плотность мошонки. Поскольку эта патология грозит мужским бесплодием, обращаться к специалистам следует тотчас по возникновении неприятных ощущений.

Варикоз у детей

Обиднее всего, что этой патологией поражаются дети раннего возраста. Хотя страдают варикозным расширением вен они редко, опасность заболевания крайне высока. Зону риска заполняют дети, родители которых употребляют наркотики, будущая мама перенесла тяжёлый грипп или пневмонию во время беременности либо пищевое отравление – всё это касается первого триместра.

Начальные симптомы, проявляющие себя пигментацией кожи на конечностях, распространённым сосудистым рисунком, появляются уже во время первых лет жизни. Заболевание развивается очень быстро, напоминая о себе появляющимися периодически беспричинными синяками. Через небольшое количество лет уже можно увидеть чётко проступающие поверхностные вены с узлами. К семи годам необычно удлиняются отекающие нижние конечности, возможно ограничение подвижности суставов, даже деформирование костей. Развивается плоскостопие.

Вскоре картина варикоза будет лишь незначительно отличаться от таковой у взрослых. К двенадцати-тринадцати годам внутри венозных узлов обнаруживаются уплотнения, образованные солями кальция. Ходить становится затруднительно из-за болей в ногах. Плохо заживают появляющиеся трофические язвы. Начинаются проблемы со стороны сердца – увеличиваются его полости, что приведёт к сердечной недостаточности. Отсутствие своевременного лечения грозит инвалидностью. Чем раньше родители обратятся за помощью педиатра, тем благоприятнее будет прогноз. Лечение обычно проводится хирургическим путём.

Варикоз рук

Часто вспоминается выражение «натруженные руки», когда видишь извитые, набухшие под кожей вены (см. 29-2фото). Мужчины редко на это обращают внимание. Другое дело, женщины, которых, естественно, интересует косметическая составляющая. Нужно знать, что варикоз возникает и на руках, поэтому при малейшем подозрении следует обратиться к флебологу, особенно, если на сосудах появляются небольшие шишки. Помните, начальная фаза болезни поддаётся лечению лучше.

Варикоз внутренних органов живота

Полбеды, когда болят ноги или руки. Всё будет гораздо серьёзнее, если возникнут неприятности со стороны внутренних органов. Таким опасным заболеванием является сосудистая патология желудка; главным образом потому, что ранние стадии варикоза здесь выявить очень трудно. Поэтому обращение к врачу почти всегда запаздывает, хотя организм всё-таки своевременно подаёт сигналы тревоги: появляется стул чёрного цвета, говорящий о желудочном кровотечении. Конечно, можно сослаться на принимаемый регулярно активированный уголь, однако боль в животе должна насторожить.

Сомневающимся лицам для диагностики рекомендуется использовать простую пробу (можете проштудировать любой подходящий форум): накапайте на кал небольшое количество перекиси водорода. Прямой контакт перекиси с кровью вызовет шипение, сопровождающееся выделением пузырьков воздуха. Запоры, зуд анального отверстия, его кровоточивость должны настораживать на предмет варикозного расширения вен кишечника. Такие же самые симптомы имеют место при варикозе прямой кишки.

Бессимптомно может протекать варикоз пищевода. Начинающийся процесс проявляется затруднённым актом глотания пищи, ощущением тяжести за грудиной. Иногда скопление жидкости в животе «нарисует» вокруг пупка нечто, напоминающее голову медузы – визуально заметны сосуды, веерообразно расходящиеся от него вкруговую. Появление кровавой рвоты диагноз подтверждает. Поначалу лечение назначается флебологом амбулаторно. Пациент, самостоятельно начинающий терапию народными средствами, рискует получить фатальные осложнения.

Лечение

Чем будет отличаться лечение варикозной болезни конечностей от терапии внутренних органов брюшной полости – желудка, кишечника, пищевода. Какими средствами пользуются во время заболевания наружных половых, тазовых органов. Разумеется, патология конечностей, наружных половых органов, геморрой потребует применения, как гелей, так и препаратов, употребляемых внутрь. Терапия варикоза внутренних органов использование мазей, естественно, не предусматривает.

Во всех случаях применяются лекарства, уменьшающие воспаление, улучшающие реологические свойства крови, повышающие тонус вен, способные купировать боль, убрать отёчность тканей. Варикоз внутренних органов лечится только стационарно. Словом, во всех хитросплетениях этого сложного заболевания должны разбираться исключительно специалисты, определяющие, кому, где и какое лечение показано.

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