Pregnancy is a physiological state and a wonderful time, which many women remember with great pleasure.. However, pregnancy is also a period of maximum stress on the body, a test of its strength..

Organs and systems sometimes do not withstand these loads, and then something " A typical example is varicose veins..

Varicose veins are mainly a women's problem, not least because of the presence of pregnancies in a woman's life.. Pregnancy provides a triple hit to the veins. Firstly, the growing uterus puts pressure on the veins of the small pelvis, making it difficult for blood to drain from the lower extremities and increasing venous pressure.; secondly, the hormone of pregnancy - progesterone, acts on the walls of the veins, reducing their tone and contributing to venous stasis; thirdly, during pregnancy, the volume of circulating blood increases, which creates an additional load on the veins of the legs. Superimposed on a hereditary predisposition to varicose veins (which is also transmitted through the female line) and overweight, these factors give a detailed picture of varicose veins and chronic venous insufficiency during pregnancy.

Usually, varicose veins begin their development even before the onset of pregnancy with the expansion of small saphenous veins and the appearance of spider veins or telangiectasias on the skin.. This stage of the disease is not accompanied by symptoms of venous insufficiency, affecting only the appearance and mood of the woman.. Under the influence of pregnancy and the changes caused by it, varicose veins begin to progress - the tone of the venous wall decreases, permeability increases, blood flow through the veins slows down. The number of visible varicose veins at this stage increases significantly, pain in the legs, fatigue, a feeling of tension in the calves and feet, night cramps in the muscles of the lower extremities and swelling in the legs join. In the future, in the process of disease progression, the function of venous valves that prevent the reverse flow of venous blood is irreversibly disrupted, an inflammatory process develops in the venous wall, and trophism (nutrition) of the soft tissues of the legs and feet is disturbed.. Clinically, this stage is manifested by constant pain and swelling, hyperpigmentation of the skin of the lower extremities, a decrease in the rate of skin regeneration, increased sensitivity to infection, the development of thrombophlebitis, eczema, and trophic ulcers..

Varicose veins.

The owners of this disease always wear long skirts or trousers.. Even thirty-degree heat will not force them to put on a mini. One can only sympathize with the unfortunate: clusters of bluish, gnarled veins encircling the legs are an unpleasant sight.. And, alas, quite common. According to the World org Read more.

Now my baby is 4 months old. During pregnancy, the veins swelled all over. Varicose veins during pregnancy Warm varicose veins I am 30 weeks pregnant. Very severe varicose veins in the legs. Before pregnancy. Complications are very dangerous In pregnant women, the presence of varicose veins can lead to a number of severe complications, including pulmonary thromboembolism and massive bleeding during natural childbirth and caesarean section. The cause of pulmonary embolism (pulmonary embolism) is fragments of blood clots that form in the affected veins due to slowing of blood flow and the development of an inflammatory process - phlebitis. A sharp fluctuation in blood pressure can lead to the separation of a blood clot, which is brought into the heart with blood flow, and from there to the pulmonary arteries, causing their blockage.. Pulmonary embolism is a severe, life-threatening complication.

The reason for the tendency to massive bleeding in women with varicose veins is changes in the veins of the small pelvis, repeating the changes observed in the veins of the legs. Violation of the integrity of such a vein during childbirth or during a caesarean section can lead to large blood loss..

Dance and swim A phlebologist (one of the specializations of a vascular surgeon) is treating varicose veins, and every pregnant woman with this diagnosis should receive an appointment. Therapeutic measures used for varicose veins can be divided into drug, non-drug and surgical. Non-pharmacological methods include a number of changes that need to be made to the lifestyle of a pregnant woman, wearing compression stockings and exercise therapy.

Lifestyle change consists in giving up high-heeled shoes, limiting physical activity (you can’t lift and carry heavy objects) while increasing physical activity (hiking, swimming, dancing), choosing the right sleeping position (better - on the left side,. Avoid overheating and dehydration.

Compression knitwear (socks, stockings) is selected individually, according to the needs of a particular woman at a full-time appointment with a phlebologist. In some cases, you have to use an elastic bandage that is applied to the leg in the morning and is not removed during the day.. When using elastic bandages, it is important to properly bandage the legs (from the foot up) - this will also be taught to the woman by the vascular surgeon.

" If classes with an instructor are not available, you can perform the following set of exercises.

Starting position (and. ) - sitting on a chair with legs bent at the knees and hands down. On the inhale - get up from the chair, on the exhale - sit on the chair. Repeat 5-10 times.

- standing, the distance between the feet is 7-10 cm, hands are lowered down. Without lifting your socks from the floor, bend your knees in turn, simulating walking in place.

- former. While inhaling - raise your hands up, while exhaling - lower your hands, put your left foot forward, then put your right foot to it. Repeat with other leg.

- sitting on a chair, heels firmly pressed to the floor. Without lifting your heels from the floor, make circular movements with your feet..

Rise on tiptoe and stand like this for a few seconds. Get down on full foot. Repeat 5 times.

Rise on tiptoe and walk around the room for a minute. Walking on heels for a minute. Walking on the inside and outside of the feet - one minute on each side.

- sitting on a chair, legs together. Put your feet on your heels, then press the entire foot to the floor, put your feet on your toes, press your feet to the floor again. Repeat 5-10 times.

- standing. Stand on tiptoe while inhaling and raise your hands up. As you exhale, lower your hands down, while lowering yourself to a full foot and crouching a little.. Repeat 5-10 times AND. - lying on your back. Perform exercise bike.

Surgery and drugs Surgical treatment of varicose veins is best done in preparation for pregnancy.. If varicose veins and venous insufficiency first appeared during pregnancy, surgery is usually postponed until delivery. However, in some cases (for example, with a severe course of the disease and the development of complications), surgical treatment, laser correction or sclerotherapy can also be performed in pregnant women..

Medical treatment. The nature of drug therapy for varicose veins is determined primarily by the severity of the disease and its symptoms.. For the purpose of treatment, angioprotectors and venotonics are used in forms for topical use and for oral administration.. However, since not all drugs can be used during pregnancy, the phlebologist is limited in his choice of a small group of drugs..

Alexander Orlov nedug. en.