- Avoid standing still for long periods of time.
- Take light walks.
- Avoid sitting on low seats.
- Extend your feet while sitting.
- Take light walks. p>
- Avoid taking hot baths.
- Shower your feet with cold water.
- Avoid sunbathing.
- Move your feet while lying down. .
- Do not bear weight.
- If necessary, your doctor may prescribe phlebotropic medication.
- Sclerotherapy (needle/foam treatment) or surgical intervention is not performed during pregnancy.
- There is no special treatment for varicose veins in the vulva.
They do not cause complications and disappear following birth. However, a cesarean section may be required instead of normal birth.
- If there are hemorrhoids: * Constipation should be avoided,
* Phlebotropic medication is used if necessary.
* Local disinfection – cleaning is important
p>* Surgical intervention is rarely required.
- If there is thrombosis, early diagnosis is important and treatment is required.
- If you have varicose veins or have had venous clotting (DVT) before pregnancy, you must undergo Vascular Surgery. Consult with a specialist.
PREGNANCY AND VESSELS
Disorders related to veins are common during pregnancy. Causes:
*Mechanical effect: The uterus compresses the main vein (VCI) against the vertebrae and muscle, making circulation difficult.
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Feeling of discomfort in the feet. feeling of heaviness,
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Feeling pain while walking,
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Skin changes,
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The appearance of varicose veins
*Increase in blood volume and heart blood flow during pregnancy.
*Hormonal effect; Progesterone – It has a relaxing effect on smooth muscle fibers.
; -It causes a decrease in venous tone.
Estrogen -increases capillary permeability.
-Decrease in venous tone and
-Vasodilation (vascular relaxation) occurs.
*Increased tendency to clot;
- Increase in Fibrinogen, Factor III and Platelet activity (more than 20%),
(While fibrinogen is 300 mg% at the beginning of pregnancy, it increases in the 14th week and becomes 440 mg% in the 37th week .)
- There is a decrease in fibrinolytic activity.
*Factors related to blood flow; (Hct decreases, Viscosity increases)
*Other - Familial predisposition,
- Calm, sedentary lifestyle,
- Working position that restricts movement,
- Calm, sedentary lifestyle,
- Working position that restricts movement, p>
- Driving or traveling for a long time,
- Wearing flat or very high-heeled shoes,
- Obesity, excessive weight gain
- Floor heating environment,
- Hot baths,
- Multiple pregnancies,
- Shortness of time between pregnancies has an effect..
DIFFICULTIES THAT MAY OCCUR DURING PREGNANCY:
*Functional Venous Insufficiency, (Heavy feet, sometimes itching-numbness and night cramps may occur. The symptoms are very mild, there is no insufficiency in the vein valves. Varicose veins are not seen. There is no edema or discoloration around the ankle.)
*Varicose veins (They are in the form of thin dilated veins. 80% of them disappear after birth.)
*Venous stasis (Blood Pooling)
*Venous Insufficiency in the Legs, Expansion of the veins in the genital area,
*Hemorrhoids,
*Thrombo-embolic events: Phlebitis in Superficial, Deep and Pelvic Veins.
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