Varicose Vain

Photo Credit Bayvien

 Semalam aku pi check up klinik desa, adalah dekat 3 jam gak aku tunggu sebab aku datang agak lewat dan aku merupakan patient terakhir doktor tu.

Jadi masa masuk tu doktor tanya aku sudah dapatkan suntikan Dexa tu. Aku cakap sudah. Pastu aku tanya dia suntikan tu memang ambil sekali je ke doktor?? Doktor kata ya. Sebab doktor pakar aku terangkan lain dia kate ubat tu berkesan untuk seminggu je.

Jadi doktor tanya awak dulu tumpah darah sebab apa ye. Aku cakap sebab masalah urat dan sekarang pun masih ada masalah yang sama gak. Dorang panggil istilah Vagina Vericose Vain atau Vulva. Aku pun baru tahu lepas doktor semalam tu cakap. 

Dia tanya nak rujuk aku pada pakar kerajaan tak, sebab aku tak boleh dihandle oleh doktor pelatih masa aku bersalin nanti. Risiko sangat tinggi. Pastu dia kata kemungkinan kalau aku bersalin kat Hospital Kerajaan aku kena bedah sebab risiko tu.

Tapi disebabkan aku dah dirujuk dengan Dr. Thokha jadi dia kata dia x perlu rujuk aku ke hospital cuma just in case aku terbersalin di hospital kerajaan aku kena maklum dengan doktor masalah aku ni. 

Rasanya aku akan terus bersalin di Regency kot. Sebab last time aku bersalin normal je di Regency tu. ahaks.

Maklumat Vulva yang aku copy dari blog orang lain. 

Kredit tu http://motherwomb.blogspot.com/2011/07/vaginal-varicose-veins.htm
Vaginal varicose veins

Many women suffer from varicose veins vulva or vagina and does not know what to do about them. Well hopefully this article useful to you who experienced it.

Are varicose veins and varicose veins vulva vagina?

Varicose veins are the veins under the skin or mucous membranes (mucosa) wide and curved / circular valve due to abnormalities in blood vessels behind it. Varicose veins usually occur on the hands and feet, but in some people may occur in other places such as the stomach, rectum (large intestine near the anus), vagina, scrotum, and vulva (genital lips). Approximately 20-30% of women have varicose veins, especially in pregnancy Vaginal Varicose veins are visible bulge in the wall of the vagina or feel bulging in the vagina itself.

vulvar varicose veins is a protrusion through the skin of the vulva or "lips" either the skin or vaginal mucosa at the vaginal entrance.

Sometimes varicose veins vagina / vulva can be very large, making the skin look very abnormal vulva. In general, varicose veins do not cause symptoms that look just bulging blood vessels under the skin or mucosa. On vaginal varicose veins, dilation of blood vessels will be seen under the mucous membrane lining the vagina. In most patients with varicose veins, especially the veins of the legs, the legs will feel heavy, tired and the pain increased when he was a lot of standing or sitting. Itching or skin becomes bluish discoloration is also a characteristic of varicose veins.

In most pregnant women who experience vaginal varicose veins, a normal delivery can still be done, except on a very heavy vaginal varicose veins, your doctor may recommend a caesarean section. Doctors will be able to find out when examining the pelvis during pregnancy or childbirth examination. After delivery, by itself will shrink varicose veins and often do not bother anymore. If the mother was pregnant again, in general, varicose veins will come back.
Vaginal bleeding due to varicose veins, generally occurs during delivery because of rupture of the walls of blood vessels due to trauma / laceration of the road when the baby is born. Very rarely bleeding due to varices usually occurs shortly after birth

How many women suffer from vaginal varicose veins?

No one knows how many women suffer from vaginal / vulvar varicose veins because there was no research done to determine how many people are suffering.

But the fact is happening in the field are:

. Sayai rarely see the veins of the vagina or vulva in women who are not pregnant.

· This case is also very rare in women who labor with SC - except if the woman previously had a normal birth before the SC or varicose veins during pregnancy has been detected and this is a cause or an indication of the SC does.
Nearly all women with vaginal or vulvar varicose veins have been previously normal delivery / childbirth pervagina

· One of 5 women with varicose leg has some varicose veins vagina or vulva - although most are still too small to see or not to cause problems

· Many women with varicose veins do not have a vagina or vulva varicose leg
What are the causes of vaginal and vulvar varicose veins?
Almost all of the vagina or vulva varicose veins (varicose veins) is derived from varicose veins in the pelvis. There are two ovaries in the pelvis called ovarian Each has a very long vein called the vena ovaries - one on the right and one on the left. Ovarian vein to take blood from the ovary back into a large vein so it can be pumped back to the heart.
If the valves stop working in the blood vessels, veins around the ovaries become dross besart - a condition called "ovarian varicocele" - or pelvic congestion syndrome.

There are two other blood vessels in the pelvis can also - called the internal iliac vein. located at the bottom of the pelvis and can cause the same problem. However, if the branches of these blood vessels are affected, can cause hemorrhoids or varicose veins around the buttocks and anus.

Causes of vaginal and vulvar varicose veins is mainly due to pressure from the uterus to hypogastric and iliac vein. The large intestine is too full due to constipation is also an important factor in the onset of this problem.
Besides the increased hormones during pregnancy will make a weakened blood vessel wall which causes enlargement. Usually if the artifacts vaginal varicose veins during pregnancy, it will appear varicose veins in the legs as well.
Besides the condition of pregnancy, varicose veins in the vagina can also be caused by consumption of corticosteroid drugs and the presence of disturbances or abnormalities in blood vessels which makes it easy to be weak so that varicose veins appear.

Position stand sitting for long periods of time is another factor that supports.
Varicose veins can produce serious and even fatal hemorrhage during delivery. Well treatment if this happens to be done is to empty the uterus as quickly as possible when bleeding occurs, because this can not be controlled. When doctors have found that varicose veins in the vagina of patients should be given the understanding of the danger of bleeding,
What are the symptoms of varicose veins vagina or vulva?
Symptoms associated with varicose veins vagina or vulva can be divided into two main groups:

Symptoms associated with its own blood vessels

Associated symptoms of venous reflux in the pelvis (pelvic venous congestion or pelvic congestion syndrome)

1 - Symptoms of varicose veins vulva or vagina
Varicose veins in the vagina or vulva can be very embarrassing. This makes a person very uncomfortable during intercourse. If large enough, they can actually be seen hanging so embarrassing when wearing a bikini or underwear models G string - and if very large may make it difficult to urinate and can inhibit sexual relationship.

2 - Symptoms of pelvic veins and pelvic varices (veins PLT hip / pelvic congestion syndrome).
Pelvic varicose veins in women can push one of the pelvic structures causing symptoms. Depending on how big his veins can cause the following symptoms: sensation of pain in the pelvis, discomfort during sexual intercourse "dyspareunia".

There are several tests that suggested, but only one is currently the "Gold Standard" test - transvaginal color duplex ultrasound.
Several tests can be done to diagnose:
Transvaginal color duplex ultrasound

This is a standardized test that shows the flow in blood vessels in the pelvis, and does not require needles or x-ray. But only accurate when performed by highly experienced operators duplex

External color duplex ultrasound (on skin) although it sounds much better conduct "external" scan instead of transvaginal scan, blood vessels are located too far inside and angles are less detectable 

MRI - Magnetic Resonance Imaging

This test can show a large pelvic varicose veins and use the techniques of blood flow, could see some of the flow in blood vessels. However, expensive and some patients may feel tightness when performed MRI scanner.

Venogram (X-ray of blood vessels with the injection of contrast)

Venogram is important in or TREATMENT vaginal and pelvic varicose veins, but not a very good test to diagnose or investigate the circumstances of inii. But this should be using X-ray (radiation) around the ovaries, must use the injections and so invasive and more expensive than duplex ultrasound
CT (or CAT Scan - Computerized Axial Tomography)

CT has a lot of the same weakness as an MRI - and this is not done on patients with claustrophobia syndrome, and this examination using X-rays, which can cause the radiation to the pelvis and ovaries

Precaution

Until now there is no special tool to prevent vaginal varicose veins in pregnant women. But if pregnant women diligently picked up the foot by placing it on a pillow when napping or reading a book, a bit much to help blood flow. This method is proven to reduce the burden that must be supported by legs. Avoid the use of shoes, preferably with a maximum of 2 cm to the right of blood flow was obstructed. Then when you sleep, try not to lie in just one position to avoid pressure on blood vessels in one place.
Well mother, may be useful yes

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