THE RESULTS OF A COMPREHENSIVE TREATMENT OF PREGNANT WOMEN WITH CHRONIC VENOUS INSUFFICIENCY.
DOI:
https://doi.org/10.11603/24116-4944.2014.2.5856Keywords:
pregnancy, chronic venous insufficiency, duplex scanning, the system of hemostasis.Abstract
Varicose veins (VV) of pregnant women is an urgent problem of modern obstetrics . VVof the lower limbs is often called «the disease with a woman's face." The basis for this determination is the frequency of disease. Among adults CVI is diagnosed in 30-50 %, the male to female ratio is 1:4. Among pregnant women and women in labour the VV is found in 30-56,6 % of women with a frequency of thrombotic complications of 0.99 % -10 %. The fact, that pregnant women are at the highest risk of CVI can be explained by the simultaneous action of several factors, each of which, even by itself, can cause negative impact on the venous system [1,2,3]. Varicose veins (VV) is the most common diseases of the venous system. According to the literature , it occurs in 20 - 40 %of pregnant women and in this regard it takes quite a significant part of extragenital pathology during pregnancy. Formation of the disease is determined by the impact of favorable triggers . Not the least role in increasing the risk of varicose veins among women of reproductive age plays the obesity, which is a proven factor. The main triggering factor of varicose veins among women is the pregnancy. The increasing of the term of pregnancy leads to hemodynamic changes which result in increased blood volume (CBV), increased blood flow in the vessels of the lower limbs and this is the pathogenetic mechanisms of the development of varicose veins. The leading role in the pathogenesis of complications of varicose veins belongs primarily to pathology of hemostasis.
References
Akusherstvo: natsyonalʹnoe rukovodstvo / pod.red. É.K. Aylamazyana, V.Y.Kulakova, V.E. Radzynskoho, H.M. Save- lʹevoy. — M.: HÉOTAR-Medya, 2007. -1200 s.
Kyryenko A.Y. Sovremennye pryntsypy lechenyya khronycheskoy venoznoy nedostatochnosty / A.Y. Kyryenko, R.A. Hryhoryan, Y.A. Zolotukhyn // Kachestvo zhyzny. Medytsyna. - 2007. -№ 3. -S.46-51. Byblyohr.: 9 nazv.
Kyyashko V.A. Khronycheskaya venoznaya nedostatochnostʹ — dyahnostyka y pryntsypy konservatyvnoho lechenyya /V.A.Kyyashko // Russkyy medytsynskyy zhurnal. —2006. — tom 14. — № 12. — S. 875-878.
Laryonov M.V. Patohenez razvytyya khronycheskoy venoznoy nedostatochnosty y osnovnye napravlenyya lechebnoy taktyky / M.V.Laryonov, S.A. Obydennov, R.KH. Khafyzʹyanova // Kazanskyy med. zh. — 2004. — tom 85. — № 6.-S.433-436.
Serov V.N. Sovremennye pryntsypy dyahnostyky y lechenyya khronycheskoy venoznoy nedostatochnosty u beremennykh / V. N.Serov, E. V. Zharov. -M.: FHU Nauchnyy tsentr akusherstva, hynekolohyy y perynatolohyy Rosmedtekhnolohyy. -2007. -24 s.
Sturov N. Khronycheskaya venoznaya nedostatochnostʹnyzhnykh konechnostey: épydemyolohyya, patohenez, klynykay pryntsypy terapyy / N.Sturov // Vrach. -2008. -№4. -S.22-24.
Karalkyn A.V. Patohenez y dyahnostyka venoznoy nedostatochnosty. Sovremennyy vz•hlyad na problemu (lektsyya)/ A.V.Karalkyn, A.V.Alʹbytskyy, A.N Kuznetsov. //Terapevtycheskyy arkhyv. — 2004. — № 10. — S.63-68.
MethlieC.B., Bs^oY J. Horse chestnut-remedy for chronic venous insufficiency. Tidsskr Nor Laegeforen, 2009 Feb 26; 129(5): 420-2.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
