{"id":373,"date":"2020-07-31T20:26:17","date_gmt":"2020-07-31T20:26:17","guid":{"rendered":"https:\/\/alexdornelles.com.br\/blog\/?p=373"},"modified":"2020-07-31T20:42:32","modified_gmt":"2020-07-31T20:42:32","slug":"dor-no-fundo-da-barriga-atencao-podem-ser-varizes-pelvicas","status":"publish","type":"post","link":"https:\/\/alexdornelles.com.br\/blog\/dor-no-fundo-da-barriga-atencao-podem-ser-varizes-pelvicas\/","title":{"rendered":"Dor no fundo da barriga? Aten\u00e7\u00e3o! Podem ser Varizes P\u00e9lvicas."},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure><\/div>\n\n\n\n

Varizes p\u00e9lvicas s\u00e3o veias dilatadas que surgem principalmente ao redor do \u00fatero, trompas e ov\u00e1rios, na mulher. As varizes p\u00e9lvicas dificultam o retorno do fluxo do sangue para o cora\u00e7\u00e3o e causam dores cr\u00f4nicas abdominais. Essas veias cont\u00e9m v\u00e1lvulas que s\u00e3o de extrema import\u00e2ncia para a drenagem venosa da pelve, por\u00e9m quando elas se tornam insuficientes resultam na forma\u00e7\u00e3o de veias dilatadas e dolorosas, as varizes p\u00e9lvicas. A dilata\u00e7\u00e3o das veias na pelve ocorre pelo mesmo motivo que a dilata\u00e7\u00e3o das veias nas pernas (varizes); a falha de suas v\u00e1lvulas e o aumento da press\u00e3o venosa.<\/span><\/p>\n\n\n\n

Quais s\u00e3o os sintomas?<\/strong><\/span><\/h3>\n\n\n\n

A presen\u00e7a de varizes p\u00e9lvicas em mulheres em idade reprodutiva, principalmente ap\u00f3s os 30 anos, \u00e9 uma das principais causas de dor p\u00e9lvica cr\u00f4nica (DPC), podendo se manifestar como c\u00f3licas menstruais fortes, sangramento menstrual aumentando a sensa\u00e7\u00e3o de peso no baixo ventre na fase pr\u00e9-menstrual, desconforto durante e\/ou ap\u00f3s rela\u00e7\u00f5es sexuais, sintomas urin\u00e1rios (urg\u00eancia miccional). Esses sintomas podem levar \u00e0 ang\u00fastia, baixa autoestima e depress\u00e3o.<\/span><\/p>\n\n\n\n

Quais s\u00e3o as causas?<\/span><\/h3>\n\n\n\n

N\u00e3o h\u00e1 estudos cl\u00ednicos que comprovem causas espec\u00edficas para o desenvolvimento da patologia. Mas alguns quadros fisiol\u00f3gicos podem favorecer o desenvolvimento da s\u00edndrome. <\/span>
Os principais fatores de risco para o surgimento de varizes p\u00e9lvicas s\u00e3o:<\/span>
\u2022<\/span> Hereditariedade (tend\u00eancia gen\u00e9tica);<\/span>
\u2022<\/span> Gravidez (aumento da press\u00e3o nos vasos p\u00e9lvicos);<\/span>
\u2022<\/span> Epis\u00f3dios de trombose venosa proximal pr\u00e9vio.<\/span><\/p>\n\n\n\n

“Geralmente, o principal motivo \u00e9 gen\u00e9tico, devido ao enfraquecimento das paredes e das v\u00e1lvulas das veias p\u00e9lvicas. Isso dificulta a drenagem venosa da regi\u00e3o p\u00e9lvica, aumenta a press\u00e3o e causa a dilata\u00e7\u00e3o das veias.”<\/em><\/p><\/blockquote>\n\n\n\n

Como \u00e9 feito o diagn\u00f3stico?<\/span><\/h3>\n\n\n\n

O diagn\u00f3stico inicial pode ser feito pelo ginecologista, que inicia a investiga\u00e7\u00e3o preferencialmente com exame de Ultrassonografia transvaginal, exame de mais f\u00e1cil acesso e que permite o estudo din\u00e2mico do fluxo venoso, com a visualiza\u00e7\u00e3o de refluxos e estase venosa. <\/span>
A avalia\u00e7\u00e3o pode ser feita, tamb\u00e9m, atrav\u00e9s de angiotomografia computadorizada (TC) ou angiorresson\u00e2ncia nuclear magn\u00e9tica (RNM).<\/span><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Para o tratamento desta s\u00edndrome, a emboliza\u00e7\u00e3o de veias gonadais atrav\u00e9s de procedimento endovascular minimamente invasivo tem ganhado notoriedade.<\/span><\/p>\n

O tratamento inicial das varizes p\u00e9lvicas consiste na terapia medicamentosa oral o que normalmente melhora os sintomas, mas nem sempre s\u00e3o efetivos a longo prazo.<\/span><\/p>\n

    \n
  • A emboliza\u00e7\u00e3o consiste na coloca\u00e7\u00e3o de pequenas molas dentro das veias p\u00e9lvicas que se encontram dilatadas, para bloquear o fornecimento de sangue para as veias e diminuir, dessa forma, os sintomas. A interven\u00e7\u00e3o dura cerca de 1 a 3 horas, e geralmente n\u00e3o \u00e9 necess\u00e1rio internamento hospitalar. Al\u00e9m disso, pode ser usada escleroterapia com espuma ou outros embolizantes para ajudar na oclus\u00e3o das veias afetadas.<\/span><\/li>\n
  • No dia posterior ao procedimento o paciente retorna as atividades cotidianas, tomando analg\u00e9sico se necess\u00e1rio.<\/span><\/li>\n<\/ul>\n\n\n\n
    \"\"<\/figure>\n","protected":false},"excerpt":{"rendered":"

    Varizes p\u00e9lvicas s\u00e3o veias dilatadas que surgem principalmente ao redor do \u00fatero, trompas e ov\u00e1rios, na mulher. As varizes p\u00e9lvicas dificultam o retorno do fluxo do sangue para o cora\u00e7\u00e3o e causam dores cr\u00f4nicas abdominais. Essas veias cont\u00e9m v\u00e1lvulas que s\u00e3o de extrema import\u00e2ncia para a drenagem venosa da pelve, por\u00e9m quando elas se tornam […]<\/p>\n","protected":false},"author":2,"featured_media":426,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-373","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"yoast_head":"\nDor no fundo da barriga? Aten\u00e7\u00e3o! 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