Striker

Striker's disease overview

What is

What is the striker?

The striker is the pathology of each other in which the cake is clinging to the abnormal position. During normal pregnancy, each other often attaches to the bottom of the uterus, maybe the front or the back. In the striker, the cake sticks to the lower section of the uterus and the cervix, partly or whole, determined since the 28th week of pregnancy. :

Lowly stick: When the shore of the cake sticks to the bottom of the uterus, not to the cervix in the cervix

sticking to the edge: The shore of the cake stick to the hole in the cervix but not covered the inner hole.

The striker sells the center : The cake sticks to the bottom of the uterus and covers a part of the hole in the cervix.

The central striker : The cake sticks to the uterus and completely covers the hole in the cervix.

What effect is the striker?

The striker clinging to the lower section of the uterus and the cervix should hinder the output of the fetus during labor, thereby increasing the cesarean section. The other complications that the striker cause include: uterine bleeding, premature birth, anemia, which can be fatal to the mother and child.

Any agent that makes each other cling to the lower part of the uterus and does not move upwards during pregnancy is considered The cause of the striker. Many cases of pregnancy The side has striker but does not show clinical symptoms. Treatment of strikers depends on each form, which can be monitored for pregnant women who often vaginal or cesarean section.

The striker meets with the rate of about 1/300 pregnancy. The incidence of strikers has tended to increase over the past 30 years. Some of the reasons to explain this trend are mother age, many times pregnant, smoking.

Causes of Striker's disease

The cause of the striker is still not well understood. Any agent that makes each other stick to the lower part of the uterus and do not move upwards during pregnancy is considered the cause of the striker.

Symptoms of Striker's disease

striker can manifest clinical symptoms during pregnancy, during labor. The difference between symptoms depends on the clinical form and the severity of the disease.Body:

may be stunned if blood loss with signs such as pale blue skin, pale mucosa, cold limbs, fast pulse, fast breathing, blood pressure may be normal or lower. Patients often fall into a state of panic and fear. If blood loss is less, the patient sometimes only feels tired.

Mechanical energy: This is the most common symptom with bright red bleeding, sometimes mixed with blood. Blood flowed naturally and sudden self -holding. Bleeding recurrence many times with increasing blood amounts. Bleeding can be seen in the last 3 months of pregnancy or during labor.

Uterine abdominal pain

entity:

Abnormal pregnancy: common horizontal throne, buttock or high head.

Examination in: Can be touched with the cervix.

Plenus: Cervical flowing from the cervix

Pregnancy: Variable depending on the case.

People at risk for Striker's disease

Risk factors increase the likelihood of striker:

Elderly mother: pregnant women over 35 years old have a striker incidence of 1.1%, double that compared to 0.5% in women under 35 years old. >

Births many times also increases the risk of strikers, especially when combined with the element of older mother.

Tobacco increases the risk of strikers at least twice.

uterine fibroids is also a risk factor for each other.

The uterus has an abnormal shape

Uterine surgical scars due to cesarean section, abortion increases the risk of each other sticking abnormal positions at the bottom of the uterus.

The history of each other striker in the previous pregnancy.

Prevention of Striker's disease

Measures to help reduce the ability to suffer from strikers and prevent its complications:

Limit pregnancy at the age of older, especially when there are enough children.

Following the cesarean section indicators to help limit unnecessary uterine scars.

Do not smoke, avoid breathing in passive cigarette smoke during pregnancy

Come to the medical facility with obstetrics and gynecological specialists when there is any abnormalities during pregnancy such as vaginal bleeding, abdominal pain

rest and avoid working hard

When the striker was diagnosed in the last months, pregnant women need to be hospitalized and closely monitored.

Diagnostic measures for Striker's disease

Diagnosis of strikers mainly rely on imaging means. Clinical symptoms play the role of hints of strikers and subclinical tests to help hit complications and severity of the disease.

Abdominal ultrasound: Patients need to stop urinating to easily observe the placement of each other.

The central striker: The cake completely covers the hole in the cervix. The central striker meets in 20-30% of cases.

The striker sells the center: the cake covers a part of the cervix in the cervix

sticking to the edges: The shore of the cake stick to the hole in the cervix but not covered the inner hole.

Lowly stick: When the shore of the cake cling to the bottom of the uterus, not to the hole in the cervix

Ultrasound also has a diagnostic value in case the striker complications of the combined vegetable complications. The image obtained in this case is the distance between the banhke and the bladder wall narrowed, the blood vessels through the wall of the uterus to the bladder wall on the Doppler ultrasound spectrum.

MRI helps to diagnose each other to teeth, especially clinging to the back but now rarely used.

Each teeth are usually diagnosed after the 28th week of pregnancy.

Striker's disease treatments

Most of the cases are indicated for cesarean section. Each other with central teeth in the pregnancy full month, or each other with labor with labor are bloody, which are indicators of absolute cesarean section because the cervical cervicals, hindering the fetal's output of the fetus . If the cake only covers part of the cervix or clinging to the edge of the cervix, the pregnant woman needs to rest in the bed, not active, and can monitor the sound of the sound. Women need to be psychologically prepared for a cesarean section. The specific treatment depends on the level of clinical symptoms.

Treatment of unfamiliar strikers

Monitoring of the hospital since the detection of strikers to the time of birth, re -examination by appointment or when there is abnormalities such as vaginal bleeding, or The appearance of the uterus.

Non -intercourse, no heavy work.

Restricting vaginal examination

Proactively use adult lungs at 28-34 weeks of fetus.

Use uterine medications.

If you are the central striker, you need to determine the time of active cesarean section

Treatment of striker striker is bleeding with little vaginal bleeding

This is an obstetric emergency - need to do:

Absolute resting at beds

Determine the gestational age. If the fetus is not enough for a monthly trying to have a pregnancy for about 32-34 weeks.

Indications for lung mature drugs at 28-34 weeks.

Use of uterine reduction drugs.

Blood transfusion if blood loss affects the condition, when HB <10g/dl.

Monitoring the vaginal falls when the fetus is full, lowly and the first place. It is necessary to closely and continuously monitor the elements of labor, fetal heart with obstetric monitoring. If the fetal heart shows signs of abnormalities that need emergency cesarean section.

Surgery in other cases such as abnormal fetuses, central strikers. Consider the full or semi -part of the uterus when there is complications of combining teeth or bleeding much, unable to hold by other methods such as uterine stitches or uterine artery.

Treatment of strikers are bleeding vaginal bleeding a lot

This is an obstetric emergency - need to do:

Take intravenously, resuscito, blood transfusion.

Indications for emergency cesarean section. The resuscitation process must be conducted in parallel.

Postpartum must monitor the total status of the mother, blood pressure, heart rate, urine in an hour.

Transfer to the newborn resuscitation unit.

In short, striker is an abnormal of each other, there is an increasing rate. Women with striker should be closely monitored, admitted to the hospital in the last months of pregnancy to be assessed comprehensively and decide the method and time of termination of appropriate pregnancy. . The medical facility welcomes pregnant women with striker must have a surgical center to promptly have emergency cesarean section, ensure safety for both mother and baby.

See also:

The spectacular "shift" of the 38 -year -old pregnant mother suffered from complicated strikers

dangerous complications of pre -eclampsia

Ultrasound pregnancy: The difference between 2D, 3D and 4D ultrasound

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