Uterus

Uterus's disease overview

What is

What is uterine rupture?

uterine rupture is the condition of the uterus torn from the mucosa through the muscle layer, if the peritoneal is caused by the uterus with the abdominal cavity, the uterus is completely broken, if the layer The peritoneal is intact, the uterus is incomplete. Uterine rupture damage to both bladder or gastrointestinal tract is complicated uterine rupture

Uterine rupture is a serious obstetric complication that threatens both the life of the mother and the fetus, which can occur during pregnancy or during labor.

Causes of Uterus's disease

Causes of uterus is divided into 3 groups of causes: due to mother, pregnancy and by the physician

Causes of uterine rupture from Mother

due to distorted, scars or abnormal pelvis

Uterine deformity, underdeveloped or uterine couple

Uterine scars due to gynecological surgery or obstetric history such as old cesarean section or uterine muscle lesion when peeling artificial or abortion causes

Uterine contractions

Mother's striker tumors such as ovarian cysts, uterine fibroids, sub -frame or vagina separate the fetus from

Mother -in -law many times or malnutrition is the cause of poor uterine muscle quality The reason is due to the fetus

full or partial pregnancy

Pregnancy is deformed, sticky or hydrocephalus

due to abnormal abnormalities of pregnancy (inverted, horizontal), abnormal or bad bowing

The reason is due to the physician

The lower lane interventions in the birth of the cervix pulled up to the lower segment

The tricks are improperly indicated and do not properly technical such as forceps, suction, pregnancy rotation

Doing tips too rough

Use oxytocin (contraction tank) improper

Symptoms of Uterus's disease

Symptoms of the disease depend on pregnancy or during labor

Symptoms v uterine uterine during pregnancy :

Symptoms are often not typical, mainly natural abdominal pain, more pain in the uterus, pain increasingly increasingly Tang spread to the entire abdominal cavity

Vaginal can produce bright red blood

Symptoms uterine rupture at birth

may be a threat of uterine or uterine rupture during labor

The threat of uterine rupture :

Women with pain, prolonged pain and increased intensity causing patients to scream violently

The lower paragraph is prolonged when the navel

In the late stages of the uterus, it can be tied in the bottom section to form a gourd fruit, that ring is called the band

The lower segment is very thin and painful, the fetus can bulge

Two circular ligaments are clear and tight, coordinated with the bandlic ring called the Bandl-Frommel mark. The uterus will break immediately if not treated

Prolonged uterine contractions with strong intensity, distance of short contractions

The fetal heart changes due to lack of oxygen uterine rupture in labor :

Signs of clear uterine rupture, women show stimulation, struggle intense because of pain

The long, thin section with painful seal is the point that is about to break

There are signs of stunnings

Vaginal red blood blood

There is no more image of the gourd fruit or the bandl-frommel mark

Listen to pregnancy

People at risk for Uterus's disease

Women with a history of cesarean section during the next pregnancy is at risk of uterine rupture due to the old incision

Women with pelvic and abnormal uterus

Women with a history of childbirth with abnormal position (reverse, horizontal)

Women have medical diseases during pregnancy

Prevention of Uterus's disease

Managing pregnancy, detecting cases of pregnancy that is at high risk of postpartum bleeding such as birth many times, with wounds in the uterus, asymmetrical pregnancy, etc.

Use uterine tanks as prescribed and dosage

Perform surgery, obstetric procedures as prescribed, eligible and properly technically

Diagnostic measures for Uterus's disease

Diagnosis of uterine rupture in addition to clinical symptoms in the period also need tests for diagnosis

For uterine rupture during pregnancy

It is necessary to make diagnosis by:

Ultrasound: pregnancy is in the abdominal cavity, no fetal heart activity

Blood formula: There are red blood cells, hemoglobin and hematocrit decrease

Broken uterus during labor:

Ultrasound: fetus is located in the abdominal cavity, no fetal heart activity, uterine damage, fluid in the abdomen

Blood formula: Anemia

Uterus's disease treatments

It is necessary to have emergency surgery as soon as signs of uterine breakage, if the clinical is unknown, can be surgery to avoid the case of the peritoneal rupture

Perform analgesic, analgesic, infusion, fresh blood transfusion to compensate for circulating and electrolyte, maximum blood pressure lifting of the patient to 90-100 MMHG has just been operated

Uterine lesions are treated depending on the needs of children, the level of damage at the uterus and the conditions and experience of the surgical facility

Can consider the conservation and uterine cutting:

Conservation of uterus: If the woman still has the need for a baby, a clean damage, a small wound, the uterus time is not too long, it can be cut and trimmed. Sewing

Uterine cutting: When women have enough children, serious wounds, lavish, wide, long break time, the uterus must be cut down

In addition, need:

Wipe off the abdominal cavity, drainage if dirty and suspected infections

When surgery, pay attention to the accompanying lesions such as the intestines and bladder

After surgery, it is necessary to use high -dose antibiotics, coordinate and closely monitor to detect infections

See also:

How long is the uterus? The role of the uterus

ectopic pregnancy: Causes, symptoms, diagnosis and treatment

Uterine open waist: Causes, symptoms, diagnosis and treatment

ectopic pregnancy is broken?

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