Each other is an obstetric emergency, acting very quickly, causing death of mother and child. This is a state of bubbles that are partly or completely before the fetus is born. The placenta once peeled off the uterus wall means that the blood nourishing the fetus is also cut off, this time it is necessary to take the fetus out immediately. Common peeling symptoms include: sudden abdominal pain, severe, stiff abdomen like wood, thin vaginal bleeding, dark color, mother may be stunned, abnormal fetal heart. Any agent breaking the blood vessels of vegetable cakes clinging to the uterus is The cause of the premature peeling . Complications of premature peeling include: dizziness due to blood loss, bleeding due to hypoglycemia, acute kidney failure, premature birth, mother and child death.
The incidence of premature diseases during pregnancy is about 0.6-1%. Non-peeling is the cause of 10-15% of the death of the baby in the last 3 months of pregnancy. The young football is divided into light to heavy levels, depending on the severity of clinical manifestations in both mother and child.
Causes of Young people's disease
Causes of young each other is not known exactly. Any reason that broke the blood vessels of the banh chun sticking to the wall of the uterus could lead to each other. When the blood vessels are broken, the bleeding forms the thrombosis between the cake and the uterus into the uterus, causing peeling the cake, creating many lesions caused by anemia in the uterus. The hematoma grows, the cake is also separated from the uterus. Hematoma can weigh from 500-1500 grams. In severe cases, lesions can spread to other organs such as fallopian tubes, ovaries, kidneys, liver, pancreas, ...
Pathology, external injuries, abnormalities of each other, exposure to toxic chemicals during pregnancy, rapid rupture of amniotic fluid can be The cause of each other. >. In some cases, we cause each other such as:
Abdominal injury: usually due to motorbike accident, or falling, living accidents, labor accidents, or being beaten directly to the abdomen.
A few invasive procedures in gynecological obstetrics and gynecology causing bleeding together, forming hematoma after each other causing each other to peel off early before labor.
Symptoms of Young people's disease
Symptoms of young each other include:
Systemic symptoms:
Stun: pale skin, pale mucosa, cold limbs, fast pulse at an early stage, blood pressure may be normal or slightly reduced. Patients often fall into a state of panic. Stunning occurs due to a lot of blood loss.
Functional symptoms:
Abdominal pain: often painful, sudden. Initially, the patient only ached in the uterus after spreading throughout the abdomen, making the abdomen hard as wood. Abdominal pain caused by uterine contractions.
vaginal bleeding: usually thin blood without blood clots, dark. The amount of bleeding does not correspond to the actual loss of blood.
Physical symptoms:
The uterus is constantly spastic, the bottom of the uterus gradually increases. Touch the uterus as hard as wood. Basic tone of uterus increased.
Signs of pre -eclampsia such as edema, hypertension, proteinuria encountered in more than 60% of cases bubble.
abnormal fetal heart, vary depending on the severity of the disease.
Vaginal examination: The cervix is thinly relaxed, the lower section of the uterus is bulging, and the amniotic fluid shows pink amniotic fluid.
Based on clinical manifestations, bubbles are divided into many levels:
Each other's hidden hidden: Clinically
usually has no symptoms. Often only after birth is found to see blood clots after each other. Rarely detected before birth by ultrasound.
Lightweight peeling :
Mechanical function: low abdominal pain, vaginal bleeding with low amounts
entity: Basic uterine tone increases slightly, normal fetal heart Each other average: Really shocked.
Mechanical function: more abdominal pain, vaginal bleeding fits the characteristics: thin blood, no blood clots, dark.
The entity: The uterine muscle tone increases a lot, the appearance of strong uterine contractions, the fetal heart manifests a condition of fetal failure, the appearance of hemostatic disorders. Severe bubbles Heavy: also known as the uterus of the uterus.
Body: Stunned by severe blood loss
Mechanical energy: continuous abdominal pain with strong intensity, vaginal bleeding. The amount of blood flowing through the vagina does not reflect the true loss of blood of the woman.
Entity: Touching hard as wood, manifestation of pre -eclampsia, fetal heart loss. Heavy hemostatic disorders, there may be bleeding in organs in the body such as the lungs, stomach, intestines, kidneys, ovaries, maybe even the location of the transmission or injection. >
The appearance of all clinical symptoms helps to distinguish with other emergency diseases in obstetrics such as acute amniotic fluid, uterine rupture, striker vegetables. >
People at risk for Young people's disease
Know the risk factors of premature help minimize the incidence of the disease. Risk factors include:
There is a history of Each Other at the previous pregnancy
Pre -eclampsia, hypertension of pregnancy
Excessive stretching of the uterus when changing the uterus volume as in the early rupture, premature rupture, or after the first pregnancy in twins. P>
Damage of vegetable vessels in vegetable areas in cases such as strikers, high blood pressure, diabetes.
Chan the abdomen of the woman.
Lack of folic acid, common in women with low living standards.
Smoking, using addictive substances such as cocaine, making each other more and more heavy.
Pathology related to hemostasis disorders
Women over 40 years of age are at higher risk of higher .
Prevention of Young people's disease
Medical staff and patients need preventive ways to reduce the incidence of disease peeling off as well as mitigate its complications:
Reproductive health education communication for all women of reproductive age, especially those who want to get pregnant.
Organize good pregnancy examination and management at grassroots medical routes.
Transfer to specialized routes when detecting high risks of pregnancy or favorable factors that lead to premature each other.
Early and accurate diagnosis of the disease with the severity of the disease to have a proper and timely treatment attitude.
Good treatment for systemic diseases before pregnancy such as diabetes, hypertension
Diagnostic measures for Young people's disease
Diagnosis of premature peeling is based on prehistoric exploitation, history and clinical examination.
Subclinical tests are appointed for assessment of the severity of the disease, including:
Blood formula: red blood cells, platelets, hematocrit decreased
Hemostatic function: Fibrinogen decreases or without.
Young people's disease treatments
Treatment of young each other depends on the severity of the disease.
hidden together hidden: usually only detected after birth should not be treated.
mildly fitting : indicated treatment with painkillers, reducing goes. Women can be clicked, promoting vaginal relics. If any obstacles need to be indicated for emergency cesarean section. During surgery, the doctor will assess the total status and make a decision to preserve or remove the patient's uterus.
Each other Average: Patients need to be placed intravenously to resuscitize stun and use pain relievers. In the average form, when there is a hemostasis disorder, the patient will be treated against coagulation disorders with anti -fibrous drugs such as Transamine, Fibrinogen. The decision to have cesarean section or give birth often depends on clinical progress. Similar to mild, during surgery, it is necessary to make a decision to preserve or remove the uterus of the woman.
Severe bubbles: Oxygen, intravenously and use recovery drugs as soon as the patient entered. Pain relievers and go to golf are prescribed. Treatment of coagulation disorders with transamine, fibrinogen. Indications for emergency cesarean section, not monitoring vaginal intersection. Often need to cut the uterus for serious damage. Patient recovery is conducted in parallel with surgery.
Postpartum treatment includes:
Continue to shock the mother and recovery if the child is still alive
Monitor complications of bleeding after birth
Monitoring of postpartum infections
Monitoring of liver and kidney function after giving birth
See also:
5 minutes "suffocating" cesarean section for pregnant women suspected of being peeled by each other
Emergency abutments - Save the life of both mother and child being peeled by each other
Acute pregnancy - Mothers need to understand immediately to avoid affecting the fetal brain
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