Bumpy drift

Pregnancy ... Most often the woman lookswaits for her, dreams about the baby and how her life will change. And then, finally, the long-awaited two strips on the test. Joy, rapture, the first unrest. To the great regret, sometimes the unrest is not vain. Frozen pregnancy, spontaneous miscarriage, bladder skidding. And if about the first two complications of the normal course of pregnancy all women are more or less aware, then only a few have heard of a bubble drift. It is about what the symptoms, the causes of the onset and the consequences have, and the speech will be discussed below. What happens during a bubble drift? Physicians characterize this process in the following way: during a bubble drift, trophoblast proliferation occurs. However, without medical education, it is difficult for a woman to understand what it means. Trophoblast is the outer layer of embryonic cells. It is necessary for the embryo to successfully transplant in the uterus, and in the subsequent formed a full placenta. And if the trophoblast begins to expand pathologically, filling the uterine cavity, doctors talk about a bubble drift. Physicians distinguish three types of vesical drift:

Full bladder drift. It also has the name of a simple bubble skid. With a full bladder drift, pathological changes occur on the entire chorion.

Partial bladder skidding. With partial bladder drift, these changes capture only part of the chorion.

Destructive bladder skidding is the most severe form of skidding, since it is malignant.

The peculiarity of simple bladder skidding isin that it occurs in the first trimester of pregnancy, that is, in the first three months. At this time, the chorion, located on the entire surface of the fetal egg, has villi. But partial skidding develops only after the first trimester. In this case, often the pregnancy continues to develop and even ends with the birth of a live child. Childbirth may be premature, and may occur on time. Sometimes there are cases of bladder skipping with multiple pregnancies, taking both of the placentas, and only one of them. The symptoms of a bubble drift are typical and, as a rule, the diagnosis is not difficult. Listed below are the main clinical manifestations of bladder skidding:

When gynecological examination, the sizethe uterus, different from normal for a given period of pregnancy. And the change is always in the big direction - in three months of pregnancy the size of the uterus corresponds to five months. The uterus has a tauto-elastic consistency.
The doctor can not detect such reliable signs of pregnancy as the heart tones of the fetus, his movements are also not observed.
As a rule, a woman seeks a doctor aboututerine bleeding. Bleeding at a bubble drift is a constant symptom. It begins in the first months and continues with varying intensity until birth or surgical removal of a bladder drift. Blood during bleeding due to a bubble drift has a dark color and a liquid consistency, with the blood sporadic isolated bubbles of drift, but bleeding is never abundant.
Bubble drifts are almost always accompanied bycomplications of pregnancy, such as toxicosis and gestosis - nephropathy, edema, nausea and vomiting. Because of the constant bleeding, a woman develops iron deficiency anemia.

However, in no case should you try to putdiagnosis alone, only on the basis of a combination of symptoms, since most of them are also observed with spontaneous miscarriage, and with the threat of abortion. Only a doctor, on the basis of intravaginal and ultrasound examination, can diagnose. Those women who have been diagnosed with a bladder arthritis are often very concerned about the causes of the onset - in fact, knowing what triggered the complication. However, physicians have not yet come to a consensus on the nature of the occurrence of a bubble drift. To date, there are three main theories of the development of bubble drift:

Infectious nature of the onset. Pathological changes in villus chorion occurs as a result of exposure to the female body of viruses, most often toxoplasm.
Hormonal nature of appearance. In this case, the modification of villus chorion occurs due to the insufficient amount of estrogens in the female body.
Genetic nature of occurrence. The bladder skeleton develops as a result of chromosomal abnormalities leading to the pathological development of the fetal egg.

As the long-term observations of doctorsgynecologists, the most common is the gall bladder in women who have previously given birth or who have had a pregnancy before. However, sometimes it occurs in early ripe adolescents. Further on the frequency of the occurrence of bladder drift followed by women of pre-menopausal age, especially those who already have two or more children. It is for women aged 40 - 45 years account for 45% of all cases of blistering drifts. In some cases, the same woman can repeatedly face a bubble drift, resulting in infertility. In addition, the gall bladder may also occur with an ectopic pregnancy - it develops in the tube. Chorionic epithelioma of the uterus or bladder skidding is diagnosed only after a blood test for hormones has been performed. This need is due to the fact that the bladder drift must be differentiated from the uterine myoma. With uterine myoma on a background of pregnancy, the titer of chronic gonadotropin is significantly lowered not only in comparison with bladder drift, but even in comparison with usual pregnancy. But if a woman has a bladder, hgch in the urine will be much higher than normal. In normal pregnancy, the highest concentration of hCG hormone is observed in the interval from 7 to 12 weeks of pregnancy and is about 20000L. E for 1 liter of urine. In the same case, if a woman develops a bubble drift, this figure increases to 25 - 30,000 L.E. Very rarely, but there are cases in which the necrosis of the tissue of the bladder drift occurs, which remains in the uterine cavity. In this case, the analysis for the content of the hormone can be negative. In particularly difficult cases, doctors use a much more complex immunological method to determine the level of chronic gonadotropin. Another method of diagnosis is the enzymatic method of diagnosis. Its essence is as follows: biochemical way to determine the level of oxytocinase. In the event that a woman has a gall bladder, the activity of oxytocinase is much lower. Depending on the results of the study, further treatment tactics will depend on the size of the uterus.

Bubble skid - treatment and consequences

In the event that the patient is diagnosed withbladder skidding, treatment is simply necessary. If you suspect a bladder drift, the uzi will help determine the size of the uterus. In the event that the size of the uterus does not exceed the size corresponding to the size of the uterus at 12 weeks, the removal of the bladder drift is made by a blunt curette, after the pre-expansion of the cervical canal. That is, in simple terms, there is a mechanical cleaning of the uterine cavity. After cleaning the uterus, women are usually prescribed pharmacological drugs that stimulate uterine contractions, such as oxytocin or pituitrin. In some cases, at the discretion of the doctor, they wait for the spontaneous birth of a bladder drift. When bleeding is used tight tamponade (the introduction of tampons into the vaginal cavity) and injections of drugs that increase the motor function of the uterus for the speedy expulsion of bubble drift. In the event that such a method does not bring the expected result, a curette is scraped. In the same case, if a woman experiences severe bleeding, an immediate expansion of the cervix is performed and a bladder drift is performed either by the finger method or by the same surgical curettage. If the size of the uterus is large, and the bleeding is massive, in order to avoid negative consequences, the doctor may decide to conduct a so-called small cesarean section. In some cases, after partial removal of the bladder drift, the expulsion of the residues occurs by gently pressing the uterine body. In the same case, if after a while (as a rule, after one or two weeks) bleeding resumes, there is a need for repeated scraping of the uterine cavity. Often, the bladder drift is accompanied by a significant increase in temperature - this indicates the need for immediate surgical intervention in the female body. The bubble drift consequences are very different, but not always. The most dangerous complication of bladder skidding is the development of chorionepithelioma - a malignant tumor. It develops comparatively rarely - in only 4% of cases. The main insidiousness of this complication is the fact that in women who have undergone a bladder drift, its development can begin after a very long latent period - up to 20 years. At present, with the timely application of qualified medical assistance, there is practically no threat of death due to uterine bleeding. Much more frequent complications are of an infectious nature, septic diseases and various thromboses. Approximately 30% of women who have had a bladder drift develop infertility. Amenorrhea develops in approximately 12% of cases in women who have experienced bladder arthritis. The recurrence of bladder drift into the basics increases the chances of developing the above complications. Previously, all women after a bubble drift, without exception, underwent chemotherapy. Now, in the light of the latest scientific evidence, methotrexate is prescribed only to those women who are at risk of developing chorionepithelioma. This group includes those women who do not progressively reduce the titers of the chorionic gonadotropin after the blistering has been removed. In the event that this did not happen within a month, chemotherapy is simply necessary. Gynecology, bladder skidding is characterized as a serious enough disease, requiring close attention to the state of health of women. It is necessary to find out the causes of the disease, to undergo a course of treatment. If a woman already had a bladder drift, a relapse of the bladder drift occurs in about 20% of cases. And if the woman will follow all the recommendations of her doctor, pregnancy after a bubble drift is possible. In addition, in any case, a woman should also be for some time on the account of a gynecologist - an oncologist. Somewhere for a year and a half, a woman should undergo a monthly checkup on the level of HCG. During this period, a woman should be protected from pregnancy, preferably hormonal drugs. They not only reliably protect a woman from unwanted pregnancy, but also help to regulate the full function of the ovaries. Approximately two years later, a woman, as a rule, receives consent from the doctor for a new pregnancy. However, this pregnancy should take place under especially strong control, since pregnancy in women who have experienced a bubble drift is sometimes more difficult, and delivery may be complicated by mild labor and bleeding. However, do not worry in advance and adjust yourself to the worst outcome. The level of modern medicine is so high that it allows you to feel the joy of motherhood of 70% of women. And if you are faced with such a disaster as a bubble drift, this does not mean that the stork has forgotten your address forever. He just lingered a little on the road. We advise you to read: