Uvka Kjuvelera: therapeutic tactics, risk factors, prevention

Women, unfortunately, often suffer from diseases of the reproductive system. And some ailments arise in the usual state, while others can appear only during pregnancy. In this article, we will discuss a pathology called "Cuveler's uterus". You will learn about the tactics used to treat it, and find out the risk factors. It is necessary to say about what causes the appearance of Keweler's uterus and add information about the method of prevention.

What is this pathology?

Ute Cuvellera is a pathology that occurs exclusively during pregnancy. More often the disease affects future mothers in the last weeks or during childbirth. The pathology "uterus of the cuveler" received its name because of the scientist who first diagnosed this disease. His name is Kuveler.

From doctors and expectant mothers, this term can be heard quite rarely. More often than not, the uterus of Kuveler has the common name "premature detachment of the placenta".

Methods of pathology diagnosis

There are several ways to determine pathology. Ute Kjuvelera is an ailment that is diagnosed with indirect and obvious symptoms. Let's consider them in detail.

Clinical picture

When the disease develops, the woman has pronounced symptoms. The future mother experiences severe unbearable pains that are localized in the lower abdomen and spread to the lower back. With a manual examination, the uterus is very painful.

If the pathology develops during labor, the pregnant woman complains of the sensation of one endless struggle. The gaps in which the woman in childbirth should rest are filled with pain in the lower abdomen.

In addition to pain, a woman can decrease blood pressure, show off perspiration and there is nausea with indomitable vomiting. There are also abundant spotting from the genital tract, but they may not be.

Fetal condition

If there is a suspicion of such a pathology as Cuveler's uterus, midwifery recommends conducting an investigation of CTG. During the diagnosis, gynecologists and obstetricians note strong changes in the heart rhythm of the baby. This is due to the fact that the detached placenta ceases to supply the embryo with oxygen and nutrients. There comes an oxygen starvation, which doctors call hypoxia.

It is worth noting that this condition is quite dangerous, since during the restriction of oxygen supply the brain of the fetus can be severely damaged. In some situations, death of the embryo is possible.

Purely subjective, a woman can note that a future baby in the womb behaves unusually. The fetus begins to show great anxiety and hanged motor activity. In some cases, the opposite reaction occurs: the crumbs subsides and practically ceases to move.

Ultrasound diagnostics

The uterus of Kuveler is ultimately determined by ultrasound. During the diagnosis, the specialist notes the thickening of one of the walls of the uterus. Also between the placenta and the genital organ there is an anechoic formation, which has a rather impressive volume.

On ultrasound (in the study with a doppler), a violation of blood flow between the fetus and the placenta is detected, as well as damaged vessels.

Ute Cuveler: therapeutic tactics

Women who have developed such a pathology, it is necessary to provide emergency medical care. Otherwise, everything can end rather badly. Some pregnant women lose babies in this complication, while others may remain disabled for life. With prolonged inactivity, a fatal outcome is possible.

Therapeutic tactics with detachment of the placenta are always operative. The woman is given an emergency cesarean section. It is worth noting that this method is chosen even when the baby is already dead.

After extracting the fetus from the genital organ, the doctor notes the complexity of the pathology. In some cases, it is possible to stop bleeding and keep the uterus. In more difficult situations, it is necessary to remove the organ completely (along with the cervix). The cervical canal in the operation is removed in order to avoid the formation of thrombi afterwards. Very rarely, it may be necessary to extract the appendages from the pelvis of a woman under a pathology called "Cuveler's uterus".

The prognosis after surgery depends entirely on the complexity of the pathology. If a woman has a reproductive organ, then in-patient treatment is performed. Appointed drugs that stop the blood. In case of extirpation of the uterus, remedies are prescribed. In this case, the woman receives blood thinning medications that prevent thrombosis.

With the complete removal of the uterus and appendages, a woman needs long-term therapy, which is subsequently replaced by a lifelong intake of hormonal drugs.

Uvka Kjuvelera: risk factors

Is it possible to know who is more prone to this pathology? Of course, yes. There is a group of certain risk factors. If you find at least one of them, you should be more attentive to your own condition, and also inform the doctor who is leading the pregnancy. So, what are the risk factors for the development of a pathology called "Cuveler's uterus"?

• Diseases of the uterus. If a woman in the past had severe inflammatory diseases of the pelvic organs, then there may be problems with the attachment of the placenta. Also, some diseases can cause premature detachment of the child's place. These include endometritis, endometriosis, adenomyosis and others.
• Features of pregnancy. In case of multiple pregnancy, the uterus of the Kuveler appears more often than in the usual case. Also, frequent births in the past (more than five) can cause abnormalities of placenta attachment.
• Harmful habits of the future mother. If a pregnant woman smokes, consumes alcohol or narcotic drugs, then the placenta quickly grows old. Having reached a certain point of development, it simply begins to exfoliate.
• Gestosis, or late toxicosis. If the future mother has health problems (kidney pathology, the appearance of edema, increased blood pressure, and others), that is, the risk of the occurrence of the uterus of Kuveler.
• Anomalies of placenta attachment. If during pregnancy a pathology such as the presentation of a child's place is found, then there is a big risk of development of detachment. Also, the placenta, located in the front, often has anomalies of development, rather than a child's place located on the back wall.

Preventive measures

At registration and during all pregnancy the woman passes numerous inspections. These include the analysis of blood, urine, diagnosis of the genitourinary system, examination of the therapist and cardiologist. If any risk factor is found, prophylaxis should be performed in the last trimester of pregnancy and during the labor period. There are several ways to prevent the development of a pathological process. Let's consider them in detail.

Restriction of physical activity

Future mothers who have problems with the cardiovascular system, as well as those who have placenta previa, should fully limit physical activity. Otherwise, with a sharp effort, vascular damage may occur and a hematoma between the uterus and the placenta may appear.

If bleeding occurs during pregnancy, which is caused by a presentation or a low location of the placenta, then you should pay special attention to yourself. Perhaps the doctor will recommend bed rest. Listen to the advice of a specialist.

Admission of certain drugs

If you have health problems, then it is worth the effort to eliminate them. For example, with the disease of the genitourinary system should take diuretic and anti-inflammatory drugs. Also during the increase in blood pressure, it is necessary to drink tablets that regulate the flow of the bloodstream.

If you are confronted with swelling, then consult a doctor. The doctor will prescribe the appropriate funds for you. Remember that you can not carry out treatment yourself. Acceptance of any medication must be coordinated with a gynecologist. Otherwise, you can hurt the future baby more than help.

In the late stages of pregnancy, the doctor will prescribe you special means that improve blood circulation between the fetus, placenta and mother. Most often, such treatment is carried out in a hospital. Do not refuse such a correction. She will always be useful to the future baby.

Observing sexual rest

With the possible detachment of the placenta and the appearance of the uterus, it is recommended to completely limit sexual intercourse in the second and third trimester of pregnancy.

During sexual intercourse, there is an increased contraction of the uterus, which can become a stimulus to the separation of the placenta from the wall of the genital organ.

Monitoring the fetus

In late pregnancy (before and during childbirth) it is necessary to monitor the behavior of the baby's future. At short intervals, it is necessary to examine the future mother with the help of CTG. If there is a suspicion of deterioration of the fetus, it is necessary to carry out the diagnosis with ultrasound.

A few weeks before the planned delivery, you need to have an ultrasound. During the examination, much attention should be paid to the condition of the placenta. The specialist determines the degree of maturity of this body and makes an appropriate conclusion.

Timely treatment of diseases

The main prevention of the cervix is timely treatment of emerging pathologies. So, with inflammation of the uterus or the appearance of hormonal diseases, it is necessary to start the appropriate correction in time.

Also, if you have any complaints during pregnancy, you should carefully examine the future mother and, if necessary, prescribe a treatment.

Conclusion

So, now you know what the cuvette is. Photo ultrasound pathology is presented in this article. When it occurs, surgical intervention should be performed as early as possible. Only in this case there is a probability of a positive outcome.

Closely monitor your health during pregnancy. If symptoms of a pathology appear, consult a doctor or call an ambulance. Health to you and your baby!