This precious mother didn't find NT abnormality, but when she was doing NT, she saw intrauterine effusion. She is worried about whether the child will recover or miscarry. So what is this effusion? This is hematocele in the uterine cavity, which is usually caused by bleeding of blood vessels under decidua. This kind of blood is not caused by baby bleeding, so Ma Bao need not worry. Most of this hematocele will gradually fade away. Technically, this regression process is organized absorption. A few will always exist, and some will even increase gradually.
To sum up, this kind of hydrops is hematocele, not from the fetus, but from the rupture of blood vessels of fetal membrane hair cells. If it does not flow out, it will lead to hematocele (effusion) in the uterine cavity. Under normal circumstances, it will be absorbed by itself. Good luck with your pregnancy.
A friend is in the same situation as you. Intrauterine effusion was found in NT examination of pregnancy/0/2 weeks +2 days. In fact, many people may misunderstand uterine cavity effusion, and think that uterine cavity effusion is the clinical manifestation of habitual abortion and threatened abortion. In fact, uterine cavity effusion can be divided into physiological and pathological, and physiological uterine cavity effusion may be absorbed and excreted by itself and disappear by itself; If accompanied by vaginal bleeding, abdominal pain and other symptoms, it may be a symptom of abortion, and abortion treatment must be carried out. At present, physiological uterine cavity effusion is mostly.
There are many reasons for the formation of uterine cavity effusion, and both Chinese and western medicine have different views:
Western medicine point of view:
The levels of progesterone and estrogen in pregnant women in the first trimester of pregnancy are obviously increased, and cervical mucus will thicken under the action of progesterone, forming a mucus plug to block the internal cervix. At this time, through NT examination, a small amount of intrauterine effusion will be found, which will generally be absorbed or discharged by itself.
In addition, the increase of progesterone and estrogen will dilate the ovarian artery and uterus, which will lead to the decrease of blood resistance, the increase of vascular permeability and blood flow, and may also lead to intrauterine hydrops.
Traditional Chinese medicine viewpoint:
Traditional Chinese medicine believes that the main cause of uterine cavity effusion is kidney deficiency as the foundation and blood stasis as the standard.
If it is physiological uterine cavity effusion, the doctor will recommend reexamination, and generally will not give medicine, because physiological uterine cavity effusion will be absorbed or excreted by itself, and will disappear after a period of time, so it needs to be reexamined according to the doctor's advice.
Pathological hydrops in uterine cavity will continue to increase, usually accompanied by abdominal pain, vaginal bleeding and other symptoms, which will cause uterine contraction and abortion. According to statistics, the abortion rate is as high as 18.9%. In view of this situation, it is necessary to carry out drug treatment in time to promote the discharge or absorption of intrauterine hydrops as soon as possible and improve the local environment of uterine cavity, which is beneficial to the growth and development of fetus.
There are also some pregnant women with pathological uterine cavity effusion, but there are no symptoms of abdominal pain and vaginal bleeding. This kind of pregnant woman is more difficult. If it is not treated in time, it will lead to the continuous increase of intrauterine effusion, which will make the fetus detached and lead to abortion.
At present, drugs are usually used to protect the fetus during pathological intrauterine hydrops, and pregnant women should take more rest and reduce activities. And keep the color Doppler ultrasound examination once a week until the intrauterine effusion disappears.
In short, when NT examination finds intrauterine effusion, don't be nervous and anxious, and be sure to follow the doctor's advice. If it is necessary to review the treatment, we must actively cooperate.
Many people don't know what it is. Let me introduce NT to you first. NT is an early ultrasonic abnormality examination, which is usually used in the early pregnancy of pregnant women to detect whether the fetus is abnormal. This kind of examination is usually done when the pregnant woman is pregnant 10- 14 weeks.
There are many reasons for the formation of NT ponding, including the following situations: 1. Early progesterone is low, and there is no active drug treatment to protect the fetus. 2. Inappropriate or little rest during pregnancy, and may have done heavy physical labor. 3. Emotional instability, depression or frequent anger in the first trimester. 4. The uterus is sensitive or the embryo does not develop well during development.
NT: If there is fluid in the uterine cavity, it may be threatened abortion. At this time, you should try to have a pregnancy test on time within the time specified by the doctor. If there is no bleeding in the lower body, it can be controlled. If there is bleeding in the lower body, it may be threatened abortion. You should be prepared.
Pregnant women should pay more attention to rest and listen to the doctor's advice to protect the fetus when they find nt hydrops in the hospital. If conditions permit, it is best to stay in bed at home.
During pregnancy, pregnant women should try to avoid some physical labor, and excessive physical labor may also lead to miscarriage. Folic acid and vitamins needed during pregnancy should be taken to promote fetal development and protect the fetus.
Conclusion: NT is used to check whether the fetus is abnormal in the first trimester. Pregnant women in the first trimester should keep a good mood and eat some light and nutritious food in their diet.
T: pregnaNT 12 weeks, nt found hydrops. How is the accumulated water formed?
For women, uterine cavity effusion is mostly not too strange. If they are not pregnant, they will be particularly worried about whether pregnancy will have a bad influence on the fetus. How is the accumulated water formed? What should I pay attention to during pregnancy?
For most women, there will be a little effusion in the uterine cavity more or less, but most of it is physiological, which occurs before ovulation and early pregnancy, and most of it will disappear on its own, but it doesn't matter if it exists.
The other is pathological, precisely speaking, most of them are related to endometritis, cervical canal adhesion, blockage, uterine bleeding, genital malformation and so on. , and most high-risk groups have such characteristics:
Do gynecological examination on time. If you find that the uterus is enlarged and tender, and the connective tissue around the uterus is obviously thickened, you need to be vigilant. During the physical examination last year, the doctor asked me if it hurt by pressing it on my lower abdomen, which was also one of the inspection processes.
If abnormal downward pain occurs, accompanied by general fever and elevated white blood cell count, targeted examination can be carried out in advance to make a clear diagnosis, and the earlier the treatment, the better the effect.
Intrauterine effusion mostly occurs in the first trimester and has three relative destinations.
First, self-absorption
For those with mild hydrops, there is no treatment and no treatment is needed. It is only necessary to confirm whether the fertilized egg develops and grows normally through pregnancy test and self-observation. If there are no signs of edema aggravation, severe vaginal bleeding and abdominal pain, only normal prenatal examination is needed.
Second, it is excreted.
If there is not much effusion, some pregnant women may have a small amount of bleeding during pregnancy. If the color is light, the amount is not much, and there is no abdominal pain, don't worry;
If there are many hydrops and hematomas, it may affect fetal development and lead to villi shedding. Therefore, if you are told that you have accumulated water during pregnancy, you need to pay special attention to reducing strenuous exercise every day, prohibiting husband and wife from living and avoiding fatigue. If vaginal bleeding is serious, you need to inform the doctor in time, and you may need to take uterine contractions according to the specific situation of pregnant women. If the abortion is unsuccessful, it will flow out with the fetus.
Third, it lasts until the third trimester.
If hydrops does not affect fetal development, it may last until the third trimester, and the size varies from 1cm to 7-8cm, which will only increase the troubles of pregnant women, but you can't drip.
At 12 weeks of pregnancy, NT found edema. How is the accumulated water formed?
Generally, it will be more common in the first trimester. Many pregnant women will find intrauterine effusion when doing color Doppler ultrasound, and then worry about whether the fetus will have problems and have an impact on fetal development.
Physiological effusion usually occurs before and after ovulation. At this time, because the female endometrium is in the secretory phase, the products secreted by these glands may cause physiological effusion. However, physiological hydrops can generally disappear by itself without special treatment.
Pathological hydrops, usually accompanied by minor abdominal pain, is often affected by pelvic inflammatory disease and needs medical treatment as soon as possible. However, due to the special period of pregnancy, it is still necessary to consult a doctor in detail.
Pelvic effusion is usually a small amount in the early stage of embryo formation, which belongs to endometrial reaction during pregnancy and generally disappears gradually after 2~3 weeks. It is also very common in clinic.
Pregnant women should pay attention to re-examination. Usually stay in bed, don't do strenuous exercise, and try not to be too tired. If there are symptoms such as excessive effusion, abdominal pain and bleeding during the period, you should go to the hospital for examination in time.
NT examination is actually a kind of B-ultrasound, and the part examined is the back neck of the fetus, that is, the position behind the baby's neck is irradiated with the probe of B-ultrasound.
Why is this test called NT? It is precisely because the full name of this examination is "detection of the thickness of the transparent layer of the fetal neck", and the English word is "nuchal translucency". NT just takes the first letters of these two English words.
Why is there a transparent layer on the back neck of the fetus? Because there is some liquid gathered here. What are these liquids? The answer is lymph. The human body has a very important system, that is, the lymphatic system, in which lymph flows.
At the beginning of pregnancy, the baby's lymphatic system is not fully developed, and there will be some lymphatic aggregation in the lymphatic sac and lymphatic vessels, which NT should check. At this time, we can screen some diseases by measuring the thickness of these lymphatic aggregation sites with B-ultrasound probe.
Before pregnancy 1 1 week, the baby is too young to measure NT clearly. After 0/4 weeks of pregnancy, the baby's lymphatic system begins to establish, and the collected lymph will drain to the internal carotid artery through lymphatic vessels, which can't be detected by B-ultrasound. Therefore, the examination of NT usually takes 1 1- 13+6 weeks. Considering that some expectant mothers may have delayed ovulation, inaccurate menstruation or irregular menstruation, it is safest to check up at 12 weeks of pregnancy.
Intrauterine effusion is a hint of threatened abortion. It is suggested to give dehydroprogesterone to protect the fetus, prohibit sexual life and stay in bed. As long as there is no bleeding, most of them can be absorbed slowly.
Thank you for your invitation. I'm Shen Huan, a reproductive doctor. I'm glad to answer this question for you.
If the NT results show that there is abnormality, the next step should be checked according to the specific abnormal situation and degree. If necessary, amniocentesis should be done to understand fetal chromosomes.
Pelvic effusion is an inflammatory exudate in the pelvic cavity, which can occur after pelvic inflammatory disease or endometriosis (pathological). According to pathological factors, it can be divided into physiological pelvic effusion and pathological pelvic effusion. Physiological pelvic effusion is not a bad thing for women, but pathological pelvic effusion is a great harm. Once women have this liquid, they should go to the hospital for symptomatic treatment in time.
If you are pregnant now and have pelvic effusion, if the amount of effusion is not much and your stomach doesn't hurt, there is generally no problem.
Abdominal pain may be caused by pelvic effusion. At present, the embryo is developing well. Suggest local hot compress to see if it will relieve.
Hysterocele, also known as intrauterine hydrops, is not common in clinic. Patients with uterine prolapse of different ages can be caused by different reasons. The main causes of uterine effusion are: 1, uterine bleeding; 2. Endometritis; 3. Adhesion and blockage of cervical canal; 4. Genital malformation. When there is hydrops in the uterus, the patient may show pain in the lower abdomen, at the same time, leucorrhea may increase and the secretion may be bloody. In the above situation, you should go to a regular hospital for hysteroscopy and curettage, and then treat the uterine effusion accordingly after the cause is clear. Induced abortion can also cause uterine effusion, which can be checked by B-ultrasound.
Causes of intrauterine hydrops
According to experts, the average woman will have a little stagnant water, which is physiological. Generally speaking, endometritis, cervical canal adhesion, blockage, uterine bleeding, genital malformation, etc. will all cause uterine cavity effusion. We can understand and determine the nature of uterine cavity effusion through uterine cavity drainage, so as to determine the specific situation, make diagnosis and curettage when necessary, and actively follow the doctor's advice for treatment after diagnosis.
There are two kinds of hydronephrosis: physiological hydronephrosis often occurs after ovulation or early pregnancy, and often disappears naturally without treatment. What is the cause of uterine cavity effusion? But most of the effusion is caused by inflammation, that is, chronic pelvic inflammatory exudation. There are also many cases caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst and ovarian cancer.
Knowing the cause of intrauterine hydrops, we need to know the symptoms of intrauterine hydrops in order to prevent this disease.
1, the main symptom is lower abdominal pain, which may be accompanied by systemic symptoms, fever and increased white blood cell count.
2, chronic endometritis and gradual formation of uterine cavity empyema, but no obvious symptoms.
3, gynecological examination of the uterus is enlarged, soft, and tender. The connective tissue beside uterus can be obviously thickened, and there may be adnexal inflammatory masses.
cause
1, the most common cause is tubal or pelvic peritonitis. When the fallopian tube is inflamed due to gonococcal infection, tuberculosis infection, chlamydia infection, mycoplasma infection or other bacterial infections, it can destroy the epithelial tissue of the fallopian tube and occlude the fallopian tube. Inflammation can destroy oviduct mucosa, form scars, and cause lumen stenosis or obstruction. Sperm and eggs can't meet in the channel, resulting in infertility.
2. Endometriosis in fallopian tubes can cause tubal obstruction.
3. Some pathogenic bacteria, such as Staphylococcus, Streptococcus or Neisseria gonorrhoeae, spread to fallopian tube or pelvic cavity through vagina, cervix and uterus, causing pelvic peritonitis and serious infection.
4. Secondary infections caused by abortion, postpartum or pelvic surgery, appendicitis, etc. can also lead to tubal obstruction and infertility.
Physiological exudation
Most of them occur after ovulation or early pregnancy and disappear naturally without treatment. However, most of the uterine effusion is caused by inflammation, that is, chronic pelvic inflammatory exudation. There are also many cases caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst and ovarian cancer. Acute and chronic pelvic inflammatory disease is often accompanied by lower abdominal pain (bilateral or unilateral), lumbosacral pain, abortion or medical abortion history. The specific reason of hydrops is that serous exudation caused by inflammation cannot be absorbed by the body and slowly accumulates in the body. The location of pelvic effusion mostly occurs in the lower part of the pelvic cavity, such as hysterorectal recess. Treating hydronephrosis is actually treating pelvic inflammatory disease.
At present, many doctors take posterior fornix puncture to extract effusion for treatment, which is very unscientific, because simply extracting effusion will not only cure pelvic effusion, but also aggravate it. Clinically, although it is clear that the cause of pathological hydrops is pelvic inflammatory disease, the treatment is also aimed at pelvic inflammatory disease, but the effect of extensive use of antibiotics or other drugs is not obvious. The main reason is that pelvic inflammatory disease causes local connective tissue adhesion, which makes it difficult for drugs to reach the affected part; At the same time, it is not only pelvic inflammatory disease that can detect specific pathogenic organisms, and the use of antibiotics is not particularly targeted, so it is difficult to guarantee the curative effect.
harm
1. Uterine cyst leads to infertility: Uterine cyst is very harmful if it is not treated properly, which may easily lead to pelvic adhesion and tubal blockage. , leading to infertility. If gynecological examination usually has lower abdominal pain, lumbosacral pain, increased leucorrhea, lower abdominal tenderness and cord-like thickening, consider chronic pelvic inflammatory disease and need active treatment to prevent inflammation from aggravating and hydrops from increasing.
2. Pelvic inflammatory disease caused by hydronephrosis: Most hydronephrosis is caused by inflammation, which is caused by chronic pelvic inflammatory exudation. There are also many cases caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst and ovarian cancer. The hydrops caused by pelvic inflammatory disease is best examined by puncture in the posterior vault to determine the nature of the fluid.
3. Uterine effusion affects fertility: If there is a chronic infection focus, it may be inflammation of gynecological systems such as ovaries and fallopian tubes, or it may be caused by tuberculosis or tumors. It is easy to cause pelvic adhesion and tubal blockage. It will affect fertility in the long run.