Pregnancy is a wonderful waiting time. The future mother should enjoy her position and not think about the bad. But, unfortunately, this stage can be clouded by health problems. One of these possible problems is appendicitis in pregnancy. Is it dangerous? And how is treatment carried out in this case?
- What's this?
- Causes of
- Symptoms of
- Consequences of
- Diagnosis of
- Treatment of
- Postoperative period of
What is this?
Appendicitis is an inflammation of the so-called vermiform appendage, which in medical practice is called appendicitis. This process is considered a rudiment, that is, in fact, become a man not needed in the process of evolution. But such bodies may well have an effect. As practice shows, in a quarter of the population, the appendix is inflamed. Age does not affect this condition, but most often appendicitis develops in young people( about 30 years).
Regarding pregnant women, they also have a vermiform appendix that can easily become inflamed, which is largely due to their position. Of the total number of women who have had appendicitis, about 5% is made up of future mothers. Acute appendicitis, by the way, is more common in pregnant women than in ordinary people.
There are two forms of this condition: catarral and destructive. In the first case, the appendix increases in size, becomes edible, but remains intact, that is, pus can not flow into the abdominal cavity.
The destructive state form, in turn, can be divided into several types:
- The phlegmatic appendicitis greatly increases in size and is filled with pus. It resembles a bubble, which under certain circumstances can burst. From the first form to the second appendicitis passes in about 6-12 hours, although sometimes it happens much faster( per hour), which is extremely dangerous.
- If phlegmatic appendicitis measures were not taken on time, then the following form may develop: gangrenous. In this case, the tissues of the walls of the appendix gradually begin to die and collapse, it can easily burst, which will lead to the entry of pus into the abdominal cavity. In this condition, the vermiform appendix may be about 12 hours.
- The last and most complex form is the perforated one. It develops about a day after the first manifestations of inflammation. In this case, the pus pours into the abdominal cavity and fills it. Because of this, an infection that threatens the life of a future mother and fetus can develop. If the next day does not seek medical help, then everything can end very sad.
So far, doctors have not established the exact reasons for the development of this condition. It is believed that the appendix can become inflamed because of the obstruction of the lumen, which connects the cecum and the appendix. Why is this happening? Probably, the fecal masses remaining in the intestine harden and stone, forming stagnation. In addition, slag, which the body did not bring in time, can also cork this lumen. And sometimes the condition is affected by the position of the appendix( it can be different).
As for pregnancy, it is in itself a negative influence factor in this case. First, the uterus grows very quickly and can move adjacent organs. Especially displacements and squeezes the intestine is exposed. In this case, the appendix can shift, which will lead to its inflammation. Secondly, in the period of gestation, many women have problems with stools, that is, constipation. Stagnant contents of the intestine through the lumen can penetrate the appendix or simply clog this same lumen. Thirdly, with constipation, the intestinal microflora is broken, which can also serve as a kind of trigger mechanism. The fact is that pathogenic microorganisms may well fall into the vermiform appendix and provoke the launch of pathological processes. Symptoms of
Appendicitis, as a rule, does not remain undetected, but often future mothers confuse them with an increased tone of the uterus( and this is not unusual), or other problems and processes related directly to pregnancy. It is extremely important to notice signs in time to consult a doctor and to avoid serious consequences. Let's list the symptoms:
- First of all, there will be pain. First, it will be felt exactly at the site of inflammation. Since the uterus shifts the appendix up, the discomfort will be localized in the upper abdomen.
- Then the pain will spread over the body, go down. Often, it is shrouded, gives in the other side, lower back and back. If at first the sensations are not so strong, then the pain will be almost constant. First, they are aching or pulling, then they can also have a cramping character. If you lie on your right side, then the sensations will increase.
- As the process presses against the uterus, hypertension may occur. The abdomen will become hard, may hurt a little.
- Vomiting and nausea may occur( if the appendix presses on the liver).If the process is located in a small pelvis, squeezing the bladder will lead to painful urination.
- Weakness is noted.
- Often this condition is accompanied by an increase in temperature( sometimes quite significant).
As already noted, the consequences can be very sad:
- If the uterus is given strong pressure, it will respond with excessive tension, which can lead to abortion or premature birth.
- Placental abruption may occur, which, if not timely, can lead to fetal death.
- Probably bleeding.
- Another threat is the hypoxia( oxygen starvation) of a future child, which is the cause of irreversible changes in the brain and other organs of the fetus.
- Postoperative period with inadequate observation by doctors can also be dangerous. So, there is a risk of developing intestinal obstruction( after the operation, bowel evacuation becomes more complicated).In addition, there is a possibility of infection.
To identify appendicitis, it is necessary to conduct a comprehensive examination. First, blood and urine tests are prescribed. Secondly, ultrasound is required. But the most accurate results will allow to obtain laparoscopic diagnostics, which is performed by puncturing the abdominal cavity and placing a chamber( endoscope) in it.
The only effective way to eliminate this problem is surgery. There is no other way, since it is impossible to remove inflammation by medicinal means. If it has started, in any case, the process must be removed. But the operation can be carried out by two methods:
- Traditional operation. In the abdominal cavity above the location of the appendix is a cut length of 8-10 centimeters, through which appendectomy( removal of the appendage) is performed. If there is an abscess, then drain tubes are installed, through which the pus is discharged outside. Then seams are applied, they are removed usually in a week.
- The second method is a laparoscopic operation. Several punctures are made in the cavity. Through one, an endoscope is inserted( it allows you to see the cavity from the inside and find the focus of inflammation), and through the others put the manipulators( with their help and manipulations are made).This is the preferred method for a future mother, as the risk of complications decreases many times.
The probability of occurrence of consequences increases in the first days after the operation. The future mother will not impose cargo and ice on her stomach, as is usually done. A pregnant woman is shown a strict bed rest, as well as a sparing diet.
Doctors must certainly follow the work of the intestines. In most cases, special soft preparations are prescribed to prevent constipation.
In addition, if the uterus begins to contract, then drugs can be prescribed, relaxing muscles and relieving spasm( eg, "Papaverin" and the like).
Another important measure is the prevention of infection( after surgery such a probability is quite high).To do this, the doctor will prescribe antibiotics, which should be selected with special care and taking into account the position of the woman.
After 2-3 weeks, the pregnant woman can return to her usual lifestyle.
You can only add that appendicitis during the carrying of the baby is dangerous, but if time is taken, the consequences will be avoided.
- Hypertension of the uterus in pregnancy
- Aching in the abdomen during pregnancy
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