Among the most serious gynecological diseases experts pay attention to disseminated intravascular coagulation - DIC syndrome.Under the influence of this disease develop problems in the form of thrombosis and bleeding, that in the critical case can lead to death.
the leading cause of this disease is due to the problems that accompany pregnancy and childbirth.The development of DIC syndrome possibly postpartum women and children.ICE syndrome involves a rather heavy difficulties in diagnosis and treatment.
disappointing statistics show that acute form of this disease in 30% of cases resulting in deaths.It should be understood that a professional diagnosis and attentive medical allow you to stop this disease is still in the first stage of any transition to significantly reduce the threat of this disease to the next phases.
Read more about the nature and characteristics of syndrome DIC
syndrome DIC (disseminated intravascular coagulation) is in violation of hemostasis (when the body can not cope with
It should take into account the diversity of the rate of development and severity of the DIC syndrome.It can take several forms of development - lightning (within an hour), acute (a few hours) or subacute (a few days) and chronic (months or even years), recurrent (periodic worsening state intervals of remission), hidden (latent).
ICE syndrome in pregnancy is acute or chronic.Appears syndrome, chronic form of the internal combustion engine due to the extragenital pathology in pregnant women (glomerulonephritis, cardiovascular disease, blood disorders, and other diseases), there is an acute form with significant blood loss - when amniotic fluid embolism, hypotonic bleeding.
Causes of DIC syndrome
ICE syndrome during pregnancy is formed as a complication of infectious and inflammatory diseases.Among the main reasons for the formation of a pathology called the following factors:
amniotic fluid embolism - develops during obstructed labor, when the amniotic fluid get into the bloodstream, it may be a result of uterine rupture or her neck, at the pathological development of shells or cesareansection.Also contributed to the ingress of amniotic fluid in the bloodstream is placenta previa, increased hydrostatic pressure in the uterine cavity, premature detachment of the placenta from the normal location.
premature placental detachment - detachment occurs when the normal flow before the birth of the baby.Typically, placental abruption occurs bleeding from the genital tract.During the placenta after detachment at times formed a hematoma.
Preeclampsia - a heavy late toxicosis, usually occurs in the 3rd trimester of pregnancy.When getoze protein appears in the urine, increased blood pressure, there is swelling, impaired uteroplacental circulation.
Hemorrhagic shock - is very powerful stress of the body, which are the cause of bleeding.
Sepsis - is generalized purulent infection of blood that can be caused by fetal death, inflammation of the membranes or septic abortion, transfusion of incompatible blood.
Endometritis - inflammation of the lining of the uterus, develops in the postpartum period, it can be a complication of fulminant form of DIC syndrome.
possible occurrence of DIC syndrome in pregnant women with kidney disease, cardiovascular system, liver, Rh conflict and others.
stages of DIC syndrome
Hypercoagulation (increased blood clotting).The duration of this state varies from a few minutes (acute form of the syndrome ICE) to several days (chronic form).This step is no laboratory diagnosis may be latent.
Among specific external signs: hyperemia (increased blood supply to the skin), cyanosis (bluish color of the skin), often is the appearance of a marble pattern on the upper and lower extremities, sometimes tachycardia, chills.
Hypocoagulation (reduced blood clotting) with no blood clots and active dissolution of blood clots.Among the outward signs should be noted increased bleeding from the surgical operation or the birth canal, the occurrence of bleeding in the skin, nosebleeds, rashes krovopyatnistyh on the sides of the chest, upper eyelid, hips.
In the blood from the uterus contains loose clots rapidly disintegrate.
Hypocoagulation active dissolving blood clots and blood clots.Can manifest the following external features: separation of the liquid does not coagulate the blood, the occurrence of single small bunches with rapid destruction, with the appearance of uterine bleeding, or bleeding from the surgical wound or injection sites, the appearance of blood in the urine, bleeding in the abdominal and thoracic cavity, the pericardium.
Full nesvertyvanie blood (afibrinogenemia).The duration of the clinical manifestations of 7-9 hours or more.
prevention and diagnosis of DIC
for all pregnant women need to be sure to study the passage of hemostasis to detect existing disorders.
first signal for suspicion - data analysis of the woman's blood on hemostasis.Koagullogramma - the study of blood coagulation.As a result of this analysis, understanding of the possible violation of blood coagulation and a number of other pregnancy complications.Desirable delivery of this analysis every trimester - when abnormalities of hemostasis, a doctor can prescribe it more often.The analysis is performed in the morning on an empty stomach - blood is taken from a vein.
Through timely detection of the severity of disorders of hemostasis can expect a more effective and safe treatment for pregnant women.
methods of treatment of DIC in pregnancy
suitable treatment of DIC syndrome doctor selects depending on the stage of the disease.The importance of effective treatment is given not only to the advice of the doctor, but also a midwife.
Basic principles for successful treatment of DIC syndrome is to eliminate pathologic processes and state of shock.The presence of pathological processes leads to a worsening of DIC syndrome.Therefore, before curative therapy of great importance given to the necessary laboratory diagnosis of DIC syndrome all phases, defining its relationship with infectious and inflammatory processes in the body, surgery and other predisposing factors.
help stop further development of the DIC syndrome or substantial mitigation of complications arising can get rid of the shock.To combat such phenomena, provided a comprehensive transfusion therapy - intravenously administered various drugs (solutions) to work on the disruption of homeostasis.