A 30 -year -old woman is always abortion, but she can’t find the cause

Director Xue Hua, a gynecological department of Xuzhou Maternal and Child Health Hospital: The incidence of natural abortion in women in recent years has become higher and higher

Ms. Wang, 30 years old, has been married for 5 years and has been pregnant 4 times. Each time is about two months of pregnancy, they will have a natural abortion.This caused her to collapse very much.

So, the well -known person introduced that she came to the clinic of Director Xue Hua, the gynecological department of Xuzhou Maternal and Child Health Hospital.

"In order to have a child smoothly, I have seen a doctor everywhere, and I have been there in large hospitals in Beijing and Shanghai to do a lot of inspections, but what is the reason why it is not the reason?" Ms. Wang collapsed.

Ms. Wang said that when she had a miscarriage for the first time 4 years ago, she thought she was not careful. As a result, she had a miscarriage after pregnancy in the second year. She went to the hospital for examination and found that the embryo stopped developing when she was about fifty days.Natural abortion.Later, the result was the same.

Director Xue Hua looked at Ms. Wang’s various inspection materials and told her after understanding her basic situation: "Repeated natural miscarriage can be treated symptomatically, but if the reason is not found, it is suspected that it may be immune to the problem orCause of thrombosis. "

She said that if it is caused by immune factors, immunosuppressive agents can be started from pregnancy, but this solution needs to be very cautious, because immunosuppressants can easily cause fetal malformations. Generally, patients will not easily try this method.You need to sign an agreement in advance.If it is caused by thrombosis, thrombolytic treatment is performed.In response to Zhang Xin’s situation, Director Xue recommends that she first adopted the treatment of traditional Chinese medicine with progesterone.

The incidence of natural abortion in women in recent years has become higher and higher

Director Xue Hua told reporters that the phenomenon of natural abortion that occurred twice in a row can be called repeated natural abortion, which is a category of infertility.In recent years, the incidence of natural miscarriage of women has become higher and higher. In the outpatient clinic, I can encounter several patients who have been visited by repeated abortion every day.

So, what is the reason for women’s repeated abortion?

Director Xue Hua said that the main aspects of the main aspects are common:

First, uterine factors: Because the internal environment and the overall environment of the uterus in the uterus may have an impact on the embryo.The endometrium, if it is too thin and too thick, will affect the embryo bed.Abortion caused by uterine defects accounts for about 10%to 15%;

Second, endocrine factors: such as lack of luteal function, hyperthyroidism or low thyroid function, low, diabetes, etc. can affect the development of moltation, placenta and fetus;

Third, genetic factors: mainly because the number of chromosomal and abnormal structural abnormalities, this situation accounts for 50 % to 60 % of the natural abortion, which often leads to early development of embryos, degenerate ovulation and shrinking;

Fourth, environmental factors: contact the outside world toxic substances such as lead, organic mercury, DDT, radiation, etc.;

V. Anatomy: Genital malformations or tumors such as twin -cottage, uterine hypertrophy, uterine fibroids, and cervical inner mouth relaxation, etc.;

6. Infection factors: Various microbial infections of the reproductive tract, hormone, rubella virus, and giant cell virus infection.

7. Immune factors: The deficiency of closed antibodies, inconsistent blood types, positive anti -heart -phospholipid antibodies, and anti -sperm antibody positives are common factor that causes repeated natural miscarriage.

8. Maternal systemic diseases, especially acute infectious diseases, lack of various nutrients, such as folic acid deficiency.

When repeated abortion, you must first find the cause in order to treat the symptoms

Director Xue Hua said that there are many reasons for repeated natural abortion. First of all, the cause must be found in order to treat symptomatic treatment.Projects for infertility examinations include: chromosomal examination, B -ultrasound or hysteroscopic examination, endocrine examination, cervical mucus examination, immunohistological examination, coagulation examination, and men’s semen examination.

More than half of patients can find the cause of repeated abortion after the above examination. If you find the cause, you can treat and do it accordingly: If there are abnormalities in the chromosomes and genes of husband and wife, you can choose healthy fertilized eggs through the third -generation IVF technology to select healthy fertilized eggsPlant the mother’s uterus; natural abortion caused by reproductive tract malformations or tumor causes can be corrected through surgical treatment; luteal function can be improved through drugs to improve luteal function; if it is a virus infection, it should be distinguished or after infection or past infection.If the permanent antibody can be treated with antiviral treatment, the latter can not be treated; when combined with thyroid disease and diabetes, actively treat internal medicine. After the condition is stable, the internal medicine physician and obstetrician will decide whether to get pregnant;The cervical incompleteness has no clinical symptoms during non -pregnancy. After pregnancy, it is determined by the B -ultrasound inner inner mouth of the cervix in about 12 weeks.Treatment.

"In addition to the above reasons, some patients cannot find the exact cause after various testing. At this time, only Chinese medicine can be treated for treatment. Dialectical treatment of Chinese medicine hasInspeal that is irreplaceable, "Director Xue Hua said.

Text/Xu Bao Rong Media Reporter Lei Ying

Correspondent Zhang Tong

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