Αποβολή είναι η αυτόματη απώλεια μιας εγκυμοσύνης πριν από την 20η εβδομάδα. Περίπου 10 με 20% των κυήσεων καταλήγουν σε αποβολή. Όμως, ο πραγματικός αριθμός είναι πιθανότατα πολύ μεγαλύτερος, επειδή πολλές αποβολές συμβαίνουν τόσο νωρίς στην εγκυμοσύνη που μια γυναίκα δεν ξέρει καν ότι είναι έγκυος.
Οι περισσότερες αποβολές συμβαίνουν επειδή το έμβρυο δεν αναπτύσσεται κανονικά. Ωστόσο, επειδή αυτές οι ανωμαλίες σπάνια είναι κατανοητές, είναι συχνά δύσκολο να προσδιοριστεί τι τις προκαλεί.
Τύποι Αποβολών
Επ’ απειλούμενη αποβολή
Εάν υπάρχει αιμορραγία, αλλά ο τράχηλός σας δεν έχει αρχίσει να διαστέλλεται, υπάρχει κίνδυνος αποβολής. Τέτοιες εγκυμοσύνες συχνά μπορούν να προχωρήσουν χωρίς περαιτέρω προβλήματα .
Αναπόφευκτη αποβολή
Εάν υπάρχει αιμορραγία, έχετε συσπάσεις και ο τράχηλος σας διαστέλλεται, η αποβολή είναι αναπόφευκτη.
Ατελής αποβολή
Όταν προϊόντα της κύησης (έμβρυο, πλακούντας) βρίσκονται μέσα στην κοιλότητα της μήτρας, μετά από αποβολή μέρους αυτής.
Παλίνδρομη κύηση
Όταν τα προϊόντα της κύησης βρίσκονται μέσα στη μήτρα, αλλά το έμβρυο έχει πεθάνει ή δε σχηματίσθηκε ποτέ.
Πλήρης αποβολή
Όταν όλα τα προϊόντα της κύησης αποβληθούν από τη μήτρα. Αυτό είναι συχνό για αποβολές που συμβαίνουν πριν από 12 εβδομάδες.
Σηπτική αποβολή
Εάν έχετε αναπτύξει μια μόλυνση στη μήτρα σας, είναι γνωστό ως μια σηπτική αποβολή. Αυτό μπορεί να είναι μια πολύ σοβαρή λοίμωξη και απαιτεί την άμεση προσοχή.
Συμπτώματα
Οι περισσότερες αποβολές συμβαίνουν πριν από την 12η εβδομάδα της εγκυμοσύνης. Τα σημεία και συμπτώματα της αποβολής μπορεί να περιλαμβάνουν:
- Κολπικές κηλίδες αίματος ή αιμορραγία
- Πόνος ή κράμπες στην κοιλιά σας ή το κάτω μέρος της πλάτης
- Υγρά που διέρχονται από τον κόλπο σας
Λάβετε υπόψη ότι οι περισσότερες γυναίκες που βιώνουν κηλίδες αίματος από τον κόλπο ή αιμορραγία κατά το πρώτο τρίμηνο, έχουν επιτυχή εγκυμοσύνη.
Αιτίες
- Παθολογικά γονίδια ή χρωμοσώματα
- Όχι καλά ρυθμισμένος διαβήτης
- Λοιμώξεις
- Ορμονικά προβλήματα
- Προβλήματα στη μήτρα ή τον τράχηλο
- Νόσος του θυρεοειδούς
Δραστηριότητες ρουτίνας όπως αυτές δεν προκαλούν μια αποβολή:
- Άσκηση
- Το σεξ
- Εργασία, εφόσον δεν είστε εκτεθειμένες σε βλαβερές χημικές ουσίες ή ακτινοβολία.
Παράγοντες κινδύνου
Ηλικία
Οι γυναίκες ηλικίας άνω των 35 ετών έχουν υψηλότερο κίνδυνο αποβολής από ό, τι οι νεότερες γυναίκες. Στην ηλικία των 35, ο κίνδυνος είναι 20 τοις εκατό. Στην ηλικία των 40, ο κίνδυνος είναι περίπου 40 τοις εκατό. Και στην ηλικία των 45, είναι περίπου 80 τοις εκατό. Η πατρική ηλικία, επίσης, θα μπορούσε να διαδραματίσει έναν ρόλο. Κάποια έρευνα δείχνει επίσης ότι οι γυναίκες που μένουν έγκυες από τους ηλικιωμένους άνδρες διατρέχουν ελαφρώς υψηλότερο κίνδυνο αποβολής.
Προηγούμενη αποβολή
Οι γυναίκες που είχαν δύο ή περισσότερες συνεχόμενες αποβολές διατρέχουν υψηλότερο κίνδυνο αποβολής.
Οι χρόνιες παθήσεις
Οι γυναίκες που έχουν μια χρόνια πάθηση, όπως ο μη σωστά ρυθμιζόμενος διαβήτης, έχουν υψηλότερο κίνδυνο αποβολής.
Προβλήματα της μήτρας ή του τραχήλου της μήτρας
Συγκεκριμένες ανωμαλίες της μήτρας ή ανεπάρκεια του τραχήλου της μήτρας μπορεί να αυξήσουν τον κίνδυνο αποβολής.
Κάπνισμα, το αλκοόλ και τα ναρκωτικά
Οι γυναίκες που καπνίζουν κατά την εγκυμοσύνη έχουν μεγαλύτερο κίνδυνο αποβολής από ό, τι μη καπνίστριες. Βαριά χρήση αλκοόλ και παράνομων ναρκωτικών αυξάνουν επίσης τον κίνδυνο αποβολής.
Βάρος
Όντας λιποβαρής ή υπέρβαρη αυξάνεται ο κίνδυνος αποβολής .
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Επεμβατικές δοκιμασίες όπως δειγματοληψία χοριακής λάχνης και η αμνιοπαρακέντηση, φέρουν ένα μικρό κίνδυνο αποβολής (1%) .
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